STAR MULTI CARE SERVICES INC
SC 13D/A, 1997-01-17
HOME HEALTH CARE SERVICES
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                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                                  SCHEDULE 13D
                                (Amendment No.1)

                    Under the Securities Exchange Act of 1934

                         Star Multi Care Services, Inc.
              ----------------------------------------------------
                                (Name of issuer)


                     Common Stock, par value $.001 per share
              ----------------------------------------------------

                         (Title of Class of Securities)


                                   855 156 105
              ----------------------------------------------------
                                 (CUSIP Number)

                              Stephen Sternbach
                       c/o Star Multi Care Services, Inc.
                            99 Railroad Station Plaza
                              Hicksville, NY 11801
                                 (516) 423-6688
 -------------------------------------------------------------------------------
 (Name, address and telephone number of person authorized to receive notices and
                                 communications)

                                 January 3, 1997
               ---------------------------------------------------
             (Date of event which requires filing of this statement)

           If the filing person has previously filed a statement on Schedule 13G
to report the  acquisition  which is the subject of this  Schedule  13D,  and is
filing this schedule because of Rule 13d-1(b)(3) or (4), check the following box
[_]




<PAGE>


CUSIP No. 855 156 105



Response to Question   1:                 Stephen Sternbach
                                          ###-##-####
Response to Question   2:                 N/A
Response to Question   3:                 SEC USE ONLY
Response to Question   4:                 PF
Response to Question   5:                 N/A
Response to Question   6:                 United States
Response to Question   7:                 119,606
Response to Question   8:                 1,025,836
Response to Question   9:                 1,145,442
Response to Question   10:                0
Response to Question   11:                1,145,442
Response to Question   12:                N/A
Response to Question   13:                28.2%
Response to Question   14:                IN



<PAGE>


CUSIP No. 855 156 105

                                  INTRODUCTION

           Except  as to Items 4, 5, 6 and 7 no  changes  have  occurred  in the
answer  to any of the  Items of this  Schedule  13D from  the  information  last
reported  by Mr.  Sternbach  in his report  dated July 25,  1996 (the  "Original
Filing").  Except as otherwise  noted,  all terms defined in the Original Filing
have the same meaning in this filing.  The Company  declared a 5% stock dividend
which  was  distributed  on  November  4, 1996 to  shareholders  of record as of
October 11, 1996.  All  references  to the number of shares of Star common stock
have been  adjusted to reflect the  aforementioned  dividend.  In addition,  all
references to the percent of class of the Company's stock owned by Mr. Sternbach
reflect the effect of the issuance of the additional  shares in connection  with
the Company's merger with AMSERV HEALTHCARE INC. in August 1996.

ITEM 4.    PURPOSE OF TRANSACTION.

           Item 4 is amended to include the following:

           At the Special Meeting of Shareholders of the Company, held on August
23, 1996, the shares that were the subject of the Voting  Agreement,  referenced
in the Original  Filing were voted in favor of the merger with  Amserv,  and the
voting Agreement and the Proxy granted in accordance therewith terminated.

        On January 3, 1997,  the Company,  EFCC  Acquisition  Corp.,  a New York
corporation  and a  wholly-owned  subsidiary of the Company  ("Merger  Sub") and
Extended Family Care Corporation,  a New York corporation ("EFCC"), entered into
an Agreement and Plan of Merger (the "Merger  Agreement").  The Merger Agreement
provides  that upon the terms and  conditions  set forth  therein,  EFCC will be
merged (the  "Merger")  with and into Merger Sub and the  separate  existence of
EFCC will cease and Merger Sub as the  Surviving  Corporation  will  continue to
exist.  The Merger  Agreement  provides  that,  if the All Cash Option  (defined
below) is exercised,  Merger Sub will be merged with and into EFCC. In the event
of the exercise of the All Cash Option,  all  references  below to the Surviving
Corporation  shall  be to  EFCC.  At  the  effective  time  of the  Merger  (the
"Effective  Time"),  the  separate  existence  of EFCC  (or in the  event of the
exercise  of the All Cash  Option,  Merger Sub) will cease and Merger Sub (or in
the event of the exercise of the All Cash Option,  EFCC) will  succeed,  without
other transfer, to all the rights and property,  and be subject to all the debts
and liabilities of EFCC (or in the event of the exercise of the All Cash Option,
Merger Sub).

           At the  Effective  Time,  each share of EFCC  Common  Stock  which is
issued and outstanding  immediately  prior to the Effective  Time,  except those
held by  shareholders  of EFCC who  validly  and  properly  demand  and  perfect
dissenters' rights under the New York Business Corporation Law (the "BCL"), will
be converted into the right to receive the following  consideration (the "Merger
Consideration"):  (x) the Cash Consideration  (defined below), without interest;
and (y) the number (the "Conversion Number") of duly authorized, validly issued,
fully paid and  non-assessable  shares of common  stock $.001 par value,  of the
Company (the "Company Common Stock"), as computed below. Solely at the Company's
option,  in lieu of the  consideration  described  in clauses (x) and (y) of the
immediately preceding sentence,  the "Merger Consideration" will be an amount in
cash  equal to (A)  $7,250,000  divided by (B) the EFCC  Share  Number  (defined
below) (the "All Cash Option").


<PAGE>


CUSIP No. 855 156 105


           "Cash  Consideration"  means  the  amount  equal to:  (a)  $2,400,000
divided by (b) the EFCC Share  Number.  "EFCC Share  Number" means the number of
shares of EFCC Common  Stock  issued and  outstanding  immediately  prior to the
Effective  Time  increased  by that number of  additional  shares of EFCC Common
Stock  that would have to be issued  and  outstanding  immediately  prior to the
Effective Time assuming that no  shareholders  of TPC Home Care  Services,  Inc.
("TPC"),  an 83% owned  subsidiary  of EFCC,  validly  and  properly  demand and
perfect,  pursuant to the BCL,  dissenters' rights in the proposed merger of TPC
with  and into  the  EFCC,  which  EFCC  Share  Number  shall  not be less  then
37,600,000.  "Conversion  Number"  means the amount equal to: (a) such number of
shares of Company  Common Stock (the "Company Share Number") as has an aggregate
market price,  calculated in accordance with the terms of the Merger  Agreement,
equal to $4,850,000; divided by (b) the EFCC Share Number.

           If  the  Merger  is  completed  as  planned,   the   Certificate   of
Incorporation  of Merger Sub shall be the  Certificate of  Incorporation  of the
Surviving  Corporation  and the  Bylaws of Merger Sub as in effect on January 3,
1997 shall be the Bylaws of the Surviving Corporation;  provided, however, that,
at the Effective Time,  Article I of such  Certificate of  Incorporation  of the
Surviving  Corporation will be amended to read in full as follows:  "The name of
this  corporation  is  Extended  Family Care  Corporation".  The persons who are
directors of Merger Sub immediately  prior to the Effective Time will, after the
Effective Time, serve as the directors of the Surviving Corporation, until their
successors  have  been  duly  elected  and  qualified  in  accordance  with  the
Certificate  of  Incorporation  and  Bylaws of the  Surviving  Corporation.  The
persons who are officers of Merger Sub  immediately  prior to the Effective Time
shall,  after  the  Effective  Time,  serve  as the  officers  of the  Surviving
Corporation  at the  pleasure  of  the  Board  of  Directors  of  the  Surviving
Corporation.

           Because approval of EFCC's and the Company's respective  shareholders
is required in order to  consummate  the Merger,  EFCC and the Company will each
submit the Merger to their respective shareholders for approval. If consummated,
the Merger will result in the Company beneficially owning all of the outstanding
shares of EFCC Common Stock.

        Concurrently  with and in order to induce  EFCC to enter into the Merger
Agreement,  Mr. Sternbach entered into an irrevocable proxy pursuant to which he
agreed to vote the shares  beneficially  owned by him (1,025,836  shares,  which
includes  863,262 shares owned by Mr.  Sternbach and 162,574 shares which may be
issued, if at all, to Mr. Sternbach upon his exercise of immediately exercisable
options)  in  favor  of  the  Merger  at  the  next  meeting  of  the  Company's
shareholders.  Other than as  described  above,  Mr.  Sternbach  has no plans or
proposals  that  relate to or would  result in any of the actions  described  in
subparagraphs  (a) through (j) of Section 4 of Schedule 13D (although subject to
the  provisions of the Merger  Agreement,  Mr.  Sternbach  reserves the right to
develop such plans).

ITEM 5.    INTEREST IN SECURITY OF THE ISSUER.

           Item 5 is amended in its entirety to read as follows:

           (a) & (b) The  following  table  sets forth the  separate  beneficial
ownership (and information  concerning voting and dispositive  power) of Stephen
Sternbach as of January 13, 1997:


<PAGE>


CUSIP No. 855 156 105


                          Number of                            Percent
Name                      Shares(1)                          of Class(2)
- ----                      ---------                          -----------

Stephen Sternbach        1,145,442(3)                           28.2%



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

(1)        Except as otherwise  disclosed herein,  Mr. Sternbach has sole voting
           and dispositive power with respect to the shares owned by him.

(2)        Percent of Class  assumes the  issuance of the Common  Stock upon the
           exercise of options (to the extent  exercisable  on or within 60 days
           after  January  13,  1997)  deemed   beneficially  owned  by  Stephen
           Sternbach but by no other person or entity.

(3)        Includes  119,606  shares  of  Common  Stock  owned  by  the  Stephen
           Sternbach Family Trust; Mr. Sternbach disclaims  beneficial ownership
           with respect to these shares.  Also includes 162,574 shares of Common
           Stock  which Mr.  Sternbach  has a  currently  exercisable  option to
           purchase pursuant to the Company's 1992 Stock Option Plan.

                     (c)       See Item 4.

                     (d)       Not applicable.

                     (e)       Not applicable.

ITEM 6.    CONTRACTS, ARRANGEMENTS, UNDERSTANDINGS OR RELATIONSHIPS WITH RESPECT
           TO SECURITIES OF THE COMPANY.

           Item 6 is amended in its entirety to read as follows:

           Except as set forth in Item 4 of this  Schedule  13D, as amended,  to
the best knowledge of Mr. Sternbach, there are no other contracts, arrangements,
understandings or relationships  (legal or otherwise) among the persons named in
Item 2 and between such persons and any person with respect to any securities of
the  Company,  including,  but not limited to,  transfer or voting of any of the
securities of the Company, joint ventures, loan or option arrangements,  puts or
calls,  guarantees  of profits,  division  of profits or loss,  or the giving or
withholding of proxies,  or a pledge or otherwise subject to a contingency,  the
occurrence of which would give another  person voting power or investment  power
over the securities of the Company.



<PAGE>


CUSIP No. 855 156 105

ITEM 7.    MATERIAL TO BE FILED AS EXHIBITS.

           Item 7 is amended in its entirety to read as follows::

    Exhibit No.                     Description Of Exhibit
    -----------                     ----------------------

        1.      Agreement  and Plan of Merger  among Star  Multi Care  Services,
                Inc., a New York corporation,  EFCC Acquisition Corp. a New York
                corporation  and a wholly-owned  subsidiary of Star and Extended
                Family Care  Corporation,  a New York  corporation,  dated as of
                January 3, 1997.

        2.      Irrevocable Proxy,  granted by Stephen Sternbach to the Board of
                Directors  of Extended  Family Care  Corporation.  (Included  as
                Exhibit I to the  Merger  Agreement  filed as  Exhibit 1 to this
                Schedule 13D.)




<PAGE>


CUSIP No. 855 156 105

                                   SIGNATURES

        After reasonable  inquiry and to the best of the knowledge and belief of
the undersigned,  the undersigned certify that the information set forth in this
Statement is true, complete and correct.

Dated:       January 16, 1997


                                              /s/ Stephen Sternbach
                                              ---------------------------
                                              Stephen Sternbach









                          AGREEMENT AND PLAN OF MERGER

                                      AMONG

                         STAR MULTI CARE SERVICES, INC.

                             EFCC ACQUISITION CORP.

                                       AND

                        EXTENDED FAMILY CARE CORPORATION



                           DATED AS OF JANUARY 3, 1997




<PAGE>





                                TABLE OF CONTENTS

<TABLE>
<CAPTION>

<S>                                                                             <C>
                                                                               PAGE

ARTICLE I         THE MERGER.....................................................2
           1.1    The Merger.....................................................2
           1.2    Closing........................................................2
           1.3    Effective Time.................................................2
           1.4    Effect of Merger...............................................3
           1.5    Certificate of Incorporation and Bylaws........................3
           1.6    Directors and Officers.........................................3
           1.7    Tax Consequences...............................................3

ARTICLE II        CONVERSION OF SECURITIES; EXCHANGE OF CERTIFICATES.............3
           2.1    Share Consideration; Conversion or Cancellation of 
                  Shares in the Merger...........................................3
           2.2    Cash Consideration.............................................4
           2.3    Conversion Number..............................................5
           2.4    Dissenters' Rights.............................................5
           2.5    Exchange of Certificates.......................................5
           2.6    Taking Necessary Action; Further Action........................8

ARTICLE III       REPRESENTATIONS AND WARRANTIES
                     OF STAR AND MERGER SUB......................................8
           3.1    Corporate Organization.........................................8
           3.2    Capital Stock..................................................8
           3.3    Options or Other Rights........................................9
           3.4    Authority Relative to this and Other Agreements................9
           3.5    Star Common Stock..............................................9
           3.6    No Violation...................................................9
           3.7    Financial Statements and Reports..............................10
           3.8    Absence of Certain Changes or Events..........................11
           3.9    Representations Complete......................................11
           3.10   No Default....................................................12
           3.11   Brokers.......................................................12

ARTICLE IV        REPRESENTATIONS AND WARRANTIES OF EFCC........................12
           4.1    Corporate Organization........................................12
           4.2    Capital Stock.................................................12
           4.3    Options or Other Rights.......................................13
           4.4    Authority Relative to this and Other Agreements...............13
           4.5    No Violation..................................................14
           4.6    Compliance with Laws..........................................15
           4.7    Litigation....................................................15




<PAGE>


                    TABLE OF CONTENTS (cont'd)


                                                                              PAGE


           4.8    Financial Statements and Reports..............................16
           4.9    Absence of Certain Changes or Events..........................16
           4.10   Employee Benefit Plans and Employment Matters.................17
           4.11   Labor Matters.................................................19
           4.12   Insurance.....................................................19
           4.13   Environmental Matters.........................................19
           4.14   Tax Matters...................................................19
           4.15   Intellectual Property.........................................21
           4.16   Related Party Transactions....................................21
           4.17   No Undisclosed Material Liabilities...........................21
           4.18   No Default....................................................21
           4.19   Title to Properties; Encumbrances.............................22
           4.20   Contracts.....................................................23
           4.21   Medicare/Medicaid Participation; Accreditation................24
           4.22   Rate Tables and Reimbursement.................................24
           4.23   Relationships.................................................24
           4.24   Employees.....................................................25
           4.25   Questionable Payments.........................................25
           4.26   Representations Complete......................................25
           4.27   Brokers.......................................................25
           4.28   Minimum Net Worth, Working Capital and Cash...................25

ARTICLE V         COVENANTS AND AGREEMENTS......................................26
           5.1    Proxy Statement/Prospectus; Registration Statement;
                        Shareholders' Meeting...................................26
           5.2    Conduct of the Business of EFCC Prior to the
                  Effective Time................................................28
           5.3    Access to Properties and Records..............................30
           5.4    No Solicitation, Etc..........................................30
           5.5    Employee Benefit Plans........................................31
           5.6    Existing Agreements...........................................31
           5.7    Confidentiality...............................................31
           5.8    Reasonable Best Efforts.......................................32
           5.9    Certification of Shareholder Vote.............................32
           5.10   Affiliate Letters.............................................33
           5.11   Listing Application...........................................33
           5.12   Supplemental Disclosure Schedules.............................33
           5.13   No Action.....................................................33




<PAGE>


                    TABLE OF CONTENTS (cont'd)


                                                                              PAGE


           5.14   Conduct of Business of Merger Sub.............................33
           5.15   Notification of Certain Matters; Delivery of  Financial
                        Information.............................................34
           5.16   Tax-free Nature...............................................34
           5.17   Financial Covenants.  ........................................34
           5.18   Director of Star..............................................35
           5.19   EFCC Shareholders Agreement, Consulting Agreement, 
                        Management Agreement  and Escrow Agreement..............35
           5.20   Sternbach Proxy...............................................36
           5.21   EFCC Dividend.................................................36

ARTICLE VI        CONDITIONS PRECEDENT..........................................36
           6.1    Conditions to Each Party's Obligation to Effect the Merger....36
           6.2    Conditions to the Obligation of EFCC to Effect the Merger.....37
           6.3    Conditions to the Obligations of Star and Merger 
                        Sub to Effect the Merger................................38

ARTICLE VII       TERMINATION...................................................40
           7.1    Termination by Mutual Consent.................................40
           7.2    Termination by Either Star or EFCC............................40
           7.3    Termination by EFCC...........................................40
           7.4    Termination by Star...........................................41
           7.5    Effect of Termination and Abandonment.........................41

ARTICLE VIII      MISCELLANEOUS.................................................42
           8.1    Amendment.....................................................42
           8.2    Waiver........................................................42
           8.3    Survival......................................................42
           8.4    Expenses and Fees.............................................42
           8.5    Notices.......................................................42
           8.6    Headings......................................................43
           8.7    Publicity.....................................................43
           8.8    Entire Agreement..............................................44
           8.9    Assignment....................................................44
           8.10   Counterparts..................................................44
           8.11   Invalidity; Severability......................................44
           8.12   Governing Law.................................................44
           8.13   Legal Proceedings.............................................44




<PAGE>


                    TABLE OF CONTENTS (cont'd)


                                                                              PAGE


           8.14   Purchase Price Adjustment.....................................44

</TABLE>

                                    EXHIBITS

Exhibit A       Form of Affiliate Letters

Exhibit B       Opinion of Parker  Chapin  Flattau & Klimpl,  LLP

Exhibit C       Opinion of Meltzer, Lippe, Goldstein, Wolf & Schlissel, P.C.

Exhibit D       Form of EFCC Shareholders Agreement

Exhibit E       Form of Escrow Agreement Exhibit F Opinion of Meltzer,  Lippe,
                Goldstein, Wolf & Schlissel, P.C. regarding tax matters

Exhibit G       Consulting Agreement

Exhibit H       Management Agreement

Exhibit I       Form of Sternbach Proxy





<PAGE>



                          AGREEMENT AND PLAN OF MERGER


           AGREEMENT  AND PLAN OF MERGER  ("Agreement")  dated as of  January 3,
1997 among STAR MULTI CARE SERVICES, INC., a New York corporation ("Star"), EFCC
ACQUISITION CORP., a New York corporation and a wholly-owned  subsidiary of Star
("Merger Sub"),  and EXTENDED FAMILY CARE  CORPORATION,  a New York  corporation
("EFCC").

           WHEREAS,  the Boards of Directors  of Star,  Merger Sub and EFCC have
deemed it advisable and in the best interests of their  respective  shareholders
that EFCC be merged with and into Merger Sub (the  "Merger")  upon the terms and
conditions set forth herein and in accordance with the Business  Corporation Law
of the State of New York (the "BCL") and that, alternatively,  in the event that
the All Cash Option (as  hereinafter  defined) is  exercised  (the  "Exercise"),
Merger  Sub be  merged  with  and into  EFCC  (in  either  case,  the  surviving
corporation   following  the  effectiveness  of  the  Merger  being  hereinafter
sometimes referred to as the "Surviving Corporation");

           WHEREAS,  the Boards of Directors  of Star,  Merger Sub and EFCC have
approved the Merger  pursuant to this  Agreement,  upon the terms and subject to
the conditions set forth herein;

           WHEREAS,  prior to the date hereof,  Arbor Home Healthcare  Holdings,
LLC  ("Arbor"),  pursuant to the Amended and  Restated  Option  Agreement  dated
October 31, 1995 between  Arbor and EFCC,  as amended to date,  irrevocably  has
exercised  in full all of its options  (the  "Options")  to  purchase  shares of
common stock,  $.01 par value,  of EFCC and has paid in full the exercise  price
therefor;

           WHEREAS,  prior to or  following  the date  hereof,  but in any event
prior to the Closing  Date (as  hereinafter  defined),  EFCC  shall,  subject to
applicable law,  declare and pay a cash dividend (the "EFCC Dividend") on shares
of its common  stock in an aggregate  amount of $750,000,  which amount has been
reserved,  will be held in reserve  by and will be  available  to,  EFCC for the
payment of the EFCC Dividend;

           WHEREAS,  for federal  income tax  purposes,  it is intended that the
Merger shall qualify as a reorganization within the meaning of Section 368(a) of
the Internal  Revenue Code of 1986, as amended (the  "Code"),  provided that the
All Cash Option is not exercised;

           WHEREAS,  in order to induce  Star and  Merger Sub to enter into this
Agreement,  certain  shareholders  of EFCC,  as of the date  hereof and Mr. Ivan
Kaufman, and the Voting Trustee (as hereinafter defined),  are entering into (i)
a  shareholders  agreement  in the form of Exhibit D attached  hereto (the "EFCC
Shareholders Agreement," and such shareholder parties thereto, collectively, the
"Shareholders")  pursuant  to which the  Shareholders  and  Voting  Trustee  are
agreeing  to vote in favor of the  Merger and this  Agreement  and in respect of
other matters,




<PAGE>



the Shareholders  are providing  certain  representations,  warranties and other
covenants  to Star  and  Merger  Sub  and  are  agreeing  to  certain  "lock-up"
arrangements,  (ii) a  consulting  agreement  in the form of  Exhibit G attached
hereto  (the   "Consulting   Agreement")   (iii)  subject  to  approval  by  the
Commissioner of the New York State Department of Health, a management  agreement
in the form of Exhibit H attached hereto (the  "Management  Agreement")  and, on
the closing date of the Merger,  will enter into an escrow agreement in the form
of Exhibit E attached  hereto (the "Escrow  Agreement") in connection  with this
Agreement and the Shareholders Agreement; and

           WHEREAS,  in  order to  induce  EFCC to enter  into  this  Agreement,
Stephen  Sternbach  ("Sternbach"),  an individual  who is the direct  beneficial
owner of 863,262 shares of Star Common Stock (as hereinafter  defined) as of the
date  hereof,  is entering  into an  irrevocable  proxy in the form of Exhibit I
attached hereto (the "Sternbach  Proxy") pursuant to which Sternbach is agreeing
to vote in favor  of the  Merger  and this  Agreement  and in  respect  of other
related matters.

           NOW,  THEREFORE,  in  consideration  of the  mutual  representations,
warranties,  covenants, agreements and conditions contained herein, and in order
to set forth the terms and  conditions  of the Merger and the method of carrying
the same into effect, the parties hereby agree as follows:

                                    ARTICLE I

                                   THE MERGER

           1.1 The Merger.  Upon the terms and conditions  hereinafter set forth
and in  accordance  with the BCL, at the  Effective  Time (as defined in Section
1.3),  EFCC shall be merged with and into Merger Sub and  thereupon the separate
existence  of EFCC shall  cease and Merger Sub,  as the  Surviving  Corporation,
shall continue to exist under and be governed by the BCL;  provided that, in the
event of the  Exercise,  Merger  Sub  shall  be  merged  with and into  EFCC and
thereupon  the  separate  existence  of Merger Sub shall cease and EFCC,  as the
Surviving Corporation, shall continue to exist under and be governed by the BCL.
In the event of the Exercise,  notwithstanding  anything else contained  herein,
all references to the Surviving Corporation shall mean EFCC.

           1.2 Closing.  Subject to the terms and conditions of this  Agreement,
the  closing of the Merger  (the  "Closing")  shall take place at the offices of
Parker Chapin Flattau & Klimpl, LLP, 1211 Avenue of the Americas,  New York, New
York  10036 as  promptly  as  practicable  after  satisfaction  or waiver of the
conditions set forth in Article VI, or at such other  location,  time or date as
may be agreed to in writing by the parties hereto. The date on which the Closing
occurs is hereinafter referred to as the "Closing Date."

           1.3 Effective  Time. If all the conditions to the Merger set forth in
Article VI shall have been  satisfied or waived in accordance  herewith and this
Agreement shall not have been





                                       2
<PAGE>



terminated  as  provided  in Article  VII,  the  parties  hereto  shall  cause a
Certificate of Merger meeting the  requirements  of Section 904 of the BCL to be
properly executed and filed in accordance with such Section on the Closing Date.
The Merger shall become  effective at the time of filing of the  Certificate  of
Merger with the Secretary of State of the State of New York in  accordance  with
the BCL or at such other time which the  parties  hereto  shall have agreed upon
and  designated  in  such  filing  as the  effective  time  of the  Merger  (the
"Effective Time").

           1.4 Effect of Merger.  After the Effective Time, pursuant to the BCL,
the separate  existence of EFCC (or, in the event of the  Exercise,  Merger Sub)
will cease and the Surviving Corporation shall succeed,  without other transfer,
to all the rights and property of EFCC (or, in the event of the Exercise, Merger
Sub) and shall be subject to all the debts and  liabilities  of EFCC (or, in the
event of the  Exercise,  Merger  Sub) in the  same  manner  as if the  Surviving
Corporation had itself incurred them.

           1.5 Certificate of Incorporation  and Bylaws.  At the Effective Time,
the  Certificate  of  Incorporation  of Merger Sub shall be the  Certificate  of
Incorporation  of the Surviving  Corporation  and the Bylaws of Merger Sub as in
effect on the date  hereof  shall be the  Bylaws of the  Surviving  Corporation;
provided, however, that, at the Effective Time, Article I of such Certificate of
Incorporation of the Surviving  Corporation  shall be amended to read in full as
follows: "The name of this corporation is Extended Family Care Corporation"

           1.6 Directors  and Officers.  The persons who are directors of Merger
Sub  immediately  prior to the Effective Time shall,  after the Effective  Time,
serve as the  directors  of the  Surviving  Corporation,  to serve  until  their
successors  have  been  duly  elected  and  qualified  in  accordance  with  the
Certificate  of  Incorporation  and  Bylaws of the  Surviving  Corporation.  The
persons who are officers of Merger Sub  immediately  prior to the Effective Time
shall,  after  the  Effective  Time,  serve  as the  officers  of the  Surviving
Corporation  at the  pleasure  of  the  Board  of  Directors  of  the  Surviving
Corporation.

           1.7 Tax Consequences. It is intended that the Merger shall constitute
a reorganization described in Section 368(a) of the Code and that this Agreement
shall constitute a "plan of  reorganization"  for the purposes of Section 368 of
the Code; provided that the All Cash Option is not exercised.  The parties shall
treat the transactions contemplated hereby consistently with such intention.

                                   ARTICLE II

               CONVERSION OF SECURITIES; EXCHANGE OF CERTIFICATES

           2.1 Share Consideration;  Conversion or Cancellation of Shares in the
Merger.  Subject to the provisions of this Article II, at the Effective Time, by
virtue of the Merger and without any action on the part of the holders thereof:






                                       3
<PAGE>



                      (a) Each share of the  common  stock,  $.01 par value,  of
Merger Sub (the  "Merger  Sub  Common  Stock")  which is issued and  outstanding
immediately  prior to the  Effective  Time  shall  continue  to be  outstanding;
provided  that, in the event of the Exercise,  the Merger Sub Common Stock shall
be  converted  into one hundred  (100)  shares of fully paid and  non-assessable
shares of common stock, $.01 par value, of the Surviving Corporation.

                      (b) Each share of the  common  stock,  $.01 par value,  of
EFCC (the "EFCC  Common  Stock"),  which is issued and  outstanding  immediately
prior to the Effective Time,  except those held by shareholders  who validly and
properly demand and perfect dissenters' rights under the BCL, shall be converted
into  the  right  to  receive   the   following   consideration   (the   "Merger
Consideration"):  (x) the Cash  Consideration (as defined in Section 2.2 below),
without  interest;  and  (y)  the  number  (the  "Conversion  Number")  of  duly
authorized,  validly issued, full paid and non-assessable shares of common stock
$.001 par value, of Star (the "Star Common Stock"),  computed in accordance with
Section  2.3  below.  Anything  contained  in  this  Agreement  to the  contrary
notwithstanding, solely at Star's option, in lieu of the consideration described
in  clauses  (x) and (y) of the  immediately  preceding  sentence,  the  "Merger
Consideration" shall be an amount in cash equal to (A) $7,250,000 divided by (B)
the EFCC Share Number (as defined in Section 2.2 below) (the "All Cash Option").
The All Cash Option shall be exercised, if at all, by notice being given by Star
to EFCC prior to the mailing of the joint proxy statement referred to in Section
5.1 below.  All shares of EFCC Common  Stock,  and each holder of a  certificate
representing  such shares of EFCC Common  Stock,  shall cease to have any rights
with respect thereto, except the right to receive the Merger Consideration to be
issued or paid in  consideration  therefor upon surrender of such certificate in
accordance with Section 2.5 without interest.

                      (c) All shares of EFCC Common Stock that are owned by EFCC
as  treasury  stock and any  shares of EFCC  Common  Stock  owned by EFCC or any
wholly-owned Subsidiary of EFCC shall be cancelled. As used in this Agreement, a
"Subsidiary" of any party means any corporation or other  organization,  whether
incorporated or unincorporated,  of which (i) such party or any other Subsidiary
of  such  party  is a  general  partner  (excluding  partnerships,  the  general
partnership  interests of which are held by such party or any Subsidiary of such
party  and  which  do not  have a  majority  of the  voting  interests  in  such
partnership) or (ii) 50% or more of the securities or other interests  having by
their terms ordinary  voting power to elect a majority of the Board of Directors
or others performing similar functions with respect to such corporation or other
organization  is directly or indirectly  owned or controlled by such party or by
any one or more of its  Subsidiaries,  or by such  party  and one or more of its
Subsidiaries.

           2.2 Cash  Consideration.  As used  herein,  the "Cash  Consideration"
means the amount equal to: (a)  $2,400,000  divided by (b) the EFCC Share Number
(as  hereinafter  defined).  As used  herein the "EFCC Share  Number"  means the
number of shares of EFCC Common Stock issued and outstanding  immediately  prior
to the  Effective  Time  increased by that number of  additional  shares of EFCC
Common Stock that would have been issued and  outstanding  immediately  prior to
the Effective Time assuming that no shareholders of TPC (as hereinafter defined)
validly and properly  demanded and perfected,  pursuant to the BCL,  dissenters'
rights in



                                       4

<PAGE>



the TPC Merger (as  hereinafter  defined),  which EFCC Share Number shall not be
less then 37,600,000.

           2.3 Conversion  Number.  As used herein,  the Conversion Number means
the amount  equal to: (a) such number of shares of Star Common  Stock (the "Star
Share Number") as has an aggregate  Market Price on the third business day prior
to the Effective Time (the "Trigger  Date") equal to $4,850,000;  divided by (b)
the EFCC Share Number. As used herein,  the "Market Price" of each share of Star
Common  Stock on any day means the average of the closing sale prices of a share
of Star Common Stock as reported on the NASDAQ  National  Market  during the one
hundred and twenty (120)  trading  days  immediately  preceding  the date of the
determination,  calculated  by adding  all such one  hundred  and  twenty  (120)
closing sale prices and dividing the sum by one hundred and twenty (120).

           2.4  Dissenters'  Rights.  Shares of EFCC Common  Stock that have not
been voted for the adoption of the Merger and with respect to which  dissenters'
rights shall have been validly and properly demanded and perfected in accordance
with the BCL  ("Dissenting  Shares")  shall not be  converted  into the right to
receive  the Merger  Consideration  as  provided  in Section 2.1 on or after the
Effective  Time unless and until the holder of such shares  withdraws his demand
for such appraisal in accordance with  applicable law or becomes  ineligible for
such appraisal,  at which time such shares shall be converted into and represent
the right to receive the Merger Consideration, without interest, as set forth in
Section 2.1. EFCC shall give Star:  (i) prompt notice of any written  demand for
appraisal,  withdrawals  of demands for  appraisal  and any other  instrument in
respect  thereof  received  by EFCC;  and (ii) the  opportunity  to  direct  all
negotiations  and proceedings  with respect to demands for appraisal.  EFCC will
not  voluntarily  make any payment with respect to any demands for appraisal and
will not,  except  with the prior  written  consent of Star,  settle or offer to
settle any such demand.

           2.5 Exchange of Certificates.

                      (a) As of the Effective Time, Star shall deposit, or shall
cause to be deposited,  with  Continental  Stock Transfer and Trust Company,  or
such other bank or trust  company  which  shall be  mutually  acceptable  to the
parties hereto (the "Exchange  Agent"),  for the benefit of holders of shares of
EFCC Common Stock, for exchange in accordance with this Section 2.5, through the
Exchange Agent: (i) certificates representing the Star Share Number of shares of
Star Common Stock (if the All Cash Option is not exercised);  (ii) the estimated
amount  of cash to be paid  pursuant  to  Section  2.5(e);  and  (iii) all funds
necessary  to pay  the  Cash  Consideration  for  shares  of EFCC  Common  Stock
converted by reason of the Merger (or the Merger Consideration,  in cash, if the
All Cash Option is exercised) (in each case other than Merger Consideration with
respect to Dissenting  Shares)  (together,  all such certificates and cash being
hereinafter  referred  to as the  "Exchange  Fund").  The  Exchange  Agent shall
deliver,  pursuant to irrevocable  instructions,  the Cash Consideration (or the
Merger Consideration,  in cash, if the All Cash Option is exercised), the shares
of Star Common Stock (if the All Cash Option is not exercised)  contemplated  to
be issued pursuant to Section 2.1 and the cash to be





                                       5
<PAGE>



issued  pursuant to Section  2.5(e) out of the Exchange  Fund. The Exchange Fund
shall not be used for any other purpose.

                      (b) As soon as reasonably  practicable after the Effective
Time, the Exchange Agent shall mail to each holder of record of a certificate or
certificates   which   immediately  prior  to  the  Effective  Time  represented
outstanding shares of EFCC Common Stock (the  "Certificates")  whose shares were
converted into the right to receive the Merger Consideration pursuant to Section
2.1: (i) a letter of  transmittal  (which shall specify that  delivery  shall be
effected,  and risk of loss and title to the Certificates  shall pass, only upon
delivery of the Certificates to the Exchange Agent and shall be in such form and
have such other  provisions as Star and EFCC may reasonably  specify);  and (ii)
instructions  for use in effecting the surrender of the Certificates in exchange
for the Cash Consideration and certificates  representing  shares of Star Common
Stock  (or,  in  the  event  the  All  Cash  Option  is  exercised,  the  Merger
Consideration in cash).  Upon surrender of a Certificate for cancellation to the
Exchange  Agent,  or to such other agent or agents as may be  appointed by Star,
together  with  such  letter  of  transmittal,  duly  executed,  and such  other
documents as may be  reasonably  required by the Exchange  Agent,  the holder of
such  Certificate  shall be entitled to receive in exchange  therefor the Merger
Consideration  which  such  holder  has the right to  receive  pursuant  to this
Section 2.5, and the Certificate so surrendered shall forthwith be canceled.  In
the  event  of a  transfer  of  ownership  of EFCC  Common  Stock  which  is not
registered on the transfer records of EFCC, the Cash  Consideration  may be paid
to and  certificates  representing  the proper  number of shares of Star  Common
Stock  (or,  in  the  event  the  All  Cash  Option  is  exercised,  the  Merger
Consideration  in  cash)  may be  issued  to a  transferee  if  the  Certificate
representing  such  EFCC  Common  Stock  is  presented  to the  Exchange  Agent,
accompanied  by all documents  required to evidence and effect such transfer and
by evidence  that any  applicable  stock  transfer  taxes have been paid.  Until
surrendered  as  contemplated  by this Section 2.5,  each  Certificate  shall be
deemed  at any time  after the  Effective  Time to  represent  only the right to
receive upon such surrender the Merger  Consideration.  The Exchange Agent shall
not be entitled to vote or exercise any rights of ownership  with respect to the
Star Common Stock held by it from time to time hereunder.

                      (c) Distributions  with Respect to Unexchanged  Shares. No
dividends or other distributions with respect to Star Common Stock with a record
date after the Effective  Time shall be paid to the holder of any  unsurrendered
Certificate with respect to the shares of Star Common Stock represented  thereby
and no cash  payment  (including,  without  limitation,  cash payment in lieu of
fractional shares) shall be paid to any such holder pursuant to this Section 2.5
until the surrender of such  Certificate  in  accordance  with this Section 2.5.
Subject  to the  effect of  applicable  laws,  following  surrender  of any such
Certificate,  there shall be paid to the holder of the Certificates representing
whole shares of Star Common Stock issued in exchange therefor, without interest:
(i)  at  the  time  of  such  surrender,   the  amount  of  dividends  or  other
distributions  with a record date after the Effective Time theretofore paid with
respect to such whole shares of Star Common Stock;  and (ii) at the  appropriate
payment date, the amount of dividends or other  distributions with a record date
after the Effective Time but prior to such surrender and with a





                                       6
<PAGE>



payment date  subsequent  to such  surrender  payable with respect to such whole
shares of Star Common Stock.

                      (d) No  Further  Ownership  Rights  in Common  Stock.  All
shares of Star Common Stock issued,  together with the Cash  Consideration  paid
(or the Merger Consideration,  paid in cash, in the event the All Cash Option is
exercised),  upon the surrender for exchange of  Certificates in accordance with
the terms hereof  (including any cash paid pursuant to Section  2.5(e)) shall be
deemed to have been  issued  (and/or  paid) in full  satisfaction  of all rights
pertaining  to such  shares of EFCC  Common  Stock and there shall be no further
registration  of  transfers  on  the  stock  transfer  books  of  the  Surviving
Corporation  of  the  shares  of  EFCC  Common  Stock  which  were   outstanding
immediately  prior  to  the  Effective  Time.  If,  after  the  Effective  Time,
Certificates  are presented to the Surviving  Corporation  or the Exchange Agent
for any reason, they shall be canceled and exchanged as provided in this Section
2.5.

                      (e)  No  Fractional   Shares.  No  certificates  or  scrip
representing  fractional  shares of Star  Common  Stock shall be issued upon the
surrender for exchange of Certificates, and such fractional share interests will
not entitle the owner thereof to vote or to any rights of a shareholder of Star.
Notwithstanding any other provision of this Agreement,  each holder of shares of
EFCC Common Stock exchanged pursuant to the Merger who would otherwise have been
entitled  to receive a fraction of a share of Star Common  Stock  (after  taking
into account all Certificates  delivered by such holder) shall receive,  in lieu
thereof, cash (without interest) in an amount equal to such fractional part of a
share of Star Common  Stock  multiplied  by the Market  Price of a share of Star
Common Stock on the Effective Date.

                      (f)  Termination  of  Exchange  Fund.  Any  portion of the
Exchange Fund which remains  undistributed for 180 days after the Effective Time
shall be delivered to Star, upon demand, and any holders of the Certificates who
have not theretofore  complied with this Section 2.5 shall  thereafter look only
to Star for delivery of the Merger Consideration.

                      (g) No Liability.  None of Star,  Merger Sub, EFCC nor the
Exchange  Agent shall be liable to any holder of shares of EFCC Common  Stock or
Star  Common  Stock,  as the  case may be,  for such  shares  (or  dividends  or
distributions  with respect  thereto) or cash from the Exchange Fund (or by Star
after the Exchange Fund has terminated)  delivered to a public official pursuant
to any applicable  abandoned  property,  escheat or similar law. At such time as
any amounts  remaining  unclaimed by holders of any such shares would  otherwise
escheat to or become property of any governmental entity, such amounts shall, to
the extent  permitted by  applicable  law,  become the property of Star free and
clear of any claims or interest of any such holders or their successors, assigns
or personal representatives previously entitled thereto.

                      (h)  Investment of Exchange Fund. The Exchange Agent shall
invest any cash  included in the Exchange  Fund, as directed by Star, on a daily
basis. Any interest and other income  resulting from such  investments  shall be
paid to Star.




                                       7
<PAGE>


           2.6 Taking Necessary  Action;  Further Action.  Star,  Merger Sub and
EFCC,  respectively,  shall  take  all  such  action  as  may  be  necessary  or
appropriate  in order to effectuate  the Merger as promptly as possible.  If, at
any time after the Effective  Time, any further action is necessary or desirable
to  carry  out  the  purposes  of  this  Agreement  and to  vest  the  Surviving
Corporation  with full right,  title and  possession  to all  assets,  property,
rights,  privileges,  powers and  franchises of either  Merger Sub or EFCC,  the
officers and directors of such  corporations are fully authorized in the name of
their corporation or otherwise to take, and shall take, all such action.

                                   ARTICLE III

              REPRESENTATIONS AND WARRANTIES OF STAR AND MERGER SUB

           Star and Merger Sub, jointly and severally,  represent and warrant to
EFCC as follows;  provided  that Sections 3.2, 3.3, 3.5, 3.7 and 3.8 shall be of
no force or effect  in the  event  that the All Cash  Option  is  exercised  and
executed:

           3.1 Corporate  Organization.  Each of Star and its Subsidiaries  (the
"Star  Subsidiaries")  is a corporation duly organized,  validly existing and in
good standing under the laws of the jurisdiction of its incorporation,  with all
requisite corporate power and authority to own, operate and lease its properties
and to carry on its business as it is now being  conducted,  and is qualified or
licensed to do business and is in good  standing in each  jurisdiction  in which
the failure to be so qualified or licensed,  individually  or in the  aggregate,
would have a material adverse effect on the condition  (financial or otherwise),
results  of  operations,  business,  working  capital,  assets,  liabilities  or
prospects  of Star and the  Star  Subsidiaries  taken  as a whole  (a  "Material
Adverse Effect on Star").  Section 3.1 of the Star disclosure schedule delivered
by Star  herewith  (the "Star  Disclosure  Schedule")  contains  a complete  and
accurate  list of all of the  Star  Subsidiaries.  Neither  Star  nor  any  Star
Subsidiary is in violation of any provision of its Certificate of  Incorporation
or Bylaws which could have a Material Adverse Effect on Star. Merger Sub has not
engaged in any business nor has it incurred any liabilities or obligations since
it was  incorporated  other than relating to this Agreement and the transactions
contemplated hereby.

           3.2 Capital  Stock.  As of the date hereof,  the  authorized  capital
stock of Star consists in its entirety of (i)  10,000,000  shares of Star Common
Stock,  $.001 par value, and (ii) 5,000,000 shares of Preferred Stock, $1.00 par
value.  As of January  2, 1997,  4,045,889  shares of Star  Common  Stock and no
shares of Preferred Stock were issued and  outstanding,  (ii) options to acquire
626,136  shares of Star Common  Stock were  outstanding  under all stock  option
plans of Star,  (iii) 333,900 shares were reserved for issuance  pursuant to all
employee  benefit  plans of Star and (iv)  warrants  (the  "Star  Warrants")  to
purchase  106,712 shares of Star Common Stock were  outstanding.  As of the date
hereof,  the authorized  capital stock of Merger Sub consists in its entirety of
1,000 shares of common stock, $.01 par value, of which 100 shares are issued and
outstanding.  All of the outstanding shares of capital stock of each of the Star
Subsidiaries  are owned  beneficially and of record by Star or a Star Subsidiary
free and clear of all liens, charges




                                       8
<PAGE>


and encumbrances of any nature.  All of the outstanding  shares of capital stock
of Star,  Merger Sub and each of the Star  Subsidiaries have been validly issued
and are fully paid and  nonassessable.  The  holders of the Star  Warrants  have
exercised  rights  thereunder  to have the shares of Star Common Stock  issuable
thereunder registered under the Securities Act of 1933 (the "Securities Act").

           3.3  Options or Other  Rights.  Except as  disclosed  in Section  3.2
hereof, there is no outstanding right, subscription,  warrant, call, unsatisfied
preemptive  right,  option  or other  agreement  or  arrangement  of any kind to
purchase or  otherwise to receive  from Star or any Star  Subsidiary  any of the
outstanding  authorized  but unissued,  unauthorized  or treasury  shares of the
capital stock or any other security of Star or any Star Subsidiary, and there is
no outstanding  security of any kind  convertible  into or exchangeable for such
capital stock. No options or rights to acquire equity securities granted by Star
have provisions  which  accelerate the vesting or right to exercise such options
or rights or terminate any repurchase  rights of Star upon the  consummation  of
the Merger.

