NUMED HOME HEALTH CARE INC
10QSB, 1997-11-14
HOME HEALTH CARE SERVICES
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                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C.  20549
                                   FORM 10-QSB


                [ X ]QUARTERLY REPORT PURSUANT TO SECTION 13 OR 
                  15 (d) OF THE SECURITIES EXCHANGE ACT OF 1934
                    For the quarter Ended September 30, 1997
                                       or
              [   ]TRANSITION REPORT PURSUANT TO SECTION 13       
                OR 15 (d) OF THE SECURITIES EXCHANGE ACT OF 1934


                         Commission File Number 1-12992


                          NuMED HOME HEALTH CARE, INC.
        (Exact name of small business issuer as specified in its charter)


             STATE OF NEVADA                   34-1711764
     (State or other jurisdiction of        (I.R.S. Employer
     incorporation or organization)       identification No.)


   5770 Roosevelt Blvd., Suite, 700, Clearwater, FL                 34620
        (Address of principal executive offices)                   (Zip Code)


         Issuer's telephone number, including area code: (813) 524-3227




   Indicate by check mark whether the issuer (1) has filed all reports
   required to be filed by Section 13 or 15(d) of the Securities Exchange Act
   of 1934 during the preceding 12 months (or for such shorter period that
   the registrant was required to file such reports), and (2) has been
   subject to such filing requirements for the past 90 days.  [   ] Yes  [X ]
   No


   The number of shares outstanding of the Issuer's common stock at $.001 par
   value as of November 13, 1997 was 4,943,144 (exclusive of Treasury
   Shares).

   <PAGE>

             NuMED Home Health Care, Inc. and Subsidiaries
                      Consolidated Balance Sheets




                                       September 30,   March 31,
                                           1997           1997

                  ASSETS

    Current assets:
      Cash and cash equivalents            $804,346      $797,440 

      Cash deposits securing
         contractual arrangements         1,050,000     1,875,000 
                                          ---------     --------- 
                                          1,854,346     2,672,440 

      Accounts receivable, net of
       allowance of $314,911 and
       $364,911, respectively             4,189,920     3,545,782 
      Inventories                            22,519        25,126 
      Prepaids and other current
       assets                               275,777       256,967 
                                          ---------     --------- 
    Total current assets                  6,342,562     6,500,315 


    Property and equipment, net of
      accumulated depreciation
      of $292,726 and $248,579,
      respectively                          455,307       389,017 
    Goodwill, net of amortization
      of $926,242 and $753,571,
      respectively                        4,253,893     4,426,563 
     Other intangibles assets, net
       of accumulated amortization
       of $1,886,989 and 
       $1,796,412, respectively             288,291       348,958 
    Other                                   617,116       551,447 
                                         ----------    ---------- 
    Total assets                        $11,957,169   $12,216,300 
                                         ==========    ========== 


      LIABILITIES AND STOCKHOLDERS'
                  EQUITY

    Current liabilities:

      Trade accounts payable               $118,769      $289,844 
      Accrued salaries and payroll
        related                           1,272,385     1,421,538 
      Accrued expenses                      115,780       412,517 
      Estimated amount due third
        parties                             358,829       158,282 
      Current portion of notes
        payable                             198,137       614,331 
                                          ---------     --------- 

    Total current liabilities             2,063,900     2,896,512 
    Long term obligations:
      Other
      Notes payable-acquisitions,
        less current portion              1,755,654     1,112,807 
                                          ---------     --------- 
    Total long term obligations           1,755,654     1,112,807 
                                          ---------     --------- 
    Total liabilities                     3,819,554     4,009,319 

    Stockholders' equity:
      Preferred stock, authorized
        2,000,000, no shares
        issued or outstanding                     0             0 
      Common stock, $.001 par
        value, authorized
        48,000,000 shares,
        5,010,219 shares issued               5,010         5,010 
      Additional paid-in capital         10,679,113    10,679,113 
      Treasury stock, 67,075 at
        cost                               (134,821)     (134,821)
      Accumulated deficit                (2,411,687)   (2,342,321)
                                         ----------    ---------- 
    Total stockholders' equity            8,137,615     8,206,981 
                                         ----------    ---------- 
    Total liabilities and
      stockholders' equity              $11,957,169   $12,216,300 
                                         ==========    ========== 


    Note:  The balance sheet at March 31, 1997 has been derived
    from the audited financial statements at that date but does
    not include all of the information and footnotes required by
    generally accepted accounting principles for complete
    financial statements.

                 See notes to consolidated financial statements.

   <PAGE>
                 NuMED Home Health Care, Inc. and Subsidiaries
                     Consolidated Statements of Operations


                                            Six Months Ended September 30,
                                                     1997            1996 

    Net revenues                              $11,346,079     $12,565,513 
    Direct expenses                             8,421,177       9,736,908 
                                               -----------     ---------- 
    Gross profit                                2,924,902       2,828,605 


    General and administrative expenses:
    Salaries and benefits                       1,785,057       1,731,912 
    Operating expenses                            361,848         384,755 
    Professional fees                              73,074         144,775 
    Legal fees                                     20,745         114,162 
    Occupancy expenses                            332,291         390,771 
    Insurance                                     129,292         170,918 
    Amortization and depreciation                 307,441         302,611 
    Bad debt expense                                  382          32,548 
    Other contractual adjustments                       0         765,000 
                                               ----------      ---------- 
    Total general and administrative            3,010,130       4,037,452 
                                               ----------      ---------- 
    Operating income (loss)                       (85,228)     (1,208,847)


    Other revenues (expenses):
    Interest income                                46,312          59,683 
    Interest expense                              (84,953)        (38,786)
    Other                                               0           6,874 
                                               ----------      ---------- 
    Total other revenues, net                     (38,641)         27,771 
                                               ----------      ---------- 

    Income (loss) before income taxes            (123,869)     (1,181,076)
    Income tax (benefit) expense                  (54,503)         11,761 
                                               ----------      ---------- 
    Net income (loss) after income taxes         ($69,366)    ($1,192,837)
                                               ==========      ========== 

    Per share:
    Net income (loss) after income taxes           ($0.01)         ($0.24)
                                               ==========      ========== 

    Shares used in computing per share
     information                                4,943,144       4,950,130 


                 See notes to consolidated financial statements

   <PAGE>

                  NuMED Home Health Care, Inc. and Subsidiaries
                      Consolidated Statements of Operations

                                           Three Months Ended September 30,
                                                     1997              1996 


    Net revenues                               $5,712,386        $6,140,838 
    Direct expenses                             4,177,546         4,868,902 
                                               ----------        ---------- 
    Gross profit                                1,534,840         1,271,936 


    General and administrative expenses:

    Salaries and benefits                         939,228           839,030 
    Operating expenses                            223,385           195,348 
    Professional fees                              39,149            41,757 
    Legal fees                                     15,335            10,191 
    Occupancy expenses                            188,063           196,017 
    Insurance                                      65,509            94,494 
    Amortization and depreciation                 163,275           149,942 
    Bad debt expense                                  381            18,150 
    Other contractual adjustments                       0           765,000 
                                               ----------        ---------- 
    Total general and administrative            1,634,325         2,309,929 
                                               ----------        ---------- 
    Operating income (loss)                       (99,485)       (1,037,993)


    Other revenues (expenses):
    Interest income                                14,654            26,841 
    Interest expense                              (54,329)          (26,147)
    Other                                               0             7,142 
                                                ---------         --------- 
    Total other revenues, net                     (39,675)            7,836 
                                                ---------         --------- 

    Income (loss) before income taxes            (139,160)       (1,030,157)
    Income tax (benefit) expense                  (61,232)            8,452 
                                                ---------        ---------- 
    Net income (loss) after income taxes         ($77,928)      ($1,038,609)
                                                =========        ========== 

    Per share:
    Net income (loss) after income taxes           ($0.02)           ($0.21)
                                                =========        ========== 


    Shares used in computing per share
    information                                 4,943,144         4,933,336 


                 See notes to consolidated financial statements

   <PAGE>

   <TABLE>
   <CAPTION>
                                          NuMED Home Health Care, Inc. and Subsidiaries
                                         Consolidated Statements of Stockholders' Equity
                                Six Months Ended September 30, 1997 and Year Ended March 31, 1997


                                                             Additional
                                          Common Stock         Paid-in     Accumulated      Treasury Stock
                                        Shares     Dollars     Capital      (Deficit)     Shares     Dollars        Total

    <S>                               <C>          <C>      <C>             <C>          <C>         <C>         <C>      
    Balance at March 31, 1996         $5,010,219   $5,010   $10,708,176     ($464,269)   ($46,023)   ($68,138)   $10,180,779 
    Net (loss)                                                             (1,878,052)                            (1,878,052)
    Exercise of options                                          (1,684)                   20,000      30,885         29,201 
    Purchase of treasury shares                                                          (100,000)   (201,000)      (201,000)
    Shares issued under 
       employee stock purchase plan                             (27,379)                   58,948     103,432         76,053 
                                       ---------    -----    ----------     ---------     -------    --------      --------- 
    Balance at March 31, 1997          5,010,219    5,010    10,679,113    (2,342,321)    (67,075)   (134,821)     8,206,981 
    Net (loss)                                                                (69,366)                               (69,366)
                                       ---------    -----    ----------     ---------     -------    --------      --------- 
    Balance at September 30, 1997     $5,010,219   $5,010   $10,679,113   ($2,411,687)   ($67,075)  ($134,821)    $8,137,615 
                                       =========    =====    ==========     =========     =======    ========      ========= 

   </TABLE>


   <PAGE>

                  NuMED Home Health Care, Inc. and Subsidiaries
                      Consolidated Statements of Cash Flow

                                             Six Months Ended September 30,
                                                      1997             1996 
    Cash flows from operating activities
    Net Income (loss)                             ($69,366)     ($1,192,837)
    Adjustments to reconcile net income
      to net cash provided by (used in)
      operating activities:
         Depreciation and amortization             307,441          302,610 
         Loss on sale or disposal of
           property, plant and equipment                 0              268 
         (Decrease) increase in cash due
           to net changes in 
           operating assets and
           liabilities:
              Accounts receivable -
                trade                             (644,138)        (440,657)
              Prepaid expenses and other
                assets                             (16,206)         (22,529)
              Deferred charges or other
                long term assets                   (65,668)            (125)
              Accounts payable and
                accrued expenses                  (416,463)         500,637 
                                                  --------         -------- 
    Net cash provided by (used in)
     operating activities                         (904,400)        (852,633)

    Cash flows from investing activities
    (Purchase) of property and
       equipment, net                             (110,438)         (14,187)
                                                 ---------        --------- 
    Net cash (used in) investing
       activities                                 (110,438)         (14,187)

    Cash flows from financing activities

    Proceeds from borrowings                     2,182,025        1,662,388 
    Payments on borrowings                      (1,955,372)        (822,079)
    Capitalized loan costs                         (29,909)               0 
    Cash deposits securing contractual
       arrangements                                825,000         (500,000)
    Proceeds from issuance of stock                      0           44,998 
    Purchase of treasury stock                           0         (201,000)
    Proceeds from exercise of options                    0           12,201 
    Collection of note receivable                        0          106,966 
                                                 ---------        --------- 
    Net cash (used in) provided by
       financing activities                      1,021,744          303,474 
                                                 ---------        --------- 
     Increase (Decrease) in cash and
       cash equivalents                              6,906         (563,346)

    Cash and cash equivalents at
       beginning of year                           797,440        1,494,860 
                                                ----------        --------- 
    Cash and cash equivalents at end of
       period                                     $804,346         $931,514 
                                                ==========        ========= 


                 See notes to consolidated financial statements


   <PAGE>

   NuMED Home Health Care Inc. and Subsidiaries

   Notes to Condensed Consolidated Financial Statements
   (Unaudited)

   September 30, 1997

   NOTE A-BASIS OF PRESENTATION

        The accompanying unaudited condensed consolidated financial
   statements have been prepared in accordance with generally accepted
   accounting principles for interim financial information and with the
   instructions to Form 10-QSB and Article 10 of Regulation S-X. 
   Accordingly, they do not include all of the information and footnotes
   required by generally accepted accounting principles for complete
   financial statements.  In the opinion of management, all adjustments
   (consisting of normal recurring accruals) considered necessary for a fair
   presentation have been included.  Operating results for the three and six
   month periods ended September 30, 1997 are not necessarily indicative of
   the results that may be expected for the year ending March 31, 1998.  For
   further information, refer to the consolidated financial statements and
   footnotes included in the Company's and Subsidiaries' Form 10-KSB for the
   year ended March 31, 1997.

   Item 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION  AND
   RESULTS OF OPERATIONS

   Results of Operations

        Net Revenues for the three and six months ended September 30, 1997
   decreased by 7% or $428,000 and 10% or $1,219,000, respectively over the
   same periods one year ago. The revenues in the rehabilitation division,
   NuMED Rehabilitation, Inc. ("NuMED Rehab"), experienced a 36% decline or
   $2.0 million for the six months ended September 30, 1997. The revenue
   declines is attributed to the major client who elected to develop their
   in-house therapy programs.  NuMED Rehab has signed 12 new contracts to
   offset this decline.  Meanwhile, the Home Health division revenue
   continues to grow, increasing 14% or $462,000 for the quarter ending
   September 30 1997 and 12% or $824,000 the six-months ending September 30,
   1997.  With this shift in revenue, the Home Health division now comprises
   68% of the total revenues compared to 55% for the six-month period last
   year.

        With the revenue declines, direct expenses also decreased.  For the
   three-month period ending September 30, 1997, the direct expenses
   decreased $691,000 or 14% compared to the same period last year. As a
   percentage of net revenues, the direct expenses improved 6% to 73%
   compared to 79%.  For the six months ending September 30, 1997, direct
   expenses decreased $1.3 million or 14% compared to the same period last
   year. As a percentage of net revenues direct revenues have improved 3% to
   74% compared to 77% last year.

        NuMED Rehab's direct expenses as a percentage of net revenues has
   remained consistent at 84% and 83% for the three-month and six-months
   ending September 30, 1997. This compares favorably to the to 87% and 84%,
   respectively, for the same periods last year.  The therapy revenues are
   now on an upward trend that should reflect improvement in the direct
   expenses percentages during the remainder of the fiscal year as fixed
   labor costs increases their productivity.  The Home Health division
   continues to grow and improve efficiencies as the percentage of direct
   expenses decreased to 68% for the three months ending September 30, 1997
   compared to 73% for the three month period ending last year.  For the six
   months ending September 30, 1997, direct expenses were 70% comparing
   favorably to 72% for the same period last year.

        Gross profit margins has improved to 27% and 26% for the quarter and
   six month periods ending September 30, 1997, respectively, compared to
   last year with margins of 21% and 23%.

        General and administrative expenses increased by 6% or $89,000 for
   the three months ending September 30, 1997 but decreased by 8% or $262,000
   for the six months ending September 20, 1997.  [For comparison purposes,
   1996 expenses were adjusted by the $765,000 estimated settlement of a
   major NuMED Rehab client.]  The company continues to seeks ways to reduced
   expenses and improve efficiencies through centralization, standardization,
   and consolidation.

        As a result of the foregoing, the Company experienced a net loss for
   the six months ending September 30, 1997 of $69,000 compared to the net
   loss of $1.2 million last year for the same period. A loss of $435,000
   would have been incurred through September 30, 1996 without taking into
   consideration the NuMED Rehab adjustment of $765,000.

   Liquidity and Capital Resources
            
        The Company's working capital and current ratio were $4.3 million and
   3:0, respectively as of September 30, 1997 as compared to $3.6 million or
   2.2 as of March 31, 1997.  The accounts receivable days have increased in
   addition to the outstanding receivables during the quarter ending
   September 30, 1997.  As a result the company is experiencing a short-term
   cash need which was met by additional short-term borrowings under the
   lines of credit and liquidation of unrestricted certificates of deposit.
         
        In an effort to increase the liquidity and simplify the cash
   management, the Company signed the new $5.0 million credit facility. This
   credit facility is secured by 120 days account receivables and accrues
   interest at the prime rate plus 2%.  The prime rate is currently 8.5%. The
   line matures on August 14, 1999.  As of September 30, 1997, $1.1 million
   was outstanding under this line. 

        The Company renegotiated the existing line of credit of $1.5 million
   on July 28, 1997. Interest on this line accrues at a rate equal to the
   lender's certificate of deposit rate plus 1.75%.  As of September 30, 1997
   a total of $645,000 was outstanding under this arrangement secured by
   $900,000 in certificates of deposit.  Advances are limited to the
   certificates of deposit pledged.  $255,000 is available under this line.

        After all the lines were paid off, $825,000 in certificates of
   deposit securing those lines were released.

        The Company's net income has been and will continue to be impacted
   significantly by the non-cash charge of amortization expense of goodwill
   and intangible assets of the Company.  Loan fees of $30,000 related to the
   new line of credit were deferred and being amortized over the life of the
   loan. At September 30, 1997, net goodwill and intangible assets of the
   Company were approximately $4.5 million. 

        With its current financing in place, cash reserves, and the projected
   cash flow, the Company believes it can meet all it working capital needs
   for the next 12 months provided provided Medicare and Medicaid pays in a
   reasonable amount of time.

        The Company is currently undergoing a routine Medicare audit of the
   home office and one of the Florida subsidiaries for the fiscal year ended
   March 31, 1996.  The audit is still in progress and any cost report
   adjustments and their financial impact are unknown at this time.  A
   liability of $359,000 is currently on the balance sheet for any net
   estimated repayments to the Medicare program for prior years.

   Part II - OTHER INFORMATION
            
   Item 1. LEGAL PROCEEDINGS

        On January 31, 1996, Robin Fernhoff, individually and on behalf of
   all others similarly situated filed a class action in the United States
   District Court for the Middle District of Florida, Tampa Division against
   NuMED Home Health Care, Inc., Jugal K. Taneja and A.T. Brod & Co., Inc.
   (Case No. 96-200-CIV-T-21C).  The plaintiff alleged that failure to
   disclose the net capital position of A.T. Brod & Co., Inc. caused the
   disclosure in the Company's prospectus dated February 8, 1995, to be
   materially misleading.  The plaintiff also alleged violations of Section
   11 and 12 (2) of the Securities Act of 1933, 15 U.S.C. Sections 77k and
   77l respectively, and sought damages on behalf of the class.  

        In response to the complaint, the Company filed its answer and a
   corresponding motion to dismiss.  On July 25, 1996, the United States
   District Court for the Middle District of Florida, Tampa Division, granted
   the Company's motion dismissing the complaint in its entirety.   While the
   Court granted Plaintiff leave to amend the complaint, the Court indicated
   its concern for Plaintiff's ability to overcome the complaint's
   substantial deficiencies.  Management believes that the action is
   frivolous and without merit and intends to vigorously contest any restated
   allegations.

            
   Items 2 through 5. - Not applicable

   Item 6.  EXHIBITS AND REPORTS ON FORM 8-K

   (a)  Exhibits. 

   24(a)  Loan and Security Agreement dated August 14, 1997 between NuMED
   Home Health Care, Inc., Whole Person Home Health Care of Florida, Inc.,
   Whole Person Home Health Care, Inc. and HCFP Funding, Inc.

   24(b)  Loan and Security Agreement dated August 14, 1997 between NuMED
   Home Health Care, Inc., NuMED Rehabilitation, Inc., Silver Moves, Inc.,
   Countryside Health Services, Inc., Whole Person Home Health Care of Ohio,
   Inc., Pennsylvania Medical Concepts, Inc., Parke Home Health Care, Inc.
   and HCFP Funding, Inc.

   27  Financial Data Schedule

   (b)  Reports on Form 8-K. The Company did not file any reports on Form 8-K
   during the quarter ended September 30, 1997.

   <PAGE>

                                   SIGNATURES

   In accordance with the requirements of the Exchange Act, the registrant
   caused this report to be signed on its behalf by the undersigned,
   thereunto duly authorized.



                                     NuMED Home Health Care, Inc.


    Date: November 13,1997           By:  /s/Jugal K. Taneja
                                     Jugal K. Taneja
                                     Chairman of the Board,
                                     Chief Executive Officer


    Date: November 13,1997           By:  /s/Wayne T. Mori
                                     Corporate Controller
                                     Principal Accounting Officer


   <PAGE>

                                  EXHIBIT INDEX

   Exhibit No.         Description

   24(a)     Loan and Security Agreement dated August 14, 1997 between NuMED
             Home Health Care, Inc., Whole Person Home Health Care of
             Florida, Inc., Whole Person Home Health Care, Inc. and HCFP
             Funding, Inc.

   24(b)     Loan and Security Agreement dated August 14, 1997 between NuMED
             Home Health Care, Inc., NuMED Rehabilitation, Inc., Silver
             Moves, Inc., Countryside Health Services, Inc., Whole Person
             Home Health Care of Ohio, Inc., Pennsylvania Medical Concepts,
             Inc., Parke Home Health Care, Inc. and HCFP Funding, Inc.

   27        Financial Data Schedule




                                  $2,000,000.00





                           LOAN AND SECURITY AGREEMENT

                                 by and between

                          NUMED HOME HEALTH CARE, INC.
                 WHOLE PERSON HOME HEALTH CARE OF FLORIDA, INC.
                       WHOLE PERSON HOME HEALTH CARE, INC.


                                  ("Borrower")

                                       and

                               HCFP FUNDING, INC.

                                   ("Lender")





                                 August 14, 1997



                           LOAN AND SECURITY AGREEMENT


        THIS LOAN AND SECURITY AGREEMENT (the "Agreement") is made as of this
   14th day of August, 1997, by and among NUMED HOME HEALTH CARE, INC., a
   Nevada corporation, WHOLE PERSON HOME HEALTH CARE OF FLORIDA, INC.,  a
   Florida corporation d/b/a TOTAL PROFESSIONAL HEALTH CARE, and WHOLE PERSON
   HOME HEALTH CARE, INC., a Pennsylvania corporation ("collectively,
   "Borrower"), and HCFP FUNDING, INC., a Delaware corporation ("Lender").

                                    RECITALS

        A.   Borrower desires to establish certain financing arrangements
   with and borrow funds from Lender, and Lender is willing to establish such
   arrangements for and make loans and extensions of credit to Borrower, on
   the terms and conditions set forth below.

        B.   The parties desire to define the terms and conditions of their
   relationship and to reduce their agreements to writing.

        NOW, THEREFORE, in consideration of the promises and covenants
   contained in this Agreement, and for other consideration, the receipt and
   sufficiency of which are acknowledged, the parties agree as follows:


                                    ARTICLE I

                                   DEFINITIONS

        As used in this Agreement, the following terms shall have the
   following meanings:

        Section 1.1.   Account.  "Account" means any right to payment for
   goods sold or leased or services rendered, whether or not evidenced by an
   instrument or chattel paper, and whether or not earned by performance. 

        Section 1.2.   Account Debtor.  "Account Debtor" means any Person
   obligated on any Account of Borrower, including without limitation, any
   Insurer and any Medicaid/Medicare Account Debtor.

        Section 1.3.   Affiliate.  "Affiliate" means, with respect to a
   specified Person, any Person directly or indirectly controlling,
   controlled by, or under common control with the specified Person,
   including without limitation their stockholders and any Affiliates
   thereof.  A Person shall be deemed to control a corporation or other
   entity if the Person possesses, directly or indirectly, the power to
   direct or cause the direction of the management and business of the
   corporation or other entity, whether through the ownership of voting
   securities, by contract, or otherwise.

        Section 1.4.   Agreement.  "Agreement" means this Loan and Security
   Agreement, as it may be amended or supplemented from time to time.

        Section 1.5.   Base Rate.  "Base Rate" means a rate of interest equal
   to two percent (2.0%) above the "Prime Rate of Interest".

        Section 1.6.   Borrowed Money.  "Borrowed Money" means any obligation
   to repay money, any indebtedness evidenced by notes, bonds, debentures or
   similar obligations, any obligation under a conditional sale or other
   title retention agreement and the net aggregate rentals under any lease
   which under GAAP would be capitalized on the books of Borrower or which is
   the substantial equivalent of the financing of the property so leased.

        Section 1.7.   Borrower.  "Borrower" has the meaning set forth in the
   Preamble.

        Section 1.8.   Borrowing Base.  "Borrowing Base" has the meaning set
   forth in Section 2.1(d).

        Section 1.9.   Business Day.  "Business Day" means any day on which
   financial institutions are open for business in the State of Maryland,
   excluding Saturdays and Sundays.

        Section 1.10.  Closing; Closing Date.  "Closing" and "Closing Date"
   have the meanings set forth in Section 5.3.

        Section 1.11.  Collateral.  "Collateral" has the meaning set forth in
   Section 3.1.

        Section 1.12.  Commitment Fee.  "Commitment Fee" has the meaning set
   forth in Section 2.4(a).

        Section 1.13.  Concentration Account.  "Concentration Account" has
   the meaning set forth in Section 2.3(a).

        Section 1.14.  Controlled Group.  "Controlled Group" means a
   "controlled group" within the meaning of Section 4001(b) of ERISA.

        Section 1.15.  Cost Report Settlement Account.  "Cost Report
   Settlement Account" means an "Account" owed to Borrower by a
   Medicaid/Medicare Account Debtor pursuant to any cost report, either
   interim, filed or audited, as the context may require.  

        Section 1.16.  Default Rate.  "Default Rate" means a rate per annum
   equal to five percent (5%) above the then applicable Base Rate.

        Section 1.17.  ERISA.  "ERISA" has the meaning set forth in Section
   4.12.

        Section 1.18.  Event of Default.  "Event of Default" and "Events of
   Default" have the meanings set forth in Section 8.1.

        Section 1.19.  GAAP.  "GAAP" means generally accepted accounting
   principles applied in a matter consistent with the financial statements
   referred to in Section 4.7. 

        Section 1.20.  Governmental Authority.  "Governmental Authority"
   means and includes any federal, state, District of Columbia, county,
   municipal, or other government and any department, commission, board,
   bureau, agency or instrumentality thereof, whether domestic or foreign.

        Section 1.21.  Hazardous Material.  "Hazardous Material" means any
   substances defined or designated as hazardous or toxic waste, hazardous or
   toxic material, hazardous or toxic substance, or similar term, by any
   environmental statute, rule or regulation or any Governmental Authority. 

        Section 1.22.  Highest Lawful Rate.  "Highest Lawful Rate" means the
   maximum lawful rate of interest referred to in Section 2.7 that may accrue
   pursuant to this Agreement.

        Section 1.23.  Insurer.  "Insurer" means a Person that insures a
   Patient against certain of the costs incurred in the receipt by such
   Patient of Medical Services, or that has an agreement with Borrower to
   compensate Borrower for providing services to a Patient.

        Section 1.24.  Lender.  "Lender" has the meaning set forth in the
   Preamble.

        Section 1.25.  Loan.  "Loan" has the meaning set forth in Section
   2.1(a).

        Section 1.26.  Loan Documents.  "Loan Documents" means and includes
   this Agreement, the Note, and each and every other document now or
   hereafter delivered in connection therewith, as any of them may be
   amended, modified, or supplemented from time to time.

        Section 1.27.  Intentionally Deleted.

        Section 1.28.  Lockbox.  "Lockbox" has the meaning set forth in
   Section 2.3.

        Section 1.29.  Lockbox Bank.  "Lockbox Bank" has the meaning set
   forth in Section 2.3.

