STAR MULTI CARE SERVICES INC
S-4, 1997-07-28
HOME HEALTH CARE SERVICES
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  AS FILED WITH THE SECURITIES AND EXCHANGE COMMISSION ON ______________, 1997

                                                   REGISTRATION NO. 333-________
================================================================================

                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549
                            -------------------------

                                    FORM S-4
                             REGISTRATION STATEMENT
                                      UNDER
                           THE SECURITIES ACT OF 1933
                            ------------------------

                         STAR MULTI CARE SERVICES, INC.
             (Exact name of Registrant as specified in its charter)

                            99 Railroad Station Plaza
                           Hicksville, New York 11801
                                 (516) 938-2016

               (Address, including zip code, telephone number and
             area code of Registrant's principal executive offices)

           NEW YORK                 11-1975534                  7361
(State or other jurisdiction     (I.R.S. Employer   (Primary Standard Industrial
     of incorporation             Identification     Classification Code Number)
     or organization)                 Number)

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

                              MR. WILLIAM FELLERMAN
                                    SECRETARY
                         STAR MULTI CARE SERVICES, INC.
                            99 RAILROAD STATION PLAZA
                           HICKSVILLE, NEW YORK 11801
                                 (516) 938-2016

                (Name, address including zip code, and telephone
                number, including area code of agent for service)

                                   Copies to:

      JAMES ALTERBAUM,  ESQ.                         RICHARD A. LIPPE, ESQ.
PARKER CHAPIN FLATTAU & KLIMPL, LLP                   ALLAN GRAUBERD, ESQ.
   1211 AVENUE OF THE AMERICAS                   MELTZER, LIPPE, GOLDSTEIN, WOLF
    NEW YORK, NEW YORK  10036                          & SCHLISSEL, P.C.
                                                       190 WILLIS AVENUE
                                                    MINEOLA, NEW YORK 11501

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

           Approximate  date of  commencement of proposed sale of the securities
to the public: As soon as practicable after this Registration  Statement becomes
effective.

           If the securities  being registered on this form are being offered in
connection  with the formation of a holding company and there is compliance with
General Instruction G, please check the following box.                       [_]

================================================================================


<PAGE>



                         CALCULATION OF REGISTRATION FEE


                                                  PROPOSED      
                                    PROPOSED       MAXIMUM      
    TITLE OF                         MAXIMUM      AGGREGATE        AMOUNT OF
  SECURITIES TO     AMOUNT TO BE    OFFERING      OFFERING       REGISTRATION
  BE REGISTERED     REGISTERED(1)   PRICE(2)      PRICE(2)            FEE
- ------------------  -------------   --------      ---------      ------------
Common Stock, par                                                    
value $.001 per                                                      
share.............1,021,052 shares   $ 2.95     $3,012,103.40    $ 912.76 (3)
================================================================================

================================================================================


(1)  This  Registration  Statement relates to the Common Stock of the Registrant
     issuable to holders of Common Stock of Extended Family Care Corporation,  a
     New York corporation ("EFCC"), in the proposed merger of EFCC with a wholly
     owned subsidiary of the Registrant and the related  transactions  described
     herein.

(2)  Pursuant to Rule 457(f),  the registration fee was computed on the basis of
     the market  value of the EFCC Common  Stock to be  exchanged in the merger,
     computed in accordance  with Rule 457(c) on the basis of the average of the
     high and low prices per share of such stock on The Nasdaq Bulletin Board on
     July 22, 1997. 

(3)  $1,052.81 of the  registration  fee was  previously  paid on April 29, 1997
     with  the  preliminary  proxy  statement/prospectus  filings  made  by  the
     Registrant and EFCC pursuant to Rule 457(b).


     THE REGISTRANT  HEREBY AMENDS THIS  REGISTRATION  STATEMENT ON SUCH DATE OR
DATES AS MAY BE NECESSARY TO DELAY ITS EFFECTIVE DATE UNTIL THE REGISTRANT SHALL
FILE A FURTHER  AMENDMENT  WHICH  SPECIFICALLY  STATES  THAT  THIS  REGISTRATION
STATEMENT SHALL  THEREAFTER  BECOME EFFECTIVE IN ACCORDANCE WITH SECTION 8(a) OF
THE SECURITIES  ACT OF 1933 OR UNTIL THIS  REGISTRATION  STATEMENT  SHALL BECOME
EFFECTIVE ON SUCH DATE AS THE COMMISSION  ACTING  PURSUANT TO SAID SECTION 8(a),
MAY DETERMINE.

================================================================================

<PAGE>


                        EXTENDED FAMILY CARE CORPORATION
                              ONE OLD COUNTRY ROAD
                                    SUITE 335
                           CARLE PLACE, NEW YORK 11514

                   Notice of a Special Meeting of Shareholders
                        to be held on September 5, 1997

To the Shareholders of
Extended Family Care Corporation:

           A Special  Meeting of  Shareholders  (the "EFCC Meeting") of Extended
Family Care Corporation,  a New York corporation  ("EFCC"),  will be held at the
offices of Arbor Health Care Holdings LLC, 333 Earle Ovington Blvd.,  Uniondale,
New York  11553 at 10:00  A.M.,  local  time,  on  September  5,  1997,  for the
following purposes:

                      1. To approve and adopt the  Agreement  and Plan of Merger
           dated as of January 3, 1997 (the  "Merger  Agreement"),  between EFCC
           and Star Multi Care Services,  Inc., a New York corporation ("STAR"),
           providing  for the merger (the  "Merger")  of EFCC with and into EFCC
           Acquisition Corp. ("Merger Sub"), a New York corporation and a wholly
           owned subsidiary of STAR, and the transactions  contemplated thereby;
           and

                      2. To transact  such other  business as may properly  come
           before  the  EFCC  Meeting  and  any  adjournments  or  postponements
           thereof.

           The Merger and other related  matters are more fully described in the
accompanying Joint Proxy  Statement/Prospectus and the appendices thereto, which
form a part of this Notice.

           The Board of  Directors  of EFCC has fixed the close of  business  on
August  11,  1997  as  the  record  date  (the  "EFCC  Record   Date")  for  the
determination  of  shareholders  entitled  to  notice of and to vote at the EFCC
Meeting or any  adjournments  or  postponements  thereof.  Only  shareholders of
record at the close of business  on the EFCC Record Date are  entitled to notice
of and to  vote  at the  EFCC  Meeting  and any  adjournments  or  postponements
thereof.

           AFTER  CAREFUL  CONSIDERATION,   THE  EFCC  BOARD  OF  DIRECTORS  HAS
UNANIMOUSLY  APPROVED THE MERGER  AGREEMENT  AND THE  TRANSACTIONS  CONTEMPLATED
THEREBY. THE BOARD BELIEVES THAT THE TERMS OF THE MERGER ARE FAIR TO, AND IN THE
BEST INTERESTS OF, THE SHAREHOLDERS OF EFCC AND UNANIMOUSLY  RECOMMENDS THAT YOU
VOTE IN FAVOR OF THE MERGER AT THE EFCC MEETING.

           WHETHER OR NOT YOU PLAN TO ATTEND THE EFCC MEETING,  PLEASE COMPLETE,
SIGN,  DATE AND RETURN PROMPTLY THE ENCLOSED FORM OF PROXY. A RETURN ENVELOPE IS
ENCLOSED FOR YOUR  CONVENIENCE AND REQUIRES NO POSTAGE FOR MAILING IN THE UNITED
STATES.

                                             By Order of the Board of Directors,



                                             Robert Kohlmeyer
                                             Secretary

August 11, 1997



<PAGE>



                         STAR MULTI CARE SERVICES, INC.
                            99 RAILROAD STATION PLAZA
                           HICKSVILLE, NEW YORK 11801


                   NOTICE OF A SPECIAL MEETING OF SHAREHOLDERS
                         To Be Held on September 5, 1997

To the Shareholders of
Star Multi Care Services, Inc.:

           You are hereby notified that a Special  Meeting of Shareholders  (the
"STAR  Meeting")  of Star  Multi Care  Services,  Inc.,  a New York  corporation
("STAR"),  will be held at the offices of Parker Chapin  Flattau & Klimpl,  LLP,
1211 Avenue of the  Americas  (18th  Floor),  New York,  New York at 10:00 A.M.,
local time, on September 5, 1997, to consider and act upon:

                      1. A proposal to approve and adopt the  Agreement and Plan
           of  Merger  dated as of  January  3,  1997(the  "Merger  Agreement"),
           between  Extended  Family Care  Corporation,  a New York  corporation
           ("EFCC") and STAR,  providing  for the merger (the  "Merger") of EFCC
           with and into  EFCC  Acquisition  Corp.  ("Merger  Sub"),  a New York
           corporation   and  a  wholly  owned   subsidiary  of  STAR,  and  the
           transactions contemplated thereby;

                      2. A proposal to adopt an  amendment  to STAR's 1992 Stock
           Option  Plan,  limiting  the  number of shares of STAR  Common  Stock
           subject to  options  granted to any  optionee  in any fiscal  year to
           100,000;

                      3. A proposal to adopt STAR's 1997  Non-Employee  Director
           Stock Option Plan; and

                      4. Such other  business  as  properly  may come before the
           STAR Meeting or any adjournments or postponements thereof.

           The Merger and other related  matters are more fully described in the
accompanying Joint Proxy  Statement/Prospectus and the appendices thereto, which
form a part of this notice.

           The Board of  Directors  of STAR has fixed the close of  business  on
July 25, 1997 as the record date (the "STAR Record Date") for the  determination
of  shareholders  entitled  to notice of and to vote at the STAR  Meeting or any
adjournments or postponements  thereof. Only shareholders of record at the close
of business on the STAR Record Date are entitled to notice of and to vote at the
STAR  Meeting and any  adjournments  or  postponements  thereof.  A list of such
shareholders  will be available for inspection at the offices of STAR located at
99 Railroad Station Plaza,  Hicksville,  New York 11801, at least ten days prior
to the STAR Meeting.

           AFTER  CAREFUL  CONSIDERATION,   THE  STAR  BOARD  OF  DIRECTORS  HAS
UNANIMOUSLY  APPROVED THE MERGER  AGREEMENT  AND THE  TRANSACTIONS  CONTEMPLATED
THEREBY.  THE STAR BOARD  BELIEVES THAT THE TERMS OF THE MERGER ARE FAIR TO, AND
IN THE BEST INTERESTS OF, THE  SHAREHOLDERS OF STAR AND  UNANIMOUSLY  RECOMMENDS
THAT YOU VOTE IN FAVOR OF APPROVING  THE MERGER  AGREEMENT AT THE STAR  MEETING.
THE STAR BOARD OF DIRECTORS HAS ALSO UNANIMOUSLY  APPROVED THE PROPOSAL TO ADOPT
AN  AMENDMENT  TO STAR'S 1992 STOCK OPTION PLAN AND THE PROPOSAL TO ADOPT STAR'S
1997 NON-EMPLOYEE DIRECTOR STOCK



<PAGE>



OPTION PLAN AND  UNANIMOUSLY  RECOMMENDS THAT YOU VOTE IN FAVOR OF EACH PROPOSAL
AT THE STAR MEETING.

IF YOU DO NOT EXPECT TO BE  PRESENT  PERSONALLY  AND YOU WISH YOUR  SHARES TO BE
VOTED AT THE STAR MEETING, PLEASE SIGN, DATE AND RETURN THE PROXY BY MAIL IN THE
POSTAGE-PAID ENVELOPE ENCLOSED HEREWITH FOR THAT PURPOSE. IF YOU LATER FIND THAT
YOU CAN BE PRESENT AT THE STAR MEETING OR FOR ANY OTHER REASON  DESIRE TO REVOKE
OR CHANGE YOUR PROXY, YOU MAY DO SO AT ANY TIME BEFORE IT IS VOTED.


                                             By Order of the Board of Directors,



                                             ___________________________
                                             William Fellerman
                                             Secretary

August 11, 1997


                             YOUR VOTE IS IMPORTANT

TO VOTE YOUR SHARES,  PLEASE SIGN, DATE AND COMPLETE THE ENCLOSED PROXY AND MAIL
IT PROMPTLY.  A RETURN ENVELOPE IS ENCLOSED FOR YOUR CONVENIENCE AND REQUIRES NO
POSTAGE FOR MAILING IN THE UNITED STATES.





<PAGE>
INFORMATION   CONTAINED  HEREIN  IS  SUBJECT  TO  COMPLETION  OR  AMENDMENT.   A
REGISTRATION  STATEMENT  RELATING  TO THESE  SECURITIES  HAS BEEN FILED WITH THE
SECURITIES  AND EXCHANGE  COMMISSION.  THESE  SECURITIES MAY NOT BE SOLD NOR MAY
OFFERS TO BUY BE ACCEPTED PRIOR TO THE TIME THE REGISTRATION  STATEMENT  BECOMES
EFFECTIVE.  THIS  PROSPECTUS  SHALL  NOT  CONSTITUTE  AN  OFFER  TO  SELL OR THE
SOLICITATION OF AN OFFER TO BUY NOR SHALL THERE BE ANY SALE OF THESE  SECURITIES
IN ANY STATE IN WHICH SUCH OFFER,  SOLICITATION  OR SALE WOULD BE UNLAWFUL PRIOR
TO REGISTRATION OR QUALIFICATION UNDER THE SECURITIES LAWS OF ANY SUCH STATE.


                         STAR MULTI CARE SERVICES, INC.

                        EXTENDED FAMILY CARE CORPORATION

                              JOINT PROXY STATEMENT
                          FOR MEETINGS OF SHAREHOLDERS
                         TO BE HELD ON SEPTEMBER 5, 1997

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

                         STAR MULTI CARE SERVICES, INC.

                                   PROSPECTUS

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

           This  Joint  Proxy  Statement/Prospectus  is being  furnished  to the
shareholders of Star Multi Care Services, Inc., a New York corporation ("STAR"),
and  to the  shareholders  of  Extended  Family  Care  Corporation,  a New  York
corporation  ("EFCC"),  in connection with the  solicitation of proxies by their
respective  Boards of Directors to be used at a Special  Meeting of Shareholders
of STAR (the "STAR  Meeting") and a Special Meeting of Shareholders of EFCC (the
"EFCC  Meeting"),  each of which is to be held on September 5, 1997,  and at any
adjournments or postponements thereof.

           At  each  of the  STAR  Meeting  and  EFCC  Meeting,  the  respective
shareholders  will be asked to consider  and vote upon a proposal to approve and
adopt the Agreement and Plan of Merger dated as of January 3, 1997, (the "Merger
Agreement"),  between STAR and EFCC,  providing for the merger (the "Merger") of
EFCC Acquisition Corp. ("Merger Sub"), a New York corporation and a wholly owned
subsidiary  of STAR,  with EFCC,  with EFCC merging with and into Merger Sub and
the cessation of EFCC's separate  existence,  and the transactions  contemplated
thereby.  Upon consummation of the Merger,  each share of EFCC Common Stock, par
value $.01 per share (the "EFCC Common Stock"),  which is issued and outstanding
immediately  prior to the effective time of the Merger (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"):  (a) the  Cash  Consideration  (defined  below),
without  interest;  and  (b)  the  number  (the  "Conversion  Number")  of  duly
authorized, validly issued, fully paid and non-assessable shares of common stock
$.001 par value, of STAR (the "STAR Common Stock"), as calculated below.

           "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


<PAGE>



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 EFCC,  which EFCC Share Number shall not be
less than  37,600,000.  "Conversion  Number" means the amount equal to: (a) such
number of STAR Common  Stock 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. See "THE MERGER AGREEMENT."


            SEE "RISK FACTORS" BEGINNING ON PAGE 16 FOR A DISCUSSION
                OF CERTAIN FACTORS WHICH SHOULD BE CONSIDERED IN
                     EVALUATING THE MERGER DESCRIBED HEREIN
                        AND THE SECURITIES OFFERED HEREBY

           At the STAR Meetings the  shareholders  of STAR will also be asked to
vote on  proposals  to: (a) adopt an  amendment to STAR's 1992 Stock Option Plan
(the "STAR 1992  Plan"),  limiting  the  number of shares of STAR  Common  Stock
subject to options  granted to any  optionee in any fiscal year to 100,000;  and
(b) adopt STAR's 1997  Non-Employee  Director  Stock Option Plan (the "STAR 1997
Plan").  See  "APPROVAL  OF  AMENDMENT  TO STAR'S  1992 STOCK  OPTION  PLAN" and
"APPROVAL OF STAR'S 1997 NON-EMPLOYEE DIRECTOR STOCK OPTION PLAN."

           STAR has filed  with the  Securities  and  Exchange  Commission  (the
"Commission") a Registration  Statement (the  "Registration  Statement") on Form
S-4 (Commission File No. 333-_____) under the Securities Act of 1933, as amended
(the  "Securities  Act"),  with respect to the shares of STAR Common Stock to be
issued pursuant to the Merger Agreement.  This Joint Proxy  Statement/Prospectus
constitutes the Prospectus of STAR filed as part of the Registration  Statement.
All  information  contained  herein with  respect to STAR has been  furnished by
STAR.  All  information  contained  herein with respect to EFCC and TPC has been
furnished by EFCC.

           Assuming that the average trading price of the shares of Common Stock
of STAR  for the 120  trading  days  ending  three  business  days  prior to the
Effective Time of the Merger is $4.50,  that the number of shares of EFCC issued
and  outstanding  immediately  prior  to the  Effective  Time of the  Merger  is
37,600,000, and that no holder of shares of either TPC or EFCC has exercised his
or her dissenter's  rights,  the Company would be required to pay each holder of
one share of EFCC Common Stock approximately $.06 and a fractional share of STAR
Common Stock equal to .028664.  If the aggregate number of shares of STAR Common
Stock issuable to any one shareholder  results in fractional  shares, in lieu of
any fractional  shares  resulting  therefrom,  the recipient of such  fractional
share  will  receive  cash in an amount  equal to the  fractional  share of STAR
Common Stock to be issued  multiplied by the Market Price. The term Market Price
for  purposes of  determining  the number of shares of STAR  Common  Stock to be
issued for each share of EFCC Common Stock  outstanding on the Effective Time is
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 third  business day prior to the  Effective  Time,  calculated by
adding all of such 120 closing sales prices and dividing the sum by 120.

           The STAR Common Stock is quoted in the over-the-counter market on The
Nasdaq Stock  Market's  National  Market System (the "Nasdaq  National  Market")
under the  symbol"SMCS."  On July 24, 1997,  the high and low sales prices for a
share of STAR Common Stock on the Nasdaq  National  Market were $5.50.  The EFCC
Common Stock is quoted in the  over-the-counter  market on the "Nasdaq  Bulletin
Board" and on the "Pink Sheets" as reported by the National  Quotations  Bureau,
Inc. under the symbol  "CXCS".  On July 22, 1997 the high and low bid quotations
for a share of EFCC Common Stock were $.08.



<PAGE>



           Based on the terms set forth in the Merger  Agreement  and based upon
the  assumption  that the average  sales  price of STAR Common  Stock on for the
preceding 120 days ending 3 business days prior to the Effective  Time is $4.75,
the dollar value of the Merger  Consideration,  including the STAR Common Stock,
to be received  for each share of EFCC Common  Stock  exchanged in the Merger is
$.0871.

           It is anticipated  that the closing will take place no later than one
month after the last  shareholder  meeting of TPC,  EFCC and STAR to be held for
the  purposes  of  voting  upon  the  proposed  merger  of EFCC  into  the  STAR
subsidiary.

           The EFCC meeting of  shareholders  to approve the STAR merger will be
scheduled  approximately  15 days after the TPC  meeting in order to include TPC
shareholders as shareholders of record of EFCC.

                            -------------------------
    THE SECURITIES ISSUABLE PURSUANT TO THIS JOINT PROXY STATEMENT/PROSPECTUS
      HAVE NOT BEEN APPROVED OR DISAPPROVED BY THE SECURITIES AND EXCHANGE
      COMMISSION OR ANY STATE SECURITIES COMMISSION, NOR HAS THE SECURITIES
        AND EXCHANGE COMMISSION OR ANY STATE SECURITIES COMMISSION PASSED
        UPON THE ACCURACY OR ADEQUACY OF THIS JOINT PROXY STATEMENT/PRO-
       SPECTUS. ANY REPRESENTATION TO THE CONTRARY IS A CRIMINAL OFFENSE.
                            -------------------------

           THIS JOINT PROXY STATEMENT/PROSPECTUS AND THE ACCOMPANYING FORM OF
PROXY ARE FIRST BEING MAILED OR DELIVERED TO THE SHAREHOLDERS OF STAR AND EFCC
ON OR ABOUT AUGUST 11, 1997.

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

    THE DATE OF THIS JOINT PROXY STATEMENT/PROSPECTUS IS [___________], 1997.


<PAGE>



                                TABLE OF CONTENTS

                                                                            PAGE

AVAILABLE INFORMATION........................................................  1
SUMMARY......................................................................  2
   General...................................................................  2
   STAR......................................................................  3
   Merger Sub................................................................  4
   EFCC......................................................................  4
   The Meetings..............................................................  6
   The Merger................................................................  7
   Summary Historical Consolidated Financial Data............................ 13
   Summary Unaudited Pro Forma Condensed Combined Financial Data............. 17
   Adoption of Amendment to STAR 1992 Plan and adoption of STAR 
     1997 Plan............................................................... 18
RISK FACTORS................................................................. 19
   Risks Relating to an Investment in STAR................................... 19
   Risks Relating to the Merger.............................................. 22
COMPARATIVE PER SHARE DATA................................................... 24
COMPARATIVE MARKET DATA...................................................... 25
THE STAR MEETING............................................................. 26
   General................................................................... 26
   Matters to be Considered at the STAR Meeting.............................. 26
   STAR Record Date.......................................................... 26
   Proxies................................................................... 26
   Quorum.................................................................... 27
   Vote Required............................................................. 27
   Sternbach Proxy........................................................... 28
THE EFCC MEETING............................................................. 28
   General................................................................... 28
   Matters to Be Considered at the EFCC Meeting.............................. 28
   EFCC Record Date.......................................................... 28
   Proxies................................................................... 28
   Quorum.................................................................... 29
   Vote Required............................................................. 29
   EFCC Shareholders Agreement............................................... 30
THE MERGER................................................................... 30
   Background of the Merger.................................................. 30
   STAR's Reasons for the Merger; Recommendation of the STAR Board........... 34
   Financial Advisor; Fairness Opinion....................................... 38
   Certain Federal Income Tax Consequences................................... 42
   Dissenters' Rights of Appraisal........................................... 44
   Regulatory Approvals...................................................... 45
   Accounting Treatment...................................................... 45
   Resale Restrictions....................................................... 45
   Consulting Agreement...................................................... 45
   Management Agreement...................................................... 46
THE MERGER AGREEMENT......................................................... 48
   The Merger................................................................ 48
   Effective Time of the Merger.............................................. 48
   Conversion of Securities.................................................. 48
   Dissenters' Rights........................................................ 49
   Exchange of Certificates.................................................. 49
   Representations and Warranties............................................ 50

                                      - i -

<PAGE>


                           TABLE OF CONTENTS (CONT'D)

                                                                            PAGE

   Covenants; Conduct of Business Prior to Effective Time.................... 51
   Negotiations with Others.................................................. 51
   Management after the Merger............................................... 52
   Conditions of the Merger.................................................. 52
   Termination............................................................... 53
   Effect of Termination and Abandonment..................................... 54
   Amendment and Waiver...................................................... 55
APPRAISAL RIGHTS OF DISSENTING SHAREHOLDERS.................................. 56
COMPARISON OF RIGHTS OF HOLDERS OF
STAR COMMON STOCK AND EFCC COMMON STOCK...................................... 61
   General................................................................... 61
DESCRIPTION OF STAR CAPITAL STOCK............................................ 66
   STAR Common Stock......................................................... 66
   Certain Provisions of the Certificate of Incorporation and ByLaws......... 66
BUSINESS OF STAR............................................................. 68
   General................................................................... 68
   Home Care Services........................................................ 69
   Hospital Staffing......................................................... 70
   Competition............................................................... 71
   Marketing................................................................. 71
   Customers................................................................. 72
   Government Regulations and Licensing...................................... 72
   Liability Insurance....................................................... 73
   Employees................................................................. 74
   Description of Property................................................... 74
   Legal Proceedings......................................................... 75
STAR'S MANAGEMENT'S DISCUSSION AND ANALYSIS OF
FINANCIAL CONDITION AND RESULTS OF OPERATIONS................................ 76
   Financial Condition, Liquidity and Capital Resources...................... 78
OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT OF STAR................ 79
MANAGEMENT OF STAR........................................................... 82
EXECUTIVE COMPENSATION OF STAR............................................... 84
   Summary Compensation Table................................................ 84
   Option Grants in Last Fiscal Year......................................... 84
   Aggregated Option Exercises in Last Fiscal Year and Fiscal Year 
     End Option Values....................................................... 85
   Standard Remuneration of Directors........................................ 85
   Employment Agreements..................................................... 85
CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS............................... 86
BUSINESS OF EFCC............................................................. 87
   General................................................................... 87
   Home Care Services........................................................ 88
   Procedure for a Typical Home Care Placement............................... 89
   Care Givers............................................................... 89
ORGANIZATIONAL STRUCTURE..................................................... 90
   Branch Description........................................................ 90
   Customers................................................................. 90
   Percent of Total TPC Revenues by Type of Customer......................... 91
   Percent of Total TPC Revenues by State.................................... 91


                                     - ii -

<PAGE>


                           TABLE OF CONTENTS (CONT'D)

                                                                            PAGE

   TPC Medicaid Revenues as Percentages of
   Total State Revenues...................................................... 91
   Governmental Regulation and Licensing..................................... 91
   Competitive Conditions.................................................... 92
   Marketing and Sales....................................................... 93
   Liability Insurance....................................................... 93
   Employees................................................................. 93
   Securities Filings........................................................ 93
   The Special Dividend...................................................... 94
   Description of Property................................................... 94
   Bankruptcy Proceedings.................................................... 94
EFCC'S MANAGEMENT'S DISCUSSION AND ANALYSIS OR PLAN OF OPERATION............. 95
   Overview.................................................................. 95
   Industry Information...................................................... 95
   Results of Operations..................................................... 95
   Liquidity and Capital Resources........................................... 97
   Inflation and Seasonality................................................. 98
   Changes in and Disagreements with Accountants on
   Accounting and Financial Disclosure....................................... 98
OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT OF EFCC................ 99
DIRECTORS, EXECUTIVE OFFICERS, PROMOTERS AND CONTROL PERSONS OF EFCC.........101
CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS OF EFCC.......................103
PROPOSAL TO ADOPT AMENDMENT TO STAR'S 1992 PLAN..............................105
   Type of Options...........................................................105
   Administration............................................................105
   Eligibility...............................................................105
   Terms and Conditions of Options...........................................106
   Adjustment in Event of Capital Changes....................................107
   Duration and Amendment of the 1992 STAR Plan..............................107
   Federal Income Tax Treatment..............................................107
   Benefits Granted During Last Fiscal Year Under 1992 STAR Plan.............109
PROPOSAL TO ADOPT STAR'S 1997 NONEMPLOYEE DIRECTOR
STOCK OPTION PLAN............................................................111
   Eligibility...............................................................111
   Stock Subject to the NonEmployee Director Plan............................111
   Administration............................................................111
   Eligibility...............................................................111
   Terms and Conditions of Options...........................................111
   Adjustment Upon Changes in Capitalization, and
   Conversion of Options on Stock for Stock Exchange.........................112
   Term of and Amendment of STAR 1997 Plan...................................113
   Compliance with Securities Laws ..........................................113
   Federal Income Tax Consequences...........................................113
   Benefits Granted During Last Fiscal Year Under 1992 STAR Plan.............115
LEGAL MATTERS................................................................115
EXPERTS......................................................................115
   Shareholder Proposals.....................................................116


                                     - iii -

<PAGE>


                           TABLE OF CONTENTS (CONT'D)

                                                                            PAGE

APPENDIX A - Merger Agreement................................................A-1
APPENDIX B - Opinion of Telesis..............................................B-1
APPENDIX C - Sections 623 and 910 of the New York Business Corporation Law...C-1
APPENDIX D - STAR's 1997 Non-Employee Director Stock Option Plan.............D-1


                                     - iv -

<PAGE>



                              AVAILABLE INFORMATION

           STAR and EFCC are subject to the  informational  requirements  of the
Securities  Exchange  Act of 1934,  as  amended  (the  "Exchange  Act"),  and in
accordance  therewith file reports,  proxy statements and other information with
the Commission. The Registration Statement, as well as reports, proxy statements
and other information filed by each of STAR and EFCC can be inspected and copied
at the Commission's  Public  Reference Room,  Judiciary Plaza, 450 Fifth Street,
N.W., Room 1024, Washington,  D.C. 20549, and at the public reference facilities
maintained  by the  Commission  at its regional  offices  located at Suite 1400,
Citicorp Center,  500 West Madison Street,  Chicago,  Illinois 60661 and 7 World
Trade Center, Suite 1300, New York, New York 10048. Copies of such materials can
be obtained from the  Commission at prescribed  rates from the Public  Reference
Section of the Commission at 450 Fifth Street,  N.W.,  Washington,  D.C.  20549.
Electronic  registration  statements filed through the  Commission's  Electronic
Data Gathering, Analysis and Retrieval system are publicly available through the
Commission's Web site (http://www.sec.gov). Additionally, material filed by STAR
can be inspected at the offices of the Nasdaq  National  Market  System  Reports
Section, 1735 K Street, N.W., Washington, D.C. 20006.

           STAR  has  filed  the  Registration  Statement  with  the  Commission
covering the STAR Common Stock to be issued pursuant to the Merger Agreement. As
permitted  by the rules and  regulations  of the  Commission,  this Joint  Proxy
Statement/Prospectus  does not  contain  all the  information  set  forth in the
Registration Statement and the exhibits thereto. For further information, please
refer to the Registration Statement,  including the exhibits thereto. Statements
contained in this Joint Proxy  Statement/Prospectus  relating to the contents of
any contract or other document referred to herein are not necessarily  complete,
and reference is made to the copy of such contract or other document filed as an
exhibit  to the  Registration  Statement  or  such  other  document,  each  such
statement being qualified in all respects by such reference.

           All  information  concerning  STAR  contained  in  this  Joint  Proxy
Statement/Prospectus  has been furnished by STAR and all information  concerning
EFCC  and TPC  contained  in this  Joint  Proxy  Statement/Prospectus  has  been
furnished by EFCC. No person is authorized to provide any information or to make
any  representation  with  respect to the matters  described in this Joint Proxy
Statement/Prospectus  other than those  contained  herein and, if given or made,
such  information  or  representation  must not be relied  upon as  having  been
authorized   by   STAR,   EFCC  or  any   other   person.   This   Joint   Proxy
Statement/Prospectus  does not constitute an offer to sell, or a solicitation of
any offer to purchase,  any  securities,  or a solicitation  of a proxy,  in any
jurisdiction  in which, or to or from any person to or from whom, it is unlawful
to make such an offer or solicitation.  Neither the delivery of this Joint Proxy
Statement/Prospectus  nor any  distribution of securities  hereunder shall under
any  circumstances  be  deemed  to imply  that  there  has been no change in the
assets,  properties or affairs of STAR or EFCC since the date hereof or that the
information  set forth herein is correct as of any time  subsequent  to the date
hereof.




<PAGE>



                                     SUMMARY

           The following is a summary of certain information contained elsewhere
in this Joint Proxy Statement/Prospectus. Reference is made to, and this summary
is  qualified  in its  entirety  by,  the more  detailed  information  contained
elsewhere in this Joint Proxy  Statement/Prospectus  and the appendices  hereto.
Shareholders   of  STAR  and  EFCC  are   urged  to  read   this   Joint   Proxy
Statement/Prospectus  and its appendices  before voting on the matters discussed
herein.  As used  herein,  the term "STAR"  refers to Star Multi Care  Services,
Inc., a New York corporation, and the term "EFCC" refers to Extended Family Care
Corporation, a New York corporation, in both cases including, unless the context
otherwise requires, their respective subsidiaries.

GENERAL

           This  Joint  Proxy   Statement/Prospectus   is  being   furnished  to
shareholders of STAR in connection with the solicitation of proxies by the Board
of Directors of STAR, for use at a Special  Meeting of Shareholders of STAR (the
"STAR  Meeting")  which is scheduled to be held on September 5, 1997. This Joint
Proxy  Statement/Prospectus  is also being  furnished to shareholders of EFCC in
connection  with the  solicitation of proxies by the Board of Directors of EFCC,
for use at a Special  Meeting of Shareholders of EFCC (the "EFCC Meeting") which
is also  scheduled to be held on September 5, 1997.  At the STAR Meeting and the
EFCC  Meeting,  the  respective  shareholders  of STAR and EFCC will be asked to
consider and vote upon,  among other things,  the proposed merger (the "Merger")
of EFCC Acquisition  Corp., a New York  corporation  ("Merger Sub") and a wholly
owned  subsidiary of STAR,  with EFCC pursuant to the terms of the Agreement and
Plan of Merger  dated  January  3, 1997 (the  "Merger  Agreement").  The  Merger
Agreement is included in this Joint Proxy Statement/Prospectus as Appendix A. In
connection with the Merger,  each share of EFCC Common Stock, par value $.01 per
share (the "EFCC Common  Stock"),  which is issued and  outstanding  immediately
prior to the effective time of the Merger (the "Effective  Time"),  except those
held by  shareholders  of EFCC who validly and properly demand and perfect their
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"):  (a) the Cash Consideration  (defined below), without interest;
and (b) the number (the "Conversion Number") of duly authorized, validly issued,
fully paid and  non-assessable  shares of common stock $.001 par value,  of STAR
(the "STAR Common Stock"), as calculated below.

           "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 EFCC (the "TPC Merger"), which EFCC Share Number shall not be less
than 37,600,000.  See "CERTAIN  RELATIONSHIPS AND RELATED PARTY  TRANSACTIONS OF
EFCC." "Conversion  Number" means the amount equal to: (a) such number of shares
of STAR Common Stock 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.

           In addition,  at the STAR meeting,  the  shareholders of STAR will be
asked to vote on  proposals  to:  (a) adopt an  amendment  to STAR's  1992 Stock
Option Plan (the "STAR 1992 Plan"), limiting the number of shares of STAR Common
Stock  subject to options  granted to any optionee in any fiscal year to 100,000
and (b) adopt  STAR's 1997  Non-Employee  Director  Stock Option Plan (the "STAR
1997 Plan").

The  information in this Joint Proxy  Statement/Prospectus  concerning  STAR and
EFCC has been furnished by each of such entities respectively.


                                       2
<PAGE>


STAR

           STAR is in the business of providing placement services of registered
and  licensed  nurses and home health  aides to patients for care at home ("Home
Care") and, to a lesser extent,  temporary  health care personnel  recruiting to
hospitals and nursing homes ("Hospital Staffing").  In addition,  STAR maintains
registries of registered  nurses,  licensed  practical  nurses,  nurses'  aides,
certified  home health  aides and  certified  personal  care  workers from which
personnel are recruited on a per diem basis to meet the  requirements  of STAR's
clients.

           Prior to its  acquisition  by  present  management  in  1987,  STAR's
business  related  primarily  to  providing  private  duty nurses to patients in
hospitals and staffing to hospitals. Under its current management, STAR expanded
its Hospital Staffing  arrangements to nursing homes and additional hospitals to
provide  licensed  nurses on a per diem basis for general staff.  In 1988,  STAR
further extended its Hospital Staffing  business to include  providing  licensed
practical  nurses and nurses'  aides.  In 1989,  STAR began  providing Home Care
Services in New York City  pursuant to a license  from the New York State Health
Department.   In  1990,   STAR  expanded  its  Home  Care  services  to  include
transportation of patients from hospital to home in ambulettes,  arrangements to
purchase and supply equipment and pharmaceuticals as prescribed by the patient's
physicians,  and home infusion care. In 1991,  STAR was licensed by the New York
State Department of Health to operate an office in Nassau County, New York.

           In 1992,  STAR expanded its existing  Home Care business  through the
acquisition of certain assets from Unity Health Care Holding  Company,  Inc. and
its  subsidiaries  ("Unity"),  including  contract  rights to provide  Home Care
services through various hospitals,  community agencies and other  institutional
health care  providers.  These contract  rights  complemented  the existing home
health care  businesses of STAR in  geographic  areas such as New Jersey and New
York where STAR already operated. In addition, in these locations, STAR obtained
from Unity client  referral  lists to further  expand  existing  operations.  In
addition to expanding  STAR's  existing  regional  business,  the acquisition of
Unity added new  operations to STAR in new geographic  locations.  STAR acquired
Unity's   Florida   operations,   which   included   certification   to  receive
reimbursement  from Medicare and Medicaid in Broward and Dade Counties.  Most of
such  Medicare and Medicaid  reimbursed  operations  are located in Dade County.
STAR also acquired the assets representing Unity's operations in Florida that do
not have  Medicare and Medicaid  certification,  but which  operate  under state
license.

           In 1993,  STAR  further  expanded  its  existing  Home Care  business
through the  acquisition  of certain  assets of DSI Health Care  Services,  Inc.
("DSI") including  contract rights to provide Home Care services through various
hospitals,  community  agencies and other  institutional  health care providers.
These contract  rights  complimented  the existing Home Care business of STAR in
the Long Island, New York area.

           In May 1995,  STAR  acquired  certain  assets of Long Island  Nursing
Registry,  Inc. ("LINR") thereby further expanding its Home Care business.  LINR
provided  nursing and other skilled  health care services with both Medicaid and
non-Medicaid  reimbursement  eligibility  compatible  with the business of STAR.
LINR maintains  offices and does business under the STAR name in the Long Island
area and as  "Comprehensive  Care America" in the Syracuse,  New York area.  The
acquired  assets  included all of the fixed assets,  certain of the contract and
intellectual  property  rights and all of the  records,  lists,  files and books
(including  certain  customer  and  personnel  lists)  with  respect  to  or  in
connection  with the health care  business  conducted by LINR.  The  acquisition
expanded STAR's New York market area into Suffolk County, augmented its presence
in Nassau County and gave it significant market share in central New York.

           On August  23,  1996,  STAR and  AMSERV  HEALTHCARE  INC.  ("Amserv")
consummated a merger whereby STAR acquired control of Amserv and Amserv became a
wholly owned subsidiary of STAR. Amserv operates in a one-industry  segment as a
health care service  company.  Amserv provides Home Care services to individuals
from its six branch offices in New Jersey and Ohio. Home Care services  provided
by Amserv include


                                       3
<PAGE>


personal  care,  such as assistance  with the  activities of daily living (e.g.,
eating, walking and grooming),  and skilled nursing services, such as wound care
and assistance with medications, injections and patient education.

           Historically,  a greater portion of STAR's revenues have been derived
from Home Care services and a lesser  portion of such revenues have been derived
from Hospital  Staffing.  STAR believes that this is a result of changing social
and economic attitudes toward the de-institutionalization of patients as well as
STAR's changing customer base.

           STAR's principal executive offices are located at 99 Railroad Station
Plaza, Hicksville, New York 11801, and its telephone number is (516) 938-2016.

MERGER SUB

           Merger Sub is a New York corporation  recently  organized as a wholly
owned  subsidiary  of STAR for the purpose of  effecting  the Merger.  It has no
material assets and has not engaged in any activities  except in connection with
such proposed acquisition.

           The initial  directors  of the Merger Sub are Messrs.  Sternbach  and
Fellerman. Neither of them is an affiliate of EFCC.

           Merger Sub's principal  executive  offices are located at 99 Railroad
Station Plaza,  Hicksville,  New York 11801,  and its telephone  number is (516)
938-2016.

EFCC

           EFCC is in the  business of  providing  home  health  care  services,
principally  personal  hygiene,  homemaking,  general patient  safety,  and to a
lesser extent nursing services ("Home Care"),  primarily  through contracts with
government agencies under the Medicaid program.  EFCC is a holding company which
derives  100  percent  of its  revenues  from the  operation  of TPC  Home  Care
Services,  Inc.  ("TPC"),  an 83 percent  owned  subsidiary.  Prior to, and as a
condition to the  consummation of the Merger,  TPC will be merged into EFCC (the
"TPC  Merger")  and the separate  corporate  existence of TPC will end. See "THE
MERGER AGREEMENT  --Conditions of the Merger."  Pursuant to the TPC Merger,  all
shareholders  of TPC,  other than EFCC,  will receive  18.745545  shares of EFCC
Common  Stock in  exchange  for each share of TPC Common  Stock they own.  Stock
certificates  previously  issued to TPC shareholders do not give effect to a 1:4
reverse stock split which  occurred in 1985.  Accordingly,  shareholders  of TPC
actually  own only one share of TPC Common Stock for every four shares for which
they possess a share  certificate for TPC Common Stock. TPC shares owned by EFCC
will be  cancelled  as a result of the TPC  Merger and no shares of EFCC will be
issued in respect thereof. A proxy statement/prospectus relating to a meeting of
shareholders  of EFCC and TPC has been  mailed to  shareholders  of EFCC and TPC
contemporaneous with the mailing of this Joint Proxy Statement/Prospectus.

           EFCC was  incorporated  in New York on May 10,  1978  under  the name
M.A.E.  Enterprises,  Inc. In 1980, the name of this  corporation was changed to
Cosmetic Sciences, Inc.; which was changed again in 1996 to Extended Family Care
Corporation, its current name.

           In 1980,  EFCC completed its initial  public  offering of 1.5 million
shares of common stock, raising gross proceeds of $1.5 million. Between 1980 and
1985,  EFCC engaged in research,  development,  marketing  and  distribution  of
medical  devices and cosmetics.  These products never proved to be  commercially
viable,   and  by  the  mid-1980's  the   development  of  these  products  were
discontinued and the  subsidiaries  through which these businesses were operated
were dissolved.


                                       4
<PAGE>


           In August 1984,  EFCC entered the Home Care industry by acquiring all
of the  outstanding  shares of TPC,  which at the time was  providing  Home Care
services in New York and New Jersey.  In December 1984, the then shareholders of
EFCC received as a dividend  approximately 17 percent of the outstanding  common
stock of TPC (the "TPC  Dividend"),  leaving TPC as an  approximately 83 percent
owned subsidiary of EFCC.

           On April 25,  1985,  TPC entered  into an agreement to acquire all of
the outstanding stock of A-Round the Clock Nursing Services,  Inc. ("A-Round the
Clock"),  a home health care company doing  business in New Jersey.  In December
1985, a  Registration  Statement was declared  effective in  anticipation  of an
initial public offering by TPC.  Proceeds from this offering were to provide the
funding for the  acquisition  of A-Round  the Clock.  However,  the  underwriter
terminated  the  offering,  and TPC was unable to find  another  underwriter  to
complete the offering. TPC was forced to borrow the funds required to consummate
the acquisition of A-Round the Clock. The burden of the additional debt service,
coupled with the  increased  demand for working  capital,  further  reduced cash
flow.  Facing  bank  foreclosure  of  liens  upon  TPC's  accounts   receivable,
significant tax arrears and cash shortfalls, EFCC and TPC filed a petition under
Chapter 11 of the U.S. Bankruptcy Code, in the U.S.  Bankruptcy Court,  Southern
District, New York, in August 1986.

           Following  the filing of the  bankruptcy  petition,  TPC continued to
operate  its Home Care  business  as a debtor in  possession.  In July  1987,  a
secured lender foreclosed its lien on the common stock of A-Round the Clock, and
took possession and control of the business of A-Round the Clock.  TPC continued
to provide Home Care services with operating branches in Hempstead, New York and
Hackensack, New Jersey.

           In 1992, the Company's  headquarters  were moved from Hempstead,  New
York to Carle  Place,  New York.  In March 1994,  TPC opened a branch  office in
Irvington,  New Jersey,  which moved in March 1996 to East  Orange.  In February
1995, a satellite office of the Hackensack branch office was opened in Paterson,
New Jersey,  which relocated to Clifton,  New Jersey on or about April 15, 1996.
In August 1995, a TPC  satellite  office was opened in Jersey City,  New Jersey,
which office was sold in December,  1996. In March 1996, a satellite  office was
opened in Elizabeth, New Jersey, which office was closed in September,  1996. In
May 1996, a branch  office was opened in Allentown,  Pennsylvania.  In the first
quarter of 1997 the staff and patient  files of EFCC's  East  Orange  office and
Hempstead office were moved into existing facilities of STAR; and the Hackensack
office was closed and integrated into EFCC's Clifton office.

           In October  1993,  and in  connection  with  EFCC's  Amended  Plan of
Reorganization  adopted  in  1992,  an  investment  group,  COSS  Holding  Corp.
("Coss"),  invested  cash of $250,000  in EFCC and thereby  became the holder of
approximately 66 percent or 12,749,658 shares of EFCC's Common Stock.

           On October 31,  1995,  EFCC,  TPC and Coss  entered into an agreement
with Arbor Home Health Care  Holdings,  LLC.  ("Arbor"),  pursuant to which EFCC
granted  Arbor the option to  purchase  13 million  newly  issued  shares of its
common stock for $1.3 million,  ($.10 per share).  Mr. Ivan Kaufman  ("Kaufman")
owns 99% of the membership  interests in Arbor.  Arbor  exercised this option in
two  installments,  on August 21, 1996 and October 31, 1996,  thus  becoming the
owner of approximately  40% of EFCC's  outstanding  stock. In addition,  in June
1996,  Coss  placed  its  holdings  of EFCC's  common  stock in a voting  trust,
providing  Arbor the right to direct the voting of such shares and to thus elect
a majority of the board of  directors  of EFCC.  EFCC,  Coss and Arbor have also
entered  into various  agreements  relating to Coss'  holdings of EFCC's  common
stock, but these agreements, as well as the voting trust arrangement as to Coss'
shares, will terminate upon the completion of the Merger.

           On October  31,  1995,  EFCC  entered  into an  agreement  with Arbor
Management,  LLC (in  which  Kaufman  owns a 99%  membership  interest)  ("Arbor
Management"), for a two year term pursuant to which EFCC will pay $7,500 a month
to Arbor Management, LLC for management services, including accounting, finance,
human  resources  and  marketing,  rendered to EFCC.  This  agreement  will also
terminate as of the completion of the Merger.


                                       5
<PAGE>



           EFCC's  principal  executive  offices  are located at One Old Country
Road,  Suite 335, Carle Place, New York 11514, and its telephone number is (516)
248-2273.

THE MEETINGS

The STAR Meeting

           The STAR  Meeting  will be held on  September  5, 1997 at 10:00 A.M.,
local time, at the offices of Parker Chapin  Flattau & Klimpl,  LLP, 1211 Avenue
of the Americas (18th Floor), New York, New York. At the STAR Meeting, including
any  adjournments  or  postponements  thereof,  the  shareholders  of STAR  will
consider  and vote on (i) a proposal to approve  and adopt the Merger  Agreement
and the transactions  contemplated  thereby; (ii) adopt an amendment to the STAR
1992 Plan, limiting the number of shares of STAR Common Stock subject to options
granted to any optionee in any fiscal year to 100,000; (iii) adopt the STAR 1997
Plan; and (iv) such other business as properly may come before the STAR Meeting.

           The close of business on July 25, 1997,  has been fixed as the record
date (the "STAR Record Date") for the  determination of the shareholders of STAR
entitled  to notice of and to vote at the STAR  Meeting.  Holders of STAR Common
Stock are entitled to one vote for each share of STAR Common Stock held by them.
The  holders of a  majority  of the  outstanding  shares of STAR  Common  Stock,
present  either in person or by properly  executed  proxies,  will  constitute a
quorum at the STAR Meeting.

           The  affirmative  vote of the  holders of a majority of the shares of
STAR Common Stock voted at the STAR Meeting is required to approve and adopt the
Merger Agreement. The affirmative vote of the majority of votes cast at the STAR
Meeting  will be required to approve the  amendment to the STAR 1992 Plan and to
approve  the  adoption  of the  STAR  1997  Plan.  As of the STAR  Record  Date,
4,212,387  shares of STAR  Common  Stock were issued and  outstanding,  of which
approximately 37.4% were beneficially owned by directors, executive officers and
affiliates of STAR (excluding 137,574 shares which may be acquired upon exercise
of options which are  exercisable  within 60 days of the STAR Record Date).  See
"THE STAR MEETING--Vote Required."

The EFCC Meeting

           The EFCC  Meeting  will be held on  September  5, 1997 at 10:00 A.M.,
local time, at the offices of Arbor Health Care Holdings LLC, 333 Earle Ovington
Blvd.,  Uniondale,   New  York  11553.  At  the  EFCC  Meeting,   including  any
adjournments or  postponements  thereof,  the shareholders of EFCC will consider
and vote on a  proposal  to  approve  and adopt  the  Merger  Agreement  and the
transactions  contemplated  thereby and such other business as properly may come
before the EFCC Meeting.

           The close of  business  on August  11,  1997,  has been  fixed as the
record date (the "EFCC Record Date") for the  determination  of the shareholders
of EFCC entitled to notice of and to vote at the EFCC  Meeting.  Holders of EFCC
Common  Stock are  entitled to one vote for each share of EFCC Common Stock held
by them.  The  holders of a majority  of the  outstanding  shares of EFCC Common
Stock, present either in person or by properly executed proxies, will constitute
a quorum at the EFCC Meeting.

           The  affirmative  vote of holders of  two-thirds  of all  outstanding
shares of EFCC  Common  Stock is  required  to  approve  and  adopt  the  Merger
Agreement. Shares representing approximately 68% of the outstanding Common Stock
of EFCC,  after giving effect to the TPC Merger,  are covered by a  shareholders
agreement  pursuant to which those  shares will be voted in favor of the Merger.
Accordingly,  approval  and adoption of the Merger by the EFCC  shareholders  is
assured.  See "THE EFCC MEETING - EFCC  Shareholders  Agreement."  See "THE EFCC
MEETING--Vote Required."



                                       6
<PAGE>



THE MERGER

           Risk Factors.  There are a number of risks  relating to an investment
in STAR,  including  those  relating to: (i) STAR's  liquidity and possible cash
flow  difficulties;  (ii) adverse effects of possible health care reform;  (iii)
the regulatory environment in which the parties operate; (iv) competition in the
home health care and temporary health care personnel  placement  markets;  (v) a
shortage of  qualified  personnel;  (vi)  government  regulation  and  licensing
regulations  relative  to  STAR's  business;  (vi)  certain  proposals  by state
legislatures  and  Congress  to  contain  health  care  costs;  (vii)  potential
liability for services  provided by STAR;  and (viii) STAR's failure to pay cash
dividends  since 1991. In addition,  there are a number of risks relating to the
Merger,  including  those relating to: (i) no assurance that  shareholders  will
realize any benefits from the Merger; (ii) the existence of special interests of
certain persons in the Merger;  (iii) the fact that Mr.  Sternbach will continue
to have  substantial  influence  on STAR after the  Merger;  (iv) the lack of an
updated fairness opinion by the financial  advisor of EFCC; (v) EFCC's and TPC's
non-compliance  with certain  securities  laws;  (vi) the dilutive effect of the
Merger on the voting power of the  shareholders of EFCC and STAR; (vii) the fact
that a  significant  portion  of  STAR's  revenues  are  subject  to  audit  and
adjustment;  and (viii) the possible adverse tax effect on the EFCC shareholders
if the  Merger  were not to  constitute  a  tax-free  reorganization.  See "RISK
FACTORS"  for a  more  complete  discussion  of  the  factors  which  should  be
considered in evaluating the Merger and the securities offered hereby.

           Conversion  of  Securities.  Upon  consummation  of the  transactions
contemplated by the Merger Agreement,  Merger Sub will be merged with EFCC, with
Merger Sub being the surviving corporation, and each share of EFCC Common Stock,
par  value  $.01 per share  (the  "EFCC  Common  Stock"),  which is  issued  and
outstanding  immediately  prior  to  the  effective  time  of  the  Merger  (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"): (a) the Cash Consideration
(defined below),  without interest; and (b) the number (the "Conversion Number")
of duly  authorized,  validly issued,  fully paid and  non-assessable  shares of
common stock $.001 par value, of STAR (the "STAR Common  Stock"),  as calculated
below.

           For illustrative  purposes only, set forth below is a chart listing a
range of conversion  ratios  assuming a range of stock prices for shares of STAR
Common Stock.

- --------------------------------------------------------------------------------
Average Market Price of a Share 
of STAR Common Stock for the 120 
Trading Days ending Three Business 
Days Before the Effective Time           $5.00             $4.75           $4.50
- --------------------------------------------------------------------------------
Exchange Ratio for each Share of 
EFCC Common Stock Outstanding on 
the Effective Time*                     .0258**           .0271**        .0287**
- --------------------------------------------------------------------------------
Total Number of Shares of STAR 
Common Stock to be issued in the 
Exchange                               970,000         1,021,052       1,077,778
- --------------------------------------------------------------------------------

*    Assumes that there are 37,600,000  shares of EFCC  outstanding  immediately
     prior to the Effective Time and no  shareholders of either EFCC or TPC have
     exercised dissenter's rights.

**   Rounded to the nearest ten thousandth of a share.

           "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


                                       7
<PAGE>



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 EFCC,  which EFCC Share Number shall not be less than  37,600,000.
"Conversion Number" means the amount equal to: (a) such number of shares of STAR
Common Stock 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.

           Prior to the mailing of this Joint Proxy  Statement/Prospectus,  STAR
had the right  under the Merger  Agreement  to acquire all of the shares of EFCC
Common Stock in consideration of the payment of $7,250,000 in cash. The all cash
option,  by its terms,  expired upon the mailing of the joint proxy materials to
the shareholders of EFCC and STAR.

           STAR Common Stock is quoted on the Nasdaq  National  Market under the
symbol "SMCS." No certificates or scrip  representing  fractional shares of STAR
Common Stock will be issued in the Merger, but cash will be paid to shareholders
in lieu thereof. See "THE MERGER AGREEMENT--Conversion of Securities."

           Recommendations of the Boards of Directors. The Board of Directors of
STAR  believes  that the  terms  of the  Merger  are  fair  to,  and in the best
interests of, STAR and its shareholders.  Accordingly, STAR's Board of Directors
has unanimously approved the Merger Agreement and unanimously  recommends a vote
FOR approval and adoption of the Merger  Agreement by the  shareholders of STAR.
The STAR Board of Directors  considered a number of positive factors  concerning
the Merger, including that since both STAR and EFCC are engaged in the Home Care
services  business,  the  businesses  of STAR and EFCC  are  complimentary;  its
concurrence  with the  analysis  of  STAR's  management  that the  Merger  would
increase STAR's cash flow,  reduce STAR's financial  leverage and improve STAR's
overall  financial  position and results of operations;  that since EFCC is also
engaged  in the Home Care  services  business  the  Merger  fits  within  STAR's
strategic objective to acquire complimentary businesses;  that STAR will be able
to achieve significant cost savings and economies of scale while providing other
synergistic  benefits;  that approximately $1.0 million in selling,  general and
administrative   expenses   would  be   eliminated  as  a  result  of  increased
efficiencies;  and that the terms of the Merger  Agreement are generally fair to
the  shareholders  of STAR.  The Board of  Directors  of STAR also  considered a
number of negative  factors  concerning the Merger,  including the fact that the
Exchange  Ratio was fixed based on the average  price of STAR's Common Stock for
the 120 trading day period preceding the Merger,  that the  representations  and
warranties  set forth in the Merger  Agreement  generally  did not  survive  the
signing of the Merger  Agreement,  that EFCC had operated in bankruptcy for nine
years,  that STAR  would be giving  certain  shareholders  of EFCC  registration
rights for the shares of STAR Common  Stock to be received in the Merger and the
factors described under the heading "RISK FACTORS".  The factors  considered and
conclusions  reached and relied upon by the STAR Board of  Directors in reaching
its  recommendation are described in greater detail in "THE MERGER -- Background
of the Merger," "-- STAR's  Reasons for the Merger;  Recommendation  of the STAR
Board"  and "--  Interests  of  Certain  Persons  in the  Merger;  Conflicts  of
Interest."

           The EFCC Board of Directors believes that the terms of the Merger are
fair to, and in the best interests of, EFCC and its  shareholders.  Accordingly,
EFCC's Board of Directors  has  unanimously  approved the Merger  Agreement  and
unanimously  recommends a vote FOR approval and adoption of the Merger Agreement
by the shareholders of EFCC. The EFCC Board of Directors  considered a number of
positive and negative  factors  concerning the Merger.  The positive factors the
EFCC Board  considered  included,  synergies to be gained by the widening of the
customer  base of the  combined  entity,  savings  in  administrative  overhead,
enhanced  liquidity  of the STAR  Common  Stock as  compared  to the EFCC Common
Stock, EFCC's continuing  struggle with  profitability,  STAR's greater depth of
management, the avoidance of large capital


                                       8
<PAGE>



expenditures for automation and quality control,  and the chance to benefit from
appreciation in STAR's Common Stock. The negative factors considered by the EFCC
Board were the possibility  that the EFCC  shareholders  would gain more by EFCC
remaining independent,  the difficulty of reversing the relocation of certain of
EFCC's patients and staff which now share STAR's  facilities if the Merger fails
to close and the uncertainty of whether the Merger would ultimately  benefit the
two companies. The primary factors considered and conclusions reached and relied
upon by the EFCC Board of Directors in reaching its recommendation are described
in  greater  detail in "THE  MERGER --  Background  of the  Merger,"  "-- EFCC's
Reasons  for the  Merger;  Recommendation  of the  EFCC  Board,"  "--  Financial
Advisor; Fairness Opinion" and "-- Interests of Certain Persons in the Merger."

           Opinion of Financial  Advisor.  Telesis Mergers & Acquisitions,  Inc.
("Telesis")  delivered to the Board of Directors of EFCC a written opinion dated
December  31,  1996 that,  as of such date and based upon and subject to certain
matters as stated therein,  the terms of the Merger are fair to the shareholders
of EFCC from a financial  point of view.  See "THE MERGER -- Financial  Advisor;
Fairness  Opinion." The full text of the written opinion of Telesis,  which sets
forth the  assumptions  made,  matters  considered and limitations on the review
undertaken  by Telesis,  is  attached  as Appendix B hereto and is  incorporated
herein by reference.  EFCC  shareholders are urged to read the opinion carefully
in its entirety.

           Effective Time of the Merger. The Merger will be effected at the time
of the filing of a Certificate of Merger (the  "Certificate of Merger") with the
New York Department of State or such later date as is designated in such filing.
The date and time of such filing (the "Effective Time") is currently expected to
occur on or shortly  after the date of the STAR Meeting and the EFCC Meeting and
satisfaction  or waiver of the  conditions  precedent to the Merger set forth in
the Merger Agreement. See "THE MERGER AGREEMENT -- Effective Time of the Merger"
and "-- Conditions of the Merger."

           Conditions to the Merger;  Termination.  The  obligations  of each of
STAR and EFCC to  consummate  the Merger  are  subject  to the  satisfaction  of
certain conditions, certain of which may be waived by the mutual consent of STAR
and EFCC,  including,  among others,  (i) 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, (ii) STAR shall
have received all state securities laws or "blue sky" permits and authorizations
necessary to issue the shares of STAR Common Stock,  (iii) the Merger  Agreement
and the Merger shall have been approved and adopted by the requisite vote of the
holders of the  outstanding  shares of the STAR Common  Stock and the holders of
the outstanding shares of the EFCC Common Stock, (iv) 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,  (v) the shares of
STAR Common Stock issuable to EFCC's  shareholders in the Merger shall have been
authorized for listing on the Nasdaq National  Market,  (vi) all third party and
governmental  approvals necessary to effect the Merger shall have been received,
and (vii) each of STAR and EFCC shall have  received the  opinion,  addressed to
each of them, of Meltzer, Lippe, Goldstein,  Wolf & Schlissel,  P.C., counsel to
EFCC, with respect to the tax consequences of the Merger.  There is currently no
intention on the part of either STAR or EFCC to waive any of the  conditions set
out above.  In the event that the  condition  set forth  above in (vi) was to be
waived, STAR would file a post-effective amendment to the Registration Statement
and both STAR and EFCC would resolicit their respective  shareholders  regarding
their approval and adoption of the Merger  Agreement.  See "THE MERGER AGREEMENT
- -- Conditions of the Merger."

           As security for the indemnification  granted to STAR by each of Arbor
and Coss under the EFCC  Shareholders  Agreement  , dated as of January 3, 1997,
each of Arbor  and Coss  agreed to  deposit  with an  escrow  agent,  the sum of
$125,000.  The escrow fund may be claimed against by STAR upon the determination
of the  existence of a claim under the escrow  agreement for a breach of certain
representations


                                       9
<PAGE>



or warranties of EFCC with respect to Compliance with Laws, Litigation, Employee
Benefit Plans, Employment Matters and Labor Matters. A claim may be made against
the escrow by STAR by the submission of a notice to each of Arbor and Coss, with
a copy to the escrow  agent (the "Escrow  Notice").  Each of Coss and Arbor have
the right  within 10 days of the receipt of an Escrow  Notice to notify STAR and
the escrow  agent of its dispute of such claim.  If no claims are made under the
escrow  agreement,  the escrow fund will, by its terms, be released to Arbor and
Coss on the second  anniversary of the closing date of the proposed  transaction
between EFCC and STAR.

           The Merger Agreement is subject to termination by either STAR or EFCC
if the Merger is not consummated by September 15, 1997. In addition,  the Merger
Agreement may be terminated under certain  circumstances by either EFCC or STAR,
including   circumstances  under  which  STAR  may  be  entitled  to  receive  a
termination fee of $350,000.  See "THE MERGER  AGREEMENT -- Termination" and "--
Effect of Termination and Abandonment."

           Surrender  of EFCC Common  Stock  Certificates.  After the  Effective
Time,  holders of EFCC Common Stock will be furnished with a transmittal  letter
to be used to exchange their certificates for the Merger Consideration.  Holders
of EFCC Common Stock should not return any stock  certificates  with the form of
proxy  accompanying  this Joint  Proxy  Statements/Prospectus.  See "THE  MERGER
AGREEMENT--Exchange of Certificates."

           Certain  Federal  Income  Tax  Consequences.  Assuming  the Merger is
consummated at the Effective Time pursuant to the terms of the Merger Agreement,
Meltzer, Lippe, Goldstein,  Wolf & Schlissel,  P.C. is of the opinion that, more
likely than not, (i) 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 the BCL,  the Merger will be treated  for United  States  federal  income tax
purposes  as a  reorganization  within  the  meaning  of  Section  368(a) of the
Internal  Revenue Code of 1986, as amended (the "Code"),  (ii) STAR,  Merger Sub
and EFCC  will  each be a party to the  reorganization  within  the  meaning  of
Section  368(b) of the Code,  (iii) 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 Merger,  except that gain,  if any, (but not loss)
will be recognized  on the receipt of cash,  other than cash received in lieu of
fractional  shares,  and gain or loss,  if any, will be recognized in connection
with the  receipt of cash in lieu of  fractional  shares,  (iv) any gain or loss
recognized  upon such  exchange will be capital gain or loss provided the shares
would constitute a capital asset in the hands of the exchanging shareholder, (v)
each  shareholder of EFCC who elects to dissent from the 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  Merger,  (vi) the tax  basis  of the STAR  Common  Stock  received  by EFCC
shareholders  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  shareholder  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,  (vii) the holding  period of the STAR Common Stock
received by the EFCC  shareholders will include the period during which the EFCC
Common Stock  surrendered was held,  provided that the EFCC Common Stock is held
as a capital asset in the hands of the EFCC  shareholders at the Effective Time,
(viii) no gain or loss will be  recognized by EFCC on the transfer of all of its
assets to Merger Sub pursuant to the Merger Agreement, (ix) no gain or loss will
be recognized by STAR or Merger Sub pursuant to the Merger, (x) 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 Merger and (xi) 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.  The  opinion of  Meltzer,  Lippe,
Goldstein,  Wolf  &  Schlissel,  P.C.  is  based  on  the  accuracy  of  certain
representations that it will receive from STAR, EFCC and


                                       10
<PAGE>



Coss Holding  Corp., a New York  corporation  ("Coss") at the Effective Time and
represents  only  counsel's  best legal  judgment as to the likely outcome of an
issue if properly presented to a court. See "THE MERGER--Certain  Federal Income
Tax Consequences" and "THE MERGER AGREEMENT--Conditions of the Merger."

           Prior to the mailing of this Joint Proxy  Statement/Prospectus,  STAR
had the right  under the Merger  Agreement  to acquire all of the shares of EFCC
Common Stock in consideration of the payment of $7,250,000 in cash. The all cash
option,  by its terms,  expired upon the mailing of the joint proxy materials to
the shareholders of EFCC and STAR.

           Accounting Treatment.  The Merger will be accounted for by STAR under
the  "purchase  method" of  accounting in  accordance  with  generally  accepted
accounting principles.  Accordingly, the aggregate consideration paid by STAR in
connection  with the Merger will be allocated to EFCC's  assets based upon their
fair  values,  and the  results of  operations  of EFCC will be  included in the
results of operations of STAR only for periods subsequent to the Effective Time.
See "THE MERGER -- Accounting Treatment."

           Interests  of  Certain  Persons in the  Merger.  In  considering  the
recommendations  of the Board of Directors of STAR and the Board of Directors of
EFCC with  respect to the Merger  Agreement  and the  transactions  contemplated
thereby,  shareholders  of STAR and EFCC should be aware that certain members of
EFCC's  management  and EFCC's  Board have  interests  in the Merger that are in
addition to and may conflict with the interests of shareholders of STAR and EFCC
generally.  The  Boards  of  Directors  of STAR  and  EFCC  were  aware of these
interests and  considered  them,  among other  factors,  in approving the Merger
Agreement  and  the  transactions  contemplated  thereby.  See  "THE  MERGER  --
Interests of Certain Persons in the Merger."

           Following  the Merger,  the persons who are  directors  of Merger Sub
immediately  prior to the Effective  Time will continue to serve as directors of
Merger  Sub.  The  Merger  Agreement  also  provides  that  after the  Merger is
effected,  Mr. Ivan Kaufman,  who controls Arbor Home Health Care Holdings,  LLC
("Arbor"),  which in turn owns approximately 40% of the outstanding Common Stock
of EFCC  and  controls  the  vote  of 80% of such  EFCC  Common  Stock,  will be
appointed to the Board of Directors of STAR.  EFCC does not anticipate  that any
officers or directors of EFCC, other than Mr. Kaufman,  would become officers or
directors of STAR or the surviving entity. See "THE MERGER - Interest of Certain
Persons  in the  Merger"  and "THE  MERGER  AGREEMENT  --  Management  after the
Merger."