           3.4 Authority Relative to this and Other Agreements. Each of Star and
Merger Sub, as applicable, has full corporate power and authority to execute and
deliver this Agreement,  the Consulting Agreement, the Management Agreement, the
EFCC  Shareholders  Agreement and the Escrow  Agreement  and to  consummate  the
transactions  contemplated  on their part hereby or thereby.  The  execution and
delivery of such agreements by each of Star and Merger Sub and the  consummation
of the  transactions  contemplated on their  respective  parts hereby or thereby
have been duly authorized by their respective Board of Directors and, other than
the approval of Star's  shareholders as provided in Section 5.1 hereof, no other
corporate  proceedings  on the part of Star or Merger  Sub, as  applicable,  are
necessary  to  the  consummation  of  the  transactions  contemplated  on  their
respective  parts hereby or thereby.  Such agreements have been (or, in the case
of the Escrow  Agreement,  will be) duly  executed and delivered by each of Star
and Merger Sub, as  applicable,  and  constitute  (or, in the case of the Escrow
Agreement,  will  constitute) a legal,  valid and binding  obligation of each of
Star and Merger Sub,  enforceable  against each of them in accordance with their
respective terms,  except to the extent that such  enforceability may be limited
by applicable bankruptcy, insolvency, reorganization or other laws affecting the
enforcement of creditors' rights generally or by general equity principles.

           3.5 Star Common  Stock.  The shares of Star Common Stock to be issued
in  connection  with the Merger have been duly  authorized  and,  when issued as
contemplated  hereby at the Effective Time,  will be validly issued,  fully paid
and nonassessable, and not subject to any preemptive rights.

           3.6 No Violation.  The  execution,  delivery and  performance of this
Agreement,   the  Consulting  Agreement,  the  Management  Agreement,  the  EFCC
Shareholders  Agreement and the Escrow  Agreement by each of Star and Merger Sub
and the consummation by each of them of the transactions  contemplated hereby or
thereby  will  not  (i)  violate  or  conflict  with  any  provision  of any law
applicable to Star or any Star  Subsidiary or by which any of their  property or
assets are





                                       9
<PAGE>


bound,  (ii)  except  for the  Management  Agreement,  which is  subject  to the
approval of the Commissioner of the New York State Department of Health, require
the consent, waiver, approval, license or authorization of or any filing by Star
or any Star Subsidiary with any public authority (other than (A) the filing of a
pre-merger   notification   report   under   The   Hart-Scott-Rodino   Antitrust
Improvements Act of 1976, as amended, and the rules and regulations  promulgated
thereunder (the "HSR Act") and the expiration of the applicable  waiting period,
(B) in connection  with or in compliance  with the  provisions of the Securities
Exchange Act of 1934, as amended (the "Exchange  Act"),  the Securities Act, the
BCL, the Bylaws of the National  Association of Securities Dealers,  Inc. or the
"takeover"  or "blue sky" laws of various  states,  (C) the  approval by the New
York State Public Health Counsel required  pursuant to Section 3611-a of the New
York State Public Health Law and the rules and  regulations  thereunder  and any
similar  approvals  required by New Jersey State law, rules or regulations,  and
(D) any other filings and approvals expressly contemplated by this Agreement) or
(iii) violate,  conflict with,  result in a breach of or the acceleration of any
obligation  under, or constitute a default (or an event which with notice or the
lapse of time or both would become a default)  under or give to others any right
of, or result in any, termination,  amendment,  acceleration or cancellation of,
or loss of any benefit or creation of a right of first  refusal or result in the
creation of a lien or other  encumbrance on any property or asset of Star or any
Star  Subsidiary  pursuant  to or under any  provision  of any charter or bylaw,
indenture,  mortgage,  lien, lease, license,  agreement,  contract,  instrument,
order, judgment,  ordinance,  Star Permit (as defined below), law, regulation or
decree to which Star or any Star  Subsidiary  is subject or by which Star or any
Star  Subsidiary or any of their property or assets are bound,  except where the
failure to give such notice, make such filings,  or obtain such  authorizations,
consents,  waivers, licenses or approvals, or where such violations,  conflicts,
breaches, defaults, terminations, amendments, accelerations, cancellations, loss
of rights,  liens or encumbrances,  individually or in the aggregate,  would not
have a Material  Adverse  Effect on Star or on Star's or Merger Sub's ability to
consummate the transactions contemplated hereby.

           3.7 Financial Statements and Reports. Star has made available to EFCC
true and complete  copies of (i) its Annual  Report on Form 10-KSB as filed with
the Securities and Exchange  Commission (the  "Commission"),  for the year ended
May 31, 1996 (the "Star Form 10-KSB"), (ii) all registration statements filed by
Star and  declared  effective  under the  Securities  Act since  January 1, 1994
through  the  date  hereof,   and  (iii)  all  other  reports,   statements  and
registration statements (including Current Reports on Form 8-K) filed by it with
the  Commission  since  January 1, 1994  through the date  hereof.  The reports,
statements and registration  statements referred to in the immediately preceding
sentence (including,  without limitation,  any financial statements or schedules
or other  information,  included  or  incorporated  by  reference  therein)  are
referred to in this  Agreement as the "Star SEC  Filings." As of the  respective
times such documents were filed or, as applicable,  became  effective,  the Star
SEC Filings complied as to form and content, in all material respects,  with the
requirements of the Securities Act and the Exchange Act, as the case may be, and
the rules and regulations promulgated thereunder, and did not contain any untrue
statement of a material  fact or omit to state any material  fact required to be
stated  therein or necessary  to make the  statements  therein,  in light of the
circumstances  under  which  they  were  made,  not  misleading.  The  financial
statements of Star included in the Star SEC




                                       10
<PAGE>


Filings  were  prepared  in  accordance  with  generally   accepted   accounting
principles  (as in effect from time to time)  applied on a consistent  basis and
(except as may be indicated  therein or in the notes thereto) present fairly the
consolidated   financial  position,   consolidated  results  of  operations  and
consolidated  cash flows of Star and the Star  Subsidiaries  as of the dates and
for the periods indicated subject, in the case of unaudited interim consolidated
financial  statements,  to normal recurring  year-end  adjustments and any other
adjustments described therein.

           3.8  Absence of Certain  Changes  or Events.  Since May 31,  1996 and
except as disclosed  in the Star SEC Filings  made through the date hereof,  the
business of Star and of each of the Star  Subsidiaries has been conducted in the
ordinary  course,  and there has not been (i) any material adverse change in the
condition  (financial or otherwise),  results of operations,  business,  working
capital,  assets,  liabilities  or prospects of Star and the Star  Subsidiaries,
taken as a whole; (ii) any indebtedness  incurred by Star or any Star Subsidiary
for money borrowed; (iii) any material transaction or commitment,  except in the
ordinary course of business or as  contemplated by this Agreement,  entered into
by Star or any of the Star Subsidiaries;  (iv) any damage,  destruction or loss,
whether  covered by insurance or not,  which,  individually or in the aggregate,
would have a Material Adverse Effect on Star; (v) any declaration, setting aside
or payment of any  dividend  (whether  in cash,  securities  or  property)  with
respect to the Star Common  Stock;  (vi) any  material  agreement to acquire any
assets or stock or other interests of any third party; (vii) any increase in the
compensation  payable or to become payable by Star or any Star Subsidiary to any
employees,  officers,  directors  or  consultants  or in any  bonus,  insurance,
welfare, pension or other employee benefit plan, payment or arrangement made to,
for or with any such employee,  officer,  director or consultant  (other than as
provided in employment agreements, consulting agreements and welfare and benefit
plans in existence as of the date hereof,  and except for  increases  consistent
with  past  practice);  (viii)  any  material  revaluation  by Star or any  Star
Subsidiary of any asset (including,  without limitation, any writing down of the
value of  inventory  or writing off of notes or accounts  receivable);  (ix) any
material  change by Star in accounting  principles or methods  except insofar as
may be required by a change in generally accepted accounting principles; (x) any
mortgage  or  pledge  of any of the  assets  or  properties  of Star or any Star
Subsidiary  or the  subjection of any of the assets or properties of Star or any
Star Subsidiary to any material liens, charges,  encumbrances,  imperfections of
title,  security  interest,  options or rights or claims of other  with  respect
thereto; or (xi) any assumption or guarantee by Star or a Star Subsidiary of the
indebtedness of any person or entity.

           3.9  Representations   Complete.   None  of  the  representations  or
warranties  made  by  Star or  Merger  Sub  herein  or in any  Schedule  hereto,
including the Star  Disclosure  Schedule,  or  certificate  furnished by Star or
Merger Sub pursuant to this  Agreement,  or the Star SEC Filings,  when all such
documents are read together in their  entirety,  contains or will contain at the
Effective Time any untrue statement of a material fact, or omits or will omit at
the  Effective  Time to state any material  fact  necessary in order to make the
statements  contained herein or therein, in the light of the circumstances under
which made, not misleading.





                                       11
<PAGE>


           3.10 No Default.  Neither Star nor any of the Star Subsidiaries is in
default or violation  (and no event has occurred  which with notice or the lapse
of time or both would constitute a default or violation) of any term,  condition
or  provision  of (i) its  charter or  Bylaws,  (ii) any note,  bond,  mortgage,
indenture,  license, agreement,  contract, lease, commitment or other obligation
to which Star or any of the Star Subsidiaries is a party or by which they or any
of their properties or assets may be bound, or (iii) any order, writ injunction,
decree,  statute,  rule or  regulation  applicable  to  Star or any of the  Star
Subsidiaries, except in the case of clauses (ii) and (iii) above for defaults or
violations which would not have a Material Adverse Effect on Star.

           3.11 Brokers. Neither Star nor Merger Sub has paid or is obligated to
pay any fee or  commission  to any broker,  finder,  investment  banker or other
intermediary in connection with this Agreement.

                                   ARTICLE IV

                     REPRESENTATIONS AND WARRANTIES OF EFCC

           EFCC represents and warrants to Star and Merger Sub as follows:

           4.1 Corporate  Organization.  Each of EFCC and its Subsidiaries  (the
"EFCC  Subsidiaries")  is a corporation duly organized,  validly existing and in
good standing under the laws of the jurisdiction of its incorporation,  with all
requisite corporate power and authority to own, operate and lease its properties
and to carry on its business as it is now being  conducted,  and is qualified or
licensed to do business and is in good  standing in each  jurisdiction  in which
the failure to be so qualified or licensed,  individually  or in the  aggregate,
would have a material adverse effect on the condition  (financial or otherwise),
results  of  operations,  business,  working  capital,  assets,  liabilities  or
prospects  of EFCC and the  EFCC  Subsidiaries  taken  as a whole  (a  "Material
Adverse  Effect  on  EFCC").  The EFCC  disclosure  schedule  delivered  by EFCC
herewith (the "EFCC Disclosure  Schedule") contains a complete and accurate list
of all of the EFCC  Subsidiaries.  Neither  EFCC nor any EFCC  Subsidiary  is in
violation of any  provision of its charter or Bylaws which could have a Material
Adverse Effect on EFCC.  EFCC, at the Effective  Time, will own 100% of TPC Home
Care  Services,  Inc.  ("TPC") and all rights and  properties of TPC (other than
with respect to shares held by dissenters, subject to the limitations set out in
Section  6.3(k)  hereof,  in a  contemplated  stock for stock  merger  (the "TPC
Merger") of TPC with and into EFCC).

           4.2 Capital  Stock.  As of the date hereof,  the  authorized  capital
stock of EFCC  consists in its  entirety of  60,000,000  shares,  consisting  of
50,000,000  shares of common stock,  $.01 par value,  and  10,000,000  shares of
preferred  stock,  $.01 par value,  ("EFCC Preferred  Stock").  As of January 2,
1997,  32,000,226  shares of EFCC Common  Stock and no shares of EFCC  Preferred
Stock were  issued and  outstanding  and (ii) no options to acquire  EFCC Common
Stock were outstanding.  All of the outstanding  shares of capital stock of each
of the EFCC Subsidiaries are owned  beneficially and of record by EFCC or a EFCC
Subsidiary free and clear





                                       12
<PAGE>


of all  liens,  charges,  encumbrances,  options,  rights  of first  refusal  or
limitations  or agreements  regarding  voting  rights of any nature.  All of the
outstanding  shares of capital  stock of EFCC and each of the EFCC  Subsidiaries
have been validly issued and are fully paid and nonassessable.

           4.3  Options or Other  Rights.  Except as  disclosed  in Section  4.2
hereto,  or as  otherwise  contemplated  by  Section  4.1  hereof,  there  is no
outstanding right,  subscription,  warrant,  call, unsatisfied preemptive right,
option or other agreement or arrangement of any kind to purchase or otherwise to
receive from EFCC or any EFCC Subsidiary any of the outstanding,  authorized but
unissued,  unauthorized  or  treasury  shares of the  common  stock or any other
security of EFCC or any EFCC Subsidiary and there is no outstanding  security of
any kind  convertible  into or  exchangeable  for such capital stock.  Except as
disclosed in Section 4.3 of the EFCC Disclosure  Schedule,  no options or rights
to acquire equity  securities  granted by EFCC have provisions  which accelerate
the vesting or right to exercise  such options or rights or terminate any rights
upon the consummation of the Merger.

           4.4 Authority  Relative to this and Other  Agreements.  EFCC has full
corporate  power and  authority  to execute  and  deliver  this  Agreement,  the
Consulting  Agreement  and  the  Management  Agreement  and  to  consummate  the
transactions  contemplated  on its part hereby and thereby.  The  execution  and
delivery of such  agreements by EFCC and the  consummation  of the  transactions
contemplated  on its part  hereby or thereby  have been duly  authorized  by its
Board of  Directors,  and,  other than the  approval of EFCC's  shareholders  as
provided  in Section 5.1 hereof or as  otherwise  disclosed  in Section  4.3, no
other  corporate  proceedings on the part of EFCC are necessary to authorize the
execution  and delivery of such  agreements by EFCC or the  consummation  of the
transactions  contemplated  on its part hereby or thereby.  Such agreements have
been duly  executed  and  delivered by EFCC,  and  constitute  legal,  valid and
binding  obligations of EFCC,  enforceable against EFCC in accordance with their
terms,  except  to  the  extent  that  such  enforceability  may be  limited  by
applicable  bankruptcy,  insolvency,  reorganization or other laws affecting the
enforcement of creditors' rights generally or by general equity principles. Each
of Arbor and Coss and Gary Melius,  as voting trustee,  as to the shares of EFCC
owned by Coss, (the "Voting  Trustee") under that certain Voting Trust Agreement
dated as of June 20, 1996 by and between Cosmetic Sciences, Inc., Coss and Arbor
and the Voting  Trustee  (the  "Voting  Trust") has full power and  authority to
execute and deliver the EFCC  Shareholders  Agreement,  the irrevocable  proxies
contemplated thereby and the Escrow Agreement and to consummate the transactions
contemplated  on  their  part  thereby.  The  execution  and  delivery  of  such
agreements by Arbor,  Coss and the Voting  Trustee and the  consummation  of the
transactions  contemplated on their part thereby have been duly authorized,  and
no other  proceedings on their part are necessary to authorize the execution and
delivery  of  such  agreements  by  them  or the  consummation  of  transactions
contemplated  on their part thereby.  Such agreements have been (or, in the case
of the Escrow Agreement,  will be) duly executed and delivered by each of Arbor,
Coss and the Voting  Trustee  (and Mr.  Ivan  Kaufman  with  respect to the EFCC
Shareholders  Agreement),  and  constitute  (or,  in  the  case  of  the  Escrow
Agreement,  will  constitute) a legal,  valid and binding  obligation of each of
Arbor,  Coss and the Voting  Trustee  (and Mr. Ivan  Kaufman with respect to the
EFCC Shareholders Agreement), enforceable




                                       13
<PAGE>


against  each of them (and him,  as the case may be) in  accordance  with  their
terms,  except  to  the  extent  that  such  enforceability  may be  limited  by
applicable  bankruptcy,  insolvency,  reorganization or other laws affecting the
enforcement of creditors' rights generally or by general equity principles.

           4.5 No  Violation.  Except as  disclosed  in Section  4.5 of the EFCC
Disclosure Schedule, the execution,  delivery and performance of this Agreement,
the Consulting Agreement and the Management Agreement by EFCC and the execution,
delivery and  performance of the EFCC  Shareholders  Agreement,  the irrevocable
proxies  contemplated thereby and the Escrow Agreement by Arbor and Coss and the
consummation by each of them of the transactions contemplated hereby and thereby
will not (i) violate or conflict  with any  provision of any law  applicable  to
EFCC,  any EFCC  Subsidiary,  Arbor or Coss or by which any of their  respective
properties or assets are bound, (ii) except for the Management Agreement,  which
is subject to the approval of the  Commissioner of the New York State Department
of Health, require the consent, waiver, approval, license or authorization of or
any filing by EFCC, any EFCC Subsidiary, Arbor or Coss with any public authority
(other  than (A) the  filing  of a  pre-merger  notification  report  under  the
Hart-Scott-Rodino  Antitrust Improvements Act of 1976, as amended, and the rules
and regulations promulgated thereunder (the "HSR Act") and the expiration of the
applicable  waiting  period,  (B) in connection  with or in compliance  with the
provisions of the Exchange Act, the  Securities  Act, the BCL, the Bylaws of the
National Association of Securities Dealers, Inc. or the "takeover" or "blue sky"
laws of various  states,  (C) the approval by the New York State  Public  Health
Counsel required  pursuant to Section 3611-a of the New York State Public Health
Law and the rules and regulations  thereunder and any similar approvals required
by New Jersey State law,  rules or  regulations,  and (D) any other  filings and
approvals expressly contemplated by this Agreement) or, (iii) violate,  conflict
with or result in a breach of or the  acceleration  of any obligation  under, or
constitute a default (or an event which with notice or the lapse of time or both
would  become a  default)  under,  or gives to others any right of, or result in
any,  termination,  amendment,  acceleration or cancellation  of, or loss of any
benefit or creation of a right of first  refusal or result in the  creation of a
lien or other encumbrance on any property or asset of EFCC, any EFCC Subsidiary,
Arbor or Coss pursuant to or under any provision of any charter or bylaw, or the
express  terms  of  any  written  indenture,  mortgage,  lien,  lease,  license,
agreement,  contract,  instrument,  order, judgment,  ordinance, EFCC Permit (as
defined below),  law,  regulation or decree to which EFCC, any EFCC  Subsidiary,
Arbor or Coss is subject or by which EFCC, any EFCC Subsidiary, Arbor or Coss or
any of their respective properties or assets are bound, except where the failure
to give such notice, make such filings, or obtain such authorizations, consents,
waivers, licenses or approvals, or where such violations,  conflicts,  breaches,
defaults,  terminations,  amendments,  accelerations,   cancellations,  loss  of
rights, liens or encumbrances,  individually or in the aggregate, would not have
a  Material  Adverse  Effect  on EFCC or on EFCC's  ability  to  consummate  the
transactions contemplated hereby.






                                       14
<PAGE>


           4.6 Compliance with Laws.

                      (a) EFCC  and  each  EFCC  Subsidiary  hold all  licenses,
permits   and  other   authorizations   necessary   to  conduct   its   business
(collectively,  "EFCC Permits"), are certified as providers under all applicable
Medicare and Medicaid  programs to the extent  required to be so certified,  and
are in compliance  with all EFCC Permits and all federal,  state and other laws,
rules,  regulations,  ordinances and orders  governing its business,  including,
without  limitation,  the  requirements,  guidelines,  rules and  regulations of
Medicare,  Medicaid and other third-party  reimbursement programs,  except where
the failure to hold such  licenses,  permits and other  authorizations  or to so
comply would not be material to the financial condition,  results of operations,
business or properties of EFCC and the EFCC  Subsidiaries  taken as a whole. The
EFCC Permits are in full force and effect.

                      (b) All health care personnel employed by EFCC or any EFCC
Subsidiary are properly licensed to the extent required to perform the duties of
their employment in each  jurisdiction  where such duties are performed,  except
where the  failure to be so  licensed  would not be  material  to the  financial
condition,  results of  operations,  business or properties of EFCC and the EFCC
Subsidiaries taken as a whole.

                      (c) No  action  or  proceeding  is  pending  or, to EFCC's
knowledge,  threatened that may result in suspension,  revocation or termination
of  any  EFCC  Permit,  the  issuance  of  any  cease-and-desist  order,  or the
imposition of any administrative or judicial sanction,  and neither EFCC nor any
EFCC  Subsidiary  has  received  any notice from any  governmental  authority in
respect of the suspension,  revocation or termination of any EFCC Permit, or any
notice  of  any  intention  to  conduct  any   investigation  or  institute  any
proceeding,  in any such case where such  suspension,  revocation,  termination,
order, sanction, investigation, or proceeding would be material to the financial
condition,  results of  operations,  business or properties of EFCC and the EFCC
Subsidiaries taken as a whole.

                      (d)  Neither  EFCC nor any EFCC  Subsidiary  has  received
notice that Medicare,  Medicaid or any other third-party  reimbursement  program
has any claims for  disallowance of costs against any of them which could result
in material offsets against future  reimbursement or recovery of prior payments,
which  offsets or  recoveries  have not been  reserved  for in EFCC's  financial
statements.

           4.7  Litigation.  Except  as set  forth  in  Section  4.7 of the EFCC
Disclosure Schedule or in the EFCC SEC Filings (as defined below) made as of the
date hereof, there are no suits, arbitrations, mediations, actions, proceedings,
unfair labor practice  complaints or grievances pending or, to EFCC's knowledge,
threatened  against EFCC or any EFCC  Subsidiary or with respect to any property
or  asset  of any  of  them  before  any  court,  arbitrator,  administrator  or
governmental  or  regulatory  authority  or body which,  individually  or in the
aggregate,  would have a Material  Adverse Effect on EFCC.  Neither EFCC nor any
EFCC Subsidiary nor any property




                                       15
<PAGE>


or asset of any of them is subject to any order, judgment,  injunction or decree
which, individually or in the aggregate, would have a Material Adverse Effect on
EFCC.

           4.8 Financial Statements and Reports. EFCC has made available to Star
true and  complete  copies of (i) its Annual  Report on Form 10-KSB for the year
ended December 31, 1995 (the "EFCC 10-KSB"), as filed with the Commission,  (ii)
its  proxy  statement  relating  to  its  most  recent  annual  meeting  of  its
shareholders,  (iii)  all  registration  statements  filed by EFCC and  declared
effective under the Securities Act since January 1, 1994 through the date hereof
and (iv) all other reports,  statements and registration  statements  (including
Current  Reports  on Form 8-K)  filed by it with the  Commission  subsequent  to
January  1,  1994  through  the  date  hereof.   The  reports,   statements  and
registration  statements  referred  to in  the  immediately  preceding  sentence
(including,  without limitation,  any financial statements or schedules or other
information  included or incorporated  by reference  therein) are referred to in
this  Agreement  as the "EFCC SEC  Filings."  As of the  respective  times  such
documents were filed or, as applicable,  became effective,  the EFCC SEC Filings
complied as to form and content, in all material respects, with the requirements
of the  Securities  Act and the Exchange  Act, as the case may be, and the rules
and regulations promulgated thereunder, and did not contain any untrue statement
of a material  fact or omit to state any  material  fact  required  to be stated
therein  or  necessary  to  make  the  statements   therein,  in  light  of  the
circumstances  under  which  they  were  made,  not  misleading.  The  financial
statements  of EFCC included in the EFCC SEC Filings were prepared in accordance
with generally accepted  accounting  principles (as in effect from time to time)
applied on a consistent basis and (except as may be indicated  therein or in the
notes thereto) present fairly the consolidated financial position,  consolidated
results  of  operations  and  consolidated  cash  flows  of EFCC  and  the  EFCC
Subsidiaries as of the dates and for the periods indicated subject,  in the case
of unaudited  interim  consolidated  financial  statements,  to normal recurring
year-end adjustment and any other adjustment  described therein.  Since December
31, 1995,  there has been no change in accounting  principles  applicable to, or
methods of accounting  utilized by, EFCC.  The books and records of EFCC and the
EFCC  Subsidiaries  have been and are being  maintained in accordance  with good
business practice, reflect only valid transactions,  are complete and correct in
all material respects, and present fairly in all material respects the basis for
the  financial  position  and  results  of  operations  of  EFCC  and  the  EFCC
Subsidiaries set forth in the financial  statements of EFCC included in the EFCC
SEC Filings.

           4.9 Absence of Certain  Changes or Events.  Since  December 31, 1995,
except as  expressly  disclosed  in the EFCC SEC Filings  made  through the date
hereof and except  with  respect to the sale by TPC prior to the date  hereof of
certain  assets  to  Public  Services,   Inc.  (the  "Asset  Sale"),  (the  full
description  and  terms  of  which  are set  forth  in  Section  4.9 of the EFCC
Disclosure Schedule),  the business of EFCC and of each of the EFCC Subsidiaries
has been  conducted  in the  ordinary  course,  and  there  has not been (i) any
material  adverse change in the condition  (financial or otherwise),  results of
operations, business, working capital, assets, liabilities, or prospects of EFCC
and the EFCC Subsidiaries,  taken as a whole; (ii) any indebtedness  incurred by
EFCC or any EFCC Subsidiary for money borrowed;  (iii) any material  transaction
or commitment,  except in the ordinary  course of business or as contemplated by
this




                                       16
<PAGE>


Agreement or as set forth in Section 4.9 of the EFCC  Disclosure  Schedule or in
the EFCC SEC Filings, entered into by EFCC or any of the EFCC Subsidiaries; (iv)
any damage,  destruction or loss,  whether  covered by insurance or not,  which,
individually or in the aggregate,  would have a Material Adverse Effect on EFCC;
(v) except for the EFCC  Dividend  and except as set forth in Section 4.9 of the
EFCC  Disclosure  Schedule,  any  declaration,  setting  aside or payment of any
dividend  (whether in cash,  securities  or  property)  with respect to the EFCC
Common  Stock;  (vi) any  material  agreement  to acquire any assets or stock or
other  interests  of any  third-party;  (vii) any  increase in the  compensation
payable  since the filing of EEFC's Form 10-QSB for the period  ended  September
30, 1996 or to become  payable by EFCC or any EFCC  Subsidiary to any employees,
officers, consultants, or directors or in any bonus, insurance, welfare, pension
or other employee benefit plan,  payment or arrangement made to, for or with any
such  employee,  officer,  director  or  consultant  (other  than as provided in
employment  agreements,  consulting agreements and welfare and benefit plans set
forth on the EFCC Disclosure  Schedule or any increase in the cash  compensation
payable to non-officer  employees to the extent consistent with past practice if
the rate of total annual compensation for any individual would not increase such
individual's  rate of total annual  compensation  by more than five percent (5%)
over  such  individual's  rate  of  total  compensation);  (viii)  any  material
revaluation  by EFCC or any EFCC  Subsidiary  of any asset  (including,  without
limitation,  any writing  down of the value of inventory or writing off of notes
or  accounts  receivable);  (ix)  any  material  change  by EFCC  in  accounting
principles or methods except insofar as may be required by a change in generally
accepted accounting principles;  (x) any mortgage or pledge of any of the assets
or  properties of EFCC or any EFCC  Subsidiary  or the  subjection of any of the
assets or  properties  of EFCC or any EFCC  Subsidiary  to any  material  liens,
charges,  encumbrances,  imperfections of title,  security interest,  options or
rights or claims of others  with  respect  thereto;  or (xi) any  assumption  or
guarantee  by EFCC or a EFCC  Subsidiary  of the  indebtedness  of any person or
entity.

           4.10 Employee Benefit Plans and Employment Matters.

                      (a) Section 4.10 of the EFCC Disclosure Schedule lists all
employee benefit plans,  collective bargaining  agreements,  labor contracts and
employment  agreements  not otherwise  disclosed in the EFCC SEC Filings,  which
provide for the annual payment of more than $25,000 in which EFCC  participates,
or by which it is bound, including,  without limitation: (i) any profit sharing,
deferred compensation,  bonus, stock option, stock purchase,  pension,  welfare,
and incentive plan or agreement;  (ii) any plan providing for "fringe  benefits"
to its employees,  including, but not limited to, vacation, sick leave, medical,
hospitalization and life insurance;  (iii) any written employment  agreement and
any  other  employment  agreement  not  terminable  at will;  and (iv) any other
"employee  benefit  plan"  (within the meaning of Section 3(3) of ERISA) that is
not  exempted  from the coverage of ERISA by reason of the  Department  of Labor
regulations. EFCC is in compliance in all material respects with the requirement
prescribed by all laws currently in effect  applicable to employee benefit plans
and to any employment  agreement,  including,  but not limited to, ERISA and the
Code. EFCC has performed all of its obligations  under all such employee benefit
plans and employment  agreements in all material  respects.  There is no pending
or,  to  the  knowledge  of  EFCC,   threatened  legal  action,   proceeding  or
investigation




                                       17
<PAGE>


against or  involving  any EFCC  employee  benefit  plan which could result in a
material amount of liability to such employee benefit plan or to EFCC.

                      (b) EFCC does not sponsor or  participate  in, and has not
sponsored or participated in, any employee benefit pension plan to which Section
4021 of ERISA  applies that would create a material  amount of liability to EFCC
under Title IV of ERISA.

                      (c) EFCC does not sponsor or  participate  in, and has not
sponsored  or  participated  in, any  employee  benefit  pension  plan that is a
"multiemployer  plan"  (within the meaning of Section 3(37) of ERISA) that would
subject EFCC to any material amount of liability with respect to any such plan.

                      (d) All group health  plans of EFCC have been  operated in
compliance  with the group health plan  continuation  coverage  requirements  of
Section  4980B  of the  Code  in all  material  respects,  to  the  extent  such
requirements are applicable.

                      (e) There have been no acts or omissions by EFCC that have
given rise to or may give rise to a material amount of fines, penalties,  taxes,
or related charges under Sections 502(c) or 4071 of ERISA or under Chapter 43 of
the Code.

                      (f) No  "reportable  event," as  defined in ERISA  Section
4043, other than those events with respect to which the Pension Benefit Guaranty
Corporation has waived the notice requirement,  has occurred with respect to any
of the employee benefit plans of EFCC.

                      (g) Section 4.9 of the EFCC Disclosure Schedule sets forth
the name of each  director,  officer or employee of EFCC entitled to receive any
material amount of benefit or payment under any existing  employment  agreement,
severance plan or other benefit plan solely as a result of the  consummation  of
any transaction  contemplated  by this Agreement,  and with respect to each such
person,  the nature of such  benefit or the  amount of such  payment,  the event
triggering  the  benefit or  payment,  and the date of,  and  parties  to,  such
employment agreement, severance plan or other benefit plan.

                      (h) EFCC  has  made  available  to Star  true and  correct
copies of all plan  documents and employment  agreements  referred to on Section
4.10 of the EFCC Disclosure Schedule,  including all amendments thereto, and all
related summary plan descriptions to the extent that one is required by law.

                      (i) For purposes of this Section  4.10,  any  reference to
"EFCC" shall be deemed to include a reference  to any entity that is  aggregated
with EFCC under the  provisions  of Section 414 of the Code,  to the extent that
those aggregation rules apply.




                                       18
<PAGE>



                      (j) At all  times  during  the  pendency  of the  employee
benefit plans  referenced in the EFCC SEC Filings or in Section 4.10 of the EFCC
Disclosure  Schedule,  EFCC has had fewer than 100 employees enrolled in each of
such plans.

           4.11 Labor Matters. Neither EFCC nor any EFCC Subsidiary has executed
any collective bargaining agreement with respect to any of their employees. None
of the  employees of EFCC or any EFCC  Subsidiary  is  represented  by any labor
union. To the knowledge of EFCC, there is no activity involving any employees of
EFCC or the EFCC Subsidiaries seeking to certify a collective bargaining unit or
engaging in any other organizational activity.

           4.12 Insurance.  EFCC and the EFCC  Subsidiaries  maintain  insurance
against such risks and in such amounts as EFCC reasonably believes are necessary
to conduct its business. All policies of fire, liability,  workers' compensation
and other forms of insurance maintained by EFCC or the EFCC Subsidiaries are set
forth in Section 4.12 of the EFCC Disclosure Schedule.  All such policies are in
full force and effect and all premiums  required to be paid with respect thereto
have been paid for all periods up to and including the date hereof. EFCC and the
EFCC  Subsidiaries  are  not  in  default  with  respect  to any  provisions  or
requirements  of any such  policy nor have any of them  failed to give notice or
present any claim thereunder in a due and timely fashion, except for defaults or
failures  which,  individually  or in the  aggregate,  would not have a Material
Adverse  Effect on EFCC.  Neither EFCC nor any EFCC  Subsidiary has received any
notice  of  cancellation  or  termination  in  respect  of any of its  insurance
policies.

           4.13  Environmental  Matters.  EFCC and the EFCC  Subsidiaries are in
compliance with all environmental laws, and have obtained all necessary licenses
and permits  required to be issued  pursuant to any  environmental  law,  except
where  the  failure  to so  comply  or  to  obtain  such  licenses  or  permits,
individually  or in the aggregate,  would not have a Material  Adverse Effect on
EFCC.  Neither  EFCC  nor  any  EFCC  Subsidiary  has  received  any  notice  or
communication  from any  governmental  agency with respect to (i) any  hazardous
substance   relative  to  its  operations,   property  or  assets  or  (ii)  any
investigation,  demand or request  pursuant to enforcing any  environmental  law
relating to it or its operations,  and no such  investigation  is pending or, to
the knowledge of EFCC,  threatened,  in any case, which would lead to a Material
Adverse Effect on EFCC.

           4.14 Tax Matters.  (a) EFCC and each EFCC Subsidiary (for purposes of
this Section 4.14,  EFCC  Subsidiary  shall also include all  corporations  that
were, at any time prior to the Effective Time,  subsidiaries of EFCC,  including
but not  limited  to TPC):  (i) has duly and timely  filed with the  appropriate
authorities  all Tax Returns (as  defined  below)  required to be filed by or on
behalf of (or which  includes) EFCC or any EFCC Subsidiary on or before the date
hereof,  which Tax Returns are true,  correct  and  complete,  (ii) has duly and
timely  paid or caused to be timely  paid all Taxes (as  defined  below) due and
payable in respect of all periods up to and including the date hereof, and (iii)
has properly accrued on the Financial Statements all Taxes not




                                       19
<PAGE>


yet  payable in respect of all  periods  up to and  including  the date  hereof.
Section  4.14  of the  EFCC  Disclosure  Schedule  sets  forth  a list  of  each
jurisdiction  in which EFCC or any EFCC  Subsidiary  has filed or is required to
file a Tax Return, the type of Tax and the type of Tax Return filed or required.
EFCC has  provided  Star with a copy of each Tax Return filed by or on behalf of
EFCC or any EFCC  Subsidiary  (or which  includes  EFCC or any EFCC  Subsidiary)
within the last three years.  EFCC and each EFCC  Subsidiary has duly and timely
withheld or collected,  paid over and reported all Taxes required to be withheld
or collected by it on or before the date hereof.  Except as set forth in Section
4.14 of the EFCC  Disclosure  Schedule:  (A) no taxing  authority  has  claimed,
proposed or asserted any adjustment  that could result in the creation of, or an
increase in, any deficiency in any Tax for which EFCC or any EFCC  Subsidiary is
or may be liable or which relates to the income, assets or operations of EFCC or
any EFCC Subsidiary; (B) to the knowledge of EFCC or any EFCC Subsidiary,  there
is no pending or threatened audit, investigation, proceeding or claim respecting
any Tax for  which  EFCC or any EFCC  Subsidiary  is or may be  liable  or which
relates to the income, assets or operations of EFCC or any EFCC Subsidiary;  (C)
no statute of  limitations  relating to the  assessment or collection of any Tax
for which EFCC or any EFCC  Subsidiary  is or may become  liable or subject  has
been waived or extended;  (D) neither EFCC nor any EFCC Subsidiary is a party to
any agreement, contract or arrangement that would result, individually or in the
aggregate,  in the payment of any amount that would not be  deductible by reason
of Section 162 (unless  required to be capitalized  under Section 263 or 263A of
the  Code),  Section  280G or  Section  404 of the  Code,  and  the  regulations
promulgated  thereunder;  (E) neither EFCC nor any EFCC Subsidiary is a party to
any Tax sharing or Tax  allocation  agreement;  (F) there are no liens for Taxes
upon the  assets of EFCC or any EFCC  Subsidiary  except for liens for Taxes not
yet due and payable;  and (G) neither EFCC nor any EFCC  Subsidiary is a foreign
person  (within  the  meaning of Section  7701 of the Code).  EFCC and each EFCC
Subsidiary  have  adequately  disclosed  on its  federal  income Tax Returns all
positions taken therein that could give rise to a substantial  understatement of
federal income tax within the meaning of Section 6662 of the Code.  Neither EFCC
nor any EFCC  Subsidiary  is a  "consenting  corporation"  within the meaning of
Section  341(f) of the Code.  No Tax is  required  to be  withheld  pursuant  to
Section 1445 of the Code as a result of the  transactions  contemplated  by this
Agreement.  Neither EFCC nor any EFCC  Subsidiary has ever made or been required
to make an  election  under  Section 338 of the Code (or any  comparable  state,
local  or  foreign  Tax  provision).  None of the  assets  of  EFCC or any  EFCC
Subsidiary is required to be treated as being owned by any other person pursuant
to the "safe harbor"  leasing  provisions  of Section  168(f)(8) of the Internal
Revenue Code of 1954, as in effect prior to the repeal of said provision (or any
comparable  state,  local or  foreign  Tax  provision).  Any Tax  Sharing or Tax
Allocation  Agreement listed in Section 4.14 of the EFCC Disclosure Schedule has
been  terminated on or before the date hereof without  obligation of EFCC or any
EFCC Subsidiary.

           For purposes of this Agreement, "Tax" means any tax, fee, levy, duty,
assessment or other  governmental  charge imposed by any governmental  authority
(including without limitation any income, franchise,  gross receipts,  property,
sales,  use,  excise,  services,  value added, ad valorem,  withholding,  social
security,   estimated,   accumulated  earnings,  transfer,  license,  privilege,
payroll, profits, capital stock, employment, unemployment, severance, stamp,




                                       20
<PAGE>


minimum, environmental, occupancy, customs or occupation tax), including without
limitation any liability therefor as a result of Treasury Regulation ss.1.1502-6
(or any  comparable  state,  local or foreign Tax  provision),  as a  transferee
(including  under  Section 6901 of the Code or any  comparable  state,  local or
foreign Tax  provision) or as a result of any Tax sharing or similar  agreement,
and any interest,  additions to tax and penalties in connection therewith.  "Tax
Return" means any return,  declaration,  report,  estimate,  claim,  information
return or statement and any  amendment  thereto,  together  with any  supporting
information  or  schedules,  which  is  filed  or  required  to be  filed  under
applicable law in connection  with the  determination,  assessment,  collection,
payment,  refund  or  administration  of any  Tax,  whether  on a  consolidated,
combined, unitary or separate basis or otherwise.

           4.15  Intellectual  Property.  EFCC  and the EFCC  Subsidiaries  own,
possess or have the right to use all franchises,  patents,  trademarks,  service
marks, tradenames, licenses and authorizations (collectively, "EFCC Intellectual
Property  Rights")  set forth in Section 4.15 of the EFCC  Disclosure  Schedule,
which are  necessary to the conduct of their  respective  businesses.  Except as
disclosed in the EFCC SEC Filings,  to the  knowledge of EFCC,  neither EFCC nor
any EFCC  Subsidiary  is  infringing  or otherwise  violating  the  intellectual
property rights of any person which infringement or violation would subject EFCC
or any EFCC  Subsidiary to  liabilities  which,  individual or in the aggregate,
would have a Material  Adverse Effect on EFCC or which would prevent EFCC or any
EFCC Subsidiary from conducting their respective businesses substantially in the
manner in which they are now being  conducted.  Except as  disclosed in the EFCC
SEC Filings, no claim has been made or, to EFCC's knowledge,  threatened against
EFCC or any EFCC Subsidiary alleging any such violation.

           4.16 Related Party Transactions.  Except as disclosed in Section 4.16
of the EFCC Disclosure  Schedule or in the EFCC SEC Filings,  there have been no
material  transactions  between EFCC or any EFCC Subsidiary on the one hand, and
any (i)  officer or director  of EFCC or any EFCC  Subsidiary  or (ii) record or
beneficial owner of five percent or more of the voting securities of EFCC.

           4.17 No Undisclosed  Material  Liabilities.  Other than  professional
fees  related to the  transactions  contemplated  by this  Agreement  hereby and
except as  disclosed  in the EFCC SEC  Filings  or in  Section  4.17 of the EFCC
Disclosure Schedule,  neither EFCC nor any of the EFCC Subsidiaries has incurred
any liabilities of any kind whatsoever,  whether accrued, contingent,  absolute,
determined,  determinable or otherwise,  that, individually or in the aggregate,
would have a Material  Adverse  Effect on EFCC other than  liabilities  under or
contemplated by this Agreement.

           4.18 No Default.  Neither EFCC nor any of the EFCC Subsidiaries is in
default or violation  (and no event has occurred  which with notice or the lapse
of time or both would constitute a default or violation) of any term,  condition
or  provision  of (i) its  charter or  Bylaws,  (ii) any note,  bond,  mortgage,
indenture,  license, agreement,  contract, lease, commitment or other obligation
to which EFCC or any of the EFCC Subsidiaries is a party or by which they or




                                       21
<PAGE>


any of their  properties  or assets  may be  bound,  or (iii)  any  order,  writ
injunction, decree, statute, rule or regulation applicable to EFCC or any of the
EFCC  Subsidiaries,  except  in the case of  clauses  (ii) and  (iii)  above for
defaults or violations which would not have a Material Adverse Effect on EFCC.

           4.19 Title to Properties; Encumbrances.

                      (a)  EFCC  and  the  EFCC   Subsidiaries   have  good  and
marketable  title to all of the Assets (as  hereinafter  defined)  reflected  as
owned by EFCC on the September 30, 1996 Balance Sheet and all Assets  thereafter
acquired by it (except for Assets  disposed of by it in the  ordinary  course of
business  or  pursuant  to the Asset  Sale).  The Assets are not  subject to any
mortgage,  security  interest,  pledge,  lien, claim,  encumbrance or charge, or
restraint or transfer  whatsoever and no currently effective financing statement
with  respect to any of its Assets has been filed under the  Uniform  Commercial
Code in any jurisdiction. Neither EFCC nor any EFCC Subsidiary is a party to any
financing  statement or any security  agreement  authorizing  any secured  party
thereunder  to file any financing  statement.  No person other than EFCC has any
right to the use or possession  of any of the Assets.  All Assets which are real
property or tangible  personal  property,  whether owned or leased,  are in good
operating  condition  and  repair,  excepting  normal  wear  and  tear,  and are
sufficient  to enable EFCC to operate its business in a manner  consistent  with
its operation during the immediately preceding twelve (12) months.

                      (b) Set forth on Section  4.19(b)  of the EFCC  Disclosure
Schedule is a true and correct list of leases,  conditional  sales,  licenses or
similar arrangements to which EFCC or any EFCC Subsidiary is a party or to which
EFCC or any EFCC Subsidiary or any Asset is subject.  EFCC has delivered to Star
a complete and correct copy of each lease,  conditional sale,  license and other
arrangement  listed in Section 4.19(b) of the EFCC Disclosure  Schedule.  All of
said  arrangements  are valid,  binding and enforceable in accordance with their
respective  terms and are in full force and  effect.  Neither  EFCC nor any EFCC
Subsidiary is in default under one or more of such  arrangements,  except to the
extent such defaults  would not have a Material  Adverse  Effect on EFCC and has
not received any written  notice  alleging  any  default,  set-off,  or claim of
default.  To the knowledge of EFCC, the parties to such  arrangements are not in
default of their  respective  obligations  under any of such  arrangements,  and
there has not occurred  any event  which,  with the passage of time or giving of
notice (or both),  would  constitute  such a default or breach under any of such
arrangements,  except to the  extent  such  default  or breach  would not have a
Material Adverse Effect on EFCC.

                      (c) As used  herein,  the term  "Assets"  means all of the
tangible  and  intangible  assets of EFCC and the EFCC  Subsidiaries  including,
without limitation,  all real property,  tangible personal property  (including,
without  limitation,  fixed  and  moveable  equipment,  trucks,  cars and  other
vehicles,  furnishings,  inventory and  supplies),  contract  rights,  leasehold
interests, goodwill, tradenames,  trademarks, patient records and files, patient
films, Medicare and Medicaid provider agreements and numbers,  telephone numbers
and,  to  the  extent  permitted  by  law,  all  permits,   licenses  and  other
governmental approvals.