        Section 1.30.  Maximum Loan Amount.  "Maximum Loan Amount" has the
   meaning set forth in Section 2.1(a).

        Section 1.31.  Medicaid/Medicare Account Debtor.  "Medicaid/ Medicare
   Account Debtor" means any Account Debtor which is (i) the United States of
   America acting under the Medicaid/Medicare program established pursuant to
   the Social Security Act, (ii) any state or the District of Columbia acting
   pursuant to a health plan adopted pursuant to Title XIX of the Social
   Security Act or (iii) any agent, carrier, administrator or intermediary
   for any of the foregoing.

        Section 1.32.  Medical Services.  Medical and health care services
   provided to a Patient, including, but not limited to, medical and health
   care services provided to a Patient and performed by Borrower which are
   covered by a policy of insurance issued by an Insurer, and includes
   physician services, nurse and therapist services, dental services,
   hospital services, skilled nursing facility services, comprehensive outpa-
   tient rehabilitation services, home health care services, residential and
   out-patient behavioral healthcare services, and medicine or health care
   equipment provided by Borrower to a Patient for a necessary or
   specifically requested valid and proper medical or health purpose.

        Section 1.33.  Note.  "Note" has the meaning set forth in Section
   2.1(c).

        Section 1.34.  Obligations.  "Obligations" has the meaning set forth
   in Section 3.1.

        Section 1.35.  Patient.  "Patient" means any Person receiving Medical
   Services from Borrower and all Persons legally liable to pay Borrower for
   such Medical Services other than Insurers.

        Section 1.36.  Permitted Liens.  "Permitted Liens" means: (a) liens
   for taxes not delinquent, or which are being contested in good faith and
   by appropriate proceedings which suspend the collection thereof and in
   respect of which adequate reserves have been made (provided that such
   proceedings do not, in Lender's sole discretion, involve any substantial
   danger of the sale, loss or forfeiture of such property or assets or any
   interest therein); (b) deposits or pledges to secure obligations under
   workmen's compensation, social security or similar laws, or under
   unemployment insurance; (c) deposits or pledges to secure bids, tenders,
   contracts (other than contracts for the payment of money), leases,
   statutory obligations, surety and appeal bonds and other obligations of
   like nature arising in the ordinary course of business; (d) mechanic's,
   workmen's, materialmen's or other like liens arising in the ordinary
   course of business with respect to obligations which are not due, or which
   are being contested in good faith by appropriate proceedings which suspend
   the collection thereof and in respect of which adequate reserves have been
   made (provided that such proceedings do not, in Lender's sole discretion,
   involve any substantial danger of the sale, loss or forfeiture of such
   property or assets or any interest therein); (e) liens and encumbrances in
   favor of Lender; (f) liens granted in connection with the lease or
   purchase of property or assets financed by borrowings permitted by Section
   7.1 (provided, however, that no such borrowings permitted by Section 7.1
   may be secured by liens on any of the Collateral); and (g) liens set forth
   on Schedule 1.36.

        Section 1.37.  Person.  "Person" means an individual, partnership,
   corporation, trust, joint venture, joint stock company, limited liability
   company, association, unincorporated organization, Governmental Authority,
   or any other entity.

        Section 1.38.  Plan.  "Plan" has the meaning set forth in Section
   4.12.

        Section 1.39.  Premises.  "Premises" has the meaning set forth in
   Section 4.15.

        Section 1.40.  Prime Rate of Interest.  "Prime Rate of Interest"
   means that rate of interest designated as such by Fleet National Bank of
   Connecticut, N.A., or any successor thereto, as the same may from time to
   time fluctuate.

        Section 1.41.  Prohibited Transaction.  "Prohibited Transaction"
   means a "prohibited transaction" within the meaning of Section 406 of
   ERISA or Section 4975(c)(1) of the Internal Revenue Code.

        Section 1.42.  Qualified Account. "Qualified Account" means an
   Account of Borrower generated in the ordinary course of Borrower's
   business from the sale of goods or rendition of medical services which
   Lender, in its sole credit judgment, deems to be a Qualified Account. 
   Without limiting the generality of the foregoing, no Account shall be a
   Qualified Account if:  (a) the Account or any portion thereof is payable
   by an individual beneficiary, recipient or subscriber individually and not
   directly to Borrower by a Medicaid/Medicare Account Debtor or commercial
   medical insurance carrier acceptable to Lender in its sole discretion; (b) 
   the Account remains unpaid more than one hundred twenty (120) days past
   the claim or invoice date, provided, however, that no more than fifteen
   percent (15%) of Qualified Accounts at any time shall be between ninety-
   one (91) and one hundred twenty (120) days past the claim or invoice
   date); (c) the Account is subject to any defense, set-off, counterclaim,
   deduction, discount, credit, chargeback, freight claim, allowance, or
   adjustment of any kind; (d) any part of any goods the sale of which has
   given rise to the Account has been returned, rejected, lost, or damaged;
   (e) if the Account arises from the sale of goods by Borrower, such sale
   was not an absolute sale or on consignment or on approval or on a sale-or-
   return basis or subject to any other repurchase or return agreement, or
   such goods have not been shipped to the Account Debtor or its designee;
   (f) if the Account arises from the performance of services, such services
   have not been actually been performed or were undertaken in violation of
   any law; (g) the Account is subject to a lien other than a Permitted Lien;
   (h) Borrower knows or should have known of the bankruptcy, receivership,
   reorganization, or insolvency of the Account Debtor; (i) the Account is
   evidenced by chattel paper or an instrument of any kind, or has been
   reduced to judgment; (j) the Account is an Account of an Account Debtor
   having its principal place of business or executive office outside the
   United States; (k) the Account Debtor is an Affiliate or Subsidiary of
   Borrower; (l) more than ten percent (10%) of the aggregate balance of all
   Accounts owing from the Account Debtor obligated on the Account are
   outstanding more than one hundred twenty (120) days past their invoice
   date; (m) fifty percent (50%) or more of the aggregate unpaid Accounts
   from any individual Account Debtor are not deemed Qualified Accounts
   hereunder; (n) the total unpaid Accounts of the Account Debtor, except for
   a Medicaid/Medicare Account Debtor, exceed twenty percent (20%) of the net
   amount of all Qualified Accounts (including Medicaid/Medicare

   Account Debtors); (o) any covenant, representation or warranty contained
   in the Loan Documents with respect to such Account has been breached; or
   (p) the Account fails to meet such other specifications and requirements
   that may from time to time be established by Lender, and that, upon
   request of Borrower, may be communicated by Lender in writing to Borrower.

        Section 1.43.  Reportable Event.  "Reportable Event" means a
   "reportable event" as defined in Section 4043(b) of ERISA.

        Section 1.44.  Revolving Credit Loan.  "Revolving Credit Loan" has
   the meaning set forth in Section 2.1(b).

        Section 1.45.  Term.  "Term" has the meaning set forth in Section
   2.8.

              
                                   ARTICLE II

                                      LOAN

        Section 2.1.  Terms.

             (a)  The maximum aggregate principal amount of credit extended
   by Lender to Borrower hereunder (the "Loan") that will be outstanding at
   any time is Two Million and No/100 Dollars ($2,000,000.00) (the "Maximum
   Loan Amount").  

             (b)  The Loan shall be in the nature of a revolving line of
   credit, and shall include sums advanced and other credit extended by
   Lender to or for the benefit of Borrower from time to time under this
   Article II (each a "Revolving Credit Loan") up to the Maximum Loan Amount
   depending upon the availability in the Borrowing Base, the requests of
   Borrower pursuant to the terms and conditions of Section 2.2 below, and on
   such other basis as Lender may reasonably determine.  The outstanding
   principal balance of the Loan may fluctuate from time to time, to be
   reduced by repayments made by Borrower (which may be made without penalty
   or premium), and to be increased by future Revolving Credit Loans,
   advances and other extensions of credit to or for the benefit of Borrower,
   and shall be due and payable in full upon the expiration of the Term.  For
   purposes of this Agreement, any determination as to whether there is
   ability within the Borrowing Base for advances or extensions of credit
   shall be made by Lender in its sole discretion and is final and binding
   upon Borrower.

             (c)  At Closing, Borrower shall execute and deliver to Lender a
   promissory note evidencing Borrower's unconditional obligation to repay
   Lender for Revolving Credit Loans, advances, and other extensions of
   credit made under the Loan, in the form of Exhibit A to this Agreement
   (the "Note"), dated the date hereof, payable to the order of Lender in
   accordance with the terms thereof.  The Note shall bear interest from the
   date thereof until repaid, with interest payable monthly in arrears on the
   first Business Day of each month, at a rate per annum (on the basis of the
   actual number of days elapsed over a year of 360 days) equal to the Base
   Rate, provided that after an Event of Default such rate shall be equal to
   the Default Rate.  Each Revolving Credit Loan, advance and other extension
   of credit shall be deemed evidenced by the Note, which is deemed
   incorporated by reference herein and made a part hereof.

             (d)  Subject to the terms and conditions of this Agreement,
   advances under the Loan shall be made against a borrowing base equal to
   eighty percent (80%) of Qualified Accounts due and owing from any
   Medicaid/Medicare, Insurer or other Account Debtor (the "Borrowing Base").

        Section 2.2.  Loan Administration.  Borrowings under the Loan shall
   be as follows:

             (a)  A request for a Revolving Credit Loan shall be made, or
   shall be deemed to be made, in the following manner:  (i) Borrower may
   give Lender notice of its intention to borrow, in which notice Borrower
   shall specify the amount of the proposed borrowing and the proposed
   borrowing date, not later than 2:00 p.m. Eastern time two (2) Business Day
   prior to the proposed borrowing date; provided, however, that no such
   request may be made at a time when there exists an Event of Default; and
   (ii) the becoming due of any amount required to be paid under this
   Agreement, whether as interest or for any other Obligation, shall be
   deemed irrevocably to be a request for a Revolving Credit Loan on the due
   date in the amount required to pay such interest or other Obligation.

             (b)  Borrower hereby irrevocably authorizes Lender to disburse
   the proceeds of each Revolving Credit Loan requested, or deemed to be
   requested, as follows:  (i) the proceeds of each Revolving Credit Loan
   requested under subsection 2.2(a)(i) shall be disbursed by Lender by wire
   transfer to such bank account as may be agreed upon by Borrower or Lender
   from time to time or elsewhere if pursuant to written direction from
   Borrower; and (ii) the proceeds of each Revolving Credit Loan requested
   under subsection 2.2(a)(ii) shall be disbursed by Lender by way of direct
   payment of the relevant interest or other Obligation.

             (c)  All Revolving Credit Loans, advances and other extensions
   of credit to or for the benefit of Borrower shall constitute one general
   Obligation of Borrower, and shall be secured by Lender's lien upon all of
   the Collateral.

             (d)  Lender shall enter all Revolving Credit Loans as debits to
   a loan account in the name of Borrower and shall also record in said loan
   account all payments made by Borrower on any Obligations and all proceeds
   of Collateral which are indefeasibly paid to Lender, and may record
   therein, in accordance with customary accounting practice, other debits
   and credits, including interest and all charges and expenses properly
   chargeable to Borrower. 

             (e)  Lender will account to Borrower monthly with a statement of
   Revolving Credit Loans, charges and payments made pursuant to this
   Agreement, and such account rendered by Lender shall be deemed final,
   binding and conclusive upon Borrower unless Lender
   is notified by Borrower in writing to the contrary within thirty (30) days
   of the date each accounting is mailed to Borrower.  Such notice shall be
   deemed an objection to those items specifically objected to therein.

        Section 2.3.  Collections, Disbursements, Borrowing Availability, and
   Lockbox Account.  Borrower shall maintain a lockbox account (the
   "Lockbox") with First Union National Bank of Florida.(the "Lockbox Bank"),
   subject to the provisions of this Agreement, and shall execute with the
   Lockbox Bank a Lockbox Agreement in the form attached as Exhibit B, and
   such other agreements related thereto as Lender may require.  Borrower
   shall ensure that all collections of Accounts are paid directly from
   Account Debtors into the Lockbox, and that all funds paid into the Lockbox
   are immediately transferred into a depository account maintained by Lender
   at Bank One Arizona, N.A. or First Bank, N.A., as determined by Lender in
   its sole discretion and communicated to Borrower (the "Concentration
   Account").  Lender shall apply, on a daily basis, all funds transferred
   into the Concentration Account pursuant to this Section 2.3 to reduce the
   outstanding indebtedness under the Loan with future Revolving Credit
   Loans, advances and other extensions of credit to be made by Lender under
   the conditions set forth in this Article II.  To the extent that any
   collections of Accounts or proceeds of other Collateral are not sent
   directly to the Lockbox but are received by Borrower, such collections
   shall be held in trust for the benefit of Lender and immediately remitted,
   in the form received, to the Lockbox Bank for transfer to the
   Concentration Account immediately upon receipt by Borrower.  Borrower
   acknowledges and agrees that its compliance with the terms of this Section
   2.3 is essential, and that upon its failure to comply with any such terms
   Lender shall be entitled to assess a non-compliance fee which shall
   operate to increase the Base Rate by two percent (2%) per annum during any
   period of non-compliance.  Lender shall be entitled to assess such fee
   whether or not an Event of Default is declared or otherwise occurs.  All
   funds transferred from the Concentration Account for application to
   Borrower's indebtedness to Lender shall be applied to reduce the Loan
   balance, but for purposes of calculating interest shall be subject to a
   three (3) Business Day clearance period.  If as the result of collections
   of Accounts pursuant to the terms and conditions of this Section 2.3 a
   credit balance exists with respect to the Concentration Account, such
   credit balance shall not accrue interest in favor of Borrower, but shall
   be available to Borrower at any time or times for so long as no Event of
   Default exists.

        Section 2.4.  Fees.

             (a)  At Closing, Borrower shall unconditionally pay to Lender a
   commitment fee equal to four-tenths of one percent (0.4%) of the Maximum
   Loan Amount (the "Commitment Fee").

             (b)  Borrower shall pay to Lender all out-of-pocket audit and
   appraisal fees in connection with audits and appraisals of Borrower's
   books and records and such other matters as Lender shall deem appropriate, 
   which amounts shall be limited to $8,000 in any calendar year so long as
   no Event of Default has occurred, and shall include amounts under Section
   2.4(b) of the Loan and Security Agreement between Lender and Affiliated
   Borrower (as defined in Section 7.1 below) and which amounts shall be due
   and payable on the first Business Day of the month following the date of
   issuance by Lender of a request for payment thereof to Borrower. 

             (c)  Borrower shall pay to Lender, on demand, any and all fees,
   costs or expenses which Lender or any participant pays to a bank or other
   similar institution (including, without limitation, any fees paid by
   Lender to any participant) arising out of or in connection with (i) the
   forwarding to Borrower or any other Person on behalf of Borrower, by
   Lender, of proceeds of Revolving Credit Loans made by Lender to Borrower
   pursuant to this Agreement, and (ii) the depositing for collection, by
   Lender or any participant, of any check or item of payment received or
   delivered to Lender or any participant on account of Obligations. 

        Section 2.5.  Payments.  Principal payable on account of Revolving
   Credit Loans shall be payable by Borrower to Lender immediately upon the
   earliest of (i) the receipt by Borrower of any proceeds of any of the
   Collateral, to the extent of such proceeds, (ii) the occurrence of an
   Event of Default in consequence of which the Loan and the maturity of the
   payment of the Obligations are accelerated, or (iii) the termination of
   this Agreement pursuant to Section 2.8 hereof; provided, however, that if
   any advance made by Lender in excess of the Borrowing Base shall exist at
   any time, Borrower shall, immediately upon demand, repay such overadvance. 
   Notwithstanding the foregoing, overadvances aggregating less than $200,000
   in any calendar year, may be converted to a term loan (at an interest rate
   equal to the Base Rate), payable in twelve equal monthly payments of
   principal and interest.  Interest accrued on the Revolving Credit Loans
   shall be due on the earliest of (i) the first Business Day of each month
   (for the immediately preceding month), computed on the last calendar day
   of the preceding month, (ii) the occurrence of an Event of Default in
   consequence of which the Loan and the maturity of the payment of the
   Obligations are accelerated, or (iii) the termination of this Agreement
   pursuant to Section 2.8 hereof.  Except to the extent otherwise set forth
   in this Agreement, all payments of principal and of interest on the Loan,
   all other charges and any other obligations of Borrower hereunder, shall
   be made to Lender to the Concentration Account, in immediately available
   funds.

        Section 2.6.  Use of Proceeds.  The proceeds of Lender's advances
   under the Loan shall be used solely for working capital and for other
   costs of Borrower arising in the ordinary course of Borrower's business.

        Section 2.7.  Interest Rate Limitation.  The parties intend to
   conform strictly to the applicable usury laws in effect from time to time
   during the term of the Loan.  Accordingly, if any transaction contemplated
   hereby would be usurious under such laws, then notwithstanding any other
   provision hereof: (i) the aggregate of all interest that is contracted
   for, charged, or received under this Agreement or under any other Loan
   Document shall not exceed the maximum amount of interest allowed by
   applicable law (the "Highest Lawful Rate"), and any excess shall be
   promptly credited to Borrower by Lender (or, to the extent that such
   consideration shall have been paid, such excess shall be promptly refunded
   to Borrower by Lender); (ii) neither Borrower nor any other Person now or
   hereafter liable hereunder shall be obligated to pay the amount of such
   interest to the extent that it is in excess of the Highest Lawful Rate;
   and (iii) the effective rate of interest shall be reduced to the Highest
   Lawful Rate.  All sums paid, or agreed to be paid, to Lender for the use,
   forbearance, and detention of the debt of Borrower to Lender shall, to the
   extent permitted by applicable law, be allocated throughout the full term
   of the Note until payment is made in full so that the actual rate of
   interest does not exceed the Highest Lawful Rate in effect at any
   particular time during the full term thereof.  If at any time the rate of
   interest under the Note exceeds the Highest Lawful Rate, the rate of
   interest to accrue pursuant to this Agreement shall be limited,
   notwithstanding anything to the contrary herein, to the Highest Lawful
   Rate, but any subsequent reductions in the Base Rate shall not reduce the
   interest to accrue pursuant to this Agreement below the Highest Lawful
   Rate until the total amount of interest accrued equals the amount of
   interest that would have accrued if a varying rate per annum equal to the
   interest rate under the Note had at all times been in effect.  If the
   total amount of interest paid or accrued pursuant to this Agreement under
   the foregoing provisions is less than the total amount of interest that
   would have accrued if a varying rate per annum equal to the interest rate
   under the Note had been in effect, then Borrower agrees to pay to Lender
   an amount equal to the difference between (i) the lesser of (x) the amount
   of interest that would have accrued if the Highest Lawful Rate had at all
   times been in effect, or (y) the amount of interest that would have
   accrued if a varying rate per annum equal to the interest rate under the
   Note had at all times been in effect, and (ii) the amount of interest
   accrued in accordance with the other provisions of this Agreement.

        Section 2.8.  Term.

             (a)  Subject to Lender's right to cease making Revolving Credit
   Loans to Borrower upon or after any Event of Default, this Agreement shall
   be in effect for a period of two (2) years from the Closing Date, unless
   terminated as provided in this Section 2.8 (the "Term"), and this
   Agreement shall be renewed for one-year periods thereafter upon the mutual
   written agreement of the parties.

             (b)  Notwithstanding anything herein to the contrary, Lender may
   terminate this Agreement without notice upon or after the occurrence of an
   Event of Default.

             (c)  Upon at least thirty (30) days prior written notice to
   Lender, Borrower may terminate this Agreement prior to the second annual
   anniversary of the Closing Date, provided that, at the effective date of
   such termination, Borrower shall pay to Lender (in addition to the then
   outstanding principal, accrued interest and other Obligations owing under
   the terms of this Agreement and any other Loan Documents) as liquidated
   damages for the loss of bargain and not as a penalty, an amount equal to
   (i) eight-tenths of one percent (0.8%) of the Maximum Loan Amount if the
   effective date of such termination by Borrower is on or prior to the first
   annual anniversary of the Closing Date, and (ii) four-tenths of one
   percent (0.4%) of the Maximum Loan Amount if the effective date of such
   termination by Borrower is after the first annual anniversary of the
   Closing Date and prior to the second annual anniversary of the Closing
   Date.  

             (d)  All of the Obligations shall be immediately due and payable
   upon the termination date stated in any notice of termination of this
   Agreement.  All undertakings, agreements, covenants, warranties, and
   representations of Borrower contained in the Loan Documents shall survive
   any such termination and Lender shall retain its liens in the Collateral
   and all of its rights and remedies under the Loan Documents
   notwithstanding such termination until Borrower has paid the Obligations
   to Lender, in full, in immediately available funds.

        Section 2.9.   Joint and Several Liability; Binding Obligations. 
   Each entity comprising Borrower and executing this Agreement on behalf of
   Borrower shall be jointly and severally liable for all of the Obligations. 
   In addition, each entity comprising Borrower hereby acknowledges and
   agrees that all of the representations, warranties, covenants,
   obligations, conditions, agreements and other terms contained in this
   Agreement shall be applicable to and shall be binding upon each individual
   entity comprising Borrower, and shall be binding upon all such entities
   when taken together.


                                   ARTICLE III

                                   COLLATERAL

        Section 3.1.  Generally.  As security for the payment of all
   liabilities of Borrower to Lender, including without limitation: (i)
   indebtedness evidenced under the Note, repayment of Revolving Credit
   Loans, advances and other extensions of credit, all fees and charges owing
   by Borrower, and all other liabilities and obligations of every kind or
   nature whatsoever of Borrower to Lender, whether now existing or hereafter
   incurred, joint or several, matured or unmatured, direct or indirect,
   primary or secondary, related or unrelated, due or to become due,
   including but not limited to any extensions, modifications, substitutions,
   increases and renewals thereof, (ii) the payment of all amounts advanced
   by Lender to preserve, protect, defend, and enforce its rights hereunder
   and in the following property in accordance with the terms of this
   Agreement, and (iii) the payment of all expenses incurred by Lender in
   connection therewith (collectively, the "Obligations").  Borrower hereby
   assigns and grants to Lender a continuing first priority lien on and
   security interest in, upon, and to the following property (the
   "Collateral"):

             (a)  All of Borrower's now-owned and hereafter acquired or
   arising Accounts, accounts receivable and rights to payment of every kind
   and description, and any contract rights, chattel paper, documents and
   instruments with respect thereto;

             (b)  All of Borrower's now owned and hereafter acquired or
   arising general intangibles of every kind and description pertaining to
   its Accounts, accounts receivable and other rights to payment, including,
   but not limited to, all existing and future customer lists, choses in
   action, claims, books, records, contracts, licenses, formulae, tax and
   other types of refunds, returned and unearned insurance premiums, rights
   and claims under insurance policies, and computer information, software,
   records, and data;

             (c)  All of Borrower's now or hereafter acquired deposit
   accounts into which Accounts are deposited, including the Concentration
   Account;

             (d)  All of Borrower's monies and other property of every kind
   and nature now or at any time or times hereafter in the possession of or
   under the control of Lender or a bailee or Affiliate of Lender; and 

             (e)  The proceeds (including, without limitation, insurance
   proceeds) of all of the foregoing.

        Section 3.2.  Lien Documents.  At Closing and thereafter as Lender
   deems necessary in its sole discretion, Borrower shall execute and deliver
   to Lender, or have executed and delivered (all in form and substance
   satisfactory to Lender in its sole discretion):

             (a)  UCC-1 Financing statements pursuant to the Uniform
   Commercial Code in effect in the jurisdiction(s) in which Borrower
   operates, which Lender may file in any jurisdiction where any Collateral
   is or may be located and in any other jurisdiction that Lender deems
   appropriate; provided that a carbon, photographic, or other reproduction
   or other copy of this Agreement or of a financing statement is sufficient
   as and may be filed in lieu of a financing statement; and

             (b)  Any other agreements, documents, instruments, and writings
   deemed necessary by Lender or as Lender may otherwise request from time to
   time in its sole discretion to evidence, perfect, or protect Lender's lien
   and security interest in the Collateral required hereunder.

        Section 3.3.  Collateral Administration.

             (a)  All Collateral (except deposit accounts) will at all times
   be kept by Borrower at its principal office(s) as set forth on Exhibit C
   hereto and shall not, without the prior written approval of Lender, be
   moved therefrom.

             (b)  Borrower shall keep accurate and complete records of its
   Accounts and all payments and collections thereon and shall submit to
   Lender on such periodic basis as Lender shall request a sales and
   collections report for the preceding period, in form satisfactory to
   Lender.  In addition, if Accounts in an aggregate face amount in excess of
   $50,000.00 that were previously included in the Borrowing Base become
   ineligible because they fall within one of the specified categories of
   ineligibility set forth in the definition of Qualified Accounts or
   otherwise, Borrower shall notify Lender of such occurrence on the first
   Business Day following such occurrence and the Borrowing Base shall
   thereupon be adjusted to reflect such occurrence.  If requested by Lender,
   Borrower shall execute and deliver to Lender formal written assignments of
   all of its Accounts weekly or daily, which shall include all Accounts that
   have been created since the date of the last assignment, together with
   copies of claims, invoices or other information related thereto.

             (c)  Whether or not an Event of Default has occurred, any of
   Lender's officers, employees or agents shall have the right, at any time
   or times hereafter, in the name of Lender, any designee of Lender or
   Borrower, to verify the validity, amount or any other matter relating to
   any Accounts by mail, telephone, telegraph or otherwise.  Borrower shall
   cooperate fully with Lender in an effort to facilitate and promptly
   conclude such verification process.

             (d)  To expedite collection, Borrower shall endeavor in the
   first instance to make collection of its Accounts for Lender.  Lender
   retains the right at all times after the occurrence of an Event of
   Default, subject to applicable law regarding Medicaid/Medicare Account
   Debtors, to notify Account Debtors that Accounts have been assigned to
   Lender and to collect Accounts directly in its own name and to charge the
   collection costs and expenses, including reasonable attorneys' fees, to
   Borrower. 

        Section 3.4.  Other Actions.  In addition to the foregoing, Borrower
   (i) shall provide prompt written notice to each private indemnity, managed
   care or other Insurer who either is currently an Account Debtor or becomes
   an Account Debtor at any time following the date hereof that Lender has
   been granted a first priority lien and security interest in, upon and to
   all Accounts applicable to such Insurer, and hereby authorizes Lender to
   send any and all similar notices to such Insurers by Lender, and (ii)
   shall do anything further that may be lawfully required by Lender to
   secure Lender and effectuate the intentions and objects of this Agreement,
   including but not limited to the execution and delivery of lockbox
   agreements, continuation statements, amendments to financing statements,
   and any other documents required hereunder.  At Lender's request, Borrower
   shall also immediately deliver to Lender all items for which Lender must
   receive possession to obtain a perfected security interest.  Borrower
   shall, on Lender's demand, deliver to Lender all notes, certificates, and
   documents of title, chattel paper, warehouse receipts, instruments, and
   any other similar instruments constituting Collateral.