           Under the terms of the  Merger  Agreement,  STAR has agreed to insure
and guaranty that any provision with respect to  indemnification by EFCC and its
subsidiaries  existing  in favor of any  present  or former  director,  officer,
employee or agent of EFCC or an EFCC subsidiary, set forth in the Certificate of
Incorporation  or by-laws of EFCC and its  subsidiaries or pursuant to any other
agreements (including insurance policies),  will survive the Merger, will not be
amended,  repealed  or modified  in any manner  that would  adversely  affect an
indemnified party, and will continue in full force and effect for a period of at
least six years from the Effective  Time.  STAR has agreed to maintain or retain
the same level of insurance coverage as currently maintained by EFCC 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 the Merger
Agreement,  and (ii) for six years after the Effective  Time. If such  insurance
were not  available  for 125% or less of the amount of the last  annual  premium
paid by EFCC or its subsidiaries prior to the date of the Merger Agreement, STAR
will be obligated to purchase as much  coverage as possible for an amount not to
exceed 125% of the last premium paid EFCC or its subsidiaries. See "THE MERGER -
Interests of Certain Persons in the Merger."


                                       11
<PAGE>


           Sternbach Proxy.  Stephen  Sternbach,  Chairman,  President and Chief
Executive Officer of STAR, granted to the directors of EFCC an irrevocable proxy
pursuant  to which  he  agreed  to vote  all  shares  over  which he has  direct
beneficial  ownership  (863,262),   currently   constituting  20.77%  of  STAR's
outstanding Common Stock, and any shares subsequently  acquired by him, in favor
of the Merger at the STAR Meeting.
See "THE STAR MEETING -- Sternbach Proxy."

           EFCC  Shareholders  Agreement.  Coss,  and Arbor  (collectively,  the
"Shareholders"),  shareholders of EFCC and Kaufman,  an individual having voting
control of the shares of EFCC owned by the Shareholders and John Natalone,  Vice
President of Arbor  Management,  as voting trustee  (replacing Gary Melius,  the
original  voting  trustee),  as to the shares of EFCC Common Stock owned by Coss
(the "Voting Trustee") under a Voting Trust Agreement, dated as of June 20, 1996
by and between EFCC, Kaufman,  Coss, Arbor and the Voting Trustee entered into a
shareholders agreement (the "EFCC Shareholders Agreement") pursuant to which the
Shareholders  and the Voting Trustee are agreeing to vote in favor of the Merger
and the Merger  Agreement.  The shares of EFCC Common Stock  subject to the EFCC
Shareholders  Agreement  represent  approximately  68% of the  outstanding  EFCC
Common Stock, assuming consummation of the TPC Merger. Accordingly, approval and
adoption of the Merger  Agreement and the transactions  contemplated  thereby by
the EFCC  shareholders  is assured since the shares of EFCC Common Stock subject
to the EFCC Shareholders  Agreement is in excess of the two-thirds vote required
to approve and adopt the Merger  Agreement  under the BCL. See "THE EFCC MEETING
- -- EFCC Shareholders Agreement."

           In  addition,  Coss,  Arbor and the  Voting  Trustee  granted  to the
directors  of STAR an  irrevocable  proxy to vote  their  shares  in the  manner
described above.

           Consulting  Agreement.  STAR and EFCC have  entered into a consulting
agreement (the "Consulting  Agreement")  pursuant to which STAR agreed that upon
EFCC's  request it will  render to EFCC,  by and through  such of its  officers,
employees and agents as STAR, in its sole  discretion,  designates  from time to
time,  consulting services with respect to the management and operation of EFCC.
The consulting  services to be rendered by STAR under the  Consulting  Agreement
consist of those consulting services relating to the management and operation of
EFCC's  healthcare  business  reasonably  requested by EFCC.  STAR and EFCC have
agreed that STAR's role is that of a consultant  and advisor to, and not that of
a  manager  of,  EFCC.  Under  the  Consulting  Agreement,  STAR  has no duty or
responsibility  to manage the  affairs  of EFCC  which  duty and  responsibility
remains at all times with the Board of Directors  and  management  of EFCC.  See
"THE MERGER -- Consulting Agreement."

           Management  Agreement.  STAR  and  EFCC  have  also  entered  into  a
management agreement (the "Management  Agreement") pursuant to which STAR agreed
to act as manager of EFCC.  The  Management  Agreement is subject to approval of
the   Commissioner   of  the  New  York   State   Department   of  Health   (the
"Commissioner").  Pursuant  to the  Management  Agreement  STAR  will  have  the
authority and  responsibility to conduct,  supervise and effectively  manage the
day-to-day  operation  of EFCC.  In the absence of oral or written  direction or
written  policies of the Board of  Directors  of EFCC,  STAR will be expected to
exercise  the  reasonable  judgment of a  management  company in its  management
activities.

           The Management  Agreement  will become  effective upon the date it is
approved by the Commissioner.  The Management Agreement may be terminated by the
Commissioner, not more than sixty (60) days after notification to the parties by
the  Department of Health of a  determination  that the management of EFCC is so
deficient  that the  health  and  safety  of  patients  would be  threatened  by
continuation  of the  Management  Agreement.  The  Management  Agreement  may be
terminated  by EFCC without  cause on 60 days' notice and with cause on 14 days'
notice.  Unless sooner terminated in accordance with the terms of the Management
Agreement,  or extended or renewed by mutual  agreement of the parties  thereto,
the  Management  Agreement  will remain in effect  until the  Effective  Time or
December 31, 1998,


                                       12
<PAGE>



whichever is sooner.  The  Management  Agreement  may only be terminated by STAR
upon the  occurrence  of an Event of  Default  as such  term is  defined  in the
Management Agreement. See "THE MERGER -- Management Agreement."

           Dissenters'  Rights.  Under the BCL, holders of EFCC Common Stock are
entitled to dissenters'  rights of appraisal in connection with the Merger.  See
"THE MERGER -- Dissenters' Rights of Appraisal."

           Resales of STAR Common  Stock.  The shares of STAR Common Stock to be
issued  pursuant  to  the  Merger  Agreement  have  been  registered  under  the
Securities  Act, and therefore may be resold without  restriction by persons who
are not deemed to be "affiliates"  (as such term is defined under the Securities
Act) of either STAR or EFCC. See "THE MERGER -- Resale Restrictions."

SUMMARY HISTORICAL CONSOLIDATED FINANCIAL DATA

           The respective  summary historical data presented in the tables below
have been derived from STAR's  Consolidated  Financial  Statements and the notes
thereto  and EFCC's  Consolidated  Financial  Statements  and the notes  thereto
included  elsewhere  herein and  should be read in  conjunction  therewith.  See
"STAR'S" and "EFCC'S MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION
AND RESULTS OF OPERATIONS."

           Data for  STAR  for the  nine  months  ended  February  29,  1996 and
February  28,  1997 have been  derived  from  unaudited  consolidated  financial
statements.  The unaudited financial  statements of STAR include all adjustments
which are of a normal recurring nature that STAR considered necessary for a fair
presentation  of the  financial  position  and results of  operations  for those
periods.  Operating  results for the nine months ended February 28, 1997 are not
necessarily  indicative  of the results that may be expected for the entire year
ending May 31, 1997.

           Data for EFCC for the three months ended March 31, 1996 and March 31,
1997 have been derived from unaudited  consolidated  financial  statements.  The
unaudited  financial  statements of EFCC include all adjustments  which are of a
normal recurring nature that EFCC considers necessary for a fair presentation of
the financial  position and results of operations for those  periods.  Operating
results for the three months ended March 31, 1997 are not necessarily indicative
of the results  that may be expected  for the entire  year ending  December  31,
1997.




                                       13
<PAGE>

STAR Summary Historical Consolidated Financial Data

<TABLE>
<CAPTION>
                                                               Year Ended                                Nine Months Ended
                                     --------------------------------------------------------------   -----------------------
                                                                 May 31                                               
                                     --------------------------------------------------------------  February 28, February 29,
                                       1996      1995(2)(3)      1994(4)        1993(5)     1992(6)     1997        1996
                                     --------    --------       --------       --------    --------   --------    --------
                                                     (IN THOUSANDS EXCEPT RATIO AND PER SHARE AMOUNTS)
STATEMENT OF OPERATIONS
DATA (1)
<S>                                  <C>         <C>            <C>            <C>         <C>        <C>         <C>     
Net Revenues                         $ 49,163    $ 38,430       $ 29,694       $ 23,428    $ 14,110   $ 39,164    $ 35,464

Income from Operations                  1,832       1,251            576            118          49      2,406       1,450

Other Income (Expense)                   (120)        (21)            67            130         122     (2,911)        (74)

Income (Loss) from Continuing           1,143         758            358            135          55       (298)        766
Operations

Income (Loss) from Discontinued          --          --             (711)          (359)        290       --          --
Operations

Gain (Loss) on Disposal of               --            30         (1,168)          --         1,405       --          --
Discontinued Operations

Cumulative Effect of Change in           --            24(7)          65(8)        --          --         --          --
Accounting Principle

Net Income (Loss)                    $  1,143    $    812       $ (1,456)      $   (224)   $  1,750   $   (298)   $    766

Income Per Share

Income (Loss) from Continuing        $   0.28    $   0.20       $   0.10       $   0.04    $   0.01   $  (0.07)   $   0.18
Operations

Income (Loss) from Discontinued          --          --            (0.20)         (0.10)       0.08       --          --
Operation

Gain (Loss) on Disposal of               --          0.01          (0.33)          --          0.38       --          --
Discontinued Operations

Cumulative Effect of Change in           --          0.01           0.02           --          --         --          --
Accounting Principle

Net Income                           $   0.28    $   0.22       $  (0.41)      $  (0.06)   $   0.47   $  (0.07)   $   0.18

Shares Used in Computing Per Share      4,012       3,799          3,529          3,621       3,699      4,278       4,257
Amounts

BALANCE SHEET DATA: (1)

Cash and Cash Equivalents            $  1,882    $  1,497       $  1,069       $  2,334    $  3,475   $     79
                                                                                                      
Working Capital                         9,415       6,774          5,525          6,650       7,901      9,197
                                                                                                      
Total Assets                           19,369      16,798         14,196         13,436      14,867     18,258
                                                                                                      
Total  Long-Term Obligations            3,604       2,156            832            115         745      3,345


                                                                                                     (TABLE CONTINUED ON NEXT PAGE)



                                       14
<PAGE>


Redeemable Preferred Stock                341         683             --             --          --         --
Shareholders' Equity                   12,045      10,622          9,577         11,201      11,403     12,142
Current Ratio                            3.79        3.03           2.46           4.14        3.91       4.32

Cash Dividend Declared Per Common    $     --    $     --       $     --       $     --    $     --   $     --
Share
</TABLE>


(1)  In August 1996, STAR acquired AMSERV HEALTHCARE  SERVICES,  INC. ("Amserv")
     in a transaction accounted for as a pooling-of- interests, accordingly, all
     periods presented have been restated to include the accounts and operations
     of Amserv for the periods prior to the acquisition.

(2)  In May 1995, STAR acquired certain assets of Long Island Nursing  Registry,
     Inc. in a transaction accounted for as a purchase.

(3)  In June 1994, STAR acquired certain assets of North Central Personnel, Inc.
     in a transaction accounted for as a purchase.

(4)  In November 1993, STAR acquired certain assets of DSI Health Care Services,
     Inc. in a transaction accounted for as a purchase.

(5)  In August  1992,  STAR  acquired  certain  assets of Unity  Care  Services,
     Inc.-New  York  Medicaid  Operations  in a  transaction  accounted for as a
     purchase.

(6)  In May 1992,  STAR  acquired  certain  assets of Unity  Healthcare  Holding
     Company, Inc., Unity Care Services, Inc.-New York Operations and Unity Home
     Care of Florida, Inc. in a transaction accounted for as a purchase.

(7)  Effective  July 1994,  STAR adopted SFAS No. 115,  "Accounting  for Certain
     Investments in Debt and Equity  Securities."  See Note 3 of STAR's Notes to
     Consolidated Financial Statements.

(8)  Effective June 1, 1993,  STAR adopted SFAS No. 109,  "Accounting for Income
     Taxes." See Note 9 of STAR's Notes to Consolidated Financial Statements.



                                       15
<PAGE>




EFCC Summary Historical Consolidated Financial Data

<TABLE>
<CAPTION>
                                                                   Year Ended                         Three Months Ended
                                           -------------------------------------------------------    --------------------
                                                                 December 31,
                                           -------------------------------------------------------    March 31,   March 31,
                                             1996       1995       1994(1)      1993        1992        1997        1996
                                           --------   --------    --------    --------    --------    --------    --------
                                                         (IN THOUSANDS EXCEPT RATIO AND PER SHARE AMOUNTS)
<S>                                        <C>        <C>         <C>         <C>         <C>         <C>         <C>     
STATEMENT OF OPERATIONS
DATA

Net Revenues                               $  8,929   $  7,368    $  4,610    $  3,053    $  2,550    $  2,322    $  1,985
Income (Loss) from Operations                    68        482           1        (189)        (76)         18        (100)
Interest Income (Expense)                         6         (4)        (21)       --           (47)          2          (2)
Income (Loss) from Continuing Operations         19        268         (56)       (187)       (123)          8         (64)
Minority Interest in Subsidiary (Income)       --          (46)          9          11        --            (2)         11
Loss

INCOME PER SHARE
Income (Loss) from Continuing Operations   $  0.009   $ 0.0127    $(0.0029)   $(0.0221)   $(0.0238)   $ 0.0002    $(0.0027)
Shares Used in Computing Per Share           21,809     21,034      19,300       8,454       5,162      32,000      19,300
Amounts

BALANCE SHEET DATA:
Cash and Cash Equivalents                   $ 1,066   $   512     $    97     $    25     $    18     $   445
Working Capital                               1,528       286        (179)        (30)         95         815
Total Assets                                  3,572     2,458       2,043       1,302         688       2,962
Total Long-Term Obligations                     106        95          62         239         511          98
Minority Interest                               140       140          94          17        --           141
Shareholders' Equity                          2,225       956         734         363        (335)      1,481
Current Ratio                                  2.39      1.23        0.84        0.96        1.19        1.66
                                                                                                      
Cash Dividend Per Common Share              $  --     $  --       $  --       $  --       $  --       $0.0234
</TABLE>

(1)  In 1993, EFCC implemented  Statement of Position 90-70 "Financial Reporting
     by Entities in Reorganization Under the Bankruptcy Code."



                                       16
<PAGE>



SUMMARY UNAUDITED PRO FORMA CONDENSED COMBINED FINANCIAL DATA

           The following  table  presents  summary  unaudited pro forma selected
operations  data for the year ended May 31, 1996 and for the nine  months  ended
February 28, 1997. The income  statement data has been prepared as if the Merger
and the other transactions  requiring pro forma adjustments had occurred on June
1, 1995  assuming that the Merger had been  consummated  and accounted for using
the purchase  method of  accounting.  The balance  sheet data has been  prepared
assuming the Merger had been consummated on February 28, 1997.

           The  following  summary   unaudited  pro  forma  condensed   combined
financial data are provided for comparative  purposes only and should be read in
conjunction with the unaudited pro forma condensed combined financial statements
and the notes thereto and the separate audited consolidated financial statements
and related notes thereto of STAR and EFCC. See  "UNAUDITED PRO FORMA  CONDENSED
COMBINED  FINANCIAL  STATEMENTS."  The  following  summary  unaudited  pro forma
condensed  combined  financial  data does not  purport to be  indicative  of the
results which actually would have occurred if the Merger had been consummated on
the dates indicated or which may be obtained in the future.

<TABLE>
<CAPTION>
                                              Year Ended May 31,           Nine Months Ended
                                              ------------------           -----------------
                                                                              February 28,
                                                     1996                         1997
                                                     ----                         ----
                                                 (IN THOUSANDS, EXCEPT PER SHARE
                                                             AMOUNTS)
INCOME STATEMENT DATA:
<S>                                               <C>                          <C>     
Net revenues                                      $ 57,281                     $ 46,212
                                                                            
Operating expenses                                  55,557                       43,815
                                                                            
Operating income                                     1,724                        2,397
                                                                            
Other (income) expense                                 384                        3,093
                                                                            
Income (loss) from continuing operations                                    
     before provision for income taxes               1,340                         (696)
                                                                            
Provision (benefit) for income taxes                   422                         (258)
                                                                            
Income (loss) from continuing operations               918                         (438)
                                                                            
Income (loss) from continuing operations per      $    .18                     $   (.08)
   common share                                                             
                                                                            
Weighted average shares outstanding                  5,089                        5,356
                                                                            
                                                               
                                                 February 28,
BALANCE SHEET DATA:                                 1997
                                                --------------
                                                (IN THOUSANDS)
Cash and cash equivalents                          $      524
Working capital                                         9,693
Total assets                                           27,483
Long-term obligations, excluding current
   maturities                                           6,478
Shareholders' equity                                   16,992

</TABLE>


                                       17
<PAGE>



    ADOPTION OF AMENDMENT TO STAR 1992 PLAN AND ADOPTION OF STAR 1997 PLAN.

           At the STAR Meeting, the STAR shareholders will also be asked to vote
on two  proposals.  One proposal  will be to adopt an amendment to the STAR 1992
Plan to limit the number of shares of STAR  Common  Stock that may be subject to
options to any one  optionee in any fiscal year to 100,000,  subject to the STAR
1992 Plan  antidilution  provisions.  The other  proposal to be submitted at the
STAR  Meeting is to adopt the STAR 1997 Plan.  The STAR 1997 Plan is designed to
provide an incentive to directors  who are not employees of STAR and to offer an
additional inducement in obtaining the services of such individuals.



                                       18
<PAGE>



                                  RISK FACTORS

           The  following   factors  should  be  considered   carefully  by  the
shareholders  of STAR and EFCC in evaluating the terms of the Merger  Agreement,
the Merger and the STAR Common Stock offered hereby.

           Certain statements in this Joint Proxy  Statement/Prospectus  are not
historical facts and constitute "forward-looking  statements" within the meaning
of the Private  Securities  Litigation Reform Act of 1995. Such  forward-looking
statements  involve  known and unknown  risks,  uncertainties  and other factors
which may cause the actual results of STAR and EFCC,  after  consummation of the
Merger to be materially  different from  historical  results or from any results
expressed   or  implied  by  such   forward-looking   statements.   Such  risks,
uncertainties  and other factors include,  but are not limited to, the following
risks:

                     Risks Relating to an Investment in Star
                     ---------------------------------------

           LACK OF LIQUIDITY.  STAR pays its  employees on a weekly basis.  STAR
typically  does not receive  payment from  hospitals,  insurance  companies  and
governmental agencies earlier than 60 to 180 days, or longer, after rendering an
invoice. Accordingly,  STAR's operating cash flow may, at times, be insufficient
to meet  certain  of its  obligations.  STAR  has a  revolving  line  of  credit
permitting borrowings up to $8,000,000,  which STAR borrows against from time to
time to meet its outstanding obligations. This line of credit expires on October
31,  1998 and is  subject  to  renewal.  As STAR's  business  expands,  however,
significant  additional financing is likely to be required.  If STAR were unable
to secure such financing on terms deemed favorable by management, such inability
would have a material  adverse effect on STAR's financial  condition,  including
its ability to meet certain of its obligations as they come due.

           HEALTH  CARE  REFORM.  As a result of the  escalation  of health care
costs and the inability of many  individuals and employers to obtain  affordable
health  insurance,  numerous  proposals  have been or may be  introduced  in the
United States  Congress and state  legislatures,  and other  proposals are being
considered,  relating to health care reform. Such proposals have included, among
other  things,  provision of  universal  access to health  care,  reforming  the
payment  methodology  for  health  care  goods and  services  by both the public
(Medicare and Medicaid)  and private  sectors,  and methods to control or reduce
public and private  spending on health care. The ultimate  timing or effect such
reforms may have on STAR cannot be predicted  and no assurance can be given that
any such  reforms  will not have a material  adverse  effect on STAR's  revenues
and/or earnings.  Short-term cost containment initiatives may vary substantially
from long-term reforms and may have a material adverse effect on STAR.

           REGULATORY ENVIRONMENT; THIRD PARTY PAYORS. As a provider of services
under the Medicare and Medicaid  programs,  STAR is subject to the federal fraud
and abuse and the so-called "Stark"  anti-referral laws, violations of which may
result in civil and criminal  penalties and exclusion from  participation in the
Medicare and Medicaid programs.  In addition,  several states have enacted their
own  statutory  analogs of the federal fraud and abuse and  anti-referral  laws.
There can be no assurance that  administrative  or judicial  interpretations  of
existing  statutes or regulations or enactments of new laws or regulations  will
not have a material adverse effect on STAR's operations or financial condition.

           Health care is subject to laws and regulations of federal,  state and
local governments.  The failure to obtain, renew or maintain any of the required
regulatory approvals or licenses could adversely affect the business of STAR and
could prevent it from offering its products or services.

           Virtually  all  of  STAR's  revenues  are  attributable  to  payments
received from third-party  payors,  including the Medicare and Medicaid programs
and private insurers. There are increasing pressures from



                                       19
<PAGE>


many  payor  sources  to control  health  care  costs.  In  addition,  there are
increasing  pressures  from  public and  private  payors to limit  increases  in
reimbursement   rates  for  medical   services.   The  levels  of  revenues  and
profitability of STAR,  similar to other health care companies,  will be subject
to the effect of possible reductions in coverage or payment rates by third-party
payors. Such payments are subject to audit and adjustment, including retroactive
adjustment.  During the fiscal years 1994, 1995 and 1996 such  adjustments  have
been  insignificant.  In the event that future audits result in adjustments that
are not  insignificant,  then such  adjustments  could have a  material  adverse
effect  on STAR.  Such  changes  could  have a  material  adverse  effect on the
business and results of operations  of STAR. In addition,  the payments of third
party  payors  are  subject  to  audit  and  adjustment,  including  retroactive
adjustment.

           COMPETITION. The home health care and temporary health care personnel
placement  markets are highly  fragmented and significant  competitors are often
localized in particular geographical markets. STAR's largest competitors include
Olsten Company and Staff Builders. Some of the entities with which STAR competes
have substantially greater financial and other resources than STAR. Accordingly,
STAR may be unable to successfully compete in this environment.

           NEED FOR QUALIFIED  PERSONNEL.  STAR's business is dependent in large
part upon its  ability to recruit  and retain  qualified  registered  nurses and
other  professional and medical support  personnel to fill positions in a timely
manner.  STAR faces intense  competition from other companies in recruiting such
qualified  health  care  personnel  for its  Home  Care  and  Hospital  Staffing
operations. STAR's growth may depend, to a significant degree, on its ability to
continue to recruit and retain such qualified  health care personnel.  There can
be no assurance  that such  qualified  health care personnel will continue to be
available to STAR in the future.  If STAR were to be unable to attract or retain
such qualified health care personnel, it would have a material adverse effect on
the business of STAR.

           GOVERNMENT  REGULATIONS AND LICENSING.  STAR is currently licensed to
provide home health care in the five boroughs of New York City, Nassau, Suffolk,
Westchester,  Oswego, Oneida, Onondaga,  Cayuga, Madison, Jefferson and Herkimer
Counties  in New York  State  and the  State of  Florida.  In  Broward  and Dade
Counties in  Florida,  STAR also  maintains a Certified  Home Health Care Agency
which participates in both the Medicare and Medicaid programs. STAR, through its
wholly  owned  subsidiary,  Amserv,  is also  licensed  to provide  health  care
services  in New  Jersey  and  Ohio,  with  the  Ohio  office  also  maintaining
certification to provide medicare reimbursed services.

           STAR's  business is subject to  substantial  regulations  by Federal,
state   and   local   authorities   which   impose  a   significant   compliance
responsibilities  on STAR.  STAR,  among  other  things,  must comply with state
licensing and  certificate of need ("CON")  requirements  as well as Federal and
state  eligibility  standards  for  certification  as a  Medicare  and  Medicaid
provider.  The denial or revocation of any license or permit  necessary for STAR
to operate in a particular market could have a material adverse effect on STAR's
operations.  In  addition,  STAR  will  be  required  to  comply  to the  extent
applicable,  with the licensing and/or CON requirements and other regulations in
any jurisdiction in which it may plan to provide services in the future.

           Applicable  laws and  regulations in all states are subject to change
by state  legislatures  and appropriate  regulatory  authorities and also may be
affected by changes in federal legislation, as well as local county legislation.
The imposition of more stringent regulatory requirements could have a materially
adverse  impact on STAR's  operations.  In  addition,  STAR will be  required to
comply with  applicable  laws and  regulations  in any new state in which it may
operate. If STAR should not be able to comply for any reason, it would be unable
to conduct business in such state.



                                       20
<PAGE>



           AUDITS.  Under current  reimbursement  regulations under Medicare and
Medicaid,  funds received  under  Medicare and Medicaid  programs are subject to
audit with respect to proper  application  of the various  payment  formulas and
regulations.  These  audits can result in  retroactive  adjustment  of  payments
received from these programs,  resulting in either amounts due to the government
agency from STAR or amounts due to STAR from the governmental agency.

           STAR has a Medicaid audit pending with the State of New York and does
not  anticipate  that any  material  adjustment  will  result  from such  audit.
However,   there  can  be  no  assurance   that  this  audit  will  be  resolved
satisfactorily  in favor of STAR.  In  addition,  STAR has  agreed to submit its
books and record to a voluntary  survey to be performed by the State of New York
with respect to Medicaid patients. There can be no assurance that this voluntary
review will be resolved satisfactorily in favor of STAR.

           In May 1997,  STAR was advised that an audit of American  Health Care
Services,  STAR's Medicare  agency,  by the Office of Audit Services,  Office of
Inspector  General of the United States  Department of Health and Human Services
which had been  forwarded to the Medicare  intermediary  assigned to  administer
Medicare  payments  in Florida had been  referred  to the Civil  Division of the
United  States  Attorney  for the  Southern  District of Florida.  STAR has been
advised  by Broad  and  Cassel  ("Regulatory  Counsel")  that  they have been in
contact with the Assistant  United States Attorney  assigned to the matter,  and
they do not know at this time the extent of STAR's liability. Regulatory Counsel
has also advised STAR that STAR could pursue claims  against third parties (e.g.
subcontractors and licensed home health agencies) for a portion of any liability
of STAR.  Management  anticipates  that this  matter  should  be  satisfactorily
resolved.  This is grounded upon the advice of Regulatory Counsel to the Company
as to (i) the  resolution  of similar types of audits or claims based upon their
experience in the health care industry and dealing with similar  matters  before
the Department of Justice even though there has been no final  determination  of
liability  and can be no assurance as to the  ultimate  liability;  and (ii) the
fact that STAR  should  have the  right,  whether  or not this audit or claim is
resolved  in whole or in part in  STAR's  favor,  to claim  against  third-party
independent  contractors  and other parties that may have  rendered  services to
STAR, even though there is no assurance that any such claims would be ultimately
collectible.

           PRICE  CONSTRAINTS.  Certain  proposals by state  legislatures and by
Congress  to contain  health  care  costs,  such as  proposals  for  cutbacks in
Medicare and Medicaid  reimbursement levels,  governmentally  imposed freezes on
prices charged by  physicians,  hospitals and other health care  providers,  and
greater state  flexibility in the  administration  of Medicaid,  could adversely
affect STAR. During the fiscal years ended May 31, 1994, 1995 and 1996, 62%, 62%
and 59%,  respectively,  of  STAR's  revenues  were  attributable  to  Medicare,
Medicaid  and other state and federal  government  payments.  A number of states
have reduced  funding for health care services or have placed  certain limits on
reimbursable  expenses.   There  can  be  no  assurance  that  additional  state
legislatures  and Congress will not further reduce funding or impose  additional
limits on reimbursements, particularly with respect to expenses to be reimbursed
through  Medicaid.  Such reductions in funding and limits on  reimbursement,  if
enacted, could have a material adverse effect on STAR's operating results.

           LIABILITY   FOR  SERVICES  AND   INSURANCE.   STAR's   employees  and
independent  contractors routinely confront life threatening situations and also
make decisions which can have significant  medical  consequences to the patients
in their care.  As a result,  STAR is exposed to  substantial  liability  in the
event of negligence or wrongful acts of its personnel.  STAR  maintains  medical
professional  insurance providing for coverage in a maximum amount of $1,000,000
per claim,  subject to a limitation of $10,000,000  for all claims in any single
year.  In addition,  STAR  requires that any  independent  contractor  whom STAR
refers  to  institutions  for  employment  supply  a  certificate  of  insurance
evidencing that such person maintains their own medical  professional  liability
insurance  providing for coverage of no less than $1,000,000 per claim,  subject
to a limitation  of no more than  $3,000,000  for all claims in a single  policy
year.  Although  there are currently no material  claims  pending  against STAR,
there  can be no  assurance  that  STAR will be able to  maintain  its  existing
insurance at an acceptable cost or obtain additional  insurance in the future as
required or that such level of insurance will be sufficient to cover liabilities
from claims that may be brought.  A partially or completely  uninsured claim, if
successfully asserted and of sufficient magnitude, could have a material adverse
effect on STAR and its financial condition.




                                       21
<PAGE>



           PENDING  LITIGATION.  In November  1996,  Eugene J. Mora commenced an
action in the  Superior  Court of the  State of  California,  San Diego  County,
against STAR,  Amserv,  William Fellerman and Stephen  Sternbach.  The complaint
arose out of the termination of Mr. Mora, the former Chief Executive  Officer of
Amserv.  Mr.  Mora  alleges  that the  defendant  caused  Amserv to  breach  his
employment  contract with Amserv.  Mr. Mora seeks monetary and punitive damages,
as well as penalties. See "Business of STAR - Legal Proceedings."

           NO CASH DIVIDENDS.  Since prior to its initial public offering in May
1991,  STAR has not paid cash  dividends  on the STAR  Common  Stock.  It is the
present policy of STAR to retain  earnings,  if any, to finance the  development
and growth of its  business.  Accordingly,  STAR does not  anticipate  that cash
dividends will be paid until earnings of STAR warrant such dividends,  and there
can be no assurance that STAR can achieve such earnings or any earnings.

                          Risks Relating to the Merger
                          ----------------------------

           NO ASSURANCE  THAT STAR WILL REALIZE  ANTICIPATED  BENEFITS  FROM THE
MERGER.  The Merger involves the combination of certain aspects of two companies
that have operated  independently.  Accordingly,  there can be no assurance that
EFCC can be successfully  integrated into STAR or that STAR and its shareholders
(including  persons  who become  shareholders  as a result of the  Merger)  will
ultimately realize any of the anticipated benefits of the Merger.

           POTENTIAL CONFLICTS OF INTEREST. In considering the recommendation of
the Board of  Directors  of STAR and the Board of Directors of EFCC with respect
to the Merger Agreement and the transactions contemplated thereby,  shareholders
should be aware that certain members of EFCC's management,  EFCC's Board and Mr.
Ivan Kaufman have  interests in the Merger that are in addition to the interests
of shareholders of STAR and EFCC generally.  The Boards of Directors of STAR and
EFCC were aware of these interests and considered them, among other factors,  in
approving the Merger Agreement and the transactions  contemplated  thereby.  See
"THE MERGER -- Interests of Certain Persons in the Merger."

           CONTROL BY MANAGEMENT.  After completion of the Merger, Mr. Sternbach
will have voting power over  approximately  19.1% of the outstanding STAR Common
Stock.  While Mr.  Sternbach's  ownership will not allow him to exercise control
over STAR, his stock  ownership as well as his position as Chairman of the Board
of Directors,  President and Chief Executive Officer will enable him to exercise
significant influence on the management and operation of the combined entity.

           LACK OF UPDATE TO TELESIS OPINION.  EFCC has received an opinion from
Telesis,  dated  December 31, 1996 to the effect that, as of such date and based
upon certain matters as stated therein,  the terms of the Merger are fair to the
shareholders  of EFCC  from a  financial  point of view.  EFCC's  obligation  to
consummate the Merger is not  conditional  upon receipt of an updated  financial
opinion.  EFCC does not intend to obtain,  and Telesis is under no obligation to
provide, an update of such opinion. Accordingly,  there can be no assurance that
Telesis would render a similar  opinion as of a date  subsequent to December 31,
1996.  See "THE MERGER -- EFCC's Reasons for the Merger;  Recommendation  of the
EFCC Board of Directors; Financial Advisor; Fairness Opinion."

           NON-COMPLIANCE   WITH  CERTAIN  SECURITIES  LAWS.  Since  filing  its
petition  for  bankruptcy  in 1986,  until the filing of its Form 10-KSB for the
period  ending  December  31, 1995 (the "1995  10-KSB"),  EFCC has not filed any
required  reports  under the Exchange Act. The last such report filed was EFCC's
Form 10-K for the fiscal year ended December 31, 1985. During the years while in
bankruptcy,  EFCC did not possess adequate  financial and staffing  resources to
produce audited financial statements and other reports as required



                                       22
<PAGE>


by the Exchange Act. EFCC has filed all reports  required under the Exchange Act
commencing with the 1995 10-KSB.

           TPC was required to and failed to file  Exchange  Act reports,  which
obligation  arose as a  result  of the  registration  statement  filed  with the
Commission  in connection  with its aborted 1985  offering  having been declared
effective,  coupled with its  subsequent  failure to withdraw this  registration
statement. See "Business of EFCC and TPC."

           As a result of EFCC's and TPC's past non-compliance with the Exchange
Act, the  Securities  and Exchange  Commission  may determine to bring civil and
administrative  proceedings  against EFCC and TPC.  While the likelihood of such
proceedings being brought is uncertain,  if such proceedings were to be brought,
EFCC and TPC  could be  subject  to  substantial  monetary  penalties  and other
administrative remedies.

           DILUTION OF VOTING POWER.  Consummation  of the Merger will result in
an  approximate  24.2%  increase  in the number of shares of STAR  Common  Stock
outstanding.  Shareholders of STAR will,  therefore,  experience a corresponding
dilution of their voting  power.  In exchange for 100% of the  outstanding  EFCC
Common  Stock,  shareholders  of EFCC will  receive  approximately  19.5% of the
outstanding voting stock of STAR.  Accordingly,  they will experience a dilution
of approximately 19.5% of their relative voting authority after the Merger.

           CERTAIN  FEDERAL INCOME TAX  CONSEQUENCES.  The Merger is intended to
qualify as a "tax-free  reorganization"  for federal  income tax purposes  under
Section 368(a)(1) of the Code. If the Merger so qualifies,  no gain or loss will
be recognized for United States Federal income tax purposes by each  shareholder
of EFCC as a result of the exchange of shares of EFCC Common Stock for shares of
STAR Common Stock with respect to that portion of the merger  consideration paid
in shares of STAR Common Stock. However, if in lieu of the issuance of shares of
STAR Common Stock the cash option is  exercised by STAR,  the receipt of cash by
each of the  shareholders  of EFCC may give rise to a taxable gain or loss. Such
gain or loss would be long-term  capital gain or loss,  provided  such shares of
EFCC Common Stock had been held more than one year.

           Each  shareholder  of EFCC is urged to consult his or her tax advisor
to determine the specific tax  consequences  of the Merger to such  shareholder.
The  obligations  of both EFCC and STAR to consummate  the Merger are subject to
the  receipt of an opinion of EFCC's tax  counsel to the effect  that the Merger
will be a "tax-free  reorganization"  for  federal  income tax  purposes.  For a
further discussion of certain federal income tax consequences of the Merger, see
"THE MERGER - Certain Federal Income Tax Consequences" and "THE MERGER AGREEMENT
- -- Conditions of the Merger."

           POSSIBLE ADVERSE IMPACT IF STAR MERGER IS NOT CONSUMMATED. Certain of
TPC's  operations  have been  administered  by STAR in  furtherance  of the STAR
Merger  Agreement.  If,  for any  reason,  the STAR  Merger  were not to  occur,
transferring these functions back to EFCC could be costly and time consuming and
may adversely affect EFCC.


                                       23
<PAGE>


                           COMPARATIVE PER SHARE DATA

           The following table presents historical and equivalent  unaudited pro
forma per share data of STAR and EFCC after  giving  effect to the Merger  using
the purchase method of accounting, assuming the Merger had been effective during
all periods  presented.  The pro forma data does not purport to be indicative of
the results of future operations or the results that would have occurred had the
Merger  been  consummated  at  the  beginning  of  the  periods  presented.  The
information  set forth below should be read in  conjunction  with the  financial
statements  and the notes  thereto of STAR and EFCC and the  unaudited pro forma
condensed combined financial  statements  included elsewhere in this Joint Proxy
Statement/Prospectus.

           The Pro Forma  Combined and EFCC  equivalent  Pro Forma  amounts were
calculated  assuming the  issuance of  1,077,778  shares of STAR Common Stock in
exchange for the  outstanding  shares of EFCC Common Stock  assuming a price per
share of STAR Common Stock of $4.50 (See "Notes to Unaudited Pro Forma Condensed
Combined Financial Statements").

<TABLE>
<CAPTION>
                                                                         STAR                     EFCC
                                                                ----------------------   ----------------------
                                                    Pro Forma                Equivalent               Equivalent
                                                    Combined    Historical   Pro Forma   Historical   Pro Forma
<S>                                                   <C>        <C>          <C>         <C>         <C>     
Book value per share of common
 stock outstanding at February 28, 1997               $ 3.34     $   3.02     $    --     $   0.05    $   0.14
                                                                                                      
Cash Dividends Declared (1)                           $ 0.15     $    --      $    --     $   0.02    $   0.01
                                                                                                      
Income (loss) per share from continuing operations:                                                   
                                                                                                      
    Nine months ended February 28, 1997               $(0.08)    $  (0.07)    $    --     $   0.00    $   0.00
                                                                                                      
    Year ended May 31, 1996                           $ 0.18     $   0.28     $    --     $   0.00    $   0.01
                                                                                                  
</TABLE>


(1)  On January 21, 1997, pursuant to the Merger Agreement,  EFCC paid a special
     cash  dividend  of $750,000  to its  shareholders  of record on January 13,
     1997.  Neither STAR nor EFCC has paid any other cash  dividends  during the
     past five years.


                                       24
<PAGE>


                             COMPARATIVE MARKET DATA

           STAR Common Stock is listed on the Nasdaq  National  Market under the
symbol "SMCS." EFCC Common Stock is quoted in the over-the-counter market of the
"Nasdaq  Bulletin  Board" and on the "Pink  Sheets" as reported by the  National
Quotation Bureau,  Inc. under the symbol "CXCS." The table below sets forth, for
the fiscal  quarters  (based upon the respective  fiscal years of STAR and EFCC)
indicated, the high and low sales prices per share.

<TABLE>
<CAPTION>
                                                              STAR COMMON STOCK                 EFCC COMMON STOCK
                                                              -----------------                 -----------------
                                                            HIGH             LOW              HIGH            LOW
                                                            ----             ---              ----            ---
<S>                                                      <C>                <C>              <C>             <C>  
Fiscal 1996/1995:
       First Quarter.................................... $  4.375           $3.50            $.125           $.031
       Second Quarter...................................    7.375            4.1875           .250            .063
       Third Quarter....................................    8.125            5.50             .250            .063
       Fourth Quarter...................................    7.50             5.125            .375            .063
Fiscal 1997/1996:
       First Quarter.................................... $10.9375           $5.9375          $.437           $.250
       Second Quarter...................................    7.25             5.8125           .500            .187
       Third Quarter....................................    7.0              5.50             .250            .125
       Fourth Quarter (through April 21, 1997 for STAR).    6.0              4.50             .156            .040
Fiscal 1997 (for EFCC)
       First Quarter ...................................    N/A              N/A              .16             .062
       Second Quarter (through May 30, 1997.............    N/A              N/A              .10             .062
</TABLE>

           The last reported sale prices per share of STAR Common Stock and EFCC
Common  Stock  on  January  2,  1997,  the last  trading  day  preceding  public
announcement  of the Merger,  were $5.875 and $0.15,  respectively.  On July 24,
1997 the  closing  sale price per share of STAR  Common  Stock was $5.50 and the
closing sale price per share of EFCC Common Stock was $.08.

           As of July 24,  1997 the number of  holders of record of STAR  Common
Stock and EFCC Common Stock were 218 and 1,271, respectively. Since prior to its
initial  public  offering in May 1991,  STAR has not paid cash  dividends on the
STAR Common Stock. It is the present policy of STAR to retain earnings,  if any,
to finance the  development and growth of its business.  Accordingly,  STAR does
not  anticipate  that cash dividends will be paid until earnings of STAR warrant
such  dividends,  and  there can be no  assurance  that  STAR can  achieve  such
earnings or any earnings.  On January 21, 1997, in accordance  with the terms of
the  Merger  Agreement,  the Board of  Directors  of EFCC  paid a  special  cash
dividend on shares of its common stock in an aggregate  amount of $750,000  (the
"Special  Dividend").  Other  than  the  Special  Dividend,  EFCC  paid  no cash
dividends  during the past two fiscal years.  It is the policy of EFCC to retain
all  earnings,  if any, to finance the  development  and growth of its business.
Accordingly,  EFCC does not anticipate  paying cash dividends in the foreseeable
future. In addition, the Merger Agreement prohibits the payment of any dividends
by EFCC prior to the Effective Time.

           SHAREHOLDERS  OF STAR AND EFCC ARE  URGED TO  OBTAIN  CURRENT  MARKET
QUOTATIONS  FOR STAR COMMON STOCK AND EFCC COMMON  STOCK.  NO  ASSURANCE  CAN BE
GIVEN AS TO THE MARKET PRICE OF STAR COMMON STOCK AFTER THE MERGER.



                                       25
<PAGE>



                                THE STAR MEETING

GENERAL

           This Joint Proxy  Statement/Prospectus  is being furnished by STAR to
the holders of STAR Common Stock in connection with the  solicitation of proxies
by the Board of Directors of STAR for use at a Special  Meeting of  Shareholders
of STAR to be held on September 5, 1997 at the offices of Parker Chapin  Flattau
& Klimpl,  LLP, 1211 Avenue of the Americas (18th Floor),  New York, New York at
10:00 A.M., local time, and any adjournments or postponements thereof.

           This Joint Proxy Statement/Prospectus, the attached Notice of Meeting
and the  accompanying  form of proxy are first being mailed to  shareholders  of
STAR on or about August 11, 1997.

MATTERS TO BE CONSIDERED AT THE STAR MEETING

           At the STAR  Meeting,  holders  of shares of STAR  Common  Stock will
consider and vote upon: (i) a proposal to approve and adopt the Merger Agreement
and the  transactions  contemplated  thereby;  (ii) adopt an amendment to STAR's
1992 Stock Option Plan (the "STAR 1992 Plan"),  limiting the number of shares of
STAR Common Stock subject to options  granted to any optionee in any fiscal year
to 100,000; (iii) adopt STAR's 1997 Non-Employee Director Stock Option Plan (the
"STAR 1997 Plan") and (iv) such other  business as properly  may come before the
STAR Meeting or any adjournments or postponements thereof.

           The STAR  Board of  Directors  has  unanimously  approved  the Merger
Agreement and the transactions contemplated thereby. The STAR Board of Directors
believes that the terms of the Merger are fair to, and in the best interests of,
STAR and its  shareholders  and unanimously  recommends that the holders of STAR
Common Stock vote FOR the approval and adoption of the Merger  Agreement and the
transactions  contemplated thereby. For further information,  see "THE MERGER --
STAR's Reasons for the Merger; Recommendation of the STAR Board." The STAR Board
of Directors has also unanimously  approved the adoption of the amendment to the
STAR 1992 Plan and the  adoption of the STAR 1997 Plan and  recommends  that you
vote FOR each such proposal.

STAR RECORD DATE

           The Board of  Directors  of STAR has fixed the close of  business  on
July  28,  1997 as the  STAR  record  date  (the  "STAR  Record  Date")  for the
determination  of STAR  shareholders  entitled to notice of, and to vote at, the
STAR Meeting. Accordingly, only holders of record of shares of STAR Common Stock
at the close of business on the STAR Record Date are  entitled to notice of, and
to vote at, the STAR Meeting.  As of the STAR Record Date,  4,212,387  shares of
STAR Common Stock were outstanding and held of record by 218 STAR shareholders.

PROXIES

           When a proxy card is returned,  properly signed and dated, the shares
of STAR Common Stock  represented  thereby will be voted in accordance  with the
instructions on the proxy card. If a STAR  shareholder  does not attend the STAR
Meeting  and does not return  the signed  proxy  card,  such STAR  shareholder's
shares will not be voted. If a STAR shareholder  returns a signed proxy card but
does not  indicate  how his or her shares are to be voted,  such  shares of STAR
Common  Stock will be voted (i) FOR  approval  of the Merger  Agreement  and the
transactions  contemplated  thereby;  (ii) FOR  approval of the  adoption of the
amendment  to the STAR 1992 Plan;  and (iii) FOR adoption of the STAR 1997 Plan.
As of


                                       26
<PAGE>



the date of this Joint Proxy  Statement/Prospectus,  the STAR Board of Directors
does not know of any other matters which are to come before the STAR Meeting. If
any other matters are properly  presented at the STAR Meeting for consideration,
the persons named in the enclosed form of proxy and acting  thereunder will have
discretion to vote on such matters in accordance  with their best judgment.  The
giving of a proxy, however,  will not convey discretionary  authority to adjourn
or postpone the STAR Meeting for the purpose of soliciting additional votes.

           Any proxy given pursuant to this  solicitation  may be revoked by the
person  giving it at any time before it is voted.  Proxies may be revoked by (i)
filing with the  Secretary  of STAR,  at or before the taking of the vote at the
STAR  Meeting,  a written  notice of  revocation  bearing a later  date than the
proxy,  (ii) duly  executing a later dated proxy  relating to the same shares of
STAR Common Stock and  delivering  it to the Secretary of STAR before the taking
of the vote at the STAR Meeting or (iii)  attending  the STAR Meeting and voting
in person  (although  attendance  at the STAR  Meeting will not in and of itself
constitute  a  revocation  of a proxy).  Any  written  notice of  revocation  or
subsequent  proxy  should  be sent so as to be  delivered  to  STAR  MULTI  CARE
SERVICES,  INC.,  99  Railroad  Station  Plaza,  Hicksville,   New  York  11801,
Attention: Corporate Secretary, or hand delivered to the Secretary of STAR at or
before the taking of the vote at the STAR Meeting.

           STAR  will bear the cost of the  solicitation  of  proxies  from STAR
shareholders.  In addition to solicitation  by use of the mails,  proxies may be
solicited  by  directors,  officers,  and  employees  of  STAR in  person  or by
telephone  or  other  means  of  communication.  Such  directors,  officers  and
employees of EFCC will not be  additionally  compensated,  but may be reimbursed
for  out-of-pocket  expenses  incurred  in  connection  with such  solicitation.
Arrangements also will be made with custodians, nominees and fiduciaries for the
forwarding of proxy  solicitation  materials to beneficial owners of shares held
of record by such custodians,  nominees and fiduciaries, and STAR will reimburse
such custodians,  nominees and fiduciaries for reasonable  expenses  incurred in
connection therewith.

QUORUM

           The presence,  either in person or by properly executed  proxies,  of
the holders of a majority of the shares of STAR Common Stock entitled to vote is
necessary  to  constitute a quorum at the STAR  Meeting.  Both  abstentions  and
broker non-votes are considered present for purposes of determining a quorum but
are excluded from votes cast.

VOTE REQUIRED

           STAR  shareholders  are  entitled to one vote at the STAR Meeting for
each share of STAR Common  Stock held of record by them on the STAR Record Date.
The  affirmative  vote of the holders of a majority of the shares of STAR Common
Stock voted at the STAR Meeting,  in person or by proxy,  is required to approve
and adopt the Merger Agreement and the transactions  contemplated  thereby, if a
number of shares of STAR Common Stock equal to more than 20% will be issued as a
result of the Merger.  The affirmative vote of the majority of the votes cast at
the STAR Meeting will be required to approve the amendment to the STAR 1992 Plan
and to approve the adoption of the STAR 1997 Plan.  Since approval of the Merger
Agreement  requires  a  majority  of the  votes  cast,  abstentions  and  broker
non-votes will not affect the outcome of this proposal.

           As of the STAR Record Date, STAR's directors,  executive officers and
affiliates  may be deemed to be  beneficial  owners of an aggregate of 1,575,230
shares of STAR Common Stock (excluding 137,574 shares which may be acquired upon
exercise of options or other rights which are exercisable  within 60 days of the
STAR Record Date), or approximately 37.4% of the then outstanding shares of STAR
Common



                                       27
<PAGE>



Stock. STAR has been advised that its directors and executive officers intend to
vote in favor of the approval and adoption of the Merger Agreement.

STERNBACH PROXY

           Stephen Sternbach, Chairman, President and Chief Executive Officer of
STAR, granted to the directors of EFCC an irrevocable proxy pursuant to which he
agreed  to vote  all  shares  over  which  he has  direct  beneficial  ownership
(863,262),  and any shares subsequently  acquired by him, in favor of the Merger
at the STAR Meeting.

                                THE EFCC MEETING

GENERAL

           This Joint Proxy  Statement/Prospectus  is being furnished by EFCC to
the holders of EFCC Common Stock in connection with the  solicitation of proxies
by the Board of Directors of EFCC for use at a Special  Meeting of  Shareholders
of EFCC (the "EFCC  Meeting")  to be held at the  offices of Arbor  Health  Care
Holdings LLC, 333 Earle Ovington Blvd.,  Uniondale,  New York 11553 on September
5,  1997 at 10:00  A.M.,  local  time,  and any  adjournments  or  postponements
thereof.

           This Joint Proxy Statement/Prospectus, the attached Notice of Meeting
and the  accompanying  form of proxy are first being mailed to  shareholders  of
EFCC on or about August 11, 1997.

MATTERS TO BE CONSIDERED AT THE EFCC MEETING

           At the EFCC  Meeting,  holders  of shares of EFCC  Common  Stock will
consider  and vote on a proposal to approve and adopt the Merger  Agreement  and
the transactions  contemplated  thereby, and such other business as may properly
come before the EFCC Meeting.

           The EFCC  Board of  Directors  has  unanimously  approved  the Merger
Agreement and the transactions contemplated thereby. The EFCC Board of Directors
believes that the terms of the Merger are fair to, and in the best interests of,
EFCC and its  shareholders  and unanimously  recommends that the holders of EFCC
Common  Stock vote FOR approval  and  adoption of the Merger  Agreement  and the
transactions  contemplated thereby. For further information,  see "THE MERGER --
EFCC's Reasons for the Merger; Recommendation of the EFCC Board."

EFCC RECORD DATE

           The Board of  Directors  of EFCC has fixed the close of  business  on
August  11,  1997,  as the  EFCC  record  date  ("EFCC  Record  Date")  for  the
determination  of EFCC  shareholders  entitled to notice of, and to vote at, the
EFCC Meeting. Accordingly, only holders of record of shares of EFCC Common Stock
at the close of business on the EFCC Record Date are  entitled to notice of, and
to vote at, the EFCC Meeting.  As of the EFCC Record Date,  37,601,975 shares of
EFCC  Common  Stock  were   outstanding   and  held  of  record  by  1,271  EFCC
shareholders.



                                       28
<PAGE>



PROXIES

           When a proxy card is returned,  properly signed and dated, the shares
of EFCC Common Stock  represented  thereby will be voted in accordance  with the
instructions on the proxy card. If an EFCC  shareholder does not attend the EFCC
Meeting  and does not return  the signed  proxy  card,  such EFCC  shareholder's
shares will not be voted. If an EFCC shareholder returns a signed proxy card but
does not  indicate  how his or her shares are to be voted,  such  shares of EFCC
Common  Stock  will be  voted  FOR  approval  of the  Merger  Agreement  and the
transactions   contemplated  thereby.  As  of  the  date  of  this  Joint  Proxy
Statement/Prospectus,  the EFCC  Board of  Directors  does not know of any other
matters  which are to come  before the EFCC  Meeting.  If any other  matters are
properly presented at the EFCC Meeting for  consideration,  the persons named in
the enclosed form of proxy and acting thereunder will have discretion to vote on
such  matters in  accordance  with their best  judgment.  The giving of a proxy,
however, will not convey discretionary authority to adjourn or postpone the EFCC
Meeting for the purpose of soliciting additional votes.

           Any proxy given pursuant to this  solicitation  may be revoked by the
person  giving it at any time before it is voted.  Proxies may be revoked by (i)
filing with the  Secretary  of EFCC,  at or before the taking of the vote at the
EFCC  Meeting,  a written  notice of  revocation  bearing a later  date than the
proxy,  (ii) duly  executing a later dated proxy  relating to the same shares of
EFCC Common Stock and  delivering  it to the Secretary of EFCC before the taking
of the vote at the EFCC Meeting or (iii)  attending  the EFCC Meeting and voting
in person  (although  attendance  at the EFCC  Meeting will not in and of itself
constitute  a  revocation  of a proxy).  Any  written  notice of  revocation  or
subsequent proxy should be sent so as to be delivered to EFCC, Attention: Joseph
Heller,  Vice  President,  or hand delivered to the Vice President of EFCC at or
before the taking of the vote at the EFCC Meeting.

           EFCC  will bear the cost of the  solicitation  of  proxies  from EFCC
shareholders.  In addition to solicitation  by use of the mails,  proxies may be
solicited  by  directors,  officers,  and  employees  of  EFCC in  person  or by
telephone  or  other  means  of  communication.  Such  directors,  officers  and
employees of EFCC will not be  additionally  compensated,  but may be reimbursed
for  out-of-pocket  expenses  incurred  in  connection  with such  solicitation.
Arrangements also will be made with custodians, nominees and fiduciaries for the
forwarding of proxy  solicitation  materials to beneficial owners of shares held
of record by such custodians,  nominees and fiduciaries, and EFCC will reimburse
such custodians,  nominees and fiduciaries for reasonable  expenses  incurred in
connection therewith.

           EFCC SHAREHOLDERS  SHOULD NOT SEND ANY STOCK  CERTIFICATES WITH THEIR
PROXY  CARDS.  THE  PROCEDURES  FOR THE  EXCHANGE OF SHARES OF EFCC COMMON STOCK
AFTER  THE  MERGER  IS  CONSUMMATED  ARE SET  FORTH  BELOW IN THIS  JOINT  PROXY
STATEMENT/PROSPECTUS.

QUORUM

           The presence,  either in person or by properly executed  proxies,  of
the holders of a majority  of the  outstanding  shares of EFCC  Common  Stock is
necessary  to  constitute a quorum at the EFCC  Meeting.  Both  abstentions  and
broker non-votes are considered present for purposes of determining a quorum but
are excluded from votes cast.



                                       29
<PAGE>



VOTE REQUIRED

           EFCC  shareholders  are  entitled to one vote at the EFCC Meeting for
each share of EFCC Common  Stock held of record by them on the EFCC Record Date.
The  affirmative  vote of  two-thirds of all  outstanding  shares of EFCC Common
Stock is required to approve and adopt the Merger  Agreement.  Since approval of
the  Merger  Agreement  requires  the  affirmative  vote  of  two-thirds  of all
outstanding  shares of EFCC Common Stock,  abstentions and broker non-votes will
have the effect of votes against the Merger Agreement.

EFCC SHAREHOLDERS AGREEMENT

           Coss and Arbor (collectively,  the  "Shareholders"),  shareholders of
EFCC and Kaufman,  an  individual  having  voting  control of the shares of EFCC
owned by the Shareholders and John Natalone, Vice President of Arbor Management,
as voting trustee  replacing Gary Melius,  the original voting trustee as to the
shares of EFCC Common Stock owned by Coss (the "Voting  Trustee") under a Voting
Trust Agreement,  dated as of June 20, 1996 by and between EFCC, Kaufman,  Coss,
Arbor and the Voting Trustee  entered into a  shareholders  agreement (the "EFCC
Shareholders Agreement") pursuant to which Coss and Arbor and the Voting Trustee
agreed to vote in favor of the Merger and the  Merger  Agreement.  The shares of
EFCC  Common  Stock  subject  to  the  EFCC  Shareholders   Agreement  represent
approximately  68% of the  outstanding  EFCC  Common  Stock,  giving  effect  to
consummation of the TPC Merger. Accordingly, approval and adoption of the Merger
Agreement and the transactions  contemplated thereby is assured since the shares
of EFCC Common Stock subject to the EFCC Shareholders  Agreement is in excess of
the two-thirds required to approve and adopt the Merger Agreement.

           In  addition,  Coss,  Arbor and the  Voting  Trustee  granted  to the
directors  of STAR an  irrevocable  proxy to vote  their  shares  in the  manner
described above.


                                   THE MERGER

BACKGROUND OF THE MERGER

           STAR is continually  exploring  possible  acquisitions  of comparable
companies in  furtherance of its strategic  objective of acquiring  companies in
the Home Care business in the geographic  regions  currently  served by STAR; as
well as in areas not  currently  served by STAR. As discussed  elsewhere,  since
1992 STAR has expanded its Home Care business  through a series of acquisitions.
Such  acquisitions  have  allowed  STAR  to  provide  Home  Care  services  more
efficiently  while  reducing  marginal  costs.  Prior to commencing  discussions
regarding  the Merger,  however,  STAR was not  considering  any other  specific
alliances or specific acquisitions.

           The  parties  were  introduced  by Mr. Gary  Carpenter,  a partner of
Carpenter & Onoroto,  EFCC's  auditors,  whom EFCC had  retained to assist it in
seeking  potential  acquisition  candidates.  At Mr.  Carpenter's  suggestion on
February 17, 1996 Stephen  Sternbach,  the President and Chief Executive Officer
of STAR  contacted  Mr. Ivan  Kaufman to suggest a meeting to discuss a possible
strategic  alliance  between  STAR and  EFCC.  On  February  29,  1996,  Stephen
Sternbach met with Mr. Kaufman and Joseph Martello,  the Chief Financial Officer
of Arbor  Management,  an entity controlled by Mr. Kaufman (who in turn controls
Arbor which owns approximately 40% of EFCC's outstanding shares and controls the
voting rights as to an additional  40% of EFCC's  outstanding  shares).  At that
meeting, Mr. Sternbach, Mr. Kaufman and Mr.


                                       30
<PAGE>



Martello discussed,  in general terms, their respective  businesses and business
strategies.  Messrs.  Sternbach,  Kaufman and  Martello  expressed  their mutual
interest in pursuing the matter further.

           Prior to  commencing  discussions  with  STAR,  EFCC had a series  of
discussions  with another home healthcare  company,  Transworld Home Healthcare,
Inc.  ("Transworld").  Transworld  held  discussions,  during February and March
1996, with Joseph Heller,  Vice President of Arbor Management and Vice President
of EFCC,  concerning  the  possibility  of Transworld  acquiring  EFCC. A senior
officer of Transworld met with Ivan Kaufman,  Joseph  Martello and Joseph Heller
on April 24, 1996 to discuss a possible  acquisition of EFCC by Transworld.  The
parties agreed to exchange  information about their respective companies and, in
furtherance thereof,  executed confidentiality  agreements.  EFCC and Transworld
had only a limited amount of discussions after this time because, EFCC believes,
Transworld  had been  devoting its  resources to other  acquisitions.  After Mr.
Sternbach  made  his  initial  proposal  to  EFCC  (as  discussed  below),  EFCC
communicated  the  range  of  that  proposal  to  Transworld,  at  which  point,
Transworld and EFCC broke off negotiations and terminated their discussions.

           On March 25, 1996, Mr. Martello  telephoned Mr.  Sternbach to discuss
the  possibility  of STAR  engaging  in a joint  venture  transaction  or  other
strategic  alliance with EFCC. Mr.  Martello  suggested that a meeting be called
and that  Messrs.  Sternbach,  Kaufman  and Heller  attend to discuss a possible
transaction.

           On May 1, 1996  Messrs.  Sternbach  and  Solof,  a member of the STAR
board,  met with  Messrs.  Kaufman,  Martello  and Heller.  At this  meeting the
parties  exchanged   publicly  available   financial   information  about  their
respective companies (Forms 10-Ks, 10-KSBs, 10-Qs and 10-QSBs) and discussed the
possible operating synergies that would exist between the two companies.

           On May 21,  1996,  Mr.  Sternbach  met again  with  Messrs.  Kaufman,
Martello and Heller.  At that meeting Mr.  Sternbach  described the success that
STAR had in its recent  acquisitions and how STAR had been able to operate those
acquired companies in a more efficient manner,  substantially reducing the level
of selling,  general and  administrative  expenses  of the  acquired  company by
effectively  integrating  their  operations  with those of STAR.  Mr.  Sternbach
suggested that Messrs. Kaufman,  Martello and Heller meet with William Fellerman
and Gregory Turchan,  the Chief Financial  Officer and Chief Operating  Officer,
respectively, of STAR to further explore the possibility of a strategic alliance
between STAR and EFCC. At this time,  the parties also executed  confidentiality
agreements in furtherance of the proposed transaction.

           On May 23, 1996, Mr.  Fellerman  received from Mr. Martello  detailed
financial  information,   including  revenue  and  expense  reports  by  branch,
concerning  the  business and  operations  of EFCC  (together  with the publicly
available information described above, the "Evaluation Material").

           On May 29, 1996, a meeting was held at the offices of Arbor, attended
by Messrs. Sternbach,  Fellerman, Kaufman, Martello and Heller. At that meeting,
Mr.  Sternbach   expressed  STAR's  interest  in  pursuing  a  merger  or  other
acquisition of EFCC. Mr. Kaufman suggested that it would be mutually  beneficial
to STAR and  EFCC if a merger  could be  successfully  negotiated.  Mr.  Kaufman
stated  that  EFCC had to grow to become  profitable  and  create an  acceptable
return on investment for its shareholders. He further stated that as EFCC lacked
sufficient capital to do so on its own, and also lacked  substantial  management
experience in the Home Care  industry,  it made business sense for EFCC to merge
with a company,  such as STAR,  which had greater  depth of  management,  better
automation and quality  control and greater  capital  resources.  Mr.  Fellerman
suggested that,  since the parties  believed that a strategic  alliance would be
mutually  beneficial,  that he and Mr. Heller hold separate discussions with the
intention of preparing a set of pro forma  financial  statements  and a complete
analysis of the combined  entity.  Mr. Fellerman stated that after this analysis
was  prepared,  STAR  would be  prepared  to make a  proposal  to EFCC.  Messrs.
Fellerman, Sternbach



                                       31
<PAGE>



and Turchan met on several  occasions over the next few weeks. At those meetings
they reviewed the Evaluation  Materials and they concluded that the  acquisition
of EFCC would result in the addition of approximately $9.0 million in additional
revenues to STAR which would  increase  STAR's cash flow,  reduce its  financial
leverage and improve its overall  financial  position and results of operations.
They also  concluded  that STAR could achieve  substantial  cost savings for the
operations of the EFCC business  through the elimination of many operations that
could be carried out by STAR's existing personnel.  Mr. Fellerman stated that he
had concluded that approximately  $1.0 million annually in selling,  general and
administrative  expenses  would  be  eliminated  as a  result  of the  increased
efficiencies  and  economies  of scale  that were  expected  to result  from the
Merger.  Messrs.  Sternbach  and  Fellerman  initially  concluded  that a  total
purchase of between $8.0 and $8.5  million,  consisting  solely of STAR's Common
Stock,  would be an appropriate  purchase price for all of the outstanding stock
of EFCC.

           On May 31, 1996  Messrs.  Sternbach,  Fellerman  and  Turchan  held a
telephone  conference  with Mr.  Martello and other  representatives  of EFCC to
discuss the  operations  of the offices of EFCC and to consider how such offices
could be consolidated into the existing operations of STAR.

           On July 2, 1996  Messrs.  Sternbach,  Fellerman  and  Turchan  held a
telephone conference with Messrs. Martello and Heller to discuss further the pro
forma financial information, prepared by STAR with the assistance of EFCC and to
arrange for a mutually  acceptable date at which STAR would present its proposal
to acquire EFCC.

           One week later,  on July 9, 1996, at a meeting held at the offices of
STAR, attended by Messrs. Sternbach,  Fellerman,  Turchan, Kaufman, Martello and
Heller, Mr. Sternbach presented STAR's proposal for the acquisition of EFCC. Mr.
Sternbach advised the  representatives  of Arbor Management and EFCC that, after
analyzing  the  Evaluation  Materials,  STAR was  prepared to acquire all of the
outstanding stock of EFCC for a total purchase price of $8.5 million, to be paid
in STAR Common Stock.  This offer was based on the assumption  that $1.3 million
would be injected into EFCC by Arbor exercising its option to acquire 13,000,000
newly issued shares of EFCC Common Stock.  Mr. Sternbach said that the offer was
conditioned  on the ability of STAR to account for the  transaction as a pooling
of interests.  Mr Sternbach also advised the representatives of Arbor Management
and EFCC that a precondition  to engaging in the proposed  transaction  was that
EFCC would merge its subsidiary TPC with and into EFCC. Mr.  Sternbach also said
that STAR would want to have the option,  at its sole discretion to purchase the
stock of EFCC for cash.

           EFCC  representatives  stated that if the purchase  price was paid in
STAR Common Stock,  then they required the  transaction to be structured so that
it qualified as a tax-free reorganization.

           On  August  9,  1996 a  meeting  was  held at the  offices  of  Arbor
Management. That meeting was attended by Messrs. Sternbach,  Fellerman, Kaufman,
Martello and Heller as well as the respective legal counsel of STAR and EFCC. At
that  meeting it was agreed  that the terms of the  proposed  transaction  would
preclude the Merger from being  accounted for as a pooling of interests and that
instead it would be accounted for using the purchase  method.  Based on the fact
that the transaction  could not qualify as a pooling of interests,  STAR revised
its offer. Mr.  Sternbach  advised the  representatives  of Arbor Management and
EFCC that STAR would be willing to pay a total purchase price of $8.0 million in
STAR Common Stock.  In addition,  Mr.  Sternbach said that STAR would retain the
right to acquire the stock of EFCC for cash.  Mr Sternbach  also stated that the
transaction was conditioned on EFCC entering into  agreements,  substantially in
the  form of the  Consulting  Agreement  and  Management  Agreements,  described
elsewhere in this Joint Proxy  Statement/Prospectus.  Mr. Sternbach  advised the
representatives  of EFCC that the offer was  subject to approval of the Board of
Directors of STAR. EFCC representatives  stated that they wanted to make certain
that the amount of STAR  Common  Stock to be  received  in the  Merger  would be
subject to adjustment, based



                                       32
<PAGE>



on the market value of the STAR Common Stock.  Mr. Heller advised Mr.  Sternbach
and the other representatives of STAR that, while he believed that the terms set
out at the meeting would be acceptable,  he would seek the approval of the Board
of Directors of EFCC to continue negotiations.

           It was proposed and subsequently integrated into the Merger Agreement
that the  number of shares to be  issued in  exchange  for the  shares of Common
Stock of EFCC would be based upon the  closing  price of the STAR  Common  Stock
quoted on the Nasdaq  National  Market for the preceding 120 trading days ending
three business days prior to the Effective Time.