                                       22
<PAGE>



           4.20 Contracts. Section 4.20 of the EFCC Disclosure Schedule contains
a complete and correct list of all of the following  categories  of  agreements,
contracts,  arrangements and commitments  ("Contracts"),  including summaries of
oral contracts (except  immaterial oral contracts  terminable at will), to which
EFCC or any EFCC Subsidiary or any of the Assets are bound,  including,  without
limitation:

                      (a) each  contract  or  agreement  for the  employment  or
retention of, or collective bargaining, severance or termination agreement with,
any  director,  officer,  employee,  consultant,  agent,  employee  or  group of
employees;

                      (b)  each  profit  sharing,   thrift,  bonus,   incentive,
deferred  compensation,  stock option,  stock purchase,  severance pay, pension,
retirement,  hospitalization,  insurance  or other  similar  plan,  agreement or
arrangement;

                      (c) each  agreement or  arrangement  (including  letter of
intent) for the purchase or sale of any assets, properties or rights outside the
ordinary course of business (by purchase or sale of assets,  purchase or sale of
capital stock, merger or otherwise) which is currently in effect;

                      (d) each contract which contains any provisions  requiring
EFCC or any EFCC Subsidiary to indemnify or act for, or guarantee the obligation
of, any other person or entity;

                      (e) each agreement restricting EFCC or any EFCC Subsidiary
from conducting business of any nature anywhere in the world;

                      (f) each  partnership or joint venture contract or similar
arrangement  or  agreement  which is likely to  involve a sharing  of profits or
future payments with respect to the business (or any portion thereof) of EFCC or
any EFCC Subsidiary;

                      (g) each agreement under which EFCC or any EFCC Subsidiary
is  to  acquire  or  contract  to  receive  the  services  of  any  health  care
professionals;

                      (h) each agreement to perform or provide  services for any
nursing home, health care facility or any other facility or individual;

                      (i) each agreement with a laboratory;

                      (j) each lease,  license,  conditional  sales  contract or
similar  arrangement for real or personal  property or any corporate name, trade
or service mark, copyright,  patent, process,  operational manual, technique and
similar property;





                                       23
<PAGE>


                      (k) each  other  agreement  not made in the  ordinary  and
normal course of business which involves consideration of more than $25,000; and

                      (l) each letter of intent or  agreement  in  principle  to
enter into any Contract (whether or not binding, in whole or in part).

           True, correct and complete copies of each Contract have been provided
or made  available  to Star  and  each  remains  in full  force  and  effect  in
accordance  with the copies  provided to Star. Each of the Contracts was entered
into and requires  performance only in the ordinary course of business.  EFCC is
not in material  default  under any  Contract and no default or right of set-off
has been  asserted,  either by or against EFCC under any  Contract,  except such
defaults or breaches  which,  individually  or in the aggregate would not have a
Material  Adverse  Effect on EFCC. To the knowledge of EFCC,  the parties to the
Contracts,  other  than  EFCC,  are  not in  material  default  of any of  their
respective  obligations  under the  Contracts,  and there has not  occurred  any
event,  which with the passage of time or the giving of notice (or both),  would
constitute a material default or breach under any Contract, except such defaults
or breaches  which,  individually  or in the aggregate would not have a Material
Adverse Effect on EFCC. All amounts payable by EFCC under the Contracts are on a
current basis. Except as set forth in Section 4.5 or 4.20 of the EFCC Disclosure
Schedule,  no Contract is terminable  nor requires a payment in the event of the
Merger or a change in control of EFCC.

           4.21  Medicare/Medicaid  Participation;  Accreditation.  All services
provided by EFCC and the EFCC Subsidiaries which are reimbursable by Medicaid or
Medicare are certified for full  participation in such programs,  have a current
and valid  provider  contract  with the Medicare and Medicaid  programs or other
third party reimbursement source (inclusive of managed care organizations),  are
in substantial compliance with the conditions of participation of such programs,
and  have  received  all  approvals  or  qualifications  necessary  for  capital
reimbursement (if applicable). Neither EFCC nor any EFCC Subsidiary has received
any notice of recoupment from nor has any material  liability for reimbursements
of any excess  payments  made by the Medicare or Medicaid  programs or any other
third party reimbursement source (inclusive of managed care organizations).

           4.22 Rate Tables and  Reimbursement.  EFCC has  provided to Star rate
tables that set forth a complete and correct  list of the rates  charged by EFCC
and the EFCC Subsidiaries to their various customers.  Neither EFCC nor any EFCC
Subsidiary is required to pay any Medicare or Medicaid refunds, and neither EFCC
nor any EFCC Subsidiary has paid any Medicare or Medicaid  refunds since January
1, 1994.

           4.23  Relationships.  Except as disclosed in the EFCC SEC Filings, no
controlling shareholder, partner or affiliate of EFCC has, or at any time within
the last two (2) years has had, an ownership interest in any business, corporate
or otherwise, that is a party to, or in any property that is the subject of, any
business relationship or arrangement of any kind relating




                                       24
<PAGE>


to the  operation or business of, or which may be binding upon,  EFCC,  any EFCC
Subsidiary or their Assets.

           4.24  Employees.  Section 4.24 of the EFCC  Disclosure  Schedule sets
forth a complete  and correct  list of the name,  position  and current  rate of
compensation and all other compensation  arrangements or fringe benefits of each
officer of EFCC and each EFCC Subsidiary.

           4.25 Questionable Payments. Neither EFCC, any EFCC Subsidiary nor any
of its  former  subsidiaries,  nor,  to the  knowledge  of EFCC,  any  director,
officer,  Affiliate or employee of EFCC or any of its former  subsidiaries:  (i)
has used any  corporate  funds of EFCC,  any EFCC  Subsidiary  or any of  EFCC's
former  subsidiaries  to make any  payment  to any  officer or  employee  of any
government,  or to any political party or official  thereof,  where such payment
either (A) is unlawful  under laws  applicable  thereto or (B) would be unlawful
under the Foreign Corrupt  Practices Act of 1977, as amended;  nor (ii) has used
any  corporate  funds  of  EFCC,  any  EFCC  Subsidiary  or any  of  its  former
subsidiaries  for making  payments to any person if such payment  constituted an
illegal  payment,  bribe,  kickback,  political  contribution  or other  similar
questionable payment.

           4.26 Representations Complete. As of the execution of this Agreement,
none of the representations or warranties made by EFCC herein or in any Schedule
hereto, including the EFCC Disclosure Schedule, or certificate furnished by EFCC
pursuant to this Agreement, or the EFCC SEC Filings, when all such documents are
read  together in their  entirety,  contains any untrue  statement of a material
fact,  or  omits to  state  any  material  fact  necessary  in order to make the
statements  contained herein or therein, in the light of the circumstances under
which made, not misleading.

           4.27  Brokers.  Neither EFCC nor any EFCC  Subsidiary  has paid or is
obligated to pay any fee or commission to any broker, finder,  investment banker
or other intermediary in connection with this Agreement.

           4.28  Minimum Net Worth,  Working  Capital  and Cash.  As of the date
hereof, the Adjusted Net Worth (as hereinafter defined) exceeds $1,500,000;  the
Adjusted Working Capital (as hereinafter  defined) exceeds  $1,050,000;  and the
Adjusted Cash (as hereinafter defined) exceeds $800,000.







                                       25
<PAGE>


                                    ARTICLE V

                            COVENANTS AND AGREEMENTS

           5.1 Proxy Statement/Prospectus; Registration Statement; Shareholders'
Meeting.

                      (a) Star and  EFCC  agree  that  this  Agreement  shall be
submitted  to their  respective  shareholders  for  approval  at  meetings  (the
"Meetings")  duly called and held pursuant to  applicable  state law. As soon as
practicable  after the date of this Agreement,  each of Star and EFCC shall take
all action,  to the extent necessary in accordance with applicable law and their
respective  Certificates of  Incorporation  and Bylaws,  to convene the Meetings
promptly  to  consider  and vote upon the  approval of the Merger and such other
matters  as may be  necessary  or  desirable  to  consummate  the Merger and the
transactions contemplated hereby.

                      As soon as practicable  after the date of this  Agreement,
EFCC and Star shall jointly prepare and file with (i) the Commission, subject to
the prior approval of the other party,  which approval shall not be unreasonably
withheld, preliminary joint proxy materials relating to the Meetings as required
by the Exchange  Act, and a  registration  statement on Form S- 4 (as amended or
supplemented,  the "Registration  Statement") relating to the registration under
the Securities Act of the shares of Star Common Stock issuable to the holders of
the  EFCC  Common  Stock,  and  (ii)  state  securities   administrators,   such
registration  statements or other documents as may be required under  applicable
blue sky laws to qualify or register the shares of Star Common Stock issuable to
the holders of the EFCC Common Stock (the "Blue Sky Filings").  EFCC, Merger Sub
and Star  shall use their  reasonable  best  efforts  to cause the  Registration
Statement  to  become  effective  as soon as  practicable.  Promptly  after  the
Registration  Statement has become  effective and all  applicable  blue sky laws
have been complied with,  Star and EFCC shall mail the joint proxy  statement to
their  respective  shareholders.  Such  joint  proxy  statement  at the  time it
initially is mailed to the shareholders of Star and the shareholders of EFCC and
all duly filed  amendments or revisions made thereto,  if any,  similarly mailed
are hereinafter referred to as the "Proxy Statement." Notice of the Star Meeting
shall be mailed to the shareholders of Star and notice of the EFCC Meeting shall
be mailed to the  shareholders  of EFCC,  along  with the  Proxy  Statement.  In
addition,  in  connection  with the TPC  Merger,  EFCC shall  take such  similar
actions as are required in  furtherance of the TPC Merger,  including  those set
forth in this paragraph in connection with the Merger.

                      (b)  Each  party   represents   and   warrants   that  the
information supplied or to be supplied by it for and included or incorporated by
reference  in the  Registration  Statement,  the Blue  Sky  Filings,  the  Proxy
Statement  and any  other  documents  to be  filed  with the  Commission  or any
regulatory agency in connection with the transactions  contemplated hereby will,
at the respective  times such  documents are filed or, as  applicable,  declared
effective  and,  as of the  Effective  Time,  and,  with  respect  to the  Proxy
Statement,  when first published,  sent or given to the shareholders of Star and
to the shareholders of EFCC and at the time of the




                                       26
<PAGE>



Meetings, not be false or misleading with respect to a material fact, or omit to
state any material fact  necessary in order to make the  statements  therein not
misleading.

                      (c) Each party  covenants  and agrees  that (i) if, at any
time  prior  to the  Effective  Time,  any  event  relating  to it or any of its
affiliates,  officers or directors is discovered  that should be set forth in an
amendment to the  Registration  Statement or Blue Sky Filings or a supplement to
the Proxy Statement, such party will promptly inform the other parties, and such
amendment  or  supplement  will  be  promptly  filed  with  the  Commission  and
appropriate state securities administrators and disseminated to the shareholders
of Star and  EFCC,  to the  extent  required  by  applicable  federal  and state
securities  laws, and (ii) documents  which either party files or is responsible
for filing with the Commission and any regulatory  agency in connection with the
Merger (including,  without  limitation,  the Proxy Statement) will comply as to
form and content in all material respects with the provisions of applicable law.
Notwithstanding the foregoing,  no party makes any representations or warranties
with respect to any information  that has been supplied by the other party or by
its auditors,  attorneys,  financial  advisors,  other  consultants  or advisors
specifically for use in the Registration  Statement,  Blue Sky Filing, the Proxy
Statement,  or any  other  documents  to be  filed  with the  Commission  or any
regulatory agency in connection with the transactions contemplated hereby.

                      (d) EFCC hereby represents that its Board of Directors has
(i)  determined  that the Merger is fair to and in the best  interests of EFCC's
shareholders,  (ii) approved the Merger and (iii) resolved to and will recommend
in the Proxy  Statement  adoption of this  Agreement  and  authorization  of the
Merger by the shareholders of EFCC; provided,  however, that such determination,
approval or recommendation  may be amended,  modified or withdrawn to the extent
required  by the  fiduciary  obligations  of  EFCC's  Board of  Directors  under
applicable law, in the written opinion of outside counsel  addressed to EFCC and
Star. Star hereby represents that its Board of Directors has (i) determined that
the Merger is fair to and in the best  interests  of Star's  shareholders,  (ii)
approved  the  Merger  and (iii)  resolved  to and will  recommend  in the Proxy
Statement  adoption of this  Agreement  and  authorization  of the Merger by the
shareholders of Star.

                      (e) EFCC shall use all  reasonable  efforts to cause to be
delivered  to Star a letter of  Carpenter & Onorato,  P.C.,  EFCC's  independent
accountants, dated a date within five (5) business days before the date on which
the Registration  Statement shall become effective and addressed to Star, of the
kind contemplated by the Statement of Auditing Standards with respect to Letters
to  Underwriters  promulgated  by the American  Institute  of  Certified  Public
Accountants  (the  "AICPA   Statement"),   in  form  and  substance   reasonably
satisfactory to Star and customary in scope and substance for letters  delivered
by independent  public  accountants in connection with  registration  statements
similar to the Registration Statement.  Star shall use all reasonable efforts to
cause to be delivered to EFCC a letter of Holtz  Rubinstein & Co.,  LLP,  Star's
independent  accountants,  dated a date within five (5) business days before the
date on which the Registration Statement shall become effective and addressed to
EFCC, of the kind  contemplated  by the AICPA  Statement,  in form and substance
reasonably satisfactory to EFCC




                                       27
<PAGE>



and customary in scope and substance for letters delivered by independent public
accountants  in  connection  with   registration   statements   similar  to  the
Registration Statement.

           5.2  Conduct of the  Business  of EFCC Prior to the  Effective  Time.
Prior to the Effective Time, except as (i) otherwise  expressly  consented to or
approved by Star,  (ii)  expressly  advised by Star  pursuant to the  Consulting
Agreement or as expressly directed by Star pursuant to the Management  Agreement
or  required  in order to  consummate  the  transactions  contemplated  by, this
Agreement:

                      (a) EFCC and the EFCC  Subsidiaries  shall  conduct  their
respective  businesses  in the ordinary  course and  consistent  in all material
respects  with past  practice and shall use all  reasonable  efforts to preserve
substantially intact their respective business organizations,  to keep available
the  services  of their  present  officers,  employees  and  consultants  and to
preserve their present relationships with customers, suppliers, payors and other
persons with whom they have a significant business relationship;

                      (b) Neither EFCC nor any EFCC  Subsidiary  shall (i) amend
its charter or Bylaws, (ii) other than the EFCC Dividend,  declare, set aside or
pay any  dividend  or other  distribution  or  payment  in cash,  securities  or
property in respect of shares of the EFCC Common Stock, (iii) make any direct or
indirect  redemption,  retirement,  purchase or other  acquisition of any of its
capital stock or (iv) split,  combine or reclassify  its  outstanding  shares of
capital stock;

                      (c) Neither EFCC nor any EFCC Subsidiary  shall,  directly
or indirectly,  (i) issue,  grant,  sell or pledge or agree or propose to issue,
grant,  sell or pledge  any shares  of, or rights or  securities  of any kind to
acquire any shares of, the capital stock of EFCC or such EFCC Subsidiary  except
that EFCC may issue  shares of EFCC  Common  Stock  upon the  exercise  of stock
options outstanding on the date hereof pursuant to the terms thereof existing as
of the date  hereof,  (ii) other than in the  ordinary  course of  business  and
consistent  with past  practice,  incur any material  indebtedness  for borrowed
money,  (iii) waive,  release,  grant or transfer any rights of material  value,
(iv)  except as  provided  in clause (v) below,  merge or  consolidate  with any
person or adopt a plan of liquidation or  dissolution,  (v) acquire,  propose to
acquire  or enter  into an  agreement  to  acquire  any  assets,  stock or other
interests of a third party, (vi) transfer,  lease, license, sell or dispose of a
material  portion of assets or any  material  assets,  (vii) permit any material
revaluation of any asset (including, without limitation, any writing down of the
value of  inventory  or writing  off of notes or  accounts  receivable),  (viii)
change any accounting principles or methods except insofar as may be required by
changes in generally accepted  accounting  principles or (ix) mortgage or pledge
any of their assets or  properties  or subject any of their assets or properties
to any material liens, charges,  encumbrances,  imperfections of title, security
interests, options or rights or claims of others with respect thereto;

                      (d) Neither EFCC nor any EFCC Subsidiary will, directly or
indirectly,  (i) increase the cash compensation  payable or to become payable by
it to any of its employees,  officers,  consultants or directors;  provided that
EFCC or any EFCC Subsidiary may increase the



                                       28
<PAGE>



cash compensation payable to non-officer employees to the extent consistent with
past  practice  and in no event to a rate of total annual  compensation  for any
individual  that  would  increase  such   individual's   rate  of  total  annual
compensation by more than five percent (5%) over such individual's  current such
rate, (ii) enter into, adopt or amend any stock option,  stock purchase,  profit
sharing,  pension,  retirement,  deferred  compensation,   restricted  stock  or
severance plan, agreement or arrangement for the benefit of employees, officers,
directors or  consultants  of EFCC or any EFCC  Subsidiary,  (iii) enter into or
amend any employment or consulting  agreement,  or (iv) make any loan or advance
to, or enter into any written  contract,  lease or commitment with, any officer,
employee, consultant or director of EFCC or any EFCC Subsidiary;

                      (e) Neither EFCC nor any EFCC Subsidiary  shall,  directly
or indirectly,  assume,  guarantee,  endorse or otherwise become responsible for
the obligations of any other  individual,  corporation or other entity,  or make
any loans or advances to any  individual,  corporation or other entity except in
the ordinary course of business and consistent with past practices;

                      (f) Neither EFCC nor any EFCC  Subsidiary  shall authorize
or enter into any  agreement  to do any of the things  described  in clauses (a)
through (e) of this Section 5.2;

                      (g) EFCC and each  EFCC  Subsidiary:  (i)  shall  duly and
timely file with the  appropriate  authorities  all Tax  Returns  required to be
filed by or on behalf of (or which includes) EFCC or any EFCC Subsidiary,  which
Tax Returns shall be true, correct and complete;  (ii) shall duly and timely pay
or cause to be timely  paid all  Taxes due and  payable;  (iii)  shall  duly and
timely  withhold or collect,  and pay over to the  appropriate  authorities  all
Taxes  required to have been withheld or collected;  (iv) shall prepare such Tax
Returns in a manner  consistent  with Tax Returns of the same type filed by such
corporation  prior to the date hereof (unless  otherwise  required by applicable
law); (v) shall not make,  amend,  modify or terminate any election with respect
to any Tax or Tax Return,  without the prior written consent of Star; (vi) shall
furnish Star with a draft of each Tax Return with sufficient time to review such
Tax Return and comment thereon,  and have corrections  made, prior to the timely
filing of such Tax Return; (vii) immediately notify Star if any taxing authority
claims, proposes or asserts any adjustment that could result in the creation of,
or an  increase  in,  any  deficiency  in any Tax  for  which  EFCC or any  EFCC
Subsidiary  is or may be  liable  or which  relates  to the  income,  assets  or
operations of EFCC or any EFCC Subsidiary;  (viii) shall not waive or extend any
statute of  limitations  relating to the assessment or collection of any Tax for
which EFCC or any EFCC Subsidiary is or may become liable or subject; (ix) shall
not enter into or become a party to any agreement,  contract or arrangement that
would result,  individually  or in the  aggregate,  in the payment of any amount
that would not be  deductible  by reason of Section 162  (unless  required to be
capitalized under Section 2603 or 263A of the Code), Section 280G or Section 404
of the Code, and the  regulations  promulgated  thereunder;  (x) shall not enter
into or become a party to any Tax  sharing  or Tax  allocation  agreement;  (xi)
shall not become or acquire a foreign person (within the meaning of Section 7701
of the Code); (xii) shall adequately  disclose on its federal income Tax Returns
all positions taken therein that could give rise to a substantial understatement
of federal income tax




                                       29
<PAGE>



within  the  meaning  of  Section  6662 of the Code;  (xiii)  shall not become a
"consenting corporation" within the meaning of Section 341(f) of the Code; (xiv)
shall not make or become  required to make an election  under Section 338 of the
Code (or any comparable state,  local or foreign Tax provision);  and (xv) shall
not acquire any assets required to be treated as being owned by any other person
pursuant to the "safe harbor"  leasing  provisions  of Section  168(f)(8) of the
Internal  Revenue  Code of  1954,  as in  effect  prior  to the  repeal  of said
provision (or any comparable state, local or foreign Tax provision).

           5.3 Access to Properties and Records.  Each party shall afford to the
other and their respective accountants, counsel and representatives ("Respective
Representatives"), reasonable access during normal business hours throughout the
period  prior  to the  Effective  Time  to all of  their  respective  properties
(including,  without  limitation,  books,  contracts,  commitments  and  written
records)  and shall make  reasonably  available  their  respective  officers and
employees to answer fully and promptly questions put to them thereby;  provided,
however,  that no  investigation  pursuant  to this  Section 5.3 shall alter any
representation  or  warrant  of  any  party  hereto  or  the  conditions  to the
obligations of the parties hereto.

           5.4 No Solicitation, Etc.

                      (a) Prior to the Effective Time, EFCC agrees that it shall
not, and shall cause each of its officers,  directors,  employees, agents, legal
and financial  advisors and  affiliates not to,  directly or  indirectly,  make,
solicit,  encourage,  initiate or unless  permitted by Section 5.4(b) enter into
any agreement or agreement in principle,  or announce any intention to do any of
the  foregoing,  with  respect  to any offer or  proposal  to  acquire  all or a
substantial  part of EFCC's  business and properties or a substantial  amount of
EFCC's  equity  securities  or debt  securities  whether  by  purchase,  merger,
purchase or assets,  tender  offer,  exchange  offer,  business  combination  or
otherwise (any such proposal or offer being hereinafter  referred to as a "Third
Party Transaction").

                      (b) Prior to the Effective Time, EFCC and its Subsidiaries
shall  not,  and  shall  cause  each of their  officers,  directors,  legal  and
financial  advisors,  agents and  affiliates  not to,  directly  or  indirectly,
participate  in any  negotiations  or  discussions  regarding,  or  furnish  any
information  with  respect to, or otherwise  cooperate in any way in  connection
with,  or assist or  participate  in,  facilitate  or  encourage,  any effort or
attempt to effect or seek to effect, a Third Party Transaction with or involving
any other person unless EFCC shall have received an unsolicited written offer to
effect a Third Party  Transaction  and the Board of Directors of EFCC determines
in good faith upon the written opinion of its outside legal counsel addressed to
Star and EFCC that, in the exercise of the fiduciary obligations of the Board of
Directors under  applicable law, such  information is required to be provided to
or such  discussions  or  negotiations  are required to be  undertaken  with the
person submitting such Third Party  Transaction.  EFCC represents that it is not
currently  involved  in any  negotiations  with any person  other than Star with
respect to any Third Party Transaction.




                                       30
<PAGE>



                      (c)  Prior  to the  Effective  Time,  EFCC  will  promptly
communicate  to Star  the  terms of any  Third  Party  Transaction  which it may
receive and will keep Star  informed as to the status of any actions,  including
negotiations or discussions, taken in connection therewith.

           5.5 Employee  Benefit  Plans.  Except as  otherwise  provided in this
Agreement,  the EFCC  employee  benefit  plans  listed  on the  EFCC  Disclosure
Schedule  which  are in  effect at the date of this  Agreement  shall  remain in
effect  immediately  following the Effective Time. Star and EFCC shall cooperate
in coordinating  their  respective  benefit plans, and any EFCC employee benefit
plan may be  terminated  after the  Effective  Time,  to the  extent  reasonably
comparable  benefits  (including  credit for past  service),  considered  in the
aggregate,  are made  available to employees of EFCC under one or more  employee
benefits plans of Star or any Star Subsidiary.

           5.6 Existing  Agreements.  Star and the Surviving  Corporation  shall
insure and guaranty that the provisions with respect to  indemnification by EFCC
and the  EFCC  Subsidiaries  now  existing  in favor of any  present  or  former
director, officer, employee or agent (and their respective heirs and assigns) of
EFCC or any EFCC Subsidiary,  respectively (the "Indemnified  Parties"),  as set
forth in their  respective  charters or Bylaws or  pursuant to other  agreements
(including  any  insurance  policies),  shall  survive the Merger,  shall not be
amended, repealed or modified in any manner as to adversely affect the rights of
such  Indemnified  Parties  and shall  continue  in full  force and effect for a
period of at least six years from the Effective Time;  provided,  however,  that
Star and the Surviving  Corporation shall be required to maintain or obtain such
insurance  coverage  only (i) if it is  available  for an annual  premium not in
excess of 125% of the last annual premium paid by EFCC or the EFCC  Subsidiaries
prior to the date of this  Agreement  (but in such case shall  purchase  as much
coverage  as  possible  for an amount  which  shall not exceed  125% of the last
annual  premium paid by EFCC or the EFCC  Subsidiaries  prior to the date of the
Agreement),  and (ii) for six years after the Effective  Time.  This Section 5.6
shall survive the closing of any of the  transactions  contemplated  hereby,  is
intended  to  benefit  the  officers  and  employees  of  EFCC  and of the  EFCC
Subsidiaries at the Effective Time and each of the Indemnified  Parties (each of
which  shall be  entitled  to enforce  this  Section  5.6  against  Star and the
Surviving Corporation,  as the case may be, as a third-party beneficiary of this
Agreement),  and shall be binding on all successors and assigns of the Surviving
Corporation.

           5.7    Confidentiality.    The    confidentiality    agreement   (the
"Confidentiality  Agreement") dated June 4, 1996 between EFCC and Star is hereby
affirmed by Star and EFCC and the terms thereof are herewith incorporated herein
by reference  and shall  continue in full force and effect  until the  Effective
Time  shall  have  occurred,  and if  this  Agreement  is  terminated  or if the
Effective  Time  shall  not  have  occurred  for  any  reason  whatsoever,   the
Confidentiality  Agreement shall  thereafter  remain in full force and effect in
accordance  with its  terms;  provided,  however,  to the  extent  there are any
provisions in the Confidentiality  Agreement inconsistent with the terms of this
Agreement,  the terms of this  Agreement  shall  control.  Each of Star and EFCC
agrees that it will not, and will cause its respective  Representatives (as such
term is defined in the  Confidentiality  Agreement) not to, use any  information
obtained  pursuant to Section 5.3 for any purpose  unrelated to the consummation
of the transactions contemplated by this Agreement.




                                       31
<PAGE>



Subject to the  requirements  of law, each party hereto will keep  confidential,
and  will  cause  its  respective  Representatives  to  keep  confidential,  all
information and documents  obtained  pursuant to Section 5.3 except as otherwise
consented to by the other party;  provided,  however, that neither Star nor EFCC
shall be precluded from making any disclosure  which it deems required by law in
connection with the Merger.  In the event that any party is required to disclose
any  information or documents  pursuant to the immediately  preceding  sentence,
such  party  shall  promptly  give  written  notice of such  disclosure  that is
proposed to be made to the other party so that the parties can work  together to
limit the  disclosure  to the greatest  extent  possible  and, in the event that
either  party is  legally  compelled  to  disclose  any  information,  to seek a
protective  order or other  appropriate  remedy or both. Upon any termination of
this  Agreement,  each of Star and EFCC will  collect  and  deliver to the other
party all  documents  obtained  pursuant to Section 5.3 or  otherwise  from such
party  or  its  respective  Representatives  by  it or  any  of  its  respective
Representatives then in their possession and any copies thereof.

           5.8  Reasonable  Best  Efforts.  Subject to the terms and  conditions
herein provided, the parties hereto shall: (i) if required by law, promptly make
their  respective  filings and thereafter  make any other  required  submissions
under the HSR Act with  respect  to the  Merger;  (ii) use all  reasonable  best
efforts to  cooperate  with one  another in (A)  determining  which  filings are
required  to be made  prior to the  Effective  Time  with,  and which  consents,
approvals, permits or authorizations ("Third Party Consents") are required to be
obtained  prior  to  the  Effective  Time  from,   governmental   or  regulatory
authorities of the United States and the several states and from private parties
in  connection  with  the  execution  and  delivery  of this  Agreement  and the
consummation  of the  transactions  contemplated  hereby,  including those Third
Party  Consents  required  by TPC,  and (B) timely  making all such  filings and
timely  seeking  all such Third  Party  Consents,  including  those  Third Party
Consents  required by TPC; and (iii) use all reasonable best efforts to take, or
cause to be taken,  all  other  action  and do,  or cause to be done,  all other
things  necessary,  proper or  appropriate  to consummate and make effective the
transactions  contemplated by this Agreement,  including the TPC Merger.  If, at
any time after the Effective  Time, any further action is necessary or desirable
to carry out the purpose of this Agreement, the proper officers and directors of
the parties hereto shall take all such necessary  action.  No party hereto shall
take any action for the purpose of  delaying,  impairing or impeding the receipt
of any Third Party Consent including those Third Party Consents required by TPC,
or the making of any required filing or registration or the mailing of the Proxy
Statement.  EFCC shall use its  reasonable  best  efforts to obtain the opinions
referred to in Sections 6.1(f) and 6.1(g).

           5.9  Certification of Shareholder Vote. At or prior to the closing of
the transactions  contemplated by this Agreement, EFCC and Star shall deliver to
each other a  certificate  of their  respective  Secretaries  setting  forth the
number of shares of EFCC Common Stock or Star Common Stock,  as the case may be,
voted in favor of adoption of this Agreement and  consummation of the Merger and
the number of shares of EFCC  Common  Stock or Star Common  Stock voted  against
adoption of this Agreement and consummation of the Merger.





                                       32
<PAGE>


           5.10 Affiliate  Letters.  At least 30 days prior to the Closing Date,
EFCC shall  deliver to Star a list of names and  addresses of those  persons who
were,  in  the  reasonable   judgment  of  EFCC  at  the  record  date  for  its
shareholders'  meeting to approve the Merger,  "affiliates"  (each such person a
"Rule 145  Affiliate")  of EFCC  within the meaning of Rule 145 of the rules and
regulations  promulgated  under the  Securities  Act. EFCC shall provide to Star
such  information  and documents as Star may reasonably  request for purposes of
reviewing such list.  EFCC shall use all reasonable  efforts to deliver or cause
to be delivered to Star,  prior to the Closing  Date,  from each of its Rule 145
Affiliates  identified  in the foregoing  list, an Affiliate  Letter in the form
attached  hereto as  Exhibit  A. Star  shall be  entitled  to place  legends  as
specified in such  Affiliate  Letters on the  certificates  evidencing  any Star
Common Stock to be received by Rule 145 Affiliates pursuant to the terms of this
Agreement,  and to issue appropriate stop transfer  instructions to the transfer
agent for such Star Common Stock,  consistent  with the terms of such  Affiliate
Letters.  Following reasonable request therefor,  Star shall, upon advice of its
counsel,  cooperate  with each Rule 145 Affiliate to eliminate  such legends and
stop transfer  instructions  in connection  with proposed  sales under Rule 145.
After two years from the Effective Time, Star shall promptly notify its transfer
agent to  eliminate  such  legends and stop  transfer  instructions  unless Star
receives advice from its counsel that a Rule 145 Affiliate is as of that date an
"affiliate" of Star.

           5.11 Listing  Application.  Star will use its reasonable best efforts
to cause the Star Common  Stock to be issued  pursuant to this  Agreement in the
Merger, to be listed for trading on the NASDAQ National Market.

           5.12 Supplemental  Disclosure Schedules.  Each of Star and EFCC shall
supplement their respective  Disclosure  Schedules  delivered in connection with
this  Agreement  as of the  Effective  Time to the extent  necessary  to reflect
matters  permitted by, or consented to by, the other party under this Agreement.
In addition,  from time to time prior to the  Effective  Time,  each of Star and
EFCC will  promptly  deliver  to the other  party such  amended or  supplemental
Disclosure  Schedules  as may be necessary  to make the  Schedules  accurate and
complete in all material respects as of the Effective Time;  provided,  however,
that no such disclosure shall have any effect for the purpose of determining the
satisfaction of the conditions set forth in Article VI of this Agreement.

           5.13 No Action.  Except as expressly  advised by Star pursuant to the
Consulting Agreement or as expressly directed by Star pursuant to the Management
Agreement or except as contemplated by this Agreement, no party hereto will, nor
will  either  such party  permit any of its  Subsidiaries  to,  take or agree or
commit  to  take  any  action  that is  reasonably  likely  to  make  any of its
representations  or warranties  hereunder  inaccurate in any material respect at
the date made (to the extent so limited),  or as of the  Effective  Time (to the
extent so limited).

           5.14 Conduct of Business of Merger Sub.  Merger Sub shall not conduct
any  business  from the date of this  Agreement,  other than to  consummate  the
Merger and the transactions contemplated by this Agreement.





                                       33
<PAGE>



           5.15   Notification  of  Certain   Matters;   Delivery  of  Financial
Information.

                      (a) Star and Merger Sub agree that they shall give  prompt
notice to EFCC,  and EFCC agrees  that it shall give  prompt  notice to Star and
Merger  Sub,  of (i) any  known  breach  of any  representations  or  warranties
contained in this  Agreement  at any time from the date hereof to the  Effective
Time and (ii) any material failure of Star,  Merger Sub or EFCC, as the case may
be, or any  officer,  director,  employee  or agent  thereof,  to comply with or
satisfy any covenant, condition or agreement to be complied with or satisfied by
it  hereunder;  provided,  however,  that  failure to give such notice shall not
constitute a waiver of any defense that may be validly asserted.

                      (b) Each of Star and EFCC shall furnish the other with all
financial, operating and other information and data as Star or EFCC, as the case
may be, through its officers,  employees or agents,  may reasonably  request and
shall  promptly  furnish to the other party a copy of (i) each report,  schedule
and other  document  filed or received by it during such period  pursuant to the
requirements  of the federal  securities  laws and (ii)  monthly  operating  and
financial reports as such party shall reasonably request from time to time, when
such reports become available.

           5.16 Tax-free Nature.  None of Star,  Merger Sub and EFCC, nor any of
their  respective  Subsidiaries or other affiliates shall take, or fail to take,
any action that would jeopardize qualification of the Merger (or the TPC Merger)
as a  reorganization  described in Section  368(a) of the Code;  provided in the
case of the Merger that the All Cash Option is not  exercised.  For  purposes of
ensuring  that the  Merger  (or the TPC  Merger)  will be  treated as a tax-free
reorganization  under Section 368(a) of the Code, each of Star and Merger Sub on
the one hand  and  EFCC on the  other  agrees  to  deliver  to  Meltzer,  Lippe,
Goldstein, Wolf & Schlissel,  P.C., counsel to EFCC and TPC, a certificate of an
authorized  officer  containing  all  representations  and  warranties  by  such
corporation  necessary to enable such firm to deliver its opinion referred to in
Section 6.1(f).

           5.17 Financial Covenants.

                      (a) The  Adjusted  Net  Worth of EFCC at the  date  hereof
(determined in accordance  with  subsection (b) below) shall exceed  $1,500,000;
the  Adjusted  Working  Capital  of  EFCC  at the  date  hereof  (determined  in
accordance with subsection (b) below) shall exceed $1,050,000;  and the Adjusted
Cash owned by EFCC at the date hereof  determined in accordance  with subsection
(b) below) shall exceed $800,000.

                      (b)  Immediately  after the execution and delivery of this
Agreement,  EFCC will  deliver to Star the balance  sheet of EFCC as of December
31,  1996 (the  "Year End  Balance  Sheet"),  audited  by a firm of  independent
certified public  accountants  acceptable to both Star and EFCC (it being hereby
agreed that Carpenter & Onorato, P.C. is such an acceptable




                                       34
<PAGE>


firm) and prepared in accordance with generally accepted  accounting  principles
consistently  applied and which EFCC shall use its best efforts in causing to be
prepared.  "Adjusted Net Worth" shall mean the  shareholders'  equity of EFCC as
shown on the Year End  Balance  Sheet,  giving  effect to all accrued and unpaid
legal and accounting  expenses of EFCC as of the date hereof, and reduced by the
sum of (x) $300,000,  less any Deal Costs (as defined  below)  expensed  through
December 31, 1996.  Deal Costs shall be defined as the  aggregate  amount of all
legal,  accounting and other expenses to be incurred by EFCC in connection  with
the transactions  contemplated hereby, (y) the estimated aggregate amount of any
unpaid tax  liability  incurred or to be incurred in  connection  with the Asset
Sale and (z) the  aggregate  of all taxes due and payable by EFCC as of the date
hereof,  to the extent not  reflected in full on the Year End Balance Sheet plus
any claims by taxing  authorities  not yet paid or accrued  for (the sum of (x),
(y) and (z)  being  hereinafter  referred  to as the  "Year  End  Balance  Sheet
Adjustments").  "Adjusted Working Capital" shall mean the current assets of EFCC
minus the current  liabilities  of EFCC as shown on the Year End Balance  Sheet,
giving effect to all accrued and unpaid legal and accounting expenses of EFCC as
of the date  hereof  and  reduced  by the Year End  Balance  Sheet  Adjustments.
"Adjusted  Cash" shall mean the cash as shown on the Year End Balance  Sheet net
of the sum of any amount described in clause (z) above.

                      (c) Other  than with  respect to the  satisfaction  of the
Financial  Covenants  set out in  subsection  (a) of  this  Section  5.17,  as a
condition to closing  pursuant to Section 6.3(b),  or as a basis for termination
pursuant to Section  7.4(b),  EFCC shall have no liability for violation of this
Section 5.17 or a breach of Section  4.28,  provided  EFCC as of the date hereof
was not aware of the basis in fact of such violation or breach.

           5.18 Director of Star.  Star agrees that,  after the Effective  Time,
Star shall take such  reasonable  action as may be appropriate to cause Mr. Ivan
Kaufman to be  appointed  to the Board of  Directors of Star and to be nominated
for election by the  shareholders  of Star to such Board at each of the next two
annual meetings of such shareholders following the Effective Time; provided that
this Section 5.18 shall terminate and be of no force or effect in the event that
on the  date 30 days  preceding  the  date of  mailing  of the  proxy  statement
relating to either such  meeting the  aggregate  number of shares of Star Common
Stock deemed to be  beneficially  owned (in accordance with Rule 13d-3 under the
Securities  Exchange  Act of 1934) by Coss  Holding  Corp.  ("Coss")  and  Arbor
represents  less  than  five  percent  of all  outstanding  Star  Common  Stock,
determined in the reasonable judgment of Star.

           5.19 EFCC Shareholders  Agreement,  Consulting Agreement,  Management
Agreement and Escrow Agreement.  Each of Star,  Arbor,  Coss, the Voting Trustee
and  Mr.  Ivan  Kaufman  simultaneously  herewith  shall  enter  into  the  EFCC
Shareholders  Agreement in the form  attached  hereto as Exhibit D; each of Star
and EFCC  simultaneously  herewith shall enter into the Consulting  Agreement in
the form  attached  hereto as Exhibit G; each of Star,  and EFCC  simultaneously
herewith shall enter into the Management  Agreement in the form attached  hereto
as Exhibit H; each of Star,  Arbor and Coss shall on the Closing Date enter into
the  Escrow  Agreement  in the form  attached  hereto as  Exhibit E; and each of
Arbor, Coss and




                                       35
<PAGE>


Mr. Ivan Kaufman shall enter into each of the proxies  contemplated  by the EFCC
Shareholders Agreement.

           5.20 Sternbach Proxy. Sternbach,  simultaneously herewith shall enter
into the Sternbach Proxy in the form attached hereto as Exhibit I.

           5.21 EFCC  Dividend.  Each of Star and EFCC  agree  that,  subject to
applicable law, the amount of the EFCC Dividend shall be $750,000,  which amount
EFCC has caused to be reserved for payment prior to the date hereof,  is held in
reserve,  will be  available  to be paid and shall be paid in full  prior to the
Closing Date.



                                   ARTICLE VI

                              CONDITIONS PRECEDENT

           6.1 Conditions to Each Party's  Obligation to Effect the Merger.  The
respective  obligations  of each party to effect the Merger  shall be subject to
the fulfillment at or prior to the Effective Time of the following conditions:

                      (a) The  Registration  Statement  shall have been declared
effective,  and no stop order  suspending the  effectiveness of the Registration
Statement  shall have been issued by the Commission or shall be continuing to be
in effect,  and no  proceedings  for that purpose  shall have been  initiated or
threatened by the Commission. Star shall have received all state securities laws
or "blue sky" permits and  authorizations  necessary to issue the shares of Star
Common Stock, if any,  constituting Merger Consideration  pursuant to the Merger
and the transactions contemplated hereby.

                      (b) This Agreement and the Merger  contemplated hereby and
any other action  necessary to consummate the transactions  contemplated  hereby
shall have been approved and adopted by the requisite vote of (i) the holders of
the outstanding  shares of the EFCC Common Stock entitled to vote thereon at the
EFCC Meeting and (ii) the holders of the  outstanding  shares of the Star Common
Stock entitled to vote thereon at the Star Meeting.

                      (c) No governmental authority or other agency,  commission
or court of competent  jurisdiction  shall have  enacted,  issued,  promulgated,
enforced or entered any statute,  rule,  regulation,  injunction  or other order
(whether  temporary,  preliminary  or permanent)  which is in effect and has the
effect of making the Merger illegal or otherwise prohibiting consummation of the
transactions contemplated by this Agreement;  provided,  however, that, prior to
invoking this condition,  each party hereto shall use all reasonable  efforts to
have such statute, rule, regulation, injunction or order vacated.





                                       36
<PAGE>


                      (d) Any waiting period  applicable to the Merger under the
HSR Act shall have  expired or been  terminated  without  action by the  Justice
Department  or the  Federal  Trade  Commission  to prevent  consummation  of the
Merger.

                      (e) The shares of Star  Common  Stock  issuable  to EFCC's
shareholders in the Merger or thereafter  shall have been authorized for listing
on the NASDAQ National Market, upon official notice of issuance.

                      (f) Each of EFCC and Star shall have received the opinion,
in the form attached hereto as Exhibit F, addressed to each of them, of Meltzer,
Lippe,  Goldstein,  Wolf &  Schlissel,  P.C.,  counsel to EFCC,  dated as of the
Effective Time. In rendering such opinion,  Meltzer,  Lippe,  Goldstein,  Wolf &
Schlissel,  P.C.  may require  and rely upon  representations  contained  in the
certificates of officers of Star, Merger Sub and EFCC (or in the case of the TPC
Merger, TPC) referred to in Section 5.16.

           6.2  Conditions to the  Obligation of EFCC to Effect the Merger.  The
obligation of EFCC to effect the Merger shall be subject to the  fulfillment  or
waiver by EFCC at or prior to the  Effective  Time of the  following  additional
conditions:

                      (a) Each of Star and Merger Sub shall  have  performed  in
all  material  respects  its  obligations  under this  Agreement  required to be
performed by it on or prior to the Effective  Time pursuant to the terms hereof,
unless EFCC shall have intentionally prevented such performance.

                      (b) All  representations  or warranties of Star and Merger
Sub in this  Agreement  shall be true and  correct,  in each case only as of the
execution of this  Agreement  except for the  representations  and warranties in
Sections  3.1, 3.2 (except  (ii) and (iii)  thereof) and 3.4 which shall be true
and correct as of the execution of this  Agreement  and of the  Effective  Time;
provided, however, that, with respect to representations and warranties relating
to the  financial  condition or results of operations of Star, no breach of this
condition  shall  be  deemed  to have  occurred  unless  a  breach  of any  such
representations  or warranties,  individually or in the aggregate,  represents a
Material  Adverse Effect on Star based on the financial  condition or results of
operations  of Star as  represented  on the most  recent  balance  sheet of Star
contained in the Star SEC Filings.

                      (c) Each of Star and  Merger Sub shall  have  delivered  a
certificate of its President or Vice President and its Chief  Financial  Officer
to the effect set forth in clauses (a) and (b) of this Section 6.2.

                      (d) EFCC shall have received from Parker Chapin  Flattau &
Klimpl,  LLP,  counsel to Star, an opinion or opinions dated as of the Effective
Time  covering  the  matters  set  forth in  Exhibit  B  hereto;  provided  that
paragraphs  numbered 1,2,3 and 5 thereof need not be included in such opinion in
the event that the All Cash Option is exercised.