        Section 3.5.  Searches.  Prior to Closing, and thereafter (as and
   when requested by Lender in its sole discretion), Borrower shall obtain
   and deliver to Lender the following searches against Borrower (the results
   of which are to be consistent with Borrower's representations and
   warranties under this Agreement), all at its own expense:

             (a)  Uniform Commercial Code searches with the Secretary of
   State and local filing offices of each jurisdiction where Borrower
   maintains its executive offices, a place of business, or assets;

             (b)  Judgment, federal tax lien and corporate and partnership
   tax lien searches, in each jurisdiction searched under clause (a) above;
   and 

             (c)  Good standing certificates showing Borrower to be in good
   standing in its state of formation and in each other state in which it is
   doing and presently intends to do business for which qualification is
   required.

        Section 3.6.  Power of Attorney.  Each of the officers of Lender is
   hereby irrevocably made, constituted and appointed the true and lawful
   attorney for Borrower (without requiring any of them to act as such) with
   full power of substitution to do the following: (i) endorse the name of
   Borrower upon any and all checks, drafts, money orders, and other
   instruments for the payment of money that are payable to Borrower and
   constitute collections on Borrower's Accounts; (ii) execute in the name of
   Borrower any financing statements, schedules, assignments, instruments,
   documents, and statements that Borrower is obligated to give Lender
   hereunder; and (iii) do such other and further acts and deeds in the name
   of Borrower that Lender may deem necessary or desirable to enforce any
   Account or other Collateral or perfect Lender's security interest or lien
   in any Collateral.


                                   ARTICLE IV

                         REPRESENTATIONS AND WARRANTIES

             Each entity comprising Borrower represents and warrants to
   Lender, and shall be deemed to represent and warrant on each day on which
   any Obligations shall be outstanding hereunder, that:

        Section 4.1.  Subsidiaries.  Each entity comprising Borrower (other
   than NuMed Home Health Care, Inc.) is a direct or indirect subsidiary of
   NuMed Home Health Care, Inc.  The organizational structure is as set forth
   on Schedule 4.1. 

        Section 4.2.  Organization and Good Standing.  Borrower is a
   corporation duly organized, validly existing, and in good standing under
   the laws of its state of formation, is in good standing as a foreign
   corporation in each jurisdiction in which the character of the properties
   owned or leased by it therein or the nature of its business makes such
   qualification necessary, has the corporate power and authority to own its
   assets and transact the business in which it is engaged, and has obtained
   all certificates, licenses and qualifications required under all laws,
   regulations, ordinances, or orders of public authorities necessary for the
   ownership and operation of all of its properties and transaction of all of
   its business.

        Section 4.3.  Authority.  Borrower has full corporate power and
   authority to enter into, execute, and deliver this Agreement and to
   perform its obligations hereunder, to borrow the Loan, to execute and
   deliver the Note, and to incur and perform the obligations provided for in
   the Loan Documents, all of which have been duly authorized by all
   necessary corporate action.   No consent or approval of shareholders of, or
   lenders to, Borrower and no consent, approval, filing or registration with
   any Governmental Authority is required as a condition to the validity of the
   Loan Documents or the performance by Borrower of its obligations thereunder.

        Section 4.4.  Binding Agreement.  This Agreement and all other Loan
   Documents constitute, and the Note, when issued and delivered pursuant
   hereto for value received, will constitute, the valid and legally binding
   obligations of Borrower, enforceable against Borrower in accordance with
   their respective terms.

        Section 4.5.  Litigation.  Except as disclosed in Schedule 4.5, there
   are no actions, suits, proceedings or investigations pending or threatened
   against Borrower before any court or arbitrator or before or by any
   Governmental Authority which, in any one case or in the aggregate, if
   determined adversely to the interests of Borrower, could have a material
   adverse effect on the business, properties, condition (financial or
   otherwise) or operations, present or prospective, of Borrower, or upon its
   ability to perform its obligations under the Loan Documents.  Borrower is
   not in default with respect to any order of any court, arbitrator, or
   Governmental Authority applicable to Borrower or its properties.  

        Section 4.6.  No Conflicts.  The execution and delivery by Borrower
   of this Agreement and the other Loan Documents do not, and the performance
   of its obligations thereunder will not, violate, conflict with, constitute
   a default under, or result in the creation of a lien or encumbrance upon
   the property of Borrower under: (i) any provision of Borrower's articles
   of incorporation or bylaws, (ii) any provision of any law, rule, or
   regulation applicable to Borrower, or (iii) any of the following: (A) any
   indenture or other agreement or instrument to which Borrower is a party or
   by which Borrower or its property is bound; or (B) any judgment, order or
   decree of any court, arbitration tribunal, or Governmental Authority
   having jurisdiction over Borrower which is applicable to Borrower.

        Section 4.7.  Financial Condition.  The annual financial statements
   of Borrower as of March 31, 1997 audited by Ernst & Young, LLC and the
   unaudited financial statements of Borrower as of June 30, 1997, certified
   by the chief financial officer of Borrower, which have been delivered to
   Lender, fairly present the financial condition of Borrower and the results
   of its operations and changes in financial condition as of the dates and
   for the periods referred to, and have been prepared in accordance with
   GAAP.  There are no material unrealized or anticipated liabilities, direct
   or indirect, fixed or contingent, of Borrower as of the dates of such
   financial statements which are not reflected therein or in the notes
   thereto.  There has been no adverse change in the business, properties,
   condition (financial or otherwise) or operations (present or prospective)
   of Borrower since June 30, 1997.  Borrower's fiscal year ends on March 31. 
   The federal tax identification number of each entity comprising Borrower
   is as shown on Schedule 4.7.

        Section 4.8.  No Default.  Borrower is not in default under or with
   respect to any obligation in any respect which could be adverse to its
   business, operations, property or financial condition, or which could
   adversely affect the ability of   Borrower to perform its obligations
   under the Loan Documents.  No Event of Default or event which, with the
   giving of notice or lapse of time, or both, could become an Event of
   Default, has occurred and is continuing.

        Section 4.9.  Title to Properties.  Borrower has good and marketable
   title to its properties and assets, including the Collateral and the
   properties and assets reflected in the financial statements described in
   Section 4.7, subject to no lien, mortgage, pledge, encumbrance or charge
   of any kind, other than Permitted Liens.  Borrower has not agreed or
   consented to cause any of its properties or assets whether owned now or
   hereafter acquired to be subject in the future (upon the happening of a
   contingency or otherwise) to any lien, mortgage, pledge, encumbrance or
   charge of any kind other than Permitted Liens.

        Section 4.10.  Taxes.  Borrower has filed, or has obtained extensions
   for the filing of, all federal, state and other tax returns which are
   required to be filed, and has paid all taxes shown as due on those returns
   and all assessments, fees and other amounts due as of the date hereof. 
   All tax liabilities of Borrower were, as of June 30, 1997 and are now,
   adequately provided for on Borrower's books.  No tax liability has been
   asserted by the Internal Revenue Service or other taxing authority against
   Borrower for taxes in excess of those already paid.

        Section 4.11.  Securities and Banking Laws and Regulations.  

             (a)  The use of the proceeds of the Loan and Borrower's issuance
   of the Note will not directly or indirectly violate or result in a
   violation of the Securities Act of 1933 or the Securities Exchange Act of
   1934, as amended, or any regulations issued pursuant thereto, including
   without limitation Regulations U, T, G, or X of the Board of Governors of
   the Federal Reserve System.  Borrower is not engaged in the business of
   extending credit for the purpose of the purchasing or carrying "margin
   stock" within the meaning of those regulations.  No part of the proceeds
   of the Loan hereunder will be used to purchase or carry any margin stock
   or to extend credit to others for such purpose.

             (b)  Borrower is not an investment company within the meaning of
   the Investment Company Act of 1940, as amended, nor is it, directly or
   indirectly, controlled by or acting on behalf of any Person which is an
   investment company within the meaning of that Act.

        Section 4.12.  ERISA.  No employee benefit plan (a "Plan") subject to
   the Employee Retirement Income Security Act of 1974 ("ERISA") and
   regulations issued pursuant thereto that is maintained by Borrower or
   under which Borrower could have any liability under ERISA (a) has failed
   to meet minimum funding standards established in Section 302 of ERISA, (b)
   has failed to comply with all applicable requirements of ERISA and of the
   Internal Revenue Code, including all applicable rulings and regulations
   thereunder, (c) has engaged in or been involved in a prohibited
   transaction (as defined in ERISA) under ERISA or under the Internal
   Revenue Code, or (d) has been terminated.  Borrower has not assumed, or
   received notice of a claim asserted against Borrower for, withdrawal
   liability (as defined in the Multi-Employer Pension Plan Amendments Act of
   1980, as amended) with respect to any multi-employer pension plan and is
   not a member of any Controlled Group (as defined in ERISA).  Borrower has
   timely made when due all contributions with respect to any multi-employer
   pension plan in which it participates and no event has occurred triggering
   a claim against Borrower for withdrawal liability with respect to any
   multi-employer pension plan in which Borrower participates.

        Section 4.13.  Compliance with Law.  Except as described in Schedule
   4.13, Borrower is not in violation of any statute, rule or regulation of
   any Governmental Authority (including, without limitation, any statute,
   rule or regulation relating to employment practices or to environmental,
   occupational and health standards and controls).  Borrower has obtained
   all licenses, permits, franchises, and other governmental authorizations
   necessary for the ownership of its properties and the conduct of its
   business.  Borrower is current with all reports and documents required to
   be filed with any state or federal securities commission or similar
   Governmental Authority and is in full compliance with all applicable rules
   and regulations of such commissions.

        Section 4.14.  Environmental Matters.  No use, exposure, release,
   generation, manufacture, storage, treatment, transportation or disposal of
   Hazardous Material has occurred or is occurring on or from any real
   property on which the Collateral is located or which is owned, leased or
   otherwise occupied by Borrower (the "Premises"), or off the Premises as a
   result of any action of Borrower, except as described in Schedule 4.14. 
   All Hazardous Material used, treated, stored, transported to or from,
   generated or handled on the Premises, or off the Premises by Borrower, has
   been disposed of on or off the Premises by or on behalf of Borrower in a
   lawful manner.  There are no underground storage tanks present on or under
   the Premises owned or leased by Borrower.  No other environmental, public
   health or safety hazards exist with respect to the Premises.

        Section 4.15.  Places of Business.   The only places of business of
   Borrower, and the places where it keeps and intends to keep the Collateral
   and records concerning the Collateral, are at the addresses set forth in
   Schedule 4.15.  Schedule 4.15 also lists the owner of record of each such
   property.

        Section 4.16.  Intellectual Property.  Borrower exclusively owns or
   possesses all the patents, patent applications, trademarks, trademark
   applications, service marks, trade names, copyrights, franchises,
   licenses, and rights with respect to the foregoing necessary for the
   present and planned future conduct of its business, without any conflict
   with the rights of others.  A list of all such intellectual property
   (indicating the nature of Borrower's interest), as well as all outstanding
   franchises and licenses given by or held by Borrower, is attached as
   Schedule 4.16.  Borrower is not in default of any obligation or
   undertaking with respect to such intellectual property or rights.

        Section 4.17.  Stock Ownership.  NuMed Home Health Care, Inc. is a
   public company.  Each other entity constituting Borrower is a direct or
   indirect subsidiary, as shown on Schedule 4.1.

        Section 4.18.  Material Facts.  Neither this Agreement nor any other
   Loan Document nor any other agreement, document, certificate, or statement
   furnished to Lender by or on behalf of Borrower in connection with the
   transactions contemplated hereby contains any untrue statement of material
   fact or omits to state a material fact necessary in order to make the
   statements contained herein or therein not misleading.  There is no fact
   known to Borrower that adversely affects or in the future may adversely
   affect the business, operations, affairs or financial condition of
   Borrower, or any of its properties or assets.

        Section 4.19.  Investments, Guarantees, and Certain Contracts. 
   Borrower does not own or hold any equity or long-term debt investments in,
   have any outstanding advances to, have any outstanding guarantees for the
   obligations of, or have any outstanding borrowings from, any Person,
   except as described on Schedule 4.19.  Borrower is not a party to any
   contract or agreement, or subject to any corporate restriction, which
   adversely affects its business.

        Section 4.20.  Business Interruptions.  Within five years prior to
   the date hereof, neither the business, property or assets, or operations
   of Borrower has been adversely affected in any way by any casualty,
   strike, lockout, combination of workers, or order of the United States of
   America or other Governmental Authority, directed against Borrower.  There
   are no pending or threatened labor disputes, strikes, lockouts, or similar
   occurrences or grievances against Borrower or its business.

        Section 4.21.  Names.  Within five years prior to the date hereof,
   Borrower has not conducted business under or used any other name (whether
   corporate, partnership or assumed) other than as shown on Schedule 4.21. 
   Borrower is the sole owner of all names listed on that Schedule and any
   and all business done and invoices issued in such names are Borrower's
   sales, business, and invoices.  Each trade name of Borrower represents a
   division or trading style of Borrower and not a separate Person or
   independent Affiliate.

        Section 4.22  Joint Ventures.  Borrower is not engaged in any joint
   venture or partnership with any other Person, except as set forth on
   Schedule 4.22.

        Section 4.23  Accounts.  Lender may rely, in determining which
   Accounts are Qualified Accounts, on all statements and representations
   made by Borrower with respect to any Account or Accounts.  Unless
   otherwise indicated in writing to Lender, with respect to each Account:

             (a)  It is genuine and in all respects what it purports to be,
   and is not evidenced by a judgment;

             (b)  It arises out of a completed, bona fide sale and delivery
   of goods or rendition of services by Borrower in the ordinary course of
   its business and in accordance with the terms and conditions of all
   purchase orders, contracts, certification, participation, certificate of
   need, or other documents relating thereto and forming a part of the
   contract between Borrower and the Account Debtor;

             (c)  It is for a liquidated amount maturing as stated in a
   duplicate claim or invoice covering such sale or rendition of services, a
   copy of which has been furnished or is available to Lender;

             (d)  Such Account, and Lender's security interest therein, is
   not, and will not (by voluntary act or omission by Borrower), be in the
   future, subject to any offset, lien, deduction, defense, dispute,
   counterclaim or any other adverse condition, and each such Account is
   absolutely owing to Borrower and is not contingent in any respect or for
   any reason;

             (e)  There are no facts, events or occurrences which in any way
   impair the validity or enforceability of any Accounts or tend to reduce
   the amount payable thereunder from the face amount of the claim or invoice
   and statements delivered to Lender with respect thereto;

             (f)  To the best of Borrower's knowledge, (i) the Account Debtor
   thereunder had the capacity to contract at the time any contract or other
   document giving rise to the Account was executed and (ii) such Account
   Debtor is solvent;

             (g)  To the best of Borrower's knowledge, there are no
   proceedings or actions which are threatened or pending against any Account
   Debtor thereunder which might result in any material adverse change in
   such Account Debtor's financial condition or the collectibility of such
   Account;

             (h)  It has been billed and forwarded to the Account Debtor for
   payment in accordance with applicable laws and compliance and conformance
   with any and requisite procedures, requirements and regulations governing
   payment by such Account Debtor with respect to such Account, and such
   Account if due from a Medicaid/Medicare Account Debtor is properly payable
   directly to Borrower; and

             (i)  Borrower has obtained and currently has all certificates of
   need, Medicaid and Medicare provider numbers, licenses, permits and
   authorizations as necessary in the generation of such Accounts.


                                    ARTICLE V

                        CLOSING AND CONDITIONS OF LENDING

        Section 5.1.  Conditions Precedent to Agreement.  The obligation of
   Lender to enter into and perform this Agreement and to make Revolving
   Credit Loans is subject to the following conditions precedent:

             (a)  Lender shall have received two (2) originals of this
   Agreement and all other Loan Documents required to be executed and
   delivered at or prior to Closing (other than the Note, as to which Lender
   shall receive only one original), executed by Borrower and any other
   required Persons, as applicable.

             (b)  Lender shall have received all searches and good standing
   certificates required by Section 3.5.

             (c)  Borrower shall have complied and shall then be in
   compliance with all the terms, covenants and conditions of the Loan
   Documents.

             (d)  There shall have occurred no Event of Default and no event
   which, with the giving of notice or the lapse of time, or both, could
   constitute such an Event of Default.

             (e)  The representations and warranties contained in Article IV
   shall be true and correct.

             (f)  Lender shall have received copies of all board of directors
   resolutions of Borrower, and other corporate action taken by Borrower to
   authorize the execution, delivery and performance of the Loan Documents
   and the borrowing of the Loan thereunder, as well as the names and
   signatures of the officers of Borrower authorized to execute documents on
   its behalf in connection herewith, all as also certified as of the date
   hereof by Borrower's chief financial officer, and such other papers as
   Lender may require.

             (g)  Lender shall have received copies, certified as true,
   correct and complete by a corporate officer of each Borrower, of the
   articles of incorporation of each Borrower, with any amendments to any of
   the foregoing, and all other documents necessary for performance of the
   obligations of Borrower under this Agreement and the other Loan Documents.

             (h)  Lender shall have received a written opinion of counsel for
   Borrower, dated the date hereof, in the form of Exhibit D.

             (i)  Lender shall have received such financial statements,
   reports, certifications, and other operational information required to be
   delivered hereunder, including without limitation an initial borrowing
   base certificate calculating the Borrowing Base.

             (j)  Lender shall have received the Commitment Fee.

             (k)  The Lockbox and the Concentration Account shall have been
   established.

             (l)  Lender shall have received a certificate of Borrower's
   chief financial officer, dated the Closing Date, certifying that all of
   the conditions specified in this Section have been fulfilled.

        Section 5.2.  Conditions Precedent to Advances.   Notwithstanding any
   other provision of this Agreement, no Loan proceeds, Revolving Credit
   Loans, advances or other extensions of credit under the Loan shall be
   disbursed hereunder unless the following conditions have been satisfied or
   waived immediately prior to such disbursement:

             (a)  The representations and warranties on the part of Borrower
   contained in Article IV of this Agreement shall be true and correct in all
   respects at and as of the date of disbursement or advance, as though made
   on and as of such date (except to the extent that such representations and
   warranties expressly relate solely to an earlier date and except that the
   references in Section 4.7 to financial statements shall be deemed to be a
   reference to the then most recent annual and interim financial statements
   of Borrower furnished to Lender pursuant to Section 6.1 hereof).

             (b)  No Event of Default or event which, with the giving of
   notice of the lapse of time, or both, could become an Event of Default
   shall have occurred and be continuing or would result from the making of
   the disbursement or advance.

             (c)  No adverse change in the condition (financial or
   otherwise), properties, business, or operations of Borrower shall have
   occurred and be continuing with respect to Borrower since the date hereof.

        Section 5.3.  Closing.  Subject to the conditions of this Article V,
   the Loan shall be made available on the date as is mutually agreed by the
   parties (the "Closing Date") at such time as may be mutually agreeable to
   the parties upon the execution hereof (the "Closing") at such place as may
   be requested by Lender.

        Section 5.4.  Waiver of Rights.  By completing the Closing hereunder,
   or by making advances under the Loan, Lender does not waive a breach of
   any representation or warranty of Borrower  hereunder or under any other
   Loan Document, and all of Lender's claims and rights resulting from any
   breach or misrepresentation by Borrower are specifically reserved by
   Lender.


                                   ARTICLE VI

                              AFFIRMATIVE COVENANTS

        Borrower covenants and agrees that for so long as Borrower may borrow
   hereunder and until payment in full of the Note and performance of all
   other obligations of Borrower under the Loan Documents:

        Section 6.1.  Financial Statements and Collateral Reports.  Borrower
   will furnish to Lender (i) a sales and collections report and accounts
   receivable aging schedule on a form acceptable to Lender within fifteen
   (15) days after the end of each calendar month, which shall include, but
   not be limited to, a report of sales, credits issued, and collections
   received; (ii) payable aging schedules within fifteen (15) days after the
   end of each calendar month; (iii) internally prepared monthly financial
   statements for Borrower, certified by the chief financial officer of
   Borrower, within forty-five (45) days of the end of each calendar month,
   accompanied by management analysis and actual vs. budget variance reports;
   (iv) to the extent prepared by Borrower, annual projections, profit and
   loss statements, balance sheets, and cash flow reports (prepared on a
   monthly basis) for the succeeding fiscal year within thirty (30) days
   before the end of each of Borrower's fiscal years; (v) internally prepared
   annual financial statements for Borrower within sixty (60) days after the
   end of each of Borrower's fiscal years; (vi) annual audited financial
   statements for Borrower prepared by Ernst & Young, LLP, or a firm of
   independent public accountants satisfactory to Lender, within one hundred
   thirty-five (135) days after the end of each of Borrower's fiscal years;
   (vii) promptly upon receipt thereof, copies of any reports submitted to
   Borrower by the independent accountants in connection with any interim
   audit of the books of Borrower and copies of each management control
   letter provided to Borrower by independent accountants; (viii) as soon as
   available, copies of all financial statements and notices provided by
   Borrower to all of its stockholders; and (ix) such additional information,
   reports or statements as Lender may from time to time request.  Annual
   financial statements shall set forth in comparative form figures for the
   corresponding periods in the prior fiscal year.  All financial statements
   shall include a balance sheet and statement of earnings and shall be
   prepared in accordance with GAAP.

        Section 6.2.  Payments Hereunder.  Borrower will make all payments of
   principal, interest, fees, and all other payments required hereunder,
   under the Loan, and under any other agreements with Lender to which
   Borrower is a party, as and when due.

        Section 6.3.  Existence, Good Standing, and Compliance with Laws. 
   Borrower will do or cause to be done all things necessary (a) to obtain
   and keep in full force and effect all corporate existence, rights,
   licenses, privileges, and franchises of Borrower necessary to the
   ownership of its property or the conduct of its business, and comply with
   all applicable present and future laws, ordinances, rules, regulations,
   orders and decrees of any Governmental Authority having or claiming
   jurisdiction over Borrower; and (b) to maintain and protect the
    properties used or useful in the conduct of the operations of Borrower,
   in a prudent manner, including without limitation the maintenance at all
   times of such insurance upon its insurable property and operations as
   required by law or by Section 6.7 hereof.

        Section 6.4.  Legality.  The making of the Loan and each disbursement
   or advance under the Loan shall not be subject to any penalty or special
   tax, shall not be prohibited by any governmental order or regulation
   applicable to Borrower, and shall not violate any rule or regulation of
   any Governmental Authority, and necessary consents, approvals and
   authorizations of any Governmental Authority to or of any such
   disbursement or advance shall have been obtained.

        Section 6.5.  Lender's Satisfaction.  All instruments and legal
   documents and proceedings in connection with the transactions contemplated
   by this Agreement shall be satisfactory in form and substance to Lender
   and its counsel, and Lender shall have received all documents, including
   records of corporate proceedings and opinions of counsel, which Lender may
   have requested in connection therewith.

        Section 6.6.  Taxes and Charges.  Borrower will timely file all tax
   reports and pay and discharge all taxes, assessments and governmental
   charges or levies imposed upon Borrower, or its income or profits or upon
   its properties or any part thereof, before the same shall be in default
   and prior to the date on which penalties attach thereto, as well as all
   lawful claims for labor, material, supplies or otherwise which, if unpaid,
   might become a lien or charge upon the properties or any part thereof of
   Borrower; provided, however, that Borrower shall not be required to pay
   and discharge or cause to be paid and discharged any such tax, assessment,
   charge, levy or claim so long as the validity or amount thereof shall be
   contested in good faith and by appropriate proceedings by Borrower, and
   Borrower shall have set aside on their books adequate reserve therefor;
   and provided further, that such deferment of payment is permissible only
   so long as Borrower's title to, and its right to use, the Collateral is
   not adversely affected thereby and Lender's lien and priority on the
   Collateral are not adversely affected, altered or impaired thereby.

        Section 6.7.  Insurance.  Borrower will carry adequate public
   liability and professional liability insurance with responsible companies
   satisfactory to Lender in such amounts and against such risks as is
   customarily maintained by similar businesses and by owners of similar
   property in the same general area. 

        Section 6.8.  General Information.   Borrower will furnish to Lender
   such information as Lender may, from time to time, request with respect to
   the business or financial affairs of Borrower, and permit any officer,
   employee or agent of Lender to visit and inspect any of the properties, to
   examine the minute books, books of account and other records, including
   management letters prepared by Borrower's auditors, of Borrower, and make
   copies thereof or extracts therefrom, and to discuss its and their business
   affairs, finances and accounts with, and be advised as to the same by, the
   accountants and officers of Borrower, all at such times and as often as
   Lender may require.  Lender shall maintain in confidence all financial and
   related information of Borrower.  In particular, and not in limitation of
   the foregoing, Lender acknowledges that financial reports of Borrower that
   have not been filed with the  SEC  or otherwise publicly disclosed may
   constitute material, nonpublic information.

        Section 6.9.  Maintenance of Property.  Borrower will maintain, keep
   and preserve all of its properties in good repair, working order and
   condition and from time to time make all needful and proper repairs,
   renewals, replacements, betterments and improvements thereto, so that the
   business carried on in connection therewith may be properly and
   advantageously conducted at all times.

        Section 6.10.  Notification of Events of Default and Adverse
   Developments.  Borrower promptly will notify Lender upon the occurrence
   of: (i) any Event of Default; (ii) any event which, with the giving of
   notice or lapse of time, or both, could constitute an Event of Default;
   (iii) any event, development or circumstance whereby the financial
   statements previously furnished to Lender fail in any material respect to
   present fairly, in accordance with GAAP, the financial condition and
   operational results of Borrower; (iv) any judicial, administrative or
   arbitration proceeding pending against Borrower, and any judicial or
   administrative proceeding known by Borrower to be threatened against it
   which, if adversely decided, could adversely affect its condition
   (financial or otherwise) or operations (present or prospective) or which
   may expose Borrower to uninsured liability of $25,000.00 or more; (v) any
   default claimed by any other creditor for Borrowed Money of Borrower other
   than Lender; and (vi) any other development in the business or affairs of
   Borrower which may be adverse; in each case describing the nature thereof
   and (in the case of notification under clauses (i) and (ii)) the action
   Borrower proposes to take with respect thereto.

        Section 6.11.  Employee Benefit Plans.  Borrower will (i) comply with
   the funding requirements of ERISA with respect to the Plans for its
   employees, or will promptly satisfy any accumulated funding deficiency
   that arises under Section 302 of ERISA; (ii) furnish Lender, promptly
   after filing the same, with copies of all reports or other statements
   filed with the United States Department of Labor, the Pension Benefit
   Guaranty Corporation, or the Internal Revenue Service with respect to all
   Plans, or which Borrower, or any member of a Controlled Group, may receive
   from such Governmental Authority with respect to any such Plans, and (iii)
   promptly advise Lender of the occurrence of any Reportable Event or
   Prohibited Transaction with respect to any such Plan and the action which
   Borrower proposes to take with respect thereto.  Borrower will make all
   contributions when due with respect to any multi-employer pension plan in
   which it participates and will promptly advise Lender: (i) upon its
   receipt of notice of the assertion against Borrower of a claim for
   withdrawal liability; (ii) upon the occurrence of any event which could
   trigger the assertion of a claim for withdrawal liability against
   Borrower; and (iii) upon the occurrence of any event which would place
   Borrower in a Controlled Group as a result of which any member (including
   Borrower) thereof may be subject to a claim for withdrawal liability,
   whether liquidated or contingent.