           On August 12, 1996,  the Board of STAR  considered  and discussed the
proposed  transaction.  Messrs.  Sternbach,  Fellerman and Turchan explained the
terms of the proposed  transaction as well as the anticipated  benefits to STAR.
Mr.  Fellerman  described the expected  savings and  efficiencies  that could be
expected to occur, as well as how the  transaction  fit within STAR's  strategic
objectives  of  acquiring  complimentary   companies.  Mr.  Fellerman  noted  in
particular  the expected cost savings that could be expected.  At the same time,
EFCC's Board also gave Arbor Management  permission to continue  negotiating the
transaction and to continue cooperating in the due diligence investigation being
conducted by both companies.

           During  the period  from  August 13,  1996 to August  23,  1996,  Mr.
Fellerman and other representatives of STAR conducted their due diligence review
of the books, records and operations of EFCC including the Evaluation Materials.
At the same time, work was commenced on preparing the necessary documentation to
finalize  the  proposed  transaction.  Similarly,  Mr.  Heller  and  other  EFCC
representatives continued their due diligence investigation of STAR.

           Between October and November 1996, legal counsel and  representatives
of both parties  negotiated and prepared various drafts of the Merger Agreement.
On September 5, 1996, Messrs.  Sternbach and Fellerman informed EFCC that it was
concerned that by paying the purchase  price entirely in stock,  the holdings of
the  current  owners  would be  diluted.  Accordingly,  STAR  expressed a strong
preference for paying a portion of the purchase price in cash. Certain of EFCC's
shareholders  indicated  they  would not  approve  that form of the  transaction
unless  the  stock  portion  of  the   transaction   qualified  as  a  tax  free
reorganization.  The transaction would qualify as a tax free  reoganization only
if a sufficient  level of  continuity  of interest was  maintained by the target
shareholders.  It thus became  apparent that a substantial  portion of what STAR
was  purchasing  was the cash recently  contributed by Arbor in exchange for its
option to purchase EFCC stock. It seemed unnecessary for STAR to pay cash to, in
effect,  purchase the cash held by EFCC. To do so would artificially inflate the
cash portion of the purchase  price,  which would  arguably  reduce the level of
continuity of interest.  The Special Dividend was paid since it reduced the need
for STAR to pay additional cash consideration for the cash held by EFCC.

           At the annual  meeting  of the Board of  Directors  of STAR,  held on
December 18, 1996, a draft of the Merger Agreement was submitted to the Board of
Directors  of STAR for their  consideration  and review.  At this  meeting,  Mr.
Fellerman  discussed the  anticipated  advantages of acquiring EFCC. The reasons
discussed  by Mr.  Fellerman,  as well as the other  members of the  Board,  are
discussed  at  length  under  the  caption   "STAR's  Reasons  for  the  Merger;
Recommendation  of the STAR Board." At that  meeting the STAR Board  unanimously
approved the terms of the proposed transaction

           At a special  meeting  of the  Board of  Directors  of EFCC,  held on
December  20,  1996,  the EFCC Board  discussed  the  transaction  in detail and
debated the positive and negative  factors with respect to the  transaction.  It
also  determined  to hire Telesis  Mergers and  Acquisitions,  Inc. to render an
independent  opinion on the fairness of the  transaction.  At this meeting,  the
Board debated and discussed the reasons for


                                       33
<PAGE>



the Merger set forth in detail under the caption  "EFCC's Reasons for the Merger
- --  Recommendations of the EFCC Board." On December 30, 1996, the EFCC Board met
a second time.  After again reviewing the terms of the  transaction,  as well as
the Telesis fairness opinion rendered to the Board, and being advised by counsel
of its responsibilities to its shareholders, the EFCC Board unanimously approved
the terms of the Merger Agreement on December 30, 1996.

           On January 3, 1997 the Merger Agreement was signed.

STAR'S REASONS FOR THE MERGER; RECOMMENDATION OF THE STAR BOARD

           The STAR Board of Directors believes that the Merger will further its
strategic  objective of acquiring  companies  that provide Home Care services in
the geographic  regions currently  serviced by STAR as well as opening new areas
of expansion.  Accordingly,  STAR's Board of Directors has unanimously  approved
the Merger  Agreement and unanimously  recommends that the  shareholders of STAR
vote in favor of the Merger.  The STAR Board  considered the following  positive
factors:

                      (i) that since both STAR and EFCC are  engaged in the Home
Care services business, the businesses of STAR and EFCC are complementary.  EFCC
has four  locations in New Jersey and one on Long  Island,  the  acquisition  of
which will allow STAR to expand its existing regional home care business;

                      (ii)  STAR's  Board of  Directors  concurred  with  STAR's
management's conclusion,  based upon the analysis conducted by Messrs. Sternbach
and Fellerman and described above in "Background of the Merger," that the Merger
would  result in the  addition  of  approximately  $9.0  million  in  additional
revenues to STAR which would  increase  STAR's cash flow,  reduce its  financial
leverage  and  improve  STAR's  overall   financial   position  and  results  of
operations;

                      (iii) that EFCC's  business  had grown at a rate of 20-25%
over the last 8 to 9 months;

                      (iv)  that,  since  EFCC is also  engaged in the Home Care
services  business,  the  Merger  fits  within  STAR's  strategic  objective  of
acquiring  companies that provide Home Care Services in the  geographic  regions
currently  serviced  by  STAR.  The  STAR  Board  made  special  note of  EFCC's
operations in New Jersey,  which it concluded  could readily be integrated  into
STAR's operations;

                      (v) that,  based upon Messrs.  Sternbach  and  Fellerman's
financial  analysis  of EFCC,  STAR  will be able to  achieve  significant  cost
savings and  economies of scale and will be able to operate EFCC, as part of the
combined entity, in a manner more efficient and more profitable than its current
operations since,  after the Merger,  many of the redundant  operations that are
currently  engaged  in by EFCC will be  eliminated  and such  functions  will be
carried out by STAR's existing organization;  specifically, STAR will be able to
manage  EFCC's  New  Jersey  and  Long  Island  operations  with  existing  STAR
personnel;

                      (vi)  STAR's  Board of  Directors  concurred  with  STAR's
management's determination,  that approximately $1.0 million in selling, general
and administrative expense (consisting of approximately $580,000 in back office,
administrative  and  executive  salaries,   $125,000  in  rent,   telephone  and
utilities,  $100,000 in professional  fees, $75,000 in insurance and $120,000 in
other  office  expense)  could  be  eliminated  as a  result  of  the  increased
efficiencies that the STAR Board expected would result from the Merger;

                      (vii) that,  after reviewing the Evaluation  Materials and
considering the financial analysis conducted by Messrs. Sternbach, Fellerman and
Turchan and described above in "Background of the


                                       34
<PAGE>



Merger",  the  Merger  would  provide  certain  synergistic  benefits  from  the
consolidation of certain redundant corporate functions which are consistent with
STAR's strategy of providing the highest quality of care at the lowest cost;

                      (viii)  that  the  terms  and  conditions  of  the  Merger
Agreement,  generally are fair to STAR's shareholders. The Board concluded that,
based  upon the  increased  revenues  that would  result  from the  Merger,  and
assuming the administrative efficiencies described in (vi) above are realized by
STAR,  the  issuance  of the STAR  Common  Stock  would  likely  not result in a
dilution of STAR's earnings per share;

                      (ix) that as a condition to consummating the Merger,  STAR
would receive an opinion from EFCC's  counsel that the Merger,  more likely than
not, would be tax free under the Code;

                      (x) that two of the shareholders of EFCC would be securing
certain contingent  liabilities of EFCC with an aggregate of $250,000 be held in
an Escrow Account for the benefit of STAR; and

                      (xi) that the Board of  Directors  of STAR  would  receive
from  the two  largest  shareholders  of  EFCC,  Coss  and  Arbor,  a five  year
irrevocable  proxy to vote the STAR  Common  Stock  issued in the  Merger on all
matters in addition  to a Proxy to vote the shares of EFCC Common  Stock held by
such shareholders in favor of the Merger.

                      The STAR  Board also  considered  the  following  negative
factors:

                      (xii) that the purchase price of EFCC would be fixed based
upon the average  price of the STAR Common  Stock for the 120 trading day period
preceding  the Merger and that changes in the relative  share values of EFCC and
STAR Common Stock could materially  affect the value of the  consideration to be
paid by STAR  for EFCC but  concluded  that  such  risk  was  outweighed  by the
possible benefits to be achieved from the Merger;

                      (xiii) that the  representations  and warranties set forth
in the Merger  Agreement  would not survive the signing of the Merger  Agreement
and that the sole recourse of STAR would be the amount of the Escrow Account;

                      (xiv)  that  STAR  would  be  entering  into a  consulting
agreement  at the time of signing  the Merger  Agreement  and  thereafter,  upon
approval by the New York Department of Health, a management  agreement  pursuant
to which STAR would  assume many of the  management  functions  of EFCC and will
also become subject to certain  responsibilities  as well as potential liability
attendant thereto;

                      (xv) the fact that  EFCC had  operated  for nine  years in
bankruptcy  and had only  emerged from  bankruptcy  in 1995 and that during that
period EFCC had not been in compliance with its continuing reporting obligations
under the Exchange Act;

                      (xvi)  that  STAR  would be  giving  certain  registration
rights in connection with the shares to be issued in the merger; and

                      (xvii) that  certain  matters,  described  above under the
heading "RISK  FACTORS,"  would make the Merger  speculative  or high risk,  but
concluded  that such  risks  were  outweighed  by the  possible  benefits  to be
achieved from the consummation of the Merger.


                                       35
<PAGE>



           After  considering  all of the  foregoing  reasons,  STAR's  Board of
Directors  concluded that a combination with EFCC, on the terms set forth in the
Merger Agreement,  is in the best interest of the shareholders of STAR. The STAR
Board of Directors  concluded that the favorable  factors set forth in items (i)
through (xi)  outweighed  the negative  factors set forth in items (xii) through
(xvii).  Due to the wide variety of factors  considered in conjunction  with the
evaluation  of the  Merger,  the  STAR  Board  of  Directors  did  not  find  it
practicable  to, and did not,  quantify or otherwise  attempt to assign relative
weights to the specific factors considered in rendering its  determination.  The
Board of Directors of STAR did not conduct an independent  financial analysis in
arriving at its  conclusion  but relied upon the  analysis  conducted by Messrs.
Sternbach,  Fellerman  and Turchan and  described  above in  "Background  of the
Merger."  STAR's Board of Directors did not believe that it was necessary to and
did not,  therefore,  commission a financial  advisor opinion in connection with
its deliberations  regarding the Merger.  The Board of STAR believed that it had
adequate information to analyze the merits of the Merger.

           THE BOARD OF DIRECTORS OF STAR  UNANIMOUSLY  HAS DETERMINED  THAT THE
MERGER IS FAIR TO,  AND IN THE BEST  INTERESTS  OF,  SHAREHOLDERS  OF STAR,  HAS
APPROVED THE MERGER  AGREEMENT AND UNANIMOUSLY  RECOMMENDS THAT  SHAREHOLDERS OF
STAR VOTE TO  APPROVE  AND  ADOPT  THE  MERGER  AGREEMENT  AND THE  TRANSACTIONS
CONTEMPLATED THEREBY.

EFCC'S REASONS FOR THE MERGER; RECOMMENDATION OF THE EFCC BOARD

           The EFCC Board of Directors  believes  that the Merger is in the best
interests  of its  shareholders  as it provides a favorable  valuation  of EFCC,
immediate cash benefits to its  shareholders  and provides  EFCC's  shareholders
with the  possibility of a long term stake in the Home Health Care industry with
a company that,  subsequent to the Merger,  will be a strong entity with greater
potential for growth than EFCC alone. In considering its approval of the Merger,
the EFCC Board of Directors considered the following positive factors:

                      (i) STAR's and EFCC's  businesses are a good strategic fit
in that the  referrals  to be  gained by  consolidation  of  EFCC's  and  STAR's
offices, which currently operate in close proximity, would add a greater base of
patients to the combined entity;

                      (ii)  because  the  areas  serviced  by STAR  and EFCC are
relatively similar,  administrative overhead currently existing in STAR would be
sufficient,  to a great extent, to absorb EFCC's operations,  thus creating cost
savings in the combined companies;

                      (iii)  the EFCC  Board  considered  that STAR is a growing
company which is, relative to EFCC, better capitalized,  with a greater depth of
management and thus better poised to take advantage of the  opportunities in the
Home Health Care field;

                      (iv) EFCC  continues to struggle with  profitability.  The
net income of EFCC was down by  $85,000  in the third  quarter of the prior year
and for the year ended December 31, 1996, was estimated to be down approximately
$200,000 from the prior year;

                      (v) based upon the financial analysis of STAR performed by
Telesis,  upon  consummation of the Merger,  proforma earnings per share of STAR
are projected to increase on a going- forward basis;




                                       36
<PAGE>



                      (vi) the  consummation  of the  Merger  would  save EFCC a
substantial  amount that it would  otherwise have to spend on hiring  additional
management, automation and quality control in order to remain competitive in the
home health care industry;

                      (vii) cutbacks in Medicaid,  intense industry competition,
difficulty  in finding  good  employees  and poor  economies  of scale at EFCC's
current size were additional  reasons for finding a stronger  partner with which
to combine;

                      (viii)  in  addition,  EFCC's  current  capitalization  is
inadequate to produce the kind of growth  necessary for an acceptable  return on
investment;  STAR's larger size and market  position make it an easier entity to
raise capital;

                      (ix)  STAR's  Common  Stock  trades  more  actively in the
Nasdaq National Market than EFCC's stock. Therefore,  additional liquidity would
be afforded the EFCC  shareholders  by virtue of the Merger Stock that they will
receive;

                      (x) other than  $250,000  being put in escrow by Arbor and
Coss to indemnify STAR for breaches of certain  representations  and warranties,
no other  shareholder  of EFCC will be  required to put any money or property in
escrow;

                      (xi) the  terms and  conditions  of the  Merger  Agreement
generally are fair and in the best interests of EFCC's  shareholders.  The Board
concluded  that  the  possibility  of  appreciation  of the STAR  Common  Stock,
combined with the immediate cash benefit also being paid, when balanced with all
of the costs and challenges EFCC would encounter by remaining independent,  made
the transaction fair and in the best interests of the EFCC shareholders.

                      The EFCC  Board also  considered  the  following  negative
factors:

                      (xii) the shareholders of EFCC would be receiving stock in
an entity no longer under the control of the current Board of EFCC;

                      (xiii) the Consulting  Agreement and Management  Agreement
are being signed in connection with the Merger Agreement, pursuant to which STAR
will take over many of the operating  functions of EFCC,  including the transfer
of  certain  of EFCC's  staff and  patients  to STAR's  facilities;  if, for any
reason,  the  Merger  was not  consummated,  unwinding  the  transfers  that had
occurred  would  be a  difficult  and  expensive  process  and may not be  fully
effective  in  returning  to EFCC  the  status  of its  operations  prior to the
execution of the Merger Agreement;

                      (xiv) although EFCC's profitability had declined recently,
its revenue growth had been favorable and the advantage of remaining independent
and possibly capitalizing on this growth would be lost;


                      (xv)  certain  matters  described  above under the heading
"Risk Factors" would make the Merger  speculative and of high risk, but the EFCC
Board concluded that such risks were  outweighed by the possible  benefits to be
achieved upon the consummation of the Merger.

           After  considering  all of the  foregoing  reasons,  EFCC's  Board of
Directors  concluded that a combination  with Star on the terms set forth in the
Merger  Agreement is in the best interests of the shareholders of EFCC. The EFCC
Board concluded that the favorable factors set forth in items (i) through



                                       37
<PAGE>



(xi) outweigh the negative  aspects set forth in items (xii)  through (xv).  The
Board of Directors of EFCC also relied upon an  independent  financial  analysis
performed by Telesis, as discussed below.

           The  foregoing  discussion  addresses  all  of the  material  factors
considered by the EFCC Board in connection with its evaluation of the Merger. In
view of the wide variety of factors,  the EFCC Board did not find it practicable
to, and did not, quantify or otherwise attempt to assign relative weights to the
foregoing  factors or determine  that any factor was of  particular  importance.
Rather,  the EFCC Board viewed its position and recommendation as being based on
the totality of the information presented to and considered by it.

           THE BOARD OF DIRECTORS OF EFCC HAS DETERMINED THAT THE MERGER IS FAIR
TO, AND IN THE BEST INTERESTS OF, EFCC'S  SHAREHOLDERS,  HAS APPROVED THE MERGER
AGREEMENT AND UNANIMOUSLY  RECOMMENDS THAT EFCC'S SHAREHOLDERS VOTE FOR APPROVAL
AND ADOPTION OF THE MERGER AGREEMENT.

FINANCIAL ADVISOR; FAIRNESS OPINION

           On December 20, 1996 EFCC retained  Telesis  Mergers &  Acquisitions,
Inc.  ("Telesis") to assist EFCC in its consideration and evaluation of possible
transactions  and to render an opinion as to the  fairness  of the Merger to the
holders of EFCC Common  Stock from a financial  point of view.  EFCC's Board did
not place  limitations on the  investigations to be made or the procedures to be
followed by Telesis in preparing  and  rendering  its  opinion.  Telesis did not
recommend the form or amount of  consideration  to be paid in the Merger,  which
was determined through arm's length negotiations between EFCC and STAR.

           On December 31, 1996,  Telesis delivered its written opinion that the
terms of the Merger are fair to the  shareholders of EFCC from a financial point
of view.

           The full text of the  written  opinion of  Telesis,  which sets forth
assumptions made, matters considered and limitations on the review undertaken in
connection  with the  opinion,  is  attached  hereto as  Appendix B. The Telesis
opinion is directed to EFCC's Board and does not constitute a recommendation  to
any individual  shareholder as to how such  shareholder  should vote at the EFCC
Meeting.  The  summary  of  Telesis'  opinion  set  forth  in this  Joint  Proxy
Statement/Prospectus  is qualified in its entirety by reference to the full text
of such  opinion  attached  hereto  as  Appendix  B and  incorporated  herein by
reference.

           Telesis relied upon and assumed without independent  verification the
accuracy and completeness of all publicly  available  financial  information and
all financial information furnished or otherwise  communicated to it by STAR and
EFCC.  Telesis  did not make any  appraisal  of the  assets  of such  companies.
Telesis  does not  express  any  opinion as to what the value of the STAR Common
Stock actually will be when issued to EFCC  shareholders  pursuant to the Merger
or the price at any time at which the STAR  Common  Stock will  trade.  Telesis'
opinion  does not address  the  underlying  business  decision to enter into the
Merger.

           In connection with rendering its opinion, Telesis, among other things
reviewed: (i) the Merger Agreement; (ii) Proxy Statements for EFCC for September
9, 1996;  (iii) EFCC's  Annual  Report on Form 10- KSB for the fiscal year ended
December 31, 1995,  and its  Quarterly  Reports on Form 10-QSB,  for the periods
ended  March 31,  1996,  June 30, 1996 and  September  30,  1996,  (iv) the most
recently  available  Annual  Report to  Shareholders  and Annual  Report on Form
10-KSB and certain  interim  reports to  Shareholders  and Quarterly  Reports on
Forms  10-QSB of STAR;  (v)  Current  Reports of EFCC on Form 8-K dated (date of
earliest event reported)  August 21, 1996 and October 31, 1996; Form 8-K/A dated
(date of  earliest  event  reported)  June  30,  1996  and  July 9,  1996;  (vi)
amendments  to the Schedule 13D filed by Ivan Kaufman  dated  September 11, 1996
and November 14, 1996; (vii) certain other communications from EFCC



                                       38
<PAGE>



and STAR to their  shareholders;  and (viii) certain internal financial analyses
and forecasts of EFCC and STAR prepared by their respective managements. Telesis
also met with the respective  management teams of STAR and EFCC to discuss their
respective businesses and business prospects. Telesis assumed that all financial
projections provided by STAR and EFCC were based upon assumptions reflecting the
best,  currently  available estimates and good faith judgments of the respective
managements  as to the  future  performance  of  EFCC  and  STAR  and  that  the
respective  managements of EFCC and STAR do not have any  information or beliefs
that would make the projections materially misleading.  Telesis assumed that the
operating  benefits  contemplated  by the Merger,  as reflected in the financial
projections  provided by EFCC and STAR, will be achieved.  In addition,  Telesis
reviewed  financial  information  for the pro forma combined  entity of STAR and
EFCC, compared  historical and projected financial and operating  performance of
STAR and EFCC with  certain  other  publicly  held  entities  in the health care
industry, and reviewed acquisitions and mergers of certain companies in the home
health  industry  for which  sufficient  data was  publicly  available.  Telesis
determined that the EFCC  shareholders'  equity interests in the combined entity
compared  favorably with its pro forma analysis,  analysis of selected  publicly
traded companies,  analysis of selected merger and acquisition  transactions and
discounted cash flow analysis.

           Pro Forma  Analysis.  Telesis  analyzed the pro forma  effects of the
Merger upon the earnings per share of EFCC and the combined  companies.  Telesis
analyzed  the  operations  and  earnings  of both  EFCC and  STAR as  individual
companies  as  well  as  on a  combined  basis  assuming  the  merger  would  be
consummated.  The analyses were performed for the years of 1996, 1997, and 1998.
It is  Telesis'  opinion  that the  merger of the  companies  would  generate  a
combined  incremental  earnings  contribution and cost savings that could not be
achieved by adding  together the  individual  results of each company should the
merger not be  consummated.  In addition,  the pro forma  analysis  performed by
Telesis reflected certain assumptions made by Telesis and by EFCC, some of which
may be beyond the control of EFCC and which may not reflect  what will  actually
occur upon the  consummation of the Merger.  The pro forma analysis assumed that
upon consummation of the Merger (i) EFCC would combine earnings contribution (or
earnings  deficit) and (ii) EFCC would be able to generate  certain cost savings
by combining the  operations of EFCC with STAR.  Such analysis did not take into
account  the  potential  impact  of the  timing  of the  implementation  of such
adjustments on EFCC's earnings.  In general the pro forma analysis  examined the
ongoing impact of such  adjustments on an annual basis as if the Merger had been
consummated  on January 1, 1996.  In  addition,  the pro forma  analysis did not
factor  in the  potential  cost  of  implementation  of  any of the  adjustments
referenced above.

           Giving  effect to the  adjustments  described  above,  as well as the
assumptions  incorporated in the pro forma analysis,  Telesis noted that the pro
forma  analysis  indicated that the aggregate  annual impact of the  adjustments
could potentially  result in incremental net income to the combined companies of
$1.1  million,  $2.4 million and $3.0 million for the years ending  December 31,
1996,  1997 and 1998,  respectively.  On a per share basis the annual  impact of
such adjustments could  potentially  increase earnings per share of the combined
companies by $.03,  $.06, and $.08 for the years ended  December 31, 1996,  1997
and 1998,  respectively.  The pro forma analysis  included  certain  assumptions
regarding  cost  savings,  reflecting  the  combination  and the  timing  of the
implementation of such cost savings which may or may not reflect the actual cost
savings achieved by the combined  companies upon the consummation of the Merger.
Telesis  noted,  based  upon  the pro  forma  analysis,  that the  Merger  could
potentially  have a  substantial  positive  impact  on the  combined  companies'
earnings per share.

           Based upon the pro forma analysis,  Telesis concluded that the Merger
was fair, from a financial point of view, to the shareholders of EFCC.




                                       39
<PAGE>



           Comparable public company methodology.  Telesis performed an analysis
of selected  publicly  traded  companies which it deemed to have businesses that
were  similar  to that of  EFCC.  Telesis  reviewed  a group of  companies  that
provide,  among other  services,  home health care services,  including  Olsten;
Apria Healthcare Group, Inc.; Interim Services, Inc.; The Care Group, Inc.; Home
Health  Corporation of America;  Career  Horizons,  Inc.; Home Care  Affiliates,
Inc./Housecall Medical Resources, Inc.; Nurse's Housecall/Olsten Heath Services;
Amserv  Healthcare/Star Multi Care Services,  Inc.; and Staff Builders,  Inc. In
its review of the companies  referenced above, Telesis focused specifically upon
the  companies  within this group that provided  home nursing  services,  namely
Olsten; Interim Services,  Inc.; Career Horizons,  Inc. and Staff Builders, Inc.
(the "Comparable  Companies").  Telesis deemed the home health care companies to
incorporate business fundamentals which were similar to the Company's.  For each
of  the  Comparable  Companies,  Telesis  examined  certain  publicly  available
financial  data,  including  net revenue,  gross  margin,  selling,  general and
administrative expenses, contribution margin, earnings before interest and taxes
("EBIT"),  EBIT margin,  net income,  earnings per share and net income  margin.
Telesis examined the balance sheet items of each of the Comparable Companies and
published  earnings  forecasts  and  the  trading  performance  of  the  various
companies' common stock. In addition, Telesis calculated the ratio of the market
price (as of November 29, 1996) of the stock to the projected earnings per share
for  calendar  year  1996 of  each  Comparable  Company  and  the  ratio  of the
enterprise  value (the total market value of the common stock  outstanding  plus
EFCC's total debt at par less cash and cash  equivalents)  to the latest  twelve
months'  ("LTM")  net revenue  and to the LTM EBIT of each  Comparable  Company.
Telesis  noted  that  the  harmonic  mean of the  ratio  of the  stock  price to
projected earnings per share of the Comparable Companies was 15.2x and the range
of  ratios  was from  13.8x to 17.2.  The  harmonic  mean of the  ratios  of the
enterprise  value to LTM net revenue of the  Comparable  Companies was 0.42x and
the range of ratios was from 0.30x to 0.56x.  The harmonic mean to the ratios of
the enterprise  value to LTM EBIT of the Comparable  Companies was 10.8x and the
range of ratios was from 9.9x to 11.4x.

           The ratios referenced above were used by Telesis to impute a range of
values  for EFCC.  Based upon the  harmonic  mean and the range of ratios of the
stock  price to  projected  earnings  per  share for  calendar  year 1996 of the
Comparable  Companies,  the  imputed  value of EFCC was  $3.4  million,  and the
imputed range of values of EFCC was $3.1 million to $3.8 million. Based upon the
harmonic mean and the range of ratios of the enterprise value to LTM net revenue
of the Comparable Companies, the imputed value of EFCC was $3.7 million, and the
imputed range of values of EFCC was $2.6 million to $4.8 million. Based upon the
ratios of the  enterprise  value to LTM EBIT of the  Comparable  Companies,  the
imputed values of EFCC were $4.8 million to $5.5 million.

           Comparable acquisition transaction methodology.  Telesis performed an
analysis of selected  precedent merger and acquisition  transactions in the home
healthcare industry including (target company/acquiring company): In Home Health
Inc.,/Manor Care, Inc.; Apria Healthcare Group, Inc.; Home Health Corporation of
America;  The Care Group,  Inc.; Home Care  Affiliates,  Inc./Housecall  Medical
Resources,    Inc.;   Nurse's    Housecall/Olsten   Health   Services;    Amserv
Healthcare/Star  Multi Care Services,  Inc.; Caremark  International Inc.'s home
health  care  business/Coram  Healthcare  Corporation,  Inc.;  Home  Nutritional
Services,   Inc./W.R.  Grace  &  Co.,  Inc.;  Curaflex  Health  Services,  Inc.,
HealthInfusion,  Inc.  and  Medysis,  Inc./T(2)  Medical,  Inc.;  Critical  Care
America, Inc./Caremark International Inc.; Lifetime Corporation/Olsten; Clinical
Homecare,  Ltd./Curaflex Health Services,  Inc.; Total Home Care,  Inc./Curaflex
Health Services,  Inc.; Critical Care America,  Inc./Medical Care International,
Inc.;  TeamCare,  Inc./Critical Care America,  Inc.; Care Plus, Inc./New England
Critical Care, Inc.; Upjohn Healthcare  Services,  Inc./Olsten;  Mentor Clinical
Care, Inc./Lifetime Corporation; Quality Care, Inc./Lifetime Corporation. In its
review of the transactions  referenced above,  Telesis focused specifically upon
the following transactions within this group (the "Precedent Transactions"):  In
Home Health,  Inc./Manor Care, Inc.; Caremark  International  Inc.'s home health
care business/Coram Healthcare Group, Inc.; Critical Care America. (a subsidiary
of Medical



                                       40
<PAGE>



Care   International,    Inc.)/Caremark   International   Inc.;   and   Lifetime
Corporation/Olsten Corporation. For each of the target companies involved in the
Precedent  Transactions,  Telesis examined certain publicly available  financial
data, including net revenue, gross margin,  selling,  general and administrative
expenses, contribution margin, EBIT, EBIT margin, net income, earnings per share
and net income margin.  Telesis  examined the balance sheet items of each of the
target companies  involved in the Precedent  Transactions and published earnings
forecasts and the trading  performance of the various target  companies'  common
stock.  In addition,  Telesis  calculated the ratio of the purchase price of the
target company in relation to the target  company's LTM and projected net income
(for the next calendar year) and the ratio of the  transaction  value (the total
purchase  price of the equity plus the target  company's  total debt at par less
cash and cash equivalents) of each target company to its LTM net revenue and LTM
EBIT.  Telesis noted that the harmonic mean of the ratios of the purchase  price
of the  equity  to LTM net  income  of the  target  companies  in the  Precedent
Transactions was 20.0x and that the range of ratios was from 12.7x to 46.1x. The
harmonic mean of the ratios of the purchase price of the equity to projected net
income of the target  companies in the Precedent  Transactions was 0.56x and the
range of ratios was from 0.47x to 0.75x.  The harmonic  mean of the  transaction
value to LTM EBIT of the target  companies  in the  Precedent  Transactions  was
11.8x and the range of ratios was from 5.6x to 41.6x.

           The ratios referenced above were used by Telesis to impute a range of
values for EFCC.  Based upon the ratios of the purchase  price to LTM net income
of the target companies in Precedent Transactions, the imputed range of value of
EFCC was $2.8 million to $10.2  million.  Based upon the  harmonic  mean and the
range of ratios of the  purchase  price to  projected  earnings per share of the
target  companies in the Precedent  Transactions,  the imputed value of EFCC was
$4.1  million and the imputed  range of values for EFCC was $3.4 million to $5.4
million. Based upon the harmonic mean and the range of ratios of the transaction
value LTM net revenue of the target companies in the Precedent Transactions, the
imputed  value of EFCC was $5.7 million and the imputed  range of values of EFCC
was $2.0 million to $6.7 million.

           Going concern value of EFCC - Discounted cash flow analysis.  Telesis
performed a  discounted  cash flow  analysis of EFCC using  projected  financial
results for EFCC prepared  internally by the management of EFCC, which financial
results reflected  certain  assumptions made by the management of EFCC regarding
EFCC's  projected  results and certain cost  savings  which could be achieved by
combining  operations.  The analysis  included certain  assumptions  including a
range of price-to-earnings  ratios in the terminal year of the projection period
of 16.0x to 20.0x and a range of  discount  rates of 15% to 20%.  Based upon the
discounted  cash flow  analysis,  the  imputed  range of values of EFCC was $2.2
million to $5.2 million.

           Valuation of  Consideration to be Received for EFCC. In assessing the
value  of the  consideration  to be  received  by  EFCC in the  Merger,  Telesis
concluded that an appropriate  range of values for EFCC was $2.4 million to $5.4
million.

           Valuation of EFCC. Telesis noted that EFCC reported an operating loss
for its latest  historical period and was not projected to earn a material level
of earnings in the current  fiscal period.  Telesis  reviewed the historical and
projected  operating  results of EFCC  including the  contributing  factors that
would  affect  these  results  such  as  business  mix,  reimbursement  sources,
diversification of referral sources, strength of management,  future opportunity
for business growth, and the operating and regulatory environments in which EFCC
provides  services.  These  factors  were then  analyzed  against  the  industry
standards and operating and financial  profiles of Comparable  Companies.  Given
Telesis' work in the home health care  industry as a financial  advisor for more
than 17 years, along with detailed  knowledge of the issues affecting  valuation
and  performance in the industry and based upon analysis set forth in this Joint
Proxy  Statement/Prospectus,  Telesis  concluded that based on the operating and
future results of EFCC that the imputed range of valuations



                                       41
<PAGE>



for EFCC  based on the ratio of the  enterprise  and  transaction  value LTM net
revenue was too high.  Telesis concluded that the appropriate range of values of
EFCC was $2.4 million to $5.4  million.  Telesis  noted further that the imputed
range of values of the  consideration  to be  received by EFCC in the Merger for
EFCC, approximately $7.25 million to $8.0 million, was greater than the range of
values of EFCC.  Telesis  concluded  that the Merger was fair,  from a financial
point of view, to the shareholders of EFCC.

           The preparation of a fairness opinion is a complex process and is not
necessarily  susceptible to partial analysis or summary  description.  Selecting
portions of the analyses or of the summary set forth above,  without considering
the  analysis  as a whole,  could  create an  incomplete  view of the  processes
underlying Telesis' opinion. In arriving at its opinion,  Telesis considered the
results  of such  analyses  but did not  ascribe  particular  weight  to any one
analysis.  The analyses were  prepared  solely for the purposes of providing its
opinion as to the fairness of the Merger, from a financial point of view, to the
shareholders of EFCC and do not purport to be appraisals or necessarily  reflect
the price at which businesses or securities actually may be sold. Analyses based
upon forecasts of future results are not necessarily indicative of actual future
results,  which may be  significantly  more or less  favorable than suggested by
such  analyses.  In  addition,  Telesis did not,  in  arriving  at its  fairness
opinion,  evaluate  alternatives to the Merger.  The foregoing  summary does not
purport to be a complete description of the analyses performed by Telesis.

           The  Board  of  Directors  of  EFCC  retained  Telesis  to act as its
financial  advisor  based upon its  qualifications,  experience  and  expertise.
Telesis, as part of its investment banking business, is engaged in the valuation
of  businesses  and  securities  in  connection  with mergers and  acquisitions,
private placements and valuations for corporate and other purposes.

           Pursuant to a letter agreement,  dated December 20, 1996, EFCC agreed
to pay  Telesis a fee of $20,000  upon the  rendering  of its  fairness  opinion
relating to the Merger.

CERTAIN FEDERAL INCOME TAX CONSEQUENCES

           As indicated, the following sets forth the opinion of Meltzer, Lippe,
Goldstein,  Wolf  &  Schlissel,  P.C.  as to the  material  federal  income  tax
consequences  of the Merger to United  States  holders of EFCC Common  Stock who
hold their  shares as capital  assets.  The  discussion  is based on the current
provisions  of the  Internal  Revenue  Code of 1986,  as amended  (the  "Code"),
applicable Treasury Regulations,  judicial authority and administrative  rulings
and practice in effect as of the date of this Joint Proxy  Statement/Prospectus.
It does not address all aspects of federal income  taxation that may be relevant
to  particular  EFCC   shareholders  in  light  of  their  personal   investment
circumstances,  or to certain types of shareholders subject to special treatment
under the federal  income tax laws,  including,  without  limitation,  insurance
companies,  tax-exempt organizations,  financial institutions or broker-dealers,
foreign   persons,   and   shareholders   who  acquired  EFCC  Common  Stock  as
compensation.  This discussion also does not address the state, local or foreign
tax  consequences  of the Merger.  There can be no  assurance  that the Internal
Revenue  Service will not take a contrary  view to those  expressed  herein.  No
rulings have been or will be requested  from the Internal  Revenue  Service with
respect to the tax consequences of the Merger. Moreover,  legislative,  judicial
or administrative changes or interpretations may be forthcoming that could alter
or modify the statements and conclusions set forth herein.

           HOLDERS OF SHARES OF EFCC COMMON STOCK ARE URGED TO CONSULT THEIR OWN
TAX  ADVISORS  AS TO THE  SPECIFIC  TAX  CONSEQUENCES  TO  THEM  OF THE  MERGER,
INCLUDING THE APPLICABILITY AND EFFECT OF ANY FEDERAL,  STATE, LOCAL AND FOREIGN
TAX LAWS, AND OF ANY CHANGES IN APPLICABLE TAX LAWS.


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<PAGE>



           Assuming the Merger is  consummated at the Effective Time pursuant to
the  terms  of  the  Merger  Agreement,  Meltzer,  Lippe,  Goldstein,  Wolf  and
Schlissel,  P.C.  is of  the  opinion  that,  more  likely  than  not:  (i)  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
Merger  will be treated  for United  States  federal  income tax  purposes  as a
reorganization  within the  meaning of  Section  368(a) of the Code;  (ii) STAR,
Merger  Sub and EFCC  will  each be a party  to the  reorganization  within  the
meaning of Section 368(b) of the Code;  (iii) 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 Merger,  except that gain,  if any,  (but not
loss) will be  recognized  on the receipt of cash,  other than cash  received in
lieu of  fractional  shares,  and gain or loss,  if any,  will be  recognized in
connection with the receipt of cash in lieu of fractional shares;  (iv) any gain
or loss  recognized upon such exchange will be capital gain or loss provided the
share  would  constitute  a  capital  asset  in  the  hands  of  the  exchanging
shareholder;  (v) each shareholder of EFCC who elects to dissent from the 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 Merger;  (vi) the tax basis of the STAR Common Stock  received by EFCC
shareholders  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  shareholder  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;  (vii) the holding  period of the STAR Common Stock
received by the EFCC  shareholders will include the period during which the EFCC
Common Stock  surrendered was held,  provided that the EFCC Common Stock is held
as a capital asset in the hands of the EFCC  shareholders at the Effective Time;
(viii) no gain or loss will be  recognized by EFCC on the transfer of all of its
assets to Merger Sub pursuant to the Merger Agreement; (ix) no gain or loss will
be recognized by STAR or Merger Sub pursuant to the Merger; (x) 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  Merger;  and (xi) 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.

           Meltzer,  Lippe's  opinion  is  based  on  the  accuracy  of  certain
representations  that it will receive from STAR,  EFCC and Coss at the Effective
Time, including the following:  (i) the Merger will be consummated in accordance
with the Merger  Agreement;  (ii) to the best of the knowledge of the management
of EFCC,  Coss acquired its EFCC Common Stock before the formulation of any plan
in  connection  with  the  Merger  and  not in  contemplation  of  Merger  Sub's
subsequent acquisition of the outstanding capital stock of EFCC; (iii) as of the
Effective Time, Coss does not have a binding  commitment or preconceived plan or
arrangement  for  disposing  of any of its STAR  Common  Stock  received  in the
Merger;  and (iv) 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 Common
Stock received in the Merger. An opinion represents only counsel's best judgment
as to the likely outcome of an issue if properly presented to a court and is not
binding  on the  Internal  Revenue  Service or the courts  and,  therefore,  the
delivery of the Tax Opinion cannot assure that the Internal  Revenue  Service or
the  courts  will  treat the Merger as a  reorganization  within the  meaning of
Section 368(a) of the Code.

           If the Merger were not to constitute a  reorganization  under Section
368(a) of the Code,  each holder of EFCC Common  Stock would  recognize  gain or
loss equal to the  difference  between the fair market  value of the STAR Common
Stock received and cash received in lieu of fractional  shares and such holder's
basis in the  shares of EFCC  exchanged  therefor.  Such  gain or loss  would be
long-term capital gain or loss, provided such shares had been held for more than
one year. In addition,  EFCC would realize gain in the amount of the  difference
between the adjusted tax basis of the property of EFCC transferred to the Merger
Sub pursuant to


                                       43
<PAGE>



the  Merger and the fair  market  value of the STAR  Common  Stock  received  in
exchange therefor. In addition,  the Merger Sub would realize gain in the amount
of the  difference  between  the  adjusted  tax basis of the STAR  Common  Stock
transferred  to the  shareholders  of EFCC  pursuant  to the Merger and the fair
market value of the property of EFCC received in exchange therefor.


INTERESTS OF CERTAIN PERSONS IN THE MERGER

           In considering the  recommendations of the Board of Directors of STAR
and the Board of Directors of EFCC with respect to the Merger  Agreement and the
transactions contemplated thereby, shareholders of STAR and EFCC should be aware
that certain members of EFCC's management and EFCC's Board have interests in the
Merger that are in addition to the  interests of  shareholders  of STAR and EFCC
generally.  The  Boards  of  Directors  of STAR  and  EFCC  were  aware of these
interests and  considered  them,  among other  factors,  in approving the Merger
Agreement and the transactions contemplated thereby.

           Following  the Merger,  the persons who are  directors  of Merger Sub
immediately  prior to the Effective  Time will continue to serve as directors of
Merger  Sub.  The  Merger  Agreement  also  provides  that  after the  Merger is
effected,  Mr. Ivan Kaufman,  who controls Arbor Home Health Care Holdings,  LLC
("Arbor"),  which in turn owns approximately 40% of the outstanding Common Stock
of EFCC and controls the vote of  approximately  80% of such EFCC Common  Stock,
will be appointed to the Board of  Directors of STAR.  EFCC does not  anticipate
that any  officers or directors of EFCC,  other than Mr.  Kaufman,  would become
officers or directors of STAR or the surviving entity.

           Under the terms of the  Merger  Agreement,  STAR has agreed to insure
and guaranty that any provision with respect to  indemnification by EFCC and its
subsidiaries  existing  in favor of any  present  or former  director,  officer,
employee or agent of EFCC or an EFCC subsidiary, set forth in the Certificate of
Incorporation  or by-laws of EFCC and its  subsidiaries or pursuant to any other
agreements (including insurance policies),  will survive the Merger, will not be
amended,  repealed  or modified  in any manner  that would  adversely  affect an
indemnified party, and will continue in full force and effect for a period of at
least six years from the Effective  Time.  STAR has agreed to maintain or retain
the same level of insurance coverage as currently maintained by EFCC 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 the Merger
Agreement,  and (ii) for six years after the Effective  Time. If such  insurance
were not  available  for 125% or less of the amount of the last  annual  premium
paid by EFCC or its subsidiaries prior to the date of the Merger Agreement, STAR
will be obligated to purchase as much  coverage as possible for an amount not to
exceed 125% of the last premium paid EFCC or its subsidiaries.

DISSENTERS' RIGHTS OF APPRAISAL

           Section 910 of the BCL  ("Section  910")  provides that any holder of
EFCC Common Stock as of the Record Date who has not voted in favor of the Merger
Agreement  shall have the  right,  as an  alternative  to  receiving  the Merger
Consideration in the Merger,  to receive payment of the fair value of his shares
and certain other rights and benefits,  subject to complying with Section 623 of
the BCL ("Section 623"). Pursuant to the terms of the Merger Agreement,  STAR is
not obligated to consummate the Merger if more than 5% of the outstanding shares
of EFCC Common  Stock,  after  giving  effect to the TPC Merger,  have  properly
demanded  appraisal  rights. A person having a beneficial  interest in shares of
EFCC Common Stock that are held of record in the name of another person, such as
a broker or nominee,  must act promptly to cause the record holder to follow the
steps summarized below properly and in a timely manner to perfect whatever



                                       44
<PAGE>



appraisal  rights  such  beneficial  owner may have.  See  "APPRAISAL  RIGHTS OF
DISSENTING SHAREHOLDERS."

REGULATORY APPROVALS

           STAR and EFCC are not aware of any license or regulatory permit which
is material to the  business of STAR or EFCC and which is likely to be adversely
affected by  consummation  of the Merger or any  approval or other action by any
state,  federal or foreign government or governmental agency (other than routine
re-licensing procedures) that would be required prior to the Merger.

ACCOUNTING TREATMENT

           The Merger will be accounted for by STAR under the "purchase  method"
of accounting in  accordance  with  generally  accepted  accounting  principles.
Accordingly,  the aggregate  consideration  paid by STAR in connection  with the
Merger will be allocated to EFCC's assets based upon their fair values,  and the
results of  operations  of EFCC will be included in the results of operations of
STAR only for periods subsequent to the Effective Date of the Merger.

RESALE RESTRICTIONS

           All shares of STAR Common Stock received by EFCC  shareholders in the
Merger will be freely  transferable,  except  that  shares of STAR Common  Stock
received by persons who are deemed to be  "affiliates"  (as such term is defined
under the  Securities  Act) of STAR or EFCC prior to the Merger may be resold by
them  only in  transactions  permitted  by the  resale  provisions  of Rule  145
promulgated  under the  Securities  Act (or Rule 144 in the case of such persons
who become  affiliates of STAR or as otherwise  permitted  under the  Securities
Act).  Persons  who may be deemed  to be  affiliates  of STAR or EFCC  generally
include  individuals  or entities that control,  are controlled by, or are under
common control with, such party and may include  certain  officers and directors
of such  party as well as  principal  shareholders  of such  party.  The  Merger
Agreement  requires  EFCC to use all  reasonable  efforts  to cause  each of its
affiliates  to execute a written  agreement  to the effect that such person will
not offer to sell,  transfer or otherwise dispose of any of his or her shares of
STAR Common Stock except pursuant to an effective  registration  statement or in
compliance with Rule 145 or another exemption from the registration requirements
of the  Securities  Act.  STAR has granted Coss and Arbor  certain  registration
rights because of their  "affiliate"  status,  pursuant to the EFCC Shareholders
Agreement.

CONSULTING AGREEMENT

           On January 3, 1997, STAR and EFCC entered into a consulting agreement
(the  "Consulting  Agreement")  pursuant to which STAR agreed that,  upon EFCC's
request it will render to EFCC, by and through such of its  officers,  employees
and  agents  as STAR,  in its sole  discretion,  designates  from  time to time,
consulting  services with respect to the  management  and operation of EFCC. The
consulting  services  to be  rendered  by STAR  under the  Consulting  Agreement
consist of those consulting services relating to the management and operation of
EFCC's  healthcare  business  reasonably  requested by EFCC.  EFCC and STAR have
agreed that STAR's role is that of a consultant  and advisor to, and not that of
a  manager  of,  EFCC.  Under  the  Consulting  Agreement,  STAR  has no duty or
responsibility  to manage the  affairs  of EFCC  which  duty and  responsibility
remains at all times with the Board of Directors and management of EFCC.

           For the consulting  services to be rendered by STAR,  EFCC has agreed
to pay STAR fees in the amount of  Twenty-five  Thousand  Dollars  ($25,000) per
month, payable (a) $15,000 in arrears on the last day



                                       45
<PAGE>



of each month, pro rated for any partial month, and (b) the remaining $10,000 on
the  earlier to occur of the  Effective  Time or the  termination  of the Merger
Agreement.

           The  Consulting  Agreement  will  terminate 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 EFCC  thereunder,  (ii) the
Effective Date of the Management  Agreement (as defined in the Merger Agreement,
discussed  below) or (iii) the Effective Time provided,  that STAR has the right
to terminate its obligation to render services under the Consulting Agreement at
any time upon forty-five (45) days prior notice to EFCC.

MANAGEMENT AGREEMENT

           On January  3, 1997,  STAR and EFCC also  entered  into a  management
agreement (the "Management  Agreement")  pursuant to which STAR agreed to act as
manager  of EFCC.  The  Management  Agreement  is  subject  to  approval  of the
Commissioner  of the New York State  Department of Health (the  "Commissioner").
Pursuant  to  the  Management   Agreement  STAR  will  have  the  authority  and
responsibility  to conduct,  supervise  and  effectively  manage the  day-to-day
operation  of EFCC.  In the  absence  of oral or  written  direction  or written
policies of the Board of  Directors  of EFCC,  STAR will be expected to exercise
the reasonable  judgment of a management  company in its management  activities.
STAR will specifically have responsibility and commensurate  authority,  subject
among other  things to the  direction  of the Board of EFCC to act on its behalf
for the following activities: (i) the establishment,  maintenance,  revision and
administration  of the overall  charge  structure of EFCC  pursuant to pertinent
regulations,  including,  but not  limited  to,  patient  charges,  charges  for
ancillary  services,  charges for  supplies and special  services;  (ii) (A) the
hiring,  discharge,  supervision  and  management  of  all  employees  of  EFCC,
including   the   determination,   from  time  to  time,   of  the  numbers  and
qualifications  of employees  needed in the various  departments and services of
EFCC, (B) 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 EFCC; (iii)
the  issuance of bills for  services and  materials  furnished by EFCC,  and the
collection of accounts and monies owed to EFCC,  including the responsibility to
enforce the rights of EFCC as creditor under any contract or in connection  with
the  rendering  of any  service;  (iv) the payment of payroll,  trade  accounts,
amounts due on short and long-term indebtedness, taxes and all other obligations
of EFCC;  provided,  however,  that the  responsibility  will be  limited to the
exercise of reasonable  diligence  and care to apply the funds  collected in the
operation of EFCC to its  obligations in a timely and prudent  manner,  and STAR
will not become personally liable or act in a guarantor capacity with respect to
any obligation of EFCC; (v) 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 EFCC; (vi) the maintenance of
accounts  in such  banks,  savings and loan  associations,  and other  financial
institutions  as the Board of EFCC may,  from  time to time,  select  (including
certificates  of  deposit)  with such  balances  therein  (which may be interest
bearing  or  non-interest  bearing)  as STAR  shall,  from  time to  time,  deem
appropriate,   taking  into  account  the  operating   needs  of  EFCC  and  the
disbursements  from such accounts of such amounts of EFCC's funds as STAR shall,
from  time  to  time,   determine  is   appropriate  in  the  discharge  of  its
responsibilities  under the Management Agreement;  provided,  however, that STAR
will not,  in any case,  have any  obligation  to supply,  out of its own funds,
working  capital for EFCC;  (vii) the  management of all purchases and leases of
real  property,  equipment,  supplies and all materials and services  which STAR
deems to be necessary in the  operation of EFCC;  (viii) the  evaluation  of all
quality control aspects of EFCC operation, and the implementation, with approval
of the Board of EFCC, of quality control programs designed to meet standards




                                       46
<PAGE>



imposed by appropriate certifying agencies and to bring about a high standard of
health care in accordance with Board of EFCC policies and resources available to
EFCC.

           Under the Management Agreement,  STAR will be empowered to negotiate,
enter into, terminate and administer on behalf of EFCC contracts for services by
medical, paramedical and other persons and organizations.

           Notwithstanding any other provision of the Management Agreement,  the
Board of EFCC  retains  and  STAR is  prohibited  from  exercising:  (i)  direct
independent  authority to hire or fire STAR or a qualified agency  administrator
of EFCC; (ii) independent  control of EFCC's books and records;  (iii) authority
over the  disposition  of assets  and the  authority  to incur on behalf of EFCC
liabilities not normally  associated with the day-to-day  operation of EFCC; and
(iv)  authority  for  the  independent  adoption  and  enforcement  of  policies
affecting the delivery of health care services.

           The Management  Agreement  will become  effective upon the date it is
approved by the Commissioner (the "Effective  Date").  The Management  Agreement
may be terminated by the  Commissioner,  without financial penalty to the Board,
not  more  than  sixty  (60)  days  after  notification  to  the  parties  of  a
determination  that the  management of EFCC is so deficient  that the health and
safety  of  patients  would be  threatened  by  continuation  of the  Management
Agreement.  The Management  Agreement can be terminated by EFCC without cause on
60 days' notice and with cause on 14 days' notice.  Unless sooner  terminated in
accordance with the terms of the Management Agreement, or extended or renewed by
mutual agreement of the parties thereto, the Management Agreement will remain in
effect until the Effective Time or December 31, 1998, whichever is sooner.

           Both the Consulting  Agreement and Management  Agreement were entered
into  because  the  Boards  of EFCC  and  TPC  believed  that  STAR  could  more
cost-effectively  perform certain functions called for by these  agreements.  If
the STAR Merger is not  consummated,  transferring  these functions back to EFCC
and TPC could be costly and time  consuming and may adversely  effect EFCC.  See
"RISK FACTORS - Possible Adverse Impact if STAR Merger is not Consummated."

                                       47
<PAGE>



                              THE MERGER AGREEMENT

           THE DETAILED  TERMS AND CONDITIONS TO THE MERGER ARE CONTAINED IN THE
MERGER  AGREEMENT,  WHICH IS  INCLUDED IN FULL AS APPENDIX A TO THIS JOINT PROXY
STATEMENT/PROSPECTUS AND INCORPORATED HEREIN BY REFERENCE. THE FOLLOWING SUMMARY
OF THE MATERIAL  TERMS OF THE MERGER  AGREEMENT IS QUALIFIED IN ITS ENTIRETY BY,
AND MADE  SUBJECT  TO,  THE MORE  COMPLETE  INFORMATION  SET FORTH IN THE MERGER
AGREEMENT.

THE MERGER

           Subject to the terms and conditions of the Merger  Agreement,  at the
Effective  Time,  EFCC will be merged with and into Merger Sub and thereupon the
separate existence of EFCC will cease and Merger Sub will continue to exist.

EFFECTIVE TIME OF THE MERGER

           Upon the satisfaction or waiver of all conditions to the Merger,  and
provided that the Merger  Agreement has not been  terminated or abandoned,  STAR
and EFCC will cause the Certificate of Merger to be filed with the Department of
State of the State of New York. The Merger will become effective upon the filing
of the  Certificate of Merger or at such later time as STAR and EFCC have agreed
upon and designated in such filing as the "Effective Time."

CONVERSION OF SECURITIES

           At the Effective  Time: (i) 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  will  continue  to be
outstanding;  and (ii) each share of the EFCC Common Stock,  which is issued and
outstanding  immediately  prior to the Effective Time, except those held by EFCC
shareholders  who validly and  properly  demand and perfect  dissenters'  rights
under  the BCL,  will be  converted  into the  right to  receive  the  following
consideration  (the  "Merger  Consideration"):  (a) the Cash  Consideration  (as
defined below),  without interest;  and (b) the number (the "Conversion Number")
of duly authorized,  validly issued, full paid and non-assessable shares of STAR
Common Stock as  calculated  below.  All shares of EFCC Common  Stock,  and each
holder of a  certificate  representing  such shares of EFCC Common  Stock,  will
cease to have any rights with respect  thereto,  except the right to receive the
Merger Consideration to be issued or paid in consideration therefor.

           "Cash  Consideration"  is defined in the Merger Agreement to mean the
amount  equal to: (a)  $2,400,000  divided by (b) the EFCC Share  Number.  "EFCC
Share Number" is defined in the Merger Agreement to mean 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 validly and properly demanded and perfected
dissenters' rights in the TPC Merger,  which EFCC Share Number shall not be less
then  37,600,000.  Conversion  Number is defined in the Merger Agreement to mean
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 equal to $4,850,000; divided by (b) the EFCC Share Number.
As used in the Merger Agreement, 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



                                       48
<PAGE>



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).

           The Merger Agreement also provides that, prior to the mailing of this
Joint Proxy  Statement/Prospectus,  STAR,  at its option,  could elect to pay in
lieu of the  Merger  Consideration  (defined  above) an amount in cash  equal to
$7,250,000 divided by the EFCC Share Number (defined above).

           Based upon the assumption that (i) 1,077,778 shares will be issued to
shareholders of EFCC in the Merger;  (ii) the average trading price of shares of
STAR Common Stock is $4.50,  for the 120 trading days ending three business days
prior to the Effective Time; and (iii) 4,193,560 shares of STAR Common Stock are
outstanding  as of May 31, 1997,  EFCC's  shareholders  will hold  approximately
20.44% of the issued and outstanding shares of STAR Common Stock, without giving
effect to the  exercise  of any  options or  warrants.  After  giving  effect to
currently  exercisable  options  and/or  warrants (as of May 31, 1997  numbering
640,430)  the  shareholders  of EFCC  would  hold  approximately  18.23% of such
shares.

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") will not be converted into the right to receive the Merger
Consideration 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. See "APPRAISAL RIGHTS OF DISSENTING SHAREHOLDERS."

EXCHANGE OF CERTIFICATES

           As  of  the  Effective  Time,  STAR  will  deposit,  or  cause  to be
deposited,  with  Continental  Stock Transfer and Trust  Company,  or such other
mutually  acceptable  bank or trust  company  (the  "Exchange  Agent"),  for the
benefit of holders of shares of EFCC Common  Stock,  for exchange in  accordance
with the Merger Agreement:  (i) certificates  representing the STAR Share Number
of shares of STAR Common Stock;  (ii) the estimated amount of cash to be paid in
lieu of  fractional  shares;  and  (iii)  all  funds  necessary  to pay the Cash
Consideration  for shares of EFCC Common Stock converted by reason of the Merger
other than with respect to Dissenting  Shares  (together,  all such certificates
and cash being  hereinafter  referred to as the "Exchange  Fund").  The Exchange
Agent  will   deliver,   pursuant   to   irrevocable   instructions,   the  Cash
Consideration,  the shares of STAR  Common  Stock to be issued  pursuant  to the
Merger  Agreement and the cash to be issued in lieu of fractional  shares out of
the Exchange Fund.

           As soon as  reasonably  practicable  after the  Effective  Time,  the
Exchange  Agent  will  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  (i) a letter of
transmittal  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.  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 will be entitled to receive in exchange  therefor the
Merger Consideration which such holder has the right to receive.



                                       49
<PAGE>



EFCC SHAREHOLDERS ARE REQUESTED NOT TO SURRENDER THEIR CERTIFICATES FOR EXCHANGE
UNTIL THEY RECEIVE A NOTICE AND TRANSMITTAL FORM FROM THE EXCHANGE AGENT.

           No dividends or other distributions with respect to STAR Common Stock
with a record  date after the  Effective  Time will 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) will be paid to any such holder until the
surrender  of such  Certificate  in  accordance  with the  terms  of the  Merger
Agreement.  Subject to the effect of applicable laws, following surrender of any
such  Certificate,  there  will  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
payment date  subsequent  to such  surrender  payable with respect to such whole
shares of STAR Common Stock.

           All  shares  of STAR  Common  Stock  issued,  together  with the Cash
Consideration   paid,  upon  the  surrender  for  exchange  of  Certificates  in
accordance  with the terms of the Merger  Agreement  (including any cash paid in
lieu of fractional  shares) will be deemed to have been issued  (and/or paid) in
full satisfaction of all rights pertaining to such shares of EFCC Common Stock.

           No  certificates  or scrip  representing  fractional  shares  of STAR
Common Stock will 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 the
Merger 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) will  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.

REPRESENTATIONS AND WARRANTIES

           STAR  has  made  certain  representations   regarding  the  following
matters: (i) corporate organization;  (ii) capital stock; (iii) options or other
rights;  (iv) authority  relative to the Merger Agreement and other  agreements;
(v) STAR Common Stock;  (vi) absence of violations;  (vii) financial  statements
and reports;  (viii) absence of certain changes or events;  (ix) completeness of
representations;  (x) absence of defaults; and (xi) the use of brokers. EFCC has
made certain  representations  regarding  the following  matters:  (i) corporate
organization; (ii) capital stock; (iii) options and other rights; (iv) authority
relative  to  the  Merger  Agreement  and  other  agreements;   (v)  absence  of
violations;  (vi)  compliance  with laws;  (vii)  litigation;  (viii)  financial
statements and reports;  (ix) absence of certain changes or events; (x) employee
benefit plans and  employment  matters;  (xi) labor  matters;  (xii)  insurance;
(xiii) environmental  matters;  (xiv) tax matters;  (xv) intellectual  property;
(xvi)  related  party  transactions;  (xvii)  absence  of  undisclosed  material
liabilities;   (xviii)   absence  of  defaults;   (xix)  title  to   properties;
encumbrances; (xx) contracts; (xxi) Medicare/Medicaid participation; (xxii) rate
tables  and  reimbursement;   (xxiii)  relationships;  (xxiv)  employees;  (xxv)
questionable payments;  (xxvi) completeness of representations;  (xxvii) the use
of brokers; and (xxviii) minimum net worth.

COVENANTS; CONDUCT OF BUSINESS PRIOR TO EFFECTIVE TIME



                                       50
<PAGE>



           EFCC has  agreed  that  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,  (iii)  expressly  directed by STAR
pursuant to the Management Agreement or (iv) required in order to consummate the
transactions contemplated by the Merger Agreement: (a) EFCC and its subsidiaries
will conduct their  respective  businesses in the ordinary course and consistent
in all material respects with past practice and will 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 subsidiary will (i) amend its charter or bylaws, (ii) other
than as  contemplated  by the Merger  Agreement,  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 subsidiary  will,  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  subsidiary  except that EFCC may issue shares of
EFCC Common Stock upon the exercise of stock options  outstanding on the date of
the Merger  Agreement,  (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 permitted by the Merger Agreement,  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 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  subsidiary may
increase the 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 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 subsidiary; (e) neither
EFCC nor any subsidiary will, 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;  and (f) neither EFCC nor any subsidiary  will
authorize or enter into any  agreement to do any of the things  described in (a)
through (e) above.

NEGOTIATIONS WITH OTHERS

           The Merger  Agreement  provides  that,  prior to the Effective  Time,
unless otherwise permitted by the Merger Agreement, EFCC will not and will cause
each of its officers, directors, employees, agents, legal and financial advisors
and  affiliates  not to,  directly  or  indirectly,  make,  solicit,  encourage,
initiate or enter into any agreement or agreement in principle,  or announce any
intention to do any of the foregoing, with respect to any


                                       51
<PAGE>



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  of assets,  tender  offer,
exchange  offer,  business  combination or otherwise (any such proposal or offer
being  hereinafter  referred to as a "Third  Party  Transaction").  EFCC and its
subsidiaries  have also agreed that, prior to the Effective Time, they will not,
and will 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 has  agreed  that 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.

MANAGEMENT AFTER THE MERGER

           After the Effective  Time,  Merger Sub, the surviving  corporation in
the Merger, will remain a wholly owned subsidiary of STAR. The initial directors
of the Merger Sub are Messrs. Sternbach and Fellerman.
Neither of them is an affiliate of EFCC.

CONDITIONS OF THE MERGER

           The respective  obligations of STAR and EFCC to consummate the Merger
are subject to the  fulfillment of certain  conditions,  certain of which may be
waived by the mutual consent of EFCC and STAR,  including,  without  limitation,
the  following:   (i)  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; (ii) STAR shall have received all state securities
laws or "blue sky" permits and  authorizations  necessary to issue the shares of
STAR Common Stock pursuant to the Merger and the  transactions  contemplated  by
the Merger  Agreement;  (iii) the Merger  Agreement and the Merger  contemplated
thereby  and  any  other  action   necessary  to  consummate  the   transactions
contemplated  thereby will have been approved and adopted by the requisite  vote
of the holders of the  outstanding  shares of the EFCC Common Stock  entitled to
vote  thereon at the EFCC Meeting and the holders of the  outstanding  shares of
the STAR Common  Stock  entitled to vote  thereon at the STAR  Meeting;  (iv) 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 the Merger Agreement; provided, however, that, prior to invoking
this  condition,  each party to the Merger  Agreement  shall use all  reasonable
efforts to have such statute, rule, regulation, injunction or order vacated; (v)
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; (vi) each of EFCC and STAR shall have received
the opinion,  addressed to each of them, of Meltzer,  Lippe,  Goldstein,  Wolf &
Schlissel, P.C., counsel to EFCC, dated immediately prior to the mailing of this
Joint Proxy Statement/Prospectus,  that among other things the Merger will, more
likely than not, be treated for federal income tax purposes as a  reorganization
within the meaning of Section 368(a) of the Code.



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<PAGE>



           The  obligation  of EFCC to  effect  the  Merger  is  subject  to the
fulfillment  or  waiver  by EFCC at or prior to the  Effective  Time of  certain
additional conditions,  including without limitation, the following: (i) each of
STAR  and  Merger  Sub  shall  have  performed  in  all  material  respects  its
obligations  under the Merger  Agreement  required to be  performed  by it on or
prior to the  Effective  Time pursuant to the terms  thereof,  unless EFCC shall
have  intentionally  prevented such  performance;  (ii) all  representations  or
warranties of STAR and Merger Sub in the Merger  Agreement  shall, to the extent
required in the Merger Agreement, be true and correct; and (iii) STAR shall have
obtained all Third Party Consents, including those Third Party Consents required
by TPC,  contemplated by the Merger  Agreement 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.

           The  obligations  of STAR and  Merger  Sub to  effect  the  Merger is
subject to the  fulfillment  or waiver by STAR at or prior to the Effective Time
of certain  additional  conditions,  including without limitation the following:
(i) EFCC shall have performed in all material  respects each of its  obligations
under  the  Merger  Agreement,  the  Consulting  Agreement  and  the  Management
Agreement  required  to be  performed  by it on or prior to the  Effective  Time
unless STAR shall have prevented such performance;  (ii) all  representations or
warranties  of  EFCC in the  Merger  Agreement  shall,  to the  extent  required
therein, be true and correct; (iii) 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 of the Merger;  (iv) 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 the
Merger  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 would become  applicable to EFCC or its  subsidiaries or
STAR or its  subsidiaries and which would have a material adverse effect on EFCC
or a material  adverse  effect on STAR;  (v) EFCC shall have  obtained all third
party consents (applicable to EFCC or any subsidiary) contemplated by, including
without limitation the following: except for such third party consents which, if
not obtained,  would not, individually or in aggregate,  have a material adverse
effect on EFCC;  (vi)  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;  (vii) 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;  and (viii) the merger of TPC Home Care  Services,  Inc.,  an 83%
owned subsidiary of EFCC, into EFCC shall have been completed in compliance with
all applicable law.

TERMINATION

           The Merger  Agreement may be terminated  and the Merger  abandoned at
any  time  prior  to  the  Effective  Time,  before  or  after  approval  by the
shareholders of STAR and EFCC:

           (a)       by the mutual consent of STAR and EFCC;

           (b) by  either  EFCC  or  STAR,  if  (i)  the  Merger  has  not  been
consummated by September 15, 1997; (ii) the approval of the shareholders of each
of STAR and EFCC have not been obtained at the meetings  duly convened  therefor
or at any  adjournments  or  postponements  thereof;  or (iii) 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;



                                       53
<PAGE>



           (c) by EFCC at any time prior to the Effective Time,  before or after
the adoption and approval by the shareholders of EFCC, by action of the Board of
Directors of EFCC,  if: (i) 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 Directors  under  applicable  law,  such
termination is required by reason of a Third Party Transaction;  (ii) any of the
representations  or  warranties  of STAR and Merger Sub in the Merger  Agreement
shall not have been, or where  applicable  continue to be, true and correct;  or
(iii) 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; or

           (d) by STAR at any time prior to the Effective Time, by action of the
Board of  Directors  of STAR,  if: (i) 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 the
Merger Agreement or the Merger; (ii) any of the representations or warranties of
EFCC in the Merger Agreement shall not have been, or where appropriate  continue
to be,  true and  correct;  or (iii)  there  has been a breach  in any  material
respect of any of the covenants or agreements set forth in the Merger  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.

