NUMED HOME HEALTH CARE INC
PRE 14A, 1998-12-15
HOME HEALTH CARE SERVICES
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                            SCHEDULE 14A INFORMATION

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

Filed by the Registrant |X| 
Filed by a Party other than the Registrant |_| 
Check the appropriate box: 
|X| Preliminary Proxy Statement                      |_|  Confidential,  for use
                                                          of the Commission only
|_|  Definitive  Proxy  Statement                         (as permitted Rule 14a
                                                          -6(e)(2)).
|_| Definitive  Additional  Materials by 

|_| Soliciting Material Pursuant to ss.240.14a-11(c) or ss.240.14a-12

                          NuMED HOME HEALTH CARE, INC.
                (Name of Registrant as Specified in its Charter)

                          NuMED HOME HEALTH CARE, INC.
                   (Name of Person(s) Filing Proxy Statement)

Payment of Filing Fee (Check the appropriate box):

|X|  No fee required.
|_|  Fee computed on table below per Exchange Act Rules 14a-6(i)(1) and 0-11.

          (1)       Title of each  class  of  securities  to  which  transaction
                    applies:


          (2)       Aggregate number of securities to which transaction applies:


          (3)       Per  unit  price or other  underlying  value of  transaction
                    computed  pursuant to Exchange  Act Rule 0-11 (set forth the
                    amount on which the filing fee is  calculated  and state how
                    it was determined):


          (4)       Proposed maximum aggregate value of transaction:


          (5)       Total fee paid:


|_| Fee previously paid with preliminary materials.

|_| Check box if any part of the fee is offset as provided by Exchange  Act Rule
0-11(a)(2)  and  identify  the  filing  for  which the  offsetting  fee was paid
previously.  Identify the previous filing by registration  statement  number, or
the form or schedule and the date of its filing . 

          (1)       Amount Previously Paid:


          (2)       Form, Schedule or Registration Statement No.:


          (3)       Filing Party:


          (4)       Date Filed:


<PAGE>



                          NuMED HOME HEALTH CARE, INC.

                NOTICE OF THE 1998 ANNUAL MEETING OF STOCKHOLDERS

                         TO BE HELD ON JANUARY 28, 1999

          Notice is hereby  given that the Annual  Meeting  of  Stockholders  of
NuMED HOME HEALTH CARE,  INC..  (the  "Company")  will be held at the offices of
Foley & Lardner,  100 North Tampa Street,  Suite 2700, Tampa,  Florida 33602, on
Thursday,  January  28,  1999 at  10:00  A.M.,  local  time,  for the  following
purposes:

          1. To elect Directors to the Company's  Classified  Board of Directors
to serve two or  three-year  terms,  as  applicable,  or until their  respective
successors are elected.

          2. To  consider  and act  upon  matters  incidental  to the  foregoing
purpose and to transact  such other  business  as may  properly  come before the
meeting or any  adjournment  thereof.  

          The Board of Directors  has selected the close of business on Tuesday,
December  22, 1998,  as the record date for the  determination  of  Stockholders
entitled to notice of and to vote at this Annual Meeting and any  adjournment or
postponement thereof.

          Enclosed  is your  copy of (i) the  Company's  Annual  Report  on Form
10-KSB as filed with the Securities and Exchange  Commission for the fiscal year
ended March 31, 1998; and (ii) the Company's Quarterly Report on Form 10-QSB for
the quarter ended September 30, 1998.

                                     CAUTION

          As more fully described in the enclosed proxy  statement,  a committee
(the  "Vulture  Committee")  has been  formed by Mr.  Richard  M.  Osborne,  the
ultimate beneficial owner of Turkey Vulture Fund XIII, Ltd. which owns less than
ten percent (10%) of the Company's outstanding Common Stock. As disclosed in its
definitive  proxy statement filed on December 4, 1998, the Vulture  Committee is
seeking  control of the Board of  Directors of the Company even though its total
stockholdings represent only a small minority ownership interest in the Company.

          WE URGE YOU NOT TO SIGN ANY BLUE PROXY CARD SENT TO YOU BY THE VULTURE
COMMITTEE. IF YOU HAVE ALREADY DONE SO, YOU MAY REVOKE THAT PROXY BY SIGNING AND
RETURNING THE ENCLOSED  PROXY CARD TO US. WE URGE YOU TO SIGN THE ENCLOSED WHITE
PROXY CARD AND RETURN IT TO US. POSTAGE HAS BEEN PREPAID.

          You are cordially invited to attend the meeting in person.  Whether or
not you expect to attend in person,  you are urged to complete,  date,  sign and
return the enclosed proxy card, which is solicited by the Board of Directors, in
the  self-addressed  envelope  enclosed for your  convenience  which requires no
postage if mailed in the United  States.  You may revoke  your proxy at any time
before it is voted at the meeting by giving  written  notice to the secretary of
the Company, by delivering to the secretary of the Company a duly executed proxy
bearing a later date or by appearing at the meeting and voting by written ballot
in person.

                                           By Order of the Board of Directors


December 31, 1998                          SUSAN J. CARMICHAEL
                                           Chief Executive Officer and President


- --------------------------------------------------------------------------------
Stockholders  who do not  expect to attend  the  meeting  in person are urged to
complete,  date and sign the  enclosed  WHITE  PROXY  CARD and  return it in the
enclosed  postage-paid envelope.
- --------------------------------------------------------------------------------

                                       2

<PAGE>


                          NuMED HOME HEALTH CARE, INC..


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

                                 PROXY STATEMENT
                            -------------------------

          This Proxy Statement and the accompanying  form of proxy are furnished
in  connection  with the  solicitation  of proxies by the Board of  Directors of
NuMED Home Health Care,  Inc., a Nevada  corporation  (the  "Company"),  for the
Annual Meeting of Stockholders to be held at the offices of Foley & Lardner, 100
North Tampa Street, Suite 2700, Tampa,  Florida 33602, on Thursday,  January 28,
1999 at 10:00 a.m., local time, and at any postponements or adjournments thereof
(the  "Meeting" or the "Annual  Meeting").  The  approximate  date on which this
Proxy Statement and the  accompanying  form of proxy will be first sent or given
to Stockholders is December 31, 1998.

          The record date for determining  Stockholders  entitled to vote at the
Meeting has been fixed as the close of business  on Tuesday,  December  22, 1998
(the "Record Date"). As of the Record Date, there were ___________ shares of the
Common Stock  issued and  outstanding.  Each share of Common Stock  entitles the
holder to one vote.  There is no other class of voting  securities  outstanding.
Votes may not be cumulated in the election of directors. The presence, in person
or by proxy, at the Meeting of the holders of a majority of the shares of Common
Stock entitled to vote will constitute a quorum for purposes of the Meeting.

          If the proxy  card  accompanying  this  Proxy  Statement  is  properly
executed and returned,  the shares of common stock, par value $.001 per share of
the  Company  (the  "Common  Stock"),  represented  thereby  will  be  voted  as
instructed on the proxy card, but if no instructions  are given,  such shares of
Common  Stock will be voted in favor of (i) the election to the Board of each of
the nominees for directors of the Company, and (ii) any other matters incidental
to the  foregoing  purpose and to transact  such other  business as may properly
come  before  the  Meeting.  Any proxy  given  may,  however,  be revoked by the
stockholder executing it at any time before it is voted by giving written notice
to the Secretary of the Company, by delivering to the Secretary of the Company a
duly  executed  proxy  bearing a later date or by  appearing  at the Meeting and
voting by written ballot in person.