        Section 6.12.  Financing Statements.  Borrower shall provide to
   Lender evidence satisfactory to Lender as to the due recording of
   termination statements, releases of collateral, and Forms UCC-3, and shall
   cause to be recorded financing statements on Form UCC-1, duly executed by
   Borrower and Lender, in all places necessary to release all existing
   security interests and other liens in the Collateral (other than as
   permitted hereby) and to perfect and protect Lender's first priority lien
   and security interest in the Collateral, as Lender may request.

        Section 6.13.  Financial Records.  Borrower shall keep current and
   accurate books of records and accounts in which full and correct entries
   will be made of all of its business transactions, and will reflect in its
   financial statements adequate accruals and appropriations to reserves, all
   in accordance with GAAP.

        Section 6.14.  Collection of Accounts.  Borrower shall continue to
   collect its Accounts in the ordinary course of business.

        Section 6.15.  Places of Business.  Borrower shall give thirty (30)
   days' prior written notice to Lender of any change in the location of any
   of its places of business, of the places where its records concerning its
   Accounts are kept, of the places where the Collateral is kept, or of the
   establishment of any new, or the discontinuance of any existing, places of
   business.

        Section 6.16.  Business Conducted.  Borrower shall continue in the
   business presently conducted by it using its best efforts to maintain its
   customers and goodwill.  Borrower shall not engage, directly or
   indirectly, in any line of business substantially different from the
   business conducted by it immediately prior to the Closing Date, or engage
   in business or lines of business which are not reasonably related thereto.

        Section 6.17.  Litigation and Other Proceedings.  Borrower shall give
   prompt notice to Lender of any litigation, arbitration, or other
   proceeding before any Governmental Authority against or affecting Borrower
   if the amount claimed is more than $25,000.00

        Section 6.18.  Bank Accounts.  Borrower shall assign all of its
   depository and disbursement accounts to Lender.

        Section 6.19.  Submission of Collateral Documents.  Subject to
   applicable federal and state laws and regulation concerning the
   confidentiality of patient and medical records, Borrower will, on demand
   of Lender, make available to Lender copies of shipping and delivery
   receipts evidencing the shipment of goods that gave rise to an Account,
   medical records, insurance verification forms, assignment of benefits, in-
   take forms or other proof of the satisfactory performance of services that
   gave rise to an Account, a copy of the claim or invoice for each Account
   and copies of any written contract or order from which the Account arose. 
   Borrower shall promptly notify Lender if an Account becomes evidenced or
   secured by an instrument or chattel paper and upon request of Lender, will
   promptly deliver any such instrument or chattel paper to Lender.

        Section 6.20.  Licensure; Medicaid/Medicare Cost Reports.  Borrower
   will maintain all certificates of need, provider numbers and licenses
   necessary to conduct its business as presently conducted, and take any
   steps required to comply with any such new or additional requirements that
   may be imposed on providers of medical products and services.  If
   required, all Medicaid/Medicare cost reports will be properly filed.

        Section 6.21.  Officer's Certificates.  Together with the monthly
   financial statements delivered pursuant to clause (iii) of Section 6.1,
   and together with the audited annual financial statements delivered
   pursuant to clause (vi) of that Section, Borrower shall deliver to Lender
   a certificate of its chief financial officer, in form and substance
   satisfactory to Lender:

             (a)  Setting forth the information (including detailed
   calculations) required to establish whether Borrower is in compliance with
   the requirements of Articles VI and VII as of the end of the period
   covered by the financial statements then being furnished; and 

             (b)  Stating that the signer has reviewed the relevant terms of
   this Agreement, and has made (or caused to be made under his supervision)
   a review of the transactions and conditions of Borrower from the beginning
   of the accounting period covered by the income statements being delivered
   to the date of the certificate, and that such review has not disclosed the
   existence during such period of any condition or event which constitutes
   an Event of Default or which is then, or with the passage of time or
   giving of notice or both, could become an Event of Default, and if any
   such condition or event existed during such period or now exists,
   specifying the nature and period of existence thereof and what action
   Borrower has taken or proposes to take with respect thereto.

        Section 6.22.  Visits and Inspections.  Borrower agrees to permit
   representatives of Lender, from time to time, as often as may be
   reasonably requested, but only during normal business hours, to visit and
   inspect the properties of Borrower, and to inspect, audit and make
   extracts from its books and records, and discuss with its officers, its
   employees and its independent accountants, Borrower's business, assets,
   liabilities, financial condition, business prospects and results of
   operations.

        Section 6.23.  Net Worth.  Borrower will not at any time allow its
   net worth, as computed in accordance with GAAP, to fall below
   $4,000,000.00.


                                   ARTICLE VII

                               NEGATIVE COVENANTS

        Borrower covenants and agrees that so long as Borrower may borrow
   hereunder and until payment in full of the Note and performance of all
   other obligations of Borrower under the Loan Documents:

        Section 7.1.  Borrowing.  Borrower will not create, incur, assume or
   suffer to exist any liability for Borrowed Money except: (i) indebtedness
   to Lender; (ii) indebtedness of Borrower secured by mortgages,
   encumbrances or liens expressly permitted by Section 7.3 hereof; (iii)
   accounts payable to trade creditors and current operating expenses (other
   than for borrowed money) which are not aged more than one hundred twenty
   (120) days from the billing date or more than thirty (30) days from the
   due date, in each case incurred in the ordinary course of business and
   paid within such time period, unless the same are being contested in good
   faith and by appropriate and lawful proceedings, and Borrower shall have
   set aside such reserves, if any, with respect thereto as are required by
   GAAP and deemed adequate by Borrower and its independent accountants; and
   (iv) borrowings incurred in the ordinary course of its business and not
   exceeding $50,000.00, or $250,000.00 in the aggregate (including such
   borrowings made by NuMed Rehabilitation, Inc., Silver Moves, Inc.,
   Pennsylvania Medical Concepts, Inc., Countryside Health Services, Inc.,
   Total Person Home Health Care of Ohio, Inc. and Parke Home Health Care,
   Inc. ("Affiliated Borrower"), outstanding at any one time.  Borrower will
   not make prepayments on any existing or future indebtedness for Borrowed 
   Money to any Person (other than Lender, to the extent permitted by this 
   Agreement or any subsequent agreement between Borrower and Lender).

        Section 7.2.  Joint Ventures.  Borrower will not invest directly or
   indirectly in any joint venture for any purpose without the prior written
   notice to, and the express written consent of, Lender, which consent may
   be withheld in Lender's sole discretion.

        Section 7.3.  Liens and Encumbrances.  Borrower will not create,
   incur, assume or suffer to exist any mortgage, pledge, lien or other
   encumbrance of any kind (including the charge upon property purchased
   under a conditional sale or other title retention agreement) upon, or any
   security interest in, any of its Collateral, whether now owned or
   hereafter acquired, except for Permitted Liens.

        Section 7.4.  Merger, Acquisition, or Sale of Assets.  Borrower will
   not enter into any merger or consolidation with or acquire all or
   substantially all of the assets of any Person, and will not sell, lease,
   or otherwise dispose of any of its assets except in the ordinary course of
   its business, without the prior written consent of Lender, which consent
   shall not be unreasonably withheld.  Notwithstanding the foregoing,
   Borrower shall not be required to obtain Lender's consent to any sale,
   lease or other disposition where the cost of the transaction to Borrower
   is less than $250,000.00.

        Section 7.5.  Sale and Leaseback.  Borrower will not, directly or
   indirectly, enter into any arrangement whereby Borrower sells or transfers
   all or any part of its assets and thereupon and within one year thereafter
   rents or leases the assets so sold or transferred without the prior
   written consent of Lender, which consent shall not be unreasonably
   withheld.  Notwithstanding the foregoing, Borrower shall not be required
   to obtain Lender's consent to any such arrangement where the cost of the
   arrangement to Borrower is less than $250,000.00.

        Section 7.6.  Dividends, Distributions and Management Fees.  Upon
   notice from Lender to Borrower of the existence of an Event of Default
   hereunder, Borrower will not declare or pay any dividends or other
   distributions with respect to, purchase, redeem or otherwise acquire for
   value any of its outstanding stock now or hereafter outstanding, or return
   any capital of its stockholders, nor shall Borrower pay management fees or
   fees of a similar nature to any Person.

        Section 7.7.  Loans.  Borrower will not make loans or advances to any
   Person, other than (i) trade credit extended in the ordinary course of its
   business, and (ii) advances for business travel and similar temporary
   advances in the ordinary course of business to officers, stockholders,
   directors, and employees.

        Section 7.8.  Contingent Liabilities.  Borrower will not assume,
   guarantee, endorse, contingently agree to purchase or otherwise become
   liable upon the obligation of any Person, except by the endorsement of
   negotiable instruments for deposit or collection or similar transactions
   in the ordinary course of business. 

        Section 7.9.  Subsidiaries.  Borrower will not form any subsidiary,
   or make any investment in or any loan in the nature of an investment to,
   any other Person.

        Section 7.10.  Compliance with ERISA.  Borrower will not permit with
   respect to any Plan covered by Title IV of ERISA any Prohibited
   Transaction or any Reportable Event.

        Section 7.11.  Certificates of Need.  Borrower will not amend, alter
   or suspend or terminate or make provisional in any material way, any
   certificate of need or provider number without the prior written consent
   of Lender, which consent shall not be unreasonably withheld.

        Section 7.12.  Transactions with Affiliates.  Borrower will not enter
   into any transaction, including without limitation the purchase, sale, or
   exchange of property, or the loaning or giving of funds to any Affiliate
   or subsidiary, except in the ordinary course of business and pursuant to
   the reasonable requirements of Borrower's business and upon terms
   substantially the same and no less favorable to Borrower as it would
   obtain in a comparable arm's length transaction with any Person not an
   Affiliate or subsidiary, and so long as the transaction is not otherwise
   prohibited hereunder.  For purposes of the foregoing, Lender consents to
   the transactions described on Schedule 7.12 and transactions solely
   between or among parties to this Agreement and/or Affiliated Borrower.

        Section 7.13.  Use of Lender's Name.  Borrower will not use Lender's
   name (or the name of any of Lender's affiliates) in connection with any of
   its business operations.  Borrower may disclose to third parties that
   Borrower has a borrowing relationship with Lender.  Nothing herein
   contained is intended to permit or authorize Borrower to make any contract
   on behalf of Lender.

        Section 7.14.  Change in Status.  NuMed Home Health Care, Inc. shall
   not cease filing required reports under the Securities Exchange Act of
   1934 (the "Exchange Act").

        Section 7.15.  Contracts and Agreements.  Borrower will not become or
   be a party to any contract or agreement which would breach this Agreement,
   or breach any other instrument, agreement, or document to which Borrower
   is a party or by which it is or may be bound.

        Section 7.16.  Margin Stock.  Borrower will not carry or purchase any
   "margin security" within the meaning of Regulations U, G, T or X of the
   Board of Governors of the Federal Reserve System.

        Section 7.17.  Truth of Statements and Certificates.  Borrower will
   not furnish to Lender any certificate or other document that contains any
   untrue statement of a material fact or that omits to state a material fact
   necessary to make it not misleading in light of the circumstances under
   which it was furnished.


                                  ARTICLE VIII

                                EVENTS OF DEFAULT

        Section 8.1.  Events of Default.  Each of the following
   (individually, an "Event of Default" and collectively, the "Events of
   Default") shall constitute an event of default hereunder:

             (a)  A default in the payment of any installment of principal
   of, or interest upon, the Note when due and payable, whether at maturity
   or otherwise, or any breach of Section 2.3 of this Agreement, which
   default or breach, as applicable, shall have continued unremedied for a
   period of ten (10) days after written notice thereof from Lender to
   Borrower;

             (b)  A default in the payment of any other charges, fees, or
   other monetary obligations owing to Lender arising out of or incurred in
   connection with this Agreement when such payment is due and payable, which
   default shall have continued unremedied for a period of ten (10) days
   after written notice from Lender;

             (c)  A default in the due observance or performance by Borrower
   of any other term, covenant or agreement contained in any of the Loan
   Documents, which default shall have continued unremedied for a period of
   fifteen (15) days after written notice from Lender;

             (d)  If any representation or warranty made by Borrower herein
   or in any of the other Loan Documents, any financial statement, or any
   statement or representation made in any other certificate, report or
   opinion delivered in connection herewith or therewith proves to have been
   incorrect or misleading in any material respect when made, which default
   shall have continued unremedied for a period of fifteen (15) days after
   written notice from Lender;

             (e)  If any obligation of Borrower (other than its Obligations
   hereunder) for the payment of Borrowed Money is not paid when due or
   within any applicable grace period, or such obligation becomes or is
   declared to be due and payable prior to the expressed maturity thereof, or
   there shall have occurred an event which, with the giving of notice or
   lapse of time, or both, would cause any such obligation to become, or
   allow any such obligation to be declared to be, due and payable; 

             (f)  If Borrower makes an assignment for the benefit of
   creditors, offers a composition or extension to creditors, or makes or
   sends notice of an intended bulk sale of any business or assets now or
   hereafter conducted by Borrower;

             (g)  If Borrower files a petition in bankruptcy, is adjudicated
   insolvent or bankrupt, petitions or applies to any tribunal for any
   receiver of or any trustee for itself or any substantial part of its
   property, commences any proceeding relating to itself under any
   reorganization, arrangement, readjustment or debt, dissolution or
   liquidation law or statute of any jurisdiction, whether now or hereafter
   in effect, or there is commenced against Borrower any such proceeding
   which remains undismissed for a period of sixty (60) days, or any Borrower
   by any act indicates its consent to, approval of, or acquiescence in, any
   such proceeding or the appointment of any receiver of or any trustee for a
   Borrower or any substantial part of its property, or suffers any such
   receivership or trusteeship to continue undischarged for a period of sixty
   (60) days; 

             (h)  If one or more final judgments against Borrower or
   attachments against its property not fully and unconditionally covered by
   insurance shall be rendered by a court of record and shall remain unpaid,
   unstayed on appeal, undischarged, unbonded and undismissed for a period of
   ten (10) days; 

             (i)  A Reportable Event which might constitute grounds for
   termination of any Plan covered by Title IV of ERISA or for the
   appointment by the appropriate United States District Court of a trustee
   to administer any such Plan or for the entry of a lien or encumbrance to
   secure any deficiency, has occurred and is continuing thirty (30) days
   after its occurrence, or any such Plan is terminated, or a trustee is
   appointed by an appropriate United States District Court to administer any
   such Plan, or the Pension Benefit Guaranty Corporation institutes
   proceedings to terminate any such Plan or to appoint a trustee to
   administer any such Plan, or a lien or encumbrance is entered to secure
   any deficiency or claim;

             (j)  If there should occur a change in control of NuMed Home
   Health Care, Inc.;

             (k)  If there shall occur any uninsured damage to or loss, theft
   or destruction of any portion of the Collateral;

             (l)  If Borrower breaches of violates the terms of, or if a
   default or an event which could, whether with notice or the passage of
   time, or both, constitute a default, occurs under any other existing or
   future agreement (related or unrelated) between Borrower and Lender;

             (m)  Upon the issuance of any execution or distraint process
   against Borrower or any of its property or assets; 

             (n)  If Borrower ceases any material portion of its business
   operations as presently conducted without the prior written consent of
   Lender;

             (o)  If any indication or evidence is received by Lender that
   Borrower may have directly or indirectly been engaged in any type of
   activity which, in Lender's discretion, might result in the forfeiture of
   any property of Borrower to any Governmental Authority, which default
   shall have continued unremedied for a period of ten (10) days after
   written notice from Lender;

             (p)  Borrower or any Affiliate of Borrower, shall challenge or
   contest, in any action, suit or proceeding, the validity or enforceability
   of this Agreement, or any of the other Loan Documents, the legality or the
   enforceability of any of the Obligations or the perfection or priority of
   any Lien granted to Lender;

             (q)  Borrower shall be criminally indicted or convicted under
   any law that could lead to a forfeiture of any Collateral.

             (r)  There shall occur a material adverse change in the
   financial condition or business prospects of Borrower, or if Lender in
   good faith deems itself insecure as a result of acts or events bearing
   upon the financial condition of Borrower or the repayment of the Note,
   which default shall have continued unremedied for a period of ten (10)
   days after written notice from Lender.

        Section 8.2.  Acceleration.  Upon the occurrence of any of the
   foregoing Events of Default, the Note shall become and be immediately due
   and payable upon declaration to that effect delivered by Lender to
   Borrower; provided that, upon the happening of any event specified in
   Section 8.1(g) hereof, the Note shall be immediately due and payable
   without declaration or other notice to Borrower.

        Section 8.3.  Remedies.

             (a)  In addition to all other rights, options, and remedies
   granted to Lender under this Agreement, upon the occurrence of an Event of
   Default Lender may (i) terminate the Loan, whereupon all outstanding
   Obligations shall be immediately due and payable, (ii) exercise all other
   rights granted to it hereunder and all rights under the Uniform Commercial
   Code in effect in the applicable jurisdiction(s) and under any other
   applicable law, and (iii) exercise all rights and remedies under all Loan
   Documents now or hereafter in effect, including the following rights and
   remedies (which list is given by way of example and is not intended to be
   an exhaustive list of all such rights and remedies):

                  (i)  The right to take possession of, send notices
   regarding, and collect directly the Collateral, with or without judicial
   process, and to exercise all rights and remedies available to Lender with
   respect to the Collateral under the Uniform Commercial Code in effect in
   the jurisdiction(s) in which such Collateral is located;


                  (ii) The right to (by its own means or with judicial
   assistance) enter any of Borrower's premises and take possession of the
   Collateral, or render it unusable, or dispose of the Collateral on such
   premises in compliance with subsection (b), without any liability for
   rent, storage, utilities, or other sums, and Borrower shall not resist or
   interfere with such action;

                  (iii)     The right to require Borrower at Borrower's
   expense to assemble all or any part of the Collateral and make it
   available to Lender at any place designated by Lender;

                  (iv) The right to reduce the Maximum Loan Amount or to use
   the Collateral and/or funds in the Concentration Account in amounts up to
   the Maximum Loan Amount for any reason; and

                  (v)  The right to relinquish or abandon any Collateral or
   any security interest therein.

             (b)  Borrower agrees that a notice received by it at least five
   (5) days before the time of any intended public sale, or the time after
   which any private sale or other disposition of the Collateral is to be
   made, shall be deemed to be reasonable notice of such sale or other
   disposition.  If permitted by applicable law, any perishable Collateral
   which threatens to speedily decline in value or which is sold on a
   recognized marked may be sold immediately by Lender without prior notice
   to Borrower.  At any sale or disposition of Collateral, Lender may (to the
   extent permitted by applicable law) purchase all or any part of the
   Collateral, free from any right of redemption by Borrower, which right is
   hereby waived and released.  Borrower covenants and agrees not to
   interfere with or impose any obstacle to Lender's exercise of its rights
   and remedies with respect to the Collateral.

        Section 8.4.  Nature of Remedies.  Lender shall have the right to
   proceed against all or any portion of the Collateral to satisfy the
   liabilities and Obligations of Borrower to Lender in any order.  All
   rights and remedies granted Lender hereunder and under any agreement
   referred to herein, or otherwise available at law or in equity, shall be
   deemed concurrent and cumulative, and not alternative remedies, and Lender
   may proceed with any number of remedies at the same time until the Loans,
   and all other existing and future liabilities and obligations of Borrower
   to Lender, are satisfied in full.  The exercise of any one right or remedy
   shall not be deemed a waiver or release of any other right or remedy, and
   Lender, upon the occurrence of an Event of Default, may proceed against
   Borrower, and/or the Collateral, at any time, under any agreement, with
   any available remedy and in any order.


                                   ARTICLE IX

                                  MISCELLANEOUS

        Section 9.1.  Expenses and Taxes.

             (a)  Borrower agrees to pay, whether or not the Closing occurs,
   a reasonable documentation preparation fee, together with actual audit and
   appraisal fees and all other out-of-pocket charges and expenses incurred
   by Lender in connection with the negotiation, preparation and execution of
   each of the Loan Documents, any amendments to the Loan Documents following
   Closing, and preparation for Closing, reimbursement for which fees and
   expenses shall not exceed $10,000.00.  Borrower also agrees to pay all
   out-of-pocket charges and expenses incurred by Lender (including the fees
   and expenses of Lender's counsel) in connection with the enforcement,
   protection or preservation of any right or claim of Lender and the
   collection of any amounts due under the Loan Documents.

             (b)  Borrower shall pay all taxes (other than taxes based upon
   or measured by Lender's income or revenues or any personal property tax),
   if any, in connection with the issuance of the Note and the recording of
   the security documents therefor.  The obligations of Borrower under this
   clause (b) shall survive the payment of Borrower's indebtedness hereunder
   and the termination of this Agreement. 

        Section 9.2.  Entire Agreement; Amendments.  This Agreement and the
   other Loan Documents constitute the full and entire understanding and
   agreement among the parties with regard to their subject matter and
   supersede all prior written or oral agreements, understandings,
   representations and warranties made with respect thereto.  No amendment,
   supplement or modification of this Agreement nor any waiver of any
   provision thereof shall be made except in writing executed by the party
   against whom enforcement is sought.

        Section 9.3.  No Waiver; Cumulative Rights.  No waiver by any party
   hereto of any one or more defaults by the other party in the performance
   of any of the provisions of this Agreement shall operate or be construed
   as a waiver of any future default or defaults, whether of a like or
   different nature.  No failure or delay on the part of any party in
   exercising any right, power or remedy hereunder shall operate as a waiver
   thereof, nor shall any single or partial exercise of any such right, power
   or remedy preclude any other or further exercise thereof or the exercise
   of any other right, power or remedy.  The remedies provided for herein are
   cumulative and are not exclusive of any remedies that may be available to
   any party hereto at law, in equity or otherwise.

        Section 9.4.  Notices.  Any notice or other communication required or
   permitted hereunder shall be in writing and personally delivered, mailed
   by registered or certified mail (return receipt requested and postage
   prepaid), sent by telecopier (with a confirming copy sent by regular
   mail), or sent by prepaid overnight courier service, and addressed to the
   relevant party at its address set forth below, or at such other address as
   such party may, by written notice, designate as its address for purposes
   of notice hereunder:

             (a)  If to Lender, at:

                  HCFP Funding, Inc.
                  2 Wisconsin Circle, Suite 320
                  Chevy Chase, Maryland 20815
                  Attention:  Ethan D. Leder, President
                  Telephone:  (301) 961-1640
                  Telecopier:  (301) 664-9860

             (b)  If to Borrower, at:

                  NuMed Home Health Care, Inc.
                  5770 Roosevelt Boulevard, Suite 700
                  Clearwater, Florida 34620
                  Attention:  Jugal Teneja, Chief Executive Officer
                  Telephone:  (813) 524-3227
                  Telecopier:  (813) 524-3349

   If mailed, notice shall be deemed to be given five (5) days after being
   sent, if sent by personal delivery or telecopier, notice shall be deemed
   to be given when delivered, and if sent by prepaid courier, notice shall
   be deemed to be given on the next Business Day following deposit with the
   courier. 

        Section 9.5.  Severability.  If any term, covenant or condition of
   this Agreement, or the application of such term, covenant or condition to
   any party or circumstance shall be found by a court of competent
   jurisdiction to be, to any extent, invalid or unenforceable, the remainder
   of this Agreement and the application of such term, covenant, or condition
   to parties or circumstances other than those as to which it is held
   invalid or unenforceable, shall not be affected thereby, and each term,
   covenant or condition shall be valid and enforced to the fullest extent
   permitted by law.  Upon determination that any such term is invalid,
   illegal or unenforceable, the parties hereto shall amend this Agreement so
   as to effect the original intent of the parties as closely as possible in
   an acceptable manner.

        Section 9.6.  Successors and Assigns.  This Agreement, the Note, and
   the other Loan Documents shall be binding upon and inure to the benefit of
   Borrower and Lender and their respective successors and assigns.
   Notwithstanding the foregoing, Borrower may not assign any of its rights
   or delegate any of its obligations hereunder without the prior written
   consent of Lender, which may be withheld in its sole discretion.  Lender
   may sell, assign, transfer, or participate any or all of its rights or
   obligations hereunder without notice to or consent of Borrower.

        Section 9.7.  Counterparts.  This Agreement may be executed in any
   number of counterparts, each of which shall be deemed an original, but all
   of which together shall constitute but one instrument.

        Section 9.8. Interpretation.  No provision of this Agreement or any
   other Loan Document shall be interpreted or construed against any party
   because that party or its legal representative drafted that provision. 
   The titles of the paragraphs of this Agreement are for convenience of
   reference only and are not to be considered in construing this Agreement. 
   Any pronoun used in this Agreement shall be deemed to include singular and
   plural and masculine, feminine and neuter gender as the case may be.  The
   words "herein," "hereof," and "hereunder" shall be deemed to refer to this
   entire Agreement, except as the context otherwise requires.

        Section 9.9.  Survival of Terms.  All covenants, agreements,
   representations and warranties made in this Agreement, any other Loan
   Document, and in any certificates and other instruments delivered in
   connection therewith shall be considered to have been relied upon by
   Lender and shall survive the making by Lender of the Loans herein
   contemplated and the execution and delivery to Lender of the Note, and
   shall continue in full force and effect until all liabilities and
   obligations of Borrower to Lender are satisfied in full.

        Section 9.10.  Release of Lender.  Borrower releases Lender, its
   officers, employees, and agents, of and from any claims for loss or damage
   resulting from acts or conduct of any or all of them, unless caused by
   Lender's recklessness, gross negligence, or willful misconduct.

        Section 9.11.  Time.  Whenever Borrower is required to make any
   payment or perform any act on a Saturday, Sunday, or a legal holiday under
   the laws of the State of Maryland (or other jurisdiction where Borrower is
   required to make the payment or perform the act), the payment may be made
   or the act performed on the next Business Day.  Time is of the essence in
   Borrower's performance under this Agreement and all other Loan Documents.

        Section 9.12.  Commissions.  The transaction contemplated by this
   Agreement was brought about by Lender and Borrower acting as principals
   and without any brokers, agents, or finders being the effective procuring
   cause.  Borrower represents that it has not committed Lender to the
   payment of any brokerage fee, commission, or charge in connection with
   this transaction.  If any such claim is made on Lender by any broker,
   finder, or agent or other person, Borrower will indemnify, defend, and
   hold Lender harmless from and against the claim and will defend any action
   to recover on that claim, at Borrower's cost and expense, including
   Lender's counsel fees.  Borrower further agrees that until any such claim
   or demand is adjudicated in Lender's favor, the amount demanded will be
   deemed a liability of Borrower under this Agreement, secured by the
   Collateral.

        Section 9.13.  Third Parties.    No rights are intended to be created
   hereunder or under any other Loan Document for the benefit of any third
   party donee, creditor, or incidental beneficiary of Borrower.  Nothing
   contained in this Agreement shall be construed as a delegation to Lender
   of Borrower's duty of performance, including without limitation Borrower's
   duties under any account or contract in which Lender has a security
   interest.

        Section 9.14.  Discharge of Borrower's Obligations.  Lender, in its
   sole discretion, shall have the right at any time, and from time to time,
   without prior notice to Borrower if Borrower fails to do so, to: (i)
   obtain insurance covering any of the Collateral as required hereunder;
   (ii) pay for the performance of any of Borrower's obligations hereunder;
   (iii) discharge taxes, liens, security interests, or other encumbrances at
   any time levied or placed on any of the Collateral in violation of this
   Agreement unless Borrower is in good faith with due diligence by
   appropriate proceedings contesting those items; and (iv) pay for the
   maintenance and preservation of any of the Collateral.  Expenses and
   advances shall be added to the Loan, until reimbursed to Lender and shall
   be secured by the Collateral.  Any such payments and advances by Lender
   shall not be construed as a waiver by Lender of an Event of Default.