                                       37
<PAGE>




                      (e) Meltzer,  Lippe,  Goldstein,  Wolf & Schlissel,  P.C.,
counsel  to EFCC,  shall  have  received  the  letters  from Star and Merger Sub
referred to in Section 5.16.

                      (f)  Sternbach,   simultaneously   herewith,   shall  have
executed and delivered to EFCC the Sternbach  Proxy in the form attached  hereto
as Exhibit I.

                      (g) Star shall have  obtained  all Third  Party  Consents,
including those Third Party Consents required by TPC, contemplated by subsection
(ii) of Section 5.8 and applicable to Star unless the failure to obtain any such
Third  Party  Consent  would  not,  individually,  or in the  aggregate,  have a
Material Adverse Effect on Star.

           6.3  Conditions to the  Obligations  of Star and Merger Sub to Effect
the Merger. The obligations of Star and Merger Sub to effect the Merger shall be
subject to the  fulfillment  or waiver by Star at or prior to the Effective Time
of the following additional conditions:

                      (a) EFCC shall have  performed  in all  material  respects
each of its obligations under this Agreement,  the Consulting  Agreement and the
Management Agreement required to be performed by it on or prior to the Effective
Time  pursuant  to the terms  hereof  unless  Star  shall  have  prevented  such
performance.

                      (b)  All  representations  or  warranties  of EFCC in this
Agreement  shall be true and correct,  in each case only as of the  execution of
this Agreement,  except for the  representations and warranties in Sections 4.1,
4.2,  4.3, 4.4 and 4.16 which shall be true and correct at the execution of this
Agreement and at the Effective Time;  provided,  however,  that, with respect to
representations and warranties relating to the financial condition or results of
operations of EFCC, no breach of this condition shall be deemed to have occurred
unless (i) any breach of any such representations or warranties, individually or
in the  aggregate,  represents  a  material  adverse  effect  on  the  financial
conditions or results of operations of EFCC based on the financial  condition or
results of operations of EFCC as represented on the most recent balance sheet of
EFCC contained in the EFCC SEC Filings, or (ii) there has been any breach of any
representation or warranty contained in Section 4.28 or 5.17,  provided that the
conditions  set forth in this clause (ii) shall expire  after ten business  days
following the delivery to Star of the Year End Balance Sheet.

                      (c) There shall have been no adverse development or change
or prospective  adverse  development or change  regarding the ability of EFCC to
conduct its Medicaid-related operations in the nature or to the extent conducted
prior to the date hereof.

                      (d)  All  material  federal,   state,  local  and  foreign
governmental  consents,  approvals and filings required to permit the Merger and
the consummation of the  transactions  contemplated by this Agreement shall have
been received or made and any  applicable  waiting  period shall have expired or
been terminated without the imposition of conditions that are or




                                       38
<PAGE>



would become  applicable  to EFCC or the EFCC  Subsidiaries  or Star or the Star
Subsidiaries  and  which  would  have a  Material  Adverse  Effect  on EFCC or a
Material Adverse Effect on Star.

                      (e) EFCC  shall have  obtained  all Third  Party  Consents
(applicable to EFCC or any EFCC  Subsidiary)  contemplated by subsection (ii) of
Section 5.8, except for such Third Party Consents which, if not obtained,  would
not, individually or in aggregate, have a Material Adverse Effect on EFCC.

                      (f)  EFCC  shall  have  delivered  a  certificate  of  its
President or Vice  President and its Chief  Financial  Officer to the effect set
forth in paragraphs (a), (b), (c) and (d) to this Section 6.3.

                      (g)  Star  shall  have  received   from  Meltzer,   Lippe,
Goldstein, Wolf & Schlissel, P.C., counsel to EFCC, an opinion or opinions dated
as of the Effective Time covering the matters set forth in Exhibit C hereto.

                      (h) Merger Sub shall have received  letters of resignation
addressed  to EFCC  from  the  members  of  EFCC's  Board  of  Directors,  which
resignations shall be effective as of the Effective Time.

                      (i)  Each  of  Star  and  EFCC  shall  have  received  the
Affiliate  Letters from each of the Rule 145 Affiliates,  as provided in Section
5.10.

                      (j) Each of Coss and Arbor (and Mr.  Ivan  Kaufman and the
Voting Trustee with respect to items (w), (x) and (y))  simultaneously  herewith
shall have executed and delivered to Star (w) the EFCC Shareholders Agreement in
the form  attached  hereto as  Exhibit D, (x) an  Irrevocable  Proxy in the form
attached to Exhibit D as Annex B, (y) an Irrevocable  Proxy in the form attached
to Exhibit D as Annex C, and (z) the  Consulting  Agreement in the form attached
hereto as Exhibit G, and on the Closing Date shall have  executed and  delivered
to Star the Escrow Agreement in the form attached hereto as Exhibit E.

                      (k) The number of shares of the EFCC Share  Number,  as to
which  dissenters'  rights  shall have been  validly and  properly  demanded and
perfected, shall not exceed 5% of the EFCC Share Number.

                      (l) The TPC Merger shall have been completed in compliance
with all applicable law.





                                       39
<PAGE>



                                   ARTICLE VII

                                   TERMINATION

           7.1 Termination by Mutual  Consent.  This Agreement may be terminated
and the Merger may be abandoned at any time prior to the Effective Time,  before
or after the approval of this Agreement by the  shareholders of EFCC or Star, by
the mutual consent of Star and EFCC.

           7.2  Termination  by  Either  Star or  EFCC.  This  Agreement  may be
terminated  and the Merger may be  abandoned by action of the Board of Directors
of either Star or EFCC if:

                      (a) The Merger shall not have been  consummated  by August
15,  1997,  unless  such  failure of  consummation  is due to the failure of the
terminating  party to perform or observe any  covenant,  agreement  or condition
hereof to be performed or observed by it at or before the Closing Date;

                      (b) The approval of the  shareholders  of each of Star and
EFCC  required by Section  6.1(b)  shall not have been  obtained at the meetings
duly convened therefor or at any adjournments or postponements thereof; or

                      (c) A United  States  federal or state court of  competent
jurisdiction  or United  States  federal  or state  governmental  regulatory  or
administrative agency or commission shall have issued an order, decree or ruling
or taken  any other  action  permanently  restraining,  enjoining  or  otherwise
prohibiting  the  transactions  contemplated  by this  Agreement and such order,
decree,  ruling or other  action  shall have  become  final and  non-appealable;
provided,  that the party seeking to terminate this  Agreement  pursuant to this
clause (c) shall have used all  reasonable  efforts to remove  such  injunction,
order or decree;  provided, in the case of a termination pursuant to clauses (a)
or (b) above,  the  terminating  party shall not have  breached in any  material
respect  its  obligations  under this  Agreement  in any manner  that shall have
proximately  contributed  to the failure to consummate  the Merger by August 15,
1997 and; provided  further,  that if any condition to this Agreement shall fail
to be satisfied  by reason of the  existence  of an  injunction  or order of any
court or  governmental or regulatory body resulting from an action or proceeding
commenced by any party which is not a government or governmental authority, then
at the  request of either  party the  deadline  date  referred to above shall be
extended for a reasonable  period of time,  not in excess of 90 days,  to permit
the parties to have such injunction vacated or order reversed.

           7.3  Termination  by EFCC.  This  Agreement may be terminated and the
Merger may be abandoned at any time prior to the Effective Time, before or after
the  adoption and approval by the  shareholders  of EFCC  referred to in Section
6.1(b), by action of the Board of Directors of EFCC, if:

                      (a) The  Board of  Directors  of EFCC  determines  in good
faith with the advice of outside  legal  counsel  that,  in the  exercise of the
fiduciary obligations of the Board of




                                       40
<PAGE>



Directors  under  applicable  law, such  termination  is required by reason of a
Third Party Transaction;

                      (b) Any of the conditions specified in Section 6.2(b) have
not been satisfied; or

                      (c) There has been a breach in any material respect of any
of the covenants or agreements  set forth in this Agreement on the part of Star,
which  breach is not curable or, if curable,  is not cured  within 30 days after
written  notice of such breach is given by EFCC to Star,  unless EFCC shall have
intentionally caused such breach and prevented such cure.

           7.4  Termination  by Star.  This  Agreement may be terminated and the
Merger may be abandoned at any time prior to the Effective Time (but only within
ten business  days  following the delivery to Star of the Year End Balance Sheet
with respect to subsection  (b)(ii) of Section  6.3(b) as referred to in Section
7.4(b) below), by action of the Board of Directors of Star, if:

                      (a) The Board of Directors of EFCC shall have withdrawn or
modified its determination  that the Merger is fair to and in the best interests
of EFCC's  shareholders or its approval or  recommendation  of this Agreement or
the Merger;

                      (b) Any of the conditions specified in Section 6.3(b) have
not been satisfied; or

                      (c) There has been a breach in any material respect of any
of the covenants or agreements  set forth in this Agreement on the part of EFCC,
which  breach is not curable or, if curable,  is not cured  within 30 days after
written  notice of such breach is given by Star to EFCC,  unless Star shall have
intentionally caused such breach and prevented such cure.

           7.5 Effect of Termination and Abandonment.

                      (a) In the event that this Agreement is terminated by EFCC
pursuant  to Section  7.3(a) or by Star  pursuant to Section  7.4(a),  then EFCC
shall  promptly,  but in no event  later  than ten days  after  the date of such
request,  pay Star a fee of  $350,000,  which  amount  shall be  payable by wire
transfer of same day funds. EFCC  acknowledges that the agreements  contained in
this Section  7.5(a) are an integral part of the  transactions  contemplated  in
this Agreement,  and that,  without these agreements,  Star and Merger Sub would
not enter into this Agreement.

                      (b) In the event of  termination of this Agreement and the
abandonment of the Merger  pursuant to this Article VII, all  obligations of the
parties hereto shall  terminate,  except the obligations of the parties pursuant
to this  Section  7.5 and except as provided in Section  8.3.  Moreover,  in the
event of  termination  of this  Agreement  pursuant to Section  7.3 or 7.4,  and
subject to Section  5.17(c)  nothing  herein shall  prejudice the ability of the
non-breaching party




                                       41
<PAGE>



from  seeking  damages  from any other  party for any breach of this  Agreement,
including without limitation, attorneys' fees and the right to pursue any remedy
at law or in equity.

                                  ARTICLE VIII

                                  MISCELLANEOUS

           8.1  Amendment.  Subject to the  applicable  provisions of state law,
this  Agreement  may be amended by the parties  hereto solely by action taken by
their respective  Boards of Directors.  This Agreement may not be amended except
by an instrument in writing signed on behalf of each of the parties hereto.

           8.2  Waiver.  At any time prior to the  Effective  Time,  the parties
hereto, by action taken by their respective Boards of Directors,  may (i) extend
the time for the  performance  of any of the  obligations  or other  acts of the
other parties hereto,  (ii) waive any  inaccuracies in the  representations  and
warranties of the other party  contained  herein or in any  documents  delivered
pursuant  hereto,  and (iii) waive compliance by the other party with any of the
agreements or conditions  herein. Any agreement on the part of a party hereto to
any such  extension or waiver shall be valid only if set forth in an  instrument
in  writing  signed on behalf of such  party.  No waiver by either  party of any
default with respect to any provision,  condition or requirement hereof shall be
deemed to be a waiver of any other provision,  condition or requirement  hereof;
nor shall any delay or omission of either party to exercise any right  hereunder
in any manner impair the exercise of any such right  accruing to it  thereunder.
37

           8.3  Survival.   All   representations,   warranties  and  agreements
contained in this  Agreement  or in any  instrument  delivered  pursuant to this
Agreement  shall  terminate and be  extinguished  at the  Effective  Time or the
earlier date of termination  of this  Agreement  pursuant to Article VII, as the
case may be, except that the  agreements  set forth in Article I, Article II and
in Sections  5.4, 5.6, 5.7,  5.19,  8.4 and 8.7 will survive the Effective  Time
indefinitely  and those  set  forth in  Sections  7.5 and 8.7 will  survive  the
termination  of this  Agreement  indefinitely,  and other than any  covenant the
breach of which has resulted in the termination of this Agreement.

           8.4 Expenses and Fees. Whether or not the Merger is consummated,  all
costs and  expenses  incurred  by the  parties  hereto in  connection  with this
Agreement and the  transactions  contemplated  hereby shall be paid by the party
incurring such expenses except as expressly  provided herein and except that (i)
the filing fee in  connection  with the HSR Act filing,  if any, (ii) the filing
fee in  connection  with  the  filing  of the  Registration  Statement  or Proxy
Statement with the Commission and (iii) the expenses incurred in connection with
printing and mailing the Registration  Statement and the Proxy Statement,  shall
be shared equally by Star and EFCC.

           8.5  Notices.  All  notices  and other  communications  given or made
pursuant  hereto  shall be in writing  and shall be deemed to have been given or
made if in writing and




                                       42
<PAGE>


delivered  personally or sent by registered or certified mail (postage  prepaid,
return  receipt  requested)  or by  telecopier  to the parties at the  following
addresses:

           if to Merger Sub or Star:     Star Multi Care Services, Inc.
                                         33 Walt Whitman Road
                                         Huntington Station, New York  11746
                                         Attn: Chief Executive Officer
                                         Telecopier:  516-423-3924

           with copies to:               Parker Chapin Flattau & Klimpl, LLP
                                         1211 Avenue of the Americas
                                         New York, New York  10036
                                         Attn: James Alterbaum, Esq.
                                         Telecopier: (212) 704-6288

           if to EFCC:                   Extended Family Care Corporation
                                         c/o Arbor Home Healthcare Holdings, LLC
                                         333 Earl Ovington Boulevard
                                         Uniondale, New York  11553
                                         Attn: Chief Executive Officer
                                         Telecopier: 212-832-8045

           with copies to:               Meltzer, Lippe, Goldstein, Wolf
                                          & Schlissel, P.C.
                                         190 Willis Avenue
                                         Mineola, New York 11501
                                         Attn: Richard A. Lippe, Esq.
                                         Telecopier: (516) 747-0653

or at such other  addresses as shall be furnished by the parties by like notice,
and such notice or  communication  shall be deemed to have been given or made as
of the date so delivered or mailed.

           8.6 Headings.  The headings  contained in this Agreement are inserted
for convenience only and do not constitute a part of this Agreement.

           8.7  Publicity.  The parties  hereto shall not, and shall cause their
affiliates not to, issue or cause the  publication of any press release or other
announcement  with respect to the Merger or this  Agreement  without  consulting
with all other parties and their respective counsel; provided,  however, that to
the extent  either party  believes on the advice of counsel that it is obligated
under  federal  or state  law to issue or cause  the  publication  of any  press
release or other announcement,  such party shall only be obligated to so consult
if it is possible to do so without violating any such legal obligation.





                                       43
<PAGE>



           8.8  Entire  Agreement.  This  Agreement  and  the  other  agreements
referred  to herein  constitute  the  entire  agreement  among the  parties  and
supersede all other prior agreements and understandings,  both written and oral,
among the parties, or any of them, with respect to the subject matter hereof.

           8.9 Assignment. This Agreement and all of the provisions hereof shall
be  binding  upon and inure to the  benefits  of the  parties  hereto  and their
respective  successors and permitted assigns.  Neither this Agreement nor any of
the rights,  interests  or  obligations  shall be assigned by any of the parties
hereto without the prior written consent of the other parties. This Agreement is
not intended to confer upon any other person any rights or remedies hereunder.

           8.10  Counterparts.  This  Agreement  may be  executed in one or more
counterparts,  all of which shall be considered  one and the same  agreement and
each of which shall be deemed an original.

           8.11  Invalidity;  Severability.  In the event that any  provision of
this Agreement  shall be deemed contrary to law or invalid or  unenforceable  in
any respect by a court of competent jurisdiction, the remaining provisions shall
remain in full  force and effect to the extent  that such  provisions  can still
reasonably be given effect in accordance with the intentions of the parties, and
the invalid and unenforceable provisions shall be deemed, without further action
on the part of the parties,  modified,  amended and limited solely to the extent
necessary to render the same valid and enforceable.

           8.12 Governing Law. The validity and interpretation of this Agreement
shall be governed by the laws of the State of New York, without reference to the
conflict of law principles thereof.

           8.13 Legal Proceedings.  Legal proceedings  commenced by Star or EFCC
or arising out of any of the  transactions  or obligations  contemplated by this
Agreement shall be brought  exclusively in the federal courts or, in the absence
of federal  jurisdiction,  state courts,  in either case in Nassau  County,  New
York. Star and EFCC irrevocably and  unconditionally  submit to the jurisdiction
of such courts and agree to take any and all future  action  necessary to submit
to the jurisdiction of such courts. Each of Star and EFCC irrevocably waives any
objection which it may now or hereafter have to the laying of venue of any suit,
action or proceeding brought in any federal or state court in Nassau County, New
York, and further  irrevocably  waives any claims that any such suit,  action or
proceeding brought in any such court has been brought in an inconvenient forum.

           8.14 Purchase Price  Adjustment.  The Merger  Consideration  shall be
reduced by an amount equal to any damages or losses  incurred by Star due to any
liens not disclosed to Star on any EFCC Disclosure Schedule.




                                       44
<PAGE>




           IN  WITNESS  WHEREOF,  Star,  Merger  Sub and EFCC have  caused  this
Agreement to be signed by their respective  officers  thereunto duly authorized,
all as of the date first written above.

EXTENDED FAMILY CARE                          STAR MULTI CARE SERVICES, INC.
CORPORATION


By:  /s/ Joseph Heller                        By:  /s/ Stephen Sternbach
   --------------------                           ------------------------
    Joseph Heller, Vice-President                  Stephen Sternbach, Chairman
                                                   and Chief Executive Officer





                                              EFCC ACQUISITION CORP.


                                              By:  /s/ Stephen Sternbach
                                                  ------------------------
                                                   Stephen Sternbach, Chairman
                                                   and Chief Executive Officer




                                       45
<PAGE>


                                                                       EXHIBIT A
                                                                       ---------




                               ___________, 1997



Star Multi Care Services, Inc.
99 Railroad Station Plaza
Hicksville, New York  11801

Gentlemen:

           Reference  is made to the  provisions  of the  Agreement  and Plan of
Merger,  dated as of January __, 1997 (together with any amendments thereto, the
"Merger Agreement") among Star Multi Care Services, Inc., a New York corporation
("Star"),  EFCC  Acquisition  Corp., a New York  corporation  and a wholly-owned
subsidiary of Star (the "Merger Sub") and Extended  Family Care  Corporation,  a
New York  corporation  ("EFCC"),  pursuant to which EFCC will be merged with and
into Merger Sub (the  "Merger"),  with Merger Sub  continuing  as the  surviving
corporation  (the  "Surviving   Corporation").   This  letter  consists  of  the
undertakings  contemplated  by  Section  5.10  of the  Merger  Agreement  and is
designed to assure compliance with Rule 145 ("Rule 145").

           I represent, warrant and covenant as follows:

                      (a) I understand that I may be deemed to be an "affiliate"
of  EFCC,  as such  term is  defined  for  purposes  of Rule  145,  and that the
transferability  of the shares of common  stock,  par value $.001 per share,  of
Star  (the  "Star  Common  Stock"),  if  any,  which  I will  receive  upon  the
consummation of the Merger in exchange for my shares of common stock,  par value
$.01 per share, of EFCC (the "EFCC Common Stock"),  is therefore  subject to the
provisions of Rule 145. Nothing herein shall be construed as an admission that I
am an affiliate.

                      (b)  Appendix A attached  hereto  sets forth all shares of
EFCC Common Stock and Star Common Stock owned by me,  including  all EFCC Common
Stock as to which I have  sole or  shared  voting  or  investment  power and all
rights, options and warrants to acquire EFCC Common Stock owned or held by me.

                      (c) I will not sell, pledge, transfer or otherwise dispose
of any shares of Star Common Stock  issued to me pursuant to the Merger,  except
pursuant to an effective  registration  statement or in compliance with Rule 145
or another exemption from the registration requirements of the Securities Act.





<PAGE>



                      (d) Except for those rights  specifically  granted by Star
to certain  shareholders  of EFCC  pursuant to that  certain  EFCC  Shareholders
Agreement  between  Star and  certain  shareholders  of EFCC  listed  on Annex A
thereto and Mr. Ivan Kaufman,  an individual having voting control of the shares
of EFCC owned by each of the  Shareholders,  I understand  that Star is under no
obligation to register the sale,  transfer,  pledge or other  disposition of the
Star Common  Stock to be received  by me upon  consummation  of the Merger or to
take any other action  necessary for the purpose of making an exemption from the
registration requirements of the Act available for the resale of the Star Common
Stock to be received by me upon consummation of the Merger.

                      (e) I  understand  that Star  will  impose  stop  transfer
instructions  with  respect  to the  Common  Stock  to be  received  by me  upon
consummation  of the  Merger  and that a  restrictive  legend  will be placed on
certificates  delivered to me evidencing such Star Common Stock in substantially
the following form:

                                 "This  certificate  and the shares  represented
                      hereby have been issued pursuant to a transaction governed
                      by Rule 145 ("Rule 145")  promulgated under the Securities
                      Act of 1933,  as amended (the "Act"),  and may not be sold
                      or otherwise  disposed of unless  registered under the Act
                      pursuant to a Registration Statement in effect at the time
                      or unless the proposed sale or disposition  can be made in
                      compliance  with  Rule  145  or  without  registration  in
                      reliance on another exemption therefrom."

                      (f) I have  full  power  and  authority  to  execute  this
Agreement,  to  make  the  representations,   warranties  and  covenants  herein
contained and to perform my obligations hereunder.

                      (g) I understand the  requirements  of this letter and the
limitations imposed upon the sale, pledge,  transfer or other disposition of the
Star Common Stock.

                      (h) The receipt of this letter by Star is an inducement to
Star's obligation to consummate the Merger under the Merger Agreement.

                      (i) All of the above representations are true, correct and
complete on the date hereof and will  continue to be true,  correct and complete
through and including the time of the transaction. If any of the representations
in  this  letter  cease  to be  true  at  any  time  prior  to the  time  of the
transaction,  I will so notify you  immediately  in  writing  (and in all events
before the time of the transactions).



                                            Very truly yours,



                                      -2-

<PAGE>



                                                                       EXHIBIT B
                                                                       ---------




                 OPINION OF PARKER CHAPIN FLATTAU & KLIMPL, LLP

           1.  Each of Star  and the Star  Subsidiaries  is a  corporation  duly
organized,  validly  existing  and  in  good  standing  under  the  laws  of the
jurisdiction of incorporation,  with all requisite corporate power and authority
to own,  operate and lease its  properties and to carry on its business as it is
now being conducted,  and is qualified or licensed to do business and is in good
standing  in each  jurisdiction  in which  the  failure  to be so  qualified  or
licensed, individually or in the aggregate, would have a Material Adverse Effect
on Star.  Section 3.1 of the Star  Disclosure  Schedule  contains a complete and
accurate  list of all of the  Star  Subsidiaries.  Neither  Star  nor  any  Star
Subsidiary is in violation of any provision of its Certificate of  Incorporation
or Bylaws which could have a Material  Adverse Effect on Star. To our knowledge,
Merger Sub has not engaged in any business  nor has it incurred any  liabilities
or obligations  since it was incorporated  other than relating to this Agreement
and the transactions contemplated hereby.

           2. The Star Common  Stock to be issued  pursuant to the Merger,  when
issued in accordance with the terms and conditions of the Merger Agreement, will
be duly authorized, validly issued, fully paid and nonassessable.

           3. As of the  date  hereof,  the  authorized  capital  stock  of Star
consists in its entirety of (i)  10,000,000  shares of Star Common Stock,  $.001
par value, and (ii) 5,000,000 shares of Preferred Stock,  $1.00 par value. As of
January  2,  1997,  4,045,889  shares  of Star  Common  Stock  and no  shares of
Preferred  Stock were issued and  outstanding,  (ii) options to acquire  626,136
shares of Star Common  Stock were  outstanding  under all stock  option plans of
Star,  (iii) 333,900 shares were reserved for issuance  pursuant to all employee
benefit  plans of Star and (iv)  warrants  to  purchase  106,712  shares of Star
Common Stock were  outstanding.  As of the date hereof,  the authorized  capital
stock of Merger Sub consists in its  entirety of 1,000  shares of common  stock,
$.01 par value,  of which 100 shares  are  issued  and  outstanding.  All of the
outstanding  shares of capital stock of each of the Star  Subsidiaries are owned
beneficially  and of record by Star or a Star  Subsidiary  free and clear of all
liens,  charges and encumbrances of any nature. All of the outstanding shares of
capital stock of Star,  Merger Sub and each of the Star  Subsidiaries  have been
validly issued and are fully paid and nonassessable.

           4. Each of Star and Merger Sub has full corporate power and authority
to execute and deliver the Merger  Agreement and to consummate the  transactions
contemplated  on its part  thereby.  The  execution  and  delivery of the Merger
Agreement  by  each  of  Star  and  Merger  Sub  and  the  consummation  of  the
transactions contemplated on its part thereby have been duly authorized by their
respective  Boards of Directors and duly approved by Star's  shareholders and no
other  corporate  proceedings on the part of Star or Merger Sub are necessary to
authorize the execution and delivery of the Merger  Agreement by Star and Merger
Sub or the consummation of



<PAGE>



the transactions contemplated on its part thereby. The Merger Agreement has been
duly executed and delivered by each of Star and Merger Sub and  constitutes  the
legal,  valid and binding obligation of each of Star and Merger Sub, as the case
may be, enforceable against each of them in accordance with its terms, except to
the extent that such  enforceability  may be limited by  applicable  bankruptcy,
insolvency, reorganization or other laws affecting the enforcement of creditors'
rights generally or by general equity principles.

           5.  The  Registration   Statement  has  become  effective  under  the
Securities  Act and,  to the best of our  knowledge,  no  order  suspending  the
effectiveness  of the  Registration  Statement has been issued and no proceeding
for that purpose has been instituted or is pending.



<PAGE>

                                                                       EXHIBIT C
                                                                       ---------











                                           January __, 1997



Star Multicare Services, Inc.
33 Walt Whitman Road
Huntington Station, NY 11746

Gentlemen:

           We have acted as counsel to Extended Family Care  Corporation,  a New
York  corporation  ("EFCC"),  and TPC  Home  Care  Services,  Inc.,  a New  York
corporation ("TPC"), in connection with the preparation,  execution and delivery
of the Agreement and Plan of Merger (the "Merger Agreement"), dated January ___,
1997 among Star Multicare Services, Inc., EFCC and EFCC Acquisition Corp.

           This  opinion is  delivered  to you  pursuant  to Section  6.3 of the
Merger  Agreement.  Capitalized terms used herein and not defined shall have the
meanings ascribed thereto in the Merger Agreement.

           In connection with the  preparation of this Opinion Letter,  we have,
with your  consent,  examined  and relied  upon the Merger  Agreement  including
exhibits and schedules thereto. In addition,  we have examined such certificates
of public  officials and of corporate  officers of EFCC and other  documents and
records as we have deemed necessary as a basis for the opinions set forth below.
In making such  examination,  we have assumed the genuineness of all signatures,
the legal capacity


<PAGE>


Star Multicare Services, Inc.           2                       January __, 1997



of  natural  persons,  the  authenticity  of all  documents  submitted  to us as
originals and the  conformity to the originals of all documents  submitted to us
as copies.  As to various facts  material to the opinions set forth  herein,  we
have  relied  upon  the  representations  made  in the  Merger  Agreement,  upon
certificates of public  officials and upon a certificate of Joseph Heller,  Vice
President of EFCC, which facts we have not independently verified.

           In rendering the opinions expressed below, we have assumed, with your
permission and without any  independent  investigation  or  verification  of any
kind, that (i) each party to the Merger Agreement, the Consulting Agreement, the
Shareholders  Agreement and the Escrow Agreement (the "Merger  Documents") other
than EFCC, TPC, and Arbor Home Healthcare Holdings, LLC ("Arbor") (collectively,
the "Other Parties") has been duly organized and is validly existing and in good
standing under the laws of its jurisdiction of  incorporation  and of each other
jurisdiction  in which the  conduct  of its  business  or the  ownership  of its
property makes such qualification necessary,  (ii) each of the Other Parties has
full power and authority to execute,  deliver and perform the Merger  Documents;
(iii) the execution, delivery and performance of the Merger Documents by each of
the Other Parties has been duly authorized by all requisite  corporate action on
the part of each Other Party;  (iv) each of the Merger  Documents  has been duly
executed and  delivered  by each of the Other  Parties;  and (v) the  execution,
delivery and  performance  of each of the Merger  Documents by each of the Other
Parties  does  not  and  will  not  violate  the   charter,   by-laws  or  other
organizational  documents of any of the Other Parties.  We have further assumed,
with your permission and without any independent  investigation  or verification
of any kind, that the Merger Documents constitutes the valid and legally binding
obligations of the Other Parties.

           As used in this  opinion,  the  phrase "to our  knowledge"  means the
actual  present  knowledge  or  belief  of those  attorneys  in our firm who are
currently  representing  EFCC  without  independent  investigation.  We have not
undertaken  any  independent   investigation   to  determine  the  existence  or
nonexistence  of those facts with respect to which we are  expressing an opinion
or whether there are other facts which may affect our opinion,  and no inference
as to our  knowledge of the existence or  nonexistence  of those facts should be
drawn from the fact of this firm's  delivery of an opinion  with respect to EFCC
in connection with the subject transaction.

           Based  on  and  subject  to  the   foregoing,   and  subject  to  the
qualifications and exceptions set forth herein, we are of the opinion that:

           1. To our knowledge, the EFCC Disclosure Schedule contains a complete
and  accurate  list of all of the EFCC  Subsidiaries.  Each of EFCC and TPC is a
corporation duly  incorporated,  validly existing and in good standing under the
laws of the State of New York, with all requisite  corporate power and authority
to own,  operate and lease its  properties and to carry on its business as it is
now being conducted,  and is qualified or licensed to do business and is in good
standing  in each  jurisdiction  in which  the  failure  to be so  qualified  or
licensed, individually or in the


<PAGE>


Star Multicare Services, Inc.           3                       January __, 1997



aggregate,  would  have a Material  Adverse  Effect on EFCC.  To our  knowledge,
neither EFCC nor TPC is in violation of any provision of its charter or bylaws.

           2. The  authorized  capital stock of EFCC consists in its entirety of
10,000,000  shares of Preferred Stock,  $.01 par value and 50,000,000  shares of
common stock, $.01 par value.  Based solely upon a certificate of American Stock
Transfer & Trust Co., as of January ___, 1997, as well as stock transfer records
and corporate minutes to the extent available,  32,000,226 shares of EFCC Common
Stock were issued and outstanding.  The authorized capital stock of TPC consists
in its entirety of  20,000,000  shares of Common  Stock,  $.01 par value.  Based
solely upon a certificate  of American Stock Transfer & Trust Co. and our review
of the Certificate of  Incorporation  of TPC, as well as stock transfer  records
and  corporate  minutes  to the  extent  available,  as of  January  ___,  1997,
1,750,000  shares of TPC Common  Stock were  issued  and  outstanding,  of which
1,451,157 shares were owned of record by EFCC. To our knowledge, all outstanding
shares of EFCC and TPC have been duly  authorized  and  validly  issued  and are
fully-paid and non-assessable.

           3.  To our  knowledge,  other  than  as  contemplated  in the  Merger
Agreement,  there  is  no  outstanding  right,   subscription,   warrant,  call,
unsatisfied  preemptive  right,  option or other agreement or arrangement of any
kind  to  purchase  or  otherwise  to  receive  from  EFCC  or  TPC  any  of the
outstanding,  authorized but unissued,  unauthorized  or treasury  shares of the
common stock or any other  security of EFCC or TPC, and there is no  outstanding
security of any kind convertible into or exchangeable for such capital stock.

           4. EFCC has full corporate power and authority to execute and deliver
the  Merger  Agreement  and  the  Consulting  Agreement  and to  consummate  the
transactions contemplated on its part thereby. The execution and delivery of the
Merger  Agreement and the Consulting  Agreement by EFCC and the  consummation of
the  transactions  contemplated on its part thereby have been duly authorized by
its Board of Directors and, in the case of the Merger  Agreement,  duly approved
by EFCC's shareholders, and, other than as contemplated in the Merger Agreement,
no other  corporate  proceedings  on the part of EFCC are necessary to authorize
the execution and delivery of the Merger  Agreement or the Consulting  Agreement
by  EFCC  or the  consummation  of the  transactions  contemplated  on its  part
thereby. Each of the Merger Agreement and the Consulting Agreement has been duly
executed and delivered by EFCC,  and  constitutes  the legal,  valid and binding
obligation  of EFCC,  enforceable  against  EFCC in  accordance  with its terms,
subject to the General  Qualifications  contained in ss.11-14 of the Third-Party
Legal Opinion  Report of the Section of Business Law,  American Bar  Association
(1991) (the "General Qualifications") and Paragraph 10 below.

           5. Each of Coss Holding  Corp.  ("Coss") and Arbor has full power and
authority to execute and deliver the EFCC Shareholders Agreement and each of the
irrevocable proxies  contemplated  thereby (the "Proxies") and to consummate the
transactions contemplated thereby. The


<PAGE>


Star Multicare Services, Inc.           4                       January __, 1997



execution  and delivery of the EFCC  Shareholders  Agreement  and the Proxies by
each of Coss and Arbor and the  consummation  of the  transactions  contemplated
thereby have been duly  authorized,  and no other proceeding on the part of Coss
or Arbor is  necessary  to  authorize  the  execution  and  delivery of the EFCC
Shareholders  Agreement and the Proxies by Coss or Arbor or the  consummation of
the transactions  contemplated thereby. The EFCC Shareholders  Agreement and the
Proxies  have been duly  executed  and  delivered  by Coss,  Arbor and Mr.  Ivan
Kaufman,  and constitute the legal,  valid and binding obligation of Coss, Arbor
and Mr. Ivan Kaufman,  enforceable  against Coss,  Arbor and Mr. Ivan Kaufman in
accordance with their terms, subject to the General Qualifications and Paragraph
10 below.

           6. Each of Coss and Arbor has full  corporate  power and authority to
execute and deliver the Escrow  Agreement  and to  consummate  the  transactions
contemplated  on its part  thereby.  The  execution  and  delivery of the Escrow
Agreement  by each of Coss and Arbor and the  consummation  of the  transactions
contemplated  on their part  thereby have been duly  authorized  by its Board of
Directors,  and no other  corporate  proceedings on the part of Coss or Arbor is
necessary to authorize  the  execution  and delivery of the Escrow  Agreement by
Coss or Arbor or the consummation of the transactions contemplated on their part
thereby.  The Escrow  Agreement  has been duly executed and delivered by each of
Coss and Arbor, and constitutes the legal,  valid and binding obligation of each
of Coss and Arbor,  enforceable  against Coss and Arbor in  accordance  with its
terms, subject to the General Qualifications.

           7. Except as disclosed in Section 4.5 of the Merger  Agreement or the
EFCC Disclosure Schedule, the execution,  delivery and performance of the Merger
Agreement by EFCC and the  consummation by it of the  transactions  contemplated
thereby do not (i) violate or conflict with any provision of any law  applicable
to EFCC or TPC or by which any of their  property  or  assets  are  bound,  (ii)
require the  consent,  waiver,  approval,  license or  authorization  of, or any
filing by EFCC or TPC with, any public  authority,  or (iii)  violate,  conflict
with or result in a breach of or the  acceleration  of any obligation  under, or
constitute a default (or an event which with notice or the lapse of time or both
would become a default) under, or give to others any right of, or result in any,
termination,  amendment, acceleration or cancellation of, or loss of any benefit
or creation of a right of first  refusal or result in the  creation of a lien or
other  encumbrance  on any property or asset of EFCC or TPC pursuant to or under
any  provision of any charter or bylaw,  or, to the best of our  knowledge,  any
indenture,  mortgage, lien, lease, license,  agreement,  contract, or instrument
identified  the EFCC  Disclosure  Schedules  or, to our  knowledge,  any  order,
judgment, ordinance, EFCC Permit, law, regulation or decree to which EFCC or TPC
is subject or by which EFCC or TPC or any of their property or assets are bound,
except where the failure to give such notice,  make such filings, or obtain such
authorizations,   consents,  waivers,  licenses  or  approvals,  or  where  such
violations,    conflicts,   breaches,   defaults,   terminations,    amendments,
accelerations,   cancellations,   loss  of   rights,   liens  or   encumbrances,
individually  or in the aggregate,  would not have a Material  Adverse Effect on
EFCC or on EFCC's ability to consummate  the  transactions  contemplated  by the
Merger Agreement.


<PAGE>


Star Multicare Services, Inc.           5                       January __, 1997



           8. Upon filing of the  Certificate  of Merger with the  Secretary  of
State of the State of New York, the Merger will be effective in accordance  with
the terms of the Certificate of Merger and the BCL.

           9. To our  knowledge,  except as set forth in Section 4.7 of the EFCC
Disclosure   Schedule  or  in  the  EFCC  SEC  Filings,   there  are  no  suits,
arbitrations, mediations, actions, proceedings, unfair labor practice complaints
or grievances pending or threatened against EFCC or TPC.

           10.  We  express  no  opinion  as to the  enforceability  of (i)  the
indemnification  obligation  contained  in the  Shareholders  Agreement,  to the
extent it  purports  to  relate to any  liability  under  any  Federal  or state
securities law, or (ii) any provision of the Consulting  Agreement that purports
to  require  EFCC  to act in  accordance  with  directions  received  from  Star
Multicare Services, Inc.

           11. Our opinions set forth in Paragraphs  "5" and "6" above,  insofar
as  they  relate  to  Coss,  are  rendered  in  reliance  upon  the  opinion  of
________________________,  Esqs.,  counsel  to Coss,  a copy of which is annexed
hereto.  Our opinions  contained in clauses (i) and (ii) of Paragraph  "7" above
insofar as they relate to laws, rules, regulations or requirements governing the
provision of  healthcare  services,  is rendered in reliance upon the opinion of
___________________, Esqs., special healthcare services counsel to EFCC and TPC,
a copy of which is also annexed hereto.

           12. The Registration  Statement  relating to the shares of Star Multi
Care  Services,  Inc. to be issued  pursuant to the Merger  Agreement has become
effective  under the Securities Act and, to our knowledge,  no order  suspending
the  effectiveness  of  the  Registration  Statement  has  been  issued  and  no
proceeding for that purpose has been instituted or is pending.



<PAGE>


Star Multicare Services, Inc.           6                       January __, 1997


           We are  members  of the Bar of the State of New  York,  and we do not
express any opinion  herein  concerning any law other than the laws of the State
of New York and the Federal laws of the United States.

           This  opinion  letter  is  rendered  to you in  connection  with  the
above-described  transaction.  This opinion letter may not be relied upon by you
for any other  purpose,  or relied upon by, or furnished  to, any other  person,
firm or corporation, without our prior written consent.

                                             Very truly yours,

                                             MELTZER, LIPPE, GOLDSTEIN,
                                               WOLF & SCHLISSEL, P.C.



                                             By:_________________________




<PAGE>



                                                                       EXHIBIT D
                                                                       ---------


                           EFCC SHAREHOLDERS AGREEMENT


           This  EFCC  Shareholders  Agreement  (the  "Agreement")  is made  and
entered into as of January 3, 1997 among Star Multi Care  Services,  Inc., a New
York corporation  ("Star"),  Coss Holding Corp., a New York corporation ("Coss")
and Arbor Home  Healthcare  Holdings,  LLC, a limited  liability  company formed
under the laws of the state of New York ("Arbor" and collectively with Coss, the
"Shareholders"),  shareholders of Extended Family Care  Corporation,  a New York
corporation  ("EFCC")  listed  on  Annex A  hereto,  and Mr.  Ivan  Kaufman,  an
individual  having  voting  control  of the  shares of EFCC owned by each of the
Shareholders  ("Kaufman") and Melius,  as Voting Trustee under the Voting Trust.
Capitalized  terms used herein and not otherwise defined shall have the meanings
ascribed thereto in the Merger Agreement (as defined below).

                                    RECITALS

           A. Concurrently with delivery of this Agreement,  Star, EFCC and EFCC
Acquisition  Corp., a New York corporation and a wholly owned subsidiary of Star
("Merger  Sub"),  are entering into an Agreement and Plan of Merger (the "Merger
Agreement")  which  provides for the merger (the "Merger") of EFCC with and into
Merger Sub or, in the event of the exercise of the All Cash  Option,  as defined
in the Merger Agreement,  Merger Sub with and into EFCC. Pursuant to the Merger,
shares EFCC Common  Stock will be  converted  into the right to receive cash and
shares of Star Common Stock on the basis described in the Merger Agreement.

           B. Each of Arbor and the Voting Trustee is the record holder and each
of Arbor and Coss is the  beneficial  owner (as  defined in Rule 13d-3 under the
Securities Exchange Act of 1934, as amended (the "Exchange Act")) of such number
of issued and outstanding shares of EFCC Common Stock as is indicated on Annex A
of this Agreement (the "Shares").

           C. As an inducement to Star to enter into the Merger Agreement,  each
Shareholder,  the  Voting  Trustee  and  Kaufman is willing to enter into and be
bound by this  Agreement  pursuant  to which each  agrees (i) not to transfer or
otherwise dispose of any of their respective  Shares, or any other securities of
EFCC acquired  hereafter and prior to the Expiration Date (as defined in Section
1.1 below,  except as  otherwise  permitted  hereby),  (ii) not to  transfer  or
otherwise  dispose  of any of  their  respective  shares  of Star  Common  Stock
received  as Merger  Consideration,  except  as  otherwise  expressly  permitted
hereby,  (iii) to vote their respective  Shares and any other such securities of
EFCC held thereby so as to facilitate  consummation  of the Merger,  and (iv) to
accept certain liabilities in respect of the obligations of the Company pursuant
to the Merger  Agreement,  and (v)  following  the  Merger,  to vote any and all
shares  of  Star  as to  which  it has  voting  power  in  accordance  with  the
determinations of the Board of Directors of Star, all as specified herein below.




<PAGE>



           D. Each  Shareholder  and Mr.  Ivan  Kaufman  does not have a binding
commitments or  preconceived  plans or  arrangements to dispose of the shares of
Star Common Stock to be received pursuant to the terms of the Merger Agreement.

           NOW, THEREFORE, for good and valuable consideration,  the receipt and
sufficiency of which is hereby  acknowledged,  and intending to be legally bound
hereby, the parties agree as follows:

           1.         Agreement to Retain Shares.

                      1.1 Transfer and Encumbrance. Each Shareholder and Kaufman
severally  agrees not to  transfer  (except as may be  specifically  required by
court order), sell, exchange,  pledge or otherwise dispose of or encumber any of
the Shares or any New Shares (as defined in Section  1.2 below),  or to make any
offer or agreement  relating thereto,  at any time prior to the Expiration Date.
As used herein,  the term  "Expiration  Date" shall mean the earlier to occur of
(i) such date and time as the Merger shall become  effective in accordance  with
the terms and provisions of the Merger  Agreement and (ii) such date and time as
the Merger Agreement shall be terminated pursuant to Article VII thereof.

                      1.2 Additional  Purchases.  Each  Shareholder  and Kaufman
agrees that any shares of capital  stock of EFCC that it or he purchases or with
respect to which it or he  otherwise  acquires  beneficial  ownership  after the
execution of this  Agreement  and prior to the  Expiration  Date ("New  Shares")
shall be  subject  to the terms and  conditions  of this  Agreement  to the same
extent as if they constituted Shares.

           2.         Agreement to Vote Shares and Irrevocable Proxy.

                      (a) At every  meeting of the  shareholders  of EFCC called
with respect to any of the following,  and at every  adjournment or postponement
thereof,  and on every action or approval by written consent of the shareholders
of EFCC with respect to any of the following,  each  Shareholder  and the Voting
Trustee and Kaufman severally agrees to vote their respective Shares and any New
Shares:  (i) in favor of approval of the Merger Agreement and the Merger and any
matter that could  reasonably  be expected to  facilitate  the Merger;  and (ii)
against  approval of any proposal  made in  opposition  to or  competition  with
consummation  of the Merger  and  against  any  merger,  consolidation,  sale of
assets, reorganization or recapitalization,  with any party other than with Star
and its  affiliates  and against any  liquidation or winding up of EFCC (each of
the  foregoing  is  hereinafter  referred to as an  "Opposing  Proposal").  Each
Shareholder and the Voting Trustee and Kaufman  severally agrees not to take any
actions contrary to its or his obligations under this Agreement.