          The cost of  solicitation of proxies by the Board of Directors will be
borne by the  Company.  Proxies may be solicited  by mail,  personal  interview,
telephone or telegraph  and, in addition,  directors,  officers and employees of
the Company may solicit proxies by such methods without additional remuneration.
In accordance  with the  regulations of the Securities and Exchange  Commission,
the Company will reimburse, upon request, banks, brokers and other institutions,
nominees and  fiduciaries  for their  expenses  incurred in sending  proxies and
proxy materials to the beneficial owners of the Company's Common Stock.

                                     CAUTION

          As more fully described in the enclosed proxy  statement,  a committee
(the  "Vulture  Committee")  has been  formed by Mr.  Richard  M.  Osborne,  the
ultimate beneficial owner of Turkey Vulture Fund XIII, Ltd. which owns less than
ten percent (10%) of the Company's outstanding Common Stock. As disclosed in its
definitive  proxy statement filed on December 4, 1998, the Vulture  Committee is
seeking  control of the Board of  Directors of the Company even though its total
stockholdings represent only a small minority ownership interest in the Company.

          WE URGE  YOU NOT TO SIGN ANY  PROXY  CARD  SENT TO YOU BY THE  VULTURE
COMMITTEE. IF YOU HAVE ALREADY DONE SO, YOU MAY REVOKE THAT PROXY BY SIGNING AND
RETURNING THE ENCLOSED  PROXY CARD TO US. WE URGE YOU TO SIGN THE ENCLOSED WHITE
PROXY CARD AND RETURN IT TO US. POSTAGE HAS BEEN PREPAID.

                           THE VULTURE PROXY STATEMENT

          As  previously  noted,  the Vulture  Committee  has filed a definitive
proxy  statement  (the  "Vulture   Proxy")  with  the  Securities  and  Exchange
Commission.  In its proxy statement, the Vulture Fund is seeking your support to
elect five  nominees to the Board so that it can gain  control of the Board even
though it represents only a small minority interest in the Company. Although the
Board  acknowledges that Company has not had an annual meeting since the meeting
held on March 29,  1996,  the  Board  was  simply  attempting  to save  costs by
combining the agenda for the annual meeting with that of a special meeting which
would have been necessary to approve proposed  business  combinations with third
parties  that  were  pending  at the  time.  

                                       3

<PAGE>

Those business  combinations  were  originally  pursued in an effort to maximize
shareholder  value in the rapidly changing  regulatory  environment faced by the
Company.

          Management and the Board also recognize that the Company and its stock
price have not  performed  as well as  stockholders  would like.  However,  with
forethought  management  and the Board  did  anticipate  difficult  times due to
anticipated  changes in the regulatory climate.  Thus,  management and the Board
directed their energies  toward  increasing the size and scope of the Company by
exploring  strategic  mergers  which had the potential to benefit the Company by
increasing its market share and by providing a capital infusion.  Unfortunately,
for a variety of reasons the Company's efforts were unsuccessful.

          The Board will not  attempt  to rebut the  Vulture  Committee's  proxy
statement word by word.  Rather, it will suffice to say that the Board considers
the  Vulture  Proxy  to be  wrought  with  half  truths  and  other  potentially
misleading information.  Accordingly,  the Board deems it important to note that
the Board  attempted  to amicably  resolve  many of the  concerns of the Vulture
Committee and Mr.  Osborne.  Such measures  included (i) the  negotiation of Mr.
Taneja's  departure  from the day to day  management  of the  Company,  (ii) the
offering  of up to  three  nominee  slots  on  the  Board's  proposed  slate  of
Directors,  and  (iii)  the  appointment  of Ms.  Carmichael  as the  new  Chief
Executive Officer in addition to her position as President.  The Board's attempt
to address the  concerns  the Vulture  Committee  were  completely  rebuffed and
followed by a letter from  counsel to the Vulture  Committee  which made certain
demands deemed completely  unreasonable by the board including,  but not limited
to (i) the demand that Mr.  Taneja sever all ties with the Company and resign as
a director,  (ii) that Mr.  Taneja  agree to a five year  standstill  that would
prohibit him from purchasing additional stock of the Company or participating in
any proxy contest,  tender offer or other form of change of control, (iii) grant
to Mr.  Osborne  an  irrevocable  proxy to vote his  stock  until  Mr.  Taneja's
beneficial ownership dropped below five percent (5%) of the Company's stock, and
(iv) a right of first refusal on any sale of Mr. Taneja's stock. It is important
to note  that the  foregoing  demands  really  only  apply to Mr.  Taneja  as an
individual stockholder.  Simply put, the Vulture Committee was making demands on
the Board which it could never meet.  Rather,  such demands could only be met by
Mr. Taneja personally.

          We ask you, if you were the largest  single  stockholder of a company,
would you agree to the foregoing demands by a minority stockholder who owns less
than ten percent (10%) of the outstanding stock? WE THINK NOT! Accordingly,  the
Board was left with no alternative. Given its fiduciary responsibility to ALL of
the Company's stockholders, the Board could not meet the unreasonable demands of
the Vulture  Committee to give it control of the Board.  Accordingly,  the Board
sought qualified Board candidates and on December 1, 1998 the Board approved the
appointment of Messrs.  LaGamba and Santostasi,  and Ms. Loesch to fill existing
Board vacancies.

          Moreover,  as stated  in the  Vulture  Proxy,  the  Vulture  Committee
estimates that its solicitation will cost  approximately  $100,000.  The Vulture
Committee  intends  to  seek   reimbursement  for  such  costs  without  seeking
stockholder  approval for such reimbursement unless such approval is required by
law.

          We have prepared the following summary of the state of the Company and
the industry in which the Company  operates and ask that you carefully  consider
the following information in connection with your submission of your proxy.

                      OUR RESPONSE TO THE VULTURE COMMITTEE

          Effective  October 1, 1997  (signed  August 5, 1997)  Congress and the
President  enacted  the  Balanced  Budget Act of 1997.  The goal was to cut $115
billion from the Medicare  budget in five years of which $16.2  billion would be
cut from home care  Medicare  and $13 billion cut in  Medicaid  through  systems
termed Interim  Payment System ("IPS") and  Prospective  Payment System ("PPS").
Both the home health and long term care facilities (thus contract rehabilitation
companies like NuMED Rehabilitation) were critically affected.

What It Meant to Home Care:

1.       The major strategy was to cut home care dollars  through the use of the
         IPS using data from three year old cost reports of 1994. Thus,  revenue
         dramatically declined.
2.       The cost limits per discipline (Nursing, Physical Therapy, Occupational
         Therapy,  Speech/Language  Therapy,  Medical  Social Work) were reduced
         about 15%.
3.       Reimbursement is to be cut 20% in 1999.

          According to the National  Association of Home Care, since 1/1/98 over
1000 agencies or 10% of the industry has been eliminated  directly or indirectly
as a result of this legislation.