        Section 9.15.  Information to Participants.  Lender may divulge to
   any participant it may obtain in the Loan, or any portion thereof, all
   information, and furnish to such participant copies of reports, financial
   statements, certificates, and documents obtained under any provision of
   this Agreement or any other Loan Document.  Notwithstanding the foregoing,
   any such participant shall be bound by the restrictions on dissemination
   of confidential information contained in Section 6.8 above.

        Section 9.16.  Indemnity.  Borrower hereby agrees to indemnify and
   hold harmless Lender, its partners, officers, agents and employees
   (collectively, "Indemnitee") from and against any liability, loss, cost,
   expense, claim, damage, suit, action or proceeding ever suffered or
   incurred by Lender (including reasonable attorneys' fees and expenses)
   arising from Borrower's failure to observe, perform or discharge any of
   its covenants, obligations, agreements or duties hereunder, or from the
   breach of any of the representations or warranties contained in Article IV
   hereof.  In addition, Borrower shall defend Indemnitee against and save it
   harmless from all claims of any Person with respect to the Collateral. 
   Notwithstanding any contrary provision in this Agreement, the obligation
   of Borrower under this Section 9.16 shall survive the payment in full of
   the Obligations and the termination of this Agreement.

        Section 9.17.  Choice of Law; Consent to Jurisdiction.  THIS
   AGREEMENT AND THE NOTE SHALL BE GOVERNED BY, AND CONSTRUED IN ACCORDANCE
   WITH, THE LAWS OF THE STATE OF MARYLAND, WITHOUT REGARD TO ANY OTHERWISE
   APPLICABLE PRINCIPLES OF CONFLICTS OF LAWS.  IF ANY ACTION ARISING OUT OF
   THIS AGREEMENT OR THE NOTE IS COMMENCED BY LENDER IN THE STATE COURTS OF
   THE STATE OF MARYLAND OR IN THE U.S. DISTRICT COURT FOR THE DISTRICT OF
   MARYLAND, BORROWER HEREBY CONSENTS TO THE JURISDICTION OF ANY SUCH COURT
   IN ANY SUCH ACTION AND TO THE LAYING OF VENUE IN THE STATE OF MARYLAND. 
   ANY PROCESS IN ANY SUCH ACTION SHALL BE DULY SERVED IF MAILED BY
   REGISTERED MAIL, POSTAGE PREPAID, TO BORROWER AT ITS ADDRESS DESCRIBED IN
   SECTION 9.4 HEREOF.

        Section 9.18.  Waiver of Trial by Jury.  BORROWER HEREBY (A)
   COVENANTS AND AGREES NOT TO ELECT A TRIAL BY JURY OF ANY ISSUE TRIABLE OF
   RIGHT BY A JURY, AND (B) WAIVES ANY RIGHT TO TRIAL BY JURY FULLY TO THE
   EXTENT THAT ANY SUCH RIGHT SHALL NOW OR HEREAFTER EXIST.  THIS WAIVER OF
   RIGHT TO TRIAL BY JURY IS SEPARATELY GIVEN, KNOWINGLY AND VOLUNTARILY, BY
   BORROWER, AND THIS WAIVER IS INTENDED TO ENCOMPASS INDIVIDUALLY EACH
   INSTANCE AND EACH ISSUE AS TO WHICH THE RIGHT TO A JURY TRIAL WOULD
   OTHERWISE ACCRUE.  LENDER IS HEREBY AUTHORIZED AND REQUESTED TO SUBMIT
   THIS AGREEMENT TO ANY COURT HAVING JURISDICTION OVER THE SUBJECT MATTER
   AND THE PARTIES HERETO, SO AS TO SERVE AS CONCLUSIVE EVIDENCE OF
   BORROWER'S WAIVER OF THE RIGHT TO JURY TRIAL.  FURTHER, BORROWER HEREBY
   CERTIFIES THAT NO REPRESENTATIVE OR AGENT OF LENDER (INCLUDING LENDER'S
   COUNSEL) HAS REPRESENTED, EXPRESSLY OR OTHERWISE, TO BORROWER THAT LENDER
   WILL NOT SEEK TO ENFORCE THIS WAIVER OF RIGHT TO JURY TRIAL PROVISION.

        Section 9.19.  Confession of Judgment.  BORROWER AUTHORIZES ANY
   ATTORNEY ADMITTED TO PRACTICE BEFORE ANY COURT OF RECORD IN THE UNITED
   STATES OR THE CLERK OF SUCH COURT TO APPEAR ON BEHALF OF BORROWER IN ANY
   COURT IN ONE OR MORE PROCEEDINGS, OR BEFORE ANY CLERK THEREOF OF
   PROTHONOTARY OR OTHER COURT OFFICIAL, AND TO CONFESS JUDGMENT AGAINST
   BORROWER IN FAVOR OF LENDER IN THE FULL AMOUNT DUE ON THIS AGREEMENT
   (INCLUDING PRINCIPAL, ACCRUED INTEREST AND ANY AND ALL CHARGES, FEES AND
   COSTS) PLUS REASONABLE ATTORNEYS' FEES, PLUS COURT COSTS, ALL WITHOUT
   PRIOR NOTICE OR OPPORTUNITY OF BORROWER FOR PRIOR HEARING.  BORROWER
   AGREES AND CONSENTS THAT VENUE AND JURISDICTION SHALL BE PROPER IN THE
   CIRCUIT COURT OF ANY COUNTY OF THE STATE OF MARYLAND OR OF BALTIMORE CITY,
   MARYLAND, OR IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF
   MARYLAND.  BORROWER WAIVES THE BENEFIT OF ANY AND EVERY STATUTE,
   ORDINANCE, OR RULE OF COURT WHICH MAY BE LAWFULLY WAIVED CONFERRING UPON
   BORROWER ANY RIGHT OR PRIVILEGE OF EXEMPTION, HOMESTEAD RIGHTS, STAY OF
   EXECUTION, OR SUPPLEMENTARY PROCEEDINGS, OR OTHER RELIEF FROM THE
   ENFORCEMENT OR IMMEDIATE ENFORCEMENT OF A JUDGMENT OR RELATED PROCEEDINGS
   ON A JUDGMENT.  THE AUTHORITY AND POWER TO APPEAR FOR AND ENTER JUDGMENT
   AGAINST BORROWER SHALL NOT BE EXHAUSTED BY ONE OR MORE EXERCISES THEREOF,
   OR BY ANY IMPERFECT EXERCISE THEREOF, AND SHALL NOT BE EXTINGUISHED BY ANY
   JUDGMENT ENTERED PURSUANT THERETO; SUCH AUTHORITY AND POWER MAY BE
   EXERCISED ON ONE OR MORE OCCASIONS FROM TIME TO TIME, IN THE SAME OR
   DIFFERENT JURISDICTIONS, AS OFTEN AS LENDER SHALL DEEM NECESSARY,
   CONVENIENT, OR PROPER.

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

                                 LENDER:

                                 HCFP FUNDING, INC.
                                 a Delaware corporation


                                 By:____/s/_________________________  
                                      Name:     Howard Widra
                                      Title:    Vice President 

                                 BORROWER:

                                 NUMED HOME HEALTH CARE, INC.
                                 a Nevada corporation

                  
                                 By:____/s/__________________________  
                                      Name:     Jugal K. Taneja
                                      Title:    Chief Executive Officer

                                 WHOLE PERSON HOME HEALTH CARE OF FLORIDA,
                                 INC.
                                 a Florida corporation d/b/a
                                 TOTAL PROFESSIONAL HEALTH CARE


                                 By:______/s/________________________  
                                 Name:     Jugal K. Taneja
                                 Title:    Chief Executive Officer

                                 WHOLE PERSON HOME HEALTH CARE, INC.
                                 a Pennsylvania corporation


                                 By:______/s/________________________  
                                 Name:     Jugal K. Taneja
                                 Title:    Chief Executive Officer



                                LIST OF EXHIBITS


   Exhibit A - Form of Revolving Credit Note

   Exhibit B - Form of Lockbox Agreement

   Exhibit C - Locations of Collateral

   Exhibit D - Form of Legal Opinion



                                LIST OF SCHEDULES


   Schedule 1.36  -    Permitted Liens

   Schedule 4.1   -    Subsidiaries

   Schedule 4.5   -    Litigation

   Schedule 4.7   -    Tax Identification Numbers

   Schedule 4.13  -    Non-Compliance with Law

   Schedule 4.14  -    Environmental Matters

   Schedule 4.15  -    Places of Business 

   Schedule 4.16  -    Licenses

   Schedule 4.19  -    Borrowings and Guarantees

   Schedule 4.21  -    Trade Names

   Schedule 4.22  -    Joint Ventures

   Schedule 7.12  -    Transactions with Affiliates





                                  $3,000,000.00





                           LOAN AND SECURITY AGREEMENT

                                 by and between

                          NUMED HOME HEALTH CARE, INC.
                           NUMED REHABILITATION, INC.
                               SILVER MOVES, INC.
                        COUNTRYSIDE HEALTH SERVICES, INC.
                   WHOLE PERSON HOME HEALTH CARE OF OHIO, INC.
                       PENNSYLVANIA MEDICAL CONCEPTS, INC.
                          PARKE HOME HEALTH CARE, INC.

                                  ("Borrower")

                                       and

                               HCFP FUNDING, INC.

                                   ("Lender")





                                 August 14, 1997




                           LOAN AND SECURITY AGREEMENT


        THIS LOAN AND SECURITY AGREEMENT (the "Agreement") is made as of this
   14th day of August, 1997, by and among NUMED HOME HEALTH CARE, INC., a
   Nevada corporation, NUMED REHABILITATION, INC., a Florida corporation,
   SILVER MOVES, INC., a Florida corporation D/B/A FLORIDA NURSING SERVICES,
   COUNTRYSIDE HEALTH SERVICES, INC., a Florida corporation, WHOLE PERSON
   HOME HEALTH CARE OF OHIO, INC.,  an Ohio corporation, PENNSYLVANIA MEDICAL
   CONCEPTS, INC., a Pennsylvania corporation, and PARKE HOME HEALTH CARE,
   INC., an Ohio corporation ("collectively, "Borrower"), and HCFP FUNDING,
   INC., a Delaware corporation ("Lender").

                                    RECITALS

        A.   Borrower desires to establish certain financing arrangements
   with and borrow funds from Lender, and Lender is willing to establish such
   arrangements for and make loans and extensions of credit to Borrower, on
   the terms and conditions set forth below.

        B.   The parties desire to define the terms and conditions of their
   relationship and to reduce their agreements to writing.

        NOW, THEREFORE, in consideration of the promises and covenants
   contained in this Agreement, and for other consideration, the receipt and
   sufficiency of which are acknowledged, the parties agree as follows:


                                    ARTICLE I

                                   DEFINITIONS

        As used in this Agreement, the following terms shall have the
   following meanings:

        Section 1.1.   Account.  "Account" means any right to payment for
   goods sold or leased or services rendered, whether or not evidenced by an
   instrument or chattel paper, and whether or not earned by performance. 

        Section 1.2.   Account Debtor.  "Account Debtor" means any Person
   obligated on any Account of Borrower, including without limitation, any
   Insurer and any Medicaid/Medicare Account Debtor.

        Section 1.3.   Affiliate.  "Affiliate" means, with respect to a
   specified Person, any Person directly or indirectly controlling,
   controlled by, or under common control with the specified Person,
   including without limitation their stockholders and any Affiliates
   thereof.  A Person shall be deemed to control a corporation or other
   entity if the Person possesses, directly or indirectly, the power to
   direct or cause the direction of the management and business of the
   corporation or other entity, whether through the ownership of voting
   securities, by contract, or otherwise.

        Section 1.4.   Agreement.  "Agreement" means this Loan and Security
   Agreement, as it may be amended or supplemented from time to time.

        Section 1.5.   Base Rate.  "Base Rate" means a rate of interest equal
   to two percent (2.0%) above the "Prime Rate of Interest".

        Section 1.6.   Borrowed Money.  "Borrowed Money" means any obligation
   to repay money, any indebtedness evidenced by notes, bonds, debentures or
   similar obligations, any obligation under a conditional sale or other
   title retention agreement and the net aggregate rentals under any lease
   which under GAAP would be capitalized on the books of Borrower or which is
   the substantial equivalent of the financing of the property so leased.

        Section 1.7.   Borrower.  "Borrower" has the meaning set forth in the
   Preamble.

        Section 1.8.   Borrowing Base.  "Borrowing Base" has the meaning set
   forth in Section 2.1(d).

        Section 1.9.   Business Day.  "Business Day" means any day on which
   financial institutions are open for business in the State of Maryland,
   excluding Saturdays and Sundays.

        Section 1.10.  Closing; Closing Date.  "Closing" and "Closing Date"
   have the meanings set forth in Section 5.3.

        Section 1.11.  Collateral.  "Collateral" has the meaning set forth in
   Section 3.1.

        Section 1.12.  Commitment Fee.  "Commitment Fee" has the meaning set
   forth in Section 2.4(a).

        Section 1.13.  Concentration Account.  "Concentration Account" has
   the meaning set forth in Section 2.3(a).

        Section 1.14.  Controlled Group.  "Controlled Group" means a
   "controlled group" within the meaning of Section 4001(b) of ERISA.

        Section 1.15.  Cost Report Settlement Account.  "Cost Report
   Settlement Account" means an "Account" owed to Borrower by a
   Medicaid/Medicare Account Debtor pursuant to any cost report, either
   interim, filed or audited, as the context may require.  

        Section 1.16.  Default Rate.  "Default Rate" means a rate per annum
   equal to five percent (5%) above the then applicable Base Rate.

        Section 1.17.  ERISA.  "ERISA" has the meaning set forth in Section
   4.12.

        Section 1.18.  Event of Default.  "Event of Default" and "Events of
   Default" have the meanings set forth in Section 8.1.

        Section 1.19.  GAAP.  "GAAP" means generally accepted accounting
   principles applied in a matter consistent with the financial statements
   referred to in Section 4.7. 

        Section 1.20.  Governmental Authority.  "Governmental Authority"
   means and includes any federal, state, District of Columbia, county,
   municipal, or other government and any department, commission, board,
   bureau, agency or instrumentality thereof, whether domestic or foreign.

        Section 1.21.  Hazardous Material.  "Hazardous Material" means any
   substances defined or designated as hazardous or toxic waste, hazardous or
   toxic material, hazardous or toxic substance, or similar term, by any
   environmental statute, rule or regulation or any Governmental Authority. 

        Section 1.22.  Highest Lawful Rate.  "Highest Lawful Rate" means the
   maximum lawful rate of interest referred to in Section 2.7 that may accrue
   pursuant to this Agreement.

        Section 1.23.  Insurer.  "Insurer" means a Person that insures a
   Patient against certain of the costs incurred in the receipt by such
   Patient of Medical Services, or that has an agreement with Borrower to
   compensate Borrower for providing services to a Patient.

        Section 1.24.  Lender.  "Lender" has the meaning set forth in the
   Preamble.

        Section 1.25.  Loan.  "Loan" has the meaning set forth in Section
   2.1(a).

        Section 1.26.  Loan Documents.  "Loan Documents" means and includes
   this Agreement, the Note, and each and every other document now or
   hereafter delivered in connection therewith, as any of them may be
   amended, modified, or supplemented from time to time.

        Section 1.27.  Intentionally Deleted.

        Section 1.28.  Lockbox.  "Lockbox" has the meaning set forth in
   Section 2.3.

        Section 1.29.  Lockbox Bank.  "Lockbox Bank" has the meaning set
   forth in Section 2.3.

        Section 1.30.  Maximum Loan Amount.  "Maximum Loan Amount" has the
   meaning set forth in Section 2.1(a).

        Section 1.31.  Medicaid/Medicare Account Debtor.  "Medicaid/ Medicare
   Account Debtor" means any Account Debtor which is (i) the United States of
   America acting under the Medicaid/Medicare program established pursuant to
   the Social Security Act, (ii) any state or the District of Columbia acting
   pursuant to a health plan adopted pursuant to Title XIX of the Social
   Security Act or (iii) any agent, carrier, administrator or intermediary
   for any of the foregoing.

        Section 1.32.  Medical Services.  Medical and health care services
   provided to a Patient, including, but not limited to, medical and health
   care services provided to a Patient and performed by Borrower which are
   covered by a policy of insurance issued by an Insurer, and includes
   physician services, nurse and therapist services, dental services,
   hospital services, skilled nursing facility services, comprehensive outpa-
   tient rehabilitation services, home health care services, residential and
   out-patient behavioral healthcare services, and medicine or health care
   equipment provided by Borrower to a Patient for a necessary or
   specifically requested valid and proper medical or health purpose.

        Section 1.33.  Note.  "Note" has the meaning set forth in Section
   2.1(c).

        Section 1.34.  Obligations.  "Obligations" has the meaning set forth
   in Section 3.1.

        Section 1.35.  Patient.  "Patient" means any Person receiving Medical
   Services from Borrower and all Persons legally liable to pay Borrower for
   such Medical Services other than Insurers.

        Section 1.36.  Permitted Liens.  "Permitted Liens" means: (a) liens
   for taxes not delinquent, or which are being contested in good faith and
   by appropriate proceedings which suspend the collection thereof and in
   respect of which adequate reserves have been made (provided that such
   proceedings do not, in Lender's sole discretion, involve any substantial
   danger of the sale, loss or forfeiture of such property or assets or any
   interest therein); (b) deposits or pledges to secure obligations under
   workmen's compensation, social security or similar laws, or under
   unemployment insurance; (c) deposits or pledges to secure bids, tenders,
   contracts (other than contracts for the payment of money), leases,
   statutory obligations, surety and appeal bonds and other obligations of
   like nature arising in the ordinary course of business; (d) mechanic's,
   workmen's, materialmen's or other like liens arising in the ordinary
   course of business with respect to obligations which are not due, or which
   are being contested in good faith by appropriate proceedings which suspend
   the collection thereof and in respect of which adequate reserves have been
   made (provided that such proceedings do not, in Lender's sole discretion,
   involve any substantial danger of the sale, loss or forfeiture of such
   property or assets or any interest therein); (e) liens and encumbrances in
   favor of Lender; (f) liens granted in connection with the lease or
   purchase of property or assets financed by borrowings permitted by Section
   7.1 (provided, however, that no such borrowings permitted by Section 7.1
   may be secured by liens on any of the Collateral); and (g) liens set forth
   on Schedule 1.36.

        Section 1.37.  Person.  "Person" means an individual, partnership,
   corporation, trust, joint venture, joint stock company, limited liability
   company, association, unincorporated organization, Governmental Authority,
   or any other entity.

        Section 1.38.  Plan.  "Plan" has the meaning set forth in Section
   4.12.

        Section 1.39.  Premises.  "Premises" has the meaning set forth in
   Section 4.15.

        Section 1.40.  Prime Rate of Interest.  "Prime Rate of Interest"
   means that rate of interest designated as such by Fleet National Bank of
   Connecticut, N.A., or any successor thereto, as the same may from time to
   time fluctuate.

        Section 1.41.  Prohibited Transaction.  "Prohibited Transaction"
   means a "prohibited transaction" within the meaning of Section 406 of
   ERISA or Section 4975(c)(1) of the Internal Revenue Code.

        Section 1.42.  Qualified Account. "Qualified Account" means an
   Account of Borrower generated in the ordinary course of Borrower's
   business from the sale of goods or rendition of medical services which
   Lender, in its sole credit judgment, deems to be a Qualified Account. 
   Without limiting the generality of the foregoing, no Account shall be a
   Qualified Account if:  (a) the Account or any portion thereof is payable
   by an individual beneficiary, recipient or subscriber individually and not
   directly to Borrower by a Medicaid/Medicare Account Debtor or commercial
   medical insurance carrier acceptable to Lender in its sole discretion; (b) 
   the Account remains unpaid more than one hundred twenty (120) days past
   the claim or invoice date, provided, however, that no more than fifteen
   percent (15%) of Qualified Accounts at any time shall be between ninety-
   one (91) and one hundred twenty (120) days past the claim or invoice
   date); (c) the Account is subject to any defense, set-off, counterclaim,
   deduction, discount, credit, chargeback, freight claim, allowance, or
   adjustment of any kind; (d) any part of any goods the sale of which has
   given rise to the Account has been returned, rejected, lost, or damaged;
   (e) if the Account arises from the sale of goods by Borrower, such sale
   was not an absolute sale or on consignment or on approval or on a sale-or-
   return basis or subject to any other repurchase or return agreement, or
   such goods have not been shipped to the Account Debtor or its designee;
   (f) if the Account arises from the performance of services, such services
   have not been actually been performed or were undertaken in violation of
   any law; (g) the Account is subject to a lien other than a Permitted Lien;
   (h) Borrower knows or should have known of the bankruptcy, receivership,
   reorganization, or insolvency of the Account Debtor; (i) the Account is
   evidenced by chattel paper or an instrument of any kind, or has been
   reduced to judgment; (j) the Account is an Account of an Account Debtor
   having its principal place of business or executive office outside the
   United States; (k) the Account Debtor is an Affiliate or Subsidiary of
   Borrower; (l) more than ten percent (10%) of the aggregate balance of all
   Accounts owing from the Account Debtor obligated on the Account are
   outstanding more than ninety (90) days past their invoice date; (m) fifty
   percent (50%) or more of the aggregate unpaid Accounts from any individual
   Account Debtor are not deemed Qualified Accounts hereunder; (n) the total
   unpaid Accounts of the Account Debtor, except for a Medicaid/Medicare
   Account Debtor, exceed twenty percent (20%) of the net amount of all
   Qualified Accounts (including Medicaid/Medicare Account Debtors); (o) any
   covenant, representation or warranty contained in the Loan Documents with
   respect to such Account has been breached; or (p) the Account fails to
   meet such other specifications and requirements that may from time to time
   be established by Lender, and that, upon request of Borrower, may be
   communicated by Lender in writing to Borrower.

        Section 1.43.  Reportable Event.  "Reportable Event" means a
   "reportable event" as defined in Section 4043(b) of ERISA.

        Section 1.44.  Revolving Credit Loan.  "Revolving Credit Loan" has
   the meaning set forth in Section 2.1(b).

        Section 1.45.  Term.  "Term" has the meaning set forth in Section
   2.8.

    
                                   ARTICLE II

                                      LOAN

        Section 2.1.  Terms.

             (a)  The maximum aggregate principal amount of credit extended
   by Lender to Borrower hereunder (the "Loan") that will be outstanding at
   any time is Three Million and No/100 Dollars ($3,000,000.00) (the "Maximum
   Loan Amount").  

             (b)  The Loan shall be in the nature of a revolving line of
   credit, and shall include sums advanced and other credit extended by
   Lender to or for the benefit of Borrower from time to time under this
   Article II (each a "Revolving Credit Loan") up to the Maximum Loan Amount
   depending upon the availability in the Borrowing Base, the requests of
   Borrower pursuant to the terms and conditions of Section 2.2 below, and on
   such other basis as Lender may reasonably determine.  The outstanding
   principal balance of the Loan may fluctuate from time to time, to be
   reduced by repayments made by Borrower (which may be made without penalty
   or premium), and to be increased by future Revolving Credit Loans,
   advances and other extensions of credit to or for the benefit of Borrower,
   and shall be due and payable in full upon the expiration of the Term.  For
   purposes of this Agreement, any determination as to whether there is
   ability within the Borrowing Base for advances or extensions of credit
   shall be made by Lender in its sole discretion and is final and binding
   upon Borrower.

             (c)  At Closing, Borrower shall execute and deliver to Lender a
   promissory note evidencing Borrower's unconditional obligation to repay
   Lender for Revolving Credit Loans, advances, and other extensions of
   credit made under the Loan, in the form of Exhibit A to this Agreement
   (the "Note"), dated the date hereof, payable to the order of Lender in
   accordance with the terms thereof.  The Note shall bear interest from the
   date thereof until repaid, with interest payable monthly in arrears on the
   first Business Day of each month, at a rate per annum (on the basis of the
   actual number of days elapsed over a year of 360 days) equal to the Base
   Rate, provided that after an Event of Default such rate shall be equal to
   the Default Rate.  Each Revolving Credit Loan, advance and other extension
   of credit shall be deemed evidenced by the Note, which is deemed
   incorporated by reference herein and made a part hereof.

             (d)  Subject to the terms and conditions of this Agreement,
   advances under the Loan shall be made against a borrowing base equal to
   eighty percent (80%) of Qualified Accounts due and owing from any
   Medicaid/Medicare, Insurer or other Account Debtor (the "Borrowing Base").

        Section 2.2.  Loan Administration.  Borrowings under the Loan shall
   be as follows:

             (a)  A request for a Revolving Credit Loan shall be made, or
   shall be deemed to be made, in the following manner:  (i) Borrower may
   give Lender notice of its intention to borrow, in which notice Borrower
   shall specify the amount of the proposed borrowing and the proposed
   borrowing date, not later than 2:00 p.m. Eastern time two (2) Business Day
   prior to the proposed borrowing date; provided, however, that no such
   request may be made at a time when there exists an Event of Default; and
   (ii) the becoming due of any amount required to be paid under this
   Agreement, whether as interest or for any other Obligation, shall be
   deemed irrevocably to be a request for a Revolving Credit Loan on the due
   date in the amount required to pay such interest or other Obligation.

             (b)  Borrower hereby irrevocably authorizes Lender to disburse
   the proceeds of each Revolving Credit Loan requested, or deemed to be
   requested, as follows:  (i) the proceeds of each Revolving Credit Loan
   requested under subsection 2.2(a)(i) shall be disbursed by Lender by wire
   transfer to such bank account as may be agreed upon by Borrower or Lender
   from time to time or elsewhere if pursuant to written direction from
   Borrower; and (ii) the proceeds of each Revolving Credit Loan requested
   under subsection 2.2(a)(ii) shall be disbursed by Lender by way of direct
   payment of the relevant interest or other Obligation.

             (c)  All Revolving Credit Loans, advances and other extensions
   of credit to or for the benefit of Borrower shall constitute one general
   Obligation of Borrower, and shall be secured by Lender's lien upon all of
   the Collateral.

             (d)  Lender shall enter all Revolving Credit Loans as debits to
   a loan account in the name of Borrower and shall also record in said loan
   account all payments made by Borrower on any Obligations and all proceeds
   of Collateral which are indefeasibly paid to Lender, and may record
   therein, in accordance with customary accounting practice, other debits
   and credits, including interest and all charges and expenses properly
   chargeable to Borrower. 

             (e)  Lender will account to Borrower monthly with a statement of
   Revolving Credit Loans, charges and payments made pursuant to this
   Agreement, and such account rendered by Lender shall be deemed final,
   binding and conclusive upon Borrower unless Lender is notified by Borrower
   in writing to the contrary within thirty (30) days of the date each
   accounting is mailed to Borrower.  Such notice shall be deemed an
   objection to those items specifically objected to therein.