EFFECT OF TERMINATION AND ABANDONMENT

           If the Merger  Agreement is  terminated  by EFCC because the Board of
EFCC  determines in good faith with the advice of outside legal counsel that, in
the exercise of its fiduciary obligations such termination is required by reason
of a Third  Party  Transaction  or by STAR  because  the Board of EFCC will 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 the
Merger Agreement or the Merger is withdrawn,  then EFCC will 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.


                                       54
<PAGE>



AMENDMENT AND WAIVER

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

           At any time prior to the  Effective  Time,  the parties to the Merger
Agreement,  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,  (ii)  waive any  inaccuracies  in the  representations  and
warranties  of the other  party  contained  in the  Merger  Agreement  or in any
documents  delivered  pursuant  thereto and (iii) waive  compliance by the other
party with any of the  agreements  or conditions  therein.  Any agreement on the
part of a party  thereto 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  of the Merger  Agreement will be deemed to be a waiver of any other
provision,  condition or requirement thereof; nor shall any delay or omission of
either party to exercise any right  thereunder in any manner impair the exercise
of any such right accruing to it thereunder.




                                       55
<PAGE>



                   APPRAISAL RIGHTS OF DISSENTING SHAREHOLDERS


           Section 910 of the BCL  ("Section  910")  provides that any holder of
EFCC Common Stock as of the Record Date who has not voted in favor of the Merger
Agreement  shall have the  right,  as an  alternative  to  receiving  the Merger
Consideration in the Merger,  to receive payment of the fair value of his shares
and certain other rights and benefits,  subject to complying with Section 623 of
the BCL ("Section 623"). Pursuant to the terms of the Merger Agreement,  STAR is
not obligated to consummate the Merger if more than 5% of the outstanding shares
of EFCC Common  Stock,  after  giving  effect to the TPC Merger,  have  properly
demanded  appraisal  rights.  Copies of Section 623 and Section 910 are attached
hereto as Appendix C and a summary of the procedures relating to the exercise of
appraisal  rights is set forth  below.  This  summary  does not  purport to be a
complete  statement  of the  revisions  of Section  623 and  Section  910 and is
qualified  in its  entirety  by  reference  to  Appendix  C. A  person  having a
beneficial  interest in shares of EFCC  Common  Stock that are held of record in
the name of another  person,  such as a broker or nominee,  must act promptly to
cause the record holder to follow the steps  summarized  below properly and in a
timely manner to perfect  whatever  appraisal  rights such beneficial  owner may
have.

           THIS  DISCUSSION  AND APPENDIX C SHOULD BE REVIEWED  CAREFULLY BY ANY
SHAREHOLDER  OF EFCC WHO WISHES TO EXERCISE  STATUTORY  APPRAISAL  RIGHTS OR WHO
WISHES TO PRESERVE  THE RIGHT TO DO SO.  FAILURE TO STRICTLY  COMPLY WITH ANY OF
THE PROCEDURAL REQUIREMENTS OF SECTION 623 MAY RESULT IN A TERMINATION OR WAIVER
OF APPRAISAL RIGHTS UNDER SECTION 623.

           EFCC  does  not  intend  to  waive   compliance  with  any  statutory
procedures.  Unless all of the procedures as set out in Section 623 are followed
by a  shareholder  of  EFCC  who  wishes  to  exercise  appraisal  rights,  such
shareholder will be bound by the terms of the Merger Agreement.

           Each holder of record of EFCC Common Stock who, as of the EFCC Record
Date, desires to exercise appraisal rights must satisfy the following conditions
and otherwise comply with the provisions of Section 623:

           (i) A separate,  written  objection  to the Merger must be filed with
EFCC before or at the EFCC  Meeting,  but prior to the taking of the vote on the
Merger. This objection must include: (a) a notice of the shareholder's  election
to dissent,  (b) the shareholder's name and residence address, (c) the number of
shares as to which the shareholder  dissents and (d) a demand for payment of the
fair value of such shares if the Merger is  consummated.  Such  objection is not
required for any holder of shares of EFCC Common Stock to whom EFCC did not give
notice of the EFCC Meeting. A shareholder may not dissent as to less than all of
the shares which such shareholder owns beneficially,  and a nominee or fiduciary
may not  dissent  on behalf of any  beneficial  owner as to less than all of the
shares of such  owner  held of record by such  nominee  or  fiduciary.  A record
holder, such as a broker or an agent, who holds shares of EFCC Common Stock as a
nominee  or  fiduciary  for  beneficial  owners,  some of whom  desire to demand
appraisal,  must exercise  appraisal rights on behalf of such beneficial  owners
who desire to demand  appraisal  with respect to the shares of EFCC Common Stock
held for such beneficial  owners.  A proxy or vote  abstaining  from voting,  or
voting  against  the  Merger,  or a  failure  to vote on the  Merger,  does  not
constitute such an objection  within the meaning of Section 623. Failure to vote
against the Merger  Agreement,  however,  will not constitute a waiver of rights
under Sections 623 and 910 of the BCL,  provided that a written objection to the
Merger,  as described above, has been properly filed. EFCC will treat only those
written demands which are actually  received by it before the taking of the vote
on the Merger as being timely.



                                       56
<PAGE>



           (ii) A shareholder wishing to exercise appraisal rights under Section
623 must not vote for the approval and  adoption of the Merger  Agreement.  If a
shareholder  returns a signed proxy failing to specify either (a) a vote against
the approval and adoption of the Merger Agreement, or (b) a direction to abstain
from voting on the approval and adoption of the Merger Agreement, the proxy will
be voted "FOR" the  approval and  adoption of the Merger  Agreement,  which will
have the effect of waiving such  shareholder's  appraisal  rights and nullifying
any previously filed objection.

           All notices of election to dissent  should be addressed to EFCC,  c/o
Arbor Home Health Care Holdings LLC, 333 Earle Ovington Boulevard, Uniondale, NY
11553, Attention: Joseph Heller, Vice President.

           Within ten days after the Effective  Time,  EFCC will provide written
notice of the  consummation of the Merger to all  shareholders who filed written
objections  to the Merger or from whom a written  objection was not required and
have not voted for adoption and approval of the Merger. Within 20 days after the
giving of such notice to any  shareholder  from whom written  objection  was not
required,  if such shareholder elects to dissent, such shareholder may file with
EFCC a written  notice of such  election,  stating  the  shareholder's  name and
residence  address,  the number of shares of EFCC Common  Stock as to which such
shareholder  dissents  and a  demand  for  payment  of the  fair  value  of such
shareholder's shares of EFCC Common Stock.

           Each  shareholder  who has complied  with Section 623 must submit the
certificates  representing  such  shares  of EFCC  Common  Stock  to EFCC or its
transfer  agent at the time of filing  the notice of dissent or within one month
thereafter  for notation  thereon of the pendency of an appraisal  claim,  after
which such  certificates  will be returned  to such  holder or other  person who
submitted them on behalf of the holder.  American Stock Transfer & Trust Company
serves as the transfer agent for shares of EFCC Common Stock, and its address is
40 Wall Street,  New York, NY 10005.  Any such  shareholder  who fails to submit
such  certificates  for notation  will,  at the election of EFCC  (exercised  by
written  notice  to such  holder  within  45 days from the date of filing of the
notice to dissent),  lose such dissenter's rights unless a court, for good cause
shown,  otherwise directs. Upon transfer of a certificate bearing such notation,
each new certificate issued therefor shall bear a similar notation together with
the name of the original  dissenting holder of the shares and a transferee shall
acquire no rights in EFCC except those which the original dissenting shareholder
had at the time of the transfer.

           Within 15 days  after  the  expiration  of the  period  within  which
holders of shares of EFCC  Common  Stock may file their  notices of  election to
dissent, or within 15 days after the Effective Time,  whichever is later (but in
no case later than 90 days after the Special  Meeting),  EFCC (or STAR, if after
the Effective  Time) is required to make a written  offer by registered  mail to
each  shareholder  who has filed a notice of election to dissent to pay for such
holder's  shares of EFCC Common Stock at a specified  price which EFCC (or STAR)
considers  to be  their  fair  value  (which  price  is to be the  same  for all
dissenting holders). Such offer will be accompanied by a statement setting forth
the  aggregate  number of shares of EFCC  Common  Stock  with  respect  to which
notices  of  election  to  dissent  from  approval  and  adoption  of the Merger
Agreement have been received and the aggregate  number of holders of such shares
of EFCC Common Stock. If the Merger has been  consummated at the time such offer
is made,  such offer will also be  accompanied  by (i)  advance  payment to each
dissenting holder who has submitted such holder's certificates to shares of EFCC
for notation thereon of such holder's  election to dissent of an amount equal to
80% of the amount of such offer,  or (ii) as to each  dissenting  holder who has
not yet submitted such certificates for such notation,  a statement that advance
payment to such  holder of an amount  equal to 80% of such offer will be made by
EFCC promptly upon submission of such  certificates.  If the Merger has not been
consummated at the time of such offer,  such advance  payment or statement as to
advance payment will be sent to each holder entitled



                                       57
<PAGE>



thereto forthwith upon consummation of the Merger. Every such advance payment or
statement  as to  advance  payment  will  include  advice  to such  holder  that
acceptance of such payment by a dissenting  holder will not  constitute a waiver
of such holder's  dissenter's  rights. If the Merger has not been consummated by
the expiration of the  above-mentioned  90-day period,  the offer by EFCC may be
conditioned  upon the  consummation  of the Merger.  If within 30 days after the
making of a written offer by EFCC, EFCC and any dissenting holder agree upon the
price to be paid for such  shareholder's  shares of EFCC Common  Stock,  payment
therefor  will be made  within  60 days  after the  making of such  offer or the
Effective  Time,  whichever is later,  upon the  surrender  of the  certificates
representing such shares of EFCC Common Stock.

           If EFCC  fails  to make  such  an  offer  within  the  15-day  period
described  in the  preceding  paragraph,  or if it makes an offer but EFCC and a
dissenting  holder do not agree  within 30 days of the  making of the offer upon
the price to be paid for such holder's  shares of EFCC Common Stock,  EFCC must,
within  20 days of such 15 or 30-day  period,  as the case may be,  institute  a
special  proceeding in the New York Supreme Court,  Nassau County (the "Court"),
to determine  the rights of  dissenting  shareholders  and fix the fair value of
their  shares of EFCC  Common  Stock.  It is the  current  intention  of EFCC to
institute any such proceeding  within the 20-day period;  however,  if EFCC does
not institute such proceeding  within the 20-day period,  any dissenting  holder
may,  within 30 days after the  expiration  of the 20-day  period,  institute  a
proceeding for the same purposes.  If such  proceeding is not instituted  within
such 30-day period,  dissenting  holders who have not agreed with EFCC as to the
price to be paid for the shares of EFCC Common Stock will lose their  dissenters
rights, unless the Court, for good cause shown, otherwise directs.

           All dissenting  holders,  other than those who shall have agreed with
EFCC as to the price to be paid for their shares of EFCC Common  Stock,  will be
made parties to such appraisal proceeding. The Court will determine whether each
dissenting   holder,   as  to  whom  EFCC   requests  the  Court  to  make  such
determination,  is entitled to receive  payment for such holder's shares of EFCC
Common Stock.  If EFCC does not request any such  determination  or if the Court
finds  that such  dissenting  shareholder  is so  entitled,  the Court will then
determine the fair value of such holder's  shares of EFCC Common Stock as of the
close of  business on the day prior to the date of the EFCC  Meeting.  In fixing
the fair value of the shares of EFCC Common  Stock,  the Court will consider the
nature of the  transaction  giving rise to the holder's right to receive payment
for such  holder's  shares of EFCC Common  Stock and its effects on EFCC and its
shareholders, the concepts and methods then customary in the relevant securities
and  financial  markets  for  determining  the  fair  value of the  shares  of a
corporation  engaging in a similar  transaction under comparable  circumstances,
and all other relevant factors.  Within 60 days after the completion of any such
Court  proceeding,  EFCC will be required to pay to each  dissenting  holder the
amount  found to be due (less the  advance  payment  referred  to  above),  with
interest thereon at such rate as the Court finds to be equitable,  from the date
the Merger is consummated to the date of payment, upon surrender to EFCC by such
holder of the certificates representing such shares of EFCC Common Stock. If the
Court  finds that the  refusal of any  dissenting  holder to accept the offer of
EFCC was arbitrary,  vexatious, or otherwise not in good faith, no interest will
be allowed to such holder.

           The parties to such  appraisal  proceeding  will bear their own costs
and  expenses,  including the fees and expenses of their counsel and any experts
employed by them,  except that the Court, in its  discretion,  (i) may apportion
and assess all or any part of the costs,  expenses  and fees  incurred by any or
all dissenting  shareholders who are parties to the appraisal proceeding against
EFCC if,  among  other  things,  the Court  finds (a) that the fair value of the
shares of EFCC Common Stock  materially  exceeds the offer by EFCC,  (b) that no
offer of payment or required  advance  payment  was made by EFCC,  (c) that EFCC
failed to institute such appraisal proceeding within the required period, or (d)
that the actions of EFCC in complying  with its  obligations  under  Section 623
were arbitrary,  vexatious or otherwise not in good faith, or (ii) may apportion
and assess  all or any part of the costs,  expenses  and fees  incurred  by EFCC
against  any or all  of the  dissenting  shareholders  who  are  parties  to the
proceeding, including any who have withdrawn their notices of



                                       58
<PAGE>



election to dissent  from the Merger,  if the Court finds that their  refusal to
accept EFCC's offer of payment was arbitrary, vexatious or otherwise not in good
faith.

           Any  shareholder  who has filed a notice of election to dissent  will
not,  after the Effective  Time,  have any of the rights of a  shareholder  with
respect to such holder's shares of EFCC Common Stock, other than the right to be
paid the fair value of such shares of EFCC Common Stock  pursuant to the BCL and
any other rights or benefits provided by the BCL for shareholders who have filed
such a  notice.  Any  notice  of  election  to  dissent  may be  withdrawn  by a
dissenting  shareholder  at any time prior to such  shareholder's  acceptance in
writing of an offer made by EFCC, as described  above, but in no case later than
60 days after the Effective Time (or if EFCC fails to make a timely offer to pay
such  shareholder the fair value of such holder's shares of EFCC Common Stock as
described  above,  at any time  within  60 days  after any date such an offer is
made),  or thereafter  with the written consent of EFCC or as provided below. In
order to be  effective,  withdrawal  of a notice of election to dissent  must be
accompanied by the return to EFCC of any advance payment to the shareholder made
by EFCC, as described  above.  Any  dissenting  shareholder  who withdraws  such
holder's  notice of  election  to dissent or  otherwise  loses such  dissenter's
rights will thereupon have only the right to receive the consideration  provided
for in the Merger  Agreement  for each of such  holder's  shares of EFCC  Common
Stock.

           Under  Section  623(j) of the BCL,  no  payment  of the fair value of
shares of EFCC Common Stock may be made to  dissenting  shareholders  by EFCC if
EFCC were to be  insolvent or if such payment  would render EFCC  insolvent.  In
that event, such dissenting shareholder would be required to file written notice
with EFCC within 30 days after such  shareholder  receives a written notice from
EFCC that EFCC was  insolvent  or payment for such  shareholder's  shares  would
render EFCC insolvent. In such a case, the dissenting shareholder would have the
option to either (i) withdraw such holder's notice of election to dissent (which
would be deemed  accepted  by EFCC) or (ii)  retain  such  holder's  status as a
claimant  against  EFCC. If a dissenting  shareholder  were to elect to remain a
claimant   against  EFCC,   such  dissenting   shareholder's   rights  would  be
subordinated  to the rights of the  creditors  of EFCC but would be  superior to
those of non-dissenting shareholders should EFCC be liquidated. If EFCC were not
liquidated,  the  dissenting  shareholder  would retain such  holder's  right to
payment for such holder's  shares of EFCC Common Stock,  which  obligation  EFCC
would be required  to meet once it was no longer  insolvent  or if such  payment
would not render EFCC insolvent.  If a dissenting  shareholder fails to exercise
either  such  option  within 30 days after EFCC has given  such  holder  written
notice that payment cannot be made because of the restrictions of Section 623(j)
of the BCL, EFCC would be required to exercise such option by written  notice to
such holder within 20 days after the  expiration of such period of 30 days.  For
purposes of the BCL, an "insolvent  corporation" is a corporation that is unable
to pay its debts as they become due in the usual course of its business.

           If a court in a lawsuit by an unpaid  creditor or  representative  of
creditors, such as a trustee in bankruptcy,  were to find that, at the time EFCC
makes any payment in respect of any dissenting shares (each, a "Transfer"), EFCC
(i) made the Transfer with intent to hinder,  delay or defraud creditors or (ii)
received less than a reasonably  equivalent value or fair  consideration for the
Transfer,  and (a) was insolvent at the time of the  Transfer,  (b) was rendered
insolvent  by reason of the  Transfer,  (c) was  engaged or about to engage in a
business or transaction  for which the assets  remaining  with EFCC  constituted
unreasonably small capital to carry on its business or (d) intended to incur, or
believed  that it would  incur,  debts  beyond its  ability to pay as such debts
matured,  the court  could  find that the  Transfer  constituted  a  "fraudulent
conveyance"  under  applicable  federal  or  state  law.  If the  Transfer  were
determined  to be a  fraudulent  conveyance,  there is a risk  that  holders  of
dissenting shares, as recipients of the Transfers, would be ordered to turn over
to EFCC,  its  creditors or its trustee in  bankruptcy,  all or a portion of the
payments in respect of dissenting shares. The measure of insolvency for purposes
of the foregoing will vary depending upon the law of the  jurisdiction  which is
being applied. Generally,  however, EFCC would be considered insolvent if at the
time of the



                                       59
<PAGE>



Transfer in question the fair value (or fair  saleable  value) of its assets was
less than the amount  required to pay its  probable  liability  on its  existing
debts (including contingent liabilities) as they become absolute and matured, or
if the sum of EFCC, debts (including any contingent  liabilities) at the time of
the Transfer is greater than the fair value of all EFCC  assets.  The  Transfers
could be deemed to be fraudulent conveyances even if EFCC is not deemed to be an
"insolvent corporation" for purposes of Section 623.

           In any  proceeding to enforce a  shareholder's  rights to payment for
shares  pursuant to Section 623, a  shareholder  is  precluded  from seeking the
enforcement of any other right to which he might otherwise be entitled by virtue
of share ownership, except (i) the right to be paid the fair value of his shares
pursuant to Section  623 and (ii) the right to bring or maintain an  appropriate
action to obtain  relief on the ground that the Merger is unlawful or fraudulent
as to such shareholder.

           A VOTE AGAINST THE APPROVAL AND ADOPTION OF THE MERGER AGREEMENT WILL
NOT BE  DEEMED TO  SATISFY  THE  REQUIREMENTS  FOR A  WRITTEN  OBJECTION  TO THE
APPROVAL AND ADOPTION OF THE MERGER AGREEMENT OR A WRITTEN DEMAND FOR PAYMENT OF
THE VALUE OF THE SHARES OWNED BY A DISSENTING SHAREHOLDER.






                                       60
<PAGE>



                       COMPARISON OF RIGHTS OF HOLDERS OF
                     STAR COMMON STOCK AND EFCC COMMON STOCK

GENERAL

           As a result of the Merger,  holders of EFCC Common  Stock will become
shareholders  of STAR,  and the rights of such  former  EFCC  shareholders  will
thereafter  be  governed by the STAR  Certificate  of  Incorporation  (the "STAR
Charter") and the STAR by-laws (the "STAR  By-laws").  The rights of the holders
of  EFCC  Common  Stock  are  presently  governed  by the  EFCC  Certificate  of
Incorporation  (the "EFCC  Charter") and the EFCC by-laws (the "EFCC  By-laws").
The rights of the  Shareholders  of both STAR and EFCC are  governed by the BCL.
Therefore,  except for those differences that result from the differences of the
respective  charters and by-laws of STAR and EFCC,  there are no  differences in
the respective  rights of shareholders of STAR and EFCC. The following  summary,
which does not purport to be a complete statement of the differences between the
rights  of the  shareholders  of  STAR  and  the  shareholders  of  EFCC,  is an
explanation of the material differences of the EFCC Common Stock and STAR Common
Stock  resulting  from the  differences  between  the STAR  Charter and the EFCC
Charter, the STAR By-laws and the EFCC By-laws. This summary is qualified in its
entirety  by  reference  to the  full  text of each  of such  documents  and the
applicable state statutes.

VOTING RIGHTS

Generally

           Each  shareholder  of record of STAR or EFCC Common Stock is entitled
to one vote for every share held by such holder. Except as otherwise provided by
the New York Business  Corporation  Law ("BCL"),  whenever any corporate  action
other than the election of directors is to be taken by vote of the  shareholders
of STAR or EFCC, respectively,  it must be authorized by a majority of the votes
cast at a meeting of  shareholders  by the  holders of shares  entitled  to vote
thereon.

Election of Directors

           The BCL provides that the number of directors constituting the entire
board shall not be less than three, except where all the shares of a corporation
are owned beneficially and of record by less than three shareholders. The number
of  directors  may  be  less  than  three  but  not  less  than  the  number  of
shareholders.  Subject to the above, the number of directors may be fixed by the
by-laws,  or by action of the  shareholders  or of the board under the  specific
provisions of a by-law adopted by the shareholders.
           The STAR Charter  mandates  that STAR have not less than three and no
more  than  fifteen  directors.  Pursuant  to the EFCC  By-laws,  the  number of
directors shall be not less than three nor more than five.

Approval of Certain Transactions

           The  BCL  requires  the   affirmative   vote  of  two-thirds  of  all
outstanding shares entitled to vote thereon to effect a merger, a consolidation,
a share exchange or the sale, lease,  disposition of all or substantially all of
a  corporation's  assets.  Notwithstanding  any provision in the  certificate of
incorporation  permitting class voting in connection with the transaction of any
business  of the  corporation,  the  holders  of shares of a class or series are
entitled by the BCL to vote as a class if the proposed  transaction contains any
provision   which,   if  contained  in  an  amendment  to  the   certificate  of
incorporation  of the  corporation,  would  entitle the holder of shares of such
class or series to vote  thereon;  in such case,  in  addition  to the  required
two-thirds vote of all



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outstanding  shares, the merger must be authorized by the vote of the holders of
a majority of all outstanding shares of each such class or series.

           Neither  the STAR nor the EFCC  Charter  contain  special  provisions
authorizing  class  voting in  instances  other than those where class voting is
required by the BCL.

AMENDMENTS TO THE CERTIFICATE OF INCORPORATION

           Pursuant to the BCL,  amendments to the certificate of  incorporation
may be authorized by vote of the board, followed by the vote of the holders of a
majority of all outstanding shares entitled to vote thereon.
This provision applies to both STAR and EFCC shareholders.

SPECIAL MEETINGS

           Pursuant to the BCL,  special  meetings of shareholders may be called
by the board of directors  and by such other person or persons  authorized to do
so by the  corporation's  certificate of incorporation or by-laws.  In addition,
the BCL  provides  that if there is a failure  to elect a  sufficient  number of
directors to conduct the business of the  corporation  for a period of one month
after  the  date  fixed  by or under  the  by-laws  for the  annual  meeting  of
shareholders  or for a period of 13 months  after the last annual  meeting,  the
board of directors will call a special meeting of directors.  If the board fails
to do so within 14 days of the expiration of such period,  or if it is so called
but such directors are not elected within two months,  the holders of 10% of the
shares  entitled to vote in an election  of  directors  may demand the call of a
special meeting for an election of directors.

           The STAR By-laws permit special  shareholders'  meetings to be called
at any time by the board or the president,  or by the president or the secretary
at the written request of the holders of 10% of the outstanding  shares entitled
to vote at such meeting. The EFCC By-laws permit special shareholder meetings to
be called by the president or the secretary at the written request of a majority
of the board or by shareholders owning a majority in amount of the shares issued
and outstanding.

SHAREHOLDER ACTION WITHOUT A MEETING

           The BCL  provides  that  shareholders  may take any action  without a
meeting by written  consent only if such consent is signed by the holders of all
outstanding  shares entitled to vote thereon,  unless otherwise  provided in the
certificate of incorporation.

           Neither the STAR nor the EFCC Charter contain provisions limiting the
right of the shareholders to act by written consent.

PREEMPTIVE RIGHTS

           The BCL provides, subject to certain exceptions, preemptive rights to
the shareholders of a corporation in the case of an issuance of securities which
would  adversely  affect  certain  specified  interests  of  such  shareholders,
provided that the certificate of incorporation may provide otherwise.

           Neither  the STAR  nor the  EFCC  Charter  include  such a  provision
relative to preemptive rights.




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<PAGE>



DIVIDENDS

           Pursuant to the BCL, a  corporation  may declare and pay dividends on
its  outstanding  shares  except when such  corporation  is  insolvent  or would
thereby be made  insolvent,  or when the  declaration,  payment or  distribution
would  be  contrary  to  any  restrictions   contained  in  the  certificate  of
incorporation.  In  general,  dividends  may be  declared or paid out of surplus
only.  When any dividend is paid or any other  distribution is made, in whole or
in part,  from sources other than earned  surplus,  it must be  accompanied by a
written  notice  disclosing  the amounts by which such dividend or  distribution
affects stated capital,  capital surplus and earned surplus, or, if such amounts
are not yet determinable,  disclosing the approximate effect of such dividend on
stated capital, capital surplus and earned surplus and stating that such amounts
are not yet determinable.

           Neither  STAR  nor  EFCC's  Charter   contain   restrictions  on  the
declaration, payment or distribution of dividends.

STOCK REPURCHASES

           The BCL permits a corporation,  subject to restriction imposed by law
or permission in its certificate of  incorporation,  to repurchase or redeem its
shares out of surplus except when the  corporation is insolvent or would thereby
be made insolvent. A corporation may repurchase its shares out of stated capital
(subject to the foregoing  exception) if the purchase is made for the purpose of
(i)   eliminating   fractions  of  shares,   (ii)   collecting  or  compromising
indebtedness to the corporation or (iii) paying  shareholders  the fair value of
their shares in connection with the exercise of statutory appraisal rights.

           The STAR  Charter  provides  that  STAR's  Common  Stock shall not be
subject  to  redemption.  The  EFCC  Charter  does  not  contain  any  provision
prohibiting redemption.

ISSUANCE  OF RIGHTS OR OPTIONS TO PURCHASE  SHARES TO  DIRECTORS,  OFFICERS  AND
EMPLOYEES

           The  BCL  requires  that  the  issuance  to  officers,  directors  or
employees of rights or options to purchase shares be authorized by a majority of
all outstanding shares entitled to vote thereon, or authorized by and consistent
with a plan adopted by such vote of  shareholders.  In the absence of preemptive
rights,  such  authorization  is not  required  in New York for the  issuance of
rights  or  options  in  substitution  for or upon the  assumption  of rights or
options  of a  corporation  with  which the  issuing  corporation  is merging or
consolidating.

           Both BCL  provisions  apply to STAR and EFCC as neither STAR nor EFCC
shareholders benefit from preemptive rights.

LOANS TO DIRECTORS

           The  BCL  requires  that  any  loan  made by the  corporation  to any
director  be  authorized  by a vote of the  shareholders.  For  purposes of this
authorization, the shares held by the director who would be the borrower are not
entitled to vote.

           This provision applies to both STAR and EFCC as neither corporation's
Charter restricts the making of loans to directors by the corporation.



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<PAGE>



CLASSIFICATION OF THE BOARD OF DIRECTORS

           The BCL  provides  that a  corporation's  board of  directors  may be
divided into classes with staggered terms of office.

           Neither  the EFCC nor the  STAR  Charter  or  By-laws  provide  for a
classified board of directors.

DUTIES OF DIRECTORS

           The BCL  specifically  authorizes  a board of  directors  to consider
constituencies  other than the holders of a  corporation's  capital stock and to
consider both the long-term and short-term interests of the corporation and such
constituencies when taking any action, including action taken in connection with
a change or potential change in the control of the corporation.  The BCL permits
directors  to consider  the effect that a  corporation's  action may have in the
short-term and long-term on (i) potential growth, development,  productivity and
profitability of a corporation;  (ii) current employees; (iii) retired employees
and other beneficiaries receiving or entitled to receive retirement,  welfare or
similar  benefits from the  corporation;  (iv) the  corporation's  customers and
creditors; and (v) the ability of the corporation to continuously provide goods,
services,   employment  opportunities  and  employment  benefits  and  otherwise
contribute to the communities in which it does business.

           STAR and EFCC directors both have the benefit of the above  provision
as neither STAR nor EFCC's Charter or By-laws restrict the  constituencies  that
directors can consider when taking corporate action.

INTERESTED DIRECTOR TRANSACTIONS

           The BCL provides that no transaction between a corporation and one or
more of its  directors,  or any entity in which one or more of its directors are
directors or officers, or have a substantial  financial interest,  shall be void
or voidable solely for that reason.  In addition,  no such transaction  shall be
void or voidable  solely because the director is present or votes at the meeting
of the board of directors or committee  which  authorized  the  transaction.  In
order to  avoid  such a  transaction  being  void or  voidable,  it must,  after
disclosure of material facts (unless such facts were known),  (i) be approved by
the disinterested  directors or a committee of disinterested directors by a vote
sufficient for such purpose without counting the vote of any interested director
(or, if the vote of disinterested directors is insufficient to constitute an act
of  the  board  under  the  BCL,  by the  unanimous  vote  of the  disinterested
directors) or (ii) be approved by a vote of the shareholders. Alternatively, the
transaction will not be void or voidable if it is shown to have been fair to the
corporation  at the time it was approved by the board of directors,  a committee
thereof or the shareholders.

           The above provisions are applicable to STAR and EFCC.

LIMITATIONS ON DIRECTORS' LIABILITY

           The BCL permits a  corporation  to limit or  eliminate  a  director's
personal  liability to the  corporation  or the holders of its capital stock for
breach of duty. This  limitation is generally  unavailable for acts or omissions
by a director which were (i) in bad faith, (ii) involved intentional  misconduct
or a knowing  violation  of law, or (iii)  involved a financial  profit or other
advantage to which such director was not legally entitled. The BCL also provides
for joint and several  liability  of directors  who concur in certain  corporate
actions  resulting in the violation of a statute  prohibiting  certain  dividend
declarations,  purchase or redemption of shares,  payments to shareholders after
dissolution and particular types of loans.



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<PAGE>



           Both the  STAR and the EFCC  Charters  provide  that,  to the  extent
permitted  by the BCL, no  director  shall be liable to the  Corporation  or its
shareholders  for  damages  for any breach of duty in his or her  capacity  as a
director.

INDEMNIFICATION OF DIRECTOR AND OFFICERS

           Pursuant to the BCL, indemnification of directors and officers may be
provided to whatever extent shall be authorized by a  corporation's  certificate
of incorporation or a by-law or vote adopted by the shareholders.  However,  the
BCL does not permit  indemnification  with respect to any matter as to which the
director or officer has been  adjudicated not to have acted in good faith in the
reasonable belief that his actions were in the best interest of the corporation.

           The BCL provides that no  indemnification of directors in shareholder
derivative suits may be made in respect of (i) a threatened  action or a pending
action  which is settled or otherwise  disposed of, or (ii) any claim,  issue or
matter as to which the director or officer had been adjudged to be liable to the
corporation,  unless and only to the  extent  that the court in which the action
was brought or, if no action is brought,  any court of  competent  jurisdiction,
determines upon application  that, in view of the circumstances of the case, the
director  or officer is fairly and  reasonably  entitled to  indemnity  for such
portion of the  settlement  amount and expenses as the court deems  proper.  The
statutory  provisions for  indemnification  and  advancement of expenses are not
exclusive  of any  other  rights  to  which  those  seeking  indemnification  or
advancement  of  expenses  may  be  entitled  independently  of  the  applicable
statutory provision.

           The STAR and the EFCC  By-laws both  provide for  indemnification  of
directors and officers and  advancement  of expenses to the extent  permitted by
the BCL.

REMOVAL OF DIRECTORS

           The BCL provides  that any or all of the  directors of a  corporation
may be removed for cause by a vote of the  shareholders and that the certificate
of incorporation or by-laws may provide for removal without cause by vote of the
shareholders.  The BCL also imposes  additional  restrictions  on the removal of
directors of  corporations  with cumulative  voting or directors  elected by the
holders of a specific class or series of shares.

           STAR's  By-laws  provide  that any  director  may be  removed  by the
shareholders  with or without cause and at any time. EFCC's By-laws provide that
any or all of the directors may be removed for cause by vote of the shareholders
or by action of the Board. Directors may be removed without cause only by a vote
of the shareholders. As STAR and EFCC's By-laws are silent respecting removal of
directors elected through  cumulative voting or by the holders of given class or
series of shares, the BCL provisions with respect thereto shall apply in full.




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<PAGE>



                        DESCRIPTION OF STAR CAPITAL STOCK

STAR COMMON STOCK

           STAR has two  authorized  classes of capital  stock,  the STAR Common
Stock,  par  value  $.001  per  share,  of  which  STAR is  authorized  to issue
10,000,000 shares and STAR's preferred stock, par value $1.00 per share of which
STAR is authorized to issue 5,000,000 shares.

           The  holders of STAR Common  Stock are  entitled to one vote for each
share of  record  held by them on all  matters  to be voted on by  shareholders.
There is no right to cumulative voting;  thus, the holders of 50% or more of the
shares  outstanding  can, if they choose to do so, elect all of the directors of
STAR. The holders of STAR Common Stock are entitled to receive  dividends  when,
as and if  declared by the Board of  Directors  out of funds  legally  available
therefor. In the event of liquidation,  dissolution or winding up of the affairs
of STAR,  the holders of STAR Common Stock are entitled to share  ratably in all
assets   remaining   available  for   distribution  to  them  after  payment  of
liabilities.  Holders of shares of STAR Common Stock have no preemptive or other
subscription rights.

           As of July 24, 1997, there were 4,212,387 shares of STAR Common Stock
issued and  outstanding  which were held of record by 218 persons.  No shares of
preferred stock have been issued.

CERTAIN PROVISIONS OF THE CERTIFICATE OF INCORPORATION AND BY-LAWS

                      (a)        Section 722 of the BCL permits,  in general,  a
New York  corporation  to indemnify any person made, or threatened to be made, a
party to an  action  or  proceeding  by  reason of the fact that he or she was a
director or officer of the corporation, or served another entity in any capacity
at the request of the corporation,  against any judgment, fines, amounts paid in
settlement  and  reasonable  expenses,  including  attorneys'  fees actually and
necessarily  incurred  as a result of such action or  proceeding,  or any appeal
therein,  if such person acted in good faith, for a purpose he or she reasonably
believed to be in, or, in the case of service for  another  entity,  not opposed
to,  the  best  interests  of  the  corporation  and,  in  criminal  actions  or
proceedings,  in addition  had no  reasonable  cause to believe  that his or her
conduct was unlawful.  Section 723 of the BCL permits the  corporation to pay in
advance  of a final  disposition  of such  action  or  proceeding  the  expenses
incurred in defending  such action or proceeding  upon receipt of an undertaking
by or on behalf of the  director  or officer to repay such amount as, and to the
extent,   required  by  statute.   Section   721  of  the  BCL   provides   that
indemnification and advancement of expense provisions contained in the BCL shall
not be deemed  exclusive  of any rights to which a director  or officer  seeking
indemnification or advancement of expenses may be entitled, whether contained in
the  certificate of  incorporation  or the by-laws of the  corporation  or, when
authorized by such certificate of incorporation or by-laws,  (i) a resolution of
shareholders,  (ii) a resolution of directors or (iii) an agreement, provided no
indemnification  may be made on behalf of any  director or officer if a judgment
or other final adjudication  adverse to the director or officer establishes that
his or her acts  were  committed  in bad  faith or were the  result of active or
deliberate  dishonesty and were material to the cause of action so  adjudicated,
or  that he or she  personally  gained  in  fact a  financial  profit  or  other
advantage to which he or she was not legally entitled.

                      (b)        STAR's Certificate of Incorporation provides in
Article  Twelfth as follows:  "TWELFTH:  To the fullest  extent now or hereafter
provided for or permitted by law, no director of the Company shall be personally
liable to the Company or its  shareholders for damages for any breach of duty in
such capacity.  Neither the amendment or repeal of this Article Twelfth, nor the
adoption of any provision of the Certificate of Incorporation  inconsistent with
this Article  Twelfth,  shall eliminate or reduce the protection by this Article
Twelfth to a director of the Company in respect to any matter which occurred, or
any cause of



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action,  suit or claim which but for the Article  Twelfth  would have accrued or
arisen, prior to such amendment, repeal or adoption."

                      (c)        Article  X  of  STAR's  By-Laws  provides,   in
general,  that STAR shall indemnify any officer or director  (including officers
and directors serving another corporation,  partnership,  joint venture,  trust,
employee  benefit plan or other  enterprise  in any capacity at STAR's  request)
made,  or  threatened  to be made, a party to an action or  proceeding  (whether
civil, criminal,  administrative or investigative) by reason of the fact that he
or she was serving in any of those capacities against judgments,  fines, amounts
paid in settlement and reasonable expenses (including  attorneys' fees) actually
and  necessarily  incurred in  connection  with the defense of or as a result of
such  action  or  proceeding  or  in   connection   with  any  appeal   thereof.
Indemnification  is not  available  under Article X if a judgment or other final
adjudication adverse to such director or officer establishes that (i) his or her
acts were  committed  in bad faith or were the result of active  and  deliberate
dishonesty  and,  in  either  case,  were  material  to the  cause of  action so
adjudicated,  or (ii) he or she personally  gained in fact a financial profit or
other advantage to which he or she was not legally entitled.

                      (d)        Pursuant to By-law  Article X, STAR has entered
into  indemnification  agreements  with  certain of its  directors  and officers
providing for the  indemnification  of such directors and officers in derivative
actions,  as well as with  respect  to third  party  actions.  The BCL  mandates
indemnification  in  derivative  actions  if the  officer or  director  has been
successful,  on the  merits or  otherwise,  in the  defense of the  action.  The
indemnification  agreements,  as well as Section  722 of the BCL,  do not permit
indemnification  in derivative  actions for (i) proceedings which are settled or
otherwise  disposed of or (ii) claims to which a person has been  adjudged to be
liable,  unless court approved.  However, in reliance on Section 721 of the BCL,
which provides that the statutory  indemnification  provisions are not exclusive
of other  rights  which  may be  provided  to an  officer  or  director  seeking
indemnification,  By-law Article X also extends the right of  indemnification to
settlements  and  unsuccessful   defenses  of  derivative  actions  without  the
necessity of a court determination  provided the person seeking  indemnification
meets the standard  described in the preceding  paragraph.  STAR is not aware of
any judicial  determination  as to whether  indemnification  provisions  such as
those related to derivative  actions in By-Law Article X (which, by their terms,
exceed the scope of BCL Section 722 but where the  standard of conduct set forth
in BCL Section 721 has been met) are enforceable pursuant to such nonexclusivity
provision.

                      (e)        By-law  Article  X,  like  the  indemnification
agreements, provides that the expenses incurred in defending any action to which
a director or officer may be  entitled to  indemnification  shall be advanced by
STAR  prior to the final  disposition  of the  action as long as the  indemnitee
undertakes to repay such advances if required by law. STAR has been advised that
the BCL currently  requires that an officer or director  undertake to repay such
advances  to the extent  they exceed the amount to which the officer or director
ultimately  is  entitled.  The  period of time  within  which STAR is to advance
expenses is fifteen days after request;  the time period within which STAR is to
provide indemnification after request is thirty days.

                      (f)        By-law Article X, which by its terms is not the
exclusive  basis  for  granting  rights to  indemnification  or  advancement  of
expenses,   establishes  procedures  for  processing  indemnification  requests,
confirms  the  authority  of  STAR to  maintain  indemnification  insurance  and
prohibits the repeal of By-law  Article X  retroactively.  By-law Article X also
provides  that it applies,  to the fullest  extent  permitted by law, to acts or
omissions  occurring prior to its adoption.  By-law Article X further stipulates
that the rights granted  therein are  contractual  in nature,  which is meant to
prevent any retroactive denial or reduction of indemnification if By-law Article
X is later amended.

                      (g)        Under By-law  Article X, the Board of Directors
is  permitted,  to  the  fullest  extent  permitted  by  law,  to  establish  an
appropriate scope of and procedure for the indemnification of, and



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advancement  of  expenses  to,  employees  and  other  persons  to whom  STAR is
permitted to provide indemnification or advancement of expenses.


                                BUSINESS OF STAR

GENERAL

           STAR is in the business of providing placement services of registered
and  licensed  nurses and home health  aides to patients for care at home ("Home
Care") and, to a lesser extent  temporary  health care  personnel  recruiting to
hospitals and nursing homes ("Hospital Staffing").  In addition,  STAR maintains
registries of registered  nurses,  licensed  practical  nurses,  nurses'  aides,
certified  home health  aides and  certified  personal  care  workers from which
personnel are recruited on a per diem basis to meet the  requirements  of STAR's
clients.

           Prior to its  acquisition  by  present  management  in  1987,  STAR's
business  related  primarily  to  providing  private  duty nurses to patients in
hospitals and staffing to hospitals. Under its current management, STAR expanded
its Hospital Staffing  arrangements to nursing homes and additional hospitals to
provide  licensed  nurses on a per diem basis for general staff.  In 1988,  STAR
further extended its Hospital Staffing  business to include  providing  licensed
practical  nurses and nurses'  aides.  In 1989,  STAR began  providing Home Care
services in New York City  pursuant to a license  from the New York State Health
Department.   In  1990,   STAR  expanded  its  Home  Care  services  to  include
transportation of patients from hospital to home in ambulettes,  arrangements to
purchase  and  supply  equipment  and  pharmaceuticals,  as  prescribed  by  the
patients' physicians,  and home infusion care. In 1991, STAR was licensed by the
New York State  Department of Health to operate an office in Nassau County,  New
York.

           In 1992,  STAR expanded its existing  Home Care business  through the
acquisition of certain assets from Unity Healthcare  Holding  Company,  Inc. and
its  subsidiaries  ("Unity"),  including  contract  rights to provide  Home Care
services through various hospitals,  community agencies and other  institutional
health care  providers.  These contract  rights  complemented  the existing home
health  care  businesses  of STAR in areas such as New Jersey and New York where
STAR already operated. In addition, in these locations, STAR obtained from Unity
client referral lists to further expand existing operations.

           In addition to expanding STAR's existing regional business, the Unity
acquisition added new operations to STAR in new locations. STAR acquired Unity's
Florida operations,  which included  certification to receive reimbursement from
Medicare and Medicaid in Broward and Dade  Counties.  Most of such  Medicare and
Medicaid  reimbursed  operations are located in Dade County.  STAR also acquired
the assets representing  Unity's operations in Florida that do not have Medicare
and Medicaid certification, but which operate under state license.

           In 1993,  STAR  further  expanded  its  existing  Home Care  business
through the  acquisition  of certain  assets of DSI Health Care  Services,  Inc.
("DSI") including  contract rights to provide Home Care services through various
hospitals,  community  agencies and other  institutional  health care providers.
These contract rights  complimented  STAR's existing Home Care businesses in the
Long Island, New York area.

           In May 1995,  STAR  acquired  certain  assets of Long Island  Nursing
Registry,  Inc. ("LINR") thereby further expanding its Home Care business.  LINR
provided  nursing and other skilled  health care services with both Medicaid and
non-Medicaid  reimbursement  eligibility  compatible  with the business of STAR.
LINR  maintains  offices and does business  under STAR's name in the Long Island
area and as Comprehensive Care



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America in the Syracuse,  New York area. The acquired assets included all of the
fixed assets,  certain of the contract and intellectual  property rights and all
of the records, lists, files and books (including certain customer and personnel
lists) with respect to or in connection with the health care business  conducted
by LINR.  The  acquisition  expanded  STAR's New York market  area into  Suffolk
County,  augmented its presence in Nassau County and gave it significant  market
share in central New York.

           During the fiscal years ended May 31, 1994,  1995 and 1996,  62%, 62%
and 59%,  respectively,  of  STAR's  revenues  were  attributable  to  Medicare,
Medicaid  and other  state and  federal  government  payments.  Historically,  a
greater portion of STAR's revenues have been derived from Home Care services and
a lesser portion of such revenues have been derived from Hospital Staffing. STAR
believes that this is a result of changing social and economic  attitudes toward
the  de-institutionalization  of  patients as well as STAR's  changing  customer
base.

           On August  23,  1996,  STAR and  AMSERV  HEALTHCARE  INC.  ("Amserv")
consummated a merger whereby STAR acquired control of Amserv and Amserv became a
wholly owned subsidiary of STAR. Amserv operates in a one-industry  segment as a
health care service  company.  Amserv provides Home Care services to individuals
from its six branch offices in New Jersey and Ohio. Home Care services  provided
by Amserv include personal care, such as assistance with the activities of daily
living (e.g., eating, walking and grooming),  and skilled nursing services, such
as wound care and assistance with medications, injections and patient education.

HOME CARE SERVICES

           A substantial  portion of the revenues from STAR's Home Care business
relates to services provided to patients referred to STAR by physicians,  county
medical  services,  community  organizations,  hospital social service  workers,
nurses,  insurance companies and HMO's. Other patients are referred through such
sources as the patient's family. The remaining  revenues  attributable to STAR's
Home Care business are received as a result of subcontracting  arrangements with
certified home health agencies  ("primary  contractors")  that are authorized to
receive  reimbursement  from Medicare and Medicaid in the States of New York and
Florida.

           STAR  provides  Home Care  nurses  and  paraprofessionals,  including
registered  nurses,  licensed  practical  nurses,  certified  home health aides,
certified personal care workers and companions.  These individuals are temporary
employees  of STAR who work for STAR as  needed.  As of April 21,  1997,  STAR's
roster of Home Care  personnel  included  approximately  3,000 nurses and health
care paraprofessionals.

           It  is  STAR's   policy   that  all  of  its  Home  Care  nurses  and
paraprofessionals meet certain licensing,  certification and other requirements.
Upon registering with STAR for temporary employment, STAR's Home Care nurses and
paraprofessionals  are required to attend inservice  classes given by STAR. STAR
conducts ongoing inservice training for its nurses and paraprofessionals both to
meet New York State  Department  of Health and New York  State  Licensing  Board
continuing  education  requirements and to fulfill STAR's own additional quality
assurance goals.  STAR is implementing  similar  requirements in Florida.  These
classes and inservice  trainings each of which typically lasts three hours,  are
offered bi-weekly. They are taught by health care professionals selected by STAR
for their  expertise in their fields,  including  nurses,  physical  therapists,
social workers and occasionally physicians.

           When STAR  admits a new  patient  for  service,  STAR's  Director  of
Nursing  confers with the patient's  physician and other medical and health care
professionals (collectively, the patient's "health care team") to:



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obtain  physician's  orders;  acquire a detailed  description  of the  patient's
medical problem;  determine the patient's  specific Home Care  requirements (the
"protocol"),  including  the  plan of  treatment  and  pharmaceutical  services,
products  and  equipment  which  will  be  needed;  and  determine  the  type of
personnel,  the number of hours and shifts  required.  The  Director  of Nursing
and/or a nursing  supervisor  first  visits  the  patient  to conduct a personal
examination and assessment in order both to verify all information received from
the referral  source and to select the  appropriate  Home Care personnel to care
for the patient.

           In a  typical  Home  Care  case,  STAR's  nurse  or  paraprofessional
assigned to the case visits the patient on a prescribed  schedule to  administer
the protocol and to provide other  general care to the patient.  Often the nurse
or paraprofessional spends the entire day with the patient. All of the Home Care
cases are supervised by a nursing  supervisor to ascertain  whether any problems
have arisen in connection  with the services.  Home Care services  provided on a
subcontracting basis for a primary contractor are supervised only by the primary
contractor. STAR's personnel are instructed to remain in continuous contact with
the patient's health care team.

           STAR has  contracted  with the  Departments  of  Social  Services  in
Nassau,  Suffolk and Onondaga  Counties in New York to provide and be reimbursed
for custodial  services under  Medicaid.  STAR is a direct  provider for skilled
nursing services through Medicaid in New York State.

           Approximately 15% of STAR's revenues from Home Care services are paid
by insurance carriers. Payments for STAR's Home Care services typically are made
by assignment of insurance benefits from the patient, by the primary contracting
organization  or by the patient.  Once a claim is  submitted to an insurer,  the
insurer  generally  is  required  to act upon that  claim  within 60 days.  STAR
typically receives payments from 60 to 180 days after its services are rendered,
although  such time  period is  sometimes  greater.  Accordingly,  STAR is often
required to carry accounts  receivable over  substantial  periods of time and to
utilize a line of credit  to meet its  ongoing  expenses.  Medicaid  claims  are
billed weekly and are usually paid in 60 to 90 days.

           STAR  was  surveyed  by the  Joint  Commission  on  Accreditation  of
Healthcare  Organizations ("JCAHO") and, in February 1996, was found to meet the
requirements  for  accreditation.  JCAHO,  which  is the  accrediting  body  for
hospitals,  is  associated  with  the  provision  of  quality  services  and its
accreditation  is vital to STAR's  contractual  business.  STAR's  accreditation
expires  in  February  1999,  at which  time  STAR  must be  resurveyed  for the
following three-year term.

HOSPITAL STAFFING

           STAR provides temporary (or "per diem") nursing placement services to
hospitals,  nursing homes,  clinics and other  health-related  institutions that
make use of supplemental  staffing for emergencies,  vacations and peak periods.
These personnel are supervised  directly by the  institutions,  with STAR acting
solely as an employment  agency matching the  requirements  of the  institutions
with the names and skills of persons listed in its registries.

           The  personnel  placed by STAR with  hospitals  and other  health and
medical  institutions  include  registered  nurses,  licensed  practical nurses,
nurses' aides and other health care paraprofessionals. STAR's nurses and nurses'
aides placed in hospitals  must meet the competency  requirements  determined by
STAR and by the facility.  Temporary  health care personnel are recruited in the
local market in which STAR offers its temporary personnel services.

           Some of the  hospitals  in New York City that  have  utilized  STAR's
Hospital  Staffing services include  Methodist  Hospital and Maimonides  Medical
Center.



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<PAGE>



COMPETITION

           The temporary health care personnel  market is highly  fragmented and
significant  competitors are often localized in particular  geographic  markets.
STAR's  largest  competitors  include  the Olsten  Company  and Staff  Builders.
Management of STAR believes that, given the high current level of demand for the
types of services provided by STAR,  significant  additional  competition can be
expected  to  develop  in the  future.  Some of the  companies  with  which STAR
presently competes have substantially greater financial and other resources than
STAR.  STAR also  competes with many other smaller  temporary  medical  staffing
agencies.  STAR expects that it will  compete with other  temporary  health care
services  providers  in the  future  if and  when  they  enter  STAR's  existing
geographic markets, as well as in any new geographic market STAR may enter.

           STAR's success to date has depended,  to a significant degree, on its
ability to recruit  qualified  personnel.  These persons may be registered with,
and may accept placements from or through competitors of STAR. STAR periodically
experiences  intense  competition  from other companies in recruiting  qualified
health care  personnel  for its  temporary  health care  operations  because the
United  States  health care  industry,  at times,  faces  shortages of qualified
personnel.  STAR  believes it is able to compete  successfully  for personnel by
aggressive recruitment through newspaper advertisements, flexible work schedules
and competitive compensation arrangements.  There can be no assurance,  however,
that STAR will be able to continue to attract  and retain  qualified  personnel.
The inability to either attract or retain such qualified  personnel would have a
material adverse effect on STAR's business.

MARKETING

           Prior to its recently completed acquisition of Amserv, which expanded
the geographic  area serviced by STAR,  STAR marketed its temporary  health care
services  in the New York  metropolitan  area,  the central New York area and in
Broward and Dade Counties,  Florida.  As a result of the  acquisition of Amserv,
these marketing activities also include New Jersey and Ohio. STAR's services are
marketed by a team of personnel  headed by the Chief Operating  Officer of STAR.
STAR  promotes  its  services  through  print  advertising,  direct mail efforts
focused on health care  institutions and field sales calls.  STAR makes periodic
mailings to approximately 50 hospitals and 75 nursing homes in the New York City
metropolitan  area.  In  addition,  in the New  York  metropolitan  area  and in
Florida,  representatives  of  STAR  periodically  visit  or  telephone  medical
facilities  to establish or maintain  relationships  with  individuals  in those
institutions  who are  responsible  for  staffing,  discharge  of  patients  and
personnel recruitment.  STAR's representatives also attend health care functions
and trade shows to further  enhance STAR's  marketing  efforts.  STAR intends to
continue  these  marketing  programs and to increase its marketing  staff in the
future as its business so requires, especially in view of the recent acquisition
of Amserv.

           STAR has acquired the necessary expertise, through its acquisition of
LINR, to provide Shared Aide Services  ("Shared Aide").  Shared Aide, which is a
task-oriented,  patient-specific  care plan  designed to condense  the amount of
hours  caregivers  must devote to patients,  has recently been adopted as a cost
cutting  mechanism by New York State.  The New York State  Department  of Social
Services,  in  consultation  with the New York State  Department of Health,  has
developed  agency specific cost savings for each certified home health agency. A
portion  of  the  cost  savings  are  to be  achieved  through  development  and
implementation of Shared Aide.

           STAR  believes it is one of the few  providers in New York State with
the expertise and experience required to offer Shared Aide. To date, Shared Aide
has not constituted a material portion of STAR's


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<PAGE>



business.  However, STAR intends to market this service in an effort to generate
increased revenues from this developing area of home health care.

CUSTOMERS

           STAR does not depend  upon any single  customer  and does not believe
that the loss of any one or more of its customers would have a material  adverse
effect on STAR. STAR continues to submit  proposals to potential  contractors to
provide Home Care services while  maintaining and expanding its present contract
base.

GOVERNMENT REGULATIONS AND LICENSING

           STAR's  business is subject to substantial  and  frequently  changing
regulations by Federal,  state and local authorities which imposes a significant
compliance  responsibilities on STAR. STAR, among other things, must comply with
state licensing and certificate of need ("CON")  requirements as well as Federal
and state  eligibility  standards for  certification  as a Medicare and Medicaid
provider. The imposition of more stringent regulatory requirements or the denial
or  revocation  of any  license  or permit  necessary  for STAR to  operate in a
particular market could have a material adverse effect on STAR's operations.  In
addition,  STAR will be  required to comply to the extent  applicable,  with the
licensing and/or CON  requirements and other  regulations in any jurisdiction in
which it may plan to provide services in the future.

           STAR,  as a provider  of services  under the  Medicare  and  Medicaid
programs is required by the Health  Care  Financing  Administration  ("HCFA") to
receive  reimbursement for services from Medicare and Medicaid. In order for one
to  participate  as a home health  agency in the Medicare and Medicaid  program,
HCFA requires, among other things, the preparation of annual budgets and capital
expenditure  plans. The health  regulatory  agencies of the states in which STAR
operates  require  satisfaction of certain  standards with respect to personnel,
services and supervision and the establishment of a professional  advisory group
that  includes  at  least  one  physician,   one  registered   nurse  and  other
representatives  from related  disciplines or consumer groups.  Applicable state
"anti-kickback"  regulations, in general, provide that STAR may not make certain
payments  in order to  receive  referrals  of  patients.  In  addition,  Federal
"anti-kickback"   regulations  provide  similar  restrictions  for  health  care
providers to the extent they are  certified to  participate  in the Medicare and
Medicaid  programs.  STAR does not believe that compliance with applicable state
and Federal "anti-kickback" regulations has a material impact on STAR's business
and operations.

           STAR is  licensed to provide  home  healthcare  services  and durable
medical  equipment  in the five  boroughs  of New York  City,  Nassau,  Suffolk,
Westchester,  Oswego, Oneida, Onondaga,  Cayuga, Madison, Jefferson and Herkimer
Counties in New York State and in the state of Florida. It is also licensed as a
temporary  help  services  firm to  provide  personnel  on a per diem  basis for
hospital  staffing.  STAR believes that it has all licenses necessary to operate
its business as currently conducted in New York and Florida. In Broward and Dade
Counties in Florida,  STAR's also maintains a Certified Home Health Agency which
allows STAR to participate in both the Medicare and Medicaid programs. Amserv is
also licensed to provide  health care services in New Jersey and Ohio,  with the
Ohio  office  also  maintaining  certification  to provide  Medicare  reimbursed
services.

           New York State  requires the approval by the Public Health Council of
the  New  York  State  Department  of  Health  ("NYPHC")  of any  change  in the
"controlling person" of an operator of a licensed health care services agency (a
"LHCSA"). Control of an entity is presumed to exist if any person owns, controls
or holds the power to vote 10% or more of the voting  securities of such entity.
To the extent STAR may seek to acquire control of a LHCSA, STAR would have to be
granted the approval of the NYPHC prior



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to exercising  control over such LHCSA.  The NYPHC  approved the  application to
permit  STAR's  control over EFCC  pursuant to the Merger  Agreement on June 27,
1997.

           Under current reimbursement  regulations under Medicare and Medicaid,
funds received  under  Medicare and Medicaid  programs are subject to audit with
respect to proper  application of the various payment  formulas and regulations.
These audits can result in  retroactive  adjustment  of payments  received  from
these  programs,  resulting in either amounts due to the government  agency from
STAR or amounts due to STAR from the governmental agency.

           STAR is  subject  to  surveys  and  audits  by  various  governmental
agencies.

           STAR has a Medicaid  audit  pending with the State of New York.  STAR
does not anticipate  that any material  adjustment  will result form such audit,
however,   there  can  be  no  assurance   that  this  audit  will  be  resolved
satisfactorily  in favor of STAR.  In  addition,  STAR has  agreed to submit its
books and record to a voluntary  survey to be performed by the State of New York
with respect to Medicaid patients. There can be no assurance that this voluntary
review will be resolved satisfactorily in favor of STAR.

           In May 1997,  STAR was advised that an audit of American  Health Care
Services ("American"),  STAR's Medicare agency, by the Office of Audit Services,
Office of Inspector  General of the United States Department of Health and Human
Services  which had been  forwarded  to the  Medicare  intermediary  assigned to
administer  Medicare payments in Florida has been referred to the Civil Division
of the United  States  Attorney for the Southern  District of Florida.  STAR has
been advised by its  regulatory  counsel that they have been in contact with the
Assistant United States Attorney  assigned to the matter and they do not know at
this time the extent of STAR's  liability.  Regulatory  counsel has also advised
STAR  that it is  likely  STAR will have  claims  against  third-parties  (e.g.,
subcontractors and licensed home health agencies) for a portion of any liability
of STAR.  Management  anticipates  that this  matter  should  be  satisfactorily
resolved.

           In December 1996, a survey by state and federal  regulatory  agencies
was conducted at American.  The findings of the initial survey  indicated that a
follow up survey was warranted.  The findings of the survey, held in March 1997,
were favorable and STAR was orally advised that only minor deficiencies existed.
The final written report,  confirming the surveyor's findings, has been received
by STAR and confirmed the surveyor's verbal representations.

LIABILITY INSURANCE

           STAR's employees and independent contractors routinely make decisions
which can have significant  medical  consequences to the patients in their care.
As a result, STAR is exposed to substantial liability in the event of negligence
or wrongful acts of its personnel. STAR maintains medical professional liability
insurance  providing for coverage in a maximum  amount of $1,000,000  per claim,
subject to a limitation  of  $10,000,000  for all claims in any single year.  In
addition,   STAR  requires  that  each  independent   contractor  it  refers  to
institutions  for employment  supply a certificate of insurance  evidencing that
such person maintains medical  professional  liability  insurance  providing for
coverage  of no less than  $1,000,000  per  claim.  There  can be no  assurance,
however,  that  STAR  will be able to  maintain  its  existing  insurance  at an
acceptable  cost or obtain  additional  insurance  in the future,  as  required.
Although,  to date,  no claim has been asserted  against  STAR,  there can be no
assurance  that  STAR's  insurance  will  be  sufficient  to  cover  liabilities
resulting  from  claims  that may be  brought  in the  future.  A  partially  or
completely  uninsured  claim,  if  successfully   asserted  and  of  significant
magnitude,  could  have a  material  adverse  effect  on STAR and its  financial
condition.




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EMPLOYEES

           As of April 21, 1997, STAR had 134 permanent employees. STAR also has
a roster of temporary  professional and  paraprofessional  employees  (including
registered  nurses,  licensed  practical  nurses,  certified  home health aides,
certified  personal  care workers and nurses'  aides).  In the past,  certain of
STAR's  registered  nurses were compensated on an independent  contractor basis.
However,  STAR  currently  treats such persons as  employees.  STAR has no union
contracts with any of its employees and believes that its relationship  with its
employees and independent contractors is good. STAR pays its temporary employees
at rates that it believes are competitive.

           As of  April  21,  1997,  Amserv  and its  subsidiaries  employed  55
full-time  and 1,200  part-time  employees  for its  continuing  operations.  No
employees are covered by a collective bargaining agreement.

DESCRIPTION OF PROPERTY

           STAR's executive  offices consist of approximately  1,500 square feet
of office space located in Hicksville, New York. The lease, from an unaffiliated
landlord,  expires on December  31, 1998 and  provides for a base rent of $2,894
per month.  STAR believes that its executive  office space is sufficient for its
present and reasonably foreseeable future needs.

           As of April 21,  1997,  STAR had leases for office space in Brooklyn,
New York,  Huntington,  New York,  Coram,  New York,  Riverhead,  New York, Long
Beach, New York, Rome, New York, Oswego, New York,  Syracuse,  New York, Albany,
New York,  Yonkers,  New York,  Jamaica,  New York, Miami,  Florida,  Hollywood,
Florida and Lake Worth, Florida, from landlords unaffiliated with STAR or any of
its executive officers or directors.  The Brooklyn lease, which expires February
14,  2002,  consists of 3,700 square feet and provides for a base rent of $7,655
per month. The Huntington lease,  which expires May 31, 2001,  consists of 2,000
square feet and provides  for a base rent of $3,194 per month.  The Coram lease,
which  expires  July 1, 1999,  consists of 1,200  square feet and provides for a
base rent of $1,352 per month.  The Riverhead  lease  expired  January 31, 1997.
STAR occupies such property as tenant,  month to month, and it consists of 1,000
square  feet and  provides  for a base rent of $1,087 per month.  The Long Beach
lease,  which expires June 30, 2001,  consists of 1,000 square feet and provides
for a base rent of $1,183 per month,  with annual  increases  of 2.5%.  The Rome
lease,  which  expires  September  30,  1997,  consists  of 500 square  feet and
provides  for a base rent of $400 per month.  The Oswego  lease,  which  expires
September 1, 1997,  consists of 500 square feet and provides a base rent of $395
per month.  The Syracuse  lease,  which expires July 1, 2000,  consists of 1,000
square feet and provides for a base rent of $1,292 per month.  The Albany lease,
which expires December 31, 1999,  consists of 1,008 square feet and provides for
a base rent of $1,092 per month with annual  increases of 3%. The Yonkers lease,
which  expires  January 1, 2002,  consists of 750 square feet and provides for a
base rent of $1,164 per month with annual  increases  of 4%. The Jamaica  lease,
which expires September 30, 1997, consists of 300 square feet and provides for a
base rent of $575 per month.  The Miami lease,  which  expires  August 31, 1999,
consists of 15,331  square feet and provides for a base rent plus tax of $27,657
per month.  The Hollywood lease,  which expires  November 30, 1999,  consists of
2,000 square feet and provides for a base rent plus tax of $3,195 per month. The
Lake Worth lease, which expires February 15, 2000, consists of 1,200 square feet
and provides for a base rent of $1,272 per month.

           Amserv leases, from unaffiliated landlords,  seven office facilities,
which are located in Edison,  Elizabeth,  Fairlawn, South Orange and Union City,
New Jersey; Mansfield,  Ohio; and La Jolla, California.  The Edison lease, which
expires December 31, 1998, consists of 4,215 square feet and provides for a base
rent of $6,147 per month.  The  Elizabeth  lease,  which  expires June 30, 1999,
consists of 1,500  square feet and provides for a base rent of $2,000 per month.
The Fairlawn lease, which expires June 14, 1999, consists



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of 2,113 square feet and provides for a base rent of $2,563 per month. The South
Orange  lease,  which  expires  June 30,  1997,  consists of 950 square feet and
provides  for a base rent of $1,873  per  month.  The Union  City  lease,  which
expires September 30, 1999 consists of 1,250 square feet and provides for a base
rent of $1,458.  The Mansfield  lease,  which expires May 28, 1999,  consists of
8,100  square  feet and  provides  for a base rent of  $2,000  per  month.  STAR
believes that these facilities are adequate for the operations of Amserv.

LEGAL PROCEEDINGS

           A lawsuit was filed on November 14, 1996 in San Diego  Superior Court
(Case No. 705475), by Eugene J. Mora against Amserv, STAR, William Fellerman and
Stephen  Sternbach.  Mr.  Mora  alleges  that he was  the  President  and  Chief
Executive  Officer of Amserv,  at the time of the merger between Amserv and STAR
and that his employment contract with Amserv was breached when he was terminated
by Amserv and STAR following the Merger.

           The complaint, which is for an aggregate of $2,300,000,  alleges that
pursuant to his employment  contract,  upon  termination he would be entitled to
five years of continued  salary at $298,000 per year; an annual car allowance of
$450 per month for the five year period;  payment for  unutilized  vacation days
for a total of  $112,000;  and the cash  value of a whole  life  policy  of life
insurance,  which premiums had been paid by Amserv,  for an approximate value of
$350,000 and approximately $48,000 in various fringe benefits.  Mr. Mora further
alleges  that he had a  contract  which  would  result in him  being  hired as a
consultant upon  termination and this too was breached.  Under this  allegation,
Mr. Mora seeks damages for two years  consulting  fee at $129,200 per year.  Mr.
Mora also seeks  punitive  damages,  penalties and  reimbursement  of attorneys'
fees.

           STAR does not  believe  that this  matter  will  result in a material
adverse impact on it.

           Except    as    otherwise    provided    in    this    Joint    Proxy
Statement/Prospectus,  there are no legal proceedings to which STAR is currently
a party or to which any of its  property is subject,  and STAR knows of no legal
proceeding  pending or threatened against either STAR or any director or officer
of STAR in his or her capacity as such.





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<PAGE>



                 STAR'S MANAGEMENT'S DISCUSSION AND ANALYSIS OF
                  FINANCIAL CONDITION AND RESULTS OF OPERATIONS

           The following  discussion  and analysis  provides  information  which
STAR's  management  believes is relevant to an assessment and  understanding  of
STAR's results of operations and financial condition.  This discussion should be
read in conjunction with the consolidated financial statements and notes thereto
appearing elsewhere herein.

RESULTS OF OPERATIONS.