                      (b)  Concurrently  with the  execution of this  Agreement,
each  Shareholder  and the Voting  Trustee and Kaufman  shall  deliver to Star a
proxy  in  each  of the  forms  attached  hereto  as  Annex  B and  Annex C (the
"Proxies"), which shall be irrevocable to the extent



                                      -2-
<PAGE>



provided in the New York  Business  Corporation  Law,  with respect to the total
number  of  shares  of  capital  stock  of EFCC or  Star,  as the  case  may be,
beneficially  owned (as such term is defined in Rule  13d-3  under the  Exchange
Act) by it or him set forth therein.

           3.         Agreement  Not to  Sell.  Each  Shareholder  and  Kaufman,
severally  agrees  that,  from the  Effective  Time through and until the second
anniversary   thereof  (such  period  being  hereinafter   referred  to  as  the
"Restrictive Period"),  none of them shall sell, or in any other way directly or
indirectly transfer, convey, assign,  distribute,  encumber or otherwise dispose
of, any Star Common Stock received as Merger Consideration;  provided,  however,
that during the Restrictive  Period Arbor, Coss and Kaufman may, (i) pursuant to
the  Registration  Rights granted by Section 4 hereby,  sell such shares of Star
Common Stock  pursuant to a  registration  effected  under the Securities Act in
accordance  with said  Registration  Rights or (ii)  following  ten days'  prior
written notice to Star of its intent to do so and  disclosing the  broker/dealer
executing such sale (and including a copy of the Form 144 relating  thereto,  if
applicable),  sell  such  shares  of  Star  Common  Stock  in a  transaction  or
transactions  made in accordance  with Rules 144 and/or 145 under the Securities
Act.  Other than as set forth in clauses  (i) and (ii) above,  however,  nothing
contained herein shall preclude,  Arbor,  Coss or Kaufman during the Restrictive
Period,  from  selling any Star Common  Stock  received as Merger  Consideration
provided that prior thereto each transferee or subsequent  transferee enter into
an agreement with Star in writing to be bound by and indeed becomes bound by the
provisions  of  this  Agreement  and to  enter  into  and  deliver  to  Star  an
enforceable  proxy,  irrevocable to the extent provided above, on behalf of Star
in the  form of  Annex  C  attached  hereto,  provided  that  such  proxy  shall
terminate,  and be of no further  effect as to any shares of Star  Common  Stock
sold pursuant to Sections 3(i) or 3(ii) hereof.

           4.         Registration Rights

                      Upon  their  receipt of the  shares of Star  Common  Stock
received as Merger  Consideration  (the  "Registerable  Securities") each of the
Shareholders will be entitled to the following Registration Rights.

                      (a)  PIGGY-BACK  RIGHTS.  If Star proposes to register for
itself or anyone else pursuant to the  Securities  Act the sale of shares of any
class of its common stock then, on any such occasion, during the 18-month period
commencing at the Effective Time (the  "Piggy-back  Period"),  Star will furnish
the  Shareholders  with prompt written notice thereof (other than the receipt of
notice of any  exercise  of demand  registration  rights as to fewer than 50,000
such shares and with  respect to which Star does not sell any such shares on its
own behalf).  To the extent  permitted by  applicable  securities  laws and this
Agreement,  Star will cause to be registered in such registration  statement, if
any, all of the Shareholders'  Registrable Securities that the Shareholders have
properly  requested be included in such  registration.  The  Shareholders  shall
exercise the  "Piggy-back  rights"  under this  Section  4(a) by giving  written
notice to Star to such effect  within seven (7) days after being given notice of
any registration by Star as aforesaid.  The provisions of this Section shall not
apply to a registration (i) on Form S-8 or other comparable form relating



                                      -3-
<PAGE>



solely to employee  stock benefit plans or (ii) on Form S-4 or other  comparable
form relating solely to business combination transactions.

                      (b) DEMAND REGISTRATION.  For one year commencing upon the
expiration of the Piggy-back  Period,  upon written demand by either Shareholder
that it desires to have any or all of the  Registerable  Securities  owned by it
registered (the "Shareholder Demand"), Star shall, as expeditiously as possible,
use its best  efforts to effect (at the earliest  possible  date and if possible
within  ninety  (90) days after the giving of such  written  notice to Star) the
registration  and/or  qualification  of such  Registerable  Securities under the
Securities Act and any  applicable  state  securities  laws then in force and to
file  such  amendments  and  supplements  as  may  be  necessary  to  keep  such
registration  effective  for ninety (90) days (such  period to be tolled for any
period that Star is not in compliance with its obligation hereunder).  Star will
give  notice to the  other  Shareholder(s)  of the  Shareholder  Demand,  of its
intention to effect such  registration  and otherwise comply with the provisions
of this  Section  4(b) with  respect  to such  registration.  Star  shall not be
obligated  to cause to become  effective  more than one  registration  statement
pursuant to which Registerable Securities are sold under this Section 4(b).

                      (c) REGISTRATION EXPENSES. All expenses, disbursements and
fees  arising  out of or  related  to the  preparation,  filing,  amendment  and
supplementing  of a registration  statement,  including  without  limitation all
legal and accounting  fees (other than fees of counsel,  if any,  engaged by any
Shareholders  in connection with any  registration of Registerable  Securities),
filing fees,  printing costs,  registration or  qualification  fees and expenses
necessary to comply with blue sky or other state  securities  laws and any other
expenses in  connection  with any action to be taken under Section 4(a) shall be
borne by Star. All expenses, disbursements and fees arising out of or related to
the preparation, filing, amendment and supplementing of a registration statement
including,  without  limitation,  all legal and  accounting  fees,  filing fees,
printing costs,  registration or  qualification  fees and expenses  necessary to
comply with blue sky or other state  securities  laws and any other  expenses in
connection  with any  action  to be taken  under  Section  4(b)  shall be borne,
jointly and severely,  by the  Shareholders,  proportional to the shares of such
Shareholder included in a registration under Section 4(b).

           5.         Representations,   Warranties   and   Covenants   of   the
Shareholders.   Each  Shareholder  hereby  severally  represents,  warrants  and
covenants to Star as follows:

                      5.1  Ownership  of  Shares.  Such  Shareholder  (i) is the
beneficial owner of the respective  number of Shares set forth opposite its name
on Annex A, which at the date  hereof  and at all times up until the  Expiration
Date will be free and clear of any  liens,  claims,  options,  charges  or other
encumbrances; (ii) does not beneficially own any shares of capital stock of Star
other than such Shares;  and (iii) has full power and  authority to make,  enter
into and carry out the terms of this Agreement and the Proxy.

                      5.2 No Proxy Solicitations.  Such Shareholder,  the Voting
Trustee and Kaufman will not, and will not permit any entity under Shareholder's
control to: (i) solicit


                                      -4-

<PAGE>



proxies or become a "participant" in a "solicitation" (as such terms are defined
in Regulation  14A under the Exchange Act) with respect to an Opposing  Proposal
or otherwise encourage or assist any party in taking or planning any action that
would compete with, restrain or otherwise serve to interfere with or inhibit the
timely  consummation  of the Merger in  accordance  with the terms of the Merger
Agreement;  (ii)  initiate  a  shareholders  vote or action by  consent  of EFCC
shareholders with respect to an Opposing Proposal; or (iii) become a member of a
"group" (as such term is used in Section 13(d) of the Exchange Act) with respect
to any voting securities of EFCC with respect to an Opposing Proposal.

                      5.3 Authority;  Enforceability.  Such  Shareholder and the
Voting  Trustee  have the  legal  right and  power,  and all  authorization  and
approval  required by law, to enter into this Agreement and the Affiliate Letter
to be  delivered  by such  Shareholder  pursuant  to Section  5.10 of the Merger
Agreement.  This  Agreement  and  the  Affiliate  Letter  have  each  been  duly
authorized,  executed and delivered by or on behalf of such  Shareholder and the
Voting  Trustee  and  constitutes  a  valid  and  binding   obligation  of  such
Shareholder and the Voting Trustee enforceable in accordance with its respective
terms,  except,  with respect to Section 2 hereof, as such enforceability may be
limited  by  principles  of public  policy  and  subject  to the laws of general
application relating to bankruptcy, insolvency and the relief of debtors and the
rules  of  law  governing  specific  performance,  injunctive  relief  or  other
equitable remedies.

                      5.4 No  Conflict.  The  execution  and  delivery  by  such
Shareholder and the Voting Trustee of, and the  performance by such  Shareholder
and the  Voting  Trustee  of,  its  obligations  under  this  Agreement  and the
Affiliate  Letter will not  contravene  any provision of applicable  law, or the
certificate of incorporation or Bylaws,  partnership agreement,  trust agreement
or  other  charter  documents  of  such  Shareholder,  any  agreement  or  other
instrument binding upon such Shareholder or the Voting Trustee, or any judgment,
order or decree of any governmental  body,  agency or court having  jurisdiction
over  such  Shareholder  or  the  Voting  Trustee,  and  no  consent,  approval,
authorization  or order of, or  qualification  with,  any  governmental  body or
agency is required for the performance by such Shareholder or the Voting Trustee
of its obligations under this Agreement and the Affiliate Letter to be delivered
by such Shareholder pursuant to Section 5.10 of the Merger Agreement, except (i)
such consents, approvals, orders,  authorizations,  registrations,  declarations
and filings as may be required  under  applicable  state and federal  securities
laws and the laws of any foreign  country,  (ii) filings under the HSR Act (iii)
such other consents, authorizations,  filings, approvals and registrations which
if not obtained or made would not have a Material  Adverse Effect on the ability
of such  Shareholder  or the  Voting  Trustee  to  consummate  the  transactions
contemplated by this Agreement, the Affiliate Letter and the Merger Agreement or
(iv) any  consents  specified  in  Section  4.5(ii)(C)  or (ii)(D) of the Merger
Agreement.




                                      -5-
<PAGE>



                      5.5 Representations and Warranties of EFCC.

                      (a) The  representations  of EFCC set forth in Section 4.6
of the  Merger  Agreement  are true  and  correct  as of the date of the  Merger
Agreement and will be true as of the Effective Time and each of the Shareholders
further shall represent and warrant in writing to Star immediately  prior to the
Effective Time that, from the date hereof through the Effective Time,  there has
not been any adverse development or change or prospective adverse development or
change regarding the ability of EFCC to conduct its Medicaid-related  operations
in the nature or to the extent conducted prior to the date hereof.

                      (b) Except as relate to certified  class  action  lawsuits
relating to the Merger,  the  representations of EFCC set forth in Sections 4.7,
4.10 and 4.11 of the Merger Agreement are true and correct as of the date of the
Merger Agreement and will be true as of the Effective Time.

           6.         Survival; Limitation; Indemnification.

                      6.1  Survival  of  Representations  and  Warranties.   The
representations  and warranties of the  Shareholders set forth in Section 5.5(a)
hereof  shall  survive for a period of  twenty-four  (24) months  following  the
Effective Time and the  representations  and warranties of the  Shareholders set
forth in  Section  5.5(b)  shall  survive  for a period  of twelve  (12)  months
following the Effective Time.

                      6.2   Limitation   of  Damages.   The  liability  of  each
Shareholder for monetary  damages with respect to the foregoing  representations
and warranties shall be limited  exclusively to the Escrow Fund, as that term is
defined in the form of Escrow  Agreement  attached  to the Merger  Agreement  as
Exhibit E.

                      6.3 Indemnification by the Sellers.

                      (a)  Subject  to  Sections  6.1 and 6.2 above  and  6.3(b)
below, the Shareholders shall, jointly and severally, indemnify, defend and hold
Star and EFCC and any  director,  officer,  employee,  agent,  advisor,  parent,
shareholder, subsidiary or affiliate of Star (each a "Star Indemnitee") harmless
from, against and with respect to any and all demands, claims, actions or causes
of action, assessments,  liabilities,  losses, costs, damages, penalties, charge
or expense, including,  without limitation,  interest,  penalties and reasonable
counsel  and  accountants'  fees,   disbursements  and  expenses  (collectively,
"Indemnifiable  Losses")  arising  out of, or related  to, (i) any breach by any
Shareholder of any  representation  or warranty made by any  Shareholder in this
agreement or any other  document  delivered  by any  Shareholder  in  connection
herewith,  and  (ii)  the  failure  on the  part of any  Shareholder  to  fully,
faithfully  and timely  perform all  covenants  to be performed by it under this
agreement or any such document (collectively, the "Claims").

                      (b) The Shareholders shall only be obligated to indemnify,
defend and hold Star harmless for Indemnifiable Losses incurred as a result of a
breach or breaches of Section



                                      -6-
<PAGE>



5.5(b) hereof in the event and to the extent that all such Indemnifiable  Losses
shall exceed $100,000.

                      6.4 Procedure for Indemnification.

                      (a) If Star  receives  notice of the  assertion by a third
party of any claim or of the  commencement  by any such  person of any action or
proceeding  (a "Third Party Claim") with respect to which the  Shareholders  are
obligated to provide  indemnification,  Star shall give the Shareholders  prompt
notice  thereof  after  becoming  aware of such Third Party Claim in  reasonable
detail  and  shall   indicate  the  amount   (estimated  if  necessary)  of  the
Indemnifiable  Loss  that  has  been  or  may  be  sustained  by  Star.  If  the
Shareholders  elect, at their expense,  to compromise or defend such Third Party
Claim,  they shall promptly notify Star of their intent to do so, and Star shall
cooperate, at the expense of the Shareholders,  in the compromise of, or defense
against,  such Third Party Claim. If the Shareholders elect not to compromise or
defend  against the Third Party  Claim as  aforesaid,  or fail to notify Star of
their election to do so as herein provided,  Star may pay (without  prejudice to
any of its rights  against the  Shareholders),  compromise  or defend such Third
Party Claim.  Notwithstanding  the foregoing,  neither the Shareholders nor Star
may settle or compromise  any claim  (unless the sole relief  payable to a Third
Party in respect of such Third Party Claim is monetary  damages that are paid in
full by the party settling or compromising such claim) over the objection of the
other; provided,  however, that consent to settlement or compromise shall not be
unreasonably  withheld.  In any  event,  Star  and  the  Shareholders  may  each
participate in the defense of such Third Party Claim. Such  participation  shall
be at the expense of each party except if Star,  in its  reasonable  discretion,
believes  that  because  of its  relationship  with  the  Third  Party  it  must
participate  therein,  then in such event the  participation of Star shall be at
the expense of the  Shareholders.  Star shall make available to the Shareholders
during normal business hours and for reasonable periods,  any books,  records or
other  documents  within its control that are necessary or appropriate  for such
defense.

                      (b) Any claim by Star on account of an Indemnifiable  Loss
which does not result  from a Third  Party  Claim  shall be  asserted by written
notice given to the  Shareholders.  The Shareholders  shall have a period of ten
(10) days within which to respond  thereto.  If the  Shareholders do not respond
within such 10-day  period,  the  Shareholders  shall be deemed to have accepted
responsibility  to make payment,  and shall have no further right to contest the
validity of such claim. If the Shareholders do respond within such 10-day period
and  reject  such claim in whole or in part,  Star shall be free to pursue  such
remedies as may be available to it under applicable law.

                      6.5  Remedies  Cumulative.  The remedies  provided  herein
shall be cumulative and shall not preclude  assertion by any party hereto of any
other  rights or the  seeking  of any other  remedies  against  any other  party
hereto, except as provided in Section 6.2.

           7.         Additional  Documents.  Each  Shareholder  and the  Voting
Trustee  hereby  severally  covenants  and agrees to  execute  and  deliver  any
additional documents necessary or



                                      -7-
<PAGE>



desirable, in the reasonable opinion of Star or Shareholder, as the case may be,
to carry out the intent of this Agreement.

           8.         Consent  and  Waiver.  Each  Shareholder  and  the  Voting
Trustee  hereby gives any consents or waivers that are  reasonably  required for
the  consummation  of the Merger under the terms of any agreements to which such
Shareholder is a party or pursuant to any rights such  Shareholder or the Voting
Trustee may have.

           9.         Termination.  Except as provided is Sections 3, 4, 5.5 and
6 hereof,  this Agreement and the Proxy  delivered in connection  herewith shall
terminate and shall have no further force or effect as of the Expiration Date.

           10.        Miscellaneous.

                      10.1  Severability.  If any term,  provision,  covenant or
restriction of this Agreement is held by a court of competent jurisdiction to be
invalid,  void or  unenforceable,  then the remainder of the terms,  provisions,
covenants  and  restrictions  of this  Agreement  shall remain in full force and
effect and shall in no way be affected, impaired or invalidated.

                      10.2 Binding Effect and Assignment. This Agreement and all
of the  provisions  hereof shall be binding upon and inure to the benefit of the
parties  hereto and their  respective  successors  and permitted  assigns,  but,
except as otherwise specifically provided herein, neither this Agreement nor any
of the rights, interests or obligations of any Shareholder or the Voting Trustee
may be  assigned  by the  Shareholder  or the Voting  Trustee  without the prior
written consent of Star.

                      10.3 Amendments and  Modification.  This Agreement may not
be modified,  amended,  altered or  supplemented  except upon the  execution and
delivery of a written  agreement  executed by the party against whom enforcement
is sought.

                      10.4 Specific Performance;  Injunctive Relief. The parties
hereto  acknowledge that Star will be irreparably  harmed and that there will be
no adequate  remedy at law for a violation of any of the  covenants or agreement
of any  Shareholder  set  forth  herein,  other  than  Section  5.5  (a) or (b).
Therefore,  it is agreed  that,  in addition to any other  remedies  that may be
available to Star upon any such violation,  Star shall have the right to enforce
such covenants and agreements by specific  performance,  injunctive relief or by
any other means available to Star at law or in equity.

                      10.5 Notices. All notices,  requests,  claims, demands and
other  communications  hereunder shall be in writing and sufficient if delivered
in person, by cable, telegram or telex, or sent by mail (registered or certified
mail, postage prepaid,  return receipt requested) or overnight courier (prepaid)
to the respective parties as follows:



                                      -8-
<PAGE>



       if to Star:           Star Multi Care Services, Inc.
                             33 Walt Whitman Road
                             Huntington Station, New York 11746
                             Attn: Chief Executive Officer
                             Telecopier: 516-423-3924

       with copies to:       Parker Chapin Flattau & Klimpl, LLP
                             1211 Avenue of the Americas
                             New York, New York 10036
                             Attn: James Alterbaum, Esq.
                             Telecopier: (212) 704-6288


       if to a Shareholder
       or Kaufman:           To  the address for notice set forth on Annex A
                             hereto.

       with copies to:       Meltzer, Lippe, Goldstein, Wolf, & Schlissel, P.C.
                             190 Willis Avenue
                             Mineola, New York  11501
                             Attn:  Richard A. Lippe, Esq.
                             Telecopier:  (516) 747-0653

       If to EFCC:           Extended Family Care Corporation
                             c/o Arbor Home Healthcare Holdings, LLC
                             333 Earl Ovington Boulevard
                             Uniondale, New York  11553
                             Attn:  Chief Executive Officer
                             Telecopier: (516) 832-8050

or to such other address as any party may have furnished to the other in writing
in accordance  herewith,  except that notices of change of address shall only be
effective upon receipt.

                      10.6 Governing  Law. This Agreement  shall be governed by,
and  construed  and enforced in  accordance  with,  the laws of the State of New
York, without regard to principles of conflicts of law.

                      10.7 Legal  Proceedings.  Legal  proceedings  commenced by
Star, the Shareholders, the Voting Trustee or Mr. Ivan Kaufman or arising out of
any of the  transactions or obligations  contemplated by this Agreement shall be
brought  exclusively  in the  federal  courts  or,  in the  absence  of  federal
jurisdiction, state courts, in either case in Nassau County, New York. Star, the
Voting  Trustee  and the  Shareholders  and Mr.  Ivan  Kaufman  irrevocably  and
unconditionally  submit to the jurisdiction of such courts and agree to take any
and all future



                                      -9-
<PAGE>



action necessary to submit to the jurisdiction of such courts. Each of Star, the
Shareholders,  the Voting  Trustee and Mr. Ivan Kaufman  irrevocably  waives any
objection which it may now or hereafter have to the laying of venue of any suit,
action or proceeding brought in any federal or state court in Nassau County, New
York, and further  irrevocably  waives any claims that any such suit,  action or
proceeding brought in any such court has been brought in an inconvenient forum.

                      10.8 Entire Agreement.  This Agreement contains the entire
understanding  of the  parties in  respect of the  subject  matter  hereof,  and
supersedes all prior  negotiations and  understandings  between the parties with
respect to such subject matter.

                      10.9  Counterparts.  This  Agreement  may be  executed  in
several  counterparts,  each of  which  shall be an  original,  but all of which
together shall constitute one and the same agreement.

                      10.10 Effect of Headings.  The section headings herein are
for convenience only and shall not affect the construction or  interpretation of
this Agreement.

                      10.11   Effective  Time.  This  Agreement  and  the  Proxy
delivered in connection  herewith shall become  effective only upon execution of
the Merger Agreement by each of EFCC, Star and Sub.

                      10.12  Termination  of Voting  Trust.  Upon the  Effective
Time, the Voting Trust shall terminate and be of no further force and effect.


           IN WITNESS  WHEREOF,  the parties have caused this EFCC  Shareholders
Agreement to be duly executed on the date and year first above written.

                                 STAR MULTI CARE SERVICES, INC.

                                 By:  /s/ Stephen Sternbach
                                    ---------------------------
                                      Name: Stephen Sternbach
                                      Title:Chief Executive Officer






<PAGE>



                                 SHAREHOLDERS:
                                 
                                 COSS HOLDING CORP.
                                 
                                 By:  /s/ John Curtin
                                    ---------------------------
                                      Name:  John Curtin
                                      Title: Vice-President
                                 
                                 
                                 /s/ Gary Melius
                                 ------------------------------
                                 Gary Melius, As Voting Trustee
                                 
                                 
                                 ARBOR HOME HEALTHCARE
                                 HOLDINGS, LLC

                                 By:  /s/ Ivan Kaufman
                                    ---------------------------
                                      Name: Ivan Kaufman
                                      Title:Member and President


                                 /s/ IVAN KAUFMAN
                                 ------------------------------
                                 IVAN KAUFMAN


Acknowledged and Accepted by:

EXTENDED FAMILY CARE CORPORATION


By:  /s/  Joseph Heller
     -----------------------
     Name:  Joseph Heller
     Title: Vice-President





<PAGE>



                     ANNEX A TO EFCC SHAREHOLDERS AGREEMENT

          LIST OF PERSONS WHO ENTERED INTO EFCC SHAREHOLDERS AGREEMENT



                                                   NUMBER OF SHARES
                                                   ----------------
                                         
NAME AND ADDRESS                                    COMMON STOCK
- ----------------                                    ------------
                                 
Coss Holding Corp.                                    12,749,658
c/o Arbor Home Healthcare Holdings, LLC
333 Earl Ovington Boulevard
Uniondale, New York  11553
Attention:  Chief Executive Officer

Arbor Home Healthcare Holdings, LLC                   13,000,000
c/o Arbor Home Healthcare Holdings, LLC
333 Earl Ovington Boulevard
Uniondale, New York  11553
Attention:  Chief Executive Officer

Mr. Ivan Kaufman                                               0
c/o Arbor Home Healthcare Holdings, LLC
333 Earl Ovington Boulevard
Uniondale, New York  11553
Attention:  Chief Executive Officer






<PAGE>



                                     ANNEX B

                                IRREVOCABLE PROXY


           The  undersigned  shareholder  or affiliate  of Extended  Family Care
Corporation,  a New York corporation ("EFCC"), hereby irrevocably (to the extent
provided for in the New York Business Corporation Law) appoints the directors on
the Board of Directors of Star Multi Care Services, Inc., a New York corporation
("Star"),  and each of them, as the sole and exclusive  attorneys and proxies of
the undersigned, with full power of substitution and resubstitution, to the full
extent of the  undersigned's  rights with respect to the shares of capital stock
of EFCC  beneficially  owned by the undersigned,  which shares are listed on the
final  page of this  Proxy  (the  "Shares"),  and any and all  other  shares  or
securities  issued or issuable in respect  thereof on or after the date  hereof,
until such time as that certain Agreement and Plan of Merger dated as of January
3 , 1997 (the "Merger  Agreement"),  among Star, EFCC  Acquisition  Corp., a New
York corporation and a wholly-owned subsidiary of Star ("Merger Sub"), and EFCC,
shall be terminated  in  accordance  with its terms or the Merger (as defined in
the Merger Agreement) is effective. Upon the execution hereof, all prior proxies
given by the undersigned with respect to the Shares and any and all other shares
or securities  issued or issuable in respect thereof on or after the date hereof
are hereby revoked and no subsequent proxies will be given.

           This proxy is irrevocable (to the extent provided for in the New York
Business  Corporation  Law),  is  granted  pursuant  to  the  EFCC  Shareholders
Agreement  dated as of  January 3 , 1997 (the  "EFCC  Shareholders  Agreement"),
among Star,  the  undersigned  and certain other  shareholders  of EFCC,  and is
granted  in  consideration  of Star  entering  into the  Merger  Agreement.  The
attorneys  and  proxies  named  above  will be  empowered  at any time  prior to
termination  of the Merger  Agreement  to exercise  all voting and other  rights
(including,  without  limitation,  the  power to  execute  and  deliver  written
consents with respect to the Shares) of the undersigned at every annual, special
or adjourned  meeting of EFCC's  shareholders,  and in every written  consent in
lieu of such a meeting, or otherwise, in favor of approval of the Merger and the
Merger  Agreement and any matter that could reasonably be expected to facilitate
the Merger,  and against any proposal made in opposition to or competition  with
the  consummation of the Merger and against any merger,  consolidation,  sale of
assets,  reorganization  or  recapitalization  of EFCC with any party other than
Star and its affiliates and against any liquidation or winding up of EFCC.

           The attorneys and proxies named above may only exercise this proxy to
vote the Shares  subject  hereto at any time prior to  termination of the Merger
Agreement,  at every annual, special or adjourned meeting of the shareholders of
EFCC and in every written consent in lieu of such meeting,  in favor of approval
of the Merger and the Merger  Agreement and any matter that could  reasonably be
expected to facilitate the Merger, and against any merger,  consolidation,  sale
of assets,  reorganization or recapitalization of EFCC with any party other than
Star and its affiliates,  and against any liquidation or winding up of EFCC, and
may not exercise this proxy on any other matter. The undersigned shareholder may
vote the Shares on all other matters, subject only to the




<PAGE>



terms of that certain Voting Trust Agreement,  entered into as of June ___, 1996
between Cosmetic Sciences, Inc. and the Shareholders.

           Any obligation of the undersigned hereunder shall be binding upon the
successors and assigns of the undersigned.

           This proxy is irrevocable.


Dated: January 3, 1997
                                 
                                 
                                 COSS HOLDING CORP.
                                 
                                 By:  /s/ John Curtin
                                    ------------------------------
                                      Name:   John Curtin
                                      Title:  Vice-President
                                 
                                 
                                  /s/  Gary Melius
                                 ------------------------------
                                 Gary Melius, As Voting Trustee
                                 
                                 
                                 ARBOR HOME HEALTHCARE HOLDINGS,
                                 LLC
                                 
                                 By:  /s/ Ivan Kaufman
                                    ------------------------------
                                      Name:  Ivan Kaufman
                                      Title: Member and President
                                 
                                 

                                      -2-


<PAGE>



                       Shares Subject to Irrevocable Proxy
                       -----------------------------------

Coss Holding Corp.                                            12,749,658

Arbor Home Healthcare Holdings, LLC                           13,000,000






                                      -3-



<PAGE>



                                     ANNEX C

                                IRREVOCABLE PROXY


        Upon the receipt by the undersigned of any and all shares (the "Shares")
of capital  stock of Star  Multi Care  Services,  Inc.,  a New York  corporation
("Star"),  to be issued  pursuant  to and in  accordance  with the terms of that
certain  Agreement  and Plan of Merger  dated as of January 3, 1997 (the "Merger
Agreement"),  among Star, EFCC  Acquisition  Corp., a New York corporation and a
wholly-owned  subsidiary of Star, and Extended Family Care Services,  a New York
corporation,  or otherwise owned thereby, the undersigned hereby irrevocably (to
the extent provided for in the New York Business  Corporation  Law) appoints the
Board of Directors of Star as the sole and  exclusive  attorney and proxy of the
undersigned,  with full power of substitution  and  resubstitution,  to the full
extent of the undersigned's  rights with respect to the Shares,  and any and all
other shares or securities issued or issuable in respect thereof on or after the
date hereof and prior to the termination of this proxy.

           Upon the execution hereof, all prior proxies given by the undersigned
with respect to the Shares and any and all other shares or securities  issued or
issuable in respect thereof are hereby revoked and no subsequent proxies will be
given.

           This proxy is irrevocable (to the extent provided for in the New York
Business Corporation Law) is granted by the undersigned in consideration of Star
entering into the Merger  Agreement and shall  terminate five (5) years from the
date that the  undersigned  shall become  entitled to the Shares pursuant to the
terms of the  Merger  Agreement.  The  attorney  and proxy  named  above will be
empowered  during the term of this proxy to exercise all voting and other rights
(including,  without  limitation,  the  power to  execute  and  deliver  written
consents with respect to the Shares) of the undersigned at every annual, special
or adjourned  meeting of Star's  shareholders,  and in every written  consent in
lieu of such a meeting, or otherwise.

           This proxy  shall  terminate  and be of no  further  effect as to the
shares of Star Common Stock sold in the manner  contemplated by Sections 3(i) or
3(ii) of the EFCC  Shareholders  Agreement  to which this  Irrevocable  Proxy is
annexed as Annex C.

           Any obligation of the undersigned hereunder shall be binding upon the
successors and assigns of the undersigned.







<PAGE>



Dated:  January 3, 1997

                                 
                                 COSS HOLDING CORP.
                                 
                                 By:  /s/ John Curtin
                                    ------------------------------
                                      Name:   John Curtin
                                      Title:  Vice-President
                                 
                                 
                                  /s/  Gary Melius
                                 ------------------------------
                                 Gary Melius, As Voting Trustee
                                 
                                 
                                 ARBOR HOME HEALTHCARE HOLDINGS,
                                 LLC
                                 
                                 By:  /s/ Ivan Kaufman
                                    ------------------------------
                                      Name:  Ivan Kaufman
                                      Title: Member and President
                                 



<PAGE>


                                                                       EXHIBIT E
                                                                       ---------


                                ESCROW AGREEMENT


                             ________________, 1997

           The parties to this  agreement  are Coss  Holding  Corp.,  a New York
corporation  ("Coss"),  Arbor Home Healthcare Holdings,  LLC, a New York limited
liability  corporation  ("Arbor"),  Star Multi Care  Services,  Inc., a New York
corporation  ("Star"),  and  Parker  Chapin  Flattau & Klimpl,  LLP,  a New York
limited liability partnership, as escrow agent (the "Escrow Agent").

           Star, EFCC  Acquisition  Corp. and Extended  Family Care  Corporation
("EFCC")  have entered into an Agreement  and Plan of Merger dated as of January
__, 1997 (the "Merger Agreement") pursuant to which, among other things, EFCC is
merging with EFCC Acquisition Corp. (the "Merger").

           As contemplated by the Merger Agreement,  Star, Coss and Arbor desire
to have a portion of the  purchase  price  delivered  now to the Escrow Agent to
hold,  and the Escrow  Agent has agreed to  receive,  hold and  re-deliver  said
funds,  on the terms set forth below.  Capitalized  terms used and not otherwise
defined  herein  shall have the  meanings  respectively  assigned to them in the
Merger Agreement.

           The parties therefore agree as follows:

           1.  ESCROW.  Each of Coss and Arbor  contemporaneously  herewith  has
delivered  to the Escrow Agent a check in good funds,  a wire  transfer or other
readily  available  funds  in the  amount  of  $125,000  for a total  amount  of
$250,000(the  "Escrow Amount") and the Escrow Agent hereby acknowledges  receipt
thereof.

           2.  INVESTMENTS.  The Escrow  Agent may  invest the Escrow  Amount in
securities  issued or  guarantied by the United States of America or deposit the
funds with, or invest the funds in certificates of deposit,  commercial paper or
similar  products of, domestic  commercial  banks that have, or are members of a
group of domestic  commercial  banks that has,  consolidated  total assets of at
least  $1,000,000,000,  or such other banks or other  financial  institutions to
which Coss and Star have  consented  in writing  (hereinafter  collectively  the
"Investments").  The Escrow Amount and income paid or credited on Investments is
hereinafter referred to as the "Escrow Fund."





<PAGE>



           3. RELEASE OF ESCROW FUND.

                      (a) The Escrow Agent shall release the Escrow Fund only as
permitted by this Section 3.

                      (b) In the event that Star  determines that there exists a
claim for which it is  entitled  to be  reimbursed  or  indemnified  pursuant to
Section 6.3 of the EFCC Shareholders Agreement among Star, Coss and Arbor or any
other  document or agreement  delivered in connection  therewith,  Star shall be
entitled to assert a claim in writing (an "Asserted  Claim")  against the Escrow
Amount  in  respect  of each  such  claim  and  amount,  as the case may be,  by
notifying Coss and Arbor (with a copy of the  notification  to the Escrow Agent)
in reasonable  detail of the basis and amount of such Asserted Claim. If, within
ten (10) days after the sending of such notice by Star,  the Escrow  Agent shall
not have received from Coss and Arbor a written  statement  disputing all or any
part of such Asserted Claim, then the Escrow Agent shall deliver to Star so much
of the Escrow  Amount as may be  available  and as may be  necessary  to pay the
amount of such  Asserted  Claim in full,  and the Escrow  Agent  shall  promptly
follow  such  instructions.  If,  within ten (10) days after the sending of such
notice by Star,  Star and the Escrow  Agent  shall have  received  from Coss and
Arbor a written  statement  disputing all or a portion of such  Asserted  Claim,
then Star may order the  Escrow  Agent to  deliver to Star so much of the Escrow
Amount as may be  available  and as may be  necessary to pay any portion of such
Asserted Claim that is not disputed,  and the Escrow Agent shall promptly follow
such  instructions.  Star  shall  have the  right to  notify  Coss and  Arbor of
Asserted  Claims  at any  time  and from  time to  time,  but only  prior to the
Termination Date (as hereinafter defined).

                      (c) In the event that Coss and Arbor shall  dispute all or
a portion of any Asserted Claim within the time and in the manner  prescribed in
Section 3(b) hereof,  the Escrow Agent shall have the right to act in accordance
with Section 5 hereof and shall not release any  disputed  amounts of the Escrow
Amount until (i) receipt by the Escrow Agent of joint written  instructions from
Star, Coss and Arbor directing the manner in which payment of such amounts is to
be made, or (ii) as directed by final order of a court of competent jurisdiction
which is not subject to further appeal or other appellate review,  together with
an opinion of counsel to the party which successfully  sought such order (or, if
no party  sought  such order,  of counsel  reasonably  acceptable  to the Escrow
Agent) to the effect that such order is not appealable.

                      (d)  Subject  to  the  foregoing  and  all  of  the  other
provisions hereof, on the second anniversary of the date hereof the Escrow Agent
shall release (the date of such release,  the "Termination Date") as much of the
Escrow Fund that is not disputed to Coss and Arbor, 50% each.

           4. FURTHER ASSURANCES.  The parties agree to do such further acts and
things and to execute  and deliver  such  statements,  assignments,  agreements,
instruments and other documents as the Escrow Agent from time to time reasonably
may request in connection with the administration,



                                      -2-
<PAGE>



maintenance,  enforcement or adjudication of this agreement in order (a) to give
the Escrow  Agent  confirmation  and  assurance  of the Escrow  Agent's  rights,
powers,  privileges,  remedies and interests under this agreement and applicable
law, (b) to better  enable the Escrow  Agent to exercise any such right,  power,
privilege or remedy,  or (c) to otherwise  effectuate  the purpose and the terms
and  provisions  of this  agreement,  each in such form and  substance as may be
acceptable to the Escrow Agent.

           5. CONFLICTING DEMANDS.

                      (a) The  Escrow  Agent  shall not be or become  liable for
damages, losses, expenses or interest to Coss, Arbor or any other person for its
failure to comply with conflicting or adverse demands. The Escrow Agent shall be
entitled to  continue to refrain and refuse to act until:  (i) the rights of the
adverse  claimants have been finally  adjudicated in a court assuming and having
jurisdiction  and venue over the parties  and/or the  documents,  instruments or
funds  involved  herein or affected  hereby;  and/or (ii) the Escrow Agent shall
have received an executed copy of a  dispositive  settlement  agreement to which
the  parties  and  all  other  adverse  claimants,   if  any,  are  parties  and
signatories.

                      (b) In the event  conflicting  claims  are made or notices
are  received the Escrow  Agent may elect to commence an  interpleader  or other
action for declaratory  judgment for the purpose of having the respective rights
of the  claimants  adjudicated,  and may  deposit  with the court all funds held
pursuant to this  agreement;  and if it so commences  and  deposits,  the Escrow
Agent shall be relieved and discharged  from any further duties and  obligations
under this agreement.

           6.  CONSENT TO  JURISDICTION,  ETC. The parties  hereby  covenant and
agree that the federal and/or state courts located in New York County,  New York
shall have  personal  jurisdiction  and proper  venue over any dispute  with the
Escrow  Agent.  In any action or  proceeding  involving  the Escrow Agent in any
jurisdiction, each of the parties waives trial by jury.

           7.  RELIANCE ON  DOCUMENTS  AND  EXPERTS.  The Escrow  Agent shall be
entitled to rely upon any notice, consent,  certificate,  affidavit,  statement,
paper,  document,  writing  or  communication  (which  to the  extent  permitted
hereunder  may  be  by  telegram,  cable,  telex,  facsimile  transmission,   or
telephone) reasonably believed by it to be genuine and to have been signed, sent
or made by the proper  person or persons,  and upon opinions and advice of legal
counsel  (including itself or counsel for any party hereto),  independent public
accountants and other experts selected by the Escrow Agent.

           8. STATUS OF THE ESCROW AGENT,  ETC. The Escrow Agent is acting under
this  agreement as a stakeholder  only and shall be  considered  an  independent
contractor.  No term or provision of this  agreement is intended to create,  nor
shall any such term or provision be deemed to



                                      -3-
<PAGE>



have  created,   any   principal-agent,   trust,  joint  venture,   partnership,
debtor-creditor  or  attorney-client  relationship  between  or among the Escrow
Agent and the parties.  This agreement shall not be deemed to prohibit or in any
way restrict the Escrow Agent's  representation of Star, which may be advised by
the Escrow Agent on any and all matters  pertaining  to this  agreement  and the
escrowed funds and documents.  To the extent Star is or has been  represented by
the Escrow  Agent,  Coss and Arbor  hereby  waive any  conflict of interest  and
authorizes and directs the Escrow Agent to carry out the terms and provisions of
this  agreement   fairly  as  to  all  parties,   without  regard  to  any  such
representation.  The Escrow Agent's only duties are those expressly set forth in
this  agreement,  and the parties  authorize  the Escrow Agent to perform  those
duties in accordance  with its usual practices in holding funds and documents of
its own or those of other  escrows.  The Escrow  Agent may exercise or otherwise
enforce any of its rights, powers, privileges, remedies and interests under this
agreement and  applicable  law or perform any of its duties under this agreement
by or through its partners, employees, attorneys, agents or designees.

           9.  EXCULPATION.  The  Escrow  Agent  and its  designees,  and  their
respective directors, officers, partners, employees, attorneys and agents, shall
not  incur  any  liability  (other  than for a  person's  own acts or  omissions
breaching a duty owed to the  claimant  and  amounting  to gross  negligence  or
willful  misconduct)  whatsoever for the investment or disposition of funds, the
holding or delivery of documents or the taking of any other action in accordance
with the terms and  provisions  of this  agreement,  for any mistake or error in
judgment,  for compliance  with any applicable law or any  attachment,  order or
other directive of any court or other authority (irrespective of any conflicting
term or  provision of this  agreement),  or for any act or omission of any other
person engaged by the Escrow Agent in connection with this  agreement;  and each
of Coss, Arbor and Star hereby waives any and all claims and actions  whatsoever
against the Escrow  Agent and its  designees,  and their  respective  directors,
officers, partners,  employees,  attorneys and agents, arising out of or related
directly or  indirectly  to any and all of the  foregoing  acts,  omissions  and
circumstances.  Furthermore,  the  Escrow  Agent  and its  designees,  and their
respective directors, officers, partners, employees, attorneys and agents, shall
not  incur  any  liability  (other  than for a  person's  own acts or  omissions
breaching a duty owed to the  claimant  and  amounting  to gross  negligence  or
willful  misconduct)  for other  acts and  omissions  arising  out of or related
directly or indirectly to this agreement or the escrowed funds or documents; and
each of Coss,  Arbor and Star  hereby  expressly  waives  any and all claims and
actions  (other  than those  attributable  to a person's  own acts or  omissions
breaching a duty owed to the  claimant  and  amounting  to gross  negligence  or
willful  misconduct)  against  the  Escrow  Agent and its  designees,  and their
respective  directors,  officers,  partners,  employees,  attorneys  and agents,
arising out of or related directly or indirectly to any and all of the foregoing
acts, omissions and circumstances.

           10.  INDEMNIFICATION.  The Escrow Agent and its designees,  and their
respective directors, officers, partners, employees, attorneys and agents, shall
be  indemnified,  reimbursed,  held  harmless  and, at the request of the Escrow
Agent, defended by the parties, from and against any and



                                      -4-
<PAGE>



all claims, liabilities, losses and expenses (including, without limitation, the
reasonable disbursements,  expenses and fees of their respective attorneys) that
may be imposed  upon,  incurred by, or asserted  against any of them,  or any of
their respective directors,  officers, partners, employees, attorneys or agents,
arising  out of or related  directly  or  indirectly  to this  agreement  or any
escrowed funds or documents,  except such as are  occasioned by the  indemnified
person's  own acts and  omissions  breaching  a duty  owed to the  claimant  and
amounting to gross negligence or willful misconduct.

           11.  NOTICES.   All  notices  and  other  communications  under  this
agreement  shall  be in  writing  and  shall  be  deemed  given  when  delivered
personally  or mailed by  registered  mail,  return  receipt  requested,  to the
parties at the following addresses (or to such other address as a party may have
specified by notice given to the other party pursuant to this provision):

                     if to Coss:

                               Coss Holding Corp.
                               c/o Arbor Home Healthcare Holdings, LLC
                               333 Earl Ovington Boulevard
                               Uniondale, New York  11553
                               Attention:  Chief Executive Officer
                               Telecopier: (516) 741-8040

                     if to Arbor:

                               Arbor Home Healthcare Holdings, LLC
                               333 Earl Ovington Boulevard
                               Uniondale, New York  11553
                               Attn:  Chief Executive Officer
                               Telecopier: (516) 832-8050
                     in the case of Coss and Arbor, with a copy to:

                               Meltzer, Lippe, Goldstein, Wolf & Schlissel, P.C.
                               190 Willis Avenue
                               Mineola, New York  11501
                               Attn:  Richard A. Lippe, Esq.
                               Telecopier:  (516) 747-0653




                                      -5-
<PAGE>



                     if to Escrow Agent:

                               Parker Chapin Flattau & Klimpl, LLP
                               1211 Avenue of the Americas
                               New York, New York 10036
                               Telecopier:  (212) 704-6288

                     if to Star:

                               Star Multi Care Services, Inc.
                               33 Walt Whitman Road
                               Huntington Station, New York  11746
                               Attn:  Chief Executive Officer
                               Telecopier: (516) 423-3924

                     with a copy to:

                               James Alterbaum, Esq.
                               Parker Chapin Flattau & Klimpl, LLP
                               1211 Avenue of the Americas
                               New York, New York 10036

           12.  SECTION  AND OTHER  HEADINGS.  The  section  and other  headings
contained in this agreement are for reference purposes only and shall not affect
the meaning or interpretation of this agreement.

           13.  GOVERNING  LAW. This  agreement has been executed and delivered,
and shall be governed by and construed in accordance  with the  applicable  laws
pertaining,  in the state of New York, without regard to principles of conflicts
of law.