                                       4

<PAGE>

          Remaining  firms will be subjected to new demands for  increased  data
collection,  extended  client  assessments and  statistical  analysis  through a
federal project called OASIS that will begin in 1999.  "Home health agencies and
state  governments  are being squeezed by HCFA's failure to pay for the costs of
OASIS." (Eli's Home Care Week 11/23/98, Volume VIII #45) OASIS will be expensive
to home care.  Costs will  include  increased  technology,  increased  software,
increased  datamining  vendor costs, and increased time to complete  assessments
thus decreasing employee productivity.

          Other problems home health incurred were Fiscal  Intermediary  Auditor
tactics scaring off referrals.  "All it takes is one call from an intermediary's
auditor to  frighten a  physician  who was an  excellent  referral  source  into
ceasing home care  referrals  altogether . . . " (Eli's Home Care Week 11/23/98,
Volume VIII #45).

          We  note  that  the  Vulture  Proxy  includes  a graph  comparing  the
Company's Common Stock performance with the performance of the Standard & Poor's
500 Index and the  Standard & Poor's  SmallCap 600 Index.  Such a comparison  is
potentially  misleading to  stockholders  because the graph fails to compare the
Company's  Common  Stock  performance  with  the  performance  of the  stock  of
companies in its peer group. Accordingly,  we offer you the following peer group
comparison which shows that the Company's Common Stock has performed much better
than the stock of most of its peers in the past year.

How Does NuMED Compare to Like Companies?

          Public companies saw their stocks continue to plummet;  as per 9/30/98
Home Health Business Report:

                                            % of Change in The Year
         Amedisys, Inc................................-48.61
         Ameri HomePatient, Inc.......................-92.02
         Apria Healthcare Group Inc...................-67.44
         Caretenders HealthCorp.......................-64.29
         Chemed Corp..................................-32.28
         Columbia HCA Healthcare......................-32.28
         Community Care Services......................-43.33
         Coram Healthcare Corp........................-51.85
         Fresenius Medical Care.......................-21.55
         Graham-Field Health Products Inc.............-85.02
         Healthcor Holdings Inc.......................-87.10
         Help at Home, Inc............................-28.57
         Home Health Corp.............................-87.35
         In Home Health, Inc..........................-36.67
         Infu-Tech, Inc...............................-53.49
         Integrated Health Services Inc...............-46.09
         Interwest.....................................-8.33
         Invacare Corp..................................8.05
         Kelly Services Inc.............................3.93
         Lincare Holdings Inc..........................35.96
         Mallinckrodt.................................-46.55
         Matria Healthcare............................-62.22
         Mid Atlantic Medical Services................-57.35
         National HealthCare L.P......................-58.93
         National Home Health Care Corp...............-12.82
         New York Health Care, Inc....................-62.50
         NuMED Home Health Care, Inc..................-14.29
         Olsten Corp (The)............................-62.08
         Option Care Inc..............................-59.09
         Pediatric Services of America................-82.03
         Respironics Inc..............................-49.72
         Sabratek.....................................-21.65
         ServiceMaster L.P..............................6.41
         Staff Builders, Inc..........................-70.15
         Star MultiCare, Inc..........................-76.14
         Sunrise Medical Inc..........................-35.22
         Transworld Home HealthCare Inc...............-37.50

                                       5

<PAGE>
What Has NuMED Done to Deal with IPS and Prepare for PPS?

X    In  the  fall  of  '97 NuMED personnel attended seminars taught by or based
     on the seminar  developed by Reingruber & Associates to explain IPS and PPS
     and explain cost cuts and work efficiencies expected.

X    To prevent  loss of  referral  sources,  physicians  were made aware of the
     Medicare firm's visit utilization  history and Fiscal  Intermediary  denial
     rate (in Florida) to aid in  increasing  their  comfort in referring to the
     firm.

X    Several data tracking and trending systems were established to capture data
     as to specific diagnostic categories and numbers of visits per category. If
     the per beneficiary rate, for example at Total Professional Health Care was
     an  average of $3,500  then an  average  of 60 visits  per client  could be
     reimbursed if justified.  Ratios were then  established as to the number of
     short term clients necessary in order to care for a long term client.

X    Since  there was a  reduction  in the  number of visits per  patient  and a
     reduction  in total  volume of  services  and in total  revenue,  specialty
     programs were  established  such as diabetes,  orthopedics  and  congestive
     heart failure.  Increased  productivity was stressed with personnel.  There
     was a change in clinical  models to respond to external case management and
     to better manage quality and utilization  internally.  Greater emphasis was
     placed on  strengthening  existing  referral  sources and  identifying  new
     referral sources.

X    More emphasis was placed on protecting  the agency as to fraud and abuse in
     billing,  in  service  delivery,  in  eligibility  and  in  recruitment  of
     patients. Greater emphasis was placed on nursing and therapist education as
     to measuring clinical outcomes, measuring client satisfaction outcomes, and
     in measuring comparative diagnostic outcomes.

What Else Was Done?

*         An intensive  differentiated  customer  service program was created to
          strengthen referral sources.
*         Overtime for personnel was eliminated or significantly decreased.
*         Cuts in  direct  cost per  visit to  increase  efficiency/productivity
          standards were established.
*         A case management  model was  established.  Internally  personnel were
          educated as to the IPS/Managed Care mindset so the nurse set the goals
          with  patient on the first visit - education  ->  oversight -> patient
          demonstrates proficiency -> discharge.
*         Tracking of service mix and cost by diagnostic codes was monitored.
*         Most offices were consolidated
          |_|       St.  Petersburg  offices of Florida Nursing  Services shared
                    space with Total Professional Health Care.
          |_|       Clearwater  Total  Professional  Health Care and the Dunedin
                    Countryside Health Services, Inc. were consolidated into one
                    Northern Pinellas County office.
          |_|       Consolidated  four  storage  areas to one  location  with an
                    organized   system  to  retrieve  data  as  needed. 
          |_|       NuMEDRehabilitation  (Cincinnati)  moved into the Parke Home
                    Health  Care,   Inc.   offices  to  share  overhead   (NuMED
                    Rehabilitation  in Ohio,  Kentucky and the surrounding areas
                    will remain open and continue to contribute to revenues).
          |_|       NuMED  Rehabilitation  (Horsham  office)  will be shut  down
                    effective January 1, 1999.
*         Human Resources Department was centralized for Florida. The Florida HR
          Director became the health insurance and 401K Plan  Administrator  for
          all of NuMED.  All  Workers  Compensation  monitoring  for the  entire
          company was placed in that department.

What Kind of Board is Needed in Today's Climate?

         The home  health  industry  is facing  enormous  change.  The amount of
resources  consumed to provide  adequate care of a patient at a reasonable  cost
has become one of the most important  challenges  faced in health care today. It
will require an experienced Board and Management Team.

         The Vulture  Committee  slate is slanted in experience in  self-storage
units and  retirement  management.  Though this is no doubt  beneficial to these
other  lines  of  business,  NuMED  Home  Health  Care,  Inc.  provides  care to
individuals in need of a variety of health care needs such as low acuity care; a
bath  and  personal  care to high  acuity  care;  individuals  requiring  highly
skilled,  expensive, and technically sophisticated  interventions such as highly
caustic IVs  requiring  close  monitoring,  care of high risk babies and care of
individuals with chronic disease states.