           On August 23, 1996,  STAR  completed a merger (the "Amserv  Merger"),
accounted  for  as  a  pooling  of  interests,  with  AMSERV  HEALTHCARE,   INC.
("Amserv"),  a health care service  company that  provides  home care  services,
including  personal care, such as assistance with the activities of daily living
(e.g.,  eating,  walking and grooming),  and skilled nursing  services,  such as
wound care and assistance with medications, injections and patient education, in
New Jersey and Ohio. In  accordance  with the terms of the Amserv  Merger,  each
share of common stock of Amserv,  outstanding  immediately prior to consummation
of the Amserv Merger, was converted into .4090 shares of common stock of STAR. A
total of 1,410,731 shares of STAR Common Stock were issued upon  consummation of
the Amserv Merger. STAR also assumed all outstanding options and other rights to
acquire  Amserv stock.  The  following  results of combined  operations  for the
periods  ending  February 28, 1997 and 1996 include the  operations of both STAR
and Amserv.

Nine months ended  February 28, 1997  compared to quarter  ended and nine months
ended February 29, 1996.

           For the nine months ended  February  28, 1997 net revenues  increased
$3,700,387 or 10% to $39,163,979  from net revenues of $35,463,592  for the nine
months ended  February  29, 1996.  Such  increase is primarily  attributable  to
internal growth of revenue from Home Care.

           STAR's  decided  shift  towards  providing   placement   services  of
registered  nurses and home  health  aides to  patients  for care at home ("Home
Care")   mirrors  a  changing   social   and   economic   attitude   toward  the
de-institutionalization  of  patients.  Due to the long  hospital  stays of some
terminally  ill patients and the greater  costs  associated  with  institutional
treatment  plans,  STAR believes that the industry  (i.e.,  hospital,  insurance
companies and home care agencies)  trend is to find ways to care for patients in
the home. STAR continues to devote its resources  toward the growth in Home Care
and believes this upward trend will  continue in the future.  Home Care revenues
represented  approximately  99%  of  fiscal  1997  net  revenues  and  providing
temporary  health care  personnel  recruiting  to  hospitals  and nursing  homes
represented approximately 1% of fiscal 1997 net revenues.

           Gross profit margins were approximately 35% for the nine months ended
February 28, 1997 and 1996.

           Selling,   general   and   administrative   expenses   ("SG&A")   and
depreciation  and  amortization as a percentage of net revenues were 28% for the
nine months  ended  February  28, 1997 as compared  with 31% for the nine months
ended February 29, 1996. Such decrease is primarily attributable to the increase
in revenues being without a proportionate increase in back office overhead.

           Income from operations  increased $231,733 or 36% to $874,440 for the
quarter  ended  February 28, 1997  compared  with $642,707 for the quarter ended
February  29,  1996.  Income  from  operations  increased  $956,699  or  66%  to
$2,406,319 for the nine months ended February 28, 1997 compared with  $1,449,620
for



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the  nine  months  ended  February  29,  1996.   Such  increases  are  primarily
attributable  to increased  revenues  and  stabilization  of costs,  mainly back
office overhead.

           The Company  incurred a one-time charge of $2,808,223 for acquisition
costs, legal fees and restructuring  expenses associated with the Merger,  which
contributed  to a net  loss for the  nine  months  ended  February  28,  1997 of
$297,561 compared with net income of $766,342 for the nine months ended February
29, 1996.

Year Ended May 31, 1996 Compared to Year Ended May 31, 1995

           Net revenues  increased  $10,732,899  or 28% to  $49,162,934  for the
fiscal year ended May 31, 1996 over net revenues of  $38,430,035  for the fiscal
year  ended  May 31,  1995.  Approximately  53% of the  increase  was due to the
acquisition of certain assets of Long Island Nursing Registry ("LINR") (see Note
2 to the Consolidated  Financial  Statements included elsewhere in this report).
LINR was  exclusively  involved in the  business  of  providing  Home Care.  The
remainder of the increase  was due to a general  upward trend in Home Care.  Net
revenues from Home Care  increased by $10,313,394 or 41% while net revenues from
Hospital Staffing decreased by $419,505 or 25%.

           STAR's  decreased  revenues  from  temporary  health  care  personnel
recruiting to hospitals and nursing homes ("Hospital  Staffing") resulted from a
general decline in demand for these services.

           Home Care revenues represented approximately 98% of 1996 net revenues
and Hospital Staffing represented approximately 2% of 1996 net revenues.

           Gross profit  margin  percentages  for the fiscal years ended May 31,
1996 and 1995 were 35%.

           SG&A as a percentage of net revenues were 30% in both 1996 and 1995.

           Net income  increased by $331,238 or 41% to $1,143,259 for the fiscal
year ended May 31,  1996 over net income of  $812,021  for the fiscal year ended
May 31, 1995. The increase occurred  primarily because of the increased revenues
from Home Care.

           STAR's  effective  tax rate for  1996 was 33% as  compared  to 38% in
1995.  The  decrease  in the  effective  tax rate is due to the  reversal of the
valuation  allowance that fully reversed net deferred tax assets at May 31, 1995
that is now judged more likely than not to be realized.

Year Ended May 31, 1995 Compared to Year ended May 31, 1994

           Net  revenues  increased  $8,735,857  or 29% to  $38,430,035  for the
fiscal year ended May 31, 1995 over net revenues of  $29,694,178  for the fiscal
year ended May 31,  1994.  Approximately  27% of the  increase was due to a full
year of operations of STAR's North Central division,  which was acquired in June
1994. (See Note 2 to the Supplemental Consolidated Financial Statements included
elsewhere  in this  report).  Approximately  20% of the  increase was due to the
acquisition of certain assets of DSI Health Care Services in November 1993. (See
Note 2 to the  Consolidated  Financial  Statements  included  elsewhere  in this
report).  The remaining  increase was due to a general  upward trend in the Home
Care  business  which  required  the  opening  of new  locations  which  were in
operation for all of fiscal 1995 and 1994. Net revenues from Home Care increased
$9,923,240  or 37%  while net  revenues  from  Hospital  Staffing  decreased  by
$1,187,383 or 41%.



                                       77
<PAGE>



           STAR's  decreased  revenues  from Hospital  Staffing  resulted from a
general decline in demand for these services.

           Home Care revenues represented approximately 95% of 1996 net revenues
and Hospital Staffing represented approximately 5% of 1995 net revenues.

           The Gross profit margin percentage for each of the fiscal years ended
May 31, 1995 and 1994 was 35%.

           SG&A as a percentage of net revenues was 30% in both 1995 and 1994.

           Income from  continuing  operations  increased by $400,490 or 112% to
$758,036  for the fiscal year ended May 31,  1995 over  income  from  continuing
operations  of $357,546  for the fiscal year ended May 31,  1994.  The  increase
occurred primarily because of the increased revenues from Home Care.

           During  fiscal 1994,  STAR  discontinued  operation of its  temporary
nursing services  business and recorded a loss from  discontinued  operations of
$710,636  and an  after-tax  loss on the  anticipated  disposal of  discontinued
operations of  $1,167,949.  During fiscal 1995, the temporary  nursing  services
business was sold and after recognizing the 1994 writedown, an after-tax gain of
$30,302 was recognized.  The 1995 gain resulted from the difference  between the
actual  and  estimated  loss  on  the  disposal.  See  Note 7 of  the  Notes  to
Supplemental Consolidated Financial Statements included elsewhere in this report
for additional details.

           STAR's  effective  tax rate for  1995 was 38% as  compared  to 44% in
1994.  The  decrease in the  effective  tax rate is due to the result of the tax
benefit from measuring cumulative  temporary  differences in connection with the
disposal of the temporary  nursing  services  business  which reversed in fiscal
1995,  and growth of STAR's  business in Florida which has a lower rate than New
York, as well as the use of certain federal tax credits.

           In October  1994, a  subsidiary  of STAR  received  from the Internal
Revenue  Service  ("IRS") a formal  report  proposing an  adjustment in taxes of
$1,222,220  for the years 1989 through and including  1993. On October 12, 1995,
that subsidiary  signed a closing  agreement with the IRS providing for zero tax
liability.  The subsidiary agreed to treat all skilled nurses providing Hospital
Staffing  services as employees for federal  employment tax purposes  commencing
January 1, 1996. As skilled Hospital Staffing services currently  represent only
2% of  revenues,  this change is not  expected to have a  significant  impact on
earnings.

FINANCIAL CONDITION, LIQUIDITY AND CAPITAL RESOURCES

           As of February  28, 1997 cash and cash  equivalents  were  $78,574 as
compared  with  $1,881,979  at May 31,  1996.  The net  decrease  of  $1,803,405
resulted primarily from the repayment of its revolving credit line.

           The  nature  of  STAR's  business  requires  weekly  payments  to its
personnel  at the time they  render  services,  while it  receives  payment  for
services  rendered  over an extended  period of time (60 to 180 days or longer),
particularly  when the payor is an insurance  company,  medical  institution  or
governmental  unit.  Accounts  receivable  represent  a  substantial  portion of
current and total assets at February 28, 1997 and May 31, 1996.  During the nine
months ended  February  28, 1997 and for the year ended May 31,  1996,  accounts
receivable turnover was approximately 71 days.




                                       78
<PAGE>



           STAR  currently  has  available  a line of credit  with a bank  which
allows for maximum  borrowings  of  $8,000,000.  This line of credit  expires on
October 31, 1998 and is subject to renewal. However, as STAR's business expands,
additional financing may be required. Short-term borrowings at February 28, 1997
were $1,997,000 as compared to $3,280,000 at May 31, 1996.

           On January 3, 1997, STAR entered into the Merger  Agreement  Pursuant
to the terms of the Merger, STAR will pay $2,400,000 in cash (plus cash payments
to  dissenting  shareholders,  if any) and  $4,850,000 in stock (less the amount
that would have been paid to dissenting shareholders, if any) or $7,250,000 cash
at STAR's option (the "Cash Option").

           Unless STAR exercises the Cash Option,  in which case STAR would have
to raise $7,250,000  through  additional  borrowing or otherwise,  STAR does not
anticipate any extraordinary  material cash commitments for capital expenditures
for STAR's  current  fiscal  year and STAR  believes  that cash  generated  from
operations,  together  with  borrowings  available  under its  existing  line of
credit, will be sufficient to meet its short-term and long-term liquidity needs.

           Unless  STAR  exercises  the Cash  Option,  STAR  intends to meet its
long-term  liquidity needs through  available cash, cash flow and, if necessary,
STAR's bank line of credit. To the extent that such sources are inadequate, STAR
will be required to seek additional  financing.  In such event,  there can be no
assurance that  additional  financing will be available to STAR on  satisfactory
terms.

           In addition,  STAR is continually  exploring possible acquisitions of
compatible  companies in the health care business.  If any such acquisition were
to be made with available  cash,  STAR's  long-term  liquidity would depend to a
greater extent on cash flow and the line of credit.


          OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT OF STAR

           Set forth below is the  ownership  of the STAR Common  Stock at April
21,  1997 by (i) the only  persons or groups  who were  owners of record or were
known by STAR to beneficially own more than 5% of the outstanding shares of STAR
Common Stock;  (ii) each director of STAR; (iii) the executive  officer named in
the Summary  Compensation  Table under the caption  "EXECUTIVE  COMPENSATION  OF
STAR" below;  and (iv) all directors and executive  officers of STAR as a group.
STAR  understands  that,  except as noted below,  each beneficial owner has sole
voting and  investment  power with  respect to all shares of STAR  Common  Stock
attributable to such owner.


                                        Number of
      Name and Address                 Beneficially                   Percent
    of Beneficial Owner                Shares Owned*                of Class (1)
    -------------------                -------------                ------------

Stephen Sternbach                      1,139,692(2)                     27.64%
c/o STAR Multi Care Services, Inc.
99 Railroad Station Plaza
Hicksville, NY 11801

William Fellerman                         56,236(3)                      1.39%
c/o STAR Multi Care Services, Inc.
99 Railroad Station Plaza
Hicksville, NY 18801



                                       79
<PAGE>



                                        Number of
      Name and Address                 Beneficially                   Percent
    of Beneficial Owner                Shares Owned*                of Class (1)
    -------------------                -------------                ------------

Charles Berdan                             1,019                       **
281 Potomac Drive
Basking Ridge, NJ 07920

John P. Innes II                           1,113                       **
8 Breckenridge Lane
Savannah, GA 31411

Matthew Solof                              3,540                       **
33 Fairbanks Boulevard
Woodbury, NY 11797

Melvin L. Katten                           56,913                      1.46%
1480 Tower Road
Winnetka, IL 60093

Gary L. Weinberger                          8,400                       **
38 Clayton Drive
Dix Hills, NY

Eugene J. Mora                            210,175(4)                   5.20%
3252 Holiday Court, Suite 204
LaJolla, CA 92037

Heartland Advisors, Inc.                  235,716(5)                   5.85%
790 North Milwaukee Street
Milwaukee, WI 53202

All directors and executive             1,712,804                     40.93%
officers of STAR as a group
(7 persons)

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

*    All  share  amounts  have been  adjusted  to take  into  account  the stock
     dividends  effectuated  on May 30,  1995,  January 12, 1996 and November 4,
     1996, respectively.

**   Indicates less than 1% of the outstanding shares of STAR's Common Stock.

(1)  Shares subject to options are considered  outstanding  only for the purpose
     of computing  the  percentage  of  outstanding  Common Stock which would be
     owned by the optionee if the options were so exercised, but (except for the
     calculation of beneficial ownership by all executive officers and directors
     as a group) are not considered outstanding for the purpose of computing the
     percentage of outstanding Common Stock owned by any other person.

(2)  Includes  119,606  shares  of  STAR's  Common  Stock  owned by the  Stephen
     Sternbach Family Trust; Mr. Sternbach disclaims  beneficial  ownership with
     respect to these shares. Also includes 137,574



                                       80
<PAGE>



     shares of the STAR's  Common  Stock  which Mr.  Sternbach  has a  currently
     exercisable  option to purchase  pursuant  to the STAR's 1992 Stock  Option
     Plan.

(3)  Includes  24,068  shares of STAR's  Common  Stock owned by Mr.  Fellerman's
     wife; Mr. Fellerman  disclaims  beneficial  ownership with respect to these
     shares of STAR's  Common  Stock.  Also  includes  3,406 shares owned by the
     William Fellerman CPA PC Pension Trust Fund. Also includes 28,512 shares of
     the STAR's  Common Stock which Mr.  Fellerman  has a currently  exercisable
     option to purchase pursuant to the STAR's 1992 Stock Option Plan.

(4)  Includes  15,030  shares  of  STAR's  Common  Stock  which  Mr.  Mora has a
     currently exercisable option to purchase pursuant to the options assumed by
     STAR upon consummation of the Amserv Merger.

(5)  Based upon a copy of a Schedule 13G/A (dated February 12, 1997) received by
     STAR.




                                       81
<PAGE>



                               MANAGEMENT OF STAR

           The directors and executive  officers of STAR, their ages and present
positions with STAR are as follows:

                                                                        DIRECTOR
                NAME       AGE        POSITION HELD WITH STAR             SINCE

Stephen Sternbach           43     Chairman of the Board of Directors,
                                   President and                            1987
                                   Chief Executive Officer

William Fellerman#          53     Chief Financial Officer,                 1990
                                   Secretary, Treasurer,   
                                   Director
Charles Berdan +*x#         48            Director                          1994
John P. Innes II +*x        63            Director                          1991
Matthew Solof +*x           44            Director                          1992
Melvin L. Katten            61            Director                          1996
Gary L. Weinberger#         48            Director                          1996
- ------------------------
+          Member of Compensation Committee
*          Member of Stock Option Committee
x          Member of Audit Committee
#          Member of Compliance Committee

BACKGROUND OF DIRECTORS:

           Stephen  Sternbach  has been the Chairman of the Board of  Directors,
President and Chief Executive Officer of STAR since 1987.

           William Fellerman has been the Chief Financial Officer, Secretary and
Treasurer  of STAR since  November  1992 and a director of STAR since 1990.  Mr.
Fellerman  is a certified  public  accountant  and was,  until June 15,  1994, a
partner in the accounting firm of Fellerman, Cohen and Tempesta and had been for
more than the five years prior thereto.

           Charles  Berdan became a director of STAR in April 1994 and served as
a Branch Manager of STAR from  September  1993 to March 1994.  Since April 1994,
Mr. Berdan has served as a Sales Executive for Automatic Data  Processing,  Inc.
("ADP"),  a provider of  information  services.  From  January 1993 to September
1993, Mr. Berdan was a Vice President of the Senior Bulletin, a newspaper, which
STAR  purchased  in September  1993.  He also served from July 1990 through July
1992 as a Division  Vice  President of  Managistics,  Inc.,  a payroll  services
company. For at least the two years prior to July 1990, Mr.
Berdan was a Vice President of ADP.

           John P. Innes II has been a director of STAR since 1991. Since May of
1996, he has been Special Counsel to ValuJet Airlines. He has acted as a private
investor  and  consultant  since July 1994.  Previously,  he was the Chairman of
Commonwealth Associates, an investment bank, from January 1992 to June 1994. Mr.
Innes  also has  served as  Managing  Director  of Sabre  Insurance  Company,  a
casualty  insurance  company  (1986-



                                       82
<PAGE>




1991),  President of Boxhall Group,  Inc., a holding company for Sabre Insurance
Company   (1986-   1991),   Vice   Chairman  of  the  Board  of   Directors   of
Wheeling-Pittsburgh Steel Corporation, an integrated steel manufacturing company
(1987-1990) and a private investor and consultant (1990-1992).

           Matthew Solof has been a director of STAR since November 1992.  Since
1991, he has been the President and Chief Executive Officer of AMI Group, a real
estate  development and acquisition  company,  and President and Chief Executive
Officer of Mercantile  Mortgage  Association,  a mortgage lending company.  From
1983 to 1992, Mr. Solof was a trader at IRV Companies,  a firm which specializes
in oil  trading,  and from 1981 to 1991 he was  President  and  Chief  Executive
Officer of Matthew Solof Trading  Company,  a firm which also specializes in oil
trading.

           Melvin L.  Katten,  an  attorney,  has been a Senior  partner  in the
Chicago  law firm of Katten  Muchin & Zavis  since  1974.  He was a director  of
Amserv from 1985 until  consummation  of the Amserv  Merger in August 1996.  Mr.
Katten also serves as a director of Washington  Scientific  Industries,  Inc., a
publicly-held company.

           Gary L.  Weinberger  has been  engaged  in the  private  practice  of
orthodontics for more than the past twenty years. In addition, Dr. Weinberger is
engaged as a consultant on financial planning and management.  Dr. Weinberger is
a member of the  International  Board of Standards  and  Practices for Financial
Planners,  the International  Association of Financial Planners and the American
Association of Orthodontists.



                                       83
<PAGE>



                         EXECUTIVE COMPENSATION OF STAR


           The  following  table  provides   information  with  respect  to  all
compensation paid or accrued by STAR during the three fiscal years ended May 31,
1996 to Stephen Sternbach,  STAR's Chief Executive  Officer,  the only executive
officer of STAR whose salary and bonus for fiscal 1996 exceeded $100,000.

<TABLE>
<CAPTION>
                                                      SUMMARY COMPENSATION TABLE


NAME AND                         ANNUAL COMPENSATION         LONG TERM COMPENSATION
PRINCIPAL                                                             AWARDS                ALL OTHER
POSITION                  YEAR   SALARY($)   BONUS($)    SECURITIES UNDERLYING OPTIONS(#)
- --------                  ----   ---------   --------    --------------------------------
COMPENSATION(1)
- ---------------
<S>                       <C>    <C>        <C>                       <C>                    <C>    
Stephen Sternbach         1996   $250,000   $34,371                   21,000                 $10,000
Chief Executive Officer,  1995   $225,000      --                       --                   $10,000
President and             1994   $225,000      --                     61,938                 $ 5,000
Chairman of the Board                                     
</TABLE>

- -----------------------                                    
(1)  Represents amounts credited by STAR to a book reserve account as contingent
     deferred  compensation  for the  benefit  of Mr.  Sternbach  pursuant  to a
     Non-Qualified  Retirement and Death Benefit  Agreement between STAR and Mr.
     Sternbach.

<TABLE>
<CAPTION>
                                  OPTION GRANTS IN LAST FISCAL YEAR

               NUMBER OF
              SECURITIES     PERCENT OF TOTAL
              UNDERLYING      OPTIONS GRANTED
                OPTIONS        TO EMPLOYEES    EXERCISE PRICE                      POTENTIAL REALIZABLE VALUE AT
    NAME      GRANTED (#)     IN FISCAL YEAR       ($/SH)      EXPIRATION DATE     ASSUMED ANNUAL RATES OF STOCK
    ----      -----------     --------------      --------     ---------------        PRICE APPRECIATION FOR
                                                                                          OPTION TERM(1)
                                                                                          --------------
                                                                                   5%($)                10%($)
                                                                                   -----                ------
<S>             <C>                 <C>            <C>               <C> <C>      <C>                    <C>    
Stephen         21,000              26%            $6.53         May 16, 2001     $38,000                $84,000
Sternbach
</TABLE>

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

(1)  Represents possible gains, assuming that the market price for STAR's Common
     Stock appreciates during the option term at annualized rates of 5% and 10%,
     respectively.



                                       84
<PAGE>



           AGGREGATED OPTION EXERCISES IN LAST FISCAL YEAR AND FISCAL
                             YEAR-END OPTION VALUES

           No options  were  exercised by Mr.  Sternbach  during the fiscal year
ended May 31, 1996.  The following  table  contains  information  concerning the
number and value, at May 31, 1996, of unexercised options held by Mr. Sternbach:

<TABLE>
<CAPTION>
                                                              VALUE OF UNEXERCISED
                          NUMBER OF UNEXERCISED           IN-THE-MONEY OPTIONS HELD AT
                     OPTIONS HELD AT FISCAL YEAR-END            FISCAL YEAR-END
NAME                   (EXERCISABLE/UNEXERCISABLE)       (EXERCISABLE/UNEXERCISABLE)(1)
<S>                             <C>     <C>                         <C>     
Stephen Sternbach               162,574/0                           $735,484
- ----------
</TABLE>

(1)  Fair market value of  underlying  securities  (the closing  price of STAR's
     Common  Stock on the Nasdaq  National  Market) at fiscal  year end (May 31,
     1996), minus the then effective exercise price.

STANDARD REMUNERATION OF DIRECTORS

           STAR's  non-employee  directors are paid a fee of $750 for each Board
of Directors meeting which they attend. They are not paid any additional fee for
serving on any committees of the Board of Directors.

EMPLOYMENT AGREEMENTS

           STAR has an employment  agreement with Stephen  Sternbach dated as of
December  18,  1996  (the  "Sternbach  Employment  Agreement").   The  Sternbach
Employment Agreement has a term of five years and provides for an initial annual
salary of $250,000  (subject to annual increase by the amount of the increase in
the Consumer Price Index from the immediate  preceding  year) plus a bonus of 6%
of STAR's  net profit  before  taxes in excess of  $1,200,000,  not to exceed an
aggregate annual bonus of $500,000.  The Sternbach Employment Agreement provides
that  after  a  Change  in  Control  (as  defined  in the  Sternbach  Employment
Agreement)  of STAR  has  occurred,  if  either  Mr.  Sternbach  terminates  his
employment  within six months  after he has  obtained  actual  knowledge  of the
Change in Control or STAR (or any successor  thereto)  terminates his employment
with STAR within one year after the Change in  Control,  Mr.  Sternbach  will be
entitled to receive (i) his salary,  bonuses,  awards,  perquisites and benefits
including,  without  limitation,  benefits  and awards under STAR's stock option
plans and pension and retirement  plans and programs,  accrued  through the date
Mr.  Sternbach's  employment with STAR is terminated and (ii) a lump-sum payment
in cash equal to 2.99 times Mr. Sternbach's base amount.

           STAR and Mr.  Sternbach  are also parties to a  Consulting  Agreement
(the  "Sternbach  Consulting  Agreement")  pursuant  to which STAR has agreed to
retain Mr.  Sternbach  as a  consultant  for a period of two years from the time
that his employment with STAR terminates.  Pursuant to the Sternbach  Consulting
Agreement, STAR has agreed to pay Mr. Sternbach $150,000 per year and he will be
entitled to participate in the health  insurance and similar benefits which STAR
provides to any of its other consultants.

           In addition,  STAR and Mr.  Sternbach are parties to a  Non-Qualified
Retirement and Death Benefit Agreement dated February 1, 1994, pursuant to which
STAR credits to a bank reserve (the "Deferred Compensation Account") established
for that purpose,  an amount not to exceed 10% of Mr.  Sternbach's  gross annual
salary during Mr. Sternbach's employment with STAR. Any funds so credited to the
Deferred



                                       85
<PAGE>



Compensation  Account may be kept in cash or invested and  reinvested  in mutual
funds,  stocks,  bonds,  securities  or other  assets as may be  selected by the
Company's Chief Financial Officer in his discretion. Mr. Sternbach has agreed to
assume all risk in connection  with any decrease in value of the funds which are
invested.  Unless  otherwise  forfeited,  Mr. Sternbach shall be entitled to the
Deferred  Compensation  Account upon his termination,  disability or death or if
STAR is involved in a merger or is acquired by another company.


                 CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS

           Stephen  Sternbach has outstanding  loans in the principal amount, as
of April 21 , 1997 of $94,937 from STAR and a subsidiary of STAR.  The loan from
the subsidiary has been assigned to the Company. These loans bear interest at 6%
per annum and each have a scheduled maturity date of August 1, 1998.

           In connection with services  provided to STAR during the fiscal years
ended  May  31,  1995  and  1996,  STAR  paid  William  Fellerman,   CPA,  P.C.,
approximately  $100,000 each year. Mr.  Fellerman,  a director,  Chief Financial
Officer,  Treasurer  and  Secretary  of STAR,  is the sole  shareholder  of that
corporation.




                                       86
<PAGE>



                                BUSINESS OF EFCC

GENERAL

           EFCC is in the  business of  providing  home  health  care  services,
principally  personal  hygiene,  homemaking,  general patient  safety,  and to a
lesser extent nursing services ("Home Care"),  primarily  through contracts with
government agencies under the Medicaid program.  EFCC is a holding company which
derives 100 percent of its  revenues  from the  operation  of TPC, an 83 percent
owned  subsidiary.  Prior to,  and as a  condition  to the  consummation  of the
Merger, TPC will be merged into EFCC and the separate corporate existence of TPC
will end. See "CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS OF EFCC."

           EFCC was  incorporated  in New York on May 10,  1978  under  the name
M.A.E.  Enterprises,  Inc. In 1980,  its name was changed to Cosmetic  Sciences,
Inc; which was changed again in 1996 to Extended  Family Care  Corporation,  its
current name.

           In 1980,  EFCC completed its initial  public  offering of 1.5 million
shares of common stock, raising gross proceeds of $1.5 million. Between 1980 and
1985,  EFCC engaged in research,  development,  marketing  and  distribution  of
medical  devices and cosmetics.  These products never proved to be  commercially
viable,   and  by  the  mid-1980's  the   development  of  these  products  were
discontinued and the  subsidiaries  through which these businesses were operated
were dissolved.

           In August 1984,  EFCC entered the Home Care industry by acquiring all
of the  outstanding  shares of TPC,  which at the time was  providing  Home Care
services in New York and New Jersey.  In December 1984, the then shareholders of
EFCC received as a dividend  approximately 17 percent of the outstanding  common
stock of TPC,  leaving TPC as an  approximately  83 percent owned  subsidiary of
EFCC.

           On April 25,  1985,  TPC entered  into an agreement to acquire all of
the outstanding stock of A-Round the Clock Nursing Services,  Inc. ("A-Round the
Clock"),  a home health care company doing  business in New Jersey.  In December
1985, a Form S-1 Registration  Statement was declared  effective in anticipation
of an initial  public  offering  by TPC.  Proceeds  from this  offering  were to
provide the  funding for the  acquisition  of A-Round  the Clock.  However,  the
underwriter  terminated  the  offering,  and TPC  was  unable  to  find  another
underwriter  to  complete  the  offering.  TPC was  forced to  borrow  the funds
required to consummate the  acquisition of A-Round the Clock.  The burden of the
additional debt service,  coupled with the increased demand for working capital,
further reduced cash flow.  Facing bank foreclosure of liens upon TPC's accounts
receivable,  significant tax arrears and cash  shortfalls,  EFCC and TPC filed a
petition under Chapter 11 of the U.S.  Bankruptcy  Code, in the U.S.  Bankruptcy
Court, Southern District, New York, in August 1986.

           Following  the filing of the  bankruptcy  petition,  TPC continued to
operate  its Home Care  business  as a debtor in  possession.  In July  1987,  a
secured  lender  foreclosed  its liens on the common stock of A-Round the Clock,
and took  possession  and  control of the  business  of A-Round  the Clock.  TPC
continued to provide Home Care  services with  operating  branches in Hempstead,
New York and Hackensack, New Jersey.

           In 1992, the EFCC's headquarters were moved from Hempstead,  New York
to Carle  Place,  New  York.  In March  1994,  TPC  opened  a branch  office  in
Irvington,  New Jersey,  which moved in March 1996 to East  Orange.  In February
1995, a satellite office of the Hackensack branch office was opened in Paterson,
New Jersey,  which relocated to Clifton,  New Jersey on or about April 15, 1996.
In August 1995, a TPC  satellite  office was opened in Jersey City,  New Jersey,
which office was sold in December, 1996. In March



                                       87
<PAGE>



1996, a satellite office was opened in Elizabeth,  New Jersey,  which office was
closed in September, 1996. In May 1996, a branch office was opened in Allentown,
Pennsylvania.  In the  first  quarter  of 1997 (i) the East  Orange  office  and
Hempstead office were closed and its staff and patients integrated into existing
facilities of STAR;  and (ii) the  Hackensack  office was closed and  integrated
into EFCC's Clifton office.

           In October  1993,  and in  connection  with  EFCC's  Amended  Plan of
Reorganization  adopted  in  1992,  an  investment  group,  COSS  Holding  Corp.
("Coss"),  invested  cash of $250,000  in EFCC and thereby  became the holder of
approximately  66 percent  or  12,748,658  shares of EFCC's  common  stock.  See
"Bankruptcy Proceedings"

           On October 31,  1995,  EFCC,  TPC and Coss  entered into an agreement
with  Arbor,  pursuant  to which EFCC  granted  Arbor the option to  purchase 13
million  newly  issued  shares of its common stock for $1.3  million,  ($.10 per
share). Arbor exercised this option in two installments,  on August 21, 1996 and
October  31,  1996,  thus  becoming  the  owner of  approximately  40% of EFCC's
outstanding  stock.  In addition,  in June of 1996,  Coss placed its holdings of
EFCC's common stock in a voting trust,  providing  Arbor the right to direct the
voting of such shares and to thus elect a majority of the board of  directors of
EFCC. EFCC, Coss and Arbor have also entered into various agreements relating to
Coss'  holdings of EFCC's common  stock,  but these  agreements,  as well as the
voting trust  arrangement  as to Coss' shares of EFCC,  will  terminate upon the
completion  of  the  STAR  Merger.   See  "CERTAIN   RELATIONSHIPS  AND  RELATED
TRANSACTIONS OF EFCC."

           On October  31,  1995,  EFCC  entered  into an  agreement  with Arbor
Management,  LLC (in which Ivan  Kaufman  owns a 99%  interest),  for a two year
term,  pursuant to which EFCC will pay $7,500 a month to Arbor  Management,  LLC
for management  services,  including  accounting,  finance,  human resources and
marketing,  rendered  to EFCC.  This  agreement  will also  terminate  as of the
completion of the STAR Merger.

HOME CARE SERVICES

           According to published  industry data, the home care industry in 1994
constituted  a $23  billion  market  with an annual  growth  rate  exceeding  20
percent.  Primary reasons cited for such rapid growth  include:  (1) the general
aging of the United States' population;  (2) the cost savings achievable through
at-home   treatment  as  an  alternative  to  hospital  care;  (3)  medical  and
technological  advances  which  enable a  growing  number  of  treatments  to be
administered at home rather than in a medical facility;  and (4) insurance (both
government regulated and private)  reimbursement  policies which provide certain
incentives to minimize the length of in-patient hospital care.

           TPC provides  its  patients  the  services of  certified  home health
aides,  personal care aides,  homemakers  and to a lesser extent  registered and
licensed practical nurses.  These individuals are part-time employees of TPC who
work for TPC as needed.  TPC's  active  roster of Home Care  personnel  includes
approximately 487 paraprofessionals and 30 nurses.

           TPC  requires  its  paraprofessionals  and  nurses  to  meet  certain
licensing,  certification,  and/or other  requirements.  TPC conducts  mandatory
in-service  classes for its nurses and  paraprofessionals  both to meet New York
and New  Jersey  continuing  education  requirements  and to  fulfill  TPC's own
quality  assurance  standards.  These in-service  classes typically last between
three and six hours and are offered periodically. They are taught by health care
professionals  selected by TPC for their  expertise in their  fields,  including
nurses,  physical therapists,  social workers and occasionally  physicians.  All
field staff  employees are subject to an internal  review not less than every 60
days.




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           TPC was recently surveyed by the Joint Commission on Accreditation of
Healthcare  Organizations  (JCAHO) and, in February  1996, was found to meet the
requirements for accreditation. JCAHO is the accrediting body for hospitals; its
accreditation  enhances TPC's contractual  business.  TPC's  accreditation  will
expire in October 1998,  at which time TPC must be resurveyed  for the following
three-year term.

PROCEDURE FOR A TYPICAL HOME CARE PLACEMENT

           When TPC accepts a new patient for service, TPC's Director of Nursing
or nursing supervisor confers with the patient's physician and other medical and
health care  professionals  (collectively,  the patient's "Health Care Team") to
(1) obtain the  physician's  orders;  (2) acquire a detailed  description of the
patient's  medical  problem;  (3)  determine  the  patient's  specific home care
requirements   (the   "Protocol"),   including   the  plan  of   treatment   and
pharmaceutical  services,  products and equipment which will be needed;  and (4)
determine the type of personnel and the number of hours and shifts required. The
Director  of Nursing  and/or a nursing  supervisor  seeks to verify all  initial
information received and selects the appropriate Home Care personnel to care for
the patient.

           In a typical  Home Care case,  TPC's  personnel  assigned to the case
visit the patient on a  prescribed  schedule to  administer  the Protocol and to
provide other general care to the patient. All Home Care cases are supervised by
a nursing supervisor to ascertain whether any problems have arisen in connection
with the services. Occasionally EFCC acts as a subcontractor for other home care
companies, implementing the patient Protocol under the direct supervision of the
primary contractor.  TPC's nurses and  paraprofessionals are in frequent contact
with the patient's Health Care Team.

CARE GIVERS

           TPC employs a variety of clinical and ancillary personnel as follows:

1.         Certified Home Health Aides ("CHHA") provide assistance as prescribed
by the  physician  in  accordance  with the  Protocol  and assist with  personal
hygiene, housekeeping,  general patient safety and other supportive tasks. CHHAs
hold a higher level of education,  classroom training and field supervision than
Personal Care Aides.

2.         Personal Care Aides ("PCA") assist the patient with personal hygiene,
dressing,  bathing,  meal  preparation/feeding,  housekeeping,  general  patient
safety and other activities of daily living.

3.         Homemakers  assist  with light  housekeeping,  meal  preparation  and
shopping.

4.         Registered  Nurses ("RN")  supervise and implement plans of treatment
as  mandated  by  a  physician,   administer   medication,   maintain   required
documentation and supervise all other non-RN health care employees.

5.         Licensed Practical Nurses ("LPN") can administer certain  medications
and assist the RN's in performing certain procedures.

ORGANIZATIONAL STRUCTURE

BRANCH DESCRIPTION




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           TPC presently has two operating  branches,  utilizes  space in two of
STAR's facilities, and has a corporate headquarters. The branches are located in
New York, New Jersey and Pennsylvania with a corporate  headquarters  located in
New York. Each operating branch is licensed by the appropriate  state agency for
its location. Each operating branch is staffed by a director of nursing, nursing
supervisors, a branch director, a personnel manager, staffing coordinator(s) and
clerical  personnel.  TPC  conducts  its own in house  state  approved  training
courses  to  prepare  qualified  employees  for  employment.  In  addition,  TPC
maintains a recruiting program to attract qualified personnel to its staff.

CUSTOMERS

           TPC has four types of customers:  public assistance  agencies,  other
third party payers, insurance companies and private pay customers.

           Public assistance agencies,  which provided approximately 80 percent,
81 percent  and 71  percent  of total  TPC's  revenues  in 1996,  1995 and 1994,
respectively, are billed directly for Home Care services provided to individuals
who have qualified for Medicaid  benefits.  TPC's business in Nassau County, New
York is tied  directly to a single  contract  between TPC and the  Department of
Social Services in Nassau County. A substantial  portion of TPC's business would
be lost should this single  contract be  terminated.  The  contract  with Nassau
County is  renewable  on an annual  basis and has been in existence in excess of
ten years.  TPC has no reason to believe that this  contract will not be renewed
in the future, however, there is no assurance that the contract will be renewed.
However,  if the Merger is  consummated,  TPC's contract with Nassau County will
not be renewed because STAR already has a contract with the Department of Social
Services providing Home Care services in Nassau County.

           In New Jersey, unlike New York, the New Jersey Department of Medicaid
will grant a Medicaid  contract to any accredited  home health care agency.  New
business is obtained through referrals from physicians, county medical services,
community  organizations,  hospital social service  workers,  nurses,  insurance
companies and the patient's family.

           Other third party  payers,  such as  hospitals  and other health care
institutions,  provided  14  percent,  11  percent  and 12  percent of total TPC
revenues,  in  1996,  1995  and  1994,  respectively.   The  third  party  payor
subcontracts  with TPC for Home Care  services.  These  contracts  are generally
non-exclusive.

           The insurance segment of TPC's business  represented  approximately 1
percent, 2 percent and 7 percent of TPC's total revenues in 1996, 1995 and 1994,
respectively.  This business is dependent  upon the insurer's  decision to enter
into  various  preferred   provider  networks  ("PPO")  and  health  maintenance
organization  networks  ("HMO").  The insurance  segment has become more closely
linked to associations with various PPOs and HMOs.  Therefore,  TPC will have to
develop alliances with such networks or risk the loss of business.

           Private pay customers represented  approximately 5 percent, 6 percent
and 10 percent of TPC's  revenues in 1996,  1995 and 1994,  respectively.  These
customers have determined,  for a variety of reasons, including ineligibility of
public assistance,  or insurance  benefits,  to personally pay for the Home Care
services  provided by TPC. These customers are referred to TPC from a variety of
sources.

           The charts below sets forth: (a) the percent of total TPC revenues by
type of  customer;  (b)  percent  of total TPC  revenues  by state;  and (c) TPC
Medicaid revenues as percentages of total state revenues.




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<PAGE>



PERCENT OF TOTAL TPC REVENUES BY TYPE OF CUSTOMER

                                                         1996     1995     1994
                                                         ----     ----     ----

Medicaid (Through public assistance agencies)              80%      81%      71%
Other third party payers                                   14%      11%      12%
Insurance                                                   1%       2%       7%
Private pay                                                 5%       6%      10%
                                                          ---      ---      ---
                                                          100%     100%     100%

PERCENT OF TOTAL TPC REVENUES BY STATE

                                                         1996     1995     1994
                                                         ----     ----     ----

New York                                                   15%      25%      36%
New Jersey                                                 84%      75%      64%
Pennsylvania                                                1%      NA       NA
                                                          ---      ---      ---
                                                          100%     100%     100%

TPC MEDICAID REVENUES AS PERCENTAGES OF
TOTAL STATE REVENUES

                                                         1996     1995     1994
                                                         ----     ----     ----

New York                                                   74%      82%      84%
New Jersey                                                 81%      80%      63%
Pennsylvania                                               65%      NA       NA


GOVERNMENTAL REGULATION AND LICENSING

           EFCC's  business is subject to  substantial  regulation  by state and
local authorities.  These regulations can cause significant time delays, as well
as additional  costs,  as TPC must comply with state  eligibility  standards for
licensing and/or  accreditation as a Home Care provider.  The imposition of more
stringent regulatory  requirements or the denial,  revocation,  or suspension of
any license or accreditation necessary for TPC to operate in a particular market
could have a material adverse effect on TPC's operations.

           Medicaid  reimbursement  rates  in New York  and New  Jersey  are not
negotiated  by  TPC,  but  are  established  by the  respective  states.  Recent
budgetary  pressures  at the federal and state  governmental  level,  may in the
future,   reduce  the  allocation  of  federal  and  state   budgetary   dollars
appropriated for the Medicaid program.  Reductions may have a negative impact on
TPC's  revenues and  profitability.  Federal and state  budgetary  pressures may
adversely impact TPC by: (1) reducing the Medicaid  reimbursement  rates paid by
the state;  (2) reducing the number of hours that will be  reimbursed  per case;
and (3)  reducing  the funding of one or more public  assistance  agencies  with
which TPC presently  does  business.  See "EFCC'S  MANAGEMENT'S  DISCUSSION  AND
ANALYSIS OR PLAN OF OPERATION

           On July 9,  1996,  authorities  of the  State  of New  Jersey  met to
discuss the reduction of Medicaid  reimbursement rates for the year July 1, 1996
to July 1, 1997.  This  meeting  did not  result in  material  reduction  in the
Medicaid reimbursement rates for the period July 1, 1996 to July 1, 1997. During
the quarter



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<PAGE>



ended March 31, 1996, a reduction in authorized Medicaid  reimbursable hours per
case was imposed by New York State. The results of this reduction did not have a
material  adverse  effect on EFCC's  results of  operations  for the fiscal year
ended December 31, 1996.  However, if a similar Medicaid reduction is imposed by
the State of New  Jersey,  the results of this  reduction  would have a material
adverse  effect on EFCC's results of  operations,  as EFCC  currently  derives a
majority of its revenues from New Jersey  Medicaid  reimbursements.  EFCC cannot
predict the magnitude of future  reductions,  if any, in Medicaid  reimbursement
rates or reimbursable hours.

           New York State requires  approval of the Public Health Council of the
New York State  Department of Health  ("NYPHC") for any change in a "Controlling
Person" of an operator  of a licensed  health care  services  agency  ("LHCSA").
Control of an entity is presumed to exist if any person owns,  controls or holds
the power to vote 10% or more of the voting  securities  of such entity.  To the
extent TPC or EFCC may seek to acquire control of an LHCSA, TPC would have to be
granted the approval of the NYPHC prior to  exercising  control over such LHCSA.
NYPHC  approval  is also  required if any entity  seeks  control of more than 10
percent of the voting  securities  of EFCC or TPC.  The NYPHC has  approved  the
change of control that occurred from the acquisition by Coss of approximately 66
percent of EFCC's  Common Stock and the change of control  which  occurred  when
Arbor acquired  approximately  40 percent of EFCC's Common Stock. An application
to permit STAR's control over EFCC pursuant to the Merger Agreement was approved
on June 27, 1996. Such approval is a condition of the completion of the Merger.

           Health  regulatory  agencies  of New York and New  Jersey,  where TPC
operates,  require  satisfaction of certain standards with respect to personnel,
services  and  supervision.   Health   regulatory   agencies  also  require  the
establishment  of a  professional  advisory  group  that  includes  at least one
physician,   one  registered  nurse  and  other   representatives  from  related
disciplines  or  consumer  groups.  TPC is  currently  in  compliance  with such
standards.

           Applicable federal and state  "anti-kickback"  regulations in general
provide that TPC may not make certain payments in order to receive  referrals of
patients.  EFCC believes  that it and TPC are in compliance  with both state and
Federal "anti-kickback" regulations.

COMPETITIVE CONDITIONS

           TPC's health care operations face competition in recruiting qualified
health care personnel,  securing customers and providing services, from numerous
proprietary health care agencies and not-for-profit organizations, some of which
are substantially larger and better financed than TPC.

           In New York, TPC has an annual contract with the Department of Social
Services in Nassau County  representing  approximately 21 percent of TPC's total
revenue in 1995 and 11 percent in 1996.  This type of  contract  was  awarded to
approximately  sixty home health care  agencies,  and  currently,  no additional
agencies are permitted to bid on this  contract.  Cases are referred to agencies
on a rotating basis. TPC is at a competitive  disadvantage in other locations in
New York State,  since TPC does not have Medicaid  contracts in areas other than
Nassau County.

           In New Jersey, unlike New York, the New Jersey Department of Medicaid
will grant Medicaid  contracts to any accredited  home health care agency.  Each
branch office of TPC has a contract  with the New Jersey  Department of Medicaid
for  billing  and  administrative  purposes.  For New  Jersey,  new  business is
dependent on referrals through  physicians,  county medical services,  community
organizations,  hospital social service workers, nurses, insurance companies and
the patient's family. Consequently,  all of TPC's New Jersey business is subject
to numerous competitive factors. TPC believes that prompt service, price



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(excluding  Medicaid  which by virtue of fixed  reimbursement  rates cannot be a
differentiating  factor),  quality of service and the range of services  offered
are the  principal  factors  which enable it to compete  effectively  in the New
Jersey market.

MARKETING AND SALES

           TPC  currently  markets its health  care  personnel  and  services in
Nassau and Queens counties in New York, in the eastern and northern  counties in
New Jersey and in Allentown, Pennsylvania. TPC's services are marketed by a team
of  professionals  headed by a Regional  Director,  in each state.  All of TPC's
services  are promoted  through  print and yellow page  advertising,  brochures,
direct mail and visual presentations through field sales calls. Targeted clients
are  hospitals,  nursing homes,  retirement  centers,  social service  agencies,
senior citizen centers and other home care companies for sub-contract referrals.
TPC's  representatives  maintain  telephonic  contact  not  only to  maintain  a
relationship with existing  referral sources,  but also to establish new sources
and markets. TPC's staff attend health care sponsored seminars and various trade
shows and exhibitions.

LIABILITY INSURANCE

           TPC is exposed to potential  liability in the event of  negligence or
wrongful acts of its  personnel.  TPC  maintains  liability  insurance  which it
believes to be adequate.  There can be no assurance,  however,  that TPC will be
able to  maintain  its  existing  insurance  at an  acceptable  cost  or  obtain
additional  insurance in the future as required.  There can be no assurance that
TPC's  insurance will be sufficient to cover  liabilities  resulting from claims
that may be brought in the future.

EMPLOYEES

           EFCC currently has approximately  557 active  employees,  40 of which
are full-time  employees.  TPC has no union  contracts with any of its employees
and believes  that its  relationship  with its  employees is good.  TPC pays its
employees at rates that it believes are competitive.

           EFCC is not aware of any  current  efforts to  unionize in any of its
branches.  If such an  effort  were  made,  it is  uncertain  if same  would  be
successful and if successful whether it would have a material effect upon EFCC's
operations or financial condition.

SECURITIES FILINGS

           Since filing its petition for bankruptcy in 1986, until the filing of
its Form 10-KSB for period ending December 31, 1995 (the "1995 10-KSB") EFCC has
not filed any required  reports under the  Securities  Exchange Act of 1934 (the
"Exchange  Act"). The last such report filed was EFCC's Form 10-K for the fiscal
year ended December 31, 1985. During the years while in bankruptcy, EFCC did not
possess adequate  financial and staffing  resources to produce audited financial
statements  and other  reports as required by the Exchange  Act.  EFCC has filed
reports required under the Exchange Act commencing with its 1995 Form 10- KSB.

           As a result of EFCC's past  non-compliance  with the  Commission  may
determine to bring civil and administrative  proceedings against EFCC. While the
likelihood of such proceedings  being brought is uncertain,  if such proceedings
were brought,  EFCC could be subject to substantial monetary penalties and other
administrative remedies.



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<PAGE>



THE SPECIAL DIVIDEND

           On January 21, 1997, EFCC paid a special cash dividend of $750,000 to
its  shareholders  of record on January  13,  1997.  This  dividend  was paid in
contemplation of the Merger transaction. See the "THE MERGER - Background of the
Merger" and "THE MERGER - Conditions of the Merger."

DESCRIPTION OF PROPERTY

           EFCC's  corporate  office is located in Carle  Place,  New York.  The
lease  expires on November 30,  2000.  EFCC leases 2,060 gross square feet at an
annual rental of $39,140, with annual escalations of 12%.

           TPC's New York branch is located in  Hempstead,  New York.  The space
consists of 1,688 square feet for a rental  period  expiring on July 31, 2000 at
an annual rental of $20,286. Employees and patient files of the Hempstead office
were transferred to STAR's Hicksville office during the first quarter of 1997.

           TPC leases space for three locations in New Jersey.

           The East Orange,  New Jersey  branch  office  occupies  approximately
2,250 square feet.  The lease term runs from March 1, 1996 through  February 28,
2001 at an annual  rental of $29,400.  The East Orange  office's  employees  and
patient files were transferred to STAR's South Orange,  New Jersey office in the
first quarter of 1997.

           The Hackensack, New Jersey branch office occupies approximately 2,000
square feet at an annual rental of $27,600,  pursuant to a lease that expires on
February 28, 2000. The employees of the Hackensack  office were  integrated into
EFCC's Clifton, New Jersey office in the first quarter of 1997.

           The Clifton,  New Jersey  location  serves as the New Jersey Regional
Office.  This location occupies  approximately  3,500 square feet with an annual
rental of $61,250.  The lease term expires January 31, 2006. The Patterson,  New
Jersey  satellite  office was integrated into the Clifton Regional Office during
April, 1997.

           TPC  operates  one office in  Allentown,  Pennsylvania.  This  office
occupies  1,360  square  feet.  The base term runs from June 1, 1996 to June 30,
1999 at an annual rental of $22,576, plus 2.7% of total operating expense.

BANKRUPTCY PROCEEDINGS

           In 1986 EFCC and TPC  filed  for  protection  from  their  respective
creditors under Chapter 11 of the U.S. Bankruptcy Code in the Southern District,
New York. An Amended Joint Plan of Reorganization (the "Plan") dated February 5,
1992 was filed for both EFCC and TPC.  The Plan was  approved on March 23, 1992.
Shareholders of EFCC prior to the bankruptcy filing retained  ownership of their
shares.

           There were seven classes of creditors.  Some creditors withdrew their
claims,  some received cash or negotiated  extended payment terms, and some were
offered an option of receiving  cash or newly issued  common  stock.  The latter
group of creditors  received  1,388,959  shares of newly issued  common stock in
exchange for their claims.

           As noted  above,  COSS  received  12,749,658  shares of newly  issued
common  stock,  representing,  at that time,  66  percent of EFCC's  outstanding
common stock for a $250,000 cash investment.




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<PAGE>



           A Final  Decree was entered on January 13, 1995  confirming  that the
Plan has been  consummated  permitting  EFCC and TPC to emerge  from  bankruptcy
proceedings.

        EFCC'S MANAGEMENT'S DISCUSSION AND ANALYSIS OR PLAN OF OPERATION

           The following  discussion  and analysis  provides  information  which
EFCC's  management  believes is relevant to an assessment and  understanding  of
EFCC's results of operations and financial condition.  This discussion should be
read in  conjunction  with the audited  consolidated  financial  statements  and
related notes contained elsewhere in this filing.

OVERVIEW

           TPC's  revenues  are derived  from  providing  Home Care  services to
individuals,  in New  York  and  New  Jersey,  through  various  contracts  with
government  agencies  (under  the  Medicaid  program)  and  to a  lesser  extent
hospitals, insurance companies, private pay and other third party payers.

INDUSTRY INFORMATION

           According to published  industry data, the home care industry in 1994
constituted a $23 billion market with an annual growth rate exceeding 20 percent
for this industry  sector.  Primary reasons cited for such rapid growth include:
(1) the general aging of the United States' population; (2) the substantial cost
savings achievable through at-home treatment as an alternative to hospital care;
(3)  medical  and  technological  advances  which  enable a  growing  number  of
treatments to be administered at home rather than in a medical facility; and (4)
insurance (both government regulated and private)  reimbursement  policies which
provide certain  incentives to minimize the length of in-patient  hospital care.
EFCC  believes  that the factors  above will  continue to  contribute  to steady
growth for the home care industry.

           Discussions  in  New  York  and  New  Jersey  at  the  executive  and
legislative branches of government,  concerning a possible reduction of Medicaid
reimbursement rates have taken place and such discussions may continue.  On July
9, 1996, the legislature of the State of New Jersey met to discuss the reduction
of Medicaid  reimbursement  rates for the year July 1, 1996 to July 1, 1997. The
meeting did not result in a material reduction in Medicaid  reimbursement  rates
for such  period.  During the quarter  ended  March 31,  1996,  a  reduction  in
authorized  Medicaid  reimbursable  hours per case was  imposed  by the New York
State  Department  of  Social  Services.  While  this  reduction  did not have a
material  adverse  effect on EFFCC's  results of operations  for the fiscal year
ended December 31, 1996, if a similar reduction were imposed by the State of New
Jersey, where EFCC derives a majority of its revenues, there would be a material
adverse  effect  on  EFFCC.   EFFCC  cannot  predict  the  magnitude  of  future
reductions, if any, in Medicaid reimbursement rates or reimbursable hours.

RESULTS OF OPERATIONS

Quarter Ended March 31, 1997 Compared to Quarter Ended March 31, 1996

Net Patient Service Revenue:  Net patient service revenue increased  $337,047 or
17% to $2,321,939  for the quarter ended March 31, 1997 from  $1,984,892 for the
quarter  ended March 31,  1996.  The addition of one new  satellite  branch from
March 31, 1996 to March 31, 1997 and three months of full  operation  during the
quarter ended March 31, 1997 for a branch opened in February 1996  increased net
patient  service  revenue by $221,098 or 11%. The balance of the increase in net
patient  service revenue was from existing  branches,  offset by the sale of the
Jersey City branch in December 1996.



                                       95
<PAGE>



Cost of Services:  Cost of services  increased $278,794 or 22% to $1,525,058 for
the quarter ended March 31, 1997 from $1,246,264 for the quarter ended March 31,
1996.  The increase in cost of services is  primarily  due to increases in field
staff payroll costs resulting from the increase in net patient service  revenue.
EFCC's growth in the number of cases serviced  increased the need for additional
field staff to service these cases.

Selling,   General   and   Administrative   Expenses:   Selling,   general   and
administrative  expenses  decreased  $84,918 or 10% to $753,594  for the quarter
ended  March 31,  1997 from  $838,512  for the  quarter  ended  March 31,  1996.
Selling,  general and  administrative  expenses as a percentage  of net revenues
decreased  to 32% for the quarter  ended March 31, 1997 from 42% for the quarter
ended March 31,  1996.  This  decrease is primarily  attributable  to an overall
reduction  in  overhead  expenses  during  the  quarter  ended  March 31,  1997,
resulting from EFCC entering into a consulting agreement with STAR on January 3,
1997 and resulting  integration of certain  administrative  functions  primarily
offset by the payment of consulting fees to STAR

Provision  (Benefit) For Income Taxes:  Provision for income taxes  increased by
$51,500  to  $13,000  for the  quarter  ended  March 31,  1997 from a benefit of
($38,500) for the quarter ended March 31, 1996. The increase is primarily due to
a $122,882 increase in pre-tax income.

Year Ended December 31, 1996 Compared to Year Ended December 31, 1995

Net Patient Service Revenue: Net patient service revenue increased $1,561,372 or
21% to $8,929,330 for the year ended  December 31, 1996 from  $7,367,958 for the
year ended  December  31,  1995.  The  addition  of three new  branches  in 1996
increased net patient  service  revenue by $1,358,545 or 18%. The balance of the
net  increase  in net  patient  service  revenue  resulted  from (a) one  branch
location which opened in August 1995 and therefore generated a full year revenue
in 1996 compared to four months of revenue in 1995;  partially  offset by (b) an
overall  decrease  in  pre-existing  branch net  patient  service  revenue.  The
decrease in pre-existing branch net patient service revenue was mainly due to an
overall general decrease in authorized  Medicaid  reimbursable costs by New York
State.

Cost of Services:  Cost of services  increased $937,358 or 20% to $5,643,554 for
1996 from $4,706,196 for 1995. The increase in cost of services is primarily due
to increases in field staff  payroll cost  resulting  from a 21% increase in net
patient  service  revenue.  EFFCC's  growth  in the  number  of  cases  serviced
increased the need for additional field staff to service these cases.

Selling,   General   and   Administrative   Expenses:   Selling,   general   and
administrative  expenses ("SG&A") increased  $1,064,337 or 50% to $3,192,769 for
1996 from $2,128,432 for 1995. SG&A as a percentage of net revenues increased to
36%  for  1996  from  29%  for  1995.   This  increase  is  due  to  (a)  higher
administrative  salaries,  marketing and facility  expenses  associated with the
additional  branch  locations  and the  increase  in  case  volume;  (b)  EFCC's
investment in its corporate infrastructure;  and (c) increased professional fees
due to the Company's  commitment to resume filing the reports required under the
Exchange Act.

Provision For Income Taxes:  Provision for income taxes decreased by $154,000 or
74% to $55,000 for the year ended  December 31, 1996 from  $209,000 for the year
ended  December  31, 1995.  The  decrease is primarily  due to a $403,645 or 84%
decrease  in  pre-tax  income  and  partially  offset by an  increase  in EFCC's
effective tax rate from 1995 to 1996.

LIQUIDITY AND CAPITAL RESOURCES

           The nature of EFCC's  business  requires  weekly payments of wages to
its personnel at the time they render services,  while it receives  payments for
services rendered over an extended period of time (30 to 90



                                       96
<PAGE>



days). At March 31, 1997 EFCC's accounts  receivable  balance increased $105,366
to $1,171,643  from  $1,066,277  at December 31, 1996.  The increase in accounts
receivable was due to increased net patient service revenue offset by a decrease
in days  sales in  accounts  receivable  from  approximately  54 to 44 days.  At
December 31, 1996 and December 31, 1995,  EFCC's  accounts  receivable  balances
were  $1,066,277 and $895,131,  respectively.  During 1996 and 1995,  TPC's days
sales  in  accounts   receivable  was   approximately   47  days  and  49  days,
respectively.

           At March 31, 1997 EFCC had working capital of $815,125. Historically,
EFCC's  cash  requirements  have  been  met  internally  from  operations.  EFCC
currently has no  outstanding  bank debt nor does it have any  agreements  for a
line of credit.  At December 31, 1996,  EFCC had working  capital of $1,527,503.
Historically, EFCC's cash requirements have been met internally from operations.
EFCC currently has no outstanding  bank debt nor does it have any agreements for
a line of credit.

           EFCC's working capital was reduced on January 21, 1997 as a result of
the payment of a special  dividend  in the amount of  $750,000.  EFCC's  working
capital should be sufficient to fund existing operations for the next 12 months,
but will not be  sufficient  to fund  expanded  activities  if the Merger is not
consummated. If the Merger is consummated,  EFCC's capital requirements would be
provided by STAR.

           Net cash  provided  by (used in)  operating  activities  for EFCC was
$137,528  for  thequarter  ended March 31, 1997 and  ($264,403)  for the quarter
ended March 31, 1996.  The change in cash provided by operating  activities  for
the quarter  ended March 31,  1997 and cash used in  operations  for the quarter
ended  March  31,  1996 was the  result of  increased  gross  profit,  decreased
selling,  general and administrative  expenses as a percentage and a decrease in
the number of days sales in accounts  receivable from  approximately  54 days to
44days.

           In 1996,  EFCC used cash for operating  activities of $457,092 and in
1995, EFCC generated cash from operating  activities of $555,433,  respectively.
The change in cash generated from operating activities in 1995 and cash used for
operations in 1996 was a result of decreased income from  operations,  increased
professional  fees  related  to  the  anticipated  Merger,   increased  accounts
receivable  due to  increased  revenues  and the  settlement  of a  pre-petition
payroll tax claim by the IRS.

           During  1996,  EFCC  invested  $122,979  in  property  and  equipment
primarily for purchases of computers,  telecommunication equipment and furniture
and equipment  associated  with EFCC's three new branch  locations,  including a
regional  office in  Clifton,  New Jersey,  as well as  increased  purchases  of
computer  equipment  throughout  1996.  During  1995 EFCC  invested  $57,373  in
property and equipment  primarily for purchases of computers,  telecommunication
equipment,  and furniture and  equipment  associated  with EFCC's two new branch
locations.

           In 1996,  EFCC was provided  cash  through  financing  activities  of
$1,134,701 and in 1995, EFCC used cash in financing  activities of $83,687.  The
change  in cash  used in  financing  activities  in 1995  and cash  provided  by
financing  activities  in 1996  was  primarily  due to the  $1,250,000  net cash
proceeds  received by EFCC in 1996 from the exercise of the Arbor stock options.
In 1995,  EFCC used cash to pay down $83,687 in various  loan and capital  lease
obligations.




                                       97
<PAGE>



INFLATION AND SEASONALITY

           Medicaid  reimbursements,  which represent EFCC's principal source of
revenue, have historically been adjusted to keep pace with inflation.  There can
be  no  assurance  that  future  Medicaid  reimbursement  will  keep  pace  with
inflation.

           EFCC's business is generally not subject to seasonal trends.

CHANGES IN AND  DISAGREEMENTS  WITH  ACCOUNTANTS  ON  ACCOUNTING  AND  FINANCIAL
DISCLOSURE

           Effective  February 19, 1996, EFCC dismissed Rose,  Michlin,  Karpf &
Co. ("Rose,  Michlin") as its independent auditor for the audit of its financial
statements.  The new  independent  auditor to be engaged by EFCC to audit EFCC's
financial statements, effective February 19, 1996, is Carpenter & Onorato, P.C.

           Rose,  Michlin  did  not  complete  the  audit  of  EFCC's  financial
statements for the two most recent fiscal years 1994 and 1995.  However,  during
these  years  there were no  disagreements  with Rose,  Michlin on any matter of
accounting principles or practices,  financial statement disclosure, or auditing
scope or procedure.  Further,  EFCC was not advised by Rose, Michlin during this
period of the existence of any of the events  described in Item  304(a)(1)(B) of
Regulation S-B.



                                       98
<PAGE>



          OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT OF EFCC

(a)        Security Ownership of certain beneficial owners.

           The  following  sets forth the  holdings  of any person  known by the
issuer to be the  beneficial  owner of more than five  percent of EFCC's  Common
Stock:

                                      EFCC

                                                AMOUNT AND NATURE
                   NAME AND ADDRESS OF          OF BENEFICIAL        PERCENT
TITLE OF CLASS     BENEFICIAL OWNER             OWNERSHIP            OF CLASS


Common Stock       Coss Holding Corp.           12,749,658           39.84%
                   1 Old Country Road
                   Suite 335
                   Carle Place, NY 11514

Common Stock       Arbor Home Health Care       25,749,658 (1)       80.47%
                   Holdings, LLC
                   333 Earle Ovington Blvd.
                   Uniondale, NY 11553

Common Stock       Ivan Kaufman                 25,749,658 (1)(2)    80.47%
                   c/o Arbor Home
                   HealthCare Holding, LLC
                   333 Earle Ovington Blvd.
                   Uniondale, NY 11553
- ---------------------------------------

(1)  Includes 13 million  shares owned  directly and also includes  voting power
     over  12,749,658  shares owned by Coss Holding  Corp.  pursuant to a voting
     trust. (See "CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS OF EFCC").

(2)  Ivan  Kaufman  owns  a  99 percent membership interest in Arbor Home Health
     Care Holding, LLC and is its controlling member.




                                       99
<PAGE>



(b)        Security Ownership of Management.

           The  following  sets forth the  holdings of all of EFCC's  directors,
executive officers and director nominees,  as well as all directors and officers
as a group:


                  NAME AND                   AMOUNT AND
                  ADDRESS OF                 NATURE OF
TITLE             BENEFICIAL                 BENEFICIAL          PERCENT
OF CLASS          OWNER                      OWNERSHIP           OF CLASS

Common Stock      Steven Gorenstein              0                0
                  16 Barrington Place
                  Dix Hills, NY  11747

Common Stock      Robert Kohlmeyer (1)           0                0
                  86 Hilltop Drive
                  Smithtown, NY  11787

Common Stock      Paul Elenio                    0                0
                  c/o Extended Family
                     Care Corporation
                  1 Old Country Road
                  Carle Place, NY  11514

Common Stock      Joseph Heller                  0                0
                  c/o Arbor Management, LLC
                  333 Earle Ovington Blvd.
                  Uniondale, NY  11553

Common Stock      All directors and              0                0
                  executive officers
                  as a group

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

           Coss Holding  Corp.  has five  directors:  Robert  Kollmeyer,  Steven
Gorenstein,  Pamela  Robb,  Donald Lia and John  Curtin.  Arbor also  received a
pledge of Coss' EFCC Shares and a pledge of certain shares of Coss in connection
with loans made to Coss and certain shareholders of Coss.

(c)        Changes in control

           Coss has placed all of its  12,749,658  shares of EFCC's Common Stock
(the "Coss  Shares"),  representing  approximately  40 percent of the  currently
outstanding  Company Common Stock, in a voting trust.  Arbor has the right under
this voting trust to direct the voting of all of the Coss Shares and to nominate
a majority of EFCC's Board of Directors. (See "CERTAIN RELATIONSHIPS AND RELATED
TRANSACTIONS OF EFCC".)



                                      100
<PAGE>



      DIRECTORS, EXECUTIVE OFFICERS, PROMOTERS AND CONTROL PERSONS OF EFCC

           The directors and executive officers of EFCC are as follows:


       NAME                        AGE            POSITION
       ----                        ---            --------

CURRENT DIRECTORS AND OFFICERS
- ------------------------------
Joseph Heller                      33    Vice President/Acting Chief Executive
                                         Officer/Principal Financial
                                         Officer/Controller and Director
Paul Elenio                        30    Director and Former Vice President/ 
                                         Former Controller/ Former Principal 
                                         Financial Officer
Robert Kohlmeyer                   42    Secretary/Treasurer and Director

FORMER DIRECTORS AND OFFICERS
- -----------------------------
Mary Ann Page                      55    Former Chief Executive Officer/Former
                                         Vice-President and Former Director
Patricia Cantalupo                 37    Former Vice-President and Former 
                                         Director

Steven Gorenstein                  53    Former President/Former Chief Executive
                                         Officer and Former Director

JOSEPH HELLER

           Mr.  Heller was  appointed  Vice  President  of EFCC in March,  1996,
principal  financial  officer and controller in January,  1997, and acting Chief
Executive Officer in April, 1997. Mr. Heller has been a director of EFCC and TPC
since September, 1996. From August 1995 to the present, Mr. Heller also has been
a Vice  President of Arbor,  a holding  company  which owns 40% of the currently
outstanding   shares  of  EFCC.   See   "CERTAIN   RELATIONSHIPS   AND   RELATED
TRANSACTIONS."  From June 1995 to the  present,  Mr.  Heller  also has been Vice
President  of  Corporate  Planning  for  Arbor  Management,  LLC.  See  "CERTAIN
RELATIONSHIPS AND RELATED  TRANSACTIONS."  From 1991 to May 1995, Mr. Heller has
held the  positions of Vice  President of Financial  Analysis and  Budgeting and
Director of  Shareholder  Relations for Arbor  National  Mortgage,  Inc. and its
successor.  From 1990 to 1991,  Mr.  Heller  was an  Acquisition  Associate  for
WinStar  Services,  Inc., a merchant and investment  banking firm.  From 1987 to
1990,  Mr.  Heller  was a Senior  Analyst  for  Morgan  Stanley & Co., a leading
investment  banking  firm,  and  from  1985 to  1987,  Mr.  Heller  was a Senior
Accountant for Ernst & Young,  LLP, an  international  accounting and consulting
firm.  Mr.  Heller is a  Certified  Public  Accountant.  In 1991,  he received a
Masters degree in Business Administration from Fordham University.