           14.  SEVERABILITY.  In the event that any term or  provision  of this
agreement  shall be finally  determined to be  superseded,  invalid,  illegal or
otherwise  unenforceable  pursuant to applicable law by a governmental authority
having  jurisdiction and venue, that determination shall not impair or otherwise
affect the validity,  legality or enforceability (a) by or before that authority
of the remaining terms and provisions of this agreement, which shall be enforced
as if the unenforceable term or provision were deleted,  or (b) by or before any
other authority of any of the terms and provisions of this agreement.




                                      -6-
<PAGE>



           15.  COUNTERPARTS.  This  agreement  may be  executed  in two or more
counterparts,  each of  which  may be  executed  by one or  more of the  parties
hereto,  but  all of  which,  when  taken  together,  shall  constitute  but one
agreement binding upon all of the parties hereto.

           16.  SUCCESSORS AND ASSIGNS;  ASSIGNMENT.  Whenever in this agreement
reference is made to any party,  such  reference  shall be deemed to include the
successors, assigns, heirs and legal representatives of such party, and, without
limiting the  generality  of the  foregoing,  all  representations,  warranties,
covenants  and other  agreements  made by or on behalf of each  parties  in this
agreement shall inure to the benefit of the successors and assigns of the Escrow
Agent;  PROVIDED,  HOWEVER,  THAT nothing herein shall be deemed to authorize or
permit the parties to assign any of their rights or obligations hereunder to any
other person.

           17. NO THIRD PARTY RIGHTS. The representations,  warranties and other
terms and  provisions of this  agreement  are for the  exclusive  benefit of the
parties hereto,  and no other person,  shall have any right or claim against any
party by reason of any of those terms and  provisions  or be entitled to enforce
any of those terms and provisions against any party.

           18. NO WAIVER BY ACTION,  ETC. Any waiver or consent  respecting  any
representation,  warranty, covenant or other term or provision of this agreement
shall be effective  only in the specific  instance and for the specific  purpose
for which given and shall not be deemed,  regardless of frequency given, to be a
further or continuing waiver or consent.  The failure or delay of a party at any
time or times to require  performance of, or to exercise its rights with respect
to, any  representation,  warranty,  covenant or other term or provision of this
agreement in no manner  (except as otherwise  expressly  provided  herein) shall
affect  its right at a later  time to  enforce  any such term or  provision.  No
notice to or demand on any party in any case  shall  entitle  such  party to any
other or further notice or demand in the same,  similar or other  circumstances.
All rights, powers, privileges, remedies and interests of the Escrow Agent under
this agreement are cumulative and not alternatives,  and they are in addition to
and shall not limit (except as otherwise  expressly  provided  herein) any other
right,  power,  privilege,  remedy or  interest  of the Escrow  Agent under this
agreement or applicable law.

           19.  MODIFICATION,  AMENDMENT,  ETC. Each and every  modification and
amendment of this agreement shall be in writing and signed by all of the parties
hereto,  and each and every  waiver of, or consent to any  departure  from,  any
covenant, representation, warranty or other provision of this agreement shall be
in writing and signed by each party affected thereby.



                                      -7-
<PAGE>



           20. ENTIRE AGREEMENT. This agreement contains the entire agreement of
the  parties  and   supersedes   all  other   representations,   agreements  and
understandings, oral or otherwise, among the parties with respect to the matters
contained herein.

                                        Coss Holding Corp.



                                        By: ____________________________
                                                Name:
                                                Title:


                                        Arbor Home Healthcare Holdings, LLC



                                        By: ____________________________
                                                Name:
                                                Title:


                                        Star Multi Care Services. Inc.


                                        By: ____________________________
                                                Name:
                                                Title:

THE ESCROW AGENT:

Parker Chapin Flattau & Klimpl, LLP


By: ____________________________




<PAGE>


                                                                       EXHIBIT F
                                                                       ---------






         [MELTZER, LIPPE, GOLDSTEIN, WOLF & SCHLISSEL, P.C. LETTERHEAD]









                                              [To be dated the Effective Time]



Extended Family Care Corporation, Inc.
One Old Country Road
Suite 335
Carle Place, NY  11514

Star Multi Care Services, Inc.
33 Walt Whitman Road
Huntington Station, NY 11746

           Re:        Agreement  and  Plan  of  Merger  Among  Star  Multi  Care
                      Services, Inc., EFCC Acquisition Corp. and Extended Family
                      Care Corporation, Inc. Dated as of January 3, 1997
                      ----------------------------------------------------------


Ladies and Gentlemen:

           We have acted as counsel to the  shareholders of Extended Family Care
Corporation,  Inc., a New York  corporation  ("EFCC"),  in  connection  with the
proposed  merger  (the  "Star  Merger")  of EFCC with and into EFCC  Acquisition
Corp., a New York corporation ("Merger Sub") and wholly-owned subsidiary of Star
Multi Care  Services,  Inc., a New York  corporation  ("Star"),  pursuant to the
Agreement  and  Plan  of  Merger  Dated  as of  January  3,  1997  (the  "Merger
Agreement"), among Star, Merger Sub and EFCC.




<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
[To be dated the Effective Time]
Page 2


           In so acting,  we have  participated in the preparation of the Merger
Agreement  and the  preparation  and filing  with the  Securities  and  Exchange
Commission  of a Joint Proxy  Statement of EFCC and Star and  Prospectus of Star
relating  to the  proposed  Star Merger and to the shares of common  stock,  par
value  $.001 per share,  of Star to be issued to EFCC  shareholders  in the Star
Merger pursuant to the Merger Agreement (the "Proxy Statement").

           As  required  by  Section  6.1(f) of the Merger  Agreement,  you have
requested that we render the opinion set forth below. In rendering such opinion,
we have made inquiry as to the underlying facts which we consider to be relevant
to the conclusions  set forth in this opinion.  We have also examined and relied
upon the accuracy as of the date hereof and as of the date of the closing of the
Star Merger of the  representations  and  warranties  as to factual  matters set
forth in the  documents  referred  to above and the  letters of  representation,
dated as of the date hereof,  that EFCC and Star have  provided to us, copies of
which are  attached  hereto (the  "Letters of  Representation").  Our opinion is
expressly   predicated   on  the   continuing   validity   of  the   Letters  of
Representation.  We have no reason to  believe  that these  representations  and
facts are not true,  but have not  attempted  to verify them  independently  and
expressly disclaim an opinion as to their validity and accuracy.

           For purposes of this opinion,  we have also  reviewed such  documents
and  materials as in our judgment are necessary or  appropriate  to enable us to
render the  opinions  set forth  below.  We have not,  however,  undertaken  any
independent  investigation  of  any  factual  matter  set  forth  in  any of the
foregoing.  In  our  examination,   we  have  assumed  the  genuineness  of  all
signatures,  the  capacity of each party  executing  a document to execute  such
document, the authenticity of all documents submitted to us as originals and the
conformity to original  documents of all documents  submitted to us as certified
or  photostatic  copies.  Capitalized  terms used but not  specifically  defined
herein shall have the meanings as defined in the Merger Agreement.

           This  discussion is based on the  provisions of the Internal  Revenue
Code of 1986, as amended (the "Code"),  final,  temporary and proposed  Treasury
regulations  promulgated  thereunder (the  "Regulations") and administrative and
judicial interpretations thereof, all as in effect as of the date hereof and all
of which are subject to change (possibly on a retroactive basis).  Moreover,  it
is not possible to know whether any such changes will be made or court decisions
or  interpretations  will be issued, or the effect, if any, that such changes or
court decisions will have on our opinion.  Any such change may adversely  affect
our  conclusions.  No ruling from the Internal  Revenue  Service (the "IRS") has
been or will be sought on any of the issues discussed below, and there can be no
assurance  that the IRS will not take a contrary  view as to the federal  income
tax consequences discussed below.

           This  opinion  does  not  address  all  of  the  federal  income  tax
consequences  that may be applicable to any particular holder subject to special
treatment under United States federal income



<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
[To be dated the Effective Time]
Page 3


tax law or to any particular  holder in light of such holder's  particular facts
and  circumstances.  Certain holders may be subject to special and/or  different
rules not discussed below. In addition, this opinion does not address any aspect
of state, local or foreign taxation.

           This  opinion  is  limited  solely to the  federal  law of the United
States as in effect on the date hereof and the  relevant  facts that exist as of
the  date  hereof.  No  assurance  can be given  that the law or facts  will not
change,  and we have not  undertaken  to  advise  you or any other  person  with
respect to any event subsequent to the date hereof.

           We are delivering this opinion to you and,  without our prior written
consent,  no other  persons  are  entitled  to rely on this  opinion.  We hereby
consent to the filing of this opinion as an exhibit to the Joint Proxy Statement
and to the use of our name under the  captions  ["The  Merger - Certain  Federal
Income Tax Consequences" and "Legal Opinions"] in the Joint Proxy Statement.  In
giving such consent,  we do not thereby  concede that we are within the category
of persons whose consent is required  under Section 7 of the  Securities  Act of
1933 or the Rules and  Regulations  of the  Securities  and Exchange  Commission
thereunder.

                                      Facts
                                      -----

           EFCC is a New York public holding  corporation with 32,000,225 shares
of common  stock  issued and  outstanding.  Coss  Holding  Corp.  ("Coss")  owns
12,749,658  (39.84%)  of  such  shares,  Arbor  Home  Healthcare  Holdings,  LLC
("Arbor") owns 13,000,000  (40.63%) of such shares and public  shareholders  own
6,250,568 (19.53%).  Arbor acquired its shares for $1,300,000 on August 21, 1996
and  October 31, 1996  through  the  exercise of options  granted on October 31,
1995.

           Star is a New  York  corporation  with  [_______________]  shares  of
common stock issued and outstanding.

           On  [________________],  [when  EFCC had no  current  or  accumulated
earnings and profits,] EFCC distributed to all of its shareholders  with respect
to their shares $750,000 of cash in the aggregate (the "EFCC  Dividend").  [Such
distribution  reduced the EFCC shareholders' basis in their EFCC shares, but not
below zero.] EFCC's only remaining assets are  $[______________] in cash, 83% of
the stock of TPC Home Care Services,  Inc., a New York  corporation  ("TPC") and
$[________________] in intercompany debt from TPC. The other 17% of TPC is owned
by many different shareholders.

           On December 6, 1996, TPC sold the assets, subject to liabilities,  of
its Jersey City,  New Jersey  division in a fully taxable  transaction to Public
Services, Inc. ("Buyer") for $175,000, evidenced by



<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
[To be dated the Effective Time]
Page 4


a promissory note, plus an amount equal to 12% of the gross revenues of Buyer in
excess of $90,000 per month for a 24 month  period.  Buyer is owned 100% by Gary
Melius, who is the husband of a shareholder of Coss, the voting trustee of Coss'
shares in EFCC and owner of 25,000  shares of EFCC,  but does not  otherwise own
any direct or  indirect  interest  in TPC and is  unrelated  to all of the other
shareholders of TPC and EFCC.

           In order to effect desired  operating  efficiencies  in the corporate
structure of EFCC by  simplifying  the current  two-tiered  structure,  which no
longer serves any business  purpose and entails a  substantial  cost to maintain
due to dual financial reporting,  disclosure and administrative  burdens, and to
make it more  attractive  to Star or any other  potential  purchaser if the Star
Merger does not occur,  subsequent  to the sale of TPC's  Jersey City  division,
subsequent  to the EFCC  Dividend and prior to the Star  Merger,  TPC will merge
into EFCC  pursuant to the  Business  Corporation  Law of the State of New York,
with EFCC as the surviving  entity (the "TPC Merger").  The  shareholders of TPC
(other than EFCC) will receive  solely  6,554,264 EFCC shares in the TPC Merger,
which represents 17% of all outstanding EFCC shares after such issuance.

           Merger Sub will be a New York corporation formed on [_______________]
for the sole purpose of effecting  the Star Merger.  Merger Sub will be a wholly
owned subsidiary of Star.

           Star  and  EFCC  believe  that  a  combination  of  their  respective
businesses will enable both companies to grow and operate more efficiently. Star
has in place a management  infrastructure  and can merge the former TPC business
operations  with minimal  incremental  cost.  By  eliminating  the operating and
overhead costs of EFCC,  profitability  can be greatly  enhanced.  Such enhanced
profitability will be shared by Star's  shareholders,  including the former EFCC
shareholders.  To achieve  this  purpose,  Star has agreed to acquire all of the
outstanding capital stock of EFCC as more fully described below.

           Following  the TPC  Merger,  EFCC will merge with and into Merger Sub
(i.e.,  the Star  Merger).  Pursuant  to the Star  Merger,  EFCC's  shareholders
(including the former TPC minority shareholders) will receive $2,400,000 in cash
(plus cash payments to dissenting  shareholders,  if any) and $4,850,000 in Star
common  stock  (less  the  amount  that  would  have  been  paid  to  dissenting
shareholders,  if any),  as  determined  on the third  business day prior to the
Effective Time,  using the average of the closing sales price of a share of Star
common stock as reported on the NASDAQ  National  Market  during the 120 trading
days  immediately  preceding  the  date of  determination  (such  amounts  to be
adjusted in the event of payments to dissenting shareholders in the TPC Merger).
Other than cash  payments to  dissenting  shareholders,  such  proceeds  will be
allocated among the non-dissenting  shareholders pro rata in proportion to their
relative stock ownership.




<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
[To be dated the Effective Time]
Page 5


           In connection  with the Star Merger,  EFCC and Star will enter into a
Consulting  Agreement  pursuant to which Star will render to EFCC consulting and
advisory  services in connection with the management,  operation and supervision
of EFCC.  The term of the Consulting  Agreement  shall end on the earlier of (i)
one year from the signing of the Star Merger Agreement,  (ii) the Effective Time
or (iii) the termination of the Star Merger Agreement.  In consideration for the
consulting  services  to be  rendered  by Star,  EFCC will pay Star  $25,000 per
month,  payable (a) $15,000 in arrears on the last day of each month and (b) the
remaining  $10,000 on the earlier to occur of (x) the  Closing  Date and (y) the
termination of the Star Merger Agreement.

           Alternatively,  solely at Star's  option,  Merger  Sub will be merged
with and into EFCC and  EFCC's  shareholders  will  receive  solely  cash in the
amount of  $7,250,000  in exchange for their EFCC stock (the "All Cash  Option")
(such amount to be adjusted in the event of payments to dissenting  shareholders
in the TPC Merger).

                                 Representations
                                 ---------------

           In   connection   with  the  proposed   transaction,   the  following
representations  are being made by EFCC  and/or  Star to us, as set forth in the
Letters of Representation:

1.         TPC Merger
           ----------

           (a) The TPC Merger will be effected in accordance  with the Agreement
of Merger dated [______________],  1997 by and between EFCC and TPC and pursuant
to New York State law.

           (b) The fair market value of the EFCC common  stock  received by each
TPC shareholder will be approximately  equal to the fair market value of the TPC
stock surrendered in the exchange.

           (c) The minority  shareholders of TPC acquired their TPC stock before
the  formulation  of any  plan in  connection  with  the TPC  Merger  and not in
contemplation of EFCC's subsequent acquisition of TPC.

           (d) As of the Effective Time, there will be no binding  commitment or
preconceived plan or arrangement on the part of the shareholders of TPC to sell,
exchange  or  otherwise  dispose of any of their EFCC stock  received in the TPC
Merger (including EFCC shares held prior to the TPC Merger), other than pursuant
to the Star Merger.

           (e) EFCC  has no plan or  intention  to  reacquire  any of its  stock
issued in the TPC Merger.




<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
[To be dated the Effective Time]
Page 6


           (f) EFCC has no plan or intention to sell or otherwise dispose of any
of the assets or stock of TPC acquired in the TPC Merger, except pursuant to the
Star Merger.

           (g) The  liabilities  of TPC assumed by EFCC and the  liabilities  to
which the  transferred  assets of TPC are  subject  were  incurred by TPC in the
ordinary course of its business and are associated with the business of TPC.

           (h)  EFCC and the  shareholders  of TPC  will  pay  their  respective
expenses,  if any,  incurred in connection  with the TPC Merger and will not pay
any of the expenses of the other in  connection  with the TPC Merger.  EFCC will
pay or assume only those expenses of TPC that are solely and directly related to
the TPC Merger in accordance with the guidelines established in Rev. Rul. 73-54,
1973-1 C.B. 187.

           (i) There is no intercorporate indebtedness existing between EFCC and
TPC that was issued, acquired or will be settled at a discount.

           (j) EFCC and TPC are not  investment  companies as defined in Section
368(a)(2)(F)(iii) and (iv) of the Code.

           (k) As of the Effective Time, TPC will not be under the  jurisdiction
of a  court  in a title  11 or  similar  case  within  the  meaning  of  Section
368(a)(3)(A) of the Code.

           (l) The fair market  value of the assets of TPC  transferred  to EFCC
will equal or exceed the sum of the liabilities  assumed by EFCC plus the amount
of liabilities, if any, to which the transferred assets are subject.

           (m) No cash will be paid to any of the  shareholders  of TPC pursuant
to the TPC Merger other than cash payments to dissenting shareholders.

           (n) None of the compensation received by any shareholder-employees of
TPC will be separate  consideration for, or allocable to, any of their shares of
TPC   stock;   none   of   the   shares   of   EFCC   stock   received   by  any
shareholder-employees  of TPC will be separate  consideration  for, or allocable
to,   any   employment   agreement;   and   the   compensation   paid   to   any
shareholder-employee  will  be  for  services  actually  rendered  and  will  be
commensurate  with amounts paid to third parties  bargaining at arm's-length for
similar services.

           (o) TPC and EFCC intend to complete the TPC Merger whether or not the
Star  Merger  is  finalized.  The  Star  Merger  is not a  requirement  for  the
occurrence of the TPC Merger. TPC and



<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
[To be dated the Effective Time]
Page 7


EFCC do not have a binding  commitment  with Star to exchange  the stock of EFCC
for the stock of Star prior to the TPC Merger. There are valid business, non-tax
reasons for the TPC Merger, such as to effect desired operating  efficiencies in
the corporate structure of EFCC.

2.         Star Merger
           -----------

           Provided that the All Cash Option is not exercised:

           (p) The Star Merger will be  effected in  accordance  with the Merger
Agreement and pursuant to New York State law.

           (q) No stock of the Merger Sub will be issued to any  shareholder  of
EFCC in the Star Merger.

           (r) As of the  Effective  Time,  to the best of the  knowledge of the
management  of EFCC,  there are no  shareholders  of EFCC,  other  than Coss and
Arbor, who own 5% or more of the stock of EFCC.

           (s) To the best of the  knowledge  of the  management  of EFCC,  Coss
acquired their EFCC stock before the  formulation of any plan in connection with
the Star Merger and not in contemplation of Merger Sub's subsequent  acquisition
of the outstanding capital stock of EFCC.

           (t) As of the Effective Time, Coss does not have a binding commitment
or  preconceived  plan or  arrangement  for disposing of any of their Star stock
received in the Star Merger.

           (u) As of the  Effective  Time,  to the best of the  knowledge of the
management of EFCC, none of the  shareholders of EFCC have a binding  commitment
or  preconceived  plan or  arrangement  for disposing of any of their Star stock
received in the Star Merger.

           (v) EFCC will  transfer to Merger Sub and Merger Sub will  acquire at
least 90 percent of the fair  market  value of EFCC's net assets and at least 70
percent of the fair market value of EFCC's gross assets held  immediately  prior
to the Star Merger,  including,  but not limited to, the assets formerly held by
TPC  (which  includes  the  consideration  received  by TPC upon the sale of its
Jersey City  division) and the amount of cash  distributed in the EFCC Dividend.
For purposes of this representation, amounts paid by EFCC to dissenters, amounts
paid by EFCC to  shareholders  who receive  cash in lieu of  fractional  shares,
amounts  used by EFCC to pay  reorganization  expenses and all  redemptions  and
distributions  (except  for  regular,  normal  dividends)  made by EFCC  will be
included as assets of EFCC immediately prior to the Star Merger.



<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
[To be dated the Effective Time]
Page 8



           (w) Prior to the Star  Merger,  Star will be in control of Merger Sub
within the meaning of Section 368(c) of the Code.

           (x) Merger Sub has no plan or intention to issue additional shares of
its stock  that  would  result in Star  losing  control of Merger Sub within the
meaning of Section 368(c) of the Code.

           (y) As of the Effective Time, EFCC will not, in anticipation of or as
a part of the plan for the  combination of EFCC and Merger Sub have (i) redeemed
any of the EFCC stock or (ii) effected any distributions  with respect to any of
its stock, except for normal dividends and except for the EFCC Dividend.

           (z) As of the Effective Time, Star or any corporation affiliated with
Star (i) will not be under any  obligation  and will not have  entered  into any
agreement or  understanding  to redeem or repurchase  any of its stock issued in
the Star  Merger or to make any  extraordinary  distributions  in respect of the
Star common stock and (ii) will have no plan or  intention  to reacquire  any of
its stock issued in the Star Merger.

           (aa) As of the Effective Time,  there will be no plan or intention on
the part of Star or any  corporation  affiliated  with Star to liquidate  Merger
Sub, to merge Merger Sub into another corporation,  to sell or otherwise dispose
of the stock of Merger Sub or to cause Merger Sub to sell or  otherwise  dispose
of any of the assets acquired from EFCC (including the assets that EFCC received
from TPC), except for dispositions to be made in the ordinary course of business
or transfers described in Section 368(a)(2)(C) of the Code.

           (bb)  Following  the  Star  Merger,  Merger  Sub  will  continue  the
"historic  business" of TPC or use a  "significant  portion" of TPC's  "historic
business assets" in a business (as such terms are defined in Treasury Regulation
Section 1.368-1(d)(2)).

           (cc) Star and the  shareholders  of EFCC will pay (or will have paid)
their respective  expenses,  if any, incurred in connection with the Star Merger
and will not pay any of the  expenses of the other in  connection  with the Star
Merger.  Star will pay or assume only those expenses of EFCC that are solely and
directly   related  to  the  Star  Merger  in  accordance  with  the  guidelines
established in Rev. Rul. 73-54, 1973-1 C.B. 187.

           (dd)  As of the  Effective  Time,  there  will  be no  intercorporate
indebtedness  existing between Star and EFCC or between Merger Sub and EFCC that
was issued, acquired or will be settled at a discount.



<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
[To be dated the Effective Time]
Page 9



           (ee) As of the  Effective  Time,  Star  and  Merger  Sub  will not be
investment  companies  as defined in Section  368(a)(2)(F)(iii)  and (iv) of the
Code.

           (ff) At the  Effective  Time,  the fair market value of the assets of
EFCC  (including  the  assets  received  from  TPC) will  exceed  the sum of its
liabilities,  plus the amount of  liabilities,  if any,  to which the assets are
subject. Such liabilities were incurred by EFCC or TPC in the ordinary course of
business and are associated with the business of EFCC or TPC.

           (gg)  As  of  the  Effective   Time,  EFCC  will  not  be  under  the
jurisdiction  of a court in a title 11 or similar  case  within  the  meaning of
Section 368(a)(3)(A) of the Code.

           (hh) The payment of cash in lieu of fractional  shares of Star common
stock is solely for the purpose of avoiding  the  expense and  inconvenience  to
Star  of  issuing   fractional   shares  and  does  not   represent   separately
bargained-for  consideration.  The total cash consideration that will be paid in
the Star Merger to the EFCC shareholders instead of issuing fractional shares of
Star stock will not exceed one percent of the total  consideration  that will be
issued in the Star Merger to the EFCC  shareholders in exchange for their shares
of EFCC stock.  The fractional  share interests of each EFCC shareholder will be
aggregated, and no EFCC shareholder will receive cash in an amount greater to or
greater than the value of one full share of Star stock.

           (ii) The  consideration to be received by the shareholders of EFCC in
the Star Merger is a result of arm's-length bargaining. None of the compensation
received by any  shareholder-employees  of EFCC will be  separate  consideration
for, or allocable  to, any of their shares of EFCC stock;  none of the shares of
Star  stock  received  by any  shareholder-employees  of EFCC  will be  separate
consideration  for,  or  allocable  to,  any  employment   agreement;   and  the
compensation  paid to any  shareholder-employee  will be for  services  actually
rendered and will be commensurate with amounts paid to third parties  bargaining
at arm's-length for similar services.

           (jj) None of the  representations or warranties made by EFCC, Star or
Merger Sub herein or in any Schedule hereto or in any other documents  furnished
pursuant to any of the transactions



<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
[To be dated the Effective Time]
Page 10


described  herein contain any untrue statement of fact or omit to state any fact
necessary  in order to make the  statements  and  opinions  contained  herein or
therein,  including  our  Meltzer,  Lippe,  Goldstein,  Wolf  &  Schlissel  P.C.
opinions, true and not misleading.

                                   Conclusion
                                   ----------

           Subject to the foregoing and to the  qualifications  and  limitations
set forth herein, we are of the following opinion that, more likely than not:

1.         TPC Merger
           ----------

           1. Assuming that the TPC Merger is consummated strictly in accordance
with the  [Agreement]  and assuming that TPC is merged into EFCC pursuant to New
York State law, the TPC Merger will be treated for United States  federal income
tax  purposes as a  reorganization  within the meaning of Section  368(a) of the
Code.

           2. EFCC and TPC will each be a party to the reorganization within the
meaning of Section 368(b) of the Code.

           3. No gain or loss will be recognized by TPC shareholders as a result
of the exchange of TPC common stock solely for EFCC common stock pursuant to the
TPC Merger.

           4. Each  shareholder of TPC who elects to dissent from the TPC Merger
and receive  cash in exchange for his shares of TPC common stock will be treated
as receiving such payment in complete  redemption of his shares of TPC, provided
such  shareholder does not actually or  constructively  own any TPC common stock
after the exchange under the provisions and limitations of Code Section 302.

           5. The tax basis of the EFCC  common  stock  received  by TPC  common
stockholders  will be the same as the basis of the TPC common stock  surrendered
in exchange therefor.

           6. The holding  period of the EFCC common  stock  received by the TPC
common  stockholders  will include the period  during which the TPC common stock
surrendered in exchange therefor was held, provided that the TPC common stock is
held as a capital  asset in the hands of the TPC  stockholders  on the effective
date of the TPC Merger.




<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
[To be dated the Effective Time]
Page 11


           7. No gain or loss will be  recognized  by TPC on the transfer of all
of its assets to EFCC pursuant to the plan of reorganization.

           8. No gain or loss will be recognized by EFCC in the TPC Merger.

           9. The tax  basis of TPC's  assets  in the  hands of EFCC will be the
same as the basis of those assets in the hands of TPC  immediately  prior to the
TPC  Merger.  The tax  basis of TPC's  assets  in the  hands of EFCC will not be
increased by any cash paid to dissenters.

           10. The holding period of the assets of TPC in the hands of EFCC will
include the period during which such assets were held by TPC.

2.         Star Merger
           -----------

           Provided that the All Cash Option is not exercised, and assuming that
the Star Merger is consummated  strictly in accordance with the Merger Agreement
and as described in the Joint Proxy Statement:

           11. On the basis of our  conclusion set forth below in the Discussion
section of this opinion letter that the shareholders of EFCC should be deemed to
have  received and retained a sufficient  amount of stock in Star to satisfy the
continuity of interest requirement, and assuming that EFCC is merged into Merger
Sub  pursuant to New York State law,  the Star Merger will be treated for United
States  federal  income tax purposes as a  reorganization  within the meaning of
Section 368(a) of the Code.

           12.  Star,  Merger  Sub  and  EFCC  will  each  be  a  party  to  the
reorganization within the meaning of Section 368(b) of the Code.

           13.  No gain or loss will be  recognized  by EFCC  shareholders  as a
result of the  exchange  of EFCC  common  stock  solely  for Star  common  stock
pursuant to the Star Merger,  except that gain or loss will be recognized on the
receipt of cash, if any,  including cash received in lieu of fractional  shares.
The payment of cash in lieu of fractional  share  interests of Star common stock
will be  treated  as if each  fractional  share was  distributed  as part of the
exchange  and then  redeemed by Star.  Pursuant  to Section  302(a) of the Code,
these cash payments will be treated as having been received as  distributions in
full payment in exchange for such Star common stock. Any gain or loss recognized
upon such  exchange  (as  determined  under Code Section 1001 and subject to the
limitations  of Code  Section  267) will be capital  gain or loss  provided  the
fractional share would constitute a capital asset in the hands of the exchanging
stockholder.



<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
[To be dated the Effective Time]
Page 12



           14.  Each  shareholder  of EFCC who elects to  dissent  from the Star
Merger and receive  cash in exchange for his shares of EFCC common stock will be
treated as receiving such payment in complete  redemption of his shares of EFCC,
provided  such  shareholder  does not  actually or  constructively  own any EFCC
common stock after the exchange  under the  provisions  and  limitations of Code
Section 302.

           15. The tax basis of the Star  common  stock  received by EFCC common
stockholders  will be the same as the basis of the EFCC common stock surrendered
in  exchange  therefor,  decreased  by the  amount  of  basis  allocated  to the
fractional  shares  that are  hypothetically  received  by the  stockholder  and
redeemed for cash,  and decreased by any money  received in the exchange  (other
than cash  received  in lieu of  fractional  shares) and  increased  by any gain
recognized on the exchange.

           16. The holding  period of the Star common stock received by the EFCC
common  stockholders  will include the period during which the EFCC common stock
surrendered in exchange  therefor was held,  provided that the EFCC common stock
is  held as a  capital  asset  in the  hands  of the  EFCC  stockholders  at the
Effective Time.

           17. No gain or loss will be recognized by EFCC on the transfer of all
of its assets to Merger Sub pursuant to the plan of reorganization.

           18. No gain or loss will be recognized by Star or Merger Sub pursuant
to the Star Merger.

           19. The tax basis of EFCC's assets in the hands of Merger Sub will be
the same as the basis of those assets in the hands of EFCC immediately  prior to
the Star Merger.  The tax basis of EFCC's assets in the hands of Merger Sub will
not be  increased  by any  cash  paid  to  dissenters  or  cash  paid in lieu of
fractional shares.

           20. The  holding  period of the assets of EFCC in the hands of Merger
Sub will include the period during which such assets were held by EFCC.

           We  express  no  opinion  other  than as stated  above,  and any such
opinion is not  intended  to imply or be an opinion  on any other  matter.  This
opinion  represents  only counsel's best legal judgment as to the likely outcome
of an issue if properly  presented to a court (and assuming the court determines
all facts to be consistent with the facts stated in counsel's opinion). However,
the  opinion  has no  binding  effect or  official  status of any kind,  and the
conclusions stated herein are not free from



<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
[To be dated the Effective Time]
Page 13


doubt.  The IRS or a court may disagree with any or all of our conclusions  and,
accordingly,  there  can be no  assurance  that the IRS  will  not  successfully
contest this opinion in the courts or otherwise.

                                   Discussion
                                   ----------

1.         General
           -------

           Section  354(a)(1)  of the Code  addresses  the effects of  corporate
reorganizations on shareholders, providing in general that no gain or loss shall
be   recognized   if  stock  or  securities  in  a  corporation  a  party  to  a
reorganization are, in pursuance of the plan of reorganization, exchanged solely
for stock or securities in such corporation or in another corporation a party to
the reorganization.

           For  purposes  of Code  Section  354,  the term  "reorganization"  is
defined in Code Section 368(a).  Code Section  368(a)(1)(A) states that the term
reorganization includes a statutory merger or consolidation.  Regulation Section
1.368-2(b)(1)   states  that  in  order  for  a  transaction  to  qualify  as  a
reorganization under Code Section 368(a)(1)(A), the transaction must be a merger
or consolidation effected pursuant to the corporation laws of the United States,
a State, territory or the District of Columbia.

           The  Regulations  under  Code  Section  368  require  as a part  of a
reorganization  a  continuity  of the  business  enterprise  under the  modified
corporate  form,  a bona fide  business  purpose  for the  reorganization  and a
"continuity of interest"  therein on the part of those persons who,  directly or
indirectly,   were  owners  of  the  enterprise  prior  to  the  reorganization.
Regulation  Section   1.368-1(d)(2)  states  that  the  continuity  of  business
enterprise  requirement is met if the acquiring corporation either continues the
acquired  corporation's  historic business or uses a significant  portion of the
acquired corporation's business assets in the operation of a trade or business.

           Regulation  section  1.368-2(g)  indicates that in addition to coming
within  the  scope  of  the  specific   language  of  Code  Section  368(a),   a
reorganization  must also be "undertaken  for reasons germane to the continuance
of  the  business  of a  corporation  a  party  to the  reorganization."  If the
transaction or series of transactions has no business or corporate purpose, then
the plan is not a  reorganization  pursuant to Code Section  368(a).  Regulation
section 1.368-1(c).

           The  continuity  of interest  requirement  mandates that the historic
shareholders of the acquired corporation must acquire a definite and substantial
interest in the continuing corporation, and stock must represent a material part
of the consideration transferred. The Supreme Court, in NELSON CO. V. HELVERING,
296 U.S. 374 (1935), held that equity equal to 38% of the entire consideration



<PAGE>
Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
[To be dated the Effective Time]
Page 14


constituted a definite and substantial  interest in the purchasing  corporation.
The percentage relates to the proportion of the equity consideration received by
the target  shareholders in the aggregate to the total consideration paid by the
acquiror for target's assets or stock.  An historic  shareholder is a person who
owned the target  corporation's stock before the acquisition of target commenced
and who purchased such target  corporation  stock before the  formulation of the
transaction  not in  contemplation  of the  acquiring  corporation's  subsequent
acquisition of the target. It is not necessary that all historic shareholders of
the  acquired   corporation  have  a  proprietary   interest  in  the  surviving
corporation after the acquisition.  The IRS has announced that it considers a 50
percent   continuity-of-equity   interest   by   value   to  be   sufficient.(1)
Nevertheless,  pursuant to the NELSON case, a 40 percent  continuity of interest
by value on the part of the former historic shareholders of the target should be
sufficient.

           In  addition  to  meeting  the  continuity  of  interest  requirement
immediately after the  reorganization,  the former  shareholders of the acquired
corporation  must retain their  interest in the acquiring  corporation  for some
unspecified  time  after the  reorganization.  The  courts  have  ruled that the
tax-free nature of the  reorganization  may be retroactively  invalidated if the
continuity  of interest is not  maintained  either  because,  at the time of the
reorganization, the shareholders intended to dispose of the proprietary interest
soon after the  reorganization(2)  or because a  shareholder  disposes  of stock
immediately  following  the  reorganization  in accordance  with a  pre-existing
commitment to sell.(3)

           In Rev.  Rul.  66-23,  1966-1  C.B.  67, the IRS held that the target
shareholders  must not have a preconceived  plan or arrangement for disposing of
their  acquiring  corporation  stock;  if such plan or arrangement  exists,  any
post-reorganization  dispositions of the stock of the acquiring  corporation may
be  stepped   together   with  the   initial   receipt  of  such  stock  in  the
reorganization.  The consequence of applying step  transaction  principles(4) to
the subsequent stock  disposition is to treat the selling  shareholder as having
received the sales proceeds on the date of the reorganization for purposes of

- --------------------------------
1       Rev.  Proc.  77-37,   1977-2  C.B.  568.  This  is  merely  a  guideline
        established  by the IRS for  purposes  of  obtaining  a  private  letter
        ruling, and is not a requirement of substantive law.

2       MCDONALD'S RESTAURANTS OF ILLINOIS, INC.. V. COMMISSIONER,  688 F.2d 520
        (7th Cir. 1982).

3       AMERICAN WIRE FABRICS CORP. V. COMMISSIONER, 16 T.C. 607 (1951).

4       See infra notes 11-13 and accompanying text.

<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
[To be dated the Effective Time]
Page 15


testing continuity of interest.  Nevertheless,  target  shareholders are free to
dispose  of  their  acquiring  corporation  stock  at  any  time  following  the
reorganization,  as long as the disposition results from circumstances  existing
after the reorganization  and not from a preexisting  plan.(5) During the period
of ownership of the acquiring  corporation  stock, the target  shareholders must
have  unrestricted  rights  of  ownership  for an  unspecified  period  of  time
sufficient  to warrant  the  conclusion  that such  ownership  is  definite  and
substantial.(6)

           For   purposes   of  Code   Section   354,   the  term  "party  to  a
reorganization" is defined in Code Section 368(b),  which provides that the term
"party  to a  reorganization"  includes  both  corporations  in  the  case  of a
reorganization  resulting from the  acquisition  by one  corporation of stock or
properties of another.  In the case of a  reorganization  qualifying  under Code
Section 368(a)(1)(A) by reason of Code Section 368(a)(2)(D),  the term "party to
a reorganization"  includes the corporation which is in control of the acquiring
corporation.

           Code Section 356(a)(1)  provides that if Code Section 354 would apply
to an  exchange  but for the fact that the  property  received  in the  exchange
consists not only of property  permitted  to be received  under Code Section 354
without  the  recognition  of gain but also of other  property or money then the
gain, if any, to the recipient  shall be recognized but not in excess of the sum
of money and the fair market value of such other  property.  Code Section 356(c)
states that no loss from the exchange may be recognized by the shareholder.

- ------------------------
5       Rev. Rul. 66-23. See also PENROD V.  COMMISSIONER,  88 T.C. 1415 (1987);
        ESTATE OF CHRISTIAN V. COMMISSIONER,  57 T.C.M. (CCH) 1231 (1989). Under
        Proposed  Regulation  Section  1.368-1(e),  the IRS  states  that  stock
        dispositions of the acquiring corporation by a former target shareholder
        generally are not  considered  for  determining  continuity of interest.
        However, under the Proposed Regulations, if the acquiring corporation or
        a related party purchases the acquiring  corporation stock shortly after
        the  reorganization,  the facts and  circumstances may indicate that the
        transaction  should  be recast to treat  the  acquiring  corporation  as
        furnishing cash in the  reorganization and not satisfying the continuity
        of interest  requirement.  Proposed  regulations do not become law until
        adopted as final  regulations,  and generally are applied  prospectively
        once  adopted.  Therefore,  Proposed  Regulation  Section  1.368-1(e) is
        inapplicable   to  this   transaction.   See  also  infra  note  23  and
        accompanying text.

6       Id.



<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
[To be dated the Effective Time]
Page 16


           The IRS, in Rev. Rul.  74-515,  1974-2 C.B. 118 and Rev. Rul. 74-516,
1974-2 C.B. 121,  treated the  distribution of cash as part of a  reorganization
and in a transaction  subject to Code Section 356 (including  cash payments made
to  dissenting  shareholders  of  the  acquired  corporation)  by  applying  the
redemption  principles  under Code Section 302.  Code Section 302  provides,  in
part,  that a  redemption  will be  treated  as a  distribution  in part or full
payment  in  exchange  for stock if it can meet the tests of that  section.  The
Supreme Court in CLARK V. COMMISSIONER.,  489 U.S. 726 (1989), applied the tests
of Code Section 302 by viewing the exchange  involving cash or other property as
a "hypothetical  post-reorganization  redemption." The Court viewed the exchange
as first an  exchange  of  solely  stock of the  acquiring  corporation  for the
acquired company stock,  followed by an exchange by the shareholder of the newly
acquired  stock for cash from the  acquiring  corporation.  The Code Section 302
tests are applied to the second hypothetical exchange.

           One of the tests of Code Section 302  provides  that where there is a
complete  redemption of all of a  shareholder's  stock in a  corporation  (after
consideration of the constructive  ownership rules of Code Section 302(c)),  the
redemption payment is treated as made entirely in exchange for the shareholder's
stock in the corporation.  Code Section  302(b)(3).  The constructive  ownership
rules of Code  Section  302(c) are  generally  contained in Code Section 318 and
provide  that an  individual  or entity is treated as owning the stock  owned by
certain  other  related  individuals  and  entities.  Where  there is a complete
termination of the shareholder's  interest, the constructive ownership rules may
be waived if certain conditions are met.

           In Rev. Rul.  66-365,  1966-2 C.B.  116, the IRS announced  that in a
transaction  qualifying as a  reorganization  under Section  368(a)(1)(A) of the
Code  where  a cash  payment  is made by the  acquiring  corporation  in lieu of
fractional shares and is not separately bargained for, such cash payment will be
treated  under  Section 302 of the Code as in  redemption  of  fractional  share
interests.  Therefore,  each  shareholder's  redemption  will  be  treated  as a
distribution  in  full  payment  in  exchange  for his or her  fractional  share
interest  under  Section  302(a) of the Code and  accorded  capital gain or loss
treatment  provided the redemption is not  essentially  equivalent to a dividend
and that the fractional shares redeemed  constitute a capital asset in the hands
of the holder as discussed below. In Rev. Proc. 77-41,  1977-2 C.B. 574, the IRS
stated that "a ruling will  usually be issued under  Section  302(a) of the Code
that  cash  to be  distributed  to  shareholders  in lieu  of  fractional  share
interests  arising in corporate  reorganizations  will be treated as having been
received in part or in full  payment in exchange  for the stock  redeemed if the
cash distribution is undertaken solely for the purpose of saving the corporation
the expense and inconvenience of issuing and transferring fractional shares, and
is not separately bargained-for consideration."

           Under Code  Section  358(a)(1),  in the case of an  exchange to which
Code  Section 354 or Code Section 356  applies,  the basis of property  which is
permitted to be received under such sections



<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
[To be dated the Effective Time]
Page 17


without  the  recognition  of  gain  or loss  shall  be the  same as that of the
property  exchanged,  decreased  by the  amount  of any  money  received  by the
recipient and the amount of loss  recognized by the recipient as a result of the
exchange  and  increased  by the amount  which was treated as a dividend and the
amount of other gain recognized by the recipient as a result of the transaction.

           As  described  above,  where cash is received  in lieu of  fractional
shares,  the substance of the  transaction is that of a hypothetical  receipt of
the fractional shares and then a redemption of such shares. Therefore, the basis
that is to be allocated to the stock of the acquiring  corporation received must
be allocated to the shares  retained and the  fractional  shares  hypothetically
received.  The  gain  or loss  attributable  to the  receipt  of cash in lieu of
fractional  shares is measured by  comparing  the cash  received  with the basis
allocated to the fractional shares that are  hypothetically  received,  and such
gain or loss is recognized as discussed earlier pursuant to Rev. Rul. 66-365.

           Code Section  361(a)  states that, as a general rule, no gain or loss
is to be  recognized  by a  corporation  if such  corporation  is a  party  to a
reorganization   and   exchanges   property,   in   pursuance  of  the  plan  or
reorganization, solely for stock or securities in another corporation a party to
the reorganization. Code Section 361(b) states that if Code Section 361(a) would
apply to an exchange but for the fact that the property received in the exchange
consists not only of stock or securities afforded nonrecognition treatment under
Code Section  361(a),  but also of other  property or money,  then  provided the
corporation  receiving such other property or money  distributes it in pursuance
of the plan of  reorganization,  no gain to the corporation  shall be recognized
from the exchange.  Code Section 361(c) states that as a general rule no gain or
loss shall be recognized by a  corporation  a party to a  reorganization  on the
distribution to its shareholders of any stock in another  corporation which is a
party to the  reorganization  if such  stock was  received  by the  distributing
corporation in the exchange.

           Code Section  1032(a) states that no gain or loss shall be recognized
to a corporation  on the receipt of money or other property in exchange for such
corporation's stock, including treasury stock.

           Code Section 362(a) states that the basis of property received by the
acquiring  corporation  in a  reorganization  is the  same as it would be in the
hands of the transferor of the assets,  increased by any gain  recognized by the
transferor.  The  transferors  for  purposes  of the  preceding  sentence in the
instant case is TPC and EFCC.

           Code  Section 1221  defines a capital  asset as property  held by the
taxpayer which is not inventory or other property held by the taxpayer primarily
for sale to customers in the  ordinary  course of a trade or business,  property
used  in  the  taxpayer's  trade  or  business  subject  to  the  allowance  for
depreciation under Code Section 167, a copyright,  literary, musical or artistic
composition, a letter



<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
[To be dated the Effective Time]
Page 18


or  memorandum,  or  similar  property  created by the  personal  efforts of the
taxpayer,  accounts or notes  receivable  acquired in the  ordinary  course of a
trade or business for  services  rendered or from the sale of inventory or other
property  held by the taxpayer  primarily  for sale to customers in the ordinary
course of business,  or a publication of the United States  Government  which is
received from the United States  Government or any agency  thereof other than by
purchase at the price at which it is offered for sale to the public.