                                       6

<PAGE>

         There is a tendency by the Vulture  Committee to oversimplify  proposed
interventions  for NuMED. In view of the strict  accounting and service delivery
requirements in a highly  regulated  industry,  this appears naive.  The Vulture
Committee is proposing interventions with a slash and burn mentality. That is an
antiquated  concept  that has not  historically  worked  well with  health  care
professionals or sick and needy patients.

         Instead,  NuMED is reducing  overhead costs and closing segments of the
business  that are  unprofitable.  To capture  greater  market  share,  NuMED is
forming  strategic  alliances  with  like  providers,  horizontally  integrating
service lines to improve and extend geographic  coverage and building integrated
delivery  networks  with new  product  lines such as in home  psychiatric/mental
health services.

What Does the Future Hold for NuMED?

          Though  management  cannot make predictions for NuMED, it can say that
in 1999  NuMED  will be  smaller  but  stronger  and  ready to grow in  specific
markets:

*    Though select revenues will be eliminated in NuMED  Rehabilitation  through
     closing the Horsham office,  direct costs and corresponding G & A will also
     be eliminated  allowing a plan toward a breakeven point in that Division in
     1999. The focus for NuMED  Rehabilitation will be on facilities in the Ohio
     Region. This also complements the Ohio Home Health agencies owned by NuMED.
     It is believed a stronger Rehab component can be developed as a result.
*    Centralization  of all back office  functions  will be completed in 1999 to
     further  streamline  functions and free Ohio firm's management to have more
     community involvement and to effect quicker trending capabilities.
*    A Homemaker Program is being started in Western Florida as there appears to
     be a  responsive  market.  Management  believes  the low  acuity  market is
     growing.
*    The In-Home Psych Program is being expanded and is expected to provide over
     10% of Florida's Total Professional Health Care revenues.
*    Disease  management  Clinical  Pathways  are  being  developed  for six key
     diagnostic categories to grow the business:
          >         Disease State Management  Program through Clinical  Pathways
                    is an  integrated  systematic  approach of  aggressive  case
                    management to provide proactive interventions,  measurements
                    and refinements along the continuum of care.
                    |_|       Benefits:   Very   attractive   to  managed   care
                              providers  and  Medicare  providers as a method to
                              decrease: utilization of hospitalization length of
                              stay, the number of emergency  department  visits,
                              and unnecessary physician office visits.
          >         Disease  State  Management  programs  empower  clients  thus
                    enhancing  the  client's  quality  of life and  well  being.
                    Clinical   Pathways   provide   the  client  with  a  highly
                    organized,  detailed standardized plan of care,  delineating
                    key care elements and typical interventions  associated with
                    a certain disease process.
          >         Clinical  Pathways guide  clinicians to measure  delivery of
                    care outcomes for the client. Home Care specific educational
                    tools  focus  on  disease   control  and  client  self  care
                    management.
          >         The  use  of  these  standardized  teaching  tools  enhances
                    patient  understanding and management of all phases of their
                    disease including prevention, acute occurrences,  remissions
                    and maintenance.

          Clinical pathways offer physicians  compliance comfort since they will
know the number of visits  required  for a  specific  diagnosis.  Payor  sources
appreciate data supporting client outcome  expectations within a specific number
of visits. Management believes it can more efficiently plan client visits, costs
and profitability with clinical pathways.

*    NuMED  Management  is exploring  the  development  of  strategic  alliances
     through  horizontal   integration  to  build  service  products,   vertical
     integration  to  increase   care/service   delivery   networks  to  improve
     geographic  coverage  and to  affiliate  with other  providers  by offering
     shared  services such as back office which could allow a stronger  position
     for payor source contract negotiation.

                    With an experienced  management  team, new client  programs,
          technology  capability  for the  statistical  datamining now sought by
          payor  sources,  and a  goal  to  provide  quality  service  delivery,
          management believes it can deal with the challenges presented today.

                                       7

<PAGE>




                        PROPOSAL 1 ELECTION OF DIRECTORS

          The members of the Board of Directors are classified into three groups
of not less than two nor more than three  Directors each, with terms expiring in
alternate years. The present Board of Directors  consists of seven members.  The
By-Laws of the Company authorize the Board of Directors to fill any vacancies by
the affirmative vote of a majority of the Directors then in office,  though less
than a quorum.  On December 1, 1998, the Board of Directors  elected Mr. William
L. LaGamba, Mr. Paul A. Santostasi, and Ms. Peggy Loesch to fill three vacancies
that had existed since the  resignations of Mark A. Rowland,  Michael J. Diroff,
and Judy M. Kelly,  respectively,  since the last Annual Meeting of Stockholders
held on March 29, 1996. In accordance with the Company's By-Laws,  each Director
elected  to fill a vacancy  was  elected to fill the  unexpired  term of his/her
predecessor.   No  Annual  Meeting  of  Stockholders   was  held  in  1997,  and
accordingly,  Directors  whose terms were  originally set to expire in both 1997
and 1998 will be elected at the Annual Meeting. As a result, Mr. LaGamba and Mr.
Santostasi who filled vacancies for Directors whose terms were originally set to
expire at the 1997 Annual  Meeting will be elected for a two-year term while Mr.
Chema  and Ms.  Loesch  will be  elected  for a  three-year  term,  or until the
election of their successors.

          If any  nominee  declines  or is unable  to serve,  which the Board of
Directors has no reason to expect,  the persons named in the accompanying  Proxy
intend to vote for the  balance of those  nominees  named,  and, if they deem it
advisable, for a substitute nominee.

                     NOMINEES FOR THE TERM TO EXPIRE IN 2000

NAME                                     AGE                        POSITION

Mr. William L. LaGamba                   39                         Director

Paul A. Santostasi                       63                         Director


                     NOMINEES FOR THE TERM TO EXPIRE IN 2001

NAME                                     AGE                        POSITION

Thomas V. Chema                          52                         Director

Peggy A. Loesch                          46                         Director


              DIRECTORS CONTINUING IN OFFICE - TERMS EXPIRE IN 1999

NAME                                     AGE                        POSITION
- ----                                     ---                        --------
Jugal K. Taneja                          54                         Director

Susan J. Carmichael                      50                         Chief 
                                                                    Executive 
                                                                    Officer, 
                                                                    President
                                                                    and Director

Robert P. Ottman                         55                         Director



                  BUSINESS EXPERIENCE OF DIRECTORS AND NOMINEES

                        DIRECTORS NOT UP FOR RE-ELECTION

          Jugal K. Taneja was Chairman of the Board, Chief Executive Officer and
a Director of the Company from  October of 1991 until  November 23, 1998 when he
entered into a Termination, Noncompetition and Mutual Release Agreement pursuant
to which Mr.  Taneja  relinquished  his duties as Chairman  and Chief  Executive
Officer.  As the Company's largest  stockholder,  Mr. Taneja remains a Director.
Mr.  Taneja is  currently  Chairman  of Dynamic  Health  Products,  Inc. (a 1934

                                       8

<PAGE>

Exchange Act  Reporting  Company).  Mr.  Taneja also served as a Director and as
Chief  Executive  Officer of  National  Diagnostics,  Inc.  until he resigned in
January of 1998.  Mr.  Taneja also served as a director  and  Chairman of NuWave
Health Care Products,  Inc. the parent company of DRx, Inc., and the Chairman of
DRx, Inc. Mr. Taneja is also Chairman of Netriceutical.com.