PAUL ELENIO

           Director of EFCC and TPC since  September,  1996. Mr. Elenio was Vice
President and  Controller  of EFCC since  January  1996,  but resigned from this
position in January,  1997.  From 1993 to 1995 Mr.  Elenio held the  position of
Financial Reporting and Tax Supervisor for BankAmerica  Mortgage,  FSB, formally
Arbor National Mortgage, Inc., a mortgage banking company which originated, sold
and serviced residential



                                      101
<PAGE>



and  commercial  mortgages.  From 1991 to 1993,  Mr. Elenio held the position of
Senior Accountant for Arbor National Mortgage, Inc.

ROBERT KOHLMEYER

           Secretary,  Treasurer and Director of EFCC since 1992, Mr.  Kohlmeyer
is also  Secretary/Treasurer  and a  Director  of TPC.  Mr.  Kohlmeyer  has been
President and Chief Operating Officer of CRK Contracting, a regional large scale
electrical contracting company, since 1987.

MARY ANN PAGE

           Ms. Page was Acting  Chief  Executive  Officer of EFCC since  January
1996;  Vice  President  and Director of EFCC since June 1994.  Ms. Page was also
President and a Director of TPC.  From 1991 to 1993,  Ms. Page held the position
of Director of Training for Health  Force,  a national  home health care agency,
where she was  responsible  for training new  franchisees in all aspects of home
care personnel services. From 1988 to 1991, she held the position of Director of
Franchising for Winston  Franchising  Corp. Ms. Page's  employment with EFCC and
TPC ended on March 31, 1997. Ms. Page resigned as a director in April, 1997.

PATRICIA CANTALUPO

           Vice President and Director of EFCC since 1992. Dr. Cantalupo is also
a Vice  President  and  Secretary of TPC. Dr.  Cantalupo  has been the principal
owner of Cantalupo Chiropractic  Associates,  a full service  multi-disciplinary
Chiropractic  Health Care Facility,  since 1985. Dr. Cantalupo resigned from all
positions with of EFCC and TPC in August, 1996.

STEVE GORENSTEIN

           President,  Chief Executive  Officer and Director of EFCC since 1992.
Mr. Gorenstein resigned as an officer and director of EFCC in January 1996. From
1991 to present, Mr. Gorenstein has been President of Career Placements, Inc., a
temporary employment agency.



                                      102
<PAGE>



             CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS OF EFCC

           Pursuant to the Option Agreement,  Arbor acquired from EFCC an option
to purchase up to 13 million shares of EFCC's Common Stock as follows: (a) Arbor
had an  irrevocable  option (the "First  Option") to purchase,  by June 21, 1996
(which date was  extended  to August 21,  1996),  6.5  million  shares of EFCC's
Common  Stock at an  exercise  price of $.10 per share;  (b)  subject to Arbor's
timely  exercise  of the First  Option and the  issuance of the shares of Common
Stock  pursuant  to such  exercise,  Arbor  was given the  option  (the  "Second
Option")  to  purchase,  by November 1, 1996,  up to an  additional  6.5 million
shares of EFCC's Common Stock at an exercise price of $.10 per share.  The First
and Second  Options were subject to  adjustment in the event of stock splits and
similar events.

           On August 21, 1996, Arbor exercised the First Option by delivering to
EFCC a notice of  exercise  of the First  Option and by  depositing  $650,000 in
escrow,  to be  released  to  EFCC  upon  approval  of an  amendment  to  EFCC's
Certificate of Incorporation providing sufficient authorized capital to exercise
the First and Second Option.  This approval occurred at EFCC's annual meeting on
September 25, 1996 and the amendment was filed in October,  1996. On October 31,
1996,  Arbor  exercised  the  Second  Option by  delivering  to EFCC a notice of
exercise of the Second Option and by paying $650,000 to EFCC.

           The Option  Agreement  also  provides  that Arbor's  consent shall be
required before certain actions may be taken by Coss, its shareholders, EFCC and
TPC. The Option Agreement will terminate upon the completion of the STAR Merger.

           Coss has  placed  all of its  remaining  12,749,658  shares of EFCC's
Common Stock (the "Coss Shares"),  representing  approximately 40 percent of the
currently  outstanding  Company Common Stock,  in a voting trust.  Arbor has the
right  under this voting  trust to direct the voting of all of the Coss  Shares.
Arbor has agreed, however,  pursuant to the Option Agreement, that it will elect
only a majority  of EFCC's  directors,  effectively  giving Coss one seat on the
EFCC Board, currently consisting of three directors. In addition,  under certain
circumstances,  the trustee of the voting  trust is required to observe  certain
restrictions in the event Coss wishes to effect a sale,  transfer or encumbrance
of the Coss  Shares.  Coss will retain all  economic  rights in the Coss Shares,
including,  but not  limited  to,  its right to  dividends.  This  Voting  Trust
Agreement will also terminate upon completion of the STAR Merger.

           Pursuant  to  a  Registration   Rights  and  Conditional  Put  Option
Agreement (the "Registration  Rights Agreement"),  dated as of October 31, 1995,
between  Coss and EFCC,  EFCC has agreed to register  the Coss Shares for resale
under  the  Securities  Act,  upon the  written  demand of Coss made at any time
commencing one year after the date on which EFCC's Common Stock is listed on the
Nasdaq Stock Market  (whether as a SmallCap Market security or a National Market
System security,  or any equivalent or successor of the foregoing).  Pursuant to
the Registration  Rights  Agreement,  EFCC will be obligated to file up to three
registration  statements  over a three-year  period,  with one-third of the Coss
Shares  (subject to certain  adjustments)  to be registered in each year of such
three year period.  Notwithstanding the foregoing,  EFCC has the right to reject
the demand by Coss,  following  which Coss may require that EFCC redeem the Coss
Shares at a price equal to 75 percent of the average bid price in effect  during
the  thirty  trading  days prior to the demand  for  registration.  Upon  EFCC's
rejection  of the demand,  Coss,  at its  option,  may sell the Coss Shares to a
party other than EFCC,  subject to EFCC's  right of first  refusal on such sale.
Arbor  has the  right to  purchase  the Coss  Shares in lieu of EFCC on the same
terms and conditions  granted EFCC as described in the two preceding  sentences.
In addition, Coss has been granted certain registration rights in the event EFCC
shall  register any shares for sale under the  Securities  Act. In the event the
STAR Merger  occurs,  neither  EFCC or Arbor will have any  further  obligations
under this agreement.




                                      103
<PAGE>




           On October 31, 1995, EFCC entered into a two year Financial  Services
Agreement with Arbor Management,  LLC ("Arbor Mgt."), in which Ivan Kaufman owns
a 99%  interest.  This  Agreement  requires  Arbor Mgt.  to  provide  consulting
services in the areas of finance, information systems, accounting and marketing.
Arbor Mgt. receives a fee of $7,500 per month for these services. This agreement
is subject to early  termination  upon (i) the listing of EFCC's Common Stock on
the NASDAQ Stock Market or (ii) upon the completion of the Merger.

           In 1997,  Arbor  lent  funds to Coss,  which  loans  were  secured by
certain of Coss  shareholders'  shares in Coss, as well as Coss' shares of EFCC.
Coss then lent  these  funds to certain of its  shareholders,  including  Robert
Kohlmeyer,  a  director  of  EFCC  and  TPC.  Ivan  Kaufman  and  Arbor  already
acknowledged  beneficial  ownership of Coss' EFCC shares by virtue of the voting
trust arrangement discussed above in the fourth paragraph of this section.

           In 1995 and 1996, an Arbor  affiliate  lent certain funds directly to
certain Coss shareholders  against a pledge of such  shareholders'  Coss shares.
All loan referred to in this paragraph were for a fixed term at a current market
rates of interest.

           Pursuant to the TPC Merger, all shareholders of TPC, other than EFCC,
will receive 18.745545 shares of EFCC Common Stock in exchange for each share of
TPC stock they own. Stock certificates  previously issued to TPC shareholders do
not give effect to a 1:4  reverse  stock  split  which  occurred in 1995.  Thus,
shareholders  of TPC  actually  own only one share of TPC  stock for every  four
shares for which they  possess a share  certificate  for TPC Common  Stock.  TPC
shares  owned by EFCC will be  cancelled  as a result of the TPC  Merger  and no
shares  of EFCC  Common  Stock  will  be  issued  in  respect  thereof.  A proxy
statement/prospectus  relating to a proposed meeting of shareholders of EFCC and
TPC has been mailed to shareholders of EFCC and TPC  contemporaneously  with the
mailing of this Joint Proxy Statement/Prospectus. Coss and Arbor, which together
own 80.47% shares of EFCC, intend to vote for the approval of the TPC Merger. In
addition,  EFCC as the owner of 83% of the outstanding shares of TPC, intends to
vote for the  approval of the TPC Merger.  These votes  constitute  a sufficient
percentage  under New York law to approve  and adopt the TPC Merger on behalf of
the shareholders of the Company and TPC.





                                      104
<PAGE>



                 PROPOSAL TO ADOPT AMENDMENT TO STAR'S 1992 PLAN


           On October 5, 1992,  the Board of Directors  of STAR  adopted  STAR's
1992 Stock  Option  Plan (the "1992 STAR  Plan") and on  November  18,  1992 the
shareholders  of STAR  approved  the 1992 STAR Plan.  An  amendment  to the 1992
Option Plan was adopted by the Board of Directors of STAR on September  13, 1993
and approved by STAR's  shareholders on November 23, 1993 and the 1992 STAR Plan
was further  amended by the Board of Directors of STAR on October 31, 1996.  The
1992 STAR Plan is  designed  to provide an  incentive  to  employees  (including
directors and officers who are employees)  and to  consultants  (who are neither
employees nor directors) of STAR and its present and future  subsidiaries and to
offer an additional inducement in obtaining the services of such individuals.

           On December  18, 1996,  the Board of  Directors  of STAR  unanimously
adopted,  and  recommended  for  submission  to  shareholders  of STAR for their
approval a further amendment to the 1992 STAR Plan. The proposed amendment would
limit the number of shares of STAR  Common  Stock that may be subject to options
granted to any optionee in any fiscal year to 100,000,  subject to the 1992 STAR
Plan's antidilution provisions. Currently, there is no such limit under the 1992
STAR Plan.  Placing this limit is a permissible  method for options which may be
granted in the  future  under the 1992 STAR Plan to be  considered  "performance
based compensation" under Section 162(m) of the Code, ensuring the deductibility
of any compensation expense that may arise from their exercise.

           The following is a discussion of the 1992 STAR Plan:

TYPE OF OPTIONS

           Options  granted  under the 1992 STAR  Plan may  either be  incentive
stock  options  ("ISOs"),  within  the  meaning  of  Section  422 of the Code or
nonqualified  stock options  ("NQSOs"),  which do not meet the  requirements  of
Section 422 of the Code.

ADMINISTRATION

           The 1992 STAR Plan is  administered by the Board of Directors of STAR
which, to the extent it determines,  may delegate its powers with respect to the
administration  of the  1992  STAR  Plan to a  committee  of the  STAR  Board of
Directors (the "STAR  Committee")  consisting of not less than two directors (or
such greater number as may be required by law),  each of whom is a "non-employee
director" within the meaning of Rule 16b-3 (or any successor rule or regulation)
promulgated under the Exchange Act. References in this summary to determinations
or  actions by the STAR  Committee  are  deemed to  include  determinations  and
actions by the STAR Board of  Directors.  A majority  of the members of the STAR
Committee constitute a quorum, and the acts of a majority of the members present
at any meeting at which a quorum is present, and any acts approved in writing by
all members without a meeting, will be the acts of the STAR Committee.

ELIGIBILITY

           The STAR Committee may, consistent with the purposes of the 1992 STAR
Plan,  grant  options from time to time,  to employees  (including  officers and
directors who are  employees) or to consultants  (who are neither  employees nor
directors) of STAR or any of its  subsidiaries.  Options granted pursuant to the
1992 STAR Plan will cover such number of shares of STAR Common Stock as the STAR
Committee may  determine;  provided,  however,  that the aggregate  market value
(determined  at the time the option is  granted)  of the  shares of STAR  Common
Stock for which any employee may be granted ISOs under the 1992 STAR



                                      105
<PAGE>



Plan or any other plan of STAR,  or of a parent or a subsidiary  of STAR,  which
are  exercisable  for the first time by such  optionee  during any calendar year
shall not exceed $100,000. Any option (or the portion thereof) granted in excess
of such amount will be treated as a NQSO.

TERMS AND CONDITIONS OF OPTIONS

           Options  granted under the 1992 STAR Plan are subject to, among other
things, the following terms and conditions:

           (a)        The  exercise  price of each option is  determined  by the
                      STAR Committee; provided, however, that the exercise price
                      may not be less than 100% of the fair market value of STAR
                      Common  Stock  subject to such option on the date of grant
                      (110% of such fair market  value in the case of an ISO, if
                      the  optionee  owns (or is deemed to own) more than 10% of
                      the total voting power of STAR).

           (b)        Options  may be granted for terms  determined  by the STAR
                      Committee;  provided, however, that the term of an ISO may
                      not exceed 10 years (5 years if the  optionee  owns (or is
                      deemed to own) more than 10% of the total  voting power of
                      STAR).

           (c)        Each  option is payable in full upon  exercise  or, if the
                      applicable contract permits,  in installments.  Payment of
                      the exercise  price of an option may be made in cash or by
                      certified  check,  or, with the  authorization of the STAR
                      Committee,   in  shares  of  STAR  Common   Stock  or  any
                      combination  thereof.  With the  authorization of the STAR
                      Committee,  payment of the  exercise  price may be made by
                      delivering a properly executed  exercise notice,  together
                      with a copy of the optionee's irrevocable  instructions to
                      a broker  acceptable  to the STAR  Committee to deliver to
                      STAR  the  sale or  loan  proceeds  sufficient  to pay the
                      applicable exercise price.

           (d)        Options  may not be  transferred  other than by will or by
                      the laws of descent and distribution, and may be exercised
                      during the  optionee's  lifetime only by him or her or his
                      or her legal representative.

           (e)        An optionee whose  employment with STAR, its parent or any
                      of its  subsidiaries,  is terminated  for any reason other
                      than the optionee's  death or disability may exercise such
                      option,  to the  extent  exercisable  on the  date of such
                      termination,  at any time within  three  months  after the
                      date of  termination,  but not  thereafter and in no event
                      after the  expiration of the term of the option.  However,
                      if the optionee's  employment is terminated either (a) for
                      cause, or (b) without the consent of STAR, the option will
                      terminate immediately.

           (f)        If an optionee dies (a) while employed by STAR, its parent
                      or any of its subsidiaries,  (b) within three months after
                      the  termination  of his or her  employment  (unless  such
                      termination  was for cause or without the consent of STAR)
                      or (c) within one year following the termination of his or
                      her employment by reason of disability,  the option may be
                      exercised, to the extent exercisable on the date of his or
                      her death, by his or her executor,  administrator or other
                      person at the time  entitled  by law to his or her  rights
                      under  such  option,  at any time  within  one year  after
                      death,  but  not  thereafter  and in no  event  after  the
                      expiration  of the term of the  option.  The  holder of an
                      option  granted  to  an  employee  whose   employment  has
                      terminated  by  reason of  disability  may  exercise  such
                      option, to the extent exercisable upon



                                      106
<PAGE>



                      the effective date of such termination, at any time within
                      one year  after such date,  but not  thereafter  and in no
                      event after the expiration of the term of the option.

           (g)        An option  granted to a consultant may be exercised at any
                      time during its term. It shall not be affected by a change
                      in  the   optionee's   relationship   with   STAR  or  its
                      subsidiaries.   The  term  of  an  option   granted  to  a
                      consultant will not be affected by the death or disability
                      of the  consultant.  In  such  event,  the  option  may be
                      exercised by the executor,  administrator  or other person
                      at the time  entitled  by law to the  consultant's  rights
                      under such option to the extent exercisable at the time of
                      the  consultant's  death or  disability at any time during
                      the term of the option, but not thereafter.

           (h)        STAR may withhold cash and, with the  authorization of the
                      STAR  Committee,  shares of STAR  Common  Stock  having an
                      aggregate fair market value equal to the amount which STAR
                      determines  is  necessary  to  meet  its   obligations  to
                      withhold  any  federal,  state and/or local taxes or other
                      amounts incurred by reasons of the grant or exercise of an
                      option,  its  disposition  or the  disposition  of  shares
                      acquired  upon the exercise of the option.  Alternatively,
                      STAR may require the holder to pay to STAR such amount, in
                      cash, promptly upon demand.

ADJUSTMENT IN EVENT OF CAPITAL CHANGES

           In the event of any change in the  outstanding  STAR Common  Stock by
reason  of a stock  dividend,  recapitalization,  merger  in  which  STAR is the
surviving corporation,  split-up, combination or exchange of shares or the like,
the  aggregate  number and kind of shares  subject  to the 1992 STAR  Plan,  the
aggregate number and kind of shares subject to each  outstanding  option and the
exercise  price  thereof  will be  appropriately  adjusted  by the STAR Board of
Directors, whose determination will be conclusive.

           In the event of (a) the  liquidation  or  dissolution  of STAR, (b) a
merger in which STAR is not the surviving  corporation or a consolidation or (c)
any other  capital  reorganization  in which more than 50% of the shares of STAR
Common Stock  entitled to vote are  exchanged,  any  outstanding  options  shall
terminate, unless other provision is made therefor in the transaction.

DURATION AND AMENDMENT OF THE 1992 STAR PLAN

           No option may be granted pursuant to the 1992 STAR Plan after October
4, 2002. The STAR Board of Directors may at any time suspend, terminate or amend
the 1992 STAR Plan;  provided,  however,  that,  without the  approval of STAR's
shareholders,  no  amendment  may be made which would (a)  increase  the maximum
number of shares  available for the grant of options  (except as a result of the
anti-dilution adjustments described above), (b) materially increase the benefits
to  participants  under  the  1992  STAR  Plan  or (c)  change  the  eligibility
requirements  for individuals who may receive options or (d) make any change for
which applicable law or regulatory authority requires shareholder approval).  No
termination  or amendment  may  adversely  affect the rights of an optionee with
respect to an outstanding option without his or her consent.

FEDERAL INCOME TAX TREATMENT

           The  following  is a  general  summary  of  the  Federal  income  tax
consequences  relating to ISOs and NQSOs under the 1992 STAR Plan under  current
law  (including  Temporary  and Proposed  Regulations  which may be changed when
finalized).  It should be understood that this summary is not  exhaustive,  that
final



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<PAGE>



regulations  have not yet been issued  with  respect to ISOs,  and that  special
rules not specifically discussed herein may apply in certain situations.

           ISOs Exercised With Cash

           No taxable income will be recognized by an optionee upon the grant or
exercise of an ISO. The  optionee's  tax basis in the shares  acquired  upon the
exercise of an ISO with cash will be equal to the exercise  price paid by him or
her for such shares.

           If the shares of STAR Common Stock  received  upon exercise of an ISO
are  disposed  of more than two years  from the date of grant of the  option and
more than one year after the date of transfer  of such  shares to the  optionee,
the optionee will recognize  long-term  capital gain or loss on such disposition
equal to the difference  between the selling price and the  optionee's  basis in
the shares of STAR Common  Stock,  and STAR will not be entitled to a deduction.
Long-term capital gain is generally subject to more favorable tax treatment than
short-term capital gain or ordinary income. Proposed legislation would make such
treatment  even  more  favorable.  There is no  assurance,  however,  that  such
proposed legislation will be enacted.

           If the shares of STAR Common Stock  received  upon the exercise of an
ISO are disposed of prior to the end of the two-years-from-grant/one-year-after-
transfer holding period (a "disqualifying disposition"),  the excess, if any, of
the fair market value of the shares of STAR Common Stock on the date of transfer
of such shares to the optionee over the exercise price (but not in excess of the
gain realized on the disposition of the shares) will be taxed as ordinary income
in the  year of such  disposition,  and STAR  generally  will be  entitled  to a
deduction in the year of disposition  equal to such amount.  Any additional gain
or any loss recognized by the optionee on such disposition will be short-term or
long-term  capital gain or loss, as the case may be,  depending  upon the period
for which the shares were held.

           NQSOs Exercised With Cash

           No taxable income will be recognized by an optionee upon the grant of
a NQSO.  Upon the exercise of a NQSO, the excess of the fair market value of the
shares received at the time of exercise over the exercise price therefor will be
taxed as ordinary income, and STAR will generally be entitled to a corresponding
deduction.  The optionee's tax basis in the shares of STAR Common Stock acquired
upon the exercise of such NQSO will be equal to the  exercise  price paid by him
or her for such  shares  plus the  amount  of  ordinary  income  required  to be
recognized.

           Any  gain  or  loss  recognized  by  the  optionee  on  a  subsequent
disposition of shares of STAR Common Stock purchased  pursuant to a NQSO will be
short-term or long-term  capital gain or loss,  depending upon the period during
which such shares were held,  in an amount equal to the  difference  between the
selling price and the optionee's tax basis in the shares.

           Exercises Using Previously Acquired Shares

           If previously acquired shares of STAR Common Stock are surrendered in
full or partial  payment of the exercise price of an option (whether an ISO or a
NQSO),  gain or loss  generally  will not be recognized by the optionee upon the
exercise of such option to the extent the optionee receives shares ("Replacement
Shares")  which on the date of exercise  have a fair  market  value equal to the
fair market  value of the shares of STAR Common  Stock  surrendered  in exchange
therefor.  If the option  exercised  is an ISO or if the  shares of STAR  Common
Stock used were  acquired  pursuant to the exercise of an ISO,  the  Replacement
Shares are treated as having been acquired pursuant to the exercise of an ISO.



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<PAGE>



           However,  if an ISO is  exercised  with shares of STAR  Common  Stock
which were previously acquired pursuant to the exercise of an ISO but which were
not held for the required  two-years-from-grant/one-year-after-transfer  holding
period, there is a disqualifying disposition of such previously acquired shares.
In such case, the optionee will recognize  ordinary income on such disqualifying
disposition equal to the difference between the fair market value of such shares
of STAR  Common  Stock on the date of  exercise  of the prior ISO and the amount
paid for such  shares  of STAR  Common  Stock  (but  not in  excess  of the gain
realized).  Special rules apply in  determining  which shares are  considered to
have been disposed of and in allocating  the basis among the shares.  No capital
gain is recognized.

           The optionee will have an aggregate basis in the  Replacement  Shares
equal to the basis of the shares of STAR Common Stock surrendered,  increased by
any  ordinary  income  required  to be  recognized  on  the  disposition  of the
previously  acquired shares of STAR Common Stock. The optionee's  holding period
for the  Replacement  Shares  generally  includes  the period  during  which the
surrendered shares of STAR Common Stock were held.

           Any shares of STAR  Common  Stock  received  by the  optionee on such
exercise  in  addition  to the  Replacement  Shares  will be treated in the same
manner as a cash exercise of an option for no consideration.

           Alternative Minimum Tax

           In addition to the Federal income tax  consequences  described above,
an optionee who exercises an ISO may be subject to the alternative  minimum tax,
which is payable  only to the  extent it  exceeds  the  optionee's  regular  tax
liability. For this purpose, upon the exercise of an ISO, the excess of the fair
market  value of the  shares  over the  exercise  price is an  adjustment  which
increases the optionee's  alternative  minimum taxable income. In addition,  the
optionee's basis in such shares of STAR Common Stock is increased by such amount
for  purposes of  computing  the gain or loss on  disposition  of the shares for
alternative  minimum  tax  purposes.  If  the  optionee  is  required  to pay an
alternative  minimum  tax,  the  amount  of such tax  which is  attributable  to
deferral preferences (including the ISO adjustment) is allowable as a tax credit
against  the  optionee's  regular  tax  liability  (net of other  non-refundable
credits)  in  subsequent  years.  To the extent  the  credit is not used,  it is
carried forward.

BENEFITS GRANTED DURING LAST FISCAL YEAR UNDER 1992 STAR PLAN

           Set forth under the caption "Executive Compensation-Option/SAR Grants
in Last Fiscal Year," is information  concerning  options  granted during fiscal
1996 to the persons named in the Summary Compensation Table. The following table
sets forth the number of shares  underlying  options that were granted under the
1992 STAR Plan during  STAR's  fiscal year ended May 31, 1996 to (i) all current
executive  officers as a group, (ii) all current directors who are not executive
officers and (iii) all other employees,  including  current officers who are not
executive officers:

                                                        PLAN NAME
                                               ----------------------------
                                               DOLLAR                NUMBER OF
                                               VALUE                  SHARES
                                                 OF                 UNDERLYING
                                              OPTIONS                 OPTIONS
CATEGORY OF OPTIONEE                          GRANTED                 GRANTED
- --------------------                          -------                 -------

Executive officers as a group (2 persons, 
  including the persons named in the Summary
  Compensation Table)....................        *                      35,000




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<PAGE>




Other employees as a group (18 persons)..        *                      36,700

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

*    All such options granted are out-of-the  money based upon the closing price
     of STAR's Common Stock on the Nasdaq  National  Market on July 24, 1997, of
     $5.50 per share.  All options were granted at 100% of the fair market value
     of the underlying shares on the date of grant.  Accordingly,  the foregoing
     table does not include  any value that may arise from a future  increase in
     the market  value of the STAR Common  Stock.  

           The  STAR  Board  of  Directors  unanimously  recommends  a vote  FOR
adoption of the Amendment.





                                      110
<PAGE>



               PROPOSAL TO ADOPT STAR'S 1997 NON-EMPLOYEE DIRECTOR
                                STOCK OPTION PLAN

           On March 26, 1997 the Board of Directors of STAR adopted  STAR's 1997
Stock Option (the "STAR 1997 Plan") and recommended  that it be submitted to the
shareholders of STAR for their approval at the STAR Meeting.

           The following is a summary of the STAR 1997 Plan:

ELIGIBILITY

           Options may be granted under the STAR 1997 Plan only to  Non-Employee
Directors.

STOCK SUBJECT TO THE NON-EMPLOYEE DIRECTOR PLAN

           STAR may issue an  aggregate  of 100,000  shares of STAR Common Stock
(subject to possible  adjustment in the future as described  below)  pursuant to
the STAR  1997  Plan.  Such  shares  may  consist  either in whole or in part of
authorized but unissued shares of STAR Common Stock or STAR Common Stock held by
STAR in its treasury.  STAR Common Stock related to the  unexercised  portion of
any terminated,  expired,  cancelled or terminated option will be made available
for future option grants under the STAR 1997 Plan.

ADMINISTRATION

           The 1997 STAR Plan is  administered by the Board of Directors of STAR
which, to the extent it determines,  may delegate its powers with respect to the
administration  of the 1997 STAR Plan to a committee  of the STAR  Committee  of
Directors (the "STAR  Committee")  consisting of not less than three  directors,
each of whom is a "non-employee  director"  within the meaning of Rule 16b-3 (or
any successor rule or  regulation)  promulgated  under the Exchange Act.  Unless
otherwise provided in the By-Laws of STAR, a majority of the members of the STAR
Committee constitute a quorum, and the acts of a majority of the members present
at any meeting at which a quorum is present, and any acts approved in writing by
all members without a meeting, will be the acts of the STAR Committee.

ELIGIBILITY

           The STAR Committee may, consistent with the purposes of the 1997 STAR
Plan,  grant  options  from time to time,  to  Non-Employee  Directors  of STAR.
Options granted  pursuant to the 1997 STAR Plan will cover such number of shares
of STAR Common Stock as the STAR Committee may determine.

TERMS AND CONDITIONS OF OPTIONS

           Each option  granted under the STAR 1997 Plan will be evidenced by an
appropriate  contract (the "Option  Contract") which will contain such terms and
conditions not inconsistent  with the STAR 1997 Plan as may be determined by the
STAR Committee.

           An  option  (or  any  installment   thereof),   to  the  extent  then
exercisable, will be exercised by giving written notice to STAR at its principal
office, stating which option is being exercised, specifying the number of shares
of STAR Common Stock as to which such option is being  exercised and accompanied
by payment in full of the aggregate  exercise  price therefor (or the amount due
on exercise if the Option Contract permits



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<PAGE>



installment  payments)  (a) in cash  and/or  a  certified  check,  (b)  with the
authorization  of the STAR  Committee,  with  cash,  a  certified  check  and/or
previously acquired shares of STAR Common Stock, having an aggregate fair market
value on the date of exercise,  on the date of exercise,  equal to the aggregate
exercise price of all options being  exercised;  provided,  however,  that in no
case may shares be tendered if such tender would  require STAR to incur a charge
against its earnings for financial accounting purposes.

           An optionee will not have the rights of a shareholder with respect to
the shares of STAR Common  Stock to be received  upon the  exercise of an option
until the date of issuance of a stock  certificate to him for such shares or, in
the case of uncertified shares,  until the date an entry is made on the books of
STAR's transfer agent representing such shares;  provided,  however,  that until
such stock  certificate is issued or until such book entry is made, any optionee
using  previously  acquired  shares of STAR Common Stock in payment of an option
exercise price shall  continue to have the rights of a shareholder  with respect
to such previously acquired shares.

           In no  case  may a  fraction  of a  share  of STAR  Common  Stock  be
purchased or issued under the STAR 1997 Plan.

           Nothing in the STAR 1997 Plan or in any option granted under the STAR
Plan will confer on any optionee any right to continue as a director of STAR, or
interfere in any way with any right to terminate the optionee's  directorship at
any time for any reason whatsoever without liability to STAR.

           Except as may  otherwise  be  expressly  provided  in the  applicable
Option Contract,  an optionee who ceases to be a director of STAR for any reason
may  exercise  such  option,  to the  extent  exercisable  on the  date  of such
termination, at any time within three months after the date of termination,  but
not  thereafter  and in no event after the date the option would  otherwise have
expired;  provided,  however, that if such optionee's directorship is terminated
for cause, such option shall terminate immediately.

           No  option  granted  under  the STAR  1997  Plan may be  assigned  or
transferred   except  by  will  or  by  the  applicable   laws  of  descent  and
distribution;  and each such  option  may be  exercised  during  the  optionee's
lifetime only by the optionee or his legal  representative.  Except as otherwise
provided,  options may not be assigned,  transferred,  pledged,  hypothecated or
disposed of in any way (whether by operation of law or  otherwise)  and will not
be  subject  to  execution,  attachment  or similar  process  and any  attempted
assignment,  transfer,  pledge,  hypothecation or disposition  shall be null and
void AB INITIO and of no force or effect.

           ADJUSTMENT UPON CHANGES IN CAPITALIZATION,  AND CONVERSION OF OPTIONS
ON STOCK FOR STOCK EXCHANGE

           In the event of any change in the outstanding Common Stock of STAR by
reason  of a stock  dividend,  recapitalization,  merger  in  which  STAR is the
surviving corporation,  spinoff, split-up,  combination or exchange of shares or
the like,  which  results  in a change  in the  number or kind of shares of STAR
Common Stock which is outstanding immediately prior to such event, the aggregate
number and kind of shares subject to the Plan, the aggregate  number and kind of
shares subject to each  outstanding  option and the exercise price thereof shall
be appropriately  adjusted by the STAR Board of Directors,  whose  determination
will be  conclusive  and binding on all parties  thereto.  Such  adjustment  may
provide for the elimination of fractional shares that might otherwise be subject
to options without payment therefor.

           In the event of (a) the  liquidation  or  dissolution  of STAR, (b) a
merger in which STAR is not the surviving corporation or a consolidation, or (c)
a transaction (or series of related  transactions) in which (i) more than 50% of
the outstanding Common Stock of STAR is transferred or exchanged for other



                                      112
<PAGE>



consideration  or (ii)  shares of STAR  Common  Stock in excess of the number of
shares of STAR Common Stock  outstanding  immediately  preceding the transaction
are issued  (other than to  shareholders  of STAR with respect to their stock in
STAR),  any  outstanding  options shall  terminate upon the earliest such event,
unless other provision is made therefor in the transaction.

TERM OF AND AMENDMENT OF STAR 1997 PLAN

           The STAR 1997 Plan will  terminate on March 25, 2007,  unless  sooner
terminated by the Board.  The Board may also amend the STAR 1997 Plan  (subject,
in certain instances,  to shareholder  approval).  The rights of optionees under
options outstanding at the time of the termination or amendment of the STAR 1997
Plan  will  not be  adversely  affected  (without  the  written  consent  of the
optionee)  by  reason of the  termination  or  amendment  and will  continue  in
accordance  with  the  terms of the  option  (as then in  effect  or  thereafter
amended).

COMPLIANCE WITH SECURITIES LAWS

           It is a condition to the exercise of any option  granted  pursuant to
the STAR 1997 Plan that either (a) a Registration Statement under the Securities
Act,  with  respect to the shares of STAR  Common  Stock to be issued  upon such
exercise shall be effective and current at the time of exercise, or (b) there is
an exemption  from  registration  under the  Securities  Act for the issuance of
shares of STAR Common  Stock upon such  exercise.  Nothing in the STAR 1997 Plan
should be construed as requiring  STAR to register  shares subject to any option
under the Securities Act.

           The STAR Committee may require the optionee to execute and deliver to
STAR  representations and warranties,  in form, substance and scope satisfactory
to the STAR  Committee,  which the STAR  Committee  determines  is  necessary or
convenient to facilitate the  perfection of an exemption  from the  registration
requirements of the Securities Act,  applicable  state  securities laws or other
legal requirements,  including without  limitation,  that (a) the shares of STAR
Common Stock to be issued upon the exercise of the option are being  acquired by
the optionee for the optionee's own account,  for investment only and not with a
view to the resale or  distribution  thereof,  and (b) any subsequent  resale or
distribution  of shares of STAR Common Stock by such  optionee will be made only
pursuant  to (i) a  Registration  Statement  under the  Securities  Act which is
effective and current with respect to the shares of STAR Common Stock being sold
or  (ii)  a  specific  exemption  from  the  registration  requirements  of  the
Securities Act, but in claiming such exemption, the optionee, prior to any offer
of sale or sale of such shares of STAR Common  Stock,  shall provide STAR with a
favorable written opinion of counsel,  satisfactory to STAR, in form,  substance
and scope satisfactory to STAR, as to the applicability of such exemption to the
proposed sale or distribution.

           In addition,  if at any time the STAR Committee  determines  that the
listing or  qualification  of the shares of STAR  Common  Stock  subject to such
option on any securities exchange,  Nasdaq, or under any applicable law, or that
the  consent or approval  of any  governmental  agency or  regulatory  body,  is
necessary or desirable as a condition to, or in connection with, the granting of
an option or the issuance of shares of STAR Common Stock thereunder, such option
may not be granted or exercised in whole or in part,  as the case may be, unless
such  listing,  qualification,  consent or approval  shall have been effected or
obtained free of any conditions not acceptable to the STAR Committee.

FEDERAL INCOME TAX CONSEQUENCES

           The  following  is a  general  summary  of  the  Federal  income  tax
consequences under the Code as currently in effect with respect to options under
the STAR 1997 Plan. This description is based on current



                                      113
<PAGE>



law.  It should be  understood  that this  summary  is not  exhaustive  and that
special rules not specifically discussed herein may apply in certain situations.
Optionees  should  consult with their own tax  advisors  with respect to the tax
consequences  inherent in the  ownership  and exercise of stock  options and the
ownership and disposition of the underlying securities.

           Grant of Options

           The optionee  will not  recognize  any income for Federal  income tax
purposes,  and STAR will not be entitled to any deduction,  upon the grant of an
option.

           Exercise With Cash

           Generally,  an optionee will recognize ordinary taxable income at the
time an option is  exercised in an amount equal to the excess of the fair market
value of the  shares  of STAR  Common  Stock on the  date of  exercise  over the
exercise price. The optionee's tax basis in the stock acquired upon the exercise
of an option  will  equal the  exercise  price of the option  plus the  ordinary
taxable income so recognized.  STAR generally will be entitled to a compensation
deduction  for Federal  income tax purposes at the same time as, and in the same
amount that, the optionee recognizes such income.

           Special Rules for Exercises Using Previously Owned Shares

           If previously owned shares are surrendered in full or partial payment
of the  exercise  price  of an  option,  gain  or  loss  generally  will  not be
recognized  by the  optionee  upon the exercise of such option to the extent the
optionee  receives shares which on the date of exercise have a fair market value
equal to the fair market value of the shares  surrendered  in exchange  therefor
("Replacement Shares").

           The optionee will have an aggregate basis in the  Replacement  Shares
equal to the basis of the shares  surrendered,  increased by any ordinary income
required to be recognized on the disposition of the previously  acquired shares.
The optionee's  holding period for the Replacement Shares generally includes the
period during which the surrendered shares were held.

           Any shares  received by the optionee on such  exercise in addition to
the Replacement  Shares will be treated in the same manner as a cash exercise of
an option for no consideration.

           Sale of Underlying Shares

           When an optionee  subsequently disposes of the shares of Common Stock
received  upon  exercise of an option,  he or she will  recognize  long-term  or
short-term capital gain or loss (depending upon the holding period) in an amount
equal to the  difference  between the sale price and the  optionee's  tax basis.
Long-term capital gain is generally subject to more favorable tax treatment than
ordinary income or short-term  capital gain.  Proposed  legislation  would treat
long-term capital gain even more favorably. There can be no assurance,  however,
that such proposed legislation will be enacted.

           The  STAR  Board  of  Directors  unanimously  recommends  a vote  FOR
adoption of the STAR 1997 Plan.




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<PAGE>



BENEFITS GRANTED DURING LAST FISCAL YEAR UNDER 1992 STAR PLAN

           The grant of options  including  options to be issued pursuant to the
STAR 1997  Plan,  if  adopted,  is within  the  discretion  of the Stock  Option
Committee  of the STAR  Board  of  Directors.  Accordingly,  STAR is  unable  to
determine  future  options,  if any, that may be granted to the named persons or
groups  in  the  following  table.  Set  forth  under  the  caption   "Executive
Compensation-Option/SAR  Grants in Last Fiscal Year", is information  concerning
options  granted  during  fiscal  1996  to the  persons  named  in  the  Summary
Compensation  Table.  The  following  table  sets  forth  the  number  of shares
underlying  options  that were  granted  under the 1992 STAR Plan during  STAR's
fiscal year ended May 31, 1996 to (i) all current executive officers as a group,
(ii) all current  directors who are not  executive  officers and (iii) all other
employees, including current officers who are not executive officers:


                                                          DOLLAR     NUMBER OF
                                                           VALUE      SHARES
                                                            OF      UNDERLYING
                                                          OPTIONS     OPTIONS
CATEGORY OF OPTIONEE                                      GRANTED     GRANTED

Executive officers as a group (2 persons, including the
  persons named in the Summary Compensation Table)........   *         35,000
Other employees as a group (18 persons)...................   *         36,700
- -------------

*    All such options granted are out-of-the  money based upon the closing price
     of STAR's Common Stock on the Nasdaq  National  Market on July 24, 1997, of
     $5.50 per share.  All options were granted at 100% of the fair market value
     of the underlying shares on the date of grant.  Accordingly,  the foregoing
     table does not include  any value that may arise from a future  increase in
     the market  value of the STAR Common  Stock.


                                  LEGAL MATTERS

           The validity of the securities offered hereby will be passed upon for
STAR by Parker Chapin  Flattau & Klimpl,  LLP, 1211 Avenue of the Americas,  New
York, New York 10036. The federal income tax consequences in connection with the
Merger will be passed upon for STAR and EFCC by Meltzer, Lippe, Goldstein,  Wolf
& Schlissel, P.C., 190 Willis Avenue, Mineola, New York 11501.


                                     EXPERTS

           The  consolidated  financial  statements of STAR MULTI CARE SERVICES,
INC. and subsidiaries,  except AMSERV HEALTHCARE INC. and subsidiaries as of May
31, 1995 and 1996 and for each of the years in the  three-year  period ended May
31, 1996 included in this Joint Proxy  Statement/Prospectus have been audited by
Holtz Rubenstein & Co., LLP, independent  auditors, as set forth in their report
appearing  elsewhere herein, and are included in reliance upon such report given
upon the authority of said firm as experts in accounting and auditing.

           The consolidated  financial  statements of AMSERV HEALTHCARE INC. and
subsidiaries  as of May 31,  1996 and June 24, 1995 and for the period from June
25,  1995 to May 31,  1996 and the year  ended  June 24,  1995  (not  separately
presented herein) have been audited by Ernst & Young LLP, independent



                                      115
<PAGE>



auditors,  as set forth in their  report  appearing  elsewhere  herein,  and are
included in reliance upon the report of such firm given upon their  authority as
experts in accounting and auditing.

           The consolidated  financial  statements of AMSERV HEALTHCARE INC. and
subsidiaries for the year ended June 30, 1994 (not separately  presented herein)
have been audited by Deloitte & Touche LLP, independent  auditors,  as set forth
in their report appearing  elsewhere  herein,  and are included in reliance upon
the report of such firm given upon their  authority as experts in accounting and
auditing.

           The  consolidated   financial  statements  of  EXTENDED  FAMILY  CARE
CORPORATION  and  subsidiaries  as of December  31, 1996 and for each of the two
years in the period  ended  December  31,  1996  included  in this  Joint  Proxy
Statement/Prospectus have been audited by Carpenter & Onorato, P.C., independent
auditors,  as set forth in their  report  appearing  elsewhere  herein,  and are
included in reliance upon the report of such firm given upon their  authority as
experts in accounting and auditing.

SHAREHOLDER PROPOSALS

           Shareholder  proposals  intended to be  presented  at the 1997 Annual
Meeting of  Shareholders  must be  received  by the Company by July 23, 1997 for
possible inclusion in the proxy material relating to such meeting.




                                      116
<PAGE>



                         STAR MULTI CARE SERVICES, INC.
                                       AND
                        EXTENDED FAMILY CARE CORPORATION

                          UNAUDITED PRO FORMA CONDENSED
                          COMBINED FINANCIAL STATEMENTS


           The  following  unaudited  pro  forma  condensed  combined  financial
statements give effect to the merger (the "Merger") of Star Multi Care Services,
Inc. ("STAR") and Extended Family Care Corporation  ("EFCC")  accounted for as a
purchase  transaction.  These pro forma  financial  statements are presented for
illustrative purposes only, and therefore are not necessarily  indicative of the
operating  results and financial  position that might have been achieved had the
Merger  occurred as of an earlier date, nor are they  necessarily  indicative of
operating results and the financial position which may occur in the future.

           A pro  forma  condensed  combined  balance  sheet is  provided  as of
February 28, 1997, giving effect to the Merger as though it had been consummated
on that date.  The pro forma  condensed  combined  balance  sheet  combines  the
consolidated  balance sheet of STAR as of February 28, 1997 with that of EFCC as
of March 31, 1997.  Pro forma  condensed  combined  statements of operations are
provided  combining  STAR for the nine month period ended  February 28, 1997 and
the year ended May 31, 1996 with EFCC for the nine month  period ended March 31,
1997 and the year ended June 30, 1996  giving  effect to the Merger as though it
had occurred on June 1, 1995.

           The pro forma financial statements are based on preliminary estimates
of values and transaction costs and preliminary appraisals. The actual recording
of the transactions  will be based on final  appraisals,  values and transaction
costs. Accordingly,  the actual recording of the transactions can be expected to
differ from these pro forma financial statements.

           The historical  condensed  statements of operations presented for the
year ended May 31, 1996 is derived  from the  separate  historical  consolidated
financial  statements of STAR and EFCC, and should be read in  conjunction  with
the companies'  separate  financial  statements  included  elsewhere herein. The
historical  condensed  financial  statements  as of or for the nine months ended
February 28, 1997 are derived from the historical interim consolidated financial
statements of STAR and EFCC,  included  elsewhere herein, and have been prepared
in  accordance  with  generally  accepted  accounting  principles  applicable to
interim  financial  information  and,  in  the  opinion  of  STAR's  and  EFCC's
respective   managements,   include  all   adjustments   necessary  for  a  fair
presentation of financial information for such interim periods.




                                      117
<PAGE>



                          STAR MULTICARE SERVICES, INC.
                                       AND
                        EXTENDED FAMILY CARE CORPORATION

                   PRO FORMA CONDENSED COMBINED BALANCE SHEET

                                FEBRUARY 28, 1997
                                   (Unaudited)

<TABLE>
<CAPTION>
                                                         HISTORICAL                 PRO FORMA ADJUSTMENTS
                                               ----------------------------   ---------------------------------
                                                   STAR           EXTENDED    ACQUISITION OF
                                               MULTI CARE       FAMILY CARE   TPC MINORITY         ACQUISITION OF        PRO FORMA
                                              SERVICES, INC.    CORPORATION     INTEREST                EFCC             COMBINED
                                               ------------    ------------   ------------         ------------        ------------
          ASSETS
          ------
<S>                                            <C>             <C>            <C>                  <C>          <C>    <C>    
CURRENT ASSETS:
    Cash and cash equivalents                  $     78,574    $    445,021   $       --           $ (3,035,000)2a(ii) 
                                                                                                      3,035,000 2a(iii)$    523,595
    Accounts receivable, net                     10,130,449       1,171,643           --                   --            11,302,092
    Prepaid expenses and other current assets       769,365         440,874       (155,000) 2a(iv)     (165,000)2a(ii)      890,239
    Income taxes receivable                          28,997            --             --                   --                28,997
    Deferred income taxes                           961,232            --             --                   --               961,232
                                               ------------    ------------   ------------         ------------        ------------
      Total current assets                       11,968,617       2,057,538       (155,000)            (165,000)         13,706,155
                                                                                                                       
PROPERTY AND EQUIPMENT, net                         916,281         217,897           --                   --             1,134,178
NOTES RECEIVABLE FROM OFFICER                        94,937            --             --                   --                94,937
INTANGIBLE ASSETS, net                            5,059,300         466,233        938,796  2a(i)     5,644,046 2a(ii)   12,108,375
DEFERRED INCOME TAXES                                  --           191,000           --                   --               191,000
OTHER ASSETS                                        218,916          29,410           --                   --               248,326
                                               ------------    ------------   ------------         ------------        ------------
                                                                                                                       
Total assets                                   $ 18,258,051    $  2,962,078   $    783,796         $  5,479,046        $ 27,482,971
                                               ============    ============   ============         ============        ============
                                                                                                                       
LIABILITIES AND SHAREHOLDERS' EQUITY
- ------------------------------------
CURRENT LIABILITIES:                                                                                                   
    Accrued payroll and related expenses       $  1,241,205    $    944,672   $       --           $       --          $  2,185,877
    Accounts payable and other current                                                                                 
      liabilities                                 1,405,020         254,292           --                   --             1,659,312
    Current maturities of long-term debt            125,000          43,449           --                   --               168,449
                                               ------------    ------------   ------------         ------------        ------------
      Total current liabilities                   2,771,225       1,242,413           --                   --             4,013,638
                                               ------------    ------------   ------------         ------------        ------------
                                                                                                                       
LONG TERM LIABILITIES:                                                                                          
    Revolving credit  line                        1,997,000            --             --              3,035,000 2a(iii)   5,032,000
    Long-term debt                                  156,250          97,507           --                   --               253,757
    Other long-term liabilities                   1,192,000            --             --                   --             1,192,000
                                               ------------    ------------   ------------         ------------        ------------
      Total long-term liabilities                 3,345,250          97,507           --              3,035,000           6,477,757
                                               ------------    ------------   ------------         ------------        ------------
INTERESTS OF MINORITY HOLDERS                                                                                          
   IN SUBSIDIARY                                       --           141,269       (141,269) 2a(i)          --                  --
                                                                                                                       
SHAREHOLDERS' EQUITY:                                                                                                  
    Preferred stock, $1.00 par value                   --              --             --                   --                  --
    Common stock, $.001 par value                     4,154         320,002         56,020  2a(i)      (374,944) 2a(ii)       5,232
    Additional paid-in capital                   14,925,603       1,013,358      1,024,045  2a(i)     2,811,519  2a(ii)  19,774,525
    Subscription receivable                        (397,782)           --             --                   --              (397,782)
    Deficit                                      (2,111,477)        147,529       (155,000) 2a(iv)        7,471  2a(ii)  (2,111,477)
    Treasury stock, at cost                        (278,922)           --             --                   --              (278,922)
                                               ------------    ------------   ------------         ------------        ------------
      Total shareholders' equity                 12,141,576       1,480,889        925,065            2,444,046          16,991,576
                                               ------------    ------------   ------------         ------------        ------------
                                               $ 18,258,051    $  2,962,078   $    783,796         $  5,479,046        $ 27,482,971
                                               ============    ============   ============         ============        ============
                                                                                                  
</TABLE>

   See accompanying notes to pro forma condensed combined financial statements



                                      118
<PAGE>



                          STAR MULTICARE SERVICES, INC.
                                       AND
                        EXTENDED FAMILY CARE CORPORATION

              PRO FORMA CONDENSED COMBINED STATEMENT OF OPERATIONS

                       NINE MONTHS ENDED FEBRUARY 28, 1997
                                   (Unaudited)

<TABLE>
<CAPTION>
                                             HISTORICAL                  PRO FORMA ADJUSTMENTS
                                    ----------------------------    -------------------------------
                                        STAR           EXTENDED    ACQUISITION OF
                                     MULTI CARE      FAMILY CARE    TPC MINORITY      ACQUISITION OF          PRO FORMA
                                   SERVICES, INC.    CORPORATION      INTEREST             EFCC                COMBINED
                                    ------------    ------------    ------------       ------------          ------------
<S>                                 <C>             <C>             <C>                <C>                   <C>             
REVENUES, net                       $ 39,163,979    $  7,048,264            --                               $ 46,212,243    
                                                                                                          
OPERATING EXPENSES                    36,757,660       6,911,716            --         $    146,038  2b(iii)   43,815,414
                                    ------------    ------------    ------------       ------------          ------------
INCOME FROM OPERATIONS                 2,406,319         136,548            --             (146,038)            2,396,829
OTHER INCOME (EXPENSE)                (2,910,880)         11,177            --             (193,481) 2b(iv)    (3,093,184)
                                    ------------    ------------    ------------       ------------          ------------
(LOSS) INCOME BEFORE INCOME                                                                               
    TAXES AND MINORITY INTEREST         (504,561)        147,725            --             (339,519)             (696,355)
PROVISION (BENEFIT) FOR
    INCOME TAXES                        (207,000)         88,000            --             (139,203) 2b(vi)      (258,203)
                                    ------------    ------------    ------------       ------------          ------------
(LOSS) INCOME BEFORE MINORITY                                                                             
    INTEREST                            (297,561)         59,725            --             (200,316)             (438,152)
MINORITY INTEREST IN INCOME                 --            (6,652)   $      6,652 2b(ii)        --                    --
                                    ------------    ------------    ------------       ------------          ------------
NET (LOSS) INCOME                   $   (297,561)   $     53,073    $      6,652       $   (200,316)         $   (438,152)
                                    ============    ============    ============       ============          ============
EARNINGS PER COMMON SHARE:                                                                                
    Primary:                                                                                              
    Net (loss) income               $      (0.07)   $     0.0017                                             $      (0.08)
                                    ============    ============                                             ============
WEIGHTED AVERAGE NUMBER OF SHARES                                                                         
    OF COMMON STOCK OUTSTANDING        4,278,169      32,000,226                                                5,355,947
                                    ============    ============                                             ============
EARNINGS PER COMMON SHARE:                                                                                
    Full dilution:                                                                                        
      Net (loss) income             $      (0.07)   $     0.0017                                             $      (0.08)
                                    ============    ============                                             ============
WEIGHTED AVERAGE NUMBER OF SHARES      4,278,169      32,000,226                                                5,355,947
    OF COMMON STOCK OUTSTANDING     ============    ============                                             ============
                                                                                                       
</TABLE>

   See accompanying notes to pro forma condensed combined financial statements



                                      119
<PAGE>

                         STAR MULTI CARE SERVICES, INC.
                                       AND
                        EXTENDED FAMILY CARE CORPORATION
              PRO FORMA CONDENSED COMBINED STATEMENT OF OPERATIONS

                             YEAR ENDED MAY 31, 1996
                                   (Unaudited)

<TABLE>
<CAPTION>
                                        Historical                    Pro Forma Adjustments
                                ----------------------------    ---------------------------------
                                    Star         Extended      Acquisition of
                                 Multi Care     Family Care     TPC Minority        Acquisition of            Pro Forma
                               Services, Inc.   Corporation       Interest               EPCC                 Combined
                                ------------    ------------    ------------         ------------           ------------
<S>                             <C>             <C>             <C>                  <C>                    <C>         
REVENUES, net                   $ 49,162,934    $  8,118,586    $       --           $       --             $ 57,281,520
OPERATING EXPENSES                47,330,647       8,031,976            --                194,717 2b(iii)     55,557,340
                                ------------    ------------    ------------         ------------           ------------
INCOME FROM OPERATIONS             1,832,287          86,610            --               (194,717)             1,724,180
OTHER EXPENSE                       (120,184)         (5,925)           --               (257,975)2b(iv)        (384,084)
                                ------------    ------------    ------------         ------------           ------------
INCOME FROM CONTINUING                                                             
  OPERATIONS BEFORE INCOME                                                         
  TAXES AND MINORITY INTEREST      1,712,103          80,685            --               (452,692)             1,340,096
PROVISION FOR INCOME TAXES           568,844          38,499            --               (185,604)2b(vi)         421,739
                                ------------    ------------    ------------         ------------           ------------
INCOME FROM CONTINUING                                                             
  OPERATIONS BEFORE MINORITY                                                       
   INTEREST                        1,143,259          42,186            --               (267,088)               918,357
MINORITY INTEREST IN NET                                                           
  INCOME                                --            (7,835)          7,835 2b(ii)          --                     --
                                ------------    ------------    ------------         ------------           ------------
INCOME FROM CONTINUING                                                             
  OPERATIONS                    $  1,143,259    $     34,351    $      7,835         $   (267,088)          $    918,357
                                ============    ============    ============         ============           ============
                                                                             
EARNINGS PER COMMON SHARE:
     Primary:
     Income from continuing 
     operations                 $       0.29    $     0.0011                                                $       0.18
                                ============    ============                                                ============
WEIGHTED AVERAGE NUMBER OF
   SHARES OF COMMON STOCK
   OUTSTANDING                     3,996,993      32,240,228                                                   5,074,771
                                ============    ============                                                ============
EARNINGS PER COMMON SHARE:
     Full dilution:
     Income from continuing 
     operations                 $       0.28    $     0.0011                                                $       0.18
                                ============    ============                                                ============
WEIGHTED AVERAGE NUMBER OF      
     SHARES OF COMMON STOCK        4,011,503      32,240,228                                                   5,089,281
     OUTSTANDING                ============    ============                                                ============

</TABLE>

   See accompanying notes to pro forma condensed combined financial statements




                                      120
<PAGE>



                         STAR MULTI CARE SERVICES, INC.
                                       AND
                        EXTENDED FAMILY CARE CORPORATION

                     NOTES TO UNAUDITED PRO FORMA CONDENSED
                          COMBINED FINANCIAL STATEMENTS

1.         BASIS OF PRESENTATION:

           The unaudited pro forma condensed combined  financial  statements are
presented for  illustrative  purposes only,  giving effect to the merger of Star
Multi Care Services, Inc. ("STAR") and Extended Family Care Corporation ("EFCC")
accounted for as a purchase transaction. In accordance with Commission reporting
rules,  the pro forma  combined  statements of  operations,  and the  historical
statements  from which they are  derived,  present  only income from  continuing
operations and, therefore, do not include discontinued operations, extraordinary
items, and the cumulative effects of accounting changes.

           EFCC  reports on a calendar  year basis.  For  purposes of  combining
EFCC's  historical  financial   information  with  STAR's  historical  financial
information  in the pro forma  condensed  financial  statements,  the  financial
information of EFCC has been  accumulated for the twelve month period ended June
30, 1996 and the nine month period ended March 31, 1997.

2.         PRO FORMA ADJUSTMENTS:

           a.        PRO FORMA CONDENSED COMBINED BALANCE SHEET

                      (i)        ACQUISITION  OF  MINORITY  INTEREST IN TPC HOME
                                 CARE SERVICES, INC. BY EFCC

                                 Reflects  the  estimated   purchase   price  of
$1,080,065 for the Merger of the TPC Home Care Services,  Inc. Minority Interest
("TPC")  with and into EFCC.  The  foregoing  assumes the  issuance of 5,601,975
shares of $.01 par value  Common  Stock of EFCC,  at the value per EFCC share of
the  consideration  to be issued in the Merger,  or $.193 per share, in exchange
for 298,844  shares of $.01 par value Common  Stock of TPC. The actual  purchase
price will vary with the market  price of EFCC Common  Stock.  The excess of the
purchase  price over the net assets  acquired of $938,796 has been  allocated to
goodwill (amortized over 40 years).

                      (ii)       ACQUISITION OF EFCC BY STAR

                                 Reflects  the  estimated   purchase   price  of
$8,050,000  (including aggregate estimated related acquisition costs of $800,000
of which  $165,000 has been paid as of February 28, 1997) for the Merger of EFCC
with and into STAR. Of such estimated purchase price,  $4,850,000 represents the
issuance  of  1,077,778  shares of STAR  $.001 par value  Common  Stock with the
balance of $3,200,000  (including  acquisition  costs of $800,000) paid in cash.
The  foregoing,  although not  necessarily  indicative  of future price  levels,
assumes a recent average market price of STAR Common Stock of $4.50 per share.




                                      121
<PAGE>



2.         PRO FORMA ADJUSTMENTS: (Cont'd)

           The  preliminary  allocation  of the purchase  price paid for the net
assets of EFCC based  upon the  estimated  fair  values of such net assets is as
follows:

Estimated acquisition cost                                          $ 8,050,000
Less: historical book value of net assets of EFCC, which
     approximate fair value, at February 28, 1997, after
     pro forma adjustment for acquisition of TPC minority
     interest                                                        (2,405,954)

Intangible assets acquired                                          $ 5,644,046
                                                                    ===========

Allocation of the intangible assets acquired is as follows:

Goodwill (amortized over 40 years)                                  $ 5,363,046
Trained and assembled workforce (amortized over 7 years)                193,000
Corporate manuals (amortized over 5 years)                               38,000
Other (amortized over 25 years)                                          50,000
                                                                    -----------
                                                                    $ 5,644,046
                                                                    ===========

                      (iii)      ACQUISITION FINANCING

                      Reflects additional  estimated borrowing under STAR's line
of credit for the acquisition of EFCC as discussed in Note 2a(ii).

                      (iv)       TRANSACTION COSTS OF EFCC

                      Reflects the  write-off of $155,000 of  acquisition  costs
incurred by EFCC. Total acquisition costs of EFCC are estimated to be $300,000.

           b.         PRO FORMA CONDENSED COMBINED STATEMENTS OF OPERATIONS

                      (i)        COST SAVINGS PLAN

                      STAR has begun to identify cost savings  resulting  from a
business  integration  plan which is expected to be  implemented  following  the
Merger.  The business  integration plan  contemplates,  among other things,  (i)
elimination  of  duplicative  executive  and  administrative  functions and (ii)
closing and consolidation of certain facilities.  STAR's preliminary  assessment
of cost savings is estimated to be $1.0  million,  however,  management  has not
included  the impact of any  special  charges  or cost  savings in the pro forma
combined statements of operations.

                      (ii)       MINORITY INTEREST

                      Reflects  elimination  of minority  interest in connection
with the  acquisition of the TPC minority  interest,  as more fully described in
Note 2a(i).




                                      122
<PAGE>



2.         PRO FORMA ADJUSTMENTS: (Cont'd)

                      (iii)      DEPRECIATION AND AMORTIZATION

                      Reflects adjustment to depreciation and amortization based
on the preliminary purchase accounting  allocations related to intangible assets
acquired in connection  with the acquisition of EFCC, as more fully described in
Note 2a(ii).

                      (iv)       INTEREST EXPENSE

                      Reflects  adjustment to interest expense on funds borrowed
in connection with acquisition of EFCC.

                      (v)        CONSULTING FEES

                      STAR charged EFCC a consulting fee of $50,000 for the nine
month period ended February 28, 1997, which was eliminated in combination.

                      (vi)       INCOME TAXES

                      Reflects  recognition  of income  tax  effect of pro forma
adjustments related to acquisition of EFCC.

                      (vii)      EARNINGS (LOSS) PER COMMON SHARE

                      Pro  forma  weighted   average  number  of  common  shares
outstanding  for the nine months ended  February 28, 1997 and the year ended May
31, 1996 are based upon STAR's and EFCC's  historical  weighted  average shares,
after  adjustment for the estimated  conversion of EFCC shares to shares of STAR
common stock.




                                      123
<PAGE>



                          INDEX TO FINANCIAL STATEMENTS
                                                                        PAGE
                                                                        ----

STAR's Independent Auditors' Report                                   F-2 - F-3

STAR's  Independent Auditors' Report                                     F-4

STAR's Independent Auditors' Report                                      F-5

STAR's  Supplemental  Consolidated  Balance Sheets as of May
31, 1996 and 1995                                                        F-6

STAR's  Supplemental  Consolidated  Statements of Operations
for the three years ended May 31, 1996                                   F-7

STAR's Supplemental  Consolidated Statement of Shareholders'
Equity for the three years ended May 31, 1996                            F-8

STAR's  Supplemental  Consolidated  Statements of Cash Flows
for the three years ended May 31, 1996                                F-9 - F-10

STAR's   Notes  to   Supplemental   Consolidated   Financial
Statements                                                           F-11 - F-25

STAR's Condensed  Consolidated  Balance Sheet as of February
28, 1997 (unaudited)                                                     F-26

STAR's Condensed  Consolidated  Statements of Operations for
the nine months  ended  February  28, 1997 and  February 29,
1996 (unaudited)                                                         F-27

STAR's Condensed  Consolidated  Statements of Cash Flows for
the nine months  ended  February  28, 1997 and  February 28,
1996 (unaudited)                                                         F-28

STAR's Notes to Unaudited Condensed  Consolidated  Financial
Statements  for the nine months ended  February 28, 1997 and
February 29, 1996                                                    F-29 - F-30

EFCC's Independent Auditor's Report                                      F-31

EFCC's  Consolidated  Balance Sheets as of December 31, 1996
and December 31, 1995                                                    F-32

EFCC's  Consolidated  Statements of Operations for the years
ended December 31, 1996 and 1995                                         F-33

EFCC'S Consolidated  Statements of Shareholder's  Equity for
the years ended December 31, 1996 and 1995                               F-34

EFCC'S  Consolidated  Statements of Cash Flows for the years
ended December 31, 1996 and 1995                                         F-35

EFCC's Notes to Consolidated Financial Statements                    F-36 - F-43

EFCC's Condensed  Consolidated Balance Sheet as of March 31,
1997 (unaudited)                                                         F-44

EFCC's Condensed  Consolidated  Statements of Operations for
the three months  ended March 31, 1997 and 1996  (unaudited)             F-45

EFCC's Condensed  Consolidated  Statements of Cash Flows for
the three months  ended March 31, 1997 and 1996  (unaudited)             F-46

EFCC's Notes to Unaudited Condensed  Consolidated  Financial
Statements  for three  months  ended March 31, 1997 and 1996         F-47 - F-48


                                       F-1

<PAGE>



INDEPENDENT AUDITORS' REPORT







Board of Directors and Stockholders
Star Multi Care Services, Inc.
Hicksville, New York

We have audited the accompanying  supplemental balance sheets of Star Multi Care
Services,  Inc.  as of May  31,  1996  and  1995  and the  related  supplemental
consolidated  statements of operations,  shareholders' equity and cash flows for
each of the three  years in the  period  ended May 31,  1996.  The  supplemental
financial  statements give  retroactive  effect to the merger of Star Multi Care
Services,  Inc. and AMSERV  HEALTHCARE,  INC. on August 23, 1996, which has been
accounted  for as a pooling of  interests as described in Notes 1a and 2a to the
supplemental  consolidated  financial statements.  Generally accepted accounting
principles  proscribe  giving  effect  to  a  consummated  business  combination
accounted for by the pooling of interests  methods in financial  statements that
do not include  the date of  consummation.  These  financial  statements  do not
extend  through  the  date  of  consummation;  however,  they  will  become  the
historical  consolidated financial statements of Star Multi Care Services,  Inc.
after  financial  statements  covering the date of  consummation of the business
combination are issued. These financial statements are the responsibility of the
Company's  management.  Our  responsibility  is to  express  an opinion on these
financial  statements  based  on our  audits.  We did not  audit  the  financial
statements of AMSERV  HEALTHCARE,  INC., which  statements  reflect total assets
constituting 34% in 1996 and 39% in 1995, and total revenues constituting 26% in
1996,  30% in 1995 and 25% in 1994 of the  related  consolidated  totals.  Those
statements  were audited by other  auditors whose reports have been furnished to
us,  and our  opinion,  insofar  as it  relates  to  data  included  for  AMSERV
HEALTHCARE, INC., is based solely on the report of other auditors.

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



                                       F-2

<PAGE>



In our  opinion,  based upon our audits  and the report of other  auditors,  the
supplemental  financial  statements  referred to above  present  fairly,  in all
material  respects,  the  consolidated  financial  position  of Star  Multi Care
Services,  Inc. at May 31, 1996 and 1995,  and the  consolidated  results of its
operations  and its cash flows for each of the three  years in the period  ended
May 31,  1996,  after  giving  retroactive  effect  to the  merger  with  AMSERV
HEALTHCARE,  INC., in conformity with generally accepted  accounting  principles
applicable after financial statements are issued for a period which includes the
date of consummation of the business combination.




                                                 /s/ Holtz Rubenstein & Co., LLP

                                                 HOLTZ RUBENSTEIN & CO., LLP



Melville, New York
July 19, 1996 (except for Notes 1a, 2a and 8, 
  as to which the date is August 23, 1996)


                                       F-3

<PAGE>



                Report of Ernst & Young LLP, Independent Auditors


The Board of Directors and Shareholders 
AMSERV HEALTHCARE INC.