           Code Section  1223(1) states that in determining the period for which
a taxpayer has held  property  received in an exchange,  there shall be included
the period for which he or she held the property  exchanged if the property has,
for the purpose of  determining  gain or loss from a sale or exchange,  the same
basis as the property  exchanged and the property  exchanged was a capital asset
as defined in Code  Section  1221 as of the date of the  exchange.  Code Section
1223(2) states that for  determining  the period for which the taxpayer has held
property  however  acquired  there shall be  included  the period for which such
property was held by another  person if the property has the same basis in whole
or in part in his hands as it would have had in the hands of such other person.

2.         TPC Merger
           ----------

           Code  Section 332  provides  that under  certain  conditions a parent
corporation  will  not  recognize  gain  or  loss  on the  receipt  of  property
distributed  in  complete  liquidation  of an 80 percent  or greater  controlled
subsidiary.  Code Section 337 provides that such  subsidiary  does not recognize
gain or loss on such  distributions.  Minority  shareholders  participating in a
Code  Section 332  liquidation,  who receive  stock of the parent in a statutory
merger of the subsidiary into the parent,  may avoid recognition of gain or loss
if the transaction also qualifies as a reorganization under Code Section 368(a).

           If the parent's  stock  interest in the subsidiary is "old and cold,"
there  should be  continuity  of  interest  to support  tax-free  reorganization
treatment  for the  minority  shareholders  on the  receipt  of the stock of the
parent  in a  statutory  merger  of the  subsidiary  into the  parent.  The last
sentence of Section 332(b) of the Code provides, in effect, that the transfer of
a  subsidiary's  property  to a  parent  corporation  is not  disqualified  as a
complete  liquidation  merely  because it  involves a transfer  to the parent of
property  not  attributable  to  shares  owned  by the  parent,  in an  exchange
described  in Code Section  361,  and  involves  the  complete  cancellation  or
redemption  of minority  shares not owned by the parent as a result of exchanges
described in Section 354 of the Code.

           Regulation Section 1.332-2(d)  provides,  in effect,  that a complete
liquidation otherwise meeting the requirements of Section 332 of the Code is not
disqualified from the application of Code Section 332 even though,  for purposes
of the corporate reorganization provisions, the parent receives



<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
[To be dated the Effective Time]
Page 19


property  attributable  to  minority  shares not owned by it,  and the  minority
shares are canceled as a result of a tax-free exchange  described in Section 354
of the Code. The regulatory example  illustrating these rules does not, however,
describe the tax consequences to the minority shareholders.
See Regulations Section 1.332-2(e).

           There appears to be no judicial  decision  holding that a merger of a
subsidiary  into its parent  qualifying  under Section 332 of the Code is also a
Code  Section   368(a)(1)(A)   tax-free   reorganization   as  to  the  minority
shareholders. In Rev. Rul. 58-93, 1958-1 C.B. 188, however, the IRS ruled that a
merger of a 79% owned subsidiary into its parent (which could not have qualified
as a  Code  Section  332  liquidation)  qualified  as a  tax-free  Code  Section
368(a)(1)(A)  reorganization  both as to the  corporate  entities  and as to the
minority shareholders who received stock of the parent.(7)

           In Rev. Rul. 69-617, 1969-2 C.B. 57, the IRS ruled that a merger of a
more-than  80% owned  subsidiary  into its  parent,  which did not  qualify as a
liquidation  under Code Section 332 because the assets were dropped into another
subsidiary  of the parent,  qualified as a tax-free  Code  Section  368(a)(1)(A)
reorganization as to all parties where the minority  shareholders received stock
of the parent in the merger.(8)

           In Priv. Let. Rul. 9351028 (Sept.  28,  1993)(9),  the IRS ruled that
the merger of Corporation S into  Corporation P would qualify under Code Section
332(a),  where P owned  more  than 80% of the  stock of S.  With  regard  to the
minority  shareholder  of S, the IRS,  citing  its  annual  "no-ruling"  revenue
procedure,  did not rule as to whether the transaction  would qualify under Code
Section

- -----------------------------
7       On the facts of this ruling,  the merger would not have qualified  under
        Code  Section  332 even if the parent had owned 80% of the  subsidiary's
        stock  because,   immediately  prior  to  the  merger,   the  subsidiary
        transferred  all  of  its  operating  assets  to its  new  wholly  owned
        subsidiary  which then became a wholly owned  subsidiary  of the parent.
        Thus,  the  business  of the  subsidiary  was  not  liquidated  but  was
        reincorporated in a new subsidiary.

8       The ruling  stated that "the fact that [the parent]  owned more than 80%
        of the stock of [the  subsidiary]  does not prevent the  transfer of the
        assets  of  [the  subsidiary]  to  [the  parent]  from  qualifying  as a
        statutory   merger,   where  such  assets  are  transferred  to  another
        subsidiary."

9       Private  Letter  Rulings  may not be relied upon or  otherwise  cited as
        precedent.  However,  we believe it is  appropriate  to refer to them in
        order to demonstrate an administrative  position previously taken by the
        Service.



<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
[To be dated the Effective Time]
Page 20


368(a)(1)(A),  but did  rule  that  several  of the  Code  Section  368(a)(1)(A)
requirements  would be met.  The IRS  concluded  that if the  merger of S into P
otherwise qualified as a Code Section 368(a)(1)(A) reorganization,  the minority
shareholder  would not  recognize  gain or loss on the  exchange of his minority
interest in S stock for P stock,  pursuant to Code Section 354(a)(1).  Thus, the
IRS  appears  to  agree  that a  merger  of a  subsidiary  into a more  than 80%
controlling parent may qualify as a reorganization  with respect to the minority
shareholders, while being treated as a Code Section 332 liquidation with respect
to the parent.(10)

           Since a  sufficiently  large portion of the ownership of the stock of
TPC is "old and cold," and since  EFCC owns  approximately  83 percent of TPC, a
statutory  merger of TPC into EFCC  should  satisfy the  continuity  of interest
requirement  (as  well  as the  other  requirements)  for a valid  Code  Section
368(a)(1)(A) reorganization, and the receipt of EFCC's stock by the TPC minority
shareholders  should be tax free under Code Section  354. In addition,  EFCC and
TPC will not recognize any gain or loss pursuant to Code Sections 332 and 337.

        A  tax-free  transaction  in  which  a  target  corporation's  stock  is
transferred to new shareholders followed by a subsequent tax-free reorganization
of the target  corporation into another  corporation should be respected if such
initial  transaction has independent  significance  and a business  purpose.(11)
Under the step transaction  doctrine,  an analysis is made of the separate steps
of a transaction to determine  whether each step should be accorded  independent
legal  significance  or whether the steps should be treated as related  steps in
one unified transaction and "stepped together" to produce the actual result.(12)
The courts have established  several tests to determine  whether the doctrine is
applicable -- the "end result" test, the "interdependence test" and the "binding
commitment test."(13)

- -----------------------
10      See also Priv. Let. Rul. 8825048 (Mar. 23, 1988).

11      See WEIKEL V. COMMISSIONER,  51 T.C.M. (CCH) 432 (1986). Even if the TPC
        Merger  is  not  respected  as  a  separate  Code  Section  368(a)(1)(A)
        reorganization,  it should be treated as a Code Section 332 liquidation.
        See Priv. Let. Rul.  8713033 (Dec. 29, 1986);  Priv.  Let. Rul.  8425081
        (Mar. 21, 1984);  Priv. Let. Rul. 8032114 (May,  1980);  Priv. Let. Rul.
        8024137  (Mar.  20, 1980).  See also infra notes 21-22 and  accompanying
        text.

12      KING ENTERPRISES, INC. V. U.S., 418 F.2d 511 (Ct. Cl. 1969).

13      Id; MCDONALD'S  RESTAURANT OF ILLINOIS,  INC. V. COMMISSIONER,  688 F.2d
        520 (7th Cir. 1982);  REDDING V.  COMMISSIONER,  630 F.2d 1169 (7th Cir.
        1980) CERT. DENIED 450 U.S. 913 (1981); COMMISSIONER V. GORDON, 391 U.S.
        83 (1968).



<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
[To be dated the Effective Time]
Page 21


Although  it is  generally  unclear  which of these  tests  should  be given the
greatest weight in any particular case, we believe the  interdependence  test is
the most relevant to this transaction.

           In the  instant  case,  the  TPC  Merger  should  be  deemed  to have
independent  significance  and a  business  purpose  and,  therefore,  should be
respected.  Under the "end  result"  test,  since the TPC  Merger is a  separate
transaction  grounded  in  economic  and  legal  reality,  its  form  should  be
respected. We believe that the IRS would not have a reasonable justification for
disregarding or otherwise  rearranging the steps in a less  advantageous  manner
for the  taxpayers  even if a less  advantageous  structure  could be construed.
Under  the  "binding  commitment  test",  TPC  and  EFCC do not  have a  binding
commitment  with Star to exchange  the stock of EFCC for the stock of Star prior
to the  approval and  commitment  to the TPC Merger.  Under the  interdependence
test,  TPC and EFCC intended to complete the TPC Merger  whether or not the Star
Merger was  finalized.  The Star Merger is not a condition to the  occurrence of
the TPC Merger  (although  the TPC Merger is a  condition  to the Star  Merger).
There is a real  possibility  that the TPC Merger will occur without the closing
of the Star  Merger.  The TPC  Merger  will not be  fruitless  without  the Star
Merger.

           There are real legal implications and potential economic consequences
to the TPC Merger;  for  example,  the TPC  minority  shareholders  will acquire
rescission  rights in the TPC Merger.  There are valid business  reasons for the
TPC Merger,  such as to effect desired  operating  efficiencies in the corporate
structure of EFCC by  simplifying  the current  two-tiered  structure,  which no
longer serves any business  purpose and entails a  substantial  cost to maintain
due to dual financial reporting, disclosure and administrative requirements, and
to make it more attractive to Star or any other potential  purchaser if the Star
Merger does not close.  Thus, the  subsequent  Star Merger should not disqualify
the TPC Merger as a tax-free reorganization.

3.         Star Merger
           -----------

           (a)       General

           Code  Section  368(a)(2)(D)  provides  that  the  acquisition  by one
corporation,  in exchange for stock of a corporation  which is in control of the
acquiring  corporation,  of  substantially  all of  the  properties  of  another
corporation  shall not disqualify a transaction  under Code Section 368(a) if no
stock  of the  acquiring  corporation  is  used  in  the  transaction  and  such
transaction would have qualified under Code Section  368(a)(1)(A) had the merger
been  into  the  controlling  corporation.   Regulations  permit  the  acquiring
corporation or its parent or both to pay some cash, subject to the continuity of
interest requirement discussed above.




<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
[To be dated the Effective Time]
Page 22


           Accordingly,  an  acquisition  by Merger Sub in exchange for stock of
Star  should  qualify as a Code  Section  368(a)(1)(A)  reorganization  via Code
Section  368(a)(2)(D)  if (1)  substantially  all of the  properties of EFCC are
acquired  by Merger Sub;  (2) EFCC is merged  into Merger Sub  pursuant to state
law; (3) the Star Merger would have  qualified  under Code Section  368(a)(1)(A)
had it been effected  directly into Star;  and (4) no stock of the Merger Sub is
used in the Star Merger.

           (b)       The "Substantially All" Requirement

           The "substantially all" requirement has not been statutorily defined.
The  determination  of  "substantially  all" is  based  upon all the  facts  and
circumstances of each  transaction.  The IRS's advance ruling  guidelines,  Rev.
Proc.  77-37,   1977-2  C.B.  568,(14)  provide  that  the  "substantially  all"
requirement  will be met if at  least  90% of the fair  market  value of the net
assets  and at least 70% of the fair  market  value of the  gross  assets of the
acquired  corporation  immediately  before  the merger  are  transferred  to the
acquiring  corporation.  All  payments to  dissenters  and all  redemptions  and
distributions (except for regular, normal distributions) made by the corporation
immediately   preceding  the  transfer  and  which  are  part  of  the  plan  of
reorganization will be considered as assets held by the corporation  immediately
prior to the transfer. In addition, where a corporate division effected prior to
and in  contemplation  of the  reorganization  removes  assets from target,  the
reorganization  may be taxable on the ground that the  acquiror has not acquired
substantially all of target's "historic" assets.(15)

           Unlike a spin-off of unwanted assets, a sale of a portion of target's
assets  prior to the  reorganization  does not deplete the  aggregate  amount of
target's  assets -- it only  changes  the makeup of those  assets.  That is, the
assets sold are replaced with the consideration received on the sale, whether it
is cash,  notes or other  assets.  Provided  the sale of assets does not destroy
continuity  of  business  enterprise,  the nature and amount of the assets  sold
should have no bearing on the qualification of the reorganization so long as the
sale proceeds  remain with the target's other assets and are not  distributed to
the shareholders.

           In Rev.  Rul.  88-48,  1988-1  C.B.  117,  target sold one of its two
significant lines of business (constituting 50% of its historic business assets)
for cash and then transferred its other line of business  together with the cash
proceeds to acquiror in exchange  for  acquiror  voting  stock in a Code Section
368(a)(1)(C)  reorganization.  The IRS held that because the cash  proceeds were
not retained by

- --------------------------
14      SEE ALSO Rev. Proc. 86-42, 1986-2 C.B. 722.

15      SEE  HELVERING V. ELKHORN COAL CO., 95 F.2d 732 (4th Cir.  1938),  CERT.
        DENIED, 305 U.S. 605 (1938).



<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
[To be dated the Effective Time]
Page 23


target or its shareholders but were transferred to acquiror, the transaction was
not divisive in nature.  Also,  because the sale of the historic business assets
was to "unrelated purchasers," the former target shareholders retained no direct
or indirect  interest in those assets.  The term  "unrelated  purchaser" was not
defined  or  specified.   Under  those   circumstances,   the  IRS  ruled,   the
"substantially all" requirement was met.

           In the  instant  case,  the sale of TPC's  Jersey  City,  New  Jersey
division  was to a person who should be treated as an  unrelated  purchaser  for
purposes  of  the   "substantially   all"  requirement  for  full  and  adequate
consideration  in  a  fully  taxable   transaction.   Such   consideration   was
subsequently  transferred  to EFCC  in the  TPC/EFCC  merger  and  will  then be
transferred  to Merger Sub in the Star  Merger of EFCC with and into Merger Sub.
Thus, such sale should not impact the "substantially all" requirement.  Based on
the above analysis and on the  representation  in the Letters of  Representation
that EFCC will  transfer  to Merger Sub and Merger Sub will  acquire at least 90
percent of the fair market value of EFCC's net assets and at least 70 percent of
the fair market value of EFCC's gross assets held immediately  prior to the Star
Merger,  including,  but not limited to, the assets  formerly  held by TPC,  the
"substantially  all" requirement should be met with respect to the properties of
EFCC acquired by Merger Sub in the Star Merger.

           (c)       Continuity of Business Enterprise

           Based on  representations  included in the Letters of  Representation
that following the Star Merger,  Merger Sub will continue the historic  business
of TPC or use a  significant  portion  of TPC's  historic  business  assets in a
business  (as such  terms are  defined in  Treasury  Regulation  Section  1.368-
1(d)(2)),  the continuity of business enterprise  requirement should be met with
respect to the assets and business operations of TPC, EFCC and Merger Sub.

           (d)       Business Purpose

           In  general,  Star  and  EFCC  believe  that a  combination  of their
respective  businesses  will enable  both  companies  to grow and  operate  more
efficiently.  Based on these  reasons,  the Star Merger should meet the business
purpose requirement.

           (e)       Continuity of Interest

                     1.        Arbor Options

           For purposes of the Star Merger, continuity of interest must exist in
the  "historic  shareholders"  of EFCC.  The  exercise  of  Arbor's  options  in
contemplation of the Star Merger raises



<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
[To be dated the Effective Time]
Page 24


two continuity of interest issues:  (1) does the EFCC stock issued upon exercise
of the Arbor options count as outstanding  EFCC stock in applying the continuity
of interest test and (2) if the EFCC stock does count, is Arbor considered to be
an historic EFCC shareholder?

           In General Counsel  Memoranda ("GCM") 36040 and 36041 (Oct. 8, 1974),
as part  of a plan  of  reorganization,  the  holders  of  target  warrants  and
convertible  target debt converted these instruments into target stock and then,
along with the other  target  shareholders,  exchanged  their  target  stock for
acquiror stock in the reorganization.  At issue was whether the step-transaction
doctrine  should apply to treat the  transactions  as though the target warrants
and target  convertible debt were exchanged directly for acquiror stock. The IRS
concluded that the  step-transaction  doctrine should not apply because to do so
would ignore the right inherent in the warrants and  debentures  that allows the
holder  thereof to acquire an equity  interest in target.  Thus, the IRS honored
the form of the transactions and preserved tax-free reorganization treatment for
the warrant holders and convertible debenture holders.

           It is unclear  whether  the IRS would  apply the same  rationale  for
purposes of measuring continuity of interest.(16)1 On the one hand, the holdings
in GCM 36040 and 36041 imply that the IRS might  conclude  that the newly issued
EFCC shares count in applying the continuity of interest test. A  representation
obtained  by the IRS  from a  taxpayer  in a 1993  private  letter  ruling  also
suggests this  result.(17) On the other hand,  taxpayer  representations  in two
other private letter rulings indicate that the IRS might ignore the newly issued
EFCC shares in applying the continuity of interest test.(18)

           If the IRS in fact counts the newly  issued EFCC shares in  measuring
continuity, does Arbor qualify as an historic EFCC shareholder? This issue could
be resolved in three ways:

           (i)  Arbor  automatically  could be  treated  as a  nonhistoric  EFCC
shareholders, i.e., as bad continuity.

- -------------------------
16      SEE Priv. Let. Rul.  9008028 (Nov. 21, 1989) (the target shares acquired
        on  exercise of the options  are not  excluded  from the 50%  continuity
        representation);  BUT SEE Priv.  Let.  Rul.  9105028 (Nov. 6, 1990) (the
        target shares  acquired on exercise of the options are excluded from the
        50% continuity representation).

17      Priv. Let. Rul. 9324021 (Mar. 19, 1993) (representation c).

18      SEE  Priv.  Let.  Rul.  9105028  (Nov.  6,  1990)   (representation  b),
        supplemented by Priv. Let. Rul. 9132068 (Apr. 19, 1991)  (representation
        b); Priv. Let. Rul. 9136027 (June 11, 1991) (representation c).



<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
[To be dated the Effective Time]
Page 25


           (ii)  Arbor  automatically  could  be  treated  as an  historic  EFCC
shareholders, i.e., as good continuity.

           (iii)  The  determination  of  whether  Arbor  is  an  historic  EFCC
shareholder  could be based on whether it was an historic holder of the options,
i.e., whether it acquired the options in contemplation of the Star Merger.

           Some  commentators  favor  approach  (iii),(19)  although there is no
authority  directly on point.  The risk that the IRS will  disagree  and analyze
Arbor's stock  ownership in EFCC under approach (i),  i.e., the least  favorable
approach,  exists.  In the  absence  of a private  letter  ruling  from the IRS,
prudence dictates that Arbor be treated as a nonhistoric shareholder of EFCC for
purposes of  calculating  the EFCC  shareholders'  continuity of interest in the
merged entity.  Thus, the other historic EFCC  shareholders  must hold, with the
requisite intent and for the requisite period,  Star stock equal to at least 40%
of the fair market value of all of the EFCC shares outstanding immediately prior
to the Star  Merger  (including  the shares  received  by Arbor  pursuant to the
exercise of its options) to satisfy the continuity of interest test.

           2.         Pre-Merger Dividend

           We believe  that the $750,000 of cash  distributed  by EFCC to all of
its  shareholders  with respect to their shares prior to the Star Merger  should
not be taken into account for purposes of the  continuity  of interest  test. In
Private  Letter  Ruling  9041084  (July  19,  1990),   three  corporations  paid
significant dividends to their shareholders immediately prior to merging into an
acquiring  corporation  and as part of the same  plan.  The IRS  ruled  that the
mergers  qualified as tax-free  Code Section  368(a)(1)(A)  reorganizations.  We
believe the salient  point is that the $750,000  dividend did not come from Star
or the Merger Sub. There is no  justification  for the IRS to conclude that this
cash should be deemed to have come from Star or the Merger Sub, especially since
the cash is  proceeds  from the  exercise  of  Arbor's  options,  and not from a
disposition  or  liquidation  of  operating  assets  or  equity   interests.(20)
Nevertheless  it  is  possible  that  the  IRS  may  assert  that  the  $750,000
distribution paid by

- -------------------------
19      Martin  D.  Ginsburg  and  Jack S.  Levin,  Mergers,  Acquisitions,  and
        Buyouts, ss. 610.3.2 (Jan. 1996).

20      See LITTON INDUSTRIES INC. V. COMMISSIONER, 89 T.C. 1086 (1987), ACQ. IN
        RESULT,  1988- 2 C.B. 1; TSN  LIQUIDATING  CORP. V. U.S.,  624 F.2d 1328
        (5th Cir. 1980).  Accord UNIROYAL INC. V.  COMMISSIONER,  65 T.C.M. 2690
        (1993).



<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
[To be dated the Effective Time]
Page 26


EFCC must be taken into account in applying  the  continuity  of interest  test,
which could cause  continuity of interest to fall below an  acceptable  level to
preserve tax-free reorganization treatment.

           3.         Less than 5% Shareholders

           As a  practical  matter,  in the case of a widely  held and  publicly
traded  target  corporation,  it is difficult  to determine  which of the target
corporation's  public  shareholders  have held their target stock long enough to
become historic target  shareholders and whether such target  corporation's less
than 5% public shareholders intended at the time of the reorganization to retain
their  acquiring  corporation  stock and  whether  and for how long they in fact
retain such stock following the reorganization. The IRS seems to have recognized
this  reality and for  purposes of issuing  private  rulings has focused only on
target  shareholders  owning at least 5% of the outstanding target stock as well
as target insiders.  See Rev. Proc. 77-37, section 7, added by Rev. Proc. 86-42.
The Tax Court seems to agree. In the SEAGRAM CORP. V. COMMISSIONER,  104 T.C. 75
(1995), the Tax Court stated, "[a] requirement that the identity of the acquired
corporation's   shareholders  be  tracked  to  assume  a  sufficient  number  of
'historic'  shareholders to satisfy some arbitrary minimal percentage  receiving
the acquiring corporation's stock would be completely  unrealistic." 104 T.C. at
103.  Thus,  since we believe  EFCC should be  considered  to be widely held for
these purposes,  noninsiders who own less than 5% of the outstanding  EFCC stock
and who  exchange  their EFCC stock for Star stock in the Star Merger  generally
should be counted toward satisfying the continuity of interest requirement.

           4.         Prior Merger of TPC Into EFCC

           As  discussed  above,  a  tax-free  transaction  in  which  a  target
corporation's stock is transferred to new shareholders  followed by a subsequent
tax-free  reorganization  of the target  corporation  into  another  corporation
should be respected if such initial transaction has independent significance and
a business  purpose.(21)  The issue  addressed is whether the subsequent  merger
affects the qualification of the original  reorganization,  but implicit in this
analysis is the notion that the new target  corporation  shareholders may supply
the  necessary  continuity  of interest to qualify  the  subsequent  merger as a
tax-free transaction even though the original  reorganization and the subsequent
merger occur pursuant to an overall plan.

           In several private letter rulings,  the IRS has held that a merger of
a parent corporation into another corporation  preceded by an upstream merger or
liquidation of a wholly-owned subsidiary into

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

21      See supra notes 11-13 and accompanying text.



<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
[To be dated the Effective Time]
Page 27


the target parent corporation  qualified as tax-free  reorganization  under Code
Section  368(a).(22)  Although we are  unaware of any direct case law  authority
supporting  this  proposition,  we believe the conclusion is consistent with the
policies  underlying the reorganization  provisions of Code Section 368 et. seq.
since the shareholders in the TPC Merger  principally  changed the form of their
ownership but retained the requisite proprietary interest. Therefore, subsequent
to their  exchange  of TPC stock for EFCC stock  pursuant  to the TPC Merger and
based on the  representations  in the  Letters  of  Representation,  the  former
shareholders  of TPC  should be  treated as  historic  shareholders  of EFCC for
purposes of satisfying the Star Merger's continuity of interest requirement.  In
addition,  based on the representations in the Letters of Representation and the
discussion above, Coss and the public shareholders are historic  shareholders of
EFCC.

           5.         Post-Reorganization Continuity of Interest

           Based on the representations in the Letters of Representation that as
of the Effective Time, Coss, the shareholders of Coss and any other  shareholder
of EFCC,  including  the  former  shareholders  of TPC,  will not have a binding
commitment or  preconceived  plan or  arrangement  for disposing of any of their
Star common stock received in the Star Merger, the former EFCC shareholders will
satisfy the continuity of interest  requirement  that they retain their interest
in Star for some unspecified time after the reorganization.(23)

           6.         Value of Star Common Stock

           The IRS  position in  connection  with  determining  whether at least
50%(24) by value of the target corporation's  outstanding stock is exchanged for
the acquiring corporation's stock in the reorganization is that the value of the
target corporation stock is determined "as of the effective time

- ----------------------------
22      See Priv. Let. Rul.  8713033 (Dec. 29, 1986);  Priv.  Let. Rul.  8425081
        (Mar. 21, 1984);  Priv. Let. Rul. 8032114 (May,  1980);  Priv. Let. Rul.
        8024137 (Mar. 20, 1980).

23      See supra notes 3-6 and accompanying text.

24      As  discussed  above  at  note 1 and  accompanying  text,  the  IRS  has
        announced that it considers a 50 percent  continuity-of-equity  interest
        by value to be sufficient.  Rev. Proc. 77-37. Nevertheless,  pursuant to
        the NELSON  case and as  discussed  above,  a 40 percent  continuity  of
        interest by value on the part of the former historic shareholders of the
        target should be sufficient.



<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
[To be dated the Effective Time]
Page 28


of the reorganization."(25) Nevertheless, assuming that the fair market value of
the  outstanding  EFCC stock at the Effective Time is determined by reference to
the  exchange  value of the EFCC  stock in terms of Star  stock  and  cash,  and
assuming  that the parties to the Star  Merger make a good faith and  reasonable
effort to achieve a consideration mix consisting of at least 40% Star stock, the
use of a value as  determined  on the third  business day prior to the Effective
Time,  using the  average of the  closing  sales price of a share of Star common
stock as  reported on the NASDAQ  National  Market  during the 120 trading  days
immediately  preceding  the  date of  determination  should  be  sufficient  for
purposes of determining  whether the 40%  continuity of interest  requirement is
met in the Star Merger if, solely as a result of market fluctuations between the
date  that  the  Merger   Agreement  is  signed  and  the  Effective  Time,  the
consideration  paid to the EFCC historic  shareholders turns out to be less than
40% Star stock.(26)

           This formula was devised by the parties in an attempt to minimize the
impact on the business  arrangement  of temporary  market  fluctuations  of Star
stock.  In  addition,  since (1) there was an unusually  protracted  time period
between the parties agreement in concept and an actual contract and closing, (2)
the  shareholders  of EFCC had  locked in their  investment  during the 120 days
since the principal  economic terms of the transaction  were in place,  (3) Star
assumed the management of EFCC and the profits therefrom were largely payable to
Star in the form of consulting fees so that the EFCC shareholders could share in
those profits during such period only through this pricing mechanism and (4) the
principal  reason for not closing the Star  Merger  immediately  was the need to
secure approvals of governmental  authorities,  the adjustment  mechanism merely
reflects  the fact  that the  economic  merger  of EFCC and Star  does not occur
solely on the closing  date,  but rather will occur  incrementally  over time so
that a valuation as of the closing date is less likely to accurately reflect the
true value of the  continuity  of  interest of the EFCC  shareholders.  However,
there is no authority  that  addresses  whether an average  trading price may be
used and there is a risk that this issue could be resolved  unfavorably.  If the
price of the Star stock declines prior to the Effective  Time, the risk that the
Star Merger will be treated as a taxable transaction by the IRS becomes greater.

           Immediately prior to the Effective Time, the historic shareholders of
EFCC (i.e.,  Coss,  the former TPC  minority  shareholders  and the other public
shareholders  of EFCC,  assuming  Arbor is not an historic  shareholder of EFCC)
will own 66.8% of the stock of EFCC. For purposes of  calculating  continuity of
interest,  the value of the stock consideration paid by Star ($4,400,000) to the
EFCC   shareholders   in  the  Star  Merger  will  equal  60.69%  of  the  total
consideration paid by Star

- ---------------------------
25      Id.

26      SEE Rev. Rul. 81-190, 1981-2 C.B. 84.



<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
[To be dated the Effective Time]
Page 29

($7,250,000) in the Star Merger. Thus, 40.54% of the total consideration paid by
Star to the historic shareholders of EFCC will consist of Star stock.

           Based on the  representations in the Letters of  Representation,  and
assuming that (1) EFCC's shareholders  receive Star common stock with a value of
at least  $4,607,506(27)  as determined  on the third  business day prior to the
Effective Time,  using the average of the closing sales price of a share of Star
common stock as reported on the NASDAQ  National  Market  during the 120 trading
days  immediately   preceding  the  date  of  determination  and  that  (2)  all
shareholders   receive,   at  a  maximum,   aggregate  cash  in  the  amount  of
$2,714,998,(28)   which   amount   includes   total  cash  paid  to   dissenting
shareholders,  it is our  opinion  that,  although  not  free  from  doubt,  the
continuity  of  interest  requirement  should  be met with  respect  to the Star
Merger.

                               Very truly yours,



                               Meltzer, Lippe, Goldstein, Wolf & Schlissel, P.C.

- -------------------------
27      See infra note 28.

28      These numbers are based on certain  assumptions as to possible  payments
        to dissenting  shareholders.  If the value of the stock  received by the
        EFCC  shareholders  is less than  $4,607,506  and/or  the amount of cash
        received is greater than  $2,714,998,  the  continuity  of interest test
        will be below 40% and, therefore,  tax-free reorganization treatment may
        be jeopardized.



<PAGE>





                                [STAR LETTERHEAD]










                                   [To be dated the Effective Time]




Meltzer, Lippe, Goldstein,
   Wolf & Schlissel, P.C.
190 Willis Avenue
Mineola, NY  11501

Ladies and Gentlemen:

           The following facts and representations are being furnished to you in
connection with the preparation of your tax opinion to be provided in connection
with the Merger of Extended Family Care Corporation, Inc. ("EFCC") with and into
EFCC Acquisition Corp. ("Merger Sub") (the "Star Merger") and we understand that
you will be  relying  on such  facts  and  representations  in  delivering  your
opinion.  Unless  otherwise  defined  herein,  capitalized  terms shall have the
meanings  ascribed to them in the  Agreement and Plan of Merger Among Star Multi
Care  Services,   Inc.,  EFCC   Acquisition   Corp.  and  Extended  Family  Care
Corporation, Inc. Dated as of January 3, 1997 (the "Merger Agreement").

           Provided that the All Cash Option is not exercised:

           (a) The Star Merger will be  effected in  accordance  with the Merger
Agreement and pursuant to New York State law.

           (b) No stock of the Merger Sub will be issued to any  shareholder  of
EFCC in the Star Merger.

           (c) Prior to the Star  Merger,  Star will be in control of Merger Sub
within the meaning of Section  368(c) of the Internal  Revenue Code of 1986,  as
amended (the "Code").



<PAGE>


Meltzer, Lippe, et. al.
[To be dated the Effective Time]
Page 2


           (d) Merger Sub has no plan or intention to issue additional shares of
its stock  that  would  result in Star  losing  control of Merger Sub within the
meaning of Section 368(c) of the Code.

           (e) As of the Effective Time, Star or any corporation affiliated with
Star (i) will not be under any  obligation  and will not have  entered  into any
agreement or  understanding  to redeem or repurchase  any of its stock issued in
the Star  Merger or to make any  extraordinary  distributions  in respect of the
Star common stock and (ii) will have no plan or  intention  to reacquire  any of
its stock issued in the Star Merger.

           (f) As of the Effective  Time,  there will be no plan or intention on
the part of Star or any  corporation  affiliated  with Star to liquidate  Merger
Sub, to merge Merger Sub into another corporation,  to sell or otherwise dispose
of the stock of Merger Sub or to cause Merger Sub to sell or  otherwise  dispose
of any of the assets acquired from EFCC (including the assets that EFCC received
from TPC), except for dispositions to be made in the ordinary course of business
or transfers described in Section 368(a)(2)(C) of the Code.

           (g) Following the Star Merger, Merger Sub will continue the "historic
business"  of TPC or use a  "significant  portion" of TPC's  "historic  business
assets" in a business (as such terms are defined in Treasury  Regulation Section
1.368-1(d)(2)).

           (h) Star and the  shareholders  of EFCC will pay (or will have  paid)
their respective  expenses,  if any, incurred in connection with the Star Merger
and will not pay any of the  expenses of the other in  connection  with the Star
Merger.  Star will pay or assume only those expenses of EFCC that are solely and
directly   related  to  the  Star  Merger  in  accordance  with  the  guidelines
established in Rev. Rul. 73-54, 1973-1 C.B. 187.

           (i)  As of  the  Effective  Time,  there  will  be no  intercorporate
indebtedness  existing between Star and EFCC or between Merger Sub and EFCC that
was issued, acquired or will be settled at a discount.

           (j) As of the  Effective  Time,  Star  and  Merger  Sub  will  not be
investment  companies  as defined in Section  368(a)(2)(F)(iii)  and (iv) of the
Code.

           (k) The payment of cash in lieu of  fractional  shares of Star common
stock is solely for the purpose of avoiding  the  expense and  inconvenience  to
Star of issuing fractional shares and does not


<PAGE>


Meltzer, Lippe, et. al.
[To be dated the Effective Time]
Page 3

represent separately bargained-for  consideration.  The total cash consideration
that will be paid in the Star Merger to the EFCC shareholders instead of issuing
fractional  shares  of Star  stock  will not  exceed  one  percent  of the total
consideration that will be issued in the Star Merger to the EFCC shareholders in
exchange for their shares of EFCC stock.  The fractional share interests of each
EFCC shareholder  will be aggregated,  and no EFCC shareholder will receive cash
in an amount greater than the value of one full share of Star stock.

           (l) The  consideration  to be received by the shareholders of EFCC in
the Star Merger is a result of arm's-length bargaining. None of the compensation
received by any  shareholder-employees  of EFCC will be  separate  consideration
for, or allocable  to, any of their shares of EFCC stock;  none of the shares of
Star  stock  received  by any  shareholder-employees  of EFCC  will be  separate
consideration  for,  or  allocable  to,  any  employment   agreement;   and  the
compensation  paid to any  shareholder-employee  will be for  services  actually
rendered and will be commensurate with amounts paid to third parties  bargaining
at arm's-length for similar services.

           (m) None of the  representations  or warranties made by EFCC, Star or
Merger Sub herein or in any Schedule hereto or in any other documents  furnished
pursuant  to  any  of the  transactions  described  herein  contain  any  untrue
statement  of fact or omit to  state  any  fact  necessary  in order to make the
statements  and opinions  contained  herein or therein,  including  our Meltzer,
Lippe Goldstein, Wolf & Schlissel P.C. opinions, true and not misleading.

           Star acknowledges  that your tax opinion may not accurately  describe
the effects of the Star Merger if any of the foregoing facts or  representations
are inaccurate.

                                               Very truly yours,



                                               Star Multi Care Services, Inc.


<PAGE>





                                [EFCC LETTERHEAD]










                                   [To be dated the Effective Time]




Meltzer, Lippe, Goldstein,
   Wolf & Schlissel, P.C.
190 Willis Avenue
Mineola, NY  11501

Ladies and Gentlemen:

           The following facts and representations are being furnished to you in
connection with the preparation of your tax opinion to be provided in connection
with  the TPC  Merger  and the  Star  Merger  (each  as  defined  below)  and we
understand  that  you will be  relying  on such  facts  and  representations  in
delivering your opinion.  Unless  otherwise  defined herein,  capitalized  terms
shall have the  meanings  ascribed to them in the  Agreement  and Plan of Merger
Among Star Multi Care Services, Inc., EFCC Acquisition Corp. and Extended Family
Care Corporation, Inc. Dated as of January 3, 1997 (the "Merger Agreement").

1.  TPC MERGER

           (a) The merger of TPC Home Care Services,  Inc. ("TPC") with and into
Extended  Family Care  Corporation,  Inc.  ("EFCC")  (the "TPC  Merger") will be
effected in accordance with the Agreement of Merger dated [_____________],  1997
by and between EFCC and TPC and pursuant to New York State law.

           (b) The fair market value of the EFCC common  stock  received by each
TPC shareholder will be approximately  equal to the fair market value of the TPC
stock surrendered in the exchange.



<PAGE>


Meltzer, Lippe, et. al.
[To be dated the Effective Time]
Page 2


           (c) The minority  shareholders of TPC acquired their TPC stock before
the  formulation  of any  plan in  connection  with  the TPC  Merger  and not in
contemplation of EFCC's subsequent acquisition of TPC.

           (d) As of the Effective Time, there will be no binding  commitment or
preconceived plan or arrangement on the part of the shareholders of TPC to sell,
exchange  or  otherwise  dispose of any of their EFCC stock  received in the TPC
Merger (including EFCC shares held prior to the TPC Merger), other than pursuant
to the merger of EFCC with and into EFCC Acquisition  Corp.  ("Merger Sub") (the
"Star Merger").

           (e)  EFCC has no plan or intention to reacquire any of its
stock issued in the TPC Merger.

           (f) EFCC has no plan or intention to sell or otherwise dispose of any
of the assets or stock of TPC acquired in the TPC Merger, except pursuant to the
Star Merger.

           (g) The  liabilities  of TPC assumed by EFCC and the  liabilities  to
which the  transferred  assets of TPC are  subject  were  incurred by TPC in the
ordinary course of its business and are associated with the business of TPC.

           (h)  EFCC and the  shareholders  of TPC  will  pay  their  respective
expenses,  if any,  incurred in connection  with the TPC Merger and will not pay
any of the expenses of the other in  connection  with the TPC Merger.  EFCC will
pay or assume only those expenses of TPC that are solely and directly related to
the TPC Merger in accordance with the guidelines established in Rev. Rul.
73-54, 1973-1 C.B. 187.

           (i) There is no intercorporate indebtedness existing between EFCC and
TPC that was issued, acquired or will be settled at a discount.

           (j) EFCC and TPC are not  investment  companies as defined in Section
368(a)(2)(F)(iii) and (iv) of the Internal Revenue Code of 1986, as amended (the
"Code").

           (k) As of the Effective Time, TPC will not be under the  jurisdiction
of a  court  in a title  11 or  similar  case  within  the  meaning  of  Section
368(a)(3)(A) of the Code.



<PAGE>


Meltzer, Lippe, et. al.
[To be dated the Effective Time]
Page 3


           (l) The fair market  value of the assets of TPC  transferred  to EFCC
will equal or exceed the sum of the liabilities  assumed by EFCC plus the amount
of liabilities, if any, to which the transferred assets are subject.

           (m) No cash will be paid to any of the  shareholders  of TPC pursuant
to the TPC Merger other than cash payments to dissenting shareholders.

           (n) None of the compensation received by any shareholder-employees of
TPC will be separate  consideration for, or allocable to, any of their shares of
TPC   stock;   none   of   the   shares   of   EFCC   stock   received   by  any
shareholder-employees  of TPC will be separate  consideration  for, or allocable
to,   any   employment   agreement;   and   the   compensation   paid   to   any
shareholder-employee  will  be  for  services  actually  rendered  and  will  be
commensurate  with amounts paid to third parties  bargaining at arm's-length for
similar services.

           (o) TPC and EFCC intend to complete the TPC Merger whether or not the
Star  Merger  is  finalized.  The  Star  Merger  is not a  requirement  for  the
occurrence of the TPC Merger. TPC and EFCC do not have a binding commitment with
Star to  exchange  the  stock  of EFCC for the  stock  of Star  prior to the TPC
Merger. There are valid business, non-tax reasons for the TPC Merger, such as to
effect desired operating efficiencies in the corporate structure of EFCC.

2.  STAR MERGER

           Provided that the All Cash Option is not exercised:

           (p) The Star Merger will be  effected in  accordance  with the Merger
Agreement and pursuant to New York State law.

           (q) At the  Effective  Time,  the fair market value of the Star Multi
Care  Services,  Inc.  ("Star")  common stock or cash received by each holder of
shares of EFCC common stock will be approximately equal to the fair market value
of the shares of EFCC common stock surrendered by each holder in connection with
the Star Merger.

           (r) No stock of the Merger Sub will be issued to any  shareholder  of
EFCC in the Star Merger.

           (s)  As of the Effective Time, to the best of the knowledge of
the management of EFCC, there are no shareholders of EFCC, other
than Coss Holding Corp. ("Coss") and Arbor Home Healthcare


<PAGE>


Meltzer, Lippe, et. al.
[To be dated the Effective Time]
Page 4


Holdings, LLC ("Arbor"), who own 5% or more of the stock of EFCC.

           (t) To the best of the  knowledge  of the  management  of EFCC,  Coss
acquired their EFCC stock before the  formulation of any plan in connection with
the Star Merger and not in contemplation of Merger Sub's subsequent  acquisition
of the outstanding capital stock of EFCC.

           (u) As of the  Effective  Time,  to the best of the  knowledge of the
management of EFCC, none of the  shareholders of EFCC have a binding  commitment
or  preconceived  plan or  arrangement  for disposing of any of their Star stock
received in the Star Merger.

           (v) EFCC will  transfer to Merger Sub and Merger Sub will  acquire at
least 90 percent of the fair  market  value of EFCC's net assets and at least 70
percent of the fair market value of EFCC's gross assets held  immediately  prior
to the Star Merger,  including,  but not limited to, the assets formerly held by
TPC  (which  includes  the  consideration  received  by TPC upon the sale of its
Jersey City  division) and the amount of cash  distributed  in the EFCC Dividend
(as defined below). For purposes of this representation, amounts paid by EFCC to
dissenters,  amounts  paid by EFCC to  shareholders  who receive cash in lieu of
fractional shares,  amounts used by EFCC to pay reorganization  expenses and all
redemptions and  distributions  (except for regular,  normal  dividends) made by
EFCC will be included as assets of EFCC immediately prior to the Star Merger.

           (w) As of the Effective Time, EFCC will not, in anticipation of or as
a part of the plan for the  combination of EFCC and Merger Sub have (i) redeemed
any of the EFCC stock or (ii) effected any distributions  with respect to any of
its stock,  except  for normal  dividends  and  except for the  distribution  of
$750,000 to its shareholders on [___________________] (the "EFCC Dividend").

           (x) Star and the  shareholders  of EFCC will pay (or will have  paid)
their respective  expenses,  if any, incurred in connection with the Star Merger
and will not pay any of the  expenses of the other in  connection  with the Star
Merger.  Star will pay or assume only those expenses of EFCC that are solely and
directly   related  to  the  Star  Merger  in  accordance  with  the  guidelines
established in Rev. Rul. 73-54, 1973-1 C.B. 187.

           (y)  As of  the  Effective  Time,  there  will  be no  intercorporate
indebtedness  existing between Star and EFCC or between Merger Sub and EFCC that
was issued, acquired or will be settled at a discount.


<PAGE>


Meltzer, Lippe, et. al.
[To be dated the Effective Time]
Page 5


           (z) At the  Effective  Time,  the fair market  value of the assets of
EFCC  (including  the  assets  received  from  TPC) will  exceed  the sum of its
liabilities,  plus the amount of  liabilities,  if any,  to which the assets are
subject. Such liabilities were incurred by EFCC or TPC in the ordinary course of
business and are associated with the business of EFCC or TPC.

           (aa)  As  of  the  Effective   Time,  EFCC  will  not  be  under  the
jurisdiction  of a court in a title 11 or similar  case  within  the  meaning of
Section 368(a)(3)(A) of the Code.

           (bb) The payment of cash in lieu of fractional  shares of Star common
stock is solely for the purpose of avoiding  the  expense and  inconvenience  to
Star  of  issuing   fractional   shares  and  does  not   represent   separately
bargained-for  consideration.  The total cash consideration that will be paid in
the Star Merger to the EFCC shareholders instead of issuing fractional shares of
Star stock will not exceed one percent of the total  consideration  that will be
issued in the Star Merger to the EFCC  shareholders in exchange for their shares
of EFCC stock.  The fractional  share interests of each EFCC shareholder will be
aggregated, and no EFCC shareholder will receive cash in an amount greater to or
greater than the value of one full share of Star stock.