          Susan J.  Carmichael  has served as a Director  of the  Company  since
October 1991 and as President of the Company since  September  1993. On November
23, 1998, the Board appointed Ms. Carmichael to the additional position of Chief
Executive Officer.  She held the position of President of Whole Person in PA and
PA Medical Concepts  (companies  acquired by the Company in 1991) since 1985 and
is responsible for the Company's overall operation and expansion. Ms. Carmichael
also  serves  on  the  President's  Council;  American  Lung  Association.   Ms.
Carmichael previously served on the Erie County,  Pennsylvania Mental Health and
Mental  Retardation  Board by  appointment  of the Erie  County  Executive.  Ms.
Carmichael is a Doctoral Candidate at Pennsylvania State University.

          Robert P. Ottman has served as a Director  of the Company  since 1991.
Mr.  Ottman  formed R. Ottman & Co. in 1989, a strategic  management  consulting
firm.  Prior to forming R. Ottman & Co., Mr. Ottman held six  positions  each of
increasing responsibility over the five years he was employed at AMSCO. His last
position was Vice  President of Planning and  Development.  Mr. Ottman served as
Executive Vice President of Champion Bolt Corporation,  Erie,  Pennsylvania from
1994 to 1998.  Mr.  Ottman is  presently  the  Director  of the  Small  Business
Development Center of Gannon University in Erie Pennsylvania.

                            NOMINEES FOR RE-ELECTION

          Thomas V. Chema has been a Director of the  Company  since April 1994.
Mr. Chema has been a partner with the law firm Arter & Hadden,  Cleveland,  Ohio
from 1979 to 1983 and from 1989 to the present.  He served as Executive Director
of the Ohio Lottery  Commission and the Public  Utilities  Commission at various
times  between 1983 and 1989.  He also served as the  Executive  Director of the
Gateway Economics  Development  Corporation of Greater Cleveland,  which managed
the  financing  and  construction  of the Jacobs  Field and Gund Arena  sporting
venues.

          William L.  LaGamba  has been the Chief  Executive  Officer of Dynamic
Health  products,  Inc. (a 1934 Exchange Act  Reporting  Company) from June 1998
through the  present  and has been  involved  in the  distribution,  sales,  and
marketing of pharmaceuticals,  health and beauty products,  and over-the-counter
products  for the past 15 years.  From June 1997 to June 1998,  Mr.  LaGamba was
President  of Becan  Distributors,  Inc.  Becan  Distributors,  Inc.  is a niche
wholesaler of  Pharmaceuticals,  Health and Beauty Care  Products,  Generics and
brand  products.  From September 1996 through January 1998, Mr. LaGamba was Vice
President  of Retail  Sales for McKesson  Drug  Company,  a Fortune 100 company.
McKesson Drug Company is the largest wholesaler of Pharmaceuticals, Generics and
Health and Beauty  products in the U.S. From 1992 to September 1996, Mr. LaGamba
was the Director of Retail Sales for Foxmeyer Drug Company. Mr. LaGamba has also
held positions in the Pharmaceutical industry as a Director of Institutional and
Alternative Care sales throughout the country.

          Paul Santostasi has been the Chairman and Chief  Executive  Officer of
Diversified  Technologies  , Inc. from June 1989 through the Present.  From June
1998 to the present he has also been the Vice Chairman and a Director of Dynamic
Health Products,  Inc. (a 1934 Exchange Act Reporting  Company).  Mr. Santostasi
was Chairman and Chief Executive  Officer of Sun Coast Plastics,  Inc. from 1978
through 1989.  Mr.  Santostasi  was a founder of this once publicly held company
which  used to trade on the New  York  Stock  Exchange  but has  since  become a
privately  held company.  In 1983 he  introduced a new packaging  product to the
food industry which grew to a $14 million a year business for Sun Coast Plastics
by 1988.  From 1976 to 1977, Mr.  Santostasi was General Manager of the Plastics
Division for Tropicana  Products.  From 1957 through 1976, Mr. Santostasi worked
as General  Manager for Bundy  Corporation  where he was responsible for product
development and implementation of plastic molding, metal fabrication and harness
assemblies. He currently holds six major product patents and two machine patents
in the  USA  and  the  common  market  in  Europe  and is  responsible  for  the
development of over a dozen other patented products.

          Peggy Loesch,  RN, BSN, is currently  Vice President of Operations for
the Home Health  Division of NuMED Home Health Care,  Inc.,  and was promoted to
this position in April 1995. In 1985, Ms. Loesch became the Director of Clinical
Services for Whole Person Home Health Care, a Medicare-Medicaid certified agency
as well as a Pennsylvania  Medical  Concepts,  a state licensed agency providing
private duty and facility staff relief. As Vice President of Operations, she has
implemented  a  Corporate  Performance   Improvement  Program  encompassing  all
agencies. Ms. Loesch served as a Board Director from October 1993 to August 1995
for Erie Center on Health and Aging, a thirty-site preventive health program.

                                       9

<PAGE>


Vote Required for Approval

          Nominees  for  directors  who receive a plurality of the votes cast by
the  holders of the shares of Common  Stock in person or by proxy at the Meeting
shall be  elected.  Abstentions,  broker  nonvotes  and  withheld  votes are not
counted in determining the number of votes cast for any nominee for director.

          THE  BOARD OF  DIRECTORS  RECOMMENDS  A VOTE  "FOR"  EACH OF THE ABOVE
NOMINEES FOR ELECTION AS DIRECTORS OF THE COMPANY.

                        BENEFICIAL OWNERS AND MANAGEMENT

          The  following  table sets forth  certain  information  regarding  the
beneficial  ownership  of Common  Stock as of December 15, 1998 with respect to:
(i) each of the  Company's  directors and the  executive  officers  named in the
Summary  Compensation  Table;  (ii) all directors and executive  officers of the
Company  as a  group;  and  (iii)  each  person  known  by  the  Company  to own
beneficially more than 5% of the Common Stock. An asterisk indicates  beneficial
ownership of less than 1% of the outstanding  Common Stock.  Except as otherwise
indicated,  each of the shareholders listed below has sole voting and investment
power over the shares beneficially owned.

                                                       Shares Beneficially Owned

     Beneficial Owner                                   Number          Percent

     Jugal K. Taneja (1) .............................2,301,954           34.7%
     5770 Roosevelt Boulevard, Suite 700
     Clearwater, Florida  33760

     Susan J. Carmichael (2)............................495,000            8.0%
     5770 Roosevelt Boulevard, Suite 700
     Clearwater, Florida  33760

     Robert P. Ottman (3) (4)............................44,306             *
     3939 West Ridge Road
     Erie, Pennsylvania  16506

     Thomas V. Chema (3).................................29,120             *
     1100 Huntington Building
     925 Euclid Avenue
     Cleveland, Ohio 44115

     William L. LaGamba ....................................500             *
     6950 Bryan Dairy Road
     Largo, Florida 33777

     Paul Santostasi .......................................-0-             *
     6950 Bryan Dairy Road
     Largo, Florida 33777

     Peggy Loesch.........................................4,863             *
     5770 Roosevelt Boulevard, Suite 700
     Clearwater, Florida  33760

     Turkey Vulture Fund XIII Limited.................. 563,500          9.9%
     7001 Center Street
     Mentor, Ohio  44060

     Executive Officers and Directors as a 
     Group (7 Persons) (5)........................... 2,875,743          40.6%

         * Less than one percent.