We  have  audited  the  accompanying   consolidated  balance  sheets  of  AMSERV
HEALTHCARE  INC.  as of May  31,  1996  and  June  24,  1995,  and  the  related
consolidated  statements of operations,  shareholders' equity and cash flows for
the period from June 25, 1995 to May 31, 1996 and the year ended June 24,  1995.
These financial  statements are the responsibility of the Company's  management.
Our responsibility is to express an opinion on these financial  statements based
on our audits.  The financial  statements of AMSERV HEALTHCARE INC. for the year
ended June 30, 1994,  were audited by other  auditors whose report dated October
7, 1994, expressed an unqualified opinion on those statements.

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

In our opinion, the May 31, 1996 and June 24, 1995 financial statements referred
to above present fairly, in all material  respects,  the consolidated  financial
position of AMSERV  HEALTHCARE  INC. at May 31, 1996 and June 24, 1995,  and the
consolidated  results of its  operations  and its cash flows for the period from
June  25,  1995 to May 31,  1996  and for the  year  ended  June  24,  1995,  in
conformity with generally accepted accounting principles.



                                                           /s/ Ernst & Young LLP
                                                           ERNST & YOUNG LLP

San Diego, California
August 8, 1996
except for Note 6 and 13, as to which the date is
August 23, 1996


                                       F-4

<PAGE>



                         REPORT OF DELOITTE & TOUCHE LLP




INDEPENDENT AUDITORS' REPORT

To the Shareholders and Board of Directors 
AMSERV HEALTHCARE INC.:

We have audited the consolidated statements of operations,  shareholders' equity
and cash flows of AMSERV  HEALTHCARE INC. and  subsidiaries  (the "Company") for
the year  ended  June 30,  1994  (none of which  are  presented  herein).  These
financial  statements are the  responsibility of the Company's  management.  Our
responsibility  is to express an opinion on these financial  statements based on
our audit.

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

In our opinion,  such consolidated  financial  statements present fairly, in all
material  respects,  the results of  operations  of AMSERV  HEALTHCARE  INC. and
subsidiaries and their cash flows for the year ended June 30, 1994 in conformity
with generally accepted accounting principles.


/s/ Deloitte & Touche LLP

DELOITTE & TOUCHE LLP

Las Vegas, Nevada
October 7, 1994



                                       F-5

<PAGE>
                         STAR MULTI CARE SERVICES, INC.
                    SUPPLEMENTAL CONSOLIDATED BALANCE SHEETS
<TABLE>
<CAPTION>
                                                                                May 31,
                                                                     ----------------------------
ASSETS (Note 5)                                                          1996            1995
- ------                                                               ------------    ------------
<S>                                                                  <C>             <C>         
CURRENT ASSETS:
    Cash and cash equivalents                                        $  1,881,979    $  1,496,792
    Short-term investments (Note 3)                                       100,000       1,392,021
    Accounts receivable, net of allowance for doubtful
       accounts of $808,000 and $493,264 at May 31 1996 and
       1995, respectively (Note 14)                                     9,611,169       6,715,907
    Prepaid expenses and other current assets                             800,665         346,629
    Deferred income taxes (Note 9)                                        400,015         160,000
                                                                     ------------    ------------
      Total current assets                                             12,793,828      10,111,349

PROPERTY AND EQUIPMENT, net of accumulated depreciation of
    $706,818 and $519,896 at May 31, 1996 and 1995, respectively          766,480         648,154
NOTES RECEIVABLE FROM OFFICER (Note 12)                                   100,517         109,717
INTANGIBLE ASSETS, net (Note 4)                                         5,197,778       5,548,763
OTHER ASSETS                                                              510,487         380,233
                                                                     ------------    ------------
                                                                     $ 19,369,090    $ 16,798,216
                                                                     ============    ============
LIABILITIES, REDEEMABLE PREFERRED STOCK
- ---------------------------------------
    AND SHAREHOLDERS' EQUITY
    ------------------------

CURRENT LIABILITIES:
    Accrued payroll and related expenses                             $  1,329,826    $  1,454,732
    Accounts payable and other accrued expenses                         1,530,138       1,065,637
    Net liabilities of discontinued operations (Note 7)                    98,081         391,770
    Income taxes payable (Note 9)                                         295,647         300,440
    Current maturities of long-term debt (Note 6)                         125,000         125,000
                                                                     ------------    ------------
      Total current liabilities                                         3,378,692       3,337,579
                                                                     ------------    ------------

LONG-TERM LIABILITIES:
    Revolving credit line (Note 5)                                      3,280,000       1,750,000
    Long-term debt (Note 6)                                               250,000         375,000
    Deferred income taxes (Note 9)                                         39,909            --
    Other long-term liabilities                                            33,970          30,859
                                                                     ------------    ------------
      Total long-term liabilities                                       3,603,879       2,155,859
                                                                     ------------    ------------

REDEEMABLE PREFERRED STOCK:  (Note 8)
    Preferred stock, $.01 par value; authorized 3,000,000 shares:
      Class A; issued and outstanding 341,435 shares                         --             3,414
      Class B; issued and outstanding 130,071 shares                        1,301            --
    Additional paid-in capital                                            340,135         679,456
                                                                     ------------    ------------
      Total redeemable preferred stock                                    341,436         682,870
                                                                     ------------    ------------

COMMITMENTS AND CONTINGENCY (Notes 2, 15 and 16)

SHAREHOLDERS' EQUITY:  (Notes 2, 10, 11, and 12)
    Preferred stock, $1.00 par value, 5,000,000 shares authorized            --              --
    Common stock, $.001 par value, 10,000,000 shares authorized;
      3,820,358 and 3,604,050 shares issued, respectively                   3,820           3,604
    Additional paid-in capital                                         13,288,607      11,882,682
    Subscription receivable                                              (397,782)       (198,440)
    Unrealized (loss) on short-term investments                            (6,000)        (14,564)
    Deficit                                                              (564,640)       (772,452)
    Treasury stock, 137,500 common shares at May 31, 1996 and 1995       (278,922)       (278,922)
                                                                     ------------    ------------
      Total shareholders' equity                                       12,045,083      10,621,908
                                                                     ------------    ------------
                                                                     $ 19,369,090    $ 16,798,216
                                                                     ============    ============
</TABLE>
           See notes to supplemental consolidated financial statements


                                       F-6
<PAGE>
                         STAR MULTI CARE SERVICES, INC.

               SUPPLEMENTAL CONSOLIDATED STATEMENTS OF OPERATIONS
<TABLE>
<CAPTION>
                                                                                   Years Ended
                                                                                     May 31,
                                                                  --------------------------------------------
                                                                      1996            1995            1994
                                                                  ------------    ------------    ------------
<S>                                                               <C>             <C>             <C>         
REVENUES, net (Note 14)                                           $ 49,162,934    $ 38,430,035    $ 29,694,178
                                                                  ------------    ------------    ------------
OPERATING EXPENSES (Notes 12, 16 and 17)
    Costs of revenues                                               31,943,356      24,854,524      19,333,452
    Selling, general and administrative                             14,634,533      11,569,405       9,057,610
    Depreciation and amortization                                      752,758         755,449         726,978
                                                                  ------------    ------------    ------------
                                                                    47,330,647      37,179,378      29,118,040
                                                                  ------------    ------------    ------------

INCOME FROM OPERATIONS                                               1,832,287       1,250,657         576,138
INTEREST (EXPENSE) INCOME, net                                        (120,184)        (20,583)         67,240
                                                                                                  ------------

INCOME FROM CONTINUING OPERATIONS BEFORE
    PROVISION FOR INCOME TAXES                                       1,712,103       1,230,074         643,378
PROVISION FOR INCOME TAXES (Note 9)                                    568,844         472,038         285,832
                                                                  ------------    ------------    ------------

INCOME FROM CONTINUING OPERATIONS                                    1,143,259         758,036         357,546

DISCONTINUED OPERATIONS:  (Note 7)
    Loss from discontinued operations, net of income taxes of
      ($ 282,401)                                                         --              --          (710,636)
    Gain (loss) on disposal of discontinued operations, net
      of income taxes of $168,211 in 1995 and ($77,110) in 1994           --            30,302      (1,167,949)
                                                                  ------------    ------------    ------------

INCOME BEFORE CUMULATIVE EFFECT OF CHANGE IN
    ACCOUNTING PRINCIPLE                                             1,143,259         788,338      (1,521,039)

CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING
    PRINCIPLE (Notes 3 and 9)                                             --            23,683          65,000
                                                                  ------------    ------------    ------------
NET INCOME (LOSS)                                                 $  1,143,259    $    812,021    $ (1,456,039)
                                                                  ============    ============    ============ 
                       
NET INCOME PER COMMON SHARE:
    Primary:
      Income from continuing operations and before cumulative
         effect of accounting change                              $        .29    $        .20    $        .10
      Loss from discontinued operations                                   --              --              (.20)
      Gain  (loss) on disposal of discontinued operations                 --               .01            (.33)
      Cumulative effect of change in accounting principle                 --               .01             .02
                                                                  ------------    ------------    ------------
         Net income (loss)                                        $        .29    $        .22    $       (.41)
                                                                  ============    ============    ============

    Assuming full dilution:
      Income from continuing operations and before
         cumulative effect of accounting change                   $        .28    $        .20    $        .10
      Loss from discontinued operations-                                  --              --              (.20)
      Gain (loss) on disposal of discontinued operations                  --               .01            (.33)
      Cumulative effect of change in accounting principle                 --               .01             .02
                                                                  ------------    ------------    ------------
         Net income (loss)                                        $        .28    $        .22    $       (.41)
                                                                  ============    ============    ============

WEIGHTED AVERAGE NUMBER OF SHARES OUTSTANDING:
    Primary                                                          3,996,993       3,772,926       3,529,377
                                                                  ============    ============    ============
    Assuming full dilution                                           4,011,503       3,798,581       3,529,377
                                                                  ============    ============    ============
</TABLE>
           See notes to supplemental consolidated financial statements

                                       F-7
<PAGE>



                         STAR MULTI CARE SERVICES, INC.

           SUPPLEMENTAL CONSOLIDATED STATEMENT OF SHAREHOLDERS' EQUITY
                                    (Note 10)
[PART 1 OF 2]
<TABLE>
<CAPTION>
                                                               COMMON STOCK             Additional                     Unrealized  
                                                        ---------------------------      Paid-in      Subscription      (Loss) on  
                                                           SHARES        PAR VALUE       CAPITAL       RECEIVABLE      INVESTMENTS 
                                                        ------------   ------------   ------------    ------------    ------------ 
<S>                                                        <C>         <C>            <C>             <C>             <C>          
Balance, May 31, 1993, as previously reported              1,445,000   $      1,445   $  4,842,513    $       --      $       --   
Pooling of interest with AMSERV Healthcare, Inc. 
    (Note 2)                                               1,204,311          1,204      6,107,556            --              --   
                                                        ------------   ------------   ------------    ------------    ------------ 

Balance, May 31, 1993, as adjusted                         2,649,311          2,649     10,950,069            --              --   

Purchase of treasury stock                                      --             --             --              --              --   
Stock split                                                  722,500            723           (723)           --              --   
Net loss                                                        --             --             --              --              --   
                                                        ------------   ------------   ------------    ------------    ------------ 

Balance, May 31, 1994                                      3,371,811          3,372     10,949,346            --              --   

Purchase of treasury stock                                      --             --             --              --              --   
Exercise of stock options                                     19,000             19         36,145            --              --   
Exercise of stock options on pooled company including
    income tax benefit                                        84,892             85        416,018        (198,440)           --   
Stock dividend                                               128,347            128        481,173            --              --   
Cumulative effect of change in accounting principle             --             --             --              --           (23,683)
Change in unrealized loss on short-term investments             --             --             --              --             9,119 
Net income                                                      --             --             --              --              --   
                                                        ------------   ------------   ------------    ------------    ------------ 

Balance, May 31, 1995                                      3,604,050          3,604     11,882,682        (198,440)        (14,564)

Adjustment to conform fiscal year of AMSERV
    Healthcare, Inc.                                            --             --             --              --              --   
Exercise of stock options                                     17,287             17         40,611            --              --   
Exercise of stock options on pooled company including
    income tax benefit                                        62,931             63        293,741        (199,342)           --   
Stock dividend                                               136,090            136      1,071,573            --              --   
Change in unrealized loss on short-term investments             --             --             --              --             8,564 
Net income                                                      --             --             --              --              --   
                                                        ------------   ------------   ------------    ------------    ------------ 
Balance, May 31, 1996                                      3,820,358   $      3,820   $ 13,288,607    $   (397,782)   $     (6,000)
                                                        ============   ============   ============    ============    ============ 
</TABLE>

[PART 2 OF 2]
<TABLE>
<CAPTION>
                                                           Retained              TREASURY STOCK             Total
                                                           Earnings      ---------------------------    Shareholders'
                                                           (DEFICIT)        SHARES          VALUE          EQUITY
                                                         ------------    ------------   ------------    ------------
<S>                                                      <C>                   <C>      <C>             <C>         
Balance, May 31, 1993, as previously reported            $    171,738          45,000   $   (105,000)   $  4,910,696
Pooling of interest with AMSERV Healthcare, Inc. 
    (Note 2)                                                  181,129            --             --         6,289,889
                                                         ------------    ------------   ------------    ------------

Balance, May 31, 1993, as adjusted                            352,867          45,000       (105,000)     11,200,585

Purchase of treasury stock                                       --            90,000       (167,985)       (167,985)
Stock split                                                      --              --             --              --
Net loss                                                   (1,456,039)           --             --        (1,456,039)
                                                         ------------    ------------   ------------    ------------

Balance, May 31, 1994                                      (1,103,172)        135,000       (272,985)      9,576,561

Purchase of treasury stock                                       --             2,500         (5,937)         (5,937)
Exercise of stock options                                        --              --             --            36,164
Exercise of stock options on pooled company including
    income tax benefit                                           --              --             --           217,663
Stock dividend                                               (481,301)           --             --              --
Cumulative effect of change in accounting principle              --              --             --           (23,683)
Change in unrealized loss on short-term investments              --              --             --             9,119
Net income                                                    812,021            --             --           812,021
                                                         ------------    ------------   ------------    ------------

Balance, May 31, 1995                                        (772,452)        137,500       (278,922)     10,621,908

Adjustment to conform fiscal year of AMSERV
    Healthcare, Inc.                                          136,262            --             --           136,262
Exercise of stock options                                        --              --             --            40,628
Exercise of stock options on pooled company including
    income tax benefit                                           --              --             --            94,462
Stock dividend                                             (1,071,709)           --             --              --
Change in unrealized loss on short-term investments              --              --             --             8,564
Net income                                                  1,143,259            --             --         1,143,259
                                                         ------------    ------------   ------------    ------------
Balance, May 31, 1996                                    $   (564,640)        137,500   $   (278,922)   $ 12,045,083
                                                         ============    ============   ============    ============
</TABLE>


           See notes to supplemental consolidated financial statements



                                       F-8

<PAGE>
                         STAR MULTI CARE SERVICES, INC.
               SUPPLEMENTAL CONSOLIDATED STATEMENTS OF CASH FLOWS
<TABLE>
<CAPTION>
                                                                             Years Ended
                                                                               May 31,
                                                              -----------------------------------------
                                                                 1996           1995           1994
                                                              -----------    -----------    -----------
<S>                                                           <C>            <C>            <C>         
CASH FLOW FROM OPERATING ACTIVITIES:
   Net income (loss)                                          $ 1,143,259    $   812,021    $(1,456,039)
                                                              -----------    -----------    -----------
   Adjustments to reconcile net income (loss) to net cash
      (used in) provided by operating activities:
        Provision for doubtful accounts                           511,736        196,309        255,446
        Depreciation and amortization                             722,609        755,449        902,406
        Deferred income taxes                                    (200,106)       (12,765)       (11,000)
        AMSERV fiscal year conversion                             136,262           --             --
        Loss on disposal of equipment                                --           47,286         45,078
        (Gain) loss on disposal of discontinued operations           --          (30,302)     1,167,949
        Cumulative effect of change in accounting                    --          (23,683)       (65,000)
        principles
        Write-off of intangibles                                     --             --          137,616
        Changes in operating assets and liabilities:
        (Increase) decrease in assets:
           Accounts receivable                                 (3,406,998)      (357,874)    (1,746,575)
           Prepaid expenses and other assets                     (584,290)       122,811       (134,455)
           Valuation allowance                                    (16,902)          --             --
        Increase (decrease) in liabilities:
           Accounts payable and accrued payroll and               257,250        369,760        243,632
           expenses
           Income taxes payable                                    (4,793)       104,903        140,653
           Other liabilities                                      (14,544)       238,812         94,122
           Loss contracts and unfavorable leases                     --             --          (44,000)
                                                              -----------    -----------    -----------
        Total adjustments                                      (2,599,776)     1,410,706        985,872
                                                              -----------    -----------    -----------
        Net cash (used in) provided by operating               (1,456,517)     2,222,727       (470,167)
                                                              -----------    -----------    -----------
        activities

CASH FLOWS FROM INVESTING ACTIVITIES:
   Purchase of short-term investments                            (992,999)    (1,586,285)      (497,125)
   Proceeds from sale of short-term investments                 2,310,486        880,000        268,750
   Purchase of intangibles                                        (82,403)       (14,829)          --
   Repayment on note receivable from officer                        9,200         15,506          4,777
   Purchase of property and equipment                            (307,547)      (398,332)      (152,545)
   Business acquisitions                                             --       (1,215,770)    (1,469,839)
   Payment of costs related to discontinued operations           (293,689)      (508,587)          --
   Proceeds from sale of discontinued operations                     --          813,941           --
   Cash received on notes receivable                                 --           50,411        191,504
   Proceeds from sale of property and equipment                      --           31,851          4,034
   Payment of earnout advance                                        --         (500,000)          --
                                                              -----------    -----------    -----------
        Net cash provided by (used in) investing activities       643,048     (2,432,094)    (1,650,444)
                                                              -----------    -----------    -----------

CASH FLOWS FROM FINANCING ACTIVITIES:
   Net proceeds from revolving credit line                      1,530,000        800,000        950,000
   Repayment of long-term debt                                   (125,000)      (166,666)          --
   Proceeds from the exercise of stock options                    135,090        253,827           --
   Redemption of Class A preferred shares                            --         (170,718)          --
   Redemption of Class B preferred shares                        (341,434)          --             --
   Repayment of note payable                                         --          (73,349)       (57,238)
   Issuance of note payable                                          --             --          130,587
   Purchase of treasury stock                                        --           (5,937)      (167,985)
                                                              -----------    -----------    -----------

</TABLE>

           See notes to supplemental consolidated financial statements


                                       F-9

<PAGE>

<TABLE>
<CAPTION>
<S>                                                             <C>              <C>            <C>    
        Net cash provided by financing activities               1,198,656        637,157        855,364
                                                              -----------    -----------    -----------

NET INCREASE (DECREASE) IN CASH AND                               385,187        427,790     (1,265,247)
   CASH EQUIVALENTS
CASH AND CASH EQUIVALENTS, beginning of                         1,496,792      1,069,002      2,334,249
                                                              -----------    -----------    -----------
year
CASH AND CASH EQUIVALENTS, end of year                        $ 1,881,979    $ 1,496,792    $ 1,069,002
                                                              ===========    ===========    ===========

SUPPLEMENTAL DISCLOSURE:
   Income taxes paid                                          $   858,932    $   526,784    $   218,294
                                                              ===========    ===========    ===========
   Interest paid                                              $   280,000    $   117,289    $    40,421
                                                              ===========    ===========    ===========
</TABLE>

           See notes to supplemental consolidated financial statements


                                      F-10

<PAGE>



                         STAR MULTI CARE SERVICES, INC.

             NOTES TO SUPPLEMENTAL CONSOLIDATED FINANCIAL STATEMENTS

                         THREE YEARS ENDED MAY 31, 1996

1.      SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES:

        a.      BASIS OF PRESENTATION

                The supplemental consolidated financial statements of Star Multi
Care Services,  Inc. have been prepared to give retroactive effect to the merger
with AMSERV  HEALTHCARE,  INC.  ("AMSERV")  on August 23,  1996,  which has been
accounted  for as a pooling  of  interests  as  described  in Note 2.  Generally
accepted accounting principles proscribe giving effect to a consummated business
combination  accounted  for by the  pooling of  interests  methods in  financial
statements  that do not  include  the  date  of  consummation.  These  financial
statements do not extend through the date of  consummation;  however,  they will
become  the  historical  consolidated  financial  statements  of Star Multi Care
Services,  Inc. after financial  statements covering the date of consummation of
the business combination are issued.

        b.      DESCRIPTION OF BUSINESS

                The Company is principally engaged in providing temporary health
care personnel,  including registered nurses, licensed practical nurses, nurses'
aides and  respiratory  therapists to hospitals,  nursing  homes,  extended care
facilities  and  in-home  patients  in  Florida,  Ohio  and  the New  York  City
metropolitan area.

        c.      PRINCIPLES OF CONSOLIDATION

                The consolidated  financial  statements  include the accounts of
Star Multi Care Services,  Inc. and its  subsidiaries  (the  "Company"),  all of
which are wholly-owned.  All significant intercompany  transactions and accounts
have been eliminated.

        d.      REVENUE RECOGNITION AND ALLOWANCE FOR DOUBTFUL ACCOUNTS

                Net revenue is recorded at the estimated net  realizable  amount
from patients,  third-party payors and others for services rendered. A provision
for doubtful  accounts is made for revenue  estimated to be uncollectible and is
adjusted  periodically  based upon  management's  evaluation of current industry
conditions,  historical  collection experience and other relevant factors which,
in the opinion of  management,  deserve  recognition in estimating the allowance
for doubtful accounts.

        e.      INVESTMENTS IN DEBT AND EQUITY SECURITIES

                In July 1994,  the Company has adopted  Statement  of  Financial
Accounting Standard ("SFAS") No. 115, Accounting for Certain Investments in Debt
and Equity Securities.  The Company has classified its investment  securities as
available-for-sale  and has recorded  unrealized  holding  gains and losses as a
separate component of stockholders'  equity. The cumulative effect of the change
in  accounting  principle  resulted  in an  after-tax  increase  to  income  for
unrealized losses of $23,683 at June 1, 1994.


                                      F-11

<PAGE>


1.      SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES: (Cont'd)

        f.      PROPERTY AND EQUIPMENT

                Property and equipment are recorded at cost. The carrying amount
of assets and related accumulated depreciation and amortization are removed from
the accounts when such assets are disposed of, and the resulting gain or loss is
included in operations.  Depreciation  is computed by the  straight-line  method
over the  estimated  useful  lives of the  assets.  Leasehold  improvements  are
amortized over the shorter of the remaining life of the lease or the life of the
improvements.

        g.      INTANGIBLE ASSETS

                Intangible  assets are stated at acquisition  cost and are being
amortized on a straight-line basis over their estimated useful lives.

        h.      CONTRACTUAL ADJUSTMENTS

                Under  Medicare,  Medicaid  and other  cost-based  reimbursement
programs,  the Company is reimbursed  for services  rendered to covered  program
patients as  determined  by  reimbursement  formulas.  The  differences  between
established  billing  rates and the amounts  reimbursable  by the  programs  and
patient  payments  are recorded as  contractual  adjustments  and deducted  from
revenues.

                Retroactively calculated third-party contractual adjustments are
accrued on an estimated  basis in the period the related  services are rendered.
Revisions to estimated contractual adjustments are recorded based upon audits by
third-party payors, as well as other communications with third-party payors such
as desk reviews,  regulation charges and policy statements.  These revisions are
made in the year such amounts are determined.

        i.      CASH EQUIVALENTS

                For purposes of the  consolidated  statements of cash flows, the
Company  considers all highly liquid  financial  instruments  with a maturity of
three months or less when purchased to be cash equivalents.

        j.      INCOME TAXES

                Deferred  tax assets and  liabilities  are  determined  based on
differences between financial reporting and tax bases of assets and liabilities,
and are  measured  using the  enacted  tax rates and laws that will be in effect
when  the  differences  are  expected  to  reverse.  Temporary  differences  and
carryforwards  giving rise to deferred taxes  primarily  relate to the allowance
for  doubtful   accounts,   depreciation   and  subsidiary  net  operating  loss
carryforwards.

        k.      NET INCOME PER SHARE

                Net income per share has been computed by dividing net income by
the  weighted  average  number of  common  stock and  common  stock  equivalents
outstanding during each period. Common stock equivalents represents the dilutive
effect of the assumed exercise of certain outstanding options and warrants.



                                      F-12

<PAGE>


1.      SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES: (Cont'd)

        l.      DERIVATIVE FINANCIAL INSTRUMENTS

                Derivative financial  instruments are utilized by the Company in
order to reduce the impact of changes in interest  rates.  The Company  does not
hold or issue derivative financial instruments for trading purposes.  Income and
expenses  are  recorded in the same  category as that  arising  from the related
asset or liability being hedged.  Gains realized on termination of interest rate
swap  contracts  are  deferred and  amortized  over the  remaining  terms of the
original swap agreement. Costs of interest rate cap contracts are amortized over
the lives of the contracts.

        m.      USE OF ESTIMATES

                The  preparation  of financial  statements  in  conformity  with
generally accepted  accounting  principles requires management to make estimates
and assumptions  that affect the reported  amounts of assets and liabilities and
disclosure of  contingent  assets and  liabilities  at the date of the financial
statements.  Estimates also affect the reported amounts of revenues and expenses
during the period. Actual results may differ from those estimates.

        n.      RECLASSIFICATIONS

                Certain  reclassifications  have been  made to the prior  year's
financial statements to conform with the classifications used in 1996.

2.      MERGERS AND ACQUISITIONS:

        a.      MERGER

                In February 1996, the Company entered into an Agreement and Plan
of Merger (the  "Agreement")  with AMSERV.  On August 23, 1996 AMSERV was merged
with and into the Company.  Under terms of the  Agreement,  each share of AMSERV
common stock was exchanged for .4090 shares of the Company's  common stock.  The
Company also assumed all outstanding  options and other rights to acquire AMSERV
stock.  Approximately  1,360,000  shares  of the  Company's  common  stock  were
exchanged for all of the outstanding stock of AMSERV.  The merger qualified as a
tax-free  reorganization  and was accounted  for as a pooling of interests,  and
accordingly,  the  accompanying  supplemental  financial  statements  have  been
restated to include the accounts and  operations of AMSERV for all periods prior
to the merger.

                AMSERV changed its year end to May 31 for fiscal 1996,  utilized
a 52/53 week  fiscal  year end for fiscal 1995 and a June 30 year end for fiscal
1994.  AMSERV's  statements of operations  for the years ended June 24, 1995 and
June 30, 1994 have been  combined with Star's  statements of operations  for the
fiscal  years  ended May 31,  1995 and 1994,  respectively.  In order to conform
AMSERV's  year end to Star's  fiscal  year end,  the  supplemental  consolidated
statement of operation  for fiscal year ended May 31, 1996  includes  four weeks
(June 1,  1995 to June 24,  1995) for  AMSERV  which  are also  included  in the
supplemental  consolidated  statement of operation for fiscal year ended May 31,
1995.  Accordingly,  an  adjustment  has been  made in fiscal  1996 to  retained
earnings  for the  duplication  of net loss of  ($136,262)  for such  four  week
period.  Other results of operations for such four week period of AMSERV include
net revenues of  $1,113,322,  depreciation  and  amortization  of $30,149,  loss
before taxes of ($199,624) and income tax benefit of $63,362.



                                      F-13

<PAGE>


2.      MERGERS AND ACQUISITIONS: (Cont'd)

                Separate approximated net revenues and net income/(loss) amounts
of the merged entities for the period prior to the merger are as follows:

                                                                     Year Ended
                                                                    MAY 31, 1996
                                                                    ------------
Net revenues:
     Star Multi Care Services, Inc.                                  $36,339,000
     AMSERV HEALTHCARE, INC                                           12,823,000

                                                                     $49,162,000

Net income:
     Star Multi Care Services, Inc.                                  $ 1,046,000
     AMSERV HEALTHCARE, INC                                               97,000
                                                                     -----------

                                                                     $ 1,143,000
                                                                     ===========

        b.      ACQUISITIONS

                In May 1995, the Company  acquired certain assets of Long Island
Nursing  Registry,  Inc.  ("LINR")  for  approximately   $1,716,000,   including
acquisition costs of approximately  $100,000.  The assets purchased consisted of
customers and patient lists of  $1,156,000,  nurses lists of $250,000,  covenant
not-to-compete  of  $150,000,  furniture  and office  equipment  of $25,000  and
goodwill of $35,000.

                In June 1994, the Company acquired  substantially all the assets
and property of North Central Personnel, Inc. ("North Central"). The acquisition
had an initial  purchase price of  $1,553,835.  The Company paid $553,835 of the
purchase  price with cash,  and the  balance of  $1,000,000  was  financed  by a
promissory note payable to the seller. The final purchase price is contingent on
an earnout,  of which  $500,000 was earned in 1995 and $100,000 was earned as of
May 31, 1996. The remaining earnout will not exceed $400,000.  The excess of the
purchase  price over the  valuation of tangible  assets was assigned to goodwill
($1,047,000) and a non-competition  agreement ($25,000). The earnout advance and
all future earnout  payments will be accounted for as additional  purchase price
of North Central.

                In November  1993,  the Company  acquired  certain assets of DSI
Home Care Services, Inc. for approximately $725,000, including acquisition costs
of $175,000.  The assets  purchased  consisted of customer and patient  lists of
$400,000,  nurses lists of $120,000,  furniture and office  equipment of $30,000
and goodwill of $175,000.

                The  above   acquisitions  have  been  accounted  for  utilizing
purchase accounting principles. Accordingly, the results of operations have been
included in the accompanying consolidated financial statements since the date of
acquisition.



                                      F-14

<PAGE>



3.      SHORT-TERM INVESTMENTS:

        Short-term  investments  are recorded at estimated fair market values at
May 31, 1996 and 1995.  The Company has  classified  all of its  investments  as
available-for-sale  securities  according to  Statement of Financial  Accounting
Standards  ("SFAS") No. 115. The following table  summarizes  available-for-sale
securities:


                                                      May 31, 1996
                                          --------------------------------------
                                                          Gross
                                                        Unrealized    Estimated
                                             Cost         Losses      Fair Value
                                          ----------    ----------    ----------

Common stock                              $  110,000    $   10,000    $  100,000
                                          ==========    ==========    ==========

                                                      May 31, 1995
                                          --------------------------------------
                                                          Gross
                                                        Unrealized    Estimated
                                             Cost         Losses      Fair Value
                                          ----------    ----------    ----------

Money market/non-gov't securities         $  453,903    $    2,494    $  451,409
Tax exempt government bonds                  605,020           158       604,862
Common stock                                 110,000        23,000        87,000
Preferred stock                              250,000         1,250       248,750
                                          ----------    ----------    ----------

            Total                         $1,418,923    $   26,902    $1,392,021
                                          ==========    ==========    ==========


        As a result of the  adoption  of SFAS No.  115 during the year ended May
31, 1995, the Company  records net unrealized  holding gains and losses,  net of
income tax effects, as a separate component of shareholders' equity. Previously,
unrealized losses had been charged to operations.  The cumulative effect of this
change in accounting  principle resulted in an after-tax  adjustment to earnings
of $23,683 at June 1, 1994.

        A net realized loss on sales of available-for-sale securities of $10,098
was recognized in the year ended May 31, 1996. A net realized gain of $2,413 was
recognized in the year ended May 31, 1995 and a net realized loss of $11,250 was
recognized in the year ended May 31, 1994.



                                      F-15

<PAGE>



4.      INTANGIBLE ASSETS:

        Intangible assets are as follows:
                                                                 MAY 31,
                                         AMORTIZATION   ------------------------
                                            PERIOD         1996          1995
                                          ----------    ----------    ----------

Goodwill                                     25 - 37    $2,989,000    $2,895,000
Customer contracts                           11 - 15     2,225,000     2,225,000
Covenants not-to-compete                     2 -8        1,100,000     1,125,000
Nurses' list                                 9 - 15        703,000       703,000
Accreditation and training programs            5           503,000       503,000
Assembled workforce                            5           497,000       497,000
Other                                        2 - 10        127,000        49,000
                                                        ----------    ----------
                                                         8,144,000     7,997,000
Less accumulated amortization                            2,946,000     2,448,000
                                                        ----------    ----------

                                                        $5,198,000    $5,549,000
                                                        ==========    ==========

5.      REVOLVING CREDIT LINE:

        The  Company has a $6.0  million  line of credit with a bank which bears
interest at 1/4% above the bank's  prime  lending  rate (8 1/4% at May 31, 1996)
and matures on October 31, 1997, at which time it may be converted  into a three
year term loan which will bear  interest at 1/2% above the bank's prime  lending
rate.  The facility is renewable at the sole  discretion of the bank.  All loans
under the line of credit are  collateralized  by all assets of the Company.  The
Company can borrow  against  the line to the extent of 80% of eligible  accounts
receivable (120 days and under, net of contractual allowances).

        Under the line of credit  agreement,  the  Company can from time to time
borrow at a rate based on the bank's  money  market rate (5.31% at May 31, 1996)
plus 2 3/4% for a period no less than three months. At May 31, 1996,  $2,900,000
was at the money market rate and the remainder of the outstanding credit line of
$380,000 was at prime plus 1/4%.

6.      LONG-TERM DEBT:

        Long-term  debt  consists of a note payable in monthly  installments  of
$10,417  through  May 1999.  Interest is payable  monthly at 8.5%.  The note was
issued in connection with the acquisition discussed in Note 8.



                                      F-16

<PAGE>


6.      LONG-TERM DEBT: (Cont'd)

        Long-term debt matures as follows:

           Years Ending
              May 31,
           ------------
               1997                    $125,000
               1998                     125,000
               1999                     125,000
                                       --------
                                     
                                       $375,000
                                       ========
                    
7.      DISCONTINUED OPERATIONS:

        On September 20, 1994, the Company signed a Letter of Intent to sell its
temporary nursing services business.  As a result, the Company recorded a fiscal
1994 charge of $1,167,949 (after income tax benefit of $77,110) to provide for a
loss on the disposal of this discontinued operations and the after-tax estimated
operating  losses of $149,627 until the estimated date of disposal.  On November
9, 1994, the Company completed this transaction,  and sold  substantially all of
the fixed and intangible  assets of its temporary  nursing services business for
$814,000.  The related  net  liabilities  for this  discontinued  operation  are
included  in  the  balance  sheet  under  the  caption,   "Net   liabilities  of
discontinued operations." The balance remaining unpaid at May 31, 1996 and 1995,
relates to various  state and local tax and  payroll  liabilities  that have not
been finalized and a remaining severance obligation. The consolidated statements
of operations for the years ended May 31, 1996, 1995 and 1994, exclude sales and
expenses for its temporary nursing services business from captions applicable to
continuing  operations.  Revenues from the discontinued  operation during fiscal
1995 were $3,988,696.  Operating results of the discounted  operation for fiscal
1994 is summarized below:

                                                                May 31,
                                                                 1994
                                                            ------------

      Net sales                                             $ 12,022,618
      Loss before income taxes                              $   (993,037)
      Income tax benefit                                    $   (282,401)
      Loss from discontinued operations                     $   (710,636)
                                               
8.      REDEEMABLE PREFERRED STOCK:

        In April 1995,  the Company  issued 426,794 shares of its voting Class A
Redeemable  Preferred Stock, which had a redemption value of $2.00 per share, in
exchange for a promissory  note payable in connection with the purchase of North
Central and related accrued interest which totalled  $853,588 on the date of the
exchange.  The  preferred  shares paid no dividends and could be redeemed at the
option of the holder,  in  specified  installments  for cash.  On May 29,  1995,
85,359 shares were redeemed for $170,718. On July 6, 1995, the remaining 341,435
Class  A  Redeemable  Preferred  Shares  were  exchanged  for  260,141  Class  B
Redeemable  preferred Shares, with a redemption price of $2.625 per share and an
aggregate  redemption  value of  $682,870.  During the  current  fiscal  period,
130,070  shares  have  been  redeemed  for  $341,434.  As of May 31,  1996,  the
remaining  130,071 shares with an aggregate  redemption value of $341,436 may be
redeemed in installments of approximately 65,000 shares on or after November 29,
1996 and May 29,  1997,  at the option of the holder.  All  outstanding  Class B
shares  become  redeemable  in the event of default or change of  control.  As a
result of the


                                      F-17

<PAGE>


8.      REDEEMABLE PREFERRED STOCK: (Cont'd)

merger  with  AMSERV  (Note 2), the holder of the  preferred  shares  called for
redemption, which was paid in full on August 23, 1996. Holders of all classes of
Redeemable Preferred Stock have the same voting rights as common stock.

9.         INCOME TAXES:

           Effective  June 1, 1993, the Company  adopted  Statement of Financial
Accounting Standards (SFAS) No. 109, Accounting for Income Taxes, which requires
a liability approach to financial accounting and reporting for income taxes. The
effect of  adopting  SFAS No. 109 on net income for the year ended May 31,  1994
was an increase of $76,000,  which includes an increase in net income of $65,000
for the cumulative effect on years prior to June 1, 1993. As permitted under the
standard, the financial statements for the prior year have not been restated.

           The provision for income taxes from continuing operations consists of
the following:


                                                 YEARS ENDED MAY 31,
                                    -------------------------------------------
                                       1996             1995             1994
                                    ---------        ---------        ---------
Current:
     Federal                        $ 551,758        $ 314,781        $ 215,832
State and local                       217,192          170,022           81,000
                                    ---------        ---------        ---------

                                      768,950          484,803          296,832
                                    ---------        ---------        ---------
Deferred:
Federal                              (197,498)          (8,765)          (8,000)
     State                             (2,608)          (4,000)          (3,000)
                                    ---------        ---------        ---------
                                     (200,106)         (12,765)         (11,000)
                                    ---------        ---------        ---------

                                    $ 568,844        $ 472,038        $ 285,832
                                    =========        =========        =========

        The components of the net deferred tax asset are as follows:



                                                                 MAY 31,
                                                         -----------------------
                                                           1996           1995
                                                         --------       --------
Deferred tax assets:
    Allowance for doubtful accounts                      $296,772       $201,448
    Reserve for discontinued operations                    35,099        157,249
    Accrued expenses                                      111,811        102,190
    Tax credits                                            71,973         92,696
    Net operating loss carryfoward                         11,440          9,060
    Other                                                  19,313         26,064
                                                         --------       --------
                                                          546,408        588,707
                                                         --------       --------


                                      F-18

<PAGE>


9.      INCOME TAXES: (Cont'd)

                                                               MAY 31,
                                                     ---------------------------
                                                        1996             1995
                                                     ---------        ---------
Deferred tax liabilities:
    Depreciation and amortization                     (143,322)         (54,069)
    Prepaid expenses                                   (42,908)         (38,874)
                                                     ---------        ---------
                                                      (186,302)         (92,943)
Valuation allowance                                       --           (335,764)
                                                     ---------        ---------
                                                      (186,302)        (428,707)
                                                     ---------        ---------

Net deferred tax asset                               $ 360,106        $ 160,000
                                                     =========        =========


        A reconciliation  between the actual income tax expense and income taxes
computed by applying  the  statutory  federal  income tax rate to income  before
taxes is as follows:


                                                    Years Ended May 31,
                                            -----------------------------------
                                              1996         1995         1994
                                            ---------    ---------    ---------
Computed federal income tax at
  statutory rates                           $ 582,115    $ 419,035    $ 218,025
State taxes, net of federal benefits          158,200      108,015       53,000
Items without tax benefit                     103,856       51,552       32,000
Valuation allowance                          (335,764)     (77,687)       4,922
Other, net                                     60,437      (28,877)     (22,115)
                                            ---------    ---------    ---------

                                            $ 568,844    $ 472,038    $ 285,832
                                            =========    =========    =========





                                      F-19

<PAGE>



10.     SHAREHOLDER'S EQUITY:

        a.      WARRANTS

                Pursuant to the Company's common stock offering in May 1991, the
Company  issued to the  underwriter  warrants to purchase  112,922 shares of the
Company's  common stock.  The  warrants,  which  contain  certain  anti-dilution
provisions have an exercise price of $4.98 per share.  Warrants totalling 11,292
were cancelled in May 1996, the remaining  101,630  warrants were extended until
May 1999.

        b.      PREFERRED STOCK

                On November 23, 1993,  shareholders voted to amend the Company's
Certificate of  Incorporation  to create five million shares of preferred stock,
$1.00 par value,  which the Board of Directors  has authority to issue from time
to time in series.  The Board of Directors also has the authority to fix, before
the  issuance  of each  series,  the  number of shares  in each  series  and the
designation,  preferences,  rights and  limitations of each series.  To date, no
shares of preferred stock have been issued.

        c.      STOCK DIVIDEND

                On December 5, 1995, the Company's Board of Directors approved a
stock dividend on January 12, 1996 for shareholders of record as of December 22,
1995. A total of 136,090  shares of common stock were issued in connection  with
the  dividend.  Common  stock has been  adjusted for the par value of the shares
issued.  Additional paid in capital and retained earnings have been adjusted for
the difference between the fair market value and the par value of the shares.

                On April 24, 1995, the Company's  Board of Directors  approved a
stock dividend  payable on May 30, 1995 for shareholders of record as of May 15,
1995. A total of 128,347  shares of common stock were issued in connection  with
the  dividend.  Common  stock has been  adjusted for the par value of the shares
issued.  Additional paid-in capital and retained earnings have been adjusted for
the difference between the fair market value and the par value of the shares.

                On April 12, 1994, the Company's  Board of Directors  approved a
stock split of the Company's common stock for shareholders of record as of April
29,  1994. A total of 722,500  shares of common stock were issued in  connection
with the split.  Common stock and additional  paid-in capital have been adjusted
for the par value of the additional shares issued.

                All references in the accompanying  financial  statements to the
number of common  shares and per share  amounts for all periods  presented  have
been restated to reflect the stock dividends.

11.     STOCK OPTION PLANS:

        The Company has three stock option plans (the "Plans") as adopted and as
adjusted for stock dividends. Participants may be granted either Incentive Stock
Options or  Non-Qualified  Stock  Options to purchase an  aggregate of 1,234,685
shares of common  stock.  The  purpose of the Plans are to promote  the  overall
financial  objectives of the Company and its  shareholders  by motivating  those
persons  selected to  participate  in the Plans to achieve  long-term  growth in
shareholder  equity in the Company and by  retaining  the  association  of those
individuals who are  instrumental in achieving this growth.  Such options become
exercisable at various  intervals based upon vesting  schedules as determined by
the  Compensation  Committee.  The options expire between  November 1997 and May
2005.


                                      F-20

<PAGE>


11.     STOCK OPTION PLANS: (Cont'd)

        The incentive  stock options may be granted to employees and consultants
of the  Company  at a price not less than the fair  market  value on the date of
grant.  All such options are  authorized and approved by the Board of Directors,
based on recommendations of the Compensation Committee.

        Information as to options granted is summarized as follows:



                                                                    Exercise
                                                  Shares              Price
                                               ----------         --------------
Outstanding, June 1, 1993                         597,376         $1.44 - $15.60
    Granted                                       254,256
    Canceled and expired                          (46,153)
                                               ----------
Outstanding, May 31, 1994                         805,379         $1.44 - $15.60
    Granted                                        33,671
    Exercised                                    (105,033)
    Canceled and expired                          (46,115)
                                               ----------
Outstanding, May 31, 1995                         687,902         $1.44 - $15.60
    Granted                                        98,302
    Canceled and expired                          (17,963)
    Exercised                                     (80,218)
                                               ----------

Outstanding, May 31, 1996                         688,023         $1.44 - $7.64
                                               ==========

Exercisable                                       621,297          $1.44 - $7.64
                                               ==========

Shares  reserved  for  future  issuance  at May 31,  1996 are  comprised  of the
following:

Shares issuable upon exercise of
    stock option under the plans               1,222,000
Shares issuable upon exercise of
    warrants by underwriter                      102,000
Shares issuable under the Company's
    employee stock purchase plan                 318,000
                                               ---------

                                               1,642,000
                                               =========


        In November  1995,  the Company  adopted an Employee Stock Purchase Plan
whereby  certain  employees can purchase shares of common stock at the lesser of
85% of fair market  value of the stock at the  beginning  or end of the calendar
year.

        In 1995, the Financial  Accounting  Standards Board issued  Statement of
Financial  Accounting  Standards  (SFAS) No.  123,  Accounting  for  Stock-Based
Compensation,  which requires  companies to measure employee stock  compensation
based on the fair value  method of  accounting,  or to use the  intrinsic  value
method  prescribed in Accounting  Principles  Board Option No. 25 and to provide
pro forma footnote disclosures under the fair value


                                      F-21

<PAGE>


11.     STOCK OPTION PLANS: (Cont'd)

method in SFAS No. 123.  The Company  will adopt the new standard in fiscal 1997
and expects to elect the continued use of APB Opinion No. 25.

12.     RELATED PARTY TRANSACTIONS:

        a.      NOTES RECEIVABLE FROM OFFICER

                Notes  receivable  from officer of $100,517  represents  amounts
loaned by the  Company  and/or  subsidiaries  of the  Company  to the  Company's
President.  These  notes  bear  interest  at 6% and mature  August 1, 1998.  All
interest has been paid through May 31, 1996.

        b.      STOCK SUBSCRIPTION RECEIVABLE

                On  April  20,  1995,   the  Company   accepted  a  non-recourse
promissory  note from the former Chief  Executive  Officer of AMSERV,  Eugene J.
Mora, in the original  principal amount of $198,440,  bearing interest at a rate
of 10% per annum and maturing in April 2000, and $1,100 in cash for the exercise
of options for 44,990 shares of the Company's  common stock. The promissory note
is secured by 72,623 shares of the Company's  common stock owned by Mr. Mora. On
January  16,  1996,  the  promissory  note was  amended  to  become  a  recourse
promissory  note,  secured by 44,990  shares of common  stock owned by Mr. Mora,
with  interest  at a rate of 5.73% per annum.  Also on  January  16,  1996,  the
Company  accepted an additional  recourse  promissory  note from Mr. Mora in the
original  principal amount of $199,342,  bearing interest at a rate of 5.73% per
annum and  maturing  in January  2001,  and $1,105 in cash for the  exercise  of
options for 45,194 shares of the Company's common stock..

        c.      SERVICES

                A director provides accounting services to the Company for which
he was  compensated  approximately  $100,000 in each of the years 1996, 1995 and
1994.

                A former director of AMSERV,  provided certain legal services to
the Company. The Company incurred legal fees with such firm of $7,027,  $114,208
and $39,272 for fiscal years 1996, 1995 and 1994, respectively.

13.     FAIR VALUE OF FINANCIAL INSTRUMENTS:

        In 1995, the Company adopted Statement of Financial Accounting Standards
(SFAS) No. 107,  Disclosure  about Fair Value of  Financial  Instruments,  which
requires   disclosures   about  the  fair  value  of  the  Company's   financial
instruments.  The methods and assumptions used to estimate the fair value of the
following classes of financial instruments were:

        Current  Assets and Current  Liabilities:  The carrying  amount of cash,
        current receivables and payables and certain other short-term  financial
        instruments approximate their fair value.

        Long-Term  Debt:  The  fair  value  of  the  Company's  long-term  debt,
        including the current  portions,  was estimated  using a discounted cash
        flow  analysis,  based on the Company's  assumed  incremental  borrowing
        rates for similar types of borrowing  arrangements.  The carrying amount
        of variable  and fixed rate debt at May 31, 1996  approximates  its fair
        value.


                                      F-22

<PAGE>




14.     CONCENTRATIONS OF CREDIT RISK AND MAJOR CUSTOMERS:

        Financial   instruments   which   potentially   expose  the  Company  to
concentrations of credit risk consist  principally of trade accounts  receivable
and temporary cash investments.

        The Company  provides  temporary  health care  personnel  to  hospitals,
nursing homes,  extended care  facilities and in-home  patients in Florida,  New
Jersey and the New York City metropolitan  area. At May 31, 1996,  approximately
30% of  accounts  receivable  was due  from  Medicaid  and  approximately  8% of
accounts  receivable was due from Medicare.  Credit losses relating to customers
historically have not been significant and within management's expectations.

        The  Company  places it  temporary  cash  investments  with high  credit
quality financial institutions.

15.     CONTINGENCIES:

        The Company in the past treated certain of its nurses and certain others
as independent  contractors.  The Internal  Revenue  Service ("IRS") and the New
York State  Department of Labor ("DOL") have, in certain cases,  determined that
per diem health care workers were employees, and not independent contractors, of
the firm placing them. Two of the Company's  subsidiaries have been selected for
an  employment  tax audit by DOL and another of the Company's  subsidiaries  has
been selected for an employment tax audit by the IRS.

        In October 1994, the subsidiary subjected to the IRS audit received from
the IRS a formal report proposing an adjustment in taxes of $1,222,220 for years
1989-1993.  On October 12, 1995, that subsidiary signed a closing agreement with
the IRS providing for zero tax liability for the years 1989-1995. The subsidiary
has agreed to treat all skilled nurses providing  hospital  staffing services as
employees for federal  employment  tax purposes  commencing  January 1, 1996. As
skilled hospital staffing services currently represents only 3% of revenues this
change is not expected to have a significant impact on earnings.

        In May 1993, one of the Company's  subsidiaries  received from the DOL a
formal report proposing an adjustment in the amount of $73,000. In January 1994,
the other of the  Company's  subsidiaries  received from the DOL a formal report
proposing an adjustment in the amount of $33,000.  The Company  prevailed before
the hearing  examiner in the latter of these cases,  which decision is presently
being appealed by the DOL, and the Company is vigorously defending its position.
The Company did not prevail in the former case and is currently  appealing  that
decision.  Management  believes that the  possibility of an unfavorable  outcome
which would materially  affect the financial  position and results of operations
of the Company is remote.

16.     COMMITMENTS:

        a.      EMPLOYMENT AGREEMENT

                The Company has an  employment  agreement,  as amended,  with an
        officer which expires in December  2000.  The aggregate  commitment  for
        future salary, excluding bonuses, under the agreement is $1,125,000. The
        agreement  also  provides for certain  bonuses  based upon annual pretax
        income.  The  Company  has an  employment  agreement  with a former LINR
        shareholder which expires May 1997. The aggregate  commitment for future
        salary under the agreement is $100,000. The aggregate minimum commitment
        for future salaries under both agreements are as follows:



                                      F-23

<PAGE>


16.     COMMITMENTS: (Cont'd)

           Years Ending
             May 31,
           ------------
               1997                   $  350,000
               1998                      250,000
               1999                      250,000
               2000                      250,000
               2001                      125,000
                                      ----------
                                      $1,225,000
                                      ==========
                     
        Under the Merger  Agreement  with  AMSERV,  Star has agreed to honor the
provisions of certain agreements with AMSERV's chief executive officer. Pursuant
to these agreements,  if AMSERV's chief executive officer is terminated  without
cause,  AMSERV is obligated to pay the chief executive  officer the compensation
he  earned  in the  final  year of his  employment  in  each of the  immediately
following five years and transfer  certain life insurance  policies owned by the
Company.  In 1996,  compensation  earned  by the  chief  executive  officer  was
approximately $300,000.

        b.      LEASES

                The Company  conducts its  operations  from leased  office space
under  various  operating  leases which expire at various  dates  through  2002.
Management  expects that in the normal  course of business  these leases will be
renewed or replaced by other leases.

                As of May 31, 1996 future net minimum  rental  payments  (net of
sublease   income)  under   operating   leases   having   initial  or  remaining
noncancellable terms in excess of one year are as follows:


                     1997             $  718,000
                     1998                643,000
                     1999                587,000
                     2000                230,000
                     2001                144,000
                     2002                 75,000
                                      ----------
                                     
                                      $2,397,000
                                      ==========
                           
                Rental  expenses  for  operating  leases for fiscal  years ended
1996,  1995  and  1994  were  approximately  $731,000,  $519,000  and  $470,000,
respectively.

        c.      GUARANTY

                In connection  with the sale of a business in 1992,  the Company
has  guaranteed  certain  lease  payments.  The amount of future lease  payments
guaranteed  by the  Company  totalled  $290,836  at May 31, 1996 and are payable
through September 1998.



                                      F-24

<PAGE>



17.     RETIREMENT PLANS:

        The Company  adopted a 401(k)  savings plan in January 1995 covering all
eligible  employees.  Employees may defer up to 15% of their  compensation.  The
Company will match 10% of employees'  contributions up to 8%.  Contributions for
the year ended May 31, 1996 approximated $17,000.

        A  division  of the  Company  has a  deferred  fringe  benefits  welfare
compensation plan covering substantially all of its employees.  Contributions to
the plan are discretionary and are based on employee compensation.  The plan was
amended in November  1995 to increase the vesting  period of new  entrants.  New
entrants  vest fully after 10 years of service,  and  participants  prior to the
amendment vest fully after three years of service. Contributions to the plan for
1996, 1995 and 1994 approximated $233,000, $264,000 and $222,000, respectively.

18.     SUPPLEMENTARY INFORMATION - STATEMENT OF CASH FLOWS:

        During the years ended May 31, 1996 and 1995,  the Company  issued stock
dividends  which amounted to $1,071,709 and $481,301,  respectively.  During the
years ended May 31,  1996 and 1995,  the Company  issued  common  stock upon the
exercise of stock  options in  exchange  for notes  receivable  in the amount of
$199,342 and  $198,440,  respectively.  During the year ended May 31, 1995,  the
Company  issued  a  note  payable  of  $500,000  to  finance  a  portion  of the
acquisitions  mentioned  in Note 2.  During  the year  ended May 31,  1995,  the
Company issued $853,588 of Class A redeemable  preferred stock in exchange for a
note payable and related accrued  interest.  During the year ended May 31, 1994.
the Company transferred $80,307 from accounts receivable to notes receivable.

19.     FINANCIAL INSTRUMENTS:

        On March 20, 1996, the Company  entered into a two year notional  amount
$1,500,000  interest rate swap with a bank, whereby the Company pays interest at
a fixed rate of 6.16% and receives interest at the three-month  London Interbank
Offered  Rate  ("LIBOR").  The Company is exposed to credit loss in the event of
non-performance  by the bank,  however the Company  does not  anticipate  a loss
resulting from this credit risk. The fair value of this financial  instrument at
May 31, 1996 approximates $10,000.



                                      F-25

<PAGE>



                         STAR MULTI CARE SERVICES, INC.

                      CONDENSED CONSOLIDATED BALANCE SHEET

                                FEBRUARY 28, 1997
                                   (UNAUDITED)


ASSETS
- ------
CURRENT ASSETS:
      Cash and cash equivalents                                    $     78,574
      Accounts receivable, net of allowance for doubtful
        accounts of $566,000                                         10,130,449
      Prepaid expenses and other current assets                         769,365
      Income taxes receivable                                            28,997
      Deferred income taxes                                             961,232
                                                                   ------------
           Total current assets                                      11,968,617

PROPERTY AND EQUIPMENT, net of accumulated depreciation
   of $871,610                                                          916,281
NOTES RECEIVABLE FROM OFFICER                                            94,937
INTANGIBLE ASSETS, net                                                5,059,300
OTHER ASSETS                                                            218,916
                                                                   ------------
                                                                   $ 18,258,051
LIABILITIES AND SHAREHOLDERS' EQUITY
- ------------------------------------
CURRENT LIABILITIES:
      Accrued payroll and related expenses                         $  1,241,205
      Accounts payable and other accrued expenses                     1,405,020
      Current maturities of long-term debt                              125,000
                                                                   ------------
           Total current liabilities                                  2,771,225

LONG-TERM LIABILITIES:
      Revolving credit line                                           1,997,000
      Long-term debt                                                    156,250
      Other long-term liabilities                                     1,192,000
                                                                   ------------
           Total long-term liabilities                                3,345,250

SHAREHOLDERS' EQUITY:
      Preferred stock, $1.00 par value, 5,000,000 shares
           authorized                                                      --
      Common stock, $.001 par value, 10,000,000 shares
           authorized; 4,154,318 shares issued                            4,154
      Additional paid-in capital                                     14,925,603
      Subscription receivable                                          (397,782)
      Deficit                                                        (2,111,477)
      Treasury stock, 137,500 common shares at May 31, 1996            (278,922)
                                                                   ------------
           Total shareholders' equity                                12,141,576
                                                                   $ 18,258,051
                                                                   ============

 See accompanying notes to unaudited condensed consolidated financial statements


                                      F-26

<PAGE>



                         STAR MULTI CARE SERVICES, INC.

                 CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
                                   (UNAUDITED)

                                                        Nine Months Ended
                                                  -----------------------------
                                                  February 28,     February 29,
                                                      1997             1996
                                                  ------------     ------------
REVENUES, net                                     $ 39,163,979     $ 35,463,592
                                                  ------------     ------------
OPERATING EXPENSES:
      Costs of revenues                             25,624,871       23,004,659
      Selling, general and administrative           10,652,192       10,410,591
      Depreciation and amortization                    480,597          598,722
                                                  ------------     ------------
                                                    36,757,660       34,013,972
                                                  ------------     ------------
INCOME FROM OPERATIONS                               2,406,319        1,449,620
                                                  ------------     ------------
OTHER INCOME (EXPENSE):
      Interest expense                                (164,518)        (216,668)
      Interest income                                   61,861          142,345
      Merger transaction costs                      (2,808,223)            --
                                                  ------------     ------------
                                                    (2,910,880)         (74,323)
                                                  ------------     ------------
(LOSS) INCOME BEFORE PROVISION
      FOR INCOME TAXES                                (504,561)       1,375,297
INCOME TAX BENEFIT (PROVISION)                         207,000         (608,955)
                                                  ------------     ------------
NET (LOSS) INCOME                                 $   (297,561)    $    766,342
                                                  ============     ============
NET (LOSS) INCOME PER COMMON SHARES               $      (0.07)    $       0.18
                                                  ============     ============
WEIGHTED AVERAGE NUMBER OF SHARES
OUTSTANDING                                          4,278,169        4,257,046
                                                  ============     ============



 See accompanying notes to unaudited condensed consolidated financial statements


                                      F-27

<PAGE>



                         STAR MULTI CARE SERVICES, INC.

                 CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
                                   (UNAUDITED)

<TABLE>
<CAPTION>
                                                                       Nine Months Ended
                                                                  February 28,   February 29,
                                                                      1997           1996
                                                                  -----------    -----------
<S>                                                               <C>            <C>        
CASH FLOW FROM OPERATING ACTIVITIES:
    Net (loss) income                                             $  (297,561)   $   766,342
                                                                  -----------    -----------
    Adjustments to reconcile net (loss) income to net
        cash provided by (used in) operating activities:
        Provision for doubtful accounts                               148,556        230,000
        Depreciation and amortization                                 480,597        598,722
        Deferred income taxes                                        (601,126)          --
        Changes in operating assets and liabilities:
            (Increase) decrease in assets:
               Accounts receivable                                   (667,836)    (2,918,989)
               Prepaid expenses and other current assets               31,300       (225,216)
               Income taxes receivable                                (28,997)          --
               Other assets                                           291,571        (60,108)
            Increase (decrease) in liabilities:
               Accounts payable and related expenses                  (88,621)       334,535
               Accounts payable and other accrued expenses           (125,118)       157,605
               Income taxes payable                                  (295,647)       (53,127)
               Other liabilities                                    1,158,030         17,386
                                                                  -----------    -----------
            Total adjustments                                         302,709     (1,919,192)
                                                                  -----------    -----------
            Net cash provided by (used in) operating activities         5,148     (1,152,850)
                                                                  -----------    -----------

CASH FLOWS FROM INVESTING ACTIVITIES:
    Proceeds from short-term investments                              106,000      1,089,179
    Purchase of intangibles                                          (177,327)       (83,254)
    Repayment on note receivable from officer                           5,580         27,629
    Purchase of property and equipment                               (314,593)      (186,932)
    Payment of costs related to discontinued operations               (98,081)      (306,747)
                                                                  -----------    -----------
        Net cash (used in) provided by investing activities          (478,421)       539,875
                                                                  -----------    -----------

CASH FLOWS FROM FINANCING ACTIVITIES:
     Net (repayments of) proceeds from revolving credit line       (1,283,000)     1,500,000
     Repayment of long-term debt                                      (93,750)       (93,750)
     Proceeds from the exercise of stock options                      388,054        296,130
     Redemption of Class B preferred shares                          (341,436)      (170,717)
                                                                  -----------    -----------
          Net cash (used in) provided by financing activities      (1,330,132)     1,531,663
                                                                  -----------    -----------

NET (DECREASE) INCREASE IN CASH
    AND CASH EQUIVALENTS                                           (1,803,405)       918,688
CASH AND CASH EQUIVALENTS, beginning of period                      1,881,979      1,496,792
                                                                  -----------    -----------
CASH AND CASH EQUIVALENTS, end of period                          $    78,574    $ 2,415,480
                                                                  ===========    ===========
SUPPLEMENTAL DISCLOSURE:
    Income taxes paid                                             $   600,000    $   669,000
                                                                  ===========    ===========
    Interest paid                                                 $   173,000    $   204,000
                                                                  ===========    ===========
</TABLE>

 See accompanying notes to unaudited condensed consolidated financial statements


                                      F-28

<PAGE>



                         STAR MULTI CARE SERVICES, INC.

                          NOTES TO UNAUDITED CONDENSED
                        CONSOLIDATED FINANCIAL STATEMENTS

                                NINE MONTHS ENDED
                     FEBRUARY 28, 1997 AND FEBRUARY 29, 1996

1.      ADJUSTMENTS:

        In the opinion of management of Star Multi Care Services, Inc. ("Star"),
the accompanying  unaudited condensed  consolidated financial statements reflect
all adjustments  necessary (which are of a normal  recurring  nature) to present
fairly  Star's  financial  position as of February 28, 1997,  and the results of
operations and cash flows for the nine month periods ended February 28, 1997 and
February 29, 1996. The unaudited  condensed  consolidated  financial  statements
contained herein should be read in conjunction with Star's audited  consolidated
financial statements for the fiscal years ended May 31, 1996, included elsewhere
herein.

        The results of operations  for the nine month period ended  February 28,
1997 are not  necessarily  indicative of the results to be expected for the full
year.

2.      NET INCOME (LOSS) PER SHARE:

        Net income  (loss) per share for the periods  are based on the  weighted
average number of common and common stock equivalent shares outstanding. Certain
stock options were not included in the computation of net loss per share because
their effect would be  antidilutive.  Net income (loss) per share  assuming full
dilution is the same as primary income (loss) per share)

3.      MERGER:

        On August 23,  1996,  Star  completed  a merger (the  "Amserv  Merger"),
accounted  for as a pooling of  interest,  to  acquire  AMSERV  HEALTHCARE  INC.
("Amserv"),  a health care service  company which provides home care services in
New Jersey and Ohio. In accordance with the Amserv Merger Agreement,  each share
of common stock of Amserv  outstanding  immediately prior to consummation of the
Amserv Merger was converted  into .4090 shares of common stock of Star The total
shares issued amounted to 1,410,731.  Star also assumed all outstanding  options
and other rights to acquire  Amserv  stock.  Costs  related to the Amserv Merger
amounted to  $2,808,223.  Unpaid amounts at February 28, 1997 have been included
in  "accounts   payable  and  other  accrued   expenses"  and  "other  long-term
liabilities". See Note 7.

4.      STOCK DIVIDEND:

        Star declared a 5% stock dividend  which was  distributed on November 4,
1996 to shareholders of record as of October 11, 1996. A total of 188,570 shares
of common  stock of Star were issued in  connection  with the  dividend.  Common
stock has been  adjusted  for the par  value of the  shares  issued.  Additional
paid-in  capital and deficit have been adjusted for the  difference  between the
fair market value and the par value of the shares.



                                      F-29

<PAGE>



5.      SUBSEQUENT EVENT:

        On January 3, 1997,  Star entered  into an agreement  and plan of merger
(the  "Merger  Agreement")  to  acquire  (the  "Merger")  Extended  Family  Care
Corporation  ("EFCC"),  a health care service  company which  provides home care
services in New Jersey, New York and Pennsylvania. In accordance with the Merger
Agreement,  Star will pay  $2,400,000  in cash (plus cash payments to dissenting
shareholders,  if any) and  $4,850,000 in stock (less the amount that would have
been paid to dissenting shareholders, if any) or cash at Star's option.

        In  connection  with  the  Merger,  Star and EFCC  have  entered  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 signing of the Merger  Agreement,  (ii) the effective  time of the
Merger  or  (iii)  the  termination  of the  Merger.  In  consideration  for the
consulting  services  rendered by Star,  EFCC will pay $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  of the  closing  date  or  termination  of the  Merger
Agreement.  As of February 28, 1997 $35,000 due from EFCC is included in prepaid
and other current assets.  The Merger is subject to approval by the shareholders
of both companies and certain other conditions and is expected to be consummated
on or before September 15, 1997.

6.      SUPPLEMENTARY INFORMATION - STATEMENT OF CASH FLOWS:

        During  the period  ended  February  28,  1997,  Star  issued a 5% stock
dividend which amounted to $1,249,276.

7.      LITIGATION:

        STAR is a defendant in a lawsuit filed on November 14, 1996 in San Diego
Superior  Court,  by Eugene J. Mora the  former  President  and Chief  Executive
Officer of Amserv for  alleged  breach of  contract.  The suit asks for  damages
totaling approximately  $2,300,000.  STAR has accrued approximately  $1,790,000,
included in "Accounts  Payable and Other Accrued  Expenses" and "Other Long-Term
Liabilities,"  in connection with this matter.  The amount accrued is based upon
information which has been learned to date. As this case is in the early stages,
additional information may be learned in the future, which would require STAR to
modify this  amount.  Management  does not believe  that this matter will have a
material adverse impact on STAR.



                                      F-30

<PAGE>



                          INDEPENDENT AUDITORS' REPORT



To The Board of Directors
Extended Family Care Corporation



We have  audited  the  accompanying  balance  sheets  of  Extended  Family  Care
Corporation  and  subsidiary,  as of December  31, 1996 and 1995 and the related
consolidated  statements of operations,  shareholders' equity and cash flows for
the years then ended.  These financial  statements are the responsibility of the
Company's  management.  Our  responsibility  is to  express  an opinion on these
financial statements based on our audit.

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

In our opinion, the consolidated  financial statements referred to above present
fairly,  in all  material  respects,  the  consolidated  financial  position  of
Extended  Family  Care  Corporation,  at  December  31,  1996  and  1995 and the
consolidated  results  of its  operations  and its cash flows for the years then
ended, in conformity with generally accepted accounting principles.



/s/  Carpenter & Onorato, P.C.