           (cc) The  consideration to be received by the shareholders of EFCC in
the Star Merger is a result of arm's-length bargaining. None of the compensation
received by any  shareholder-employees  of EFCC will be  separate  consideration
for, or allocable  to, any of their shares of EFCC stock;  none of the shares of
Star  stock  received  by any  shareholder-employees  of EFCC  will be  separate
consideration  for,  or  allocable  to,  any  employment   agreement;   and  the
compensation  paid to any  shareholder-employee  will be for  services  actually
rendered and will be commensurate with amounts paid to third parties  bargaining
at arm's-length for similar services.

           (dd) None of the representations or warranties made by EFCC herein or
in any Schedule  hereto or in any other documents  furnished  pursuant to any of
the  transactions  described herein contain any untrue statement of fact or omit
to state  any fact  necessary  in order  to make  the  statements  and  opinions
contained  herein or therein,  including our Meltzer,  Lippe  Goldstein,  Wolf &
Schlissel P.C. opinions, true and not misleading.



<PAGE>


Meltzer, Lippe, et. al.
[To be dated the Effective Time]
Page 6

           EFCC acknowledges  that your tax opinion may not accurately  describe
the effects of the TPC Merger and the Star Merger if any of the foregoing  facts
or representations are inaccurate.

                                               Very truly yours,



                                               Extended Family Care
                                               Corporation, Inc.


<PAGE>




                                [COSS LETTERHEAD]










                                   [To be dated the Effective Time]




Meltzer, Lippe, Goldstein,
   Wolf & Schlissel, P.C.
190 Willis Avenue
Mineola, NY  11501

Ladies and Gentlemen:

           The following facts and representations are being furnished to you in
connection with the preparation of your tax opinion to be provided in connection
with the merger of TPC Home Care  Services,  Inc. with and into Extended  Family
Care  Corporation,  Inc.  ("EFCC")  and the  merger  of EFCC  with and into EFCC
Acquisition Corp. (the "Star Merger") and we understand that you will be relying
on such facts and  representations in delivering your opinion.  Unless otherwise
defined herein,  capitalized  terms shall have the meanings  ascribed to them in
the Agreement and Plan of Merger Among Star Multi Care Services,  Inc. ("Star"),
EFCC Acquisition  Corp. and Extended Family Care  Corporation,  Inc. Dated as of
January 3, 1997.

           (a) As of the Effective  Time,  Coss Holding Corp.  ("Coss") does not
have a binding  commitment or preconceived  plan or arrangement for disposing of
any of their Star common stock received in the Star Merger.

           (b) None of the  representations or warranties made by Coss herein or
in any schedule  hereto or in any other documents  furnished  pursuant to any of
the  transactions  described herein contain any untrue statement of fact or omit
to state  any fact  necessary  in order  to make  the  statements  and  opinions
contained  herein or therein,  including our Meltzer,  Lippe  Goldstein,  Wolf &
Schlissel P.C. opinions, true and not misleading.


<PAGE>


Meltzer, Lippe, et. al.
January __, 1997
Page 2

           Coss acknowledges  that your tax opinion may not accurately  describe
the effects of the Star Merger if any of the foregoing facts or  representations
are inaccurate.

                                                  Very truly yours,



                                                  Coss Holding Corp.


<PAGE>






                                                                       EXHIBIT G
                                                                       ---------


                              CONSULTING AGREEMENT


           THIS CONSULTING AGREEMENT,  dated January 3, 1997 is between Extended
Family Care Corporation,  a New York corporation (the "Company"), and Star Multi
Care Services, Inc., a New York corporation (the "Consultant").

                              W I T N E S S E T H :

           WHEREAS, the Company has entered into an Agreement and Plan of Merger
(the "Merger Agreement") dated as of January 3, 1997 among the Consultant,  EFCC
Acquisition  Corp., a New York corporation and a wholly-owned  subsidiary of the
Consultant  ("Merger  Sub") and the Company  which  provides for the merger (the
"Merger") of the Company with Merger Sub; and

           WHEREAS,  the  Consultant,  by and  through  its  officers  and other
employees,  has  developed,  in connection  with the conduct of its business and
affairs,  various areas of expertise in the  management  and operation of a home
care services business; and

           WHEREAS,  the Company  desires to obtain the advice and assistance of
the Consultant in such areas of expertise;

           NOW, THEREFORE, in consideration of the foregoing, and other good and
valuable consideration hereinafter stated, the parties hereby agree as follows:

           1. APPOINTMENT.  The Company hereby appoints the Consultant to render
to the Company  during the Term (as defined  below) the services  provide for in
Section 3 hereof.

           2. TERM.  The  Consultant  shall render the services  provided for in
Section 3 hereof for a period  (the  "Term")  commencing  on the date hereof and
ending on the earlier of (i) the date on which the Merger  Agreement  shall have
been  terminated  pursuant  to the  terms  thereof  other  than by reason of the
default of the Company  thereunder,  (ii) the Effective  Date of the  Management
Agreement (as defined in the Merger  Agreement) or (iii) the Effective  Time (as
defined in the Merger  Agreement)  PROVIDED,  that the Consultant shall have the
right to terminate its obligation to render services  hereunder at any time upon
forty-five (45) days prior notice to the Company.

           3.  SERVICES.  During  the  Term,  upon the  Company's  request,  the
Consultant  shall  render to the Company,  by and through such of its  officers,
employees and agents as the Consultant, in its sole discretion,  shall designate
from time to time,  consulting  services  with  respect  to the  management  and
operation  of  the  Company.  The  consulting  services  to be  rendered  by the
Consultant  hereunder shall consist of those consulting services relating to the
management  and  operation  of  the  Company's  healthcare  business  reasonably
requested by the Company. The Company




<PAGE>



and the Consultant agree that the Consultant's  role is that of a consultant and
advisor to, and not that of a manager of, the Company. The Consultant shall have
no duty or  responsibility  to manage the affairs of the Company  which duty and
responsibility  shall  remain  at all  times  with the  Board of  Directors  and
management of the Company. In particular, without limiting the generality of the
foregoing  provisions of this Section,  the powers and  responsibilities  of the
Consultant  hereunder shall be subject to the limitations and conditions imposed
on the Manager (as defined in the  Management  Agreement)  under the  Management
Agreement.

           4.  CONSULTING  COMPENSATION.  For  the  consulting  services  to  be
rendered by the Consultant under Section 3 hereof, the Company agrees to pay the
Consultant  fees in the amount of  Twenty-five  Thousand  Dollars  ($25,000) per
month,  payable (a) $15,000 in arrears on the last day of each month,  pro rated
for any partial month, and (b) the remaining  $10,000 on the earlier to occur of
(x)  the  Effective  Time,  as  defined  in the  Merger  Agreement,  and (y) the
termination of the Merger Agreement in accordance with Article VII thereof.

           5. PERMISSIBLE ACTIVITIES. Nothing herein shall be deemed to restrict
the Consultant  from engaging in any business or performing any services for its
own account or the account of others during the Term.  The Company  acknowledges
that the Consultant is engaged in substantially the same line of business as the
Company.

           6.  APPLICABLE LAW. This Agreement shall be construed and enforced in
accordance  with the laws of the State of New  York,  without  giving  effect to
conflicts of law principles.

           7. LEGAL PROCEEDINGS.  Legal proceedings  commenced by the Company or
the  Consultant   arising  out  of  any  of  the   transactions  or  obligations
contemplated  by this  Agreement  shall be brought  exclusively  in the  federal
courts or, in the absence of federal jurisdiction,  state courts, in either case
in Nassau  County,  New York.  The Company and the  Consultant  irrevocably  and
unconditionally  submit to the jurisdiction of such courts and agree to take any
and all future action  necessary to submit to the  jurisdiction  of such courts.
Each of the Company and the Consultant irrevocably waives any objection which it
may now or  hereafter  have to the  laying  of  venue  of any  suit,  action  or
proceeding brought in any federal or state court in Nassau County, New York, and
further  irrevocably  waives any claims that any such suit, action or proceeding
brought in any such court has been brought in an inconvenient forum.

           8. NO  CONTINUING  WAIVER.  The  waiver of any party of any breach of
this  Agreement  shall not  operate as, or be  construed  to be, a waiver of any
subsequent breach.

           9. INDEMNIFICATION. If, in connection with the Consultant's rendering
of services hereunder, the Consultant is named as a party to any action or legal
proceeding,  the Company agrees to indemnify the Consultant,  its affiliates and
their respective directors,  officers, employees, agents and controlling persons
(each,  an  "Indemnified  Party")  against  all  losses,   claims,   damages  or
liabilities,   joint  or  several,  including  reasonable  attorneys'  fees  and
expenses,  to which such Indemnified Party may become subject in connection with
the Consultant's rendering of services hereunder; PROVIDED,



                                      -2-
<PAGE>



that the Company shall not be liable under the foregoing  indemnity provision in
respect of any loss,  claim,  damage or  liability to the extent that such loss,
claim,  damage  or  liability  results  from the  willful  misfeasance  or gross
negligence of such  Indemnified  Party. The Company further agrees to consult in
advance with the  Consultant  with respect to the terms of any proposed  waiver,
release or settlement of any claim, action or proceeding to which an Indemnified
Party may be subject as a result of the  Consultant's  engagement  hereunder and
agrees not to enter into any such  waiver,  release or  settlement  without  the
prior written consent of such Indemnified Party, unless such waiver,  release or
settlement includes an unconditional  release of such Indemnified Party from all
liability arising out of such claim, action or proceeding.

           If any legal proceeding  shall be instituted,  or any claim or demand
made,  against an  Indemnified  Party such  Indemnified  Party shall give prompt
written  notice of the claim to the party obliged or alleged to be so obliged so
to  indemnify  such  Indemnified  Party (the  "Indemnitor").  The omission so to
notify such Indemnitor, however, shall not relieve such Indemnitor from any duty
to indemnify  which  otherwise might exist with regard to such claim unless (and
only to the  extent  that) the  omission  to notify  materially  prejudices  the
ability of the Indemnitor to assume the defense of such claim.

           After any  Indemnitor has received  notice from an Indemnified  Party
that a claim has been asserted  against such  Indemnified  Party, the Indemnitor
shall  promptly  pay to the  Indemnified  Party the  amount of such  damages  in
accordance  with  and  subject  to the  provisions  of this  Section;  PROVIDED,
HOWEVER,  that no such  payment  shall be due  during  any  period  in which the
Indemnitor  is  contesting  in good  faith  either its  obligation  to make such
indemnification  or the amount of damages payable or both.  After any Indemnitor
has received  notice from an  Indemnified  Party that a claim has been  asserted
against it by a third party,  the Indemnitor  shall have the right,  upon giving
written notice to the  Indemnified  Party, to participate in the defense of such
claim and to elect to assume the defense  against the claim, at its own expense,
through  the  Indemnified  Party's  attorney  or an  attorney  selected  by  the
Indemnitor and approved by the  Indemnified  Party,  which approval shall not be
unreasonably withheld;  PROVIDED,  HOWEVER, that it shall be a condition to such
election  to assume  such  defense  that (i) the  Indemnitor  shall  provide the
Indemnified Party with evidence  reasonably  acceptable to the Indemnified Party
that the  Indemnitor  will have the  financial  resources to defend  against the
claim and to fulfill  its  indemnification  obligations  hereunder  and (ii) the
Indemnitor  conducts the defense of the claim  actively and  diligently.  If the
Indemnitor  fails to give notice of such election  within thirty days (30) after
notice,  then the  Indemnitor  shall be deemed to have elected not to assume the
defense of such claim and the  Indemnified  Party may defend  against  the claim
with its own attorney.

           If the  Indemnitor  so elects to  participate  in the defense of such
claim or to assume the  defense  against a claim  within  thirty (30) days after
notice and the conditions set forth above are  satisfied,  then the  Indemnified
Party  will   cooperate  and  make   available  to  the   Indemnitor   (and  its
representatives) all employees, information, books and records in its possession
or under its control which are reasonably necessary or useful in connection with
such defense;  and if the Indemnitor shall have elected to assume the defense of
a claim,  then the  Indemnitor  shall have the right to compromise and settle in
good faith any such  claim  with the  consent  of the  Indemnified  Party  (such
consent not



                                      -3-
<PAGE>



to be  unreasonably  withheld)  provided that the conditions set forth above are
satisfied.  If the  Indemnitor  shall  elect to defend or to agree in writing to
compromise  or to settle any such claim,  then it shall be bound by any ultimate
judgment or  settlement  as to the  existence  and amount of the claim,  and the
amount of said  judgment  or  settlement  shall be  conclusively  deemed for all
purposes of this Agreement to be a liability on account of which the Indemnified
Party is entitled to be indemnified  hereunder.  If the Indemnitor is conducting
the defense of a claim, the Indemnified Party may retain separate  co-counsel at
its cost and expense and participate in such defense.

           If the  Indemnitor  does not  elect to  assume  or is  deemed to have
elected  not to  assume  the  defense  of a  claim  or in the  event  any of the
conditions set forth above becomes  unsatisfied  then: (i) the Indemnified Party
alone  shall  have the  right to  conduct  such  defense  but shall use its best
efforts to inform the Indemnitor as to the status of any  proceedings;  (ii) the
Indemnified  Party  shall have the right to  compromise  and to settle,  in good
faith,  the  claim  without  the  prior  consent  of the  Indemnitor;  (iii) the
Indemnitor  will   periodically   reimburse  the  Indemnified  Party  for  costs
(including  reasonable legal fees); and (iv) if it is ultimately  determined the
claim of loss which shall form the basis of such  judgment or  settlement is one
that is validly an obligation of the  Indemnitor  that elected not to assume the
defense,  then  such  Indemnitor  shall  be bound by any  ultimate  judgment  or
settlement  as to the  existence  and the  amount of the claim and the amount of
said judgment or settlement  (including the costs and expenses of defending such
claims) shall be conclusively  deemed for all purposes of this Agreement to be a
liability  on  account  of  which  the  Indemnified  Party  is  entitled  to  be
indemnified hereunder.

           A claim for  indemnification  for any  matter not  involving  a third
party claim may be asserted by notice to the party for whom  indemnification  is
sought.  After receipt of such notice,  the Indemnitor shall pay the Indemnified
Party the amount of such damages  within  thirty (30) days;  PROVIDED,  HOWEVER,
that no such payments  shall be due during any period in which the Indemnitor is
contesting in good faith either its obligation to make such  indemnification  or
the amount of damages payable or both.

           10. BURDEN AND BENEFIT; LIABILITY OF CONSULTANT. This Agreement shall
inure to the benefit of, and be binding upon, the Consultant and the Company and
their  respective  successors  and  assigns.  In the event of a  default  by the
Consultant  of any of its  obligations  (other than for willful  misfeasance  or
gross  negligence),  the sole and  exclusive  recourse and remedy of the Company
shall be against the Consultant and its assets and under no circumstances  shall
any officer,  director,  stockholder or affiliate of the Consultant be liable in
law or equity for any obligations to the Company.  The remedy of the Company for
such default  shall be limited to the recovery of the  consulting  fees actually
paid to the Consultant.

           11. NOTICES.. All notices, requests and other communications pursuant
to this  Agreement  shall be in  writing  and  shall be deemed to have been duly
given,  if  delivered  in  person  or by  courier,  telegraphed,  telexed  or by
facsimile transmission or sent by express, registered or certified mail, postage
prepaid, addressed as follows:





                                      -4-
<PAGE>



           If to the Company:

                      Extended Family Care Corporation
                      c/o Arbor Home Healthcare Holdings, LLC
                      333 Earl Ovington Boulevard
                      Uniondale, New York 11553
                      Attention: Chief Executive Officer

           with a copy to:

                      Meltzer, Lippe, Goldstein, Wolf & Schlissel, P.C.
                      190 Willis Avenue
                      Mineola, New York
                      Attention: Richard A. Lippe, Esq.

           If to the Consultant:

                      Stephen Sternbach
                      c/o Star Multi Care Services, Inc.
                      33 Walt Whitman Road
                      Huntington Station, New York 11746

           with a copy to:

                      Parker Chapin Flattau & Klimpl, LLP
                      1211 Avenue of the Americas
                      New York, New York  10036
                      Attention:  James Alterbaum, Esq.





                                      -5-
<PAGE>



Any party may,  by  written  notice to the  other,  change the  address to which
notices to such party are to be delivered or mailed.

           IN WITNESS WHEREOF, the parties have caused this Consulting Agreement
to be executed and delivered by their respective duly authorized officers as set
forth below as of the date first above written.

                                        STAR MULTI CARE SERVICES, INC.


                                        By:  /s/ Stephen Sternbach
                                             -------------------------
                                             Name: Stephen Sternbach, President
                                             Title:President



                                        EXTENDED FAMILY CARE CORPORATION



                                        By:  /s/ Joseph Heller
                                             -------------------------
                                             Name: Joseph Heller
                                             Title:Vice-President




                                      -6-
<PAGE>



                                                                       EXHIBIT H
                                                                       ---------

                              MANAGEMENT AGREEMENT


           THIS  AGREEMENT  entered  into this 3rd day of  January,  1997 by and
between  Star Multi Care  Services,  Inc., a New York  corporation  (hereinafter
referred to as the "Manager"),  and Extended Family Care Corporation, a New York
corporation (hereinafter referred to as the "Agency").

           WHEREAS,  the Agency  desires to employ  Manager,  under the terms of
this Agreement,  to provide its  experience,  skills and supervision and to make
available  certain  personnel in the operations of a licensed home care services
agency with the full authority and ultimate control of the Agency remaining with
its Board of Directors (hereinafter the "Board"); and

           WHEREAS,  Manager has entered  into an  Agreement  and Plan of Merger
(the "Merger  Agreement")  dated as of January 3, 1997 among the  Manager,  EFCC
Acquisition  Corp., a New York corporation and a wholly-owned  subsidiary of the
Manager  ("Merger  Sub") and the  Agency  which  provides  for the  merger  (the
"Merger") of the Agency with Merger Sub.

           NOW, THEREFORE,  in consideration of the premises and the obligations
undertaken by the parties pursuant hereto, the parties hereby agree as follows:

           1.         EMPLOYMENT, SERVICES AND DUTIES.

                      1.1 EMPLOYMENT. Agency hereby retains Manager, and Manager
hereby  agrees to act as manager of the  Agency,  subject to all the  provisions
hereof;  PROVIDED  that  Manager  shall not render any  services  or receive any
compensation hereunder until the Effective Date (as hereinafter defined).

                      1.2 AUTHORITY  AND  RESPONSIBILITIES  OF MANAGER.  Manager
shall  have  the  authority  and   responsibility  to  conduct,   supervise  and
effectively  manage the  day-to-day  operation of the Agency.  In the absence of
oral or written  direction or written  policies of the Board of Directors of the
Agency (the  "Board"),  Manager  shall be expected  to exercise  the  reasonable
judgment of a management  company in its  management  activities.  Manager shall
specifically  have  responsibility  and commensurate  authority,  subject to the
direction of the Board to act on its behalf under this Agreement,  in accordance
with the written policies of the Board, and the budgets approved by the Board as
hereinafter provided, for the following activities:

                      (a) CHARGES. The establishment,  maintenance, revision and
administration  of the  overall  charge  structure  of the  Agency  pursuant  to
pertinent regulations,  including,  but not limited to, patient charges, charges
for ancillary services, charges for supplies and special services.





<PAGE>



                      (b)  PERSONNEL  ADMINISTRATION.   The  hiring,  discharge,
supervision  and  management  of all  employees  of the  Agency,  including  the
determination, from time to time, of the numbers and qualifications of employees
needed in the various departments and services of the Agency. The establishment,
revision and  administration  of wage scales,  rates of  compensation,  employee
benefits, rates and conditions of employment, in-service training, attendance at
seminars or conferences,  staffing schedules,  and job and position descriptions
with respect to all  employees of the Agency.  Manager  shall hire and discharge
the staff of the Agency, including professional employees pursuant to misconduct
of such  employees  or the staffing  requirements  of the Agency  necessary  for
quality patient care.

                      (c)  COLLECTION  OF  ACCOUNTS.  The  issuance of bills for
services and materials  furnished by the Agency,  and the collection of accounts
and monies  owed to the  Agency,  including  the  responsibility  to enforce the
rights of the Agency as creditor  under any contract or in  connection  with the
rendering of any service.

                      (d) PAYMENT OF ACCOUNTS AND  INDEBTEDNESS.  The payment of
payroll, trade accounts, amounts due on short and long-term indebtedness,  taxes
and  all  other  obligations  of  the  Agency;   PROVIDED,   HOWEVER,  that  the
responsibility  under  this  paragraph  shall  be  limited  to the  exercise  of
reasonable  diligence and care to apply the funds  collected in the operation of
the Agency to its obligations in a timely and prudent manner,  and Manager shall
not become personally liable or act in a guarantor  capacity with respect to any
obligation of the Agency.

                      (e) ACCOUNTING AND FINANCIAL  RECORDS.  The  establishment
and  administration  of accounting  procedures and controls,  in accordance with
generally   accepted   accounting   principles   and   the   establishment   and
administration  of systems for the  development,  preparation and safekeeping of
records and books of account  relating to the business and financial  affairs of
the Agency (the originals to remain at the Agency).

                      (f) DEPOSITORIES FOR FUNDS. The maintenance of accounts in
such banks, savings and loan associations,  and other financial  institutions as
the Board may, from time to time,  select  (including  certificates  of deposit)
with such  balances  therein  (which may be  interest  bearing  or  non-interest
bearing) as Manager  shall,  from time to time,  deem  appropriate,  taking into
account  the  operating  needs of the  Agency  and the  disbursements  from such
accounts of such amounts of the Agency's  funds as Manager  shall,  from time to
time,  determine is appropriate in the discharge of its  responsibilities  under
this Agreement; PROVIDED, HOWEVER, that Manager shall not, in any case, have any
obligation to supply, out of its own funds, working capital for the Agency.

                      (g) PURCHASES AND LEASES.  The management of all purchases
and leases of real property,  equipment, supplies and all materials and services
which  Manager  shall deem to be necessary in the  operation of the Agency.  Any
purchase  agreement  which  will  obligate  the  Agency  beyond the term of this
Agreement,  and any  purchase or lease of real  property  or capital  equipment,
shall be subject to approval of the Board.




                                      -2-
<PAGE>



                      (h) QUALITY CONTROL. The evaluation of all quality control
aspects of the Agency operation, and the implementation, with Board approval, of
quality  control  programs  designed to meet  standards  imposed by  appropriate
certifying  agencies  and to  bring  about a high  standard  of  health  care in
accordance with Board policies and resources available to the Agency.

                      1.3 CONTRACTS FOR SERVICES. Manager, shall be empowered to
negotiate,  enter  into,  terminate  and  administer  on  behalf  of the  Agency
contracts   for  services  by  medical,   paramedical   and  other  persons  and
organizations.

                      1.4  PROHIBITED  ACTS  AND  RETENTION  OF  POWERS  AGENCY.
Notwithstanding  any other provision of this Agreement the Board retains and the
Manager is prohibited from exercising:

                      (a)        direct  independent  authority  to hire or fire
                                 the Manager or the Agency's Administrator;

                      (b)        independent  control of the Agency's  books and
                                 records;

                      (c)        authority  over the  disposition  of assets and
                                 the  authority to incur on behalf of the Agency
                                 liabilities  not normally  associated  with the
                                 day- to-day operation of the Agency; and

                      (d)        authority  for  the  independent  adoption  and
                                 enforcement of policies  affecting the delivery
                                 of health care services.

                      1.5 COMMISSIONER'S APPROVAL. This Agreement, when approved
by the  Commissioner  (the  "Commissioner")  of the New York State Department of
Health (the "Department"),  is the sole agreement between Manager and the Agency
for the purpose of managing  the  day-to-day  activities  of the Agency,  or any
portion  thereof,  and any  amendments  or  revisions  to this  Agreement  which
increase  the  amount or extent  of  authority  delegated  to  Manager  shall be
effective only with the prior written consent of the Commissioner.

           2. ADMINISTRATOR AND OTHER PERSONNEL.

                      2.1  ADMINISTRATOR.  Manager may,  during the term hereof,
provide the services of a qualified agency administrator (the "Administrator") ,
whose  initial  and  continuing  appointment  and term of  appointment  shall be
subject  to  the   approval  of  the  Board  and  who  will  act  as  the  chief
administrative  officer of the Agency.  The Administrator will be and remain the
employee of Manager for the term of this Agreement.  His duties shall be, to the
extent the Manager is  authorized  hereunder,  to effect or deal with any of the
following, to:

                      (a)  Equip  the  Agency  with  all  necessary  and  needed
facilities  for the care and  treatment  of patients and for the use of officers
and employees thereof, and purchase all necessary supplies.



                                      -3-
<PAGE>



                      (b) Have  general  supervision  and control of the records
and accounts of the Agency and all its  internal  affairs;  maintain  discipline
therein,  and enforce  compliance with and obedience to all rules,  bylaws,  and
regulations  adopted  by the Board for the  discipline  and  management  of said
Agency,  and the  employees  thereof,  and make and enforce such further  rules,
regulations and orders as it may deem necessary,  not inconsistent  with law, or
with the rules, regulations and directions of the Board.

                      (c) Appoint  such  employees  as it may  reasonably  think
proper and  necessary  for the  efficient  performance  of the  business  of the
Agency,  prescribe their duties and discharge any such employee  pursuant to the
provisions of law.

                      (d) Cause proper  accounts and records of the business and
operations of the Agency to be kept  regularly  from day to day, in books and on
forms  provided  for that  purpose;  see that  such  accounts  and  records  are
correctly  made up for the annual  report to the Board;  and present the same to
the Board on request, who shall incorporate them in their annual report.

                      (e) Cause a careful examination to be made of the physical
condition of all persons  treated by the Agency;  and shall cause a record to be
kept of the  condition  of each  patient  when  treated,  and from  time to time
thereafter.

                      (f) Collect and receive all money due the Agency,  keep an
accurate account of the same, and report the same at the ensuing monthly meeting
of the Board.

                      2.2  CONTROLLER.  Manager  may  provide,  during  the term
hereof,  a qualified  agency  controller (the  "Controller"),  whose initial and
continuing  appointment  and the term of  appointment  shall be  subject  to the
approval  of the  Board,  who shall act as the chief  accounting  and  financial
officer of the Agency.  The Controller will be and remain an employee of Manager
for the term of this Agreement.

           3. DIVISION OF AUTHORITY AND RESPONSIBILITY.

                      3.1 THE BOARD. The Board shall retain full legal authority
over the operation of the Agency and ongoing  responsibility for compliance with
all statutory and regulatory requirements. Any powers not delegated specifically
to Manager through the provisions of this Agreement shall remain with the Board.
The Board shall represent the Agency in matters pertaining to the interpretation
of this  Agreement;  PROVIDED  that in any  situation in which,  pursuant to the
terms of this  Agreement,  the Board shall be required or  permitted to take any
action, to give any approval or to receive any report, Manager shall be entitled
to rely upon the written statement of the Chairman of the Board of the Agency to
the effect that any such action or approval has been taken or given.




                                      -4-
<PAGE>



           4. COMMUNICATIONS AND REPORTS.

           Manager shall be available to report to and consult with the Board on
such matters and at such times as the Board shall reasonably request.

           5. LICENSING; ACCREDITATION.

           Both Manager and Agency agree to abide by all laws, ordinances, rules
and regulations of state, local or Federal  governments  pertaining to operation
of the Agency and to the operation of this Agreement.  Notwithstanding any other
provision in this  Agreement,  the Agency remains  responsible for insuring that
any service  provided  pursuant to this  Agreement  complies  with all pertinent
provisions of Federal, State and local statutes, rules and regulations.

           6. COMPENSATION.

           As compensation for the management services to be rendered hereunder,
the Agency  shall pay to Manager a management  fee in the amount of  Twenty-five
Thousand Dollars ($25,000) per month, payable (a) $15,000 in arrears on the last
day of each  month,  pro  rated for any  partial  month,  and (b) the  remaining
$10,000  on the  earlier  to occur of (x) the  Closing  Date,  as defined in the
Merger  Agreement,  and (y) the  termination  of the  Merger  Agreement  for any
reason, including in accordance with Article VII thereof.

           7. TERM OF AGREEMENT.

                      7.1 This Agreement shall become effective upon the date it
is approved by the Commissioner (the "Effective Date").

                      7.2 This Agreement may be terminated by the  Commissioner,
without  financial  penalty  to the  Board,  not more than sixty (60) days after
notification  to the  parties  by the  Department  of a  determination  that the
management of the Agency is so deficient  that the health and safety of patients
would be threatened by continuation of this Agreement.

                      7.3 Unless sooner terminated as elsewhere provided in this
Agreement,  or extended or renewed by mutual  agreement  of the parties  hereto,
this Agreement  shall remain in effect until the Effective Time of the Merger or
December 31, 1998, whichever is sooner.

                      7.4 The Board may terminate  this  Agreement and discharge
Manager and any employee  appointed  by the Manager from their  positions at the
Agency  without  Cause (as  hereinafter  defined)  upon 60 days prior  notice to
Manager or with Cause upon 14 business  days prior  notice to Manager.  For this
purpose "Cause" means  intentional  misconduct or violation of this Agreement by
Manager  that  causes  material  loss or  injury  to the  Agency  or  materially
interferes with its performing health care services if such conduct or violation
is not cured within 10 business  days after notice,  specifying  such conduct or
violation in reasonable detail, is given to Manager by the Board.



                                      -5-

<PAGE>



                      7.5 This  Agreement  may be terminated by Manager upon the
occurrence of an Event of Default (as hereinafter defined).

           8. DEFAULT.

                      8.1  EVENTS OF  DEFAULT.  It shall be an event of  default
("Event of  Default")  hereunder if the Agency shall fail to make or cause to be
made any payment to Manager  required  to be made  hereunder,  and such  failure
shall  continue for five (5) days after notice  thereof shall have been given to
the Board.

           9. MISCELLANEOUS.

                      9.1  INSURANCE.  The Agency shall secure and maintain,  or
cause to be secured and maintained,  with respect to the Agency, during the term
of this Agreement,  Worker's  Compensation  Disability and Employer's Liability,
and Comprehensive General and Professional Liability (including Personal Injury,
Products and Completed Operations  Liability,  and Blanket Automobile Liability)
Insurance  providing-reasonable  limits of liability.  It is further agreed that
all such policies of insurance, except Worker's Compensation insurance policies,
are  to be  written  or  amended  to  include  Manager,  its  agents,  servants,
employees,  officers and  directors as  Additional  Named  Insureds if possible.
Notwithstanding  the  foregoing,  the Agency  shall  indemnify  and hold Manager
harmless  from any and all  liability,  including  reasonable  attorney's  fees,
caused by or resulting  from the negligent or  intentional  acts or omissions of
any member of the Board or any employee of the Agency,  unless such liability is
primarily caused by the intentional misconduct of Manager.

                      If any legal proceeding shall be instituted,  or any claim
or demand made,  against a Manager such Manager shall give prompt written notice
of the claim to the Agency. The omission so to notify the Agency, however, shall
not relieve the Agency from any duty to indemnify  which  otherwise  might exist
with regard to such claim  unless (and only to the extent  that) the omission to
notify materially  prejudices the ability of the Agency to assume the defense of
such claim.

                      After the Agency has received notice from the Manager that
a claim has been asserted against the Manager,  the Agency shall promptly pay to
the Manager  the amount of such  damages in  accordance  with and subject to the
provisions of this Section; PROVIDED, HOWEVER, that no such payment shall be due
during  any period in which the Agency is  contesting  in good faith  either its
obligation  to make such  indemnification  or the amount of  damages  payable or
both.  After the Agency has  received  notice from the Manager  that a claim has
been asserted against it by a third party, the Agency shall have the right, upon
giving  written  notice to the Manager,  to  participate  in the defense of such
claim and to elect to assume the defense  against the claim, at its own expense,
through  the  Manager's  attorney  or an  attorney  selected  by the  Agency and
approved by the Manager,  which  approval  shall not be  unreasonably  withheld;
PROVIDED,  HOWEVER, that it shall be a condition to such election to assume such
defense that (i) the Agency shall provide the Manager with  evidence  reasonably
acceptable to the Manager that the Agency will have the  financial  resources to
defend  against  the  claim  and  to  fulfill  its  indemnification  obligations
hereunder  and (ii) the Agency  conducts  the defense of the claim  actively and
diligently. If the Agency fails to give notice of such election



                                      -6-
<PAGE>



within  thirty days (30) after  notice,  then the Agency shall be deemed to have
elected  not to assume  the  defense of such  claim and the  Manager  may defend
against the claim with its own attorney.

                      If the Agency so elects to  participate  in the defense of
such claim or to assume the  defense  against a claim  within  thirty  (30) days
after notice and the conditions set forth above are satisfied,  then the Manager
will  cooperate and make available to the Agency (and its  representatives)  all
employees, information, books and records in its possession or under its control
which are reasonably necessary or useful in connection with such defense; and if
the Agency shall have elected to assume the defense of a claim,  then the Agency
shall have the right to compromise  and settle in good faith any such claim with
the  consent of the  Manager  (such  consent  not to be  unreasonably  withheld)
provided that the conditions set forth above are satisfied.  If the Agency shall
elect to defend  or to agree in  writing  to  compromise  or to settle  any such
claim,  then it shall be bound by any ultimate  judgment or settlement as to the
existence and amount of the claim, and the amount of said judgment or settlement
shall  be  conclusively  deemed  for  all  purposes  of this  Agreement  to be a
liability  on  account  of which  the  Manager  is  entitled  to be  indemnified
hereunder.  If the Agency is conducting the defense of a claim,  the Manager may
retain  separate  co-counsel  at its cost and  expense and  participate  in such
defense.

                      If the  Agency  does not  elect to  assume or is deemed to
have  elected  not to assume  the  defense of a claim or in the event any of the
conditions set forth above becomes unsatisfied then: (i) the Manager alone shall
have the right to conduct  such defense but shall use its best efforts to inform
the Agency as to the status of any proceedings;  (ii) the Manager shall have the
right to compromise  and to settle,  in good faith,  the claim without the prior
consent of the Agency; (iii) the Agency will periodically  reimburse the Manager
for  costs  (including  reasonable  legal  fees);  and (iv) if it is  ultimately
determined  the claim of loss  which  shall form the basis of such  judgment  or
settlement  is one that is validly an  obligation of the Agency that elected not
to assume the defense,  then the Agency shall be bound by any ultimate  judgment
or  settlement as to the existence and the amount of the claim and the amount of
said judgment or settlement  (including the costs and expenses of defending such
claims) shall be conclusively  deemed for all purposes of this Agreement to be a
liability  on  account  of which  the  Manager  is  entitled  to be  indemnified
hereunder.

                      A claim for indemnification for any matter not involving a
third   party   claim  may  be   asserted  by  notice  to  the  party  for  whom
indemnification  is sought.  After receipt of such notice,  the Agency shall pay
the  Manager  the amount of such  damages  within  thirty  (30) days;  PROVIDED,
HOWEVER,  that no such  payments  shall be due  during  any  period in which the
Agency  is  contesting  in  good  faith  either  its  obligation  to  make  such
indemnification or the amount of damages payable or both.

                      9.2  DISCLAIMER  OF  EMPLOYMENT  OF AGENCY  EMPLOYEES.  No
person employed by the Agency shall be an employee of Manager, and Manager shall
have no liability for payment of their wages,  payroll taxes, and other expenses
of employment.  All such persons shall be employees of the Agency,  or, pursuant
to Section 1.3 hereof,  independent  contractors or the employees of independent
contractors.



                                      -7-

<PAGE>



                      9.3  NON-ASSUMPTION OF LIABILITIES.  Manager shall not, by
entering into and performing this  Agreement,  become liable for, and the Agency
shall  indemnify  Manager  against,  any of the existing or future  obligations,
liabilities or debts of the Agency, unless such liability is primarily caused by
the intentional  misconduct or gross negligence of Manager, and Manager shall in
its role as manager have only an obligation to exercise  reasonable  care in the
management and handling of the funds generated from the operation of the Agency.

                      9.4  ACCESS TO THE  AGENCY;  CONFIDENTIALITY  OF  RECORDS.
Manager shall,  during the term hereof,  be given complete access to the Agency,
its  records,  offices  and  facilities  in  order  that  it may  carry  out its
obligations hereunder,  subject to confidential  requirements of patient medical
records as  established  by the  Board.  Manager  shall use its best  efforts to
maintain  the  confidentiality  of all  files  and  records,  including  patient
records,  of the Agency,  disclosing  the same only as directed by law or by the
Board in any particular instance.

                      9.5 DISCLAIMER OF INTENT TO BECOME  PARTNERS.  Manager and
the Agency shall not, by virtue of this  Agreement,  be deemed partners or joint
venturers  in  the  operation  of the  Agency  or any  related  facility.  It is
expressly  understood  that  Manager is hereby  retained by Agency to manage the
Agency on behalf of the Agency, and that Manager is constituted the agent of the
Agency  only  for the  purpose  of  carrying  out  its  obligations  under  this
Agreement.

                      9.6  RESTRICTION ON  ASSIGNMENT.  Neither party hereto may
assign its interest in nor delegate the  performance  of its  obligations  under
this Agreement to any other person without  obtaining the prior written  consent
of the other party and, if required, prior approval pursuant to law, except that
Manager may assign its interest or delegate the  performance of its  obligations
to a wholly-owned  subsidiary of Manager,  which is qualified to manage agencies
in the State of New York and approved by the Commissioner.

                      9.7 HEADINGS. The headings to the various sections of this
Agreement have been inserted for convenient reference only and shall not modify,
define, limit or expand the expressed provisions of this Agreement.

                      9.8  COUNTERPARTS.  This  Agreement may be executed in any
number  of  counterparts,  each of  which  shall  be an  original,  and all such
counterparts shall together constitute but one and the same agreement.

                      9.9 APPLICABLE  LAW. This Agreement shall be construed and
enforced in accordance  with the laws of the State of New York,  without  giving
effect to conflicts of law principles.

                      9.10 LEGAL PROCEEDINGS. Legal proceedings commenced by the
Agency or the Manager  arising  out of any of the  transactions  or  obligations
contemplated  by this  Agreement  shall be brought  exclusively  in the  federal
courts or, in the absence of federal jurisdiction,  state courts, in either case
in  Nassau  County,  New  York.  The  Agency  and the  Manager  irrevocably  and
unconditionally  submit to the jurisdiction of such courts and agree to take any
and all future action



                                      -8-
<PAGE>



necessary to submit to the  jurisdiction of such courts.  Each of the Agency and
the Manager  irrevocably waives any objection which it may now or hereafter have
to the laying of venue of any suit, action or proceeding  brought in any federal
or state court in Nassau County,  New York, and further  irrevocably  waives any
claims that any such suit,  action or  proceeding  brought in any such court has
been brought in an inconvenient forum.

                      9.11 NO CONTINUING  WAIVER. The waiver of any party of any
breach of this  Agreement  shall not operate as, or be construed to be, a waiver
of any subsequent breach.

                      9.12  NOTICES.  All notices,  requests,  demands and other
communications  hereunder  shall be in writing  and shall be deemed to have been
duly given, if mailed by certified or registered mail, postage prepaid:

          If to the Agency:

                     Extended Family Care Corporation
                     c/o Arbor Home Healthcare Holdings, LLC
                     333 Earl Ovington Boulevard
                     Uniondale, New York 11553
                     Attention: Chief Executive Officer

          with a copy to:

                     Meltzer, Lippe, Goldstein, Wolf & Schlissel, P.C.
                     190 Willis Avenue
                     Mineola, New York
                     Attention: Richard A. Lippe, Esq.

          If to the Manager:

                     Stephen Sternbach
                     c/o Star Multi Care Services, Inc.
                     33 Walt Whitman Road
                     Huntington Station, New York 11746

          with a copy to:

                     Parker Chapin Flattau & Klimpl, LLP
                     1211 Avenue of the Americas
                     New York, New York  10036
                     Attention:  James Alterbaum, Esq.

or to such other person and address as either party may designate in writing.



                                      -9-

<PAGE>



                      9.13  EFFECT  OF  INVALIDITY.  Should  any  part  of  this
Agreement,  for any reason, be declared invalid,  such decision shall not affect
the validity of any remaining  portion,  which remaining portion shall remain in
force and effect as if this Agreement had been executed with the invalid portion
thereof eliminated.

                      9.14 AMENDMENTS..  Any amendments to this Agreement, which
shall be provided to and approved by the  Commissioner,  shall be in writing and
signed by the parties and the Board.

           IN WITNESS  WHEREOF,  the parties  have caused this  Agreement  to be
executed by their duly authorized  representatives  as of the day and year first
above written.

                                        STAR MULTI CARE SERVICES, INC.


                                        By:  /s/ Stephen Sternbach
                                             -------------------------
                                             Stephen Sternbach, President



                                        EXTENDED FAMILY CARE CORPORATION



                                        By:  /s/ Joseph Heller
                                             -------------------------
                                             Joseph Heller, Vice-President



                                      -10-
<PAGE>



                                                                       EXHIBIT I
                                                                       ---------


                                 STERNBACH PROXY


           The undersigned  shareholder of Star MultiCare Services,  Inc., a New
York corporation ("Star"), hereby irrevocably (to the extent provided for in the
New York  Business  Corporation  Law)  appoints  the  directors  on the Board of
Directors of Extended Family Care Corporation,  a New York corporation ("EFCC"),
and  each of them,  as the  sole and  exclusive  attorneys  and  proxies  of the
undersigned,  with full power of substitution  and  resubstitution,  to the full
extent of the  undersigned's  rights with respect to the shares of capital stock
of Star  beneficially  owned by the undersigned,  which shares are listed on the
final  page of this  Proxy  (the  "Shares"),  and any and all  other  shares  or
securities  issued or issuable in respect  thereof on or after the date  hereof,
until such time as that certain Agreement and Plan of Merger dated as of January
3, 1997 (the "Merger Agreement"), among Star, EFCC Acquisition Corp., a New York
corporation  and a  wholly-owned  subsidiary of Star ("Merger  Sub"),  and EFCC,
shall be terminated  in  accordance  with its terms or the Merger (as defined in
the Merger Agreement) is effective. Upon the execution hereof, all prior proxies
given by the undersigned with respect to the Shares and any and all other shares
or securities  issued or issuable in respect thereof on or after the date hereof
are hereby revoked and no subsequent proxies will be given.

           This proxy is irrevocable (to the extent provided for in the New York
Business  Corporation Law), is granted pursuant to the Merger Agreement,  and is
granted  in  consideration  of Star  entering  into the  Merger  Agreement.  The
attorneys  and  proxies  named  above  will be  empowered  at any time  prior to
termination  of the Merger  Agreement  to exercise  all voting and other  rights
(including,  without  limitation,  the  power to  execute  and  deliver  written
consents with respect to the Shares) of the undersigned at every annual, special
or adjourned  meeting of Star's  shareholders,  and in every written  consent in
lieu of such a meeting, or otherwise, in favor of approval of the Merger and the
Merger  Agreement and any matter that could reasonably be expected to facilitate
the Merger,  and against any proposal made in opposition to or competition  with
the consummation of the Merger.

           The attorneys and proxies named above may only exercise this proxy to
vote the Shares  subject  hereto at any time prior to  termination of the Merger
Agreement,  at every annual, special or adjourned meeting of the shareholders of
Star and in every written consent in lieu of such meeting,  in favor of approval
of the Merger and the Merger Agreement  reasonably be expected to facilitate the
Merger. The undersigned shareholder may vote the Shares on all other matters.





<PAGE>


           Any obligation of the undersigned hereunder shall be binding upon the
successors and assigns of the undersigned.

           This proxy is irrevocable.


Dated:  January 3, 1997


                                                  /s/ Stephen Sternbach
                                                 _____________________________
                                                    Stephen Sternbach


<PAGE>




                      Shares Subject to the Sternbach Proxy
                      -------------------------------------

Stephen Sternbach                                               863,262*


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

*       Mr. Sternbach also has currently exercisable options to purchase 162,574
        shares of Star Common Stock, par value $.001 per share. Upon exercise of
        such  options,  which  exercise  shall be in the sole  discretion of Mr.
        Sternbach, the shares of Star Common Stock issuable thereunder will also
        be covered by this Sternbach Proxy.





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