                                       10

<PAGE>


     (1) Includes  beneficial  ownership  of (i) 182,578  shares of Common Stock
         owned by First Delhi  Trust,  a trust for Mr.  Taneja's  children  over
         which he exercises  voting rights,  (ii) 328,300 shares of Common Stock
         and 540,000 currently  exercisable Common Stock Purchase Warrants owned
         by Twenty-First  Century  Healthcare Fund,  L.L.D., a limited liability
         company  controlled  by Mr.  Taneja and his family  members,  and (iii)
         380,000 shares  issuable  under  currently  exercisable  stock options.
         Excludes 209,820 shares  beneficially  owned by his wife, Manju Taneja,
         as to which Mr. Taneja exercises no voting or disposition rights.

     (2) Includes (i) 190,000 shares issuable under currently  exercisable stock
         options,  and (ii) 270,000 currently  exercisable Common Stock Purchase
         Warrants.

     (3) Includes  shares  issuable  under 12,060  currently  exercisable  stock
         options  granted to each of Messrs.  Ottman and Chema  pursuant  to the
         Outside Director and Advisory Board Member Stock Option Plan.

     (4) Includes  10,000 shares  issuable under  currently  exercisable  common
         stock purchase warrants.

     (5) Includes 1,404,120 shares issuable under common stock purchase warrants
         and/or stock options that are currently exercisable.

            SECTION 16 (a) BENEFICIAL OWNERSHIP REPORTING COMPLIANCE

          During fiscal 1998, the following  persons were required to file Forms
3,4, and 5 with the Securities and Exchange Commission pursuant to Section 16(a)
of the  Securities  Exchange  Act of 1934 (the "Act")  because such person was a
director,  officer, or beneficial owner of more than 10% of the Company's Common
Stock: Jugal K. Taneja, Susan J. Carmichael,  Thomas V. Chema, Robert P. Ottman,
and Turkey Vulture Fund XIII, Ltd. ("Turkey Vulture Fund").  Based solely upon a
review of Forms 3,4, and 5 furnished to the Company pursuant to Rule 16-3 (e) of
the Act, no transactions were reported on an untimely basis and no person failed
to file a Form 3, Form 4 or Form 5 as required by Section 16(a) of the Act.

                             EXECUTIVE COMPENSATION

          The following  table sets forth  information  with respect to the cash
and noncash compensation for the last three fiscal years earned by or awarded to
the  Company's  Former  Chief  Executive  Officer  and the  President.  No other
executive  officer of the Company  earned salary and bonus in excess of $100,000
for the fiscal year ended March 31, 1998.

                                       11

<PAGE>

<TABLE>

                           SUMMARY COMPENSATION TABLE
<CAPTION>

                                    Annual Compensation                         Long Term Compensation
                                                                                       Awards    Payouts
                                                                 Other
                                                                 Annual    Restricted                      All Other
                                                                 Compen-   Stock       Options/  LTIP      Compen-
                                   Fiscal   Salary    Bonus      sation    Award(s)    SARs      Payouts   sation
Name and Principal Position        Year_    ($)_____  ($)        ($)       ($)______   (#)_____  ($)_____  ($) ______
- ---------------------------        ------   --------- ---        ---       ---------   --------  --        ----------

<S>                                <C>      <C>       <C>        <C>                 
Jugal K. Taneja                    1998     $160,000  $  -0-     $44,000 1     -
Chairman of the Board and Chief    1997     $160,000  $ 17,877   $30,000 2     -       640,000 5
Executive Officer                  1996     $160,000  $116,381   $30,000 2     -       120,000


Susan J. Carmichael                1998     $130,000  $  -0-     $ 9,000 3
President                          1997     $130,000  $16,677    $35,075 4     -       350,000 5
                                   1996     $130,000  $ 99,348   $  -0-        -        80,000
</TABLE>



FOOTNOTES:

1 Represents meal and lodging expenses of $2,000 per month paid to Mr.Taneja for
nine months during fiscal year 1998, a monthly  automobile  expense allowance of
$500 per month, and moving expenses totaling $20,000 paid during fiscal 1998.

2 Represents meal and lodging expenses of $2,000 per month paid to Mr.Taneja and
a monthly  automobile  expense  allowance  of $500 per month paid to Mr.  Taneja
during fiscal years 1997 and 1998.

3  Represents  lodging  expenses of $500 per month for nine months and a monthly
automobile allowance of $500 per month for nine months paid during fiscal 1998.

4 Represents  accumulated  vacation of $29,075 and lodging  expenses of $500 per
month paid during fiscal 1997.

5 Includes 540,00  warrants issued to Mr. Taneja and 270,000  warrants issued to
Ms.  Carmichael in exchange for the  elimination of certain "put  provisions" in
their respective employment agreements with the Company. As of 9/30/96,  section
7.7 of their employment agreements, "if the executive is terminated without just
cause,  or his or her  duties  are  reduced  such  that his or her  position  is
ineffective  in  directing  the  business or  operations  of the  Company,  each
executive  has the  right  to put all  securities  of the  Company  owned by the
executive  and the  executive's  affiliates  to the Company at a per share price
calculated  at the  greater  of (i) $6.00 per  share,  (ii) the  average  of the
current  bid and ask price,  (iii) book value per share,  or (iv) the  appraised
value per share, and the Company is required to purchase all such securities for
the applicable price" was deleted.



                      OPTION/SAR GRANTS IN LAST FISCAL YEAR


THE COMPANY DID NOT MAKE ANY GRANTS OF OPTIONS OR SAR'S DURING FISCAL YEAR 1998.

                                       12

<PAGE>

<TABLE>
               AGGREGATED OPTION/SAR EXERCISES IN LAST FISCAL YEAR
                          AND FY-END OPTION/SAR VALUES
<CAPTION>

                                                          Number of
                       Shares                            Unexercised             Value of Unexercised
                       Acquired     Value                Options/SARs            In-the-Money Options/SARs
                       on           Realized             at FY-End (#)           at FY-End ($)*
Name____________       Exercise     ($)_____     Exercisable     Unexercisable   Exercisable      Unexercisable
- ----------------       --------     --------     -----------     -------------   -----------      -------------
                                                                                       

<S>                           <C>                <C>                <C>           <C>                <C>
Jugal K. Taneja               0                  920,000            -0-           $27,600            -0-

Susan J. Carmichael           0                  460,000            -0-           $22,400            -0-
</TABLE>



         * Based on the closing price of the Company's Common Stock on March 31,
1998 as quoted on The Nasdaq Stock Market.

        Committees, Meetings, and Compensation of the Board of Directors

          The Board of Directors held 6 meetings during fiscal 1998. In addition
to formal meetings of the Board of Directors and its  committees,  the directors
have frequent informal communications among themselves and with other executives
regarding Board and Committee issues.