        Section 2.3.  Collections, Disbursements, Borrowing Availability, and
   Lockbox Account.  Borrower shall maintain a lockbox account (the
   "Lockbox") with First Union National Bank of Florida.(the "Lockbox Bank"),
   subject to the provisions of this Agreement, and shall execute with the
   Lockbox Bank a Lockbox Agreement in the form attached as Exhibit B, and
   such other agreements related thereto as Lender may require.  Borrower
   shall ensure that all collections of Accounts are paid directly from
   Account Debtors into the Lockbox, and that all funds paid into the Lockbox
   are immediately transferred into a depository account maintained by Lender
   at Bank One Arizona, N.A. or First Bank, N.A., as determined by Lender in
   its sole discretion and communicated to Borrower (the "Concentration
   Account").  Lender shall apply, on a daily basis, all funds transferred
   into the Concentration Account pursuant to this Section 2.3 to reduce the
   outstanding indebtedness under the Loan with future Revolving Credit
   Loans, advances and other extensions of credit to be made by Lender under
   the conditions set forth in this Article II.  To the extent that any
   collections of Accounts or proceeds of other Collateral are not sent
   directly to the Lockbox but are received by Borrower, such collections
   shall be held in trust for the benefit of Lender and immediately remitted,
   in the form received, to the Lockbox Bank for transfer to the
   Concentration Account immediately upon receipt by Borrower.  Borrower
   acknowledges and agrees that its compliance with the terms of this Section
   2.3 is essential, and that upon its failure to comply with any such terms
   Lender shall be entitled to assess a non-compliance fee which shall
   operate to increase the Base Rate by two percent (2%) per annum during any
   period of non-compliance.  Lender shall be entitled to assess such fee
   whether or not an Event of Default is declared or otherwise occurs.  All
   funds transferred from the Concentration Account for application to
   Borrower's indebtedness to Lender shall be applied to reduce the Loan
   balance, but for purposes of calculating interest shall be subject to a
   three (3) Business Day clearance period.  If as the result of collections
   of Accounts pursuant to the terms and conditions of this Section 2.3 a
   credit balance exists with respect to the Concentration Account, such
   credit balance shall not accrue interest in favor of Borrower, but shall
   be available to Borrower at any time or times for so long as no Event of
   Default exists.

        Section 2.4.  Fees.

             (a)  At Closing, Borrower shall unconditionally pay to Lender a
   commitment fee equal to four-tenths of one percent (0.4%) of the Maximum
   Loan Amount (the "Commitment Fee").

             (b)  Borrower shall pay to Lender all out-of-pocket audit and
   appraisal fees in connection with audits and appraisals of Borrower's
   books and records and such other matters as Lender shall deem appropriate, 
   which amounts shall be limited to $8,000 in any calendar year so long as
   no Event of Default has occurred, and shall include amounts under Section
   2.4(b) of the Loan and Security Agreement between Lender and Affiliated
   Borrower (as defined in Section 7.1 below), and which amounts shall be due
   and payable on the first Business Day of the month following the date of
   issuance by Lender of a request for payment thereof to Borrower. 

             (c)  Borrower shall pay to Lender, on demand, any and all fees,
   costs or expenses which Lender or any participant pays to a bank or other
   similar institution (including, without limitation, any fees paid by
   Lender to any participant) arising out of or in connection with (i) the
   forwarding to Borrower or any other Person on behalf of Borrower, by
   Lender, of proceeds of Revolving Credit Loans made by Lender to Borrower
   pursuant to this Agreement, and (ii) the depositing for collection, by
   Lender or any participant, of any check or item of payment received or
   delivered to Lender or any participant on account of Obligations. 

        Section 2.5.  Payments.  Principal payable on account of Revolving
   Credit Loans shall be payable by Borrower to Lender immediately upon the
   earliest of (i) the receipt by Borrower of any proceeds of any of the
   Collateral, to the extent of such proceeds, (ii) the occurrence of an
   Event of Default in consequence of which the Loan and the maturity of the
   payment of the Obligations are accelerated, or (iii) the termination of
   this Agreement pursuant to Section 2.8 hereof; provided, however, that if
   any advance made by Lender in excess of the Borrowing Base shall exist at
   any time, Borrower shall, immediately upon demand, repay such overadvance. 
   Notwithstanding the foregoing, overadvances aggregating less than $200,000
   in any calendar year, may be converted to a term loan (at an interest rate
   equal to the Base Rate), payable in twelve equal monthly payments of
   principal and interest.  Interest accrued on the Revolving Credit Loans
   shall be due on the earliest of (i) the first Business Day of each month
   (for the immediately preceding month), computed on the last calendar day
   of the preceding month, (ii) the occurrence of an Event of Default in
   consequence of which the Loan and the maturity of the payment of the
   Obligations are accelerated, or (iii) the termination of this Agreement
   pursuant to Section 2.8 hereof.  Except to the extent otherwise set forth
   in this Agreement, all payments of principal and of interest on the Loan,
   all other charges and any other obligations of Borrower hereunder, shall
   be made to Lender to the Concentration Account, in immediately available
   funds.

        Section 2.6.  Use of Proceeds.  The proceeds of Lender's advances
   under the Loan shall be used solely for working capital and for other
   costs of Borrower arising in the ordinary course of Borrower's business.

        Section 2.7.  Interest Rate Limitation.  The parties intend to
   conform strictly to the applicable usury laws in effect from time to time
   during the term of the Loan.  Accordingly, if any transaction contemplated
   hereby would be usurious under such laws, then notwithstanding any other
   provision hereof: (i) the aggregate of all interest that is contracted
   for, charged, or received under this Agreement or under any other Loan
   Document shall not exceed the maximum amount of interest allowed by
   applicable law (the "Highest Lawful Rate"), and any excess shall be
   promptly credited to Borrower by Lender (or, to the extent that such
   consideration shall have been paid, such excess shall be promptly refunded
   to Borrower by Lender); (ii) neither Borrower nor any other Person now or
   hereafter liable hereunder shall be obligated to pay the amount of such
   interest to the extent that it is in excess of the Highest Lawful Rate;
   and (iii) the effective rate of interest shall be reduced to the Highest
   Lawful Rate.  All sums paid, or agreed to be paid, to Lender for the use,
   forbearance, and detention of the debt of Borrower to Lender shall, to the
   extent permitted by applicable law, be allocated throughout the full term
   of the Note until payment is made in full so that the actual rate of
   interest does not exceed the Highest Lawful Rate in effect at any
   particular time during the full term thereof.  If at any time the rate of
   interest under the Note exceeds the Highest Lawful Rate, the rate of
   interest to accrue pursuant to this Agreement shall be limited,
   notwithstanding anything to the contrary herein, to the Highest Lawful
   Rate, but any subsequent reductions in the Base Rate shall not reduce the
   interest to accrue pursuant to this Agreement below the Highest Lawful
   Rate until the total amount of interest accrued equals the amount of
   interest that would have accrued if a varying rate per annum equal to the
   interest rate under the Note had at all times been in effect.  If the
   total amount of interest paid or accrued pursuant to this Agreement under
   the foregoing provisions is less than the total amount of interest that
   would have accrued if a varying rate per annum equal to the interest rate
   under the Note had been in effect, then Borrower agrees to pay to Lender
   an amount equal to the difference between (i) the lesser of (x) the amount
   of interest that would have accrued if the Highest Lawful Rate had at all
   times been in effect, or (y) the amount of interest that would have
   accrued if a varying rate per annum equal to the interest rate under the
   Note had at all times been in effect, and (ii) the amount of interest
   accrued in accordance with the other provisions of this Agreement.

        Section 2.8.  Term.

             (a)  Subject to Lender's right to cease making Revolving Credit
   Loans to Borrower upon or after any Event of Default, this Agreement shall
   be in effect for a period of two (2) years from the Closing Date, unless
   terminated as provided in this Section 2.8 (the "Term"), and this
   Agreement shall be renewed for one-year periods thereafter upon the mutual
   written agreement of the parties.

             (b)  Notwithstanding anything herein to the contrary, Lender may
   terminate this Agreement without notice upon or after the occurrence of an
   Event of Default.

             (c)  Upon at least thirty (30) days prior written notice to
   Lender, Borrower may terminate this Agreement prior to the second annual
   anniversary of the Closing Date, provided that, at the effective date of
   such termination, Borrower shall pay to Lender (in addition to the then
   outstanding principal, accrued interest and other Obligations owing under
   the terms of this Agreement and any other Loan Documents) as liquidated
   damages for the loss of bargain and not as a penalty, an amount equal to
   (i) eight-tenths of one percent (0.8%) of the Maximum Loan Amount if the
   effective date of such termination by Borrower is on or prior to the first
   annual anniversary of the Closing Date, and (ii) four-tenths of one
   percent (0.4%) of the Maximum Loan Amount if the effective date of such
   termination by Borrower is after the first annual anniversary of the
   Closing Date and prior to the second annual anniversary of the Closing
   Date.  

             (d)  All of the Obligations shall be immediately due and payable
   upon the termination date stated in any notice of termination of this
   Agreement.  All undertakings, agreements, covenants, warranties, and
   representations of Borrower contained in the Loan Documents shall survive
   any such termination and Lender shall retain its liens in the Collateral
   and all of its rights and remedies under the Loan Documents
   notwithstanding such termination until Borrower has paid the Obligations
   to Lender, in full, in immediately available funds.

        Section 2.9.   Joint and Several Liability; Binding Obligations. 
   Each entity comprising Borrower and executing this Agreement on behalf of
   Borrower shall be jointly and severally liable for all of the Obligations. 
   In addition, each entity comprising Borrower hereby acknowledges and
   agrees that all of the representations, warranties, covenants,
   obligations, conditions, agreements and other terms contained in this
   Agreement shall be applicable to and shall be binding upon each individual
   entity comprising Borrower, and shall be binding upon all such entities
   when taken together.


                                   ARTICLE III

                                   COLLATERAL

        Section 3.1.  Generally.  As security for the payment of all
   liabilities of Borrower to Lender, including without limitation: (i)
   indebtedness evidenced under the Note, repayment of Revolving Credit
   Loans, advances and other extensions of credit, all fees and charges owing
   by Borrower, and all other liabilities and obligations of every kind or
   nature whatsoever of Borrower to Lender, whether now existing or hereafter
   incurred, joint or several, matured or unmatured, direct or indirect,
   primary or secondary, related or unrelated, due or to become due,
   including but not limited to any extensions, modifications, substitutions,
   increases and renewals thereof, (ii) the payment of all amounts advanced
   by Lender to preserve, protect, defend, and enforce its rights hereunder
   and in the following property in accordance with the terms of this
   Agreement, and (iii) the payment of all expenses incurred by Lender in
   connection therewith (collectively, the "Obligations").  Borrower hereby
   assigns and grants to Lender a continuing first priority lien on and
   security interest in, upon, and to the following property (the
   "Collateral"):

             (a)  All of Borrower's now-owned and hereafter acquired or
   arising Accounts, accounts receivable and rights to payment of every kind
   and description, and any contract rights, chattel paper, documents and
   instruments with respect thereto;

             (b)  All of Borrower's now owned and hereafter acquired or
   arising general intangibles of every kind and description pertaining to
   its Accounts, accounts receivable and other rights to payment, including,
   but not limited to, all existing and future customer lists, choses in
   action, claims, books, records, contracts, licenses, formulae, tax and
   other types of refunds, returned and unearned insurance premiums, rights
   and claims under insurance policies, and computer information, software,
   records, and data;

             (c)  All of Borrower's now or hereafter acquired deposit
   accounts into which Accounts are deposited, including the Concentration
   Account;

             (d)  All of Borrower's monies and other property of every kind
   and nature now or at any time or times hereafter in the possession of or
   under the control of Lender or a bailee or Affiliate of Lender; and 

             (e)  The proceeds (including, without limitation, insurance
   proceeds) of all of the foregoing.

        Section 3.2.  Lien Documents.  At Closing and thereafter as Lender
   deems necessary in its sole discretion, Borrower shall execute and deliver
   to Lender, or have executed and delivered (all in form and substance
   satisfactory to Lender in its sole discretion):

             (a)  UCC-1 Financing statements pursuant to the Uniform
   Commercial Code in effect in the jurisdiction(s) in which Borrower
   operates, which Lender may file in any jurisdiction where any Collateral
   is or may be located and in any other jurisdiction that Lender deems
   appropriate; provided that a carbon, photographic, or other reproduction
   or other copy of this Agreement or of a financing statement is sufficient
   as and may be filed in lieu of a financing statement; and

             (b)  Any other agreements, documents, instruments, and writings
   deemed necessary by Lender or as Lender may otherwise request from time to
   time in its sole discretion to evidence, perfect, or protect Lender's lien
   and security interest in the Collateral required hereunder.

        Section 3.3.  Collateral Administration.

             (a)  All Collateral (except deposit accounts) will at all times
   be kept by Borrower at its principal office(s) as set forth on Exhibit C
   hereto and shall not, without the prior written approval of Lender, be
   moved therefrom.

             (b)  Borrower shall keep accurate and complete records of its
   Accounts and all payments and collections thereon and shall submit to
   Lender on such periodic basis as Lender shall request a sales and
   collections report for the preceding period, in form satisfactory to
   Lender.  In addition, if Accounts in an aggregate face amount in excess of
   $50,000.00 that were previously included in the Borrowing Base become
   ineligible because they fall within one of the specified categories of
   ineligibility set forth in the definition of Qualified Accounts or
   otherwise, Borrower shall notify Lender of such occurrence on the first
   Business Day following such occurrence and the Borrowing Base shall
   thereupon be adjusted to reflect such occurrence.  If requested by Lender,
   Borrower shall execute and deliver to Lender formal written assignments of
   all of its Accounts weekly or daily, which shall include all Accounts that
   have been created since the date of the last assignment, together with
   copies of claims, invoices or other information related thereto.


             (c)  Whether or not an Event of Default has occurred, any of
   Lender's officers, employees or agents shall have the right, at any time
   or times hereafter, in the name of Lender, any designee of Lender or
   Borrower, to verify the validity, amount or any other matter relating to
   any Accounts by mail, telephone, telegraph or otherwise.  Borrower shall
   cooperate fully with Lender in an effort to facilitate and promptly
   conclude such verification process.

             (d)  To expedite collection, Borrower shall endeavor in the
   first instance to make collection of its Accounts for Lender.  Lender
   retains the right at all times after the occurrence of an Event of
   Default, subject to applicable law regarding Medicaid/Medicare Account
   Debtors, to notify Account Debtors that Accounts have been assigned to
   Lender and to collect Accounts directly in its own name and to charge the
   collection costs and expenses, including reasonable attorneys' fees, to
   Borrower. 

        Section 3.4.  Other Actions.  In addition to the foregoing, Borrower
   (i) shall provide prompt written notice to each private indemnity, managed
   care or other Insurer who either is currently an Account Debtor or becomes
   an Account Debtor at any time following the date hereof that Lender has
   been granted a first priority lien and security interest in, upon and to
   all Accounts applicable to such Insurer, and hereby authorizes Lender to
   send any and all similar notices to such Insurers by Lender, and (ii)
   shall do anything further that may be lawfully required by Lender to
   secure Lender and effectuate the intentions and objects of this Agreement,
   including but not limited to the execution and delivery of lockbox
   agreements, continuation statements, amendments to financing statements,
   and any other documents required hereunder.  At Lender's request, Borrower
   shall also immediately deliver to Lender all items for which Lender must
   receive possession to obtain a perfected security interest.  Borrower
   shall, on Lender's demand, deliver to Lender all notes, certificates, and
   documents of title, chattel paper, warehouse receipts, instruments, and
   any other similar instruments constituting Collateral.

        Section 3.5.  Searches.  Prior to Closing, and thereafter (as and
   when requested by Lender in its sole discretion), Borrower shall obtain
   and deliver to Lender the following searches against Borrower (the results
   of which are to be consistent with Borrower's representations and
   warranties under this Agreement), all at its own expense:

             (a)  Uniform Commercial Code searches with the Secretary of
   State and local filing offices of each jurisdiction where Borrower
   maintains its executive offices, a place of business, or assets;

             (b)  Judgment, federal tax lien and corporate and partnership
   tax lien searches, in each jurisdiction searched under clause (a) above;
   and 

             (c)  Good standing certificates showing Borrower to be in good
   standing in its state of formation and in each other state in which it is
   doing and presently intends to do business for which qualification is
   required.

        Section 3.6.  Power of Attorney.  Each of the officers of Lender is
   hereby irrevocably made, constituted and appointed the true and lawful
   attorney for Borrower (without requiring any of them to act as such) with
   full power of substitution to do the following: (i) endorse the name of
   Borrower upon any and all checks, drafts, money orders, and other
   instruments for the payment of money that are payable to Borrower and
   constitute collections on Borrower's Accounts; (ii) execute in the name of
   Borrower any financing statements, schedules, assignments, instruments,
   documents, and statements that Borrower is obligated to give Lender
   hereunder; and (iii) do such other and further acts and deeds in the name
   of Borrower that Lender may deem necessary or desirable to enforce any
   Account or other Collateral or perfect Lender's security interest or lien
   in any Collateral.


                                   ARTICLE IV

                         REPRESENTATIONS AND WARRANTIES

             Each entity comprising Borrower represents and warrants to
   Lender, and shall be deemed to represent and warrant on each day on which
   any Obligations shall be outstanding hereunder, that:

        Section 4.1.  Subsidiaries.  Each entity (other than NuMed Home
   Health Care, Inc.) comprising Borrower is a direct or indirect subsidiary
   of NuMed Home Health Care, Inc.  The organizational structure is as set
   forth on Schedule 4.1. 

        Section 4.2.  Organization and Good Standing.  Borrower is a
   corporation duly organized, validly existing, and in good standing under
   the laws of its state of formation, is in good standing as a foreign
   corporation in each jurisdiction in which the character of the properties
   owned or leased by it therein or the nature of its business makes such
   qualification necessary, has the corporate power and authority to own its
   assets and transact the business in which it is engaged, and has obtained
   all certificates, licenses and qualifications required under all laws,
   regulations, ordinances, or orders of public authorities necessary for the
   ownership and operation of all of its properties and transaction of all of
   its business.

        Section 4.3.  Authority.  Borrower has full corporate power and
   authority to enter into, execute, and deliver this Agreement and to
   perform its obligations hereunder, to borrow the Loan, to execute and
   deliver the Note, and to incur and perform the obligations provided for in
   the Loan Documents, all of which have been duly authorized by all
   necessary corporate action. 

    No consent or approval of shareholders of, or lenders to, Borrower and no
   consent, approval, filing or registration with any Governmental Authority
   is required as a condition to the validity of the Loan Documents or the
   performance by Borrower of its obligations thereunder.


        Section 4.4.  Binding Agreement.  This Agreement and all other Loan
   Documents constitute, and the Note, when issued and delivered pursuant
   hereto for value received, will constitute, the valid and legally binding
   obligations of Borrower, enforceable against Borrower in accordance with
   their respective terms.

        Section 4.5.  Litigation.  Except as disclosed in Schedule 4.5, there
   are no actions, suits, proceedings or investigations pending or threatened
   against Borrower before any court or arbitrator or before or by any
   Governmental Authority which, in any one case or in the aggregate, if
   determined adversely to the interests of Borrower, could have a material
   adverse effect on the business, properties, condition (financial or
   otherwise) or operations, present or prospective, of Borrower, or upon its
   ability to perform its obligations under the Loan Documents.  Borrower is
   not in default with respect to any order of any court, arbitrator, or
   Governmental Authority applicable to Borrower or its properties.  

        Section 4.6.  No Conflicts.  The execution and delivery by Borrower
   of this Agreement and the other Loan Documents do not, and the performance
   of its obligations thereunder will not, violate, conflict with, constitute
   a default under, or result in the creation of a lien or encumbrance upon
   the property of Borrower under: (i) any provision of Borrower's articles
   of incorporation or bylaws, (ii) any provision of any law, rule, or
   regulation applicable to Borrower, or (iii) any of the following: (A) any
   indenture or other agreement or instrument to which Borrower is a party or
   by which Borrower or its property is bound; or (B) any judgment, order or
   decree of any court, arbitration tribunal, or Governmental Authority
   having jurisdiction over Borrower which is applicable to Borrower.

        Section 4.7.  Financial Condition.  The annual financial statements
   of Borrower as of March 31, 1997 audited by Ernst & Young, LLC and the
   unaudited financial statements of Borrower as of June 30, 1997, certified
   by the chief financial officer of Borrower, which have been delivered to
   Lender, fairly present the financial condition of Borrower and the results
   of its operations and changes in financial condition as of the dates and
   for the periods referred to, and have been prepared in accordance with
   GAAP.  There are no material unrealized or anticipated liabilities, direct
   or indirect, fixed or contingent, of Borrower as of the dates of such
   financial statements which are not reflected therein or in the notes
   thereto.  There has been no adverse change in the business, properties,
   condition (financial or otherwise) or operations (present or prospective)
   of Borrower since June 30, 1997.  Borrower's fiscal year ends on March 31. 
   The federal tax identification number of each entity comprising Borrower
   is as shown on Schedule 4.7.

        Section 4.8.  No Default.  Borrower is not in default under or with
   respect to any obligation in any respect which could be adverse to its
   business, operations, property or financial condition, or which could
   adversely affect the ability of   Borrower to perform its obligations
   under the Loan Documents.  No Event of Default or event which, with the
   giving of notice or lapse of time, or both, could become an Event of
   Default, has occurred and is continuing.

        Section 4.9.  Title to Properties.  Borrower has good and marketable
   title to its properties and assets, including the Collateral and the
   properties and assets reflected in the financial statements described in
   Section 4.7, subject to no lien, mortgage, pledge, encumbrance or charge
   of any kind, other than Permitted Liens.  Borrower has not agreed or
   consented to cause any of its properties or assets whether owned now or
   hereafter acquired to be subject in the future (upon the happening of a
   contingency or otherwise) to any lien, mortgage, pledge, encumbrance or
   charge of any kind other than Permitted Liens.

        Section 4.10.  Taxes.  Borrower has filed, or has obtained extensions
   for the filing of, all federal, state and other tax returns which are
   required to be filed, and has paid all taxes shown as due on those returns
   and all assessments, fees and other amounts due as of the date hereof. 
   All tax liabilities of Borrower were, as of June 30, 1997 and are now,
   adequately provided for on Borrower's books.  No tax liability has been
   asserted by the Internal Revenue Service or other taxing authority against
   Borrower for taxes in excess of those already paid.

        Section 4.11.  Securities and Banking Laws and Regulations.  

             (a)  The use of the proceeds of the Loan and Borrower's issuance
   of the Note will not directly or indirectly violate or result in a
   violation of the Securities Act of 1933 or the Securities Exchange Act of
   1934, as amended, or any regulations issued pursuant thereto, including
   without limitation Regulations U, T, G, or X of the Board of Governors of
   the Federal Reserve System.  Borrower is not engaged in the business of
   extending credit for the purpose of the purchasing or carrying "margin
   stock" within the meaning of those regulations.  No part of the proceeds
   of the Loan hereunder will be used to purchase or carry any margin stock
   or to extend credit to others for such purpose.

             (b)  Borrower is not an investment company within the meaning of
   the Investment Company Act of 1940, as amended, nor is it, directly or
   indirectly, controlled by or acting on behalf of any Person which is an
   investment company within the meaning of that Act.

        Section 4.12.  ERISA.  No employee benefit plan (a "Plan") subject to
   the Employee Retirement Income Security Act of 1974 ("ERISA") and
   regulations issued pursuant thereto that is maintained by Borrower or
   under which Borrower could have any liability under ERISA (a) has failed
   to meet minimum funding standards established in Section 302 of ERISA, (b)
   has failed to comply with all applicable requirements of ERISA and of the
   Internal Revenue Code, including all applicable rulings and regulations
   thereunder, (c) has engaged in or been involved in a prohibited
   transaction (as defined in ERISA) under ERISA or under the Internal
   Revenue Code, or (d) has been terminated.  Borrower has not assumed, or
   received notice of a claim asserted against Borrower for, withdrawal
   liability (as defined in the Multi-Employer Pension Plan Amendments Act of
   1980, as amended) with respect to any multi-employer pension plan and is
   not a member of any Controlled Group (as defined in ERISA).  Borrower has
   timely made when due all contributions with respect to any multi-employer
   pension plan in which it participates and no event has occurred triggering
   a claim against Borrower for withdrawal liability with respect to any
   multi-employer pension plan in which Borrower participates.

        Section 4.13.  Compliance with Law.  Except as described in Schedule
   4.13, Borrower is not in violation of any statute, rule or regulation of
   any Governmental Authority (including, without limitation, any statute,
   rule or regulation relating to employment practices or to environmental,
   occupational and health standards and controls).  Borrower has obtained
   all licenses, permits, franchises, and other governmental authorizations
   necessary for the ownership of its properties and the conduct of its
   business.  Borrower is current with all reports and documents required to
   be filed with any state or federal securities commission or similar
   Governmental Authority and is in full compliance with all applicable rules
   and regulations of such commissions.

        Section 4.14.  Environmental Matters.  No use, exposure, release,
   generation, manufacture, storage, treatment, transportation or disposal of
   Hazardous Material has occurred or is occurring on or from any real
   property on which the Collateral is located or which is owned, leased or
   otherwise occupied by Borrower (the "Premises"), or off the Premises as a
   result of any action of Borrower, except as described in Schedule 4.14. 
   All Hazardous Material used, treated, stored, transported to or from,
   generated or handled on the Premises, or off the Premises by Borrower, has
   been disposed of on or off the Premises by or on behalf of Borrower in a
   lawful manner.  There are no underground storage tanks present on or under
   the Premises owned or leased by Borrower.  No other environmental, public
   health or safety hazards exist with respect to the Premises.

        Section 4.15.  Places of Business.   The only places of business of
   Borrower, and the places where it keeps and intends to keep the Collateral
   and records concerning the Collateral, are at the addresses set forth in
   Schedule 4.15.  Schedule 4.15 also lists the owner of record of each such
   property.

        Section 4.16.  Intellectual Property.  Borrower exclusively owns or
   possesses all the patents, patent applications, trademarks, trademark
   applications, service marks, trade names, copyrights, franchises,
   licenses, and rights with respect to the foregoing necessary for the
   present and planned future conduct of its business, without any conflict
   with the rights of others.  A list of all such intellectual property
   (indicating the nature of Borrower's interest), as well as all outstanding
   franchises and licenses given by or held by Borrower, is attached as
   Schedule 4.16.  Borrower is not in default of any obligation or
   undertaking with respect to such intellectual property or rights.

        Section 4.17.  Stock Ownership.  NuMed Home Health Care, Inc. is a
   public company.  Each other entity constituting Borrower is a direct or
   indirect subsidiary, as shown on Schedule 4.1.

        Section 4.18.  Material Facts.  Neither this Agreement nor any other
   Loan Document nor any other agreement, document, certificate, or statement
   furnished to Lender by or on behalf of Borrower in connection with the
   transactions contemplated hereby contains any untrue statement of material
   fact or omits to state a material fact necessary in order to make the
   statements contained herein or therein not misleading.  There is no fact
   known to Borrower that adversely affects or in the future may adversely
   affect the business, operations, affairs or financial condition of
   Borrower, or any of its properties or assets.