          The Board of Directors has established  standing Audit,  Compensation,
Capital, Executive and Nominating Committees. In addition, the Company has three
committees to administer each of the Company's stock plans described below.

          The  Audit  Committee  recommends  the  engagement,  continuation  and
discharge of the Company's independent auditors, reviews the scope and timing of
the audit of the Company's  financial  statements,  approves the fee arrangement
with  the  Company's  independent  auditors,  reviews  the  Company's  financial
statements  and the  independent  auditors'  report,  reviews the activities and
recommendations of the Company's independent auditors, considers recommendations
made by the Company's  independent  auditors  regarding  the Company's  internal
control structure,  and reviews the Company's internal accounting procedures and
controls with the Company's  financial and accounting  staff. The members of the
Audit Committee are Messrs.  Chema and Ottman.  The Audit Committee did not meet
during fiscal year 1998.

          The  Compensation   Committee   establishes  the  Company's  executive
compensation policy,  including the recommendation of compensation  arrangements
for  the  Company's  executive  officers  and  directors.  The  members  of  the
Compensation Committee are Messrs. Chema and Ottman.* The Compensation Committee
met once during fiscal year 1998.

          The Capital  Committee  reviews and oversees the Company's  investment
policy.  The members of the Capital  Committee  are Ms.  Carmichael  and Messrs.
Ottman and Taneja. The Capital Committee did not meet during fiscal year 1998.

          The Executive Committee consists of Ms. Carmichael* and Mr. Taneja and
the  Nominating  Committee  consists of Messrs.  Taneja,  Ottman and Chema.  The
Executive Committee did not meet during fiscal year 1998.

          The Outside  Director  and  Advisory  Board  Member  Stock Option Plan
Administration Committee consists of Messrs. Taneja and Ms. Carmichael. The 1994
Employee Stock Option Plan Administration  Committee consists of Messrs.  Ottman
plus a vacant  seat  created by the  resignation  of Mr.  Mark A.  Rowland.  The
Employee Stock Purchase Plan Administration Committee consists of Messrs. Taneja
and Chema plus a vacant seat created by the  resignation of Mr. Diroff.  None of
the Stock Plan committees met during fiscal 1998.


                              Director Compensation

          Each outside director of the Company receives $500, plus reimbursement
for actual travel  expenses,  for each board meeting and $100 for each committee
meeting attended,  if held on the same day as a board meeting,  or $250 for each
committee  meeting,  if held on a day  other  than the date of a board  meeting.
Outside  directors  receive a minimum of $3,000  annually if five  meetings  are
attended.  Directors who are also  employees of the Company  receive no fees for
meetings attended.  Additionally,  outside directors receive options to purchase
Common Stock under the Outside  Director and Advisory  

                                       13

<PAGE>

Board Member Stock Option Plan,  and  directors of the Company who are executive
officers  have  previously  received,  and may receive in the future  additional
options.


                              Employment agreements

          Effective  November 23, 1998, the Company  entered into a new one-year
employment  agreement with Susan J.  Carmichael,  the Company's  newly appointed
Chief Executive Officer and President. Pursuant to the agreement, Ms. Carmichael
receives  $175,000 in base salary per year and a bonus at the  discretion of the
Board. Additionally,  Ms. Carmichael received 200,000 options in connection with
the  replacement  of her  prior  three-year  employment  agreement  with the new
one-year agreement.

          On  November  23,  1998,  the Company and Mr.  Taneja  entered  into a
Termination,   Noncompetition  and  Mutual  Release  Agreement  (the  "Departure
Agreement")  superseding the terms of his employment agreement.  Under the terms
of the Departure  Agreement,  Mr. Taneja's employment as Chief Executive Officer
of the Company was terminated effective November 23, 1998. Upon termination, Mr.
Taneja  received  744,680 shares of the Company's  Common Stock and the right to
receive  $250,000 cash upon receipt by the Company of a certain cash receivable,
and the terms of all of his existing  options and warrants were  extended  until
November 23, 2001.

          Prior  to  November  23,  1998,  Ms.  Carmichael  and Mr.  Taneja  had
employment  agreements  which were originally  entered into on September 1, 1995
(the Superseded  Employment  Agreements).  The Superseded  Employment Agreements
with Ms. Carmichael and Mr. Taneja were originally for three-year terms, but had
been renewed  annually such that the remaining  term following each such renewal
was for three  additional  years.  The  Superseded  Employment  Agreements  were
substantially  similar  providing  Mr.  Taneja  with an  annual  base  salary of
$200,000  and Ms.  Carmichael  with an annual  base  salary of  $150,000.  For a
complete discussion of the Superseded  Employment Agreements see the copy of the
Company's Annual Report on Form 10-KSB as filed with the Securities and Exchange
Commission for the fiscal year ended March 31, 1998 which accompanies this Proxy
Statement.

                 CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS

          In connection  with the Company's  equity  offering in February,  1995
(the  "Offering"),  the Company  engaged A.T. Brod & Co., Inc.  ("Brod") for the
purpose of offering and selling the Company's units on a firm commitment  basis.
Brod was a wholly-owned subsidiary of Bancapital Financial Corporation, of which
Mr. Taneja was the Chief Executive Officer and owner of a majority of its issued
and  outstanding  shares  of  capital  stock.  Pursuant  to  the  terms  of  the
Underwriting  Agreement  entered into  between the Company and A. T. Brod,  Brod
received  in  connection  with  the  Offering  various  fees,   commissions  and
underwriting  discounts totaling approximately $1.3 million. The Company granted
Brod an option to purchase 100,000 units as the underwriters. The exercise price
of the units  purchased  pursuant to the option was $11.96 per unit. In April of
1997, the Company exchanged one share of common stock for each unit.

          During  fiscal  1998 and  1997,  the  Company  leased  certain  office
furniture and equipment  from  Bancapital  for a total cost of $28,000 per year.
Bancapital also held the lease for the Company's Cleveland financial office. The
lease was terminated March 31, 1997 when operations were moved to Florida.

          All material  affiliated  transactions will be made or entered into on
terms no less  favorable  to the Company  than those that can be  obtained  from
unaffiliated  third parties,  and all material  affiliated  transactions must be
approved  by a  majority  of the  independent  outside  members  of the Board of
Directors of the Company who do not have an interest in the transactions.

                                LEGAL PROCEEDINGS

          On November 17, 1998,  the Company filed a suit against Turkey Vulture
Fund XIII, Ltd. ("Turkey Vulture"),  in the United States District Court, Middle
District of Florida,  Tampa Division.  At such time,  Turkey Vulture owned about
10.2% of the  outstanding  Common Stock of the Company.  Although,  the suit was
filed on November  17,  1998,  and it was not served  until  November  24, 1998,
because certain directors of the Company were attempting to amicably resolve the
disagreements  with Turkey Vulture.  Turkey Vulture has not yet responded to the
Complaint; an answer is due on December 14, 1998. In the Complaint,  the Company
seeks injunctive relief for Turkey Vulture's alleged violations of Section 13(d)
of the Securities Exchange Act of 1934.  Specifically,  the Company alleges that
Turkey  Vulture  failed to timely amend its Schedule 13D to (i) reflect its true
intention,  as stated in its November 12, 1998 Proxy Statement,  to oust current
management, gain control of the Company through a proxy fight, and eliminate the
Company's  staggered  Board  of  Directors,  and  (ii)  indicate  its  increased

                                       14

<PAGE>

ownership of shares. As a result of these  allegations,  the Company seeks (i) a
temporary and permanent  injunction requiring the Turkey Vulture Fund to file an
amendment to the Schedule 13D, which will  accurately  reflect its true purpose,
(ii) a temporary  injunction  enjoining  Turkey Vulture from  exercising  voting
rights and  soliciting  proxies  during the pendancy of this  lawsuit,  (iii) an
appropriate  "cooling  off  period,"  which will permit the  investing  public a
reasonable amount of time to digest any amendment to the Schedule 13D ordered by
the Court,  and (iv) a judgment  in favor of NuMED for the costs and  attorneys'
fees associated with bringing lawsuit.

                        SELECTION OF INDEPENDENT AUDITORS

          The firm of Ernst & Young LLP served as independent public accountants
for the Company for its most  recently  completed  fiscal  year.  On December 1,
1998,   the  Company  and  Ernst  &  Young  LLP,  its  auditors,   ceased  their
relationship. Ernst & Young had no disagreements or reportable events during the
Company's two most recent fiscal years,  nor for the current fiscal year through
the date of termination on December 1, 1998.

          Neither  Ernst & Young's  report dated June 29, 1998 on the  Company's
financial  Statements  for the fiscal  year ended  March 31, 1998 nor its report
dated  June 20,  1997 for the fiscal  year ended  March 31,  1997  contained  an
adverse  opinion or a disclaimer of opinion and neither  report was qualified or
modified as to uncertainty, audit scope or accounting principles.

          Furthermore,  there were no disagreements with Ernst & Young,  whether
or not resolved, on any matter of accounting principles or practices,  financial
statement disclosure, or auditing scope or procedure,  which, if not resolved to
Ernst & Young's  satisfaction,  would have  caused it to make  reference  to the
subject matter of the disagreement in connection with its report.

          The  decision to cease  relations  with Ernst & Young and engage a new
auditor was mutual due to distance and  economics.  The decision was approved by
the Board of Directors  and was based on the fact that Ernst & Young was sending
a team from  Cleveland,  Ohio because the Company once  maintained its financial
office in Cleveland.  Now that the Company has relocated financial operations to
Florida,  it will seek  auditors  in the Tampa Bay Region in an effort to reduce
fees.

                              STOCKHOLDER PROPOSALS

          The deadline for submission of shareholder  proposals pursuant to Rule
14a-8 under the Securities Exchange Act of 1934, as amended ("Rule 14a-8"),  for
inclusion  in the  Company's  proxy  statement  for its 1999  Annual  Meeting of
Shareholders is March 31, 1999. Notice to the Company of a shareholder  proposal
submitted other than pursuant to Rule 14a-8 will be considered untimely, and may
not be properly  brought  before the 1999 Annual  Meeting by a  shareholder,  if
received by the Company after March 31, 1999.

                                  OTHER MATTERS

          The solicitation of proxies is made by and on behalf of the Board. The
cost of the solicitation will be borne by the Company,  including the reasonable
expenses of brokerage firms or other nominees for forwarding  proxy materials to
beneficial owners. In addition to solicitation by mail, proxies may be solicited
by telephone,  telegraph or  personally.  Proxies may be solicited by directors,
officers and employees of the Company without additional compensation.

          If the enclosed proxy is executed and returned, the shares represented
thereby  will  be  voted  in  accordance  with  any  specifications  made by the
stockholder. In the absence of any such specification,  they will be voted "FOR"
the  election of each of the  nominees  for  director as set forth in Proposal 1
above.  Pursuant to the Company's  Articles of Incorporation and applicable law,
broker nonvotes and abstaining  votes will not be counted in favor of or against
the election of any nominee for director or any of the proposals to be presented
at the meeting.

          The  presence  of a  stockholder  at the  meeting  will not operate to
revoke his proxy.  A proxy may be revoked at any time insofar as it has not been
exercised by giving written notice to the Company.

                                       15

<PAGE>

          If any other matters shall come before the meeting,  the persons named
in the proxy, or their  substitutes,  will vote thereon in accordance with their
judgment.  The Board does not know of any other  matters which will be presented
for action at the meeting.

                                          By Order of the Board of Directors



December 31, 1998                          SUSAN J. CARMICHAEL
                                           Chief Executive Officer and President


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<PAGE>


                                      PROXY

                          NuMED HOME HEALTH CARE, INC.
                       1998 ANNUAL MEETING OF STOCKHOLDERS
                                JANUARY 28, 1999
           THIS PROXY IS SOLICITED ON BEHALF OF THE BOARD OF DIRECTORS

          The  undersigned  hereby  nominates  and appoints  Thomas V. Chema and
Susan J.  Carmichael,  or either of them,  as proxies of the  undersigned,  with
power of  substitution to each, to vote all shares of stock of NuMED HOME HEALTH
CARE, INC. (the "Company")  which the undersigned may be entitled to vote at the
Annual Meeting of Stockholders of the Company to be held at the offices of Foley
& Lardner  located at 100 North  Tampa  Street,  Tampa,  Florida,  on  Thursday,
January  28,  1999  at  10:00  A.M.,  local  time,  and  at any  adjournment  or
adjournments thereof with authority to vote said stock on the following matters:

                    THE BOARD OF DIRECTORS RECOMMENDS A VOTE
                     FOR ALL OF THE NOMINEES IN PROPOSAL 1:

(1)       The election of the following directors:


          NOMINEES FOR THE TERM TO EXPIRE IN 2000

          Mr. William L. LaGamba
          Mr. Paul A. Santostasi

          NOMINEES FOR THE TERM TO EXPIRE IN 2001

          Mr. Thomas V. Chema
          Ms. Peggy A. Loesch

          / / VOTE FOR all nominees listed above, with the following exceptions:

          Exceptions:___________________________________________________________

         / / WITHHOLD AUTHORITY to vote for all nominees listed above.

          THIS PROXY WILL BE VOTED AS DIRECTED, OR IF NO DIRECTION IS INDICATED,
WILL BE VOTED "FOR" EACH NOMINEE LISTED ABOVE.

          Should any other matters  requiring a vote of the stockholders  arise,
including  matters  incident  to the  conduct of the  meeting,  the above  named
proxies are  authorized to vote the same in accordance  with their best judgment
in the  interest  of the  Company.  The Board of  Directors  is not aware of any
matter which is to be presented for action at the meeting other than the matters
set forth herein.

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<PAGE>


          NOTE:  Please sign and return  promptly in the envelope  provided.  No
postage is required if mailed in the United States.

Date: _________, 199__                  _________________________
                                        Signature

                                        _________________________
                                        Signature

                                        Please   sign   exactly   as  your  name
                                        appears.   When   signing  as  attorney,
                                        executor,   administrator,   trustee  or
                                        guardian,  please  set  forth  your full
                                        title.   If  signer  is  a  corporation,
                                        please sign the full corporation name by
                                        a   duly   authorized   officer.   Joint
                                        Stockholders should each sign.

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