        Section 4.19.  Investments, Guarantees, and Certain Contracts. 
   Borrower does not own or hold any equity or long-term debt investments in,
   have any outstanding advances to, have any outstanding guarantees for the
   obligations of, or have any outstanding borrowings from, any Person,
   except as described on Schedule 4.19.  Borrower is not a party to any
   contract or agreement, or subject to any corporate restriction, which
   adversely affects its business.

        Section 4.20.  Business Interruptions.  Within five years prior to
   the date hereof, neither the business, property or assets, or operations
   of Borrower has been adversely affected in any way by any casualty,
   strike, lockout, combination of workers, or order of the United States of
   America or other Governmental Authority, directed against Borrower.  There
   are no pending or threatened labor disputes, strikes, lockouts, or similar
   occurrences or grievances against Borrower or its business.

        Section 4.21.  Names.  Within five years prior to the date hereof,
   Borrower has not conducted business under or used any other name (whether
   corporate, partnership or assumed) other than as shown on Schedule 4.21. 
   Borrower is the sole owner of all names listed on that Schedule and any
   and all business done and invoices issued in such names are Borrower's
   sales, business, and invoices.  Each trade name of Borrower represents a
   division or trading style of Borrower and not a separate Person or
   independent Affiliate.

        Section 4.22  Joint Ventures.  Borrower is not engaged in any joint
   venture or partnership with any other Person, except as set forth on
   Schedule 4.22.

        Section 4.23  Accounts.  Lender may rely, in determining which
   Accounts are Qualified Accounts, on all statements and representations
   made by Borrower with respect to any Account or Accounts.  Unless
   otherwise indicated in writing to Lender, with respect to each Account:

             (a)  It is genuine and in all respects what it purports to be,
   and is not evidenced by a judgment;

             (b)  It arises out of a completed, bona fide sale and delivery
   of goods or rendition of services by Borrower in the ordinary course of
   its business and in accordance with the terms and conditions of all
   purchase orders, contracts, certification, participation, certificate of
   need, or other documents relating thereto and forming a part of the
   contract between Borrower and the Account Debtor;

             (c)  It is for a liquidated amount maturing as stated in a
   duplicate claim or invoice covering such sale or rendition of services, a
   copy of which has been furnished or is available to Lender;

             (d)  Such Account, and Lender's security interest therein, is
   not, and will not (by voluntary act or omission by Borrower), be in the
   future, subject to any offset, lien, deduction, defense, dispute,
   counterclaim or any other adverse condition, and each such Account is
   absolutely owing to Borrower and is not contingent in any respect or for
   any reason;

             (e)  There are no facts, events or occurrences which in any way
   impair the validity or enforceability of any Accounts or tend to reduce
   the amount payable thereunder from the face amount of the claim or invoice
   and statements delivered to Lender with respect thereto;

             (f)  To the best of Borrower's knowledge, (i) the Account Debtor
   thereunder had the capacity to contract at the time any contract or other
   document giving rise to the Account was executed and (ii) such Account
   Debtor is solvent;

             (g)  To the best of Borrower's knowledge, there are no
   proceedings or actions which are threatened or pending against any Account
   Debtor thereunder which might result in any material adverse change in
   such Account Debtor's financial condition or the collectibility of such
   Account;

             (h)  It has been billed and forwarded to the Account Debtor for
   payment in accordance with applicable laws and compliance and conformance
   with any and requisite procedures, requirements and regulations governing
   payment by such Account Debtor with respect to such Account, and such
   Account if due from a Medicaid/Medicare Account Debtor is properly payable
   directly to Borrower; and

             (i)  Borrower has obtained and currently has all certificates of
   need, Medicaid and Medicare provider numbers, licenses, permits and
   authorizations as necessary in the generation of such Accounts.


                                    ARTICLE V

                        CLOSING AND CONDITIONS OF LENDING

        Section 5.1.  Conditions Precedent to Agreement.  The obligation of
   Lender to enter into and perform this Agreement and to make Revolving
   Credit Loans is subject to the following conditions precedent:

             (a)  Lender shall have received two (2) originals of this
   Agreement and all other Loan Documents required to be executed and
   delivered at or prior to Closing (other than the Note, as to which Lender
   shall receive only one original), executed by Borrower and any other
   required Persons, as applicable.

             (b)  Lender shall have received all searches and good standing
   certificates required by Section 3.5.

             (c)  Borrower shall have complied and shall then be in
   compliance with all the terms, covenants and conditions of the Loan
   Documents.

             (d)  There shall have occurred no Event of Default and no event
   which, with the giving of notice or the lapse of time, or both, could
   constitute such an Event of Default.

             (e)  The representations and warranties contained in Article IV
   shall be true and correct.

             (f)  Lender shall have received copies of all board of directors
   resolutions of Borrower, and other corporate action taken by Borrower to
   authorize the execution, delivery and performance of the Loan Documents
   and the borrowing of the Loan thereunder, as well as the names and
   signatures of the officers of Borrower authorized to execute documents on
   its behalf in connection herewith, all as also certified as of the date
   hereof by Borrower's chief financial officer, and such other papers as
   Lender may require.

             (g)  Lender shall have received copies, certified as true,
   correct and complete by a corporate officer of each Borrower, of the
   articles of incorporation of each Borrower, with any amendments to any of
   the foregoing, and all other documents necessary for performance of the
   obligations of Borrower under this Agreement and the other Loan Documents.

             (h)  Lender shall have received a written opinion of counsel for
   Borrower, dated the date hereof, in the form of Exhibit D.

             (i)  Lender shall have received such financial statements,
   reports, certifications, and other operational information required to be
   delivered hereunder, including without limitation an initial borrowing
   base certificate calculating the Borrowing Base.

             (j)  Lender shall have received the Commitment Fee.

             (k)  The Lockbox and the Concentration Account shall have been
   established.

             (l)  Lender shall have received a certificate of Borrower's
   chief financial officer, dated the Closing Date, certifying that all of
   the conditions specified in this Section have been fulfilled.

        Section 5.2.  Conditions Precedent to Advances.   Notwithstanding any
   other provision of this Agreement, no Loan proceeds, Revolving Credit
   Loans, advances or other extensions of credit under the Loan shall be
   disbursed hereunder unless the following conditions have been satisfied or
   waived immediately prior to such disbursement:

             (a)  The representations and warranties on the part of Borrower
   contained in Article IV of this Agreement shall be true and correct in all
   respects at and as of the date of disbursement or advance, as though made
   on and as of such date (except to the extent that such representations and
   warranties expressly relate solely to an earlier date and except that the
   references in Section 4.7 to financial statements shall be deemed to be a
   reference to the then most recent annual and interim financial statements
   of Borrower furnished to Lender pursuant to Section 6.1 hereof).

             (b)  No Event of Default or event which, with the giving of
   notice of the lapse of time, or both, could become an Event of Default
   shall have occurred and be continuing or would result from the making of
   the disbursement or advance.

             (c)  No adverse change in the condition (financial or
   otherwise), properties, business, or operations of Borrower shall have
   occurred and be continuing with respect to Borrower since the date hereof.

        Section 5.3.  Closing.  Subject to the conditions of this Article V,
   the Loan shall be made available on the date as is mutually agreed by the
   parties (the "Closing Date") at such time as may be mutually agreeable to
   the parties upon the execution hereof (the "Closing") at such place as may
   be requested by Lender.

        Section 5.4.  Waiver of Rights.  By completing the Closing hereunder,
   or by making advances under the Loan, Lender does not waive a breach of
   any representation or warranty of Borrower  hereunder or under any other
   Loan Document, and all of Lender's claims and rights resulting from any
   breach or misrepresentation by Borrower are specifically reserved by
   Lender.


                                   ARTICLE VI

                              AFFIRMATIVE COVENANTS

        Borrower covenants and agrees that for so long as Borrower may borrow
   hereunder and until payment in full of the Note and performance of all
   other obligations of Borrower under the Loan Documents:

        Section 6.1.  Financial Statements and Collateral Reports.  Borrower
   will furnish to Lender (i) a sales and collections report and accounts
   receivable aging schedule on a form acceptable to Lender within fifteen
   (15) days after the end of each calendar month, which shall include, but
   not be limited to, a report of sales, credits issued, and collections
   received; (ii) payable aging schedules within fifteen (15) days after the
   end of each calendar month; (iii) internally prepared monthly financial
   statements for Borrower, certified by the chief financial officer of
   Borrower, within forty-five (45) days of the end of each calendar month,
   accompanied by management analysis and actual vs. budget variance reports;
   (iv) to the extent prepared by Borrower, annual projections, profit and
   loss statements, balance sheets, and cash flow reports (prepared on a
   monthly basis) for the succeeding fiscal year within thirty (30) days
   before the end of each of Borrower's fiscal years; (v) internally prepared
   annual financial statements for Borrower within sixty (60) days after the
   end of each of Borrower's fiscal years; (vi) annual audited financial
   statements for Borrower prepared by Ernst & Young, LLP, or a firm of
   independent public accountants satisfactory to Lender, within one hundred
   thirty-five (135) days after the end of each of Borrower's fiscal years;
   (vii) promptly upon receipt thereof, copies of any reports submitted to
   Borrower by the independent accountants in connection with any interim
   audit of the books of Borrower and copies of each management control
   letter provided to Borrower by independent accountants; (viii) as soon as
   available, copies of all financial statements and notices provided by
   Borrower to all of its stockholders; and (ix) such additional information,
   reports or statements as Lender may from time to time request.  Annual
   financial statements shall set forth in comparative form figures for the
   corresponding periods in the prior fiscal year.  All financial statements
   shall include a balance sheet and statement of earnings and shall be
   prepared in accordance with GAAP.

        Section 6.2.  Payments Hereunder.  Borrower will make all payments of
   principal, interest, fees, and all other payments required hereunder,
   under the Loan, and under any other agreements with Lender to which
   Borrower is a party, as and when due.

        Section 6.3.  Existence, Good Standing, and Compliance with Laws. 
   Borrower will do or cause to be done all things necessary (a) to obtain
   and keep in full force and effect all corporate existence, rights,
   licenses, privileges, and franchises of Borrower necessary to the
   ownership of its property or the conduct of its business, and comply with
   all applicable present and future laws, ordinances, rules, regulations,
   orders and decrees of any Governmental Authority having or claiming
   jurisdiction over Borrower; and (b) to maintain and protect the
    properties used or useful in the conduct of the operations of Borrower,
   in a prudent manner, including without limitation the maintenance at all
   times of such insurance upon its insurable property and operations as
   required by law or by Section 6.7 hereof.

        Section 6.4.  Legality.  The making of the Loan and each disbursement
   or advance under the Loan shall not be subject to any penalty or special
   tax, shall not be prohibited by any governmental order or regulation
   applicable to Borrower, and shall not violate any rule or regulation of
   any Governmental Authority, and necessary consents, approvals and
   authorizations of any Governmental Authority to or of any such
   disbursement or advance shall have been obtained.

        Section 6.5.  Lender's Satisfaction.  All instruments and legal
   documents and proceedings in connection with the transactions contemplated
   by this Agreement shall be satisfactory in form and substance to Lender
   and its counsel, and Lender shall have received all documents, including
   records of corporate proceedings and opinions of counsel, which Lender may
   have requested in connection therewith.

        Section 6.6.  Taxes and Charges.  Borrower will timely file all tax
   reports and pay and discharge all taxes, assessments and governmental
   charges or levies imposed upon Borrower, or its income or profits or upon
   its properties or any part thereof, before the same shall be in default
   and prior to the date on which penalties attach thereto, as well as all
   lawful claims for labor, material, supplies or otherwise which, if unpaid,
   might become a lien or charge upon the properties or any part thereof of
   Borrower; provided, however, that Borrower shall not be required to pay
   and discharge or cause to be paid and discharged any such tax, assessment,
   charge, levy or claim so long as the validity or amount thereof shall be
   contested in good faith and by appropriate proceedings by Borrower, and
   Borrower shall have set aside on their books adequate reserve therefor;
   and provided further, that such deferment of payment is permissible only
   so long as Borrower's title to, and its right to use, the Collateral is
   not adversely affected thereby and Lender's lien and priority on the
   Collateral are not adversely affected, altered or impaired thereby.

        Section 6.7.  Insurance.  Borrower will carry adequate public
   liability and professional liability insurance with responsible companies
   satisfactory to Lender in such amounts and against such risks as is
   customarily maintained by similar businesses and by owners of similar
   property in the same general area. 

        Section 6.8.  General Information.   Borrower will furnish to Lender
   such information as Lender may, from time to time, request with respect to
   the business or financial affairs of Borrower, and permit any officer,
   employee or agent of Lender to visit and inspect any of the properties, to
   examine the minute books, books of account and other records, including
   management letters prepared by Borrower's auditors, of Borrower, and make
   copies thereof or extracts therefrom, and to discuss its and their business
   affairs, finances and accounts with, and be advised as to the same by, the
   accountants and officers of Borrower, all at such times and as often as
   Lender may require.  Lender shall maintain in confidence all financial and
   related information of Borrower.  In particular, and not in limitation of
   the foregoing, Lender acknowledges that financial reports of Borrower that
   have not been filed with the  SEC  or otherwise publicly disclosed may
   constitute material, nonpublic information.

        Section 6.9.  Maintenance of Property.  Borrower will maintain, keep
   and preserve all of its properties in good repair, working order and
   condition and from time to time make all needful and proper repairs,
   renewals, replacements, betterments and improvements thereto, so that the
   business carried on in connection therewith may be properly and
   advantageously conducted at all times.

        Section 6.10.  Notification of Events of Default and Adverse
   Developments.  Borrower promptly will notify Lender upon the occurrence
   of: (i) any Event of Default; (ii) any event which, with the giving of
   notice or lapse of time, or both, could constitute an Event of Default;
   (iii) any event, development or circumstance whereby the financial
   statements previously furnished to Lender fail in any material respect to
   present fairly, in accordance with GAAP, the financial condition and
   operational results of Borrower; (iv) any judicial, administrative or
   arbitration proceeding pending against Borrower, and any judicial or
   administrative proceeding known by Borrower to be threatened against it
   which, if adversely decided, could adversely affect its condition
   (financial or otherwise) or operations (present or prospective) or which
   may expose Borrower to uninsured liability of $25,000.00 or more; (v) any
   default claimed by any other creditor for Borrowed Money of Borrower other
   than Lender; and (vi) any other development in the business or affairs of
   Borrower which may be adverse; in each case describing the nature thereof
   and (in the case of notification under clauses (i) and (ii)) the action
   Borrower proposes to take with respect thereto.

        Section 6.11.  Employee Benefit Plans.  Borrower will (i) comply with
   the funding requirements of ERISA with respect to the Plans for its
   employees, or will promptly satisfy any accumulated funding deficiency
   that arises under Section 302 of ERISA; (ii) furnish Lender, promptly
   after filing the same, with copies of all reports or other statements
   filed with the United States Department of Labor, the Pension Benefit
   Guaranty Corporation, or the Internal Revenue Service with respect to all
   Plans, or which Borrower, or any member of a Controlled Group, may receive
   from such Governmental Authority with respect to any such Plans, and (iii)
   promptly advise Lender of the occurrence of any Reportable Event or
   Prohibited Transaction with respect to any such Plan and the action which
   Borrower proposes to take with respect thereto.  Borrower will make all
   contributions when due with respect to any multi-employer pension plan in
   which it participates and will promptly advise Lender: (i) upon its
   receipt of notice of the assertion against Borrower of a claim for
   withdrawal liability; (ii) upon the occurrence of any event which could
   trigger the assertion of a claim for withdrawal liability against
   Borrower; and (iii) upon the occurrence of any event which would place
   Borrower in a Controlled Group as a result of which any member (including
   Borrower) thereof may be subject to a claim for withdrawal liability,
   whether liquidated or contingent.

        Section 6.12.  Financing Statements.  Borrower shall provide to
   Lender evidence satisfactory to Lender as to the due recording of
   termination statements, releases of collateral, and Forms UCC-3, and shall
   cause to be recorded financing statements on Form UCC-1, duly executed by
   Borrower and Lender, in all places necessary to release all existing
   security interests and other liens in the Collateral (other than as
   permitted hereby) and to perfect and protect Lender's first priority lien
   and security interest in the Collateral, as Lender may request.

        Section 6.13.  Financial Records.  Borrower shall keep current and
   accurate books of records and accounts in which full and correct entries
   will be made of all of its business transactions, and will reflect in its
   financial statements adequate accruals and appropriations to reserves, all
   in accordance with GAAP.

        Section 6.14.  Collection of Accounts.  Borrower shall continue to
   collect its Accounts in the ordinary course of business.

        Section 6.15.  Places of Business.  Borrower shall give thirty (30)
   days' prior written notice to Lender of any change in the location of any
   of its places of business, of the places where its records concerning its
   Accounts are kept, of the places where the Collateral is kept, or of the
   establishment of any new, or the discontinuance of any existing, places of
   business.

        Section 6.16.  Business Conducted.  Borrower shall continue in the
   business presently conducted by it using its best efforts to maintain its
   customers and goodwill.  Borrower shall not engage, directly or
   indirectly, in any line of business substantially different from the
   business conducted by it immediately prior to the Closing Date, or engage
   in business or lines of business which are not reasonably related thereto.

        Section 6.17.  Litigation and Other Proceedings.  Borrower shall give
   prompt notice to Lender of any litigation, arbitration, or other
   proceeding before any Governmental Authority against or affecting Borrower
   if the amount claimed is more than $25,000.00

        Section 6.18.  Bank Accounts.  Borrower shall assign all of its
   depository and disbursement accounts to Lender.

        Section 6.19.  Submission of Collateral Documents.  Subject to
   applicable federal and state laws and regulation concerning the
   confidentiality of patient and medical records, Borrower will, on demand
   of Lender, make available to Lender copies of shipping and delivery
   receipts evidencing the shipment of goods that gave rise to an Account,
   medical records, insurance verification forms, assignment of benefits, in-
   take forms or other proof of the satisfactory performance of services that
   gave rise to an Account, a copy of the claim or invoice for each Account
   and copies of any written contract or order from which the Account arose. 
   Borrower shall promptly notify Lender if an Account becomes evidenced or
   secured by an instrument or chattel paper and upon request of Lender, will
   promptly deliver any such instrument or chattel paper to Lender.

        Section 6.20.  Licensure; Medicaid/Medicare Cost Reports.  Borrower
   will maintain all certificates of need, provider numbers and licenses
   necessary to conduct its business as presently conducted, and take any
   steps required to comply with any such new or additional requirements that
   may be imposed on providers of medical products and services.  If
   required, all Medicaid/Medicare cost reports will be properly filed.

        Section 6.21.  Officer's Certificates.  Together with the monthly
   financial statements delivered pursuant to clause (iii) of Section 6.1,
   and together with the audited annual financial statements delivered
   pursuant to clause (vi) of that Section, Borrower shall deliver to Lender
   a certificate of its chief financial officer, in form and substance
   satisfactory to Lender:

             (a)  Setting forth the information (including detailed
   calculations) required to establish whether Borrower is in compliance with
   the requirements of Articles VI and VII as of the end of the period
   covered by the financial statements then being furnished; and 

             (b)  Stating that the signer has reviewed the relevant terms of
   this Agreement, and has made (or caused to be made under his supervision)
   a review of the transactions and conditions of Borrower from the beginning
   of the accounting period covered by the income statements being delivered
   to the date of the certificate, and that such review has not disclosed the
   existence during such period of any condition or event which constitutes
   an Event of Default or which is then, or with the passage of time or
   giving of notice or both, could become an Event of Default, and if any
   such condition or event existed during such period or now exists,
   specifying the nature and period of existence thereof and what action
   Borrower has taken or proposes to take with respect thereto.

        Section 6.22.  Visits and Inspections.  Borrower agrees to permit
   representatives of Lender, from time to time, as often as may be
   reasonably requested, but only during normal business hours, to visit and
   inspect the properties of Borrower, and to inspect, audit and make
   extracts from its books and records, and discuss with its officers, its
   employees and its independent accountants, Borrower's business, assets,
   liabilities, financial condition, business prospects and results of
   operations.

        Section 6.23.  Net Worth.  Borrower will not at any time allow its
   net worth, as computed in accordance with GAAP, to fall below
   $4,000,000.00.


                                   ARTICLE VII

                               NEGATIVE COVENANTS

        Borrower covenants and agrees that so long as Borrower may borrow
   hereunder and until payment in full of the Note and performance of all
   other obligations of Borrower under the Loan Documents:

        Section 7.1.  Borrowing.  Borrower will not create, incur, assume or
   suffer to exist any liability for Borrowed Money except: (i) indebtedness
   to Lender; (ii) indebtedness of Borrower secured by mortgages,
   encumbrances or liens expressly permitted by Section 7.3 hereof; (iii)
   accounts payable to trade creditors and current operating expenses (other
   than for borrowed money) which are not aged more than one hundred twenty
   (120) days from the billing date or more than thirty (30) days from the
   due date, in each case incurred in the ordinary course of business and
   paid within such time period, unless the same are being contested in good
   faith and by appropriate and lawful proceedings, and Borrower shall have
   set aside such reserves, if any, with respect thereto as are required by
   GAAP and deemed adequate by Borrower and its independent accountants; and
   (iv) borrowings incurred in the ordinary course of its business and not
   exceeding $50,000.00, or $250,000.00 in the aggregate (including such
   borrowings made by Whole Person Home Health Care of Florida, Inc. and
   Whole Person Home Health Care, Inc. ("Affiliated Borrower"), outstanding
   at any one time.  Borrower will not make prepayments on any existing or
   future indebtedness for Borrowed Money to any Person (other than Lender,
   to the extent permitted by this Agreement or any subsequent agreement
   between Borrower and Lender).

        Section 7.2.  Joint Ventures.  Borrower will not invest directly or
   indirectly in any joint venture for any purpose without the prior written
   notice to, and the express written consent of, Lender, which consent may
   be withheld in Lender's sole discretion.

        Section 7.3.  Liens and Encumbrances.  Borrower will not create,
   incur, assume or suffer to exist any mortgage, pledge, lien or other
   encumbrance of any kind (including the charge upon property purchased
   under a conditional sale or other title retention agreement) upon, or any
   security interest in, any of its Collateral, whether now owned or
   hereafter acquired, except for Permitted Liens.

        Section 7.4.  Merger, Acquisition, or Sale of Assets.  Borrower will
   not enter into any merger or consolidation with or acquire all or
   substantially all of the assets of any Person, and will not sell, lease,
   or otherwise dispose of any of its assets except in the ordinary course of
   its business, without the prior written consent of Lender, which consent
   shall not be unreasonably withheld.  Notwithstanding the foregoing,
   Borrower shall not be required to obtain Lender's consent to any sale,
   lease or other disposition where the cost of the transaction to Borrower
   is less than $250,000.00.

        Section 7.5.  Sale and Leaseback.  Borrower will not, directly or
   indirectly, enter into any arrangement whereby Borrower sells or transfers
   all or any part of its assets and thereupon and within one year thereafter
   rents or leases the assets so sold or transferred without the prior
   written consent of Lender, which consent shall not be unreasonably
   withheld.  Notwithstanding the foregoing, Borrower shall not be required
   to obtain Lender's consent to any such arrangement where the cost of the
   arrangement to Borrower is less than $250,000.00.

        Section 7.6.  Dividends, Distributions and Management Fees.  Upon
   notice from Lender to Borrower of the existence of an Event of Default
   hereunder, Borrower will not declare or pay any dividends or other
   distributions with respect to, purchase, redeem or otherwise acquire for
   value any of its outstanding stock now or hereafter outstanding, or return
   any capital of its stockholders, nor shall Borrower pay management fees or
   fees of a similar nature to any Person.

        Section 7.7.  Loans.  Borrower will not make loans or advances to any
   Person, other than (i) trade credit extended in the ordinary course of its
   business, and (ii) advances for business travel and similar temporary
   advances in the ordinary course of business to officers, stockholders,
   directors, and employees.

        Section 7.8.  Contingent Liabilities.  Borrower will not assume,
   guarantee, endorse, contingently agree to purchase or otherwise become
   liable upon the obligation of any Person, except by the endorsement of
   negotiable instruments for deposit or collection or similar transactions
   in the ordinary course of business. 

        Section 7.9.  Subsidiaries.  Borrower will not form any subsidiary,
   or make any investment in or any loan in the nature of an investment to,
   any other Person.

        Section 7.10.  Compliance with ERISA.  Borrower will not permit with
   respect to any Plan covered by Title IV of ERISA any Prohibited
   Transaction or any Reportable Event.

        Section 7.11.  Certificates of Need.  Borrower will not amend, alter
   or suspend or terminate or make provisional in any material way, any
   certificate of need or provider number without the prior written consent
   of Lender, which consent shall not be unreasonably withheld.

        Section 7.12.  Transactions with Affiliates.  Borrower will not enter
   into any transaction, including without limitation the purchase, sale, or
   exchange of property, or the loaning or giving of funds to any Affiliate
   or subsidiary, except in the ordinary course of business and pursuant to
   the reasonable requirements of Borrower's business and upon terms
   substantially the same and no less favorable to Borrower as it would
   obtain in a comparable arm's length transaction with any Person not an
   Affiliate or subsidiary, and so long as the transaction is not otherwise
   prohibited hereunder.  For purposes of the foregoing, Lender consents to
   the transactions described on Schedule 7.12 and transactions solely
   between or among parties to this Agreement and/or Affiliated Borrower.

        Section 7.13.  Use of Lender's Name.  Borrower will not use Lender's
   name (or the name of any of Lender's affiliates) in connection with any of
   its business operations.  Borrower may disclose to third parties that
   Borrower has a borrowing relationship with Lender.  Nothing herein
   contained is intended to permit or authorize Borrower to make any contract
   on behalf of Lender.

        Section 7.14.  Change in Status.  NuMed Home Health Care, Inc. shall
   not cease filing required reports under the Securities Exchange Act of
   1934 (the "Exchange Act").

        Section 7.15.  Contracts and Agreements.  Borrower will not become or
   be a party to any contract or agreement which would breach this Agreement,
   or breach any other instrument, agreement, or document to which Borrower
   is a party or by which it is or may be bound.

        Section 7.16.  Margin Stock.  Borrower will not carry or purchase any
   "margin security" within the meaning of Regulations U, G, T or X of the
   Board of Governors of the Federal Reserve System.

        Section 7.17.  Truth of Statements and Certificates.  Borrower will
   not furnish to Lender any certificate or other document that contains any
   untrue statement of a material fact or that omits to state a material fact
   necessary to make it not misleading in light of the circumstances under
   which it was furnished.

                                  ARTICLE VIII

                                EVENTS OF DEFAULT

        Section 8.1.  Events of Default.  Each of the following
   (individually, an "Event of Default" and collectively, the "Events of
   Default") shall constitute an event of default hereunder:

             (a)  A default in the payment of any installment of principal
   of, or interest upon, the Note when due and payable, whether at maturity
   or otherwise, or any breach of Section 2.3 of this Agreement, which
   default or breach, as applicable, shall have continued unremedied for a
   period of ten (10) days after written notice thereof from Lender to
   Borrower;

             (b)  A default in the payment of any other charges, fees, or
   other monetary obligations owing to Lender arising out of or incurred in
   connection with this Agreement when such payment is due and payable, which
   default shall have continued unremedied for a period of ten (10) days
   after written notice from Lender;

             (c)  A default in the due observance or performance by Borrower
   of any other term, covenant or agreement contained in any of the Loan
   Documents, which default shall have continued unremedied for a period of
   fifteen (15) days after written notice from Lender;

             (d)  If any representation or warranty made by Borrower herein
   or in any of the other Loan Documents, any financial statement, or any
   statement or representation made in any other certificate, report or
   opinion delivered in connection herewith or therewith proves to have been
   incorrect or misleading in any material respect when made, which default
   shall have continued unremedied for a period of fifteen (15) days after
   written notice from Lender;

             (e)  If any obligation of Borrower (other than its Obligations
   hereunder) for the payment of Borrowed Money is not paid when due or
   within any applicable grace period, or such obligation becomes or is
   declared to be due and payable prior to the expressed maturity thereof, or
   there shall have occurred an event which, with the giving of notice or
   lapse of time, or both, would cause any such obligation to become, or
   allow any such obligation to be declared to be, due and payable; 

             (f)  If Borrower makes an assignment for the benefit of
   creditors, offers a composition or extension to creditors, or makes or
   sends notice of an intended bulk sale of any business or assets now or
   hereafter conducted by Borrower;

             (g)  If Borrower files a petition in bankruptcy, is adjudicated
   insolvent or bankrupt, petitions or applies to any tribunal for any
   receiver of or any trustee for itself or any substantial part of its
   property, commences any proceeding relating to itself under any
   reorganization, arrangement, readjustment or debt, dissolution or
   liquidation law or statute of any jurisdiction, whether now or hereafter
   in effect, or there is commenced against Borrower any such proceeding
   which remains undismissed for a period of sixty (60) days, or any Borrower
   by any act indicates its consent to, approval of, or acquiescence in, any
   such proceeding or the appointment of any receiver of or any trustee for a
   Borrower or any substantial part of its property, or suffers any such
   receivership or trusteeship to continue undischarged for a period of sixty
   (60) days; 

             (h)  If one or more final judgments against Borrower or
   attachments against its property not fully and unconditionally covered by
   insurance shall be rendered by a court of record and shall remain unpaid,
   unstayed on appeal, undischarged, unbonded and undismissed for a period of
   ten (10) days; 

             (i)  A Reportable Event which might constitute grounds for
   termination of any Plan covered by Title IV of ERISA or for the
   appointment by the appropriate United States District Court of a trustee
   to administer any such Plan or for the entry of a lien or encumbrance to
   secure any deficiency, has occurred and is continuing thirty (30) days
   after its occurrence, or any such Plan is terminated, or a trustee is
   appointed by an appropriate United States District Court to administer any
   such Plan, or the Pension Benefit Guaranty Corporation institutes
   proceedings to terminate any such Plan or to appoint a trustee to
   administer any such Plan, or a lien or encumbrance is entered to secure
   any deficiency or claim;

             (j)  If there should occur a change in control of NuMed Home
   Health Care, Inc.;

             (k)  If there shall occur any uninsured damage to or loss, theft
   or destruction of any portion of the Collateral;

             (l)  If Borrower breaches of violates the terms of, or if a
   default or an event which could, whether with notice or the passage of
   time, or both, constitute a default, occurs under any other existing or
   future agreement (related or unrelated) between Borrower and Lender;

             (m)  Upon the issuance of any execution or distraint process
   against Borrower or any of its property or assets; 

             (n)  If Borrower ceases any material portion of its business
   operations as presently conducted without the prior written consent of
   Lender;

             (o)  If any indication or evidence is received by Lender that
   Borrower may have directly or indirectly been engaged in any type of
   activity which, in Lender's discretion, might result in the forfeiture of
   any property of Borrower to any Governmental Authority, which default
   shall have continued unremedied for a period of ten (10) days after
   written notice from Lender;

             (p)  Borrower or any Affiliate of Borrower, shall challenge or
   contest, in any action, suit or proceeding, the validity or enforceability
   of this Agreement, or any of the other Loan Documents, the legality or the
   enforceability of any of the Obligations or the perfection or priority of
   any Lien granted to Lender;

             (q)  Borrower shall be criminally indicted or convicted under
   any law that could lead to a forfeiture of any Collateral.

             (r)  There shall occur a material adverse change in the
   financial condition or business prospects of Borrower, or if Lender in
   good faith deems itself insecure as a result of acts or events bearing
   upon the financial condition of Borrower or the repayment of the Note,
   which default shall have continued unremedied for a period of ten (10)
   days after written notice from Lender.

        Section 8.2.  Acceleration.  Upon the occurrence of any of the
   foregoing Events of Default, the Note shall become and be immediately due
   and payable upon declaration to that effect delivered by Lender to
   Borrower; provided that, upon the happening of any event specified in
   Section 8.1(g) hereof, the Note shall be immediately due and payable
   without declaration or other notice to Borrower.

        Section 8.3.  Remedies.

             (a)  In addition to all other rights, options, and remedies
   granted to Lender under this Agreement, upon the occurrence of an Event of
   Default Lender may (i) terminate the Loan, whereupon all outstanding
   Obligations shall be immediately due and payable, (ii) exercise all other
   rights granted to it hereunder and all rights under the Uniform Commercial
   Code in effect in the applicable jurisdiction(s) and under any other
   applicable law, and (iii) exercise all rights and remedies under all Loan
   Documents now or hereafter in effect, including the following rights and
   remedies (which list is given by way of example and is not intended to be
   an exhaustive list of all such rights and remedies):

                  (i)  The right to take possession of, send notices
   regarding, and collect directly the Collateral, with or without judicial
   process, and to exercise all rights and remedies available to Lender with
   respect to the Collateral under the Uniform Commercial Code in effect in
   the jurisdiction(s) in which such Collateral is located;

                  (ii) The right to (by its own means or with judicial
   assistance) enter any of Borrower's premises and take possession of the
   Collateral, or render it unusable, or dispose of the Collateral on such
   premises in compliance with subsection (b), without any liability for
   rent, storage, utilities, or other sums, and Borrower shall not resist or
   interfere with such action;

                  (iii)     The right to require Borrower at Borrower's
   expense to assemble all or any part of the Collateral and make it
   available to Lender at any place designated by Lender;

                  (iv) The right to reduce the Maximum Loan Amount or to use
   the Collateral and/or funds in the Concentration Account in amounts up to
   the Maximum Loan Amount for any reason; and

                  (v)  The right to relinquish or abandon any Collateral or
   any security interest therein.

             (b)  Borrower agrees that a notice received by it at least five
   (5) days before the time of any intended public sale, or the time after
   which any private sale or other disposition of the Collateral is to be
   made, shall be deemed to be reasonable notice of such sale or other
   disposition.  If permitted by applicable law, any perishable Collateral
   which threatens to speedily decline in value or which is sold on a
   recognized marked may be sold immediately by Lender without prior notice
   to Borrower.  At any sale or disposition of Collateral, Lender may (to the
   extent permitted by applicable law) purchase all or any part of the
   Collateral, free from any right of redemption by Borrower, which right is
   hereby waived and released.  Borrower covenants and agrees not to
   interfere with or impose any obstacle to Lender's exercise of its rights
   and remedies with respect to the Collateral.

        Section 8.4.  Nature of Remedies.  Lender shall have the right to
   proceed against all or any portion of the Collateral to satisfy the
   liabilities and Obligations of Borrower to Lender in any order.  All
   rights and remedies granted Lender hereunder and under any agreement
   referred to herein, or otherwise available at law or in equity, shall be
   deemed concurrent and cumulative, and not alternative remedies, and Lender
   may proceed with any number of remedies at the same time until the Loans,
   and all other existing and future liabilities and obligations of Borrower
   to Lender, are satisfied in full.  The exercise of any one right or remedy
   shall not be deemed a waiver or release of any other right or remedy, and
   Lender, upon the occurrence of an Event of Default, may proceed against
   Borrower, and/or the Collateral, at any time, under any agreement, with
   any available remedy and in any order.


                                   ARTICLE IX

                                  MISCELLANEOUS

        Section 9.1.  Expenses and Taxes.

             (a)  Borrower agrees to pay, whether or not the Closing occurs,
   a reasonable documentation preparation fee, together with actual audit and
   appraisal fees and all other out-of-pocket charges and expenses incurred
   by Lender in connection with the negotiation, preparation and execution of
   each of the Loan Documents, any amendments to the Loan Documents following
   Closing, and preparation for Closing, reimbursement for which fees and
   expenses shall not exceed $10,000.00.  Borrower also agrees to pay all
   out-of-pocket charges and expenses incurred by Lender (including the fees
   and expenses of Lender's counsel) in connection with the enforcement,
   protection or preservation of any right or claim of Lender and the
   collection of any amounts due under the Loan Documents.

             (b)  Borrower shall pay all taxes (other than taxes based upon
   or measured by Lender's income or revenues or any personal property tax),
   if any, in connection with the issuance of the Note and the recording of
   the security documents therefor.  The obligations of Borrower under this
   clause (b) shall survive the payment of Borrower's indebtedness hereunder
   and the termination of this Agreement. 

        Section 9.2.  Entire Agreement; Amendments.  This Agreement and the
   other Loan Documents constitute the full and entire understanding and
   agreement among the parties with regard to their subject matter and
   supersede all prior written or oral agreements, understandings,
   representations and warranties made with respect thereto.  No amendment,
   supplement or modification of this Agreement nor any waiver of any
   provision thereof shall be made except in writing executed by the party
   against whom enforcement is sought.

        Section 9.3.  No Waiver; Cumulative Rights.  No waiver by any party
   hereto of any one or more defaults by the other party in the performance
   of any of the provisions of this Agreement shall operate or be construed
   as a waiver of any future default or defaults, whether of a like or
   different nature.  No failure or delay on the part of any party in
   exercising any right, power or remedy hereunder shall operate as a waiver
   thereof, nor shall any single or partial exercise of any such right, power
   or remedy preclude any other or further exercise thereof or the exercise
   of any other right, power or remedy.  The remedies provided for herein are
   cumulative and are not exclusive of any remedies that may be available to
   any party hereto at law, in equity or otherwise.

        Section 9.4.  Notices.  Any notice or other communication required or
   permitted hereunder shall be in writing and personally delivered, mailed
   by registered or certified mail (return receipt requested and postage
   prepaid), sent by telecopier (with a confirming copy sent by regular
   mail), or sent by prepaid overnight courier service, and addressed to the
   relevant party at its address set forth below, or at such other address as
   such party may, by written notice, designate as its address for purposes
   of notice hereunder:

             (a)  If to Lender, at:

                  HCFP Funding, Inc.
                  2 Wisconsin Circle, Suite 320
                  Chevy Chase, Maryland 20815
                  Attention:  Ethan D. Leder, President
                  Telephone:  (301) 961-1640
                  Telecopier:  (301) 664-9860

             (b)  If to Borrower, at:

                  NuMed Home Health Care, Inc.
                  5770 Roosevelt Boulevard, Suite 700
                  Clearwater, Florida 34620
                  Attention:  Jugal Teneja, Chief Executive Officer
                  Telephone:  (813)524-3227
                  Telecopier:  (813)524-3349

   If mailed, notice shall be deemed to be given five (5) days after being
   sent, if sent by personal delivery or telecopier, notice shall be deemed
   to be given when delivered, and if sent by prepaid courier, notice shall
   be deemed to be given on the next Business Day following deposit with the
   courier. 

        Section 9.5.  Severability.  If any term, covenant or condition of
   this Agreement, or the application of such term, covenant or condition to
   any party or circumstance shall be found by a court of competent
   jurisdiction to be, to any extent, invalid or unenforceable, the remainder
   of this Agreement and the application of such term, covenant, or condition
   to parties or circumstances other than those as to which it is held
   invalid or unenforceable, shall not be affected thereby, and each term,
   covenant or condition shall be valid and enforced to the fullest extent
   permitted by law.  Upon determination that any such term is invalid,
   illegal or unenforceable, the parties hereto shall amend this Agreement so
   as to effect the original intent of the parties as closely as possible in
   an acceptable manner.

        Section 9.6.  Successors and Assigns.  This Agreement, the Note, and
   the other Loan Documents shall be binding upon and inure to the benefit of
   Borrower and Lender and their respective successors and assigns.
   Notwithstanding the foregoing, Borrower may not assign any of its rights
   or delegate any of its obligations hereunder without the prior written
   consent of Lender, which may be withheld in its sole discretion.  Lender
   may sell, assign, transfer, or participate any or all of its rights or
   obligations hereunder without notice to or consent of Borrower.

        Section 9.7.  Counterparts.  This Agreement may be executed in any
   number of counterparts, each of which shall be deemed an original, but all
   of which together shall constitute but one instrument.

        Section 9.8. Interpretation.  No provision of this Agreement or any
   other Loan Document shall be interpreted or construed against any party
   because that party or its legal representative drafted that provision. 
   The titles of the paragraphs of this Agreement are for convenience of
   reference only and are not to be considered in construing this Agreement. 
   Any pronoun used in this Agreement shall be deemed to include singular and
   plural and masculine, feminine and neuter gender as the case may be.  The
   words "herein," "hereof," and "hereunder" shall be deemed to refer to this
   entire Agreement, except as the context otherwise requires.

        Section 9.9.  Survival of Terms.  All covenants, agreements,
   representations and warranties made in this Agreement, any other Loan
   Document, and in any certificates and other instruments delivered in
   connection therewith shall be considered to have been relied upon by
   Lender and shall survive the making by Lender of the Loans herein
   contemplated and the execution and delivery to Lender of the Note, and
   shall continue in full force and effect until all liabilities and
   obligations of Borrower to Lender are satisfied in full.

        Section 9.10.  Release of Lender.  Borrower releases Lender, its
   officers, employees, and agents, of and from any claims for loss or damage
   resulting from acts or conduct of any or all of them, unless caused by
   Lender's recklessness, gross negligence, or willful misconduct.

        Section 9.11.  Time.  Whenever Borrower is required to make any
   payment or perform any act on a Saturday, Sunday, or a legal holiday under
   the laws of the State of Maryland (or other jurisdiction where Borrower is
   required to make the payment or perform the act), the payment may be made
   or the act performed on the next Business Day.  Time is of the essence in
   Borrower's performance under this Agreement and all other Loan Documents.

        Section 9.12.  Commissions.  The transaction contemplated by this
   Agreement was brought about by Lender and Borrower acting as principals
   and without any brokers, agents, or finders being the effective procuring
   cause.  Borrower represents that it has not committed Lender to the
   payment of any brokerage fee, commission, or charge in connection with
   this transaction.  If any such claim is made on Lender by any broker,
   finder, or agent or other person, Borrower will indemnify, defend, and
   hold Lender harmless from and against the claim and will defend any action
   to recover on that claim, at Borrower's cost and expense, including
   Lender's counsel fees.  Borrower further agrees that until any such claim
   or demand is adjudicated in Lender's favor, the amount demanded will be
   deemed a liability of Borrower under this Agreement, secured by the
   Collateral.

        Section 9.13.  Third Parties.    No rights are intended to be created
   hereunder or under any other Loan Document for the benefit of any third
   party donee, creditor, or incidental beneficiary of Borrower.  Nothing
   contained in this Agreement shall be construed as a delegation to Lender
   of Borrower's duty of performance, including without limitation Borrower's
   duties under any account or contract in which Lender has a security
   interest.

        Section 9.14.  Discharge of Borrower's Obligations.  Lender, in its
   sole discretion, shall have the right at any time, and from time to time,
   without prior notice to Borrower if Borrower fails to do so, to: (i)
   obtain insurance covering any of the Collateral as required hereunder;
   (ii) pay for the performance of any of Borrower's obligations hereunder;
   (iii) discharge taxes, liens, security interests, or other encumbrances at
   any time levied or placed on any of the Collateral in violation of this
   Agreement unless Borrower is in good faith with due diligence by
   appropriate proceedings contesting those items; and (iv) pay for the
   maintenance and preservation of any of the Collateral.  Expenses and
   advances shall be added to the Loan, until reimbursed to Lender and shall
   be secured by the Collateral.  Any such payments and advances by Lender
   shall not be construed as a waiver by Lender of an Event of Default.

        Section 9.15.  Information to Participants.  Lender may divulge to
   any participant it may obtain in the Loan, or any portion thereof, all
   information, and furnish to such participant copies of reports, financial
   statements, certificates, and documents obtained under any provision of
   this Agreement or any other Loan Document.  Notwithstanding the foregoing,
   any such participant shall be bound by the restrictions on dissemination
   of confidential information contained in Section 6.8 above.

        Section 9.16.  Indemnity.  Borrower hereby agrees to indemnify and
   hold harmless Lender, its partners, officers, agents and employees
   (collectively, "Indemnitee") from and against any liability, loss, cost,
   expense, claim, damage, suit, action or proceeding ever suffered or
   incurred by Lender (including reasonable attorneys' fees and expenses)
   arising from Borrower's failure to observe, perform or discharge any of
   its covenants, obligations, agreements or duties hereunder, or from the
   breach of any of the representations or warranties contained in Article IV
   hereof.  In addition, Borrower shall defend Indemnitee against and save it
   harmless from all claims of any Person with respect to the Collateral. 
   Notwithstanding any contrary provision in this Agreement, the obligation
   of Borrower under this Section 9.16 shall survive the payment in full of
   the Obligations and the termination of this Agreement.

        Section 9.17.  Choice of Law; Consent to Jurisdiction.  THIS
   AGREEMENT AND THE NOTE SHALL BE GOVERNED BY, AND CONSTRUED IN ACCORDANCE
   WITH, THE LAWS OF THE STATE OF MARYLAND, WITHOUT REGARD TO ANY OTHERWISE
   APPLICABLE PRINCIPLES OF CONFLICTS OF LAWS.  IF ANY ACTION ARISING OUT OF
   THIS AGREEMENT OR THE NOTE IS COMMENCED BY LENDER IN THE STATE COURTS OF
   THE STATE OF MARYLAND OR IN THE U.S. DISTRICT COURT FOR THE DISTRICT OF
   MARYLAND, BORROWER HEREBY CONSENTS TO THE JURISDICTION OF ANY SUCH COURT
   IN ANY SUCH ACTION AND TO THE LAYING OF VENUE IN THE STATE OF MARYLAND. 
   ANY PROCESS IN ANY SUCH ACTION SHALL BE DULY SERVED IF MAILED BY
   REGISTERED MAIL, POSTAGE PREPAID, TO BORROWER AT ITS ADDRESS DESCRIBED IN
   SECTION 9.4 HEREOF.

        Section 9.18.  Waiver of Trial by Jury.  BORROWER HEREBY (A)
   COVENANTS AND AGREES NOT TO ELECT A TRIAL BY JURY OF ANY ISSUE TRIABLE OF
   RIGHT BY A JURY, AND (B) WAIVES ANY RIGHT TO TRIAL BY JURY FULLY TO THE
   EXTENT THAT ANY SUCH RIGHT SHALL NOW OR HEREAFTER EXIST.  THIS WAIVER OF
   RIGHT TO TRIAL BY JURY IS SEPARATELY GIVEN, KNOWINGLY AND VOLUNTARILY, BY
   BORROWER, AND THIS WAIVER IS INTENDED TO ENCOMPASS INDIVIDUALLY EACH
   INSTANCE AND EACH ISSUE AS TO WHICH THE RIGHT TO A JURY TRIAL WOULD
   OTHERWISE ACCRUE.  LENDER IS HEREBY AUTHORIZED AND REQUESTED TO SUBMIT
   THIS AGREEMENT TO ANY COURT HAVING JURISDICTION OVER THE SUBJECT MATTER
   AND THE PARTIES HERETO, SO AS TO SERVE AS CONCLUSIVE EVIDENCE OF
   BORROWER'S WAIVER OF THE RIGHT TO JURY TRIAL.  FURTHER, BORROWER HEREBY
   CERTIFIES THAT NO REPRESENTATIVE OR AGENT OF LENDER (INCLUDING LENDER'S
   COUNSEL) HAS REPRESENTED, EXPRESSLY OR OTHERWISE, TO BORROWER THAT LENDER
   WILL NOT SEEK TO ENFORCE THIS WAIVER OF RIGHT TO JURY TRIAL PROVISION.

        Section 9.19.  Confession of Judgment.  BORROWER AUTHORIZES ANY
   ATTORNEY ADMITTED TO PRACTICE BEFORE ANY COURT OF RECORD IN THE UNITED
   STATES OR THE CLERK OF SUCH COURT TO APPEAR ON BEHALF OF BORROWER IN ANY
   COURT IN ONE OR MORE PROCEEDINGS, OR BEFORE ANY CLERK THEREOF OF
   PROTHONOTARY OR OTHER COURT OFFICIAL, AND TO CONFESS JUDGMENT AGAINST
   BORROWER IN FAVOR OF LENDER IN THE FULL AMOUNT DUE ON THIS AGREEMENT
   (INCLUDING PRINCIPAL, ACCRUED INTEREST AND ANY AND ALL CHARGES, FEES AND
   COSTS) PLUS REASONABLE ATTORNEYS' FEES, PLUS COURT COSTS, ALL WITHOUT
   PRIOR NOTICE OR OPPORTUNITY OF BORROWER FOR PRIOR HEARING.  BORROWER
   AGREES AND CONSENTS THAT VENUE AND JURISDICTION SHALL BE PROPER IN THE
   CIRCUIT COURT OF ANY COUNTY OF THE STATE OF MARYLAND OR OF BALTIMORE CITY,
   MARYLAND, OR IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF
   MARYLAND.  BORROWER WAIVES THE BENEFIT OF ANY AND EVERY STATUTE,
   ORDINANCE, OR RULE OF COURT WHICH MAY BE LAWFULLY WAIVED CONFERRING UPON
   BORROWER ANY RIGHT OR PRIVILEGE OF EXEMPTION, HOMESTEAD RIGHTS, STAY OF
   EXECUTION, OR SUPPLEMENTARY PROCEEDINGS, OR OTHER RELIEF FROM THE
   ENFORCEMENT OR IMMEDIATE ENFORCEMENT OF A JUDGMENT OR RELATED PROCEEDINGS
   ON A JUDGMENT.  THE AUTHORITY AND POWER TO APPEAR FOR AND ENTER JUDGMENT
   AGAINST BORROWER SHALL NOT BE EXHAUSTED BY ONE OR MORE EXERCISES THEREOF,
   OR BY ANY IMPERFECT EXERCISE THEREOF, AND SHALL NOT BE EXTINGUISHED BY ANY
   JUDGMENT ENTERED PURSUANT THERETO; SUCH AUTHORITY AND POWER MAY BE
   EXERCISED ON ONE OR MORE OCCASIONS FROM TIME TO TIME, IN THE SAME OR
   DIFFERENT JURISDICTIONS, AS OFTEN AS LENDER SHALL DEEM NECESSARY,
   CONVENIENT, OR PROPER.

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


                                 LENDER:

                                 HCFP FUNDING, INC.
                                 a Delaware corporation


                                 By:______/s/_______________________ 
                                 Name:     Howard Widra
                                 Title:    Vice President


                                 BORROWER:

                                 NUMED HOME HEALTH CARE, INC.
                                 a Nevada corporation

                  
                                 By:______/s/________________________ 
                                 Name:     Jugal K. Taneja
                                 Title:    Chief Executive Officer

                                 NUMED REHABILITATION, INC. 
                                 a Florida corporation

                  
                                 By:______/s/________________________
                                 Name:     Jugal K. Taneja
                                 Title:    Chief Executive Officer




                             [SIGNATURES CONTINUED]



                                 SILVER MOVES, INC.
                                 a Florida corporation D/B/A
                                 FLORIDA NURSING SERVICES 


                                 By:______/s/________________________ 
                                 Name:     Jugal K. Taneja
                                 Title:    Chief Executive Officer


                                 COUNTRYSIDE HEALTH SERVICES, INC. 
                                 a Florida corporation
                  

                                 By:______/s/________________________ 
                                 Name:     Jugal K. Taneja
                                 Title:    Chief Executive Officer

                                 WHOLE PERSON HOME HEALTH CARE OF OHIO, INC. 
                                 an Ohio corporation
                  

                                 By:______/s/________________________ 
                                 Name:     Jugal K. Taneja
                                 Title:    Chief Executive Officer

                                 PENNSYLVANIA MEDICAL CONCEPTS, INC. 
                                 a Pennsylvania corporation
                  

                                 By:______/s/________________________ 
                                 Name:     Jugal K. Taneja
                                 Title:    Chief Executive Officer

                                 PARKE HOME HEALTH CARE, INC. 
                                 an Ohio corporation
                  
                                 By:______/s/________________________ 
                                 Name:     Jugal K. Taneja
                                 Title:    Chief Executive Officer



                                LIST OF EXHIBITS


   Exhibit A - Form of Revolving Credit Note

   Exhibit B - Form of Lockbox Agreement

   Exhibit C - Locations of Collateral

   Exhibit D - Form of Legal Opinion




                                LIST OF SCHEDULES


   Schedule 1.36  -    Permitted Liens

   Schedule 4.1   -    Subsidiaries

   Schedule 4.5   -    Litigation

   Schedule 4.7   -    Tax Identification Numbers

   Schedule 4.13  -    Non-Compliance with Law

   Schedule 4.14  -    Environmental Matters

   Schedule 4.15  -    Places of Business 

   Schedule 4.16  -    Licenses

   Schedule 4.19  -    Borrowings and Guarantees

   Schedule 4.21  -    Trade Names

   Schedule 4.22  -    Joint Ventures

   Schedule 7.12  -    Transactions with Affiliates


<TABLE> <S> <C>

<ARTICLE> 5
<LEGEND>
THE SCHEDULE CONTAINS SUMMARY FINANCIAL INFORMATION EXTRACTED FROM THE
CONSOLIDATED FINANCIAL STATEMENTS OF NUMED HOME HEALTH CARE, INC. AS OF AND FOR
THE SIX MONTHS ENDED SEPTEMBER 30, 1997 AND IS QUALIFIED IN ITS ENTIRETY BY
REFERENCE TO SUCH FINANCIAL STATEMENTS.
</LEGEND>
<MULTIPLIER> 1,000
       
<S>                             <C>
<PERIOD-TYPE>                   6-MOS
<FISCAL-YEAR-END>                          MAR-31-1998
<PERIOD-START>                             APR-01-1997
<PERIOD-END>                               SEP-30-1997
<CASH>                                            1854
<SECURITIES>                                         0
<RECEIVABLES>                                     4515
<ALLOWANCES>                                       315
<INVENTORY>                                         23
<CURRENT-ASSETS>                                  6343
<PP&E>                                             747
<DEPRECIATION>                                     292
<TOTAL-ASSETS>                                   11957
<CURRENT-LIABILITIES>                             2063
<BONDS>                                           1756
                                0
                                          0
<COMMON>                                             5
<OTHER-SE>                                        8132
<TOTAL-LIABILITY-AND-EQUITY>                     11957
<SALES>                                              0
<TOTAL-REVENUES>                                 11346
<CGS>                                                0
<TOTAL-COSTS>                                     8421
<OTHER-EXPENSES>                                  3010
<LOSS-PROVISION>                                     0
<INTEREST-EXPENSE>                                  46
<INCOME-PRETAX>                                   (85)
<INCOME-TAX>                                      (54)
<INCOME-CONTINUING>                              (124)
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                      0
<CHANGES>                                            0
<NET-INCOME>                                      (69)
<EPS-PRIMARY>                                    (.01)
<EPS-DILUTED>                                    (.01)
        

</TABLE>


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