Carpenter & Onorato, P.C.
Certified Public Accountants
Garden City, NY 11530
February 18, 1997



                                      F-31

<PAGE>




                 EXTENDED FAMILY CARE CORPORATION AND SUBSIDIARY
                           Consolidated Balance Sheets
                                  December 31,
<TABLE>
<CAPTION>
                                                                                         1996         1995
                                                                                      ----------   ----------
<S>                                                                                   <C>          <C>       
                                     ASSETS
                                     ------
Current assets:
          Cash                                                                        $1,066,193   $  511,563
          Accounts receivable, net of allowance for doubtful accounts
                  of $100,000 for 1996 and 1995 (note 2)                               1,066,277      895,131
          Prepaid expenses and other current assets (note 9)                             496,185      146,809
                                                                                      ----------   ----------
                  Total current assets                                                 2,628,655    1,553,503

Property and equipment, net (note 5)                                                     233,644      118,591

Other assets:
          Deferred tax asset (note 6)                                                    204,000      259,000
          License, net (notes 3)                                                         476,153      515,832
          Other                                                                           29,410       11,197
                                                                                      ----------   ----------
                  Total assets                                                        $3,571,862   $2,458,123
                                                                                      ==========   ==========
                      LIABILITIES AND SHAREHOLDERS' EQUITY
                      ------------------------------------
Current liabilities:
          Accounts payable                                                            $  223,362   $  222,677
          Accrued expenses (note 8)                                                      586,396      543,974
          Customer deposits                                                               73,374       59,146
          Notes payable (note 4)                                                          43,449      148,449
          Payroll taxes payable (note 8)                                                 151,721      280,584
          Current portion of obligations under capital leases                             22,850       12,845
                                                                                      ----------   ----------
                  Total current liabilities                                            1,101,152    1,267,675

Non-current liabilities
          Long-term debt (note 4)                                                         36,500       54,500
          Obligations under capital leases                                                69,717       40,010
                                                                                      ----------   ----------
                  Total non-current liabilities                                          106,217       94,510
                                                                                      ----------   ----------
                           Total liabilities                                           1,207,369    1,362,185

Commitments and contingencies (notes 7, 8, 10 and 12)

Minority interest in subsidiary                                                          139,649      140,008
                                                                                      ----------   ----------

Shareholders' equity
          Preferred stock, $.01 par value,  10,000,000 shares authorized in 1996
          Common stock, $.01 par value, 50,000,000 shares authorized, 30,000,000
                  in 1996; 32,000,226 and 19,300,229 shares issued and outstanding,
                  respectively                                                           320,002      194,506
          Additional paid-in-capital                                                   1,763,348      638,844
          Retained earnings                                                              141,494      122,580
                                                                                      ----------   ----------
                  Total shareholders' equity                                           2,224,844      955,930
                                                                                      ----------   ----------
                           Total liabilities and shareholders' equity                 $3,571,862   $2,458,123
                                                                                      ==========   ==========
</TABLE>

                     See accompanying notes to consolidated
                             financial statements.

                                      F-32

<PAGE>

                 EXTENDED FAMILY CARE CORPORATION AND SUBSIDIARY
                      Consolidated Statements of Operations
                            Years Ended December 31,


                                                        1996            1995
                                                    ------------    ------------

Net patient service revenue (note 2)                $  8,929,330    $  7,367,958
                                                    ------------    ------------

Cost of services:
         Salaries                                      4,806,668       4,058,749
         Payroll taxes and other                         836,886         647,447
                                                    ------------    ------------

                  Total cost of services               5,643,554       4,706,196
                                                    ------------    ------------

         Gross profit                                  3,285,776       2,661,762

Selling, general and administrative expenses           3,192,769       2,128,432

Provision for doubtful accounts                           25,000          51,810
                                                    ------------    ------------

         Income from operations                           68,007         481,520

Interest (income) expense, net                            (5,548)          4,320
                                                    ------------    ------------

         Income before provision for income
                  taxes and minority interest             73,555         477,200

Provision for income
         taxes (note 6 )                                  55,000         209,000
                                                    ------------    ------------

         Net income before minority interest              18,555         268,200

Minority interest in subsidiary net income                  (359)         46,398
                                                    ------------    ------------

         Net income                                 $     18,914    $    221,802
                                                    ============    ============


Primary earnings per share                          $     0.0009    $     0.0107
                                                    ============    ============

Fully diluted earnings per share                    $     0.0009    $     0.0105
                                                    ============    ============

Weighted average number of shares outstanding:
         Primary                                      21,808,560      20,823,555
                                                    ============    ============

         Fully diluted                                21,808,560      21,033,562
                                                    ============    ============

                            See accompanying notes to
                       consolidated financial statements.



                                      F-33

<PAGE>




                 EXTENDED FAMILY CARE CORPORATION AND SUBSIDIARY
                 Consolidated Statements of Shareholders' Equity

<TABLE>
<CAPTION>
                                           Years Ended December 31, 1996 and 1995

                                      Common Stock                                           Total
                               --------------------------    Additional      Retained    Shareholders'
                                  Shares         Amount        Paid-in       Earnings       Equity
                               -----------    -----------    -----------   -----------    -----------
<S>                             <C>               <C>            <C>           <C>            <C>    
December 31, 1994               19,300,229        194,506        638,844       (99,222)       734,128


Net income                            --             --             --         221,802        221,802
                               -----------    -----------    -----------   -----------    -----------


December 31, 1995               19,300,229        194,506        638,844       122,580        955,930



Retired shares                    (300,003)        (4,504)         4,504          --             --


Exercise of stock
options                         13,000,000        130,000      1,120,000          --        1,250,000


Net income                            --             --             --          18,914         18,914
                               -----------    -----------    -----------   -----------    -----------


December 31, 1996               32,000,226    $   320,002    $ 1,763,348   $   141,494    $ 2,224,844
                               ===========    ===========    ===========   ===========    ===========
</TABLE>

          See accompanying notes to consolidated financial statements.



                                      F-34

<PAGE>

                 EXTENDED FAMILY CARE CORPORATION AND SUBSIDIARY
                            Statements of Cash Flows
                            Years Ended December 31,
<TABLE>
<CAPTION>
                                                                                   1996           1995
                                                                               -----------    -----------
<S>                                                                            <C>            <C>        
Cash flow from operating activities:
         Net income                                                            $    18,914    $   221,802
         Adjustments to reconcile net income to net
                  cash provided by (used in) operating activities:
                  Allowance for doubtful accounts                                     --           51,810
                  Depreciation and amortization                                     62,107         36,273
                  Amortization of intangible assets                                 39,680         39,679
                  Provision for income taxes                                        55,000        209,000
                  Minority interest in subsidiary net income                          (359)        46,398
         Change in operating assets and liabilities:
                  (Increase) in assets:
                           Accounts receivable                                    (171,146)      (143,276)
                           Prepaid expenses                                       (349,376)       (74,053)
                           Security deposits                                       (18,213)        (4,074)
                  Increase (decrease) in liabilities:
                           Accounts payable                                        (21,486)        17,982
                           Accrued expenses                                         42,422        218,290
                           Customer deposits                                        14,228        (12,124)
                           Payroll taxes payable                                  (128,863)       (52,274)
                                                                               -----------    -----------
                  Net cash (used in) provided by operating activities             (457,092)       555,433
                                                                               -----------    -----------

CASH FLOW FROM INVESTING ACTIVITY:
         Purchase of property and equipment                                       (122,979)       (57,373)
                                                                               -----------    -----------
                  Net cash (used in) investing activity                           (122,979)       (57,373)
                                                                               -----------    -----------

CASH FLOW FROM FINANCING ACTIVITIES:
         Proceeds from exercise of stock options                                 1,250,000           --
         Payment of obligations under capital leases                               (14,471)        (6,187)
         Repayment of loans                                                       (100,828)       (77,500)
                                                                               -----------    -----------
                  Net cash provided by (used in) by financing activities         1,134,701        (83,687)
                                                                               -----------    -----------

         Increase in cash                                                          554,630        414,373

         Cash balance at beginning of year                                         511,563         97,190
                                                                               -----------    -----------

         Cash balance at end of year                                           $ 1,066,193    $   511,563
                                                                               ===========    ===========

         Supplemental disclosures:
                           Equipment acquired under capital lease obligation   $    54,183    $    59,042
                                                                               ===========    ===========
                  Cash paid during the year for:
                           Interest                                            $     7,080    $     5,825
                                                                               ===========    ===========
                           Income taxes                                        $    14,638    $       654
                                                                               ===========    ===========
</TABLE>

          See accompanying notes to consolidated financial statements.

                                      F-35
<PAGE>

                 EXTENDED FAMILY CARE CORPORATION AND SUBSIDIARY

                   Notes to Consolidated Financial Statements
                                December 31, 1996

(1)     SIGNIFICANT ACCOUNTING POLICIES

        (a)     DESCRIPTION OF BUSINESS

                Extended  Family Care  Corporation  (EFCC) or (the Company),  is
                primarily  engaged in the  business  of  providing  health  care
                services in the home through its 83% majority owned  subsidiary,
                T.P.C.  Home Care  Services,  Inc.  (TPC).  EFCC is the  holding
                company for TPC.

                TPC is a licensed home care provider  servicing  patients  since
                1980.  TPC has  offices  in New York and New  Jersey,  providing
                twenty four hour home care services.  On August 5, 1986, TPC and
                its parent,  EFCC, filed voluntary  petitions for reorganization
                under Chapter 11 of the United States  Bankruptcy Code. On March
                23,  1992,  this plan of  reorganization  was  confirmed  by the
                United  States  Bankruptcy  Court.  On  January  13,  1995,  the
                bankruptcy court issued a final decree.

                As part of the plan of  reorganization,  on October 8, 1993, per
                an agreement  between  C.O.S.S.  Holding  Corp.  (C.O.S.S.),  an
                investor  group,  and EFCC dated  March 23,  1992,  EFCC  issued
                12,749,658  shares of stock to  C.O.S.S.  for  $250,000  in cash
                which resulted in C.O.S.S.  owning a 66% interest in EFCC. Also,
                unsecured  creditors were given the option to receive a pro rata
                share of EFCC's  common  stock or 12% of the  allowed  amount of
                their  respective  claims.   Creditors  exercising  this  option
                resulted in EFCC issuing 1,388,959 shares of common stock to the
                unsecured creditors.

                On October 31, 1995,  EFCC entered into an agreement  with Arbor
                Home  Health Care Holdings,  LLC (Arbor) (in which Ivan  Kaufman
                owns a 99% interest), by which EFCC granted Arbor an irrevocable
                option  exercisable  in two  installments  for  EFCC to issue in
                total  13,000,000  shares of EFCC common  stock to Arbor at $.10
                per share. The first and second  installments of the option were
                exercised  by Arbor on August 21,  1996 and  October  31,  1996,
                respectively.  Shares were not issued with  respect to the first
                installment until October,  1996, when the Company's certificate
                of incorporation  was amended to provide  sufficient  authorized
                capital to issue such  shares.  Arbor owns  approximately  a 40%
                interest  in  EFCC.  In  addition,  per  the  option  agreement,
                C.O.S.S.  placed  all of its  12,749,658  shares of EFCC  common
                stock in a voting  trust.  Arbor  has the  right to  direct  the
                voting of all of the C.O.S.S.  shares and to nominate a majority
                of the EFCC Board of Directors.

        (b)     PRINCIPLES OF CONSOLIDATION

                The consolidated  financial  statements  include the accounts of
                EFCC  and  its  majority  owned   subsidiary.   All  significant
                intercompany  balances and transactions  have been eliminated in
                consolidation.

        (c)     REVENUE RECOGNITION AND ALLOWANCE FOR DOUBTFUL ACCOUNTS

                Net  patient  service  revenue  is  recorded  at  the  Company's
                reimbursement   rates  or  contracted  rates.  Such  revenue  is
                received  from  patients,  third  party  payors  and  others for
                services rendered. A


                                      F-36

<PAGE>



                 EXTENDED FAMILY CARE CORPORATION AND SUBSIDIARY
              Notes to Consolidated Financial Statements, Continued



                significant  portion of the  Company's  revenue is received from
                third-party  payors (i.e.  Medicaid) and is subject to audit and
                adjustment by those payors.

                A  provision   for  doubtful   accounts  is  made  for  accounts
                receivable  estimated to be  uncollectible;  which is based upon
                management's  evaluation  of  relevant  facts  that  effect  the
                collectibility of accounts receivable.

        (d)     PROPERTY AND EQUIPMENT

                Property and equipment are recorded at cost. The carrying amount
                of  the  assets  and  related   accumulated   depreciation   and
                amortization  are removed from the accounts when such assets are
                disposed  of and the  resulting  gain or  loss  is  included  in
                operations.  Depreciation  and  amortization  of  equipment  and
                leasehold  improvements are computed using the declining balance
                method for the following useful lives of the assets:


                 Furniture and fixtures     5 - 7      years
                 Equipment                     5       years
                 Leasehold improvements     lesser of the useful life of the
                                            asset or the remaining lease period.

                For assets  acquired in 1996, the straight line method was used.
                Management believes that the difference is immaterial.

        (e)     POST-RETIREMENT HEALTH CARE AND LIFE INSURANCE BENEFITS

                The Company  does not provide  post-retirement  benefits for its
                employees.

        (f)     INCOME TAXES

                The  Company is a C  corporation  for the  taxable  years  ended
                December 31, 1996 and 1995, respectively.

        (g)     NET INCOME PER COMMON SHARE

                Net income per common  share is computed by dividing  net income
                by the weighted  average number of common stock and common stock
                equivalents   outstanding  during  each  period.   Common  stock
                equivalents   represent  the  dilutive  effect  of  the  assumed
                exercise of certain outstanding stock options.

        (h)     USE OF ESTIMATES

                Management  of the  Company has made a number of  estimates  and
                assumptions  relating to the reporting of assets and liabilities
                and the  disclosure  of  contingent  assets and  liabilities  to
                prepare these financial  statements in conformity with generally
                accepted accounting principles. Actual results could differ from
                those estimates.


                                      F-37

<PAGE>



                 EXTENDED FAMILY CARE CORPORATION AND SUBSIDIARY
              Notes to Consolidated Financial Statements, Continued



        (i)     RECLASSIFICATION

                Certain prior year amounts have been  reclassified to conform to
                the current year presentation.


(2)     CONCENTRATION OF SEGMENT RISK

        TPC provides  temporary health care personnel to in-home patients in New
        York and New Jersey.  TPC grants  credit to its patients who are insured
        under  third-party  payor  agreements.  Deposits  are  required  for all
        private  business.  The mix of  accounts  receivable  from  private  and
        third-party payors at December 31 were as follows:


                                       1996              1995
                                    ---------         ---------
Medicaid                                54  %             62  %
Insurance                                3                 2  
Other third-party payors                34                29  
Private                                  8                 7  
Medicare                                 1                --   
                                    ---------         ---------
                                       100  %            100  %
                                    =========         =========
                                                                               
        Historically,   credit  losses  relating  to  customers  have  not  been
        significant and have been within management's expectations.


(3)     INTANGIBLE ASSETS

        Intangible assets at December 31 are as follows:


                                                          1996            1995
                                                        --------        --------
          License                                       $595,190        $595,190
              less accumulated amortization              119,037          79,358
                                                        $476,153        $515,832
                                                        ========        ========


(4)     NOTES PAYABLE AND LONG-TERM DEBT

        Notes  payable and  long-term  debt consist of the following at December
        31:


                                                      1996              1995
                                                      ----              ----

        Note    payable,    non-interest
        bearing,   payable   in  monthly
        installments  of  $1,500  with a
        final balloon payment of $26,000
        due in August, 1998. Interest on
        this  note was not  imputed,  as
        the Company considers the amount
        to be immaterial.                        $   54,500        $   72,500



                                      F-38

<PAGE>



                 EXTENDED FAMILY CARE CORPORATION AND SUBSIDIARY
              Notes to Consolidated Financial Statements, Continued




           
           Notes payable, non-interest bearing and
           payable on demand                                  --          80,000
           
           Due to Affiliated Parties (see note 7)           25,449        50,449
                                                          --------      --------
           
                      Notes payable and long-term debt      79,949       202,949
           
                      Less current portion                  43,449       148,449
                                                          --------      --------
           
                      Long-term debt                      $ 36,500      $ 54,500
                                                          ========      ========
           

(5)     PROPERTY AND EQUIPMENT

        Property and equipment consist of the following:


                                                             1996         1995
                                                           --------     --------
           Furniture and fixtures                          $ 64,095     $ 18,751
           Machinery and equipment                          229,872      167,108
           Leasehold improvements                            15,539        7,039
           Equipment held under capital leases              113,225       59,042
                                                           --------     --------
                                                            422,731      251,940
           
                      less accumulated depreciation and
                           amortization                     189,087      133,349
                                                           --------     --------
                                                           $233,644     $118,591
                                                           ========     ========

(6)     INCOME TAXES

        The provision for income taxes consists of the following:


                                    1996              1995
                                    ----              ----
Current
       Federal                  $      --         $      --
       State                           --                --
                                                        
                                $      --         $      --
                                -----------       -----------

Deferred
       Federal                  $    42,000       $   160,500
       State                         13,000            48,500
                                -----------       -----------
                                     55,000           209,000
                                $    55,000       $   209,000
                                ===========       ===========



                                      F-39

<PAGE>



                 EXTENDED FAMILY CARE CORPORATION AND SUBSIDIARY
              Notes to Consolidated Financial Statements, Continued



        Deferred tax assets consist of the following:


Pre-reorganization net operating loss carryforward    $  100,000      $  221,000
Allowance for doubtful accounts                           38,000          38,000
Other                                                     66,000             --
                                                      ----------      ----------

       Total deferred tax assets                      $  204,000      $  259,000
                                                      ==========      ==========

        The following is a  reconciliation  of the effective  income tax rate to
the Federal statutory rate:


Computed income tax (benefit) expense at 34%            $   25,000   $  162,000
Increase in taxes resulting from:

    Nondeductible expenses                                  22,000       15,000
    State income taxes, net of federal  tax benefit          8,000       32,000
    Other - effect of graduated tax rates                      --           --
                                                        $   55,000   $  209,000
                                                        ==========   ==========
                                                   
    At December  31, 1996,  the Company has a net  operating  loss  carryforward
    (NOL) of approximately  $575,000 for tax purposes,  expiring  beginning with
    the year 2000 through 2008.


(7)     RELATED PARTY TRANSACTIONS

Notes payable consist of the following at December 31:

<TABLE>
<CAPTION>
                                                                     1996        1995
                                                                     ----        ----
<S>                                                              <C>         <C>      
C.O.S.S. holds a note which is non-interest bearing, and
payable upon demand.                                             $  25,449   $  25,449

An officer of the  Company  holds a note which  bears an
interest rate of 11% and is payable upon demand.  Annual
interest   expense   amounted   to  $1,840  and  $3,238,
respectively.                                                          --       25,000
                                                                 $  25,449   $  50,449
                                                                 =========   =========
</TABLE>

        The landlord for the  Company's  corporate  office is an entity owned by
        C.O.S.S.  The annual rental is $43,837 per year,  and shall be increased
        by 12% over the  prior  year's  fixed  minimum  annual  rent.  The lease
        expires November 30, 2000.

        On  October  31,  1995,  EFCC  entered  into  an  agreement  with  Arbor
        Management,  LLC (in which Ivan  Kaufman owns a 99%  interest),  for two
        years by which EFCC will pay $7,500 a month to Arbor Management, LLC for
        management services, including accounting,  finance, human resources and
        marketing, rendered to the Company.



                                      F-40

<PAGE>



                 EXTENDED FAMILY CARE CORPORATION AND SUBSIDIARY
              Notes to Consolidated Financial Statements, Continued



(8)     PAYROLL TAXES PAYABLE/ACCRUED EXPENSES

        Federal  pre-petition  payroll tax  liabilities  were  settled  with the
        Internal  Revenue  Service for $175,000 in cash on  September  16, 1996,
        which  approximated  the amounts  recorded as payroll  taxes payable and
        accrued  interest and penalties for this claim. As of December 31, 1996,
        payroll taxes payable and accrued  expenses  included tax liabilities to
        various state government  agencies in the amounts of $52,437 and $5,775,
        respectively.

(9)     SALE OF BRANCH OPERATIONS

        On December 5, 1996,  TPC sold certain assets and  liabilities;  and its
        operations  of its Jersey City branch to Public  Services,  Inc (P.S.I.)
        for a $175,000,  six month, 9% promissory  note, plus an amount equal to
        12% of the gross revenues of P.S.I. in excess of $90,000 per month for a
        24 month period commencing on October 6, 1997. The Company  recognized a
        gain of  $24,617  on the sale of these  assets.  The  assets  from  this
        branch, remaining in the company, included cash and substantially all of
        its security deposits.

(10)    COMMITMENTS AND CONTINGENCIES

        TPC conducts its  operations  from leased office spaces in New York, New
        Jersey and  Pennsylvania.  These leases  expire at various dates through
        the year 2000. Management expects that in the normal course of business,
        these leases will be renewed or replaced by other  leases.  Rent expense
        for the years ended  December 31  amounted  to  $208,973  and  $104,965,
        respectively.

        The Company is also the lessee of machinery and equipment  under capital
        leases expiring in various years through 2001.

        As of December 31, future net minimum lease  payments  under capital and
        operating leases are as follows:


                                       CAPITAL            OPERATING
                                       -------            ---------
               1997                 $      22,850       $     203,482
               1998                        22,850             208,567
               1999                        21,984             201,093
               2000                        18,769             149,371
               2001                         6,116              66,150
               Thereafter                    --               260,313
                                    $      92,569       $   1,088,976
                                    =============       =============

        The gross amount of assets recorded under capital lease  obligations was
        $113,225 at December 31, 1996. Interest on the capital lease obligations
        was imputed and the Company considers the amount to be immaterial.



                                      F-41

<PAGE>



                 EXTENDED FAMILY CARE CORPORATION AND SUBSIDIARY
              Notes to Consolidated Financial Statements, Continued



(11)    FAIR VALUE OF FINANCIAL INSTRUMENTS

        FASB  Statement  No.  107,  "Disclosures  about Fair Value of  Financial
        Instruments",  defines the fair value of a financial  instrument  as the
        amount  at  which  the  instrument  could  be  exchanged  in  a  current
        transaction between willing parties. The carrying value of the Company's
        financial  instruments in the accompanying  balance sheets  approximates
        their fair value.

(12)    SUBSEQUENT EVENTS

        An "Agreement and Plan of Merger" (Merger),  was entered into on January
        3, 1997 between the Company and Star Multi Care Services,  Inc.  (Star),
        pursuant  to which  Star will  acquire  100% of the  outstanding  common
        shares of the  Company.  Under the terms of the  merger  agreement  EFCC
        shareholders will receive $2,400,000 in cash or approximately  $.064 per
        share and  $4,850,000  in Star common stock or  approximately  $.129 per
        share for total  consideration of $7,250,000 or approximately  $.193 per
        share,  after giving effect to the merger of TPC with and into EFCC (see
        below).  As part of the merger  agreement,  EFCC paid a $.0234 per share
        cash  dividend  on January 21,  1997 to all its common  shareholders  of
        record on January 13, 1997.

        It is  anticipated  that  the  Merger  will  be  treated  as a tax  free
        reorganization  for Federal  income tax purposes to the extent of Star's
        common stock received by EFCC's shareholders. This merger is expected to
        be  completed  by August  1997,  subject  to  approval  of EFCC and Star
        shareholders, certain state regulatory boards and other conditions.

        In  connection  with  the  Merger,  EFCC and Star  have  entered  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 Merger,
        (ii) the closing of the merger or (iii) the  termination  of the Merger.
        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 the closing date or the termination of the Merger Agreement.

        On  January  3,  1997,  Star and EFCC  also  entered  into a  management
        agreement (the "Management  Agreement") pursuant to which Star agreed to
        act as manager of EFCC. The Management  Agreement will become  effective
        upon approval of the  Commissioner  of the New York State  Department of
        Health (the  "Commissioner").  Pursuant to the Management Agreement Star
        will have the  authority and  responsibility  to conduct , supervise and
        effectively  manage  the  day-to-day  operation  of EFCC.  Star  will be
        expected to exercise the reasonable  judgment of a management company in
        its management activities.

        The Management Agreement may be terminated by the Commissioner,  without
        financial  penalty  to the  Board,  not more than  sixty (60) days after
        notification  to the parties of a  determination  that the management of
        EFCC is so  deficient  that the health and safety of  patients  would be
        threatened by continuation of the Management  Agreement.  The Management
        Agreement  may be  terminated  by the  Company  for cause on 14 business
        days'  notice  or  without  cause  on 60  days'  notice.  Unless  sooner
        terminated  in accordance  with terms of the  Management  Agreement,  or
        extended  or renewed by mutual  agreement  of the parties  thereto,  the
        Management Agreement will remain in effect until the closing of the Star
        Merger or December 31, 1998, whichever is sooner.


                                      F-42

<PAGE>



                 EXTENDED FAMILY CARE CORPORATION AND SUBSIDIARY
              Notes to Consolidated Financial Statements, Continued



        On March 18, 1997 the company  entered into a merger  agreement with its
        83% owned  subsidiary,  TPC, where EFCC will be the surviving entity. It
        is  anticipated  that the  minority  shareholders  of TPC  will  receive
        5,601,975  common shares of EFCC or 18.745545  common shares of EFCC for
        each common share of TPC upon the  completion of the merger.  TPC common
        stock owned by EFCC will be  cancelled  as a result of the merger and no
        EFCC common stock shall be issued to EFCC. This anticipated  merger will
        not be  conditioned  upon the completion of the merger of EFCC and Star.
        This merger is expected to close prior to the merger of EFCC and Star.


                                      F-43

<PAGE>
                 EXTENDED FAMILY CARE CORPORATION AND SUBSIDIARY

                      CONDENSED CONSOLIDATED BALANCE SHEET

                                 MARCH 31, 1997
                                   (Unaudited)
<TABLE>
<CAPTION>
                                     ASSETS
                                     ------
<S>                                                                                   <C>       
Current Assets:
    Cash                                                                              $  445,021
    Accounts receivable, net of allowance for doubtful accounts of $125,000            1,171,643
    Prepaid expenses and other current assets                                            440,874
                                                                                      ----------
              Total current assets                                                     2,057,538

Property and equipment, net                                                              217,897

Other assets:
    Deferred taxes                                                                       191,000
    License, net                                                                         466,233
    Other                                                                                 29,410
                                                                                      ----------
              Total assets                                                            $2,962,078
                                                                                      ==========

                      LIABILITIES AND SHAREHOLDERS' EQUITY
                      ------------------------------------
Current liabilities:
    Accounts payable and other accrued expenses                                       $  944,672
    Payroll taxes payable                                                                156,882
    Notes payable                                                                         43,449
    Other current liabilities                                                             97,410
                                                                                      ----------
              Total current liabilities                                                1,242,413
                                                                                      ----------

Non-current liabilities:
    Long-term debt                                                                        33,500
    Obligations under capital leases                                                      64,007
                                                                                      ----------
              Total non-current liabilities                                               97,507
                                                                                      ----------
                   Total liabilities                                                   1,339,920
                                                                                      ----------

Commitments and contingencies

Minority interest in subsidiary                                                          141,269

Shareholders' equity:
    Preferred stock, $.01 par value, 10,000,000 shares authorized in 1996                   --
    Common stock, $.01 par value, 50,000,000 shares authorized, 30,000,000 in 1996;
    32,000,226 issued and outstanding                                                    320,002
    Additional paid-in capital                                                         1,013,358
    Retained earnings                                                                    147,529
                                                                                      ----------
              Total shareholders' equity                                               1,480,889
                                                                                      ----------
         Total liabilities and shareholders' equity                                   $2,962,078
                                                                                      ==========
</TABLE>
See accompanying notes to unaudited condensed consolidated financial statements.


                                      F-44

<PAGE>

                 EXTENDED FAMILY CARE CORPORATION AND SUBSIDIARY

                 CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
                                   (Unaudited)

<TABLE>
<CAPTION>
                                                                     Three Months Ended
                                                                ---------------------------
                                                                  March 31,      March 31,
                                                                    1997           1996
                                                                ------------   ------------
<S>                                                             <C>            <C>         
Net patient service revenue                                     $  2,321,939   $  1,984,892
                                                                ------------   ------------

Cost of services                                                   1,525,058      1,246,264
                                                                ------------   ------------

                   Gross profit                                      796,881        738,628

Selling, general and administrative expenses                         753,594        838,512

         Provision for doubtful accounts                              25,000           --
                                                                ------------   ------------

         Income (loss) from operations                                18,287        (99,884)

Interest income (expense)                                              2,368         (2,343)
                                                                ------------   ------------

Income (loss) before provision (benefit) for income taxes and
    minority interest                                                 20,655       (102,227)

Provision (benefit) for income taxes                                  13,000        (38,500)
                                                                ------------   ------------

Net income (loss) before minority interest                             7,655        (63,727)

Minority interest in subsidiary net income (loss)                      1,620        (10,681)
                                                                ------------   ------------

Net income (loss)                                               $      6,035   $    (53,046)
                                                                ============   ============

Net income (loss) per share:
         Primary                                                $     0.0002   $    (0.0027)
                                                                ============   ============
         Fully Diluted                                          $     0.0002   $    (0.0027)
                                                                ============   ============

Weighted average number of shares outstanding:
         Primary                                                  32,000,226     19,300,229
                                                                ============   ============
         Fully Diluted                                            32,000,226     19,300,229
                                                                ============   ============
</TABLE>







                  See accompanying notes to unaudited condensed
                       consolidated financial statements.


                                      F-45

<PAGE>

                 EXTENDED FAMILY CARE CORPORATION AND SUBSIDIARY

                 CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
                                   (Unaudited)

<TABLE>
<CAPTION>
                                                                                                Three Months Ended
                                                                                           --------------------------
                                                                                            March 31,      March 31,
                                                                                              1997           1996
                                                                                           -----------    -----------
<S>                                                                                        <C>            <C>         
CASH FLOW FROM OPERATING ACTIVITIES:
    Net income (loss)                                                                      $     6,035    $   (53,046)
    Adjustments to reconcile net income (loss) to net cash used in operating activities:
         Allowance for doubtful accounts                                                        25,000           --
         Depreciation and amortization                                                          15,747         14,195
         Amortization of intangible assets                                                       9,920          9,920
         Provision (benefit) for income taxes                                                   13,000        (38,500)
         Minority interest in subsidiary net income (loss)                                       1,620        (10,681)
    Changes in operating assets and liabilities:
         (Increase) decrease in assets:
              Accounts receivable                                                             (130,366)      (199,226)
              Prepaid expenses and other current assets                                         55,311         12,038
              Other assets                                                                        --          (16,332)
         Increase (decrease) in liabilities:
              Accounts payable and accrued expenses                                            134,914         (9,502)
              Payroll taxes payable                                                              5,161         47,653
              Other liabilities                                                                  1,186         (2,922)
                                                                                           -----------    -----------

         Net cash provided by (used in) operating activities                                   137,528       (246,403)
                                                                                           -----------    -----------

CASH FLOW FROM INVESTING ACTIVITIES:
    Purchase of property and equipment                                                            --          (56,541)
                                                                                           -----------    -----------

         Net cash used in investing activities                                                    --          (56,541)
                                                                                           -----------    -----------

CASH FLOW FROM FINANCING ACTIVITIES:
    Payment of dividends                                                                      (749,990)          --
    Payment of obligations under capital leases                                                 (5,710)          --
    Repayment of loans                                                                          (3,000)        (4,500)
                                                                                           -----------    -----------

         Net cash used in financing activities                                                (758,700)        (4,500)
                                                                                           -----------    -----------

    Decrease in cash                                                                          (621,172)      (307,444)

    Cash at beginning of period                                                              1,066,193        511,563
                                                                                           -----------    -----------

    Cash at end of period                                                                  $   445,021    $   204,119
                                                                                           ===========    ===========

Supplemental disclosures:
    Cash paid during the period for:
         Interest                                                                          $        25    $       690
                                                                                           ===========    ===========
         Income taxes                                                                      $     2,525    $     1,333
                                                                                           ===========    ===========
</TABLE>

                  See accompanying notes to unaudited condensed
                       consolidated financial statements.

                                      F-46

<PAGE>


                 EXTENDED FAMILY CARE CORPORATION AND SUBSIDIARY

                          NOTES TO UNAUDITED CONDENSED
                        CONSOLIDATED FINANCIAL STATEMENTS

              THREE MONTHS ENDED MARCH 31, 1997 AND MARCH 31, 1996




1.   ADJUSTMENTS:

     The accompanying  unaudited condensed  consolidated financial statements of
     Extended Family Care Corporation ("EFCC") and its 83% owned subsidiary, TPC
     Home Care Services,  Inc. ("TPC")  (collectively,  the "Company") have been
     prepared in accordance with generally  accepted  accounting  principles for
     interim financial  information and with the instructions to Form 10-QSB and
     Regulation S-B. Accordingly,  these financial statements do not include all
     of the  information  and notes  required by generally  accepted  accounting
     principles for complete financial statements. In the opinion of management,
     all  adjustments  necessary for a fair  presentation  (consisting of normal
     recurring  accruals) have been included.  The results of operations for the
     three-months  ended March 31, 1997 are not  necessarily  indicative  of the
     results to be  expected  for the full year ended  December  31,  1997.  For
     further information, refer to the Company's audited consolidated statements
     for the fiscal year ended December 31, 1996.



2.   NET INCOME (LOSS) PER SHARE:

     Net income  (loss) per share is computed by dividing  net income  (loss) by
     the weighted  average number of shares of common stock  outstanding  during
     each period.

3.   SUBSEQUENT EVENTS:

     An Agreement and Plan of Merger (the "STAR Merger Agreement"),  was entered
     into on January 3, 1997  between the Company and Star Multi Care  Services,
     Inc. ("STAR"),  pursuant to which STAR will acquire 100% of the outstanding
     common  shares of the Company (the "STAR  Merger").  Under the terms of the
     STAR Merger Agreement the Company's shareholders will receive $2,400,000 in
     cash or  approximately  $.064 per share and $4,850,000 in STAR common stock
     or approximately  $.129 per share for total  consideration of $7,250,000 or
     approximately  $.193 per share. As part of the STAR Merger  Agreement,  the
     Company  paid a $.0234 per share cash  dividend  on January 21, 1997 to all
     its common shareholders of record on January 13, 1997.

     It  is  anticipated   that  the  Merger  will  be  treated  as  a  tax-free
     reorganization  for  Federal  income tax  purposes  to the extent of STAR's
     common stock received by the Company's shareholders. The Merger is expected
     to be completed by August 1997,  subject to approval of the  Company's  and
     STAR's shareholders, certain state regulatory boards and other conditions.

     In  connection  with the Merger,  the Company and STAR have  entered into a
     consulting  agreement (the "Consulting  Agreement")  pursuant to which STAR
     will render to the Company  consulting and advisory  services in connection
     with the management,  operation and supervision of the Company. The term of
     the Consulting  Agreement shall end on the earlier of (I) one year from the
     signing  of the  Merger,  (ii) the  closing  of the  Merger  or  (iii)  the
     termination  of  the  STAR  Merger  Agreement.  In  consideration  for  the
     consulting  services  to be rendered  by STAR,  the  Company  will pay STAR
     $25,000 per month, payable (a) $15,000 in


                                      F-47

<PAGE>


                 EXTENDED FAMILY CARE CORPORATION AND SUBSIDIARY

                          NOTES TO UNAUDITED CONDENSED
                        CONSOLIDATED FINANCIAL STATEMENTS

              THREE MONTHS ENDED MARCH 31, 1997 AND MARCH 31, 1996


     arrears on the last day of each month and (b) the remaining  $10,000 on the
     earlier to occur of the closing date or the  termination of the STAR Merger
     Agreement.

     On January 3, 1997,  the Company and STAR also  entered  into a  management
     agreement (the "Management Agreement") pursuant to which STAR agreed to act
     as manager of the Company.  The Management  Agreement will become effective
     upon  approval  of the  Commissioner  of the New York State  Department  of
     Health (the "Commissioner"). Pursuant to the Management Agreement STAR will
     have the authority and responsibility to conduct, supervise and effectively
     manage the  day-to-day  operation of the Company.  STAR will be expected to
     exercise the reasonable  judgment of a management company in its management
     activities.

     The  Management  Agreement may be terminated by the  Commissioner,  without
     financial  penalty to the  Company's  Board,  not more than sixty (60) days
     after notification to the parties of a determination that the management of
     the Company is so deficient that the health and safety of patients would be
     threatened by  continuation  of the  Management  Agreement.  The Management
     Agreement may be terminated by EFCC for cause on 14 business days notice on
     without  cause or 60 days notice.  Unless  sooner  terminated in accordance
     with terms of the  Management  Agreement,  or extended or renewed by mutual
     agreement of the parties thereto,  the Management  Agreement will remain in
     effect  until the  effective  time of the STAR Merger or December 31, 1998,
     whichever is sooner.

     On March 18, 1997 EFCC entered into a merger  agreement  with its 83% owned
     subsidiary,  TPC Home Care Services,  Inc. ("TPC"),  pursuant to which EFCC
     will be the surviving entity (the "TPC Merger).  It is anticipated that the
     minority  shareholders of TPC will received 5,601,975 common shares of EFCC
     or  18.74555  common  shares  of EFCC  for  each  common  share of TPC upon
     completion  of the TPC  Merger.  TPC  common  stock  owned by EFCC  will be
     canceled as a result of the TPC Merger and no EFCC stock shall be issued to
     EFCC in  connection  therewith.  This  anticipated  TPC Merger  will not be
     conditioned  upon the  completion  of the Merger of EFCC and STAR.  The TPC
     Merger is expected to close prior to the Merger of EFCC and STAR.




                                      F-48

<PAGE>



                                                                         Annex A





                          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


                                                                            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


                                      A-i

<PAGE>


                           TABLE OF CONTENTS (cont'd)


                                                                            PAGE


     4.7     Litigation.......................................................15
     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



                                      A-ii
<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


                                      A-iii

<PAGE>


                     TABLE OF CONTENTS (cont'd)


                                                                            PAGE


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


                                    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


                                      A-iv


<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,



                                      A-1
<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



                                      A-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:






                                      A-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





                                      A-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





                                      A-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





                                      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.




                                      A-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




                                      A-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




                                      A-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




                                      A-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.






                                      A-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





                                      A-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





                                      A-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.






                                      A-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




                                      A-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




                                      A-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




                                      A-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.





                                      A-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



                                      A-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,



                                      A-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




                                      A-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.




                                      A-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;




                                      A-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




                                      A-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.






                                      A-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



                                      A-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



                                      A-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



                                      A-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



                                      A-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.




                                      A-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.



                                      A-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.




                                      A-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.



                                      A-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



                                      A-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



                                      A-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.




                                      A-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.



                                      A-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



                                      A-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.





                                      A-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



                                      A-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



                                      A-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



                                      A-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.




                                      A-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.




                                      A-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




                                      A-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.





                                      A-46
<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,






                                      A-47
<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


                                      A-48
<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.






                                      A-49
<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



                                      A-50

<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



                                      A-51
<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



                                      A-52
<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.



                                      A-53
<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.




                                      A-54
<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:_______________________




                                      A-55
<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.




                                      A-56
<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



                                      A-57
<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



                                      A-58
<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



                                      A-59
<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.




                                      A-60
<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



                                      A-61
<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



                                      A-62
<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:



                                      A-63
<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



                                      A-64
<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





                                      A-65
<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:   President and Member



                                                /S/ IVAN KAUFMAN
                                               --------------------------
                                               IVAN KAUFMAN
                                            
                                            Acknowledged and Accepted by:
                                            
                                            EXTENDED FAMILY CARE CORPORATION


                                            By:  /S/ JOSEPH HELLER
                                               --------------------------
                                               Name: Joseph Heller
                                               Title:   Vice President
                                            
                                            
                                            

                                      A-66
<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





                                      A-67
<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




                                      A-68
<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: President and Member





                                      A-69
<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 __, 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.






                                      A-70
<PAGE>



Dated:  January __, 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: President and Member




                                      A-71
<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."





                                      A-72
<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,



                                      A-73
<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



                                      A-74
<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



                                      A-75
<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




                                      A-76
<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.




                                      A-77
<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.



                                      A-78
<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:_____________________________



                                      A-79
<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



                                      A-80
<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,




                                      A-81
<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



                                      A-82
<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:





                                      A-83
<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.





                                      A-84
<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




                                      A-85
<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.




                                      A-86
<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.





                                      A-87
<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.



                                      A-88
<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.




                                      A-89
<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.




                                      A-90
<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



                                      A-91
<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.




                                      A-92
<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



                                      A-93
<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.




                                      A-94
<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
                                              ----------------------------




                                      A-95
<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.




                                      A-96
<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




                                      A-97
<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.




                                      A-98
<PAGE>



                 PART II. INFORMATION NOT REQUIRED IN PROSPECTUS

ITEM 20.   INDEMNIFICATION OF DIRECTORS AND OFFICERS

           (a)        Section  722 of the  New  York  Business  Corporation  Law
("BCL")  permits,  in general,  a New York  corporation  to indemnify any person
made,  or threatened to be made, a party to an action or proceeding by reason of
the fact that he or she was a director or officer of the corporation,  or served
another  entity in any capacity at the request of the  corporation,  against any
judgment,  fines, amounts paid in settlement and reasonable expenses,  including
attorneys' fees actually and necessarily  incurred as a result of such action or
proceeding,  or any appeal  therein,  if such person acted in good faith,  for a
purpose he or she  reasonably  believed to be in, or, in the case of service for
another entity,  not opposed to, the best interests of the  corporation  and, in
criminal actions or proceedings,  in addition had no reasonable cause to believe
that  his or her  conduct  was  unlawful.  Section  723 of the BCL  permits  the
corporation  to  pay in  advance  of a  final  disposition  of  such  action  or
proceeding  the expenses  incurred in defending  such action or proceeding  upon
receipt of an  undertaking  by or on behalf of the  director or officer to repay
such amount as, and to the extent,  required by statute.  Section 721 of the BCL
provides that indemnification and advancement of expense provisions contained in
the BCL shall not be  deemed  exclusive  of any  rights to which a  director  or
officer  seeking  indemnification  or  advancement  of expenses may be entitled,
whether  contained in the  certificate  of  incorporation  or the by-laws of the
corporation or, when authorized by such certificate of incorporation or by-laws,
(i) a resolution  of  shareholders,  (ii) a resolution  of directors or (iii) an
agreement,  provided no indemnification may be made on behalf of any director or
officer if a judgment or other  final  adjudication  adverse to the  director or
officer establishes that his or her acts were committed in bad faith or were the
result of active or  deliberate  dishonesty  and were  material  to the cause of
action so adjudicated,  or that he or she personally  gained in fact a financial
profit or other advantage to which he or she was not legally entitled.

           (b)        STAR's  Certificate of  Incorporation  provides in Article
Twelfth as follows: TWELFTH: To the fullest extent now or hereafter provided for
or permitted by law, no director of the Company  shall be  personally  liable to
the  Company  or its  shareholders  for  damages  for any breach of duty in such
capacity.  Neither the  amendment  or repeal of this  Article  Twelfth,  nor the
adoption of any provision of the Certificate of Incorporation  inconsistent with
this Article  Twelfth,  shall eliminate or reduce the protection by this Article
Twelfth to a director of the Company in respect to any matter which occurred, or
any cause of action, suit or claim which but for this Article Twelfth would have
accrued or arisen prior to such amendment, repeal or adoption.

           (c)        Article X of STAR's  By-Laws  provides,  in general,  that
STAR shall indemnify any officer or director  (including  officers and directors
serving another corporation, partnership, joint venture, trust, employee benefit
plan or other  enterprise in any capacity at STAR's request) made, or threatened
to be  made,  a party to an  action  or  proceeding  (whether  civil,  criminal,
administrative  or  investigative)  by  reason  of the  fact  that he or she was
serving in any of those capacities  against  judgments,  fines,  amounts paid in
settlement  and reasonable  expenses  (including  attorneys'  fees) actually and
necessarily  incurred in  connection  with the defense of or as a result of such
action or proceeding or in connection with any appeal  thereof.  Indemnification
is not  available  under  Article X if a judgment  or other  final  adjudication
adverse to such  director or officer  establishes  that (i) his or her acts were
committed  in bad faith or were the result of active and  deliberate  dishonesty
and, in either case,  were  material to the cause of action so  adjudicated,  or
(ii) he or she personally  gained in fact a financial  profit or other advantage
to which he or she was not legally entitled.

           (d)        Pursuant  to  By-law  Article  X,  STAR has  entered  into
indemnification  agreements with certain of its directors and officers providing
for the indemnification of such directors and officers in derivative actions, as
well as with respect to third party actions. The BCL mandates indemnification in
derivative actions if the officer or director has been successful, on the merits
or otherwise, in the defense of the action. The indemnification  agreements,  as
well as Section  722 of the BCL,  do not permit  indemnification  in  derivative
actions for (a)  proceedings  which are settled or otherwise  disposed of or (b)
claims to which a person has been adjudged to be liable,  unless court approved.
However,  in  reliance  on  Section  721 of the  BCL,  which  provides  that the
statutory indemnification provisions are not exclusive of other rights which may
be provided to an officer or director seeking indemnification,  By-law Article X
also  extends  the right of  indemnification  to  settlements  and  unsuccessful
defenses of derivative  actions  without the necessity of a court  determination
provided the person seeking  indemnification meets the standard described in the
preceding  paragraph.  STAR is not  aware of any  judicial  determination  as to
whether  indemnification  provisions such as those related to derivative actions
in By-Law Article X (which, by their terms,  exceed the scope of BCL Section 722
but where the standard of conduct set forth in BCL Section 721 has been met) are
enforceable pursuant to such nonexclusivity provision.



                                      II-1

<PAGE>



           (e)        By-law  Article  X, like the  indemnification  agreements,
provides that the expenses  incurred in defending any action to which a director
or officer may be entitled to indemnification shall be advanced by STAR prior to
the final  disposition  of the action as long as the  indemnitee  undertakes  to
repay such  advances  if  required by law.  STAR has been  advised  that the BCL
currently  requires that an officer or director undertake to repay such advances
to the extent they exceed the amount to which the officer or director ultimately
is  entitled.  The period of time  within  which STAR is to advance  expenses is
fifteen  days after  request;  the time period  within  which STAR is to provide
indemnification after request is thirty days.

           (f)        By-law  Article X, which by its terms is not the exclusive
basis for  granting  rights  to  indemnification  or  advancement  of  expenses,
establishes  procedures for processing  indemnification  requests,  confirms the
authority of STAR to maintain indemnification insurance and prohibits the repeal
of By-law  Article X  retroactively.  By-law  Article  X also  provides  that it
applies,  to the fullest extent permitted by law, to acts or omissions occurring
prior to its  adoption.  By-law  Article X further  stipulates  that the  rights
granted  therein  are  contractual  in  nature,  which is meant to  prevent  any
retroactive  denial or reduction of indemnification if By-law Article X is later
amended.

           (g)        Under  By-law   Article  X,  the  Board  of  Directors  is
permitted,  to the fullest extent  permitted by law, to establish an appropriate
scope of and procedure for the  indemnification  of, and advancement of expenses
to,   employees  and  other  persons  to  whom  STAR  is  permitted  to  provide
indemnification or advancement of expenses.




                                      II-2

<PAGE>



ITEM 21.   EXHIBITS

Exhibit No.          Exhibit
- -----------          -------

     2.     (a)         Agreement   and  Plan  of  Merger   among   STAR,   EFCC
                        Acquisition  Corp. and Extended Family Care  Corporation
                        dated as of January 3, 1997. (Filed as Appendix A to the
                        Joint Proxy Statement/Prospectus).
            (b)  **     First  Amendment  to  Agreement and Plan of Merger among
                        STAR,  EFCC Acquisition  Corp. and  Extended Family Care
                        Corporation, dated April 6, 1997.

     3.     (a)  *      STAR's   Certificate  of  Incorporation  filed April 25,
                        1961.
            (b)  *      STAR's   Certificate  of  Amendment  to  Certificate  of
                        Incorporation filed February 22, 1989.
            (c)  *      STAR's  Certificate  of   Amendment  to  Certificate  of
                        Incorporation filed December 4, 1990.
            (d)         STAR's   Certificate  of  Amendment  to  Certificate  of
                        Incorporation  filed February 3, 1994.  (Incorporated by
                        reference  to Exhibit 3 (d) to STAR's  Annual  Report on
                        Form 10-KSB for the fiscal year ended May 31, 1994.)
            (e)         STAR's  Certificate  of  Change  filed  March  2,  1995.
                        (Incorporated  by  reference  to Exhibit  3(e) to STAR's
                        Annual  Report on Form  10-KSB for the fiscal year ended
                        May 31, 1995.)
            (f)         STAR's  By-Laws,  as amended on  November  18,  1992 and
                        September  13,  1993.   (Incorporated  by  reference  to
                        Exhibit 3 (e) to STAR's Annual Report on Form 10-KSB for
                        the fiscal year ended May 31, 1994.)

     5.     (a)  **     Opinion of Parker Chapin Flattau & Klimpl, LLP.
     8.     (a)  **     Opinion of Meltzer, Lippe, Goldstein, Wolf & Schlissel, 
                        P.C.
    10.     (a)  *      Form  of  Indemnification  Agreement  between  STAR  and
                        Stephen Sternbach.
            (b)         Employment  Agreement,  dated  as of  December  3,  1995
                        between  STAR and Stephen  Sternbach.  (Incorporated  by
                        reference to Exhibit 10.(x) to STAR's  Quarterly  Report
                        on Form 10-QSB for the quarterly  period ended  February
                        29, 1996.)
            (c)  *      STAR's 1991 Incentive Stock Option Plan
            (d)         STAR's 1992 Incentive  Stock Option Plan (as amended and
                        restated September 13, 1993). (Incorporated by reference
                        to Exhibit 10 (h) to STAR's Annual Report on Form 10-KSB
                        for the fiscal year ended May 31, 1994.)
            (e)         Amendment  No.  1 to  STAR's  1992  Stock  Option  Plan.
                        (Incorporated  by reference to Exhibit  10.(z) to STAR's
                        Quarterly Report on Form 10-QSB for the quarterly period
                        ended February 29, 1996.)
            (f)         STAR's  Employee  Stock  Purchase  Plan,  as  amended on
                        December 15, 1995. (Incorporated by reference to Exhibit
                        10.(y) to STAR's Quarterly Report on Form 10-QSB for the
                        quarterly period ended February 26, 1996.)
            (g)         Form of Incentive Stock Option Contract (Incorporated by
                        reference to Exhibit  10(j) to STAR's  Annual  Report on
                        Form 10-K for the fiscal year ended May 31, 1993.)
            (h)  *      Agreement  relating to purchase  of  STAR among  Stephen
                        Sternbach,  Renee  Starr and Leonard  Taubenblatt  dated
                        December 31, 1986.
            (i)  *      New   York  State   Department  of   Consumer   Affairs
                        Employment Agency License.
            (j)  *      New York State Health Department Home Care License.
            (k)  *      New Jersey Employment Agency License.
            (l)         Form  of  Indemnification  Agreement  between  STAR  and
                        directors  and officers.  (Incorporated  by reference to
                        Exhibit  10(k) to STAR's  Annual Report on Form 10-K for
                        the fiscal year ended May 31, 1992.)
            (m)         Asset Purchase Agreement dated as of November 1, 1991 by
                        and among Unity Care Services,  Inc.,  Unity  Healthcare
                        Holding  Company,   Inc.  and  STAR.   (Incorporated  by
                        reference to Exhibit 10 (l) to STAR's  Annual  Report on
                        Form 10-K for the fiscal year ended May 31, 1992.)
            (n)         Asset Purchase  Agreement  dated January 30, 1992 by and
                        among Unity Healthcare Holding Company, Inc., Unity Care
                        Services,  Inc. and STAR.  (Incorporated by reference to
                        Exhibit 10.1 to STAR's  Current Report on Form 8-K dated
                        May 26, 1992.)
            (o)         Asset Purchase  Agreement  dated January 30, 1992 by and
                        between  Unity  Home  Care of  Florida,  Inc.  and STAR.
                        (Incorporated  by  reference  to Exhibit  10.2 to STAR's
                        Current Report on Form 8-K dated May 26, 1992.)



<PAGE>



            (p)         Employment  Agreement  dated February 15, 1990,  between
                        Alan Spector and STAR, as assignee of Unity Home Care of
                        Florida,  Inc.  (Incorporated  by  reference  to Exhibit
                        10(o)  to  STAR's  Annual  Report  on Form  10-K for the
                        fiscal year ended May 31, 1992.)
            (q)         Asset Purchase  Agreement  dated November 8, 1993 by and
                        between DSI Health Care  Services,  Inc.  and Star Multi
                        Care  Services  of Long  Island,  Inc.,  a wholly  owned
                        subsidiary  of  STAR.   (Incorporated  by  reference  to
                        Exhibit 10.1 to STAR's  Current Report on Form 8-K dated
                        November 22, 1993.)
            (r)         Asset Purchase Agreement dated as of January 6, 1995, as
                        amended,  by and between Long Island  Nursing  Registry,
                        Inc. and STAR.  (Incorporated by reference to Exhibit 21
                        to  STAR's  Current  Report  on Form 8-K  dated  May 19,
                        1995.)
            (s)         Employment  Agreement  dated May 19, 1995 by and between
                        STAR and Gregory Turchan.  (Incorporated by reference to
                        Exhibit 99.1 to STAR's  Current Report on Form 8-K dated
                        May 19, 1995.)
            (t)         Loan  Agreement  dated  November  1, 1995 by and between
                        STAR and Chase  Manhattan Bank,  N.A.  (Incorporated  by
                        reference to Exhibit 10.(w) to STAR's  Quarterly  Report
                        on Form 10-QSB for the quarterly  period ended  November
                        30, 1995.)
    16.     (a)         Letter dated April 25, 1995, as amended, from Deloitte &
                        Touche LLP to the  Securities  and Exchange  Commission.
                        (Incorporated  by reference to EFCC's  Current Report on
                        Form 8-K/A dated March 21, 1995.)
   23.      (a)  **     Consent of Holtz Rubenstein & Co., LLP
            (b)  **     Consent of Ernst & Young LLP
            (c)  **     Consent of Deloitte & Touche LLP
            (d)  **     Consent of Carpenter & Onorato, P.C.
            (e)         Consent of Parker Chapin Flattau & Klimpl, LLP (included
                        in  their   opinion   filed  as  Exhibit  5(a)  to  this
                        Registration Statement).
            (f)         Consent of Meltzer, Lippe, Goldstein,  Wolf & Schlissel,
                        P.C. (included in their opinion filed as Exhibit 8(a) to
                        this Registration Statement).
            (g)  **     Consent of Telesis Mergers & Acquisitions, Inc.
            (h)  **     Consent of Broad & Cassel
    24.     (a)  **     Power  of  attorney of certain officers and directors of
                        STAR.  (Included on Signature Page).
    99.     (a)  **     Form of STAR Proxy Card.
            (b)  **     Form of EFCC Proxy Card.

- -------------------
*    Incorporated  by  reference to STAR's  Registration  Statement on Form S-18
     dated May 14, 1991. (Registration No. 33-39697-NY)
**   Filed herewith.



                                      II-4

<PAGE>



ITEM 22.   UNDERTAKINGS.

     (a)(1) The undersigned registrant hereby undertakes:

     (A) To file,  during any period in which  offers or sales are being made, a
post-effective amendment to this registration statement:

                      (i)        To include any  prospectus  required by Section
10(a)(3) of the Securities Act of 1933;

                      (ii)       To  reflect  in the  prospectus  any  facts  or
events which,  individually or together,  represent a fundamental  change in the
information set forth in the registration statement.

                      (iii)   To include any material  information  with respect
to the plan of distribution.

     (B)  For  determining  liability  under  the  Securities  Act,  treat  each
post-effective  amendment  as a new  registration  statement  of the  securities
offered,  and the offering of the securities at that time to be the initial bona
fide offering.

     (C)  To remove from registration by means of a post-effective amendment any
of the securities being registered which remain unsold at the termination of the
offering.

     (2)  Insofar  as   indemnification   for  liabilities   arising  under  the
Securities Act of 1933 may be permitted to directors,  officers and  controlling
persons of the registrant  pursuant to the foregoing  provisions,  or otherwise,
the  registrant  has been  advised  that in the  opinion of the  Securities  and
Exchange  Commission such  indemnification is against public policy as expressed
in the Act and is,  therefore,  unenforceable.  In the  event  that a claim  for
indemnification  against  such  liabilities  (other  than  the  payment  by  the
registrant  of  expenses  incurred  or  paid  for  by  a  director,  officer  or
controlling  person of the registrant in the  successful  defense of any action,
suit or proceeding) is asserted by such director,  officer or controlling person
in connection with the securities being registered,  the registrant will, unless
in the  opinion  of its  counsel  the matter  had been  settled  by  controlling
precedent, submit to a court of appropriate jurisdiction the question of whether
such  indemnification by it is against public policy as expressed in the Act and
will be governed by the final adjudication of such issue.

           (b)        The undersigned registrant hereby undertakes to respond to
requests for  information  that is incorporated by reference into the prospectus
pursuant to Item 4, 10(b),  11, or 13 of this form,  within one  business day of
receipt of such request,  and to send the incorporated  documents by first class
mail or other equally  prompt  means.  This  includes  information  contained in
documents filed subsequent to the effective date of the  registration  statement
through the date of responding to the request.

           (c)        The undersigned  registrant hereby undertakes to supply by
means of a post-effective  amendment all information concerning the transaction,
and the company being acquired involved therein, that was not the subject of and
included in the registration statement when it became effective.

           (d)        The undersigned  registrant  hereby  undertakes  that, for
purposes of determining  any liability  under the  Securities Act of 1933,  each
filing of the  registrant's  annual report pursuant to Section 13(a) or 15(d) of
the  Securities  Exchange Act of 1934 that is  incorporated  by reference in the
registration  statement  shall  be  deemed  to be a new  registration  statement
relating to the securities offered therein,  and the offering of such securities
at that time shall be deemed to be the initial bona fide offering thereof.



                                      II-5

<PAGE>



                                   SIGNATURES


           Pursuant  to the  requirements  of the  Securities  Act of 1933,  the
registrant  has duly  caused  this  Registration  Statement  to be signed on its
behalf by the undersigned, thereunto duly authorized, in the City of Hicksville,
State of New York on the 28th day of July 1997.


                                             STAR MULTI CARE SERVICES, INC.


                                             By: /s/ Stephen Sternbach
                                                 -----------------------------
                                                 Stephen Sternbach
                                                 President and Chief Executive
                                                 Officer

           Pursuant  to the  requirements  of the  Securities  Act of  1933,  as
amended, this Registration Statement has been signed by the following persons in
the capacities and on the dates  indicated,  each of whom also  constitutes  and
appoints Stephen Sternbach and William Fellerman, acting singly or together, his
true and lawful  attorney-in-fact and agent, with full power of substitution and
resubstitution for him in any and all capacities, to sign any and all amendments
and post-effective  amendments to this Registration  Statement,  and to file the
same, with exhibits thereto and any other documents in connection therewith with
the Securities and Exchange Commission,  granting unto each attorney-in-fact and
agent full power and  authority  to do and perform  each and every act and thing
requisite and necessary in connection  with such matters,  and hereby  ratifying
and  confirming  all that each  attorney-in-fact  and agent or his substitute or
substitutes may lawfully do or cause to be done by virtue hereof.

SIGNATURE                                   TITLE                     DATE


/s/ Stephen Sternbach        Chairman of the Board of              July 28, 1997
- ----------------------       Directors, President and Chief
Stephen Sternbach            Executive Officer (Principal 
                             Executive Officer)
                                            


/s/William Fellerman         Chief Financial Officer,             July 28, 1997
- ----------------------       Secretary, Treasurer and
William Fellerman            Director (Principal Financial
                             and Accounting Officer)



/s/ John P. Innes II         Director                             July 28, 1997
- ----------------------
John P. Innes II


/s/Matthew Solof             Director                             July 28, 1997
- ----------------------
Matthew Solof



/s/ Charles Berdan           Director                             July 28, 1997
- ----------------------
Charles Berdan


/s/Gary L. Weinberger        Director                             July 28, 1997
- ----------------------
Gary L. Weinberger


/s/ Melvin L. Katten         Director                             July 28, 1997
- ----------------------
Melvin L. Katten



<PAGE>



                                  EXHIBIT INDEX
                                  -------------

Exhibit No.          Exhibit
- -----------          -------

     2.     (a)         Agreement   and  Plan  of  Merger   among   STAR,   EFCC
                        Acquisition  Corp. and Extended Family Care  Corporation
                        dated as of January 3, 1997. (Filed as Appendix A to the
                        Joint Proxy Statement/Prospectus).
            (b)  **     First  Amendment  to  Agreement and Plan of Merger among
                        STAR,  EFCC Acquisition  Corp. and  Extended Family Care
                        Corporation, dated April 6, 1997.

     3.     (a)  *      STAR's   Certificate  of  Incorporation  filed April 25,
                        1961.
            (b)  *      STAR's   Certificate  of  Amendment  to  Certificate  of
                        Incorporation filed February 22, 1989.
            (c)  *      STAR's  Certificate  of   Amendment  to  Certificate  of
                        Incorporation filed December 4, 1990.
            (d)         STAR's   Certificate  of  Amendment  to  Certificate  of
                        Incorporation  filed February 3, 1994.  (Incorporated by
                        reference  to Exhibit 3 (d) to STAR's  Annual  Report on
                        Form 10-KSB for the fiscal year ended May 31, 1994.)
            (e)         STAR's  Certificate  of  Change  filed  March  2,  1995.
                        (Incorporated  by  reference  to Exhibit  3(e) to STAR's
                        Annual  Report on Form  10-KSB for the fiscal year ended
                        May 31, 1995.)
            (f)         STAR's  By-Laws,  as amended on  November  18,  1992 and
                        September  13,  1993.   (Incorporated  by  reference  to
                        Exhibit 3 (e) to STAR's Annual Report on Form 10-KSB for
                        the fiscal year ended May 31, 1994.)

     5.     (a)  **     Opinion of Parker Chapin Flattau & Klimpl, LLP.
     8.     (a)  **     Opinion of Meltzer, Lippe, Goldstein, Wolf & Schlissel, 
                        P.C.
    10.     (a)  *      Form  of  Indemnification  Agreement  between  STAR  and
                        Stephen Sternbach.
            (b)         Employment  Agreement,  dated  as of  December  3,  1995
                        between  STAR and Stephen  Sternbach.  (Incorporated  by
                        reference to Exhibit 10.(x) to STAR's  Quarterly  Report
                        on Form 10-QSB for the quarterly  period ended  February
                        29, 1996.)
            (c)  *      STAR's 1991 Incentive Stock Option Plan
            (d)         STAR's 1992 Incentive  Stock Option Plan (as amended and
                        restated September 13, 1993). (Incorporated by reference
                        to Exhibit 10 (h) to STAR's Annual Report on Form 10-KSB
                        for the fiscal year ended May 31, 1994.)
            (e)         Amendment  No.  1 to  STAR's  1992  Stock  Option  Plan.
                        (Incorporated  by reference to Exhibit  10.(z) to STAR's
                        Quarterly Report on Form 10-QSB for the quarterly period
                        ended February 29, 1996.)
            (f)         STAR's  Employee  Stock  Purchase  Plan,  as  amended on
                        December 15, 1995. (Incorporated by reference to Exhibit
                        10.(y) to STAR's Quarterly Report on Form 10-QSB for the
                        quarterly period ended February 26, 1996.)
            (g)         Form of Incentive Stock Option Contract (Incorporated by
                        reference to Exhibit  10(j) to STAR's  Annual  Report on
                        Form 10-K for the fiscal year ended May 31, 1993.)
            (h)  *      Agreement  relating to purchase  of  STAR among  Stephen
                        Sternbach,  Renee  Starr and Leonard  Taubenblatt  dated
                        December 31, 1986.
            (i)  *      New   York  State   Department  of   Consumer   Affairs
                        Employment Agency License.
            (j)  *      New York State Health Department Home Care License.
            (k)  *      New Jersey Employment Agency License.
            (l)         Form  of  Indemnification  Agreement  between  STAR  and
                        directors  and officers.  (Incorporated  by reference to
                        Exhibit  10(k) to STAR's  Annual Report on Form 10-K for
                        the fiscal year ended May 31, 1992.)
            (m)         Asset Purchase Agreement dated as of November 1, 1991 by
                        and among Unity Care Services,  Inc.,  Unity  Healthcare
                        Holding  Company,   Inc.  and  STAR.   (Incorporated  by
                        reference to Exhibit 10 (l) to STAR's  Annual  Report on
                        Form 10-K for the fiscal year ended May 31, 1992.)
            (n)         Asset Purchase  Agreement  dated January 30, 1992 by and
                        among Unity Healthcare Holding Company, Inc., Unity Care
                        Services,  Inc. and STAR.  (Incorporated by reference to
                        Exhibit 10.1 to STAR's  Current Report on Form 8-K dated
                        May 26, 1992.)
            (o)         Asset Purchase  Agreement  dated January 30, 1992 by and
                        between  Unity  Home  Care of  Florida,  Inc.  and STAR.
                        (Incorporated  by  reference  to Exhibit  10.2 to STAR's
                        Current Report on Form 8-K dated May 26, 1992.)



<PAGE>



            (p)         Employment  Agreement  dated February 15, 1990,  between
                        Alan Spector and STAR, as assignee of Unity Home Care of
                        Florida,  Inc.  (Incorporated  by  reference  to Exhibit
                        10(o)  to  STAR's  Annual  Report  on Form  10-K for the
                        fiscal year ended May 31, 1992.)
            (q)         Asset Purchase  Agreement  dated November 8, 1993 by and
                        between DSI Health Care  Services,  Inc.  and Star Multi
                        Care  Services  of Long  Island,  Inc.,  a wholly  owned
                        subsidiary  of  STAR.   (Incorporated  by  reference  to
                        Exhibit 10.1 to STAR's  Current Report on Form 8-K dated
                        November 22, 1993.)
            (r)         Asset Purchase Agreement dated as of January 6, 1995, as
                        amended,  by and between Long Island  Nursing  Registry,
                        Inc. and STAR.  (Incorporated by reference to Exhibit 21
                        to  STAR's  Current  Report  on Form 8-K  dated  May 19,
                        1995.)
            (s)         Employment  Agreement  dated May 19, 1995 by and between
                        STAR and Gregory Turchan.  (Incorporated by reference to
                        Exhibit 99.1 to STAR's  Current Report on Form 8-K dated
                        May 19, 1995.)
            (t)         Loan  Agreement  dated  November  1, 1995 by and between
                        STAR and Chase  Manhattan Bank,  N.A.  (Incorporated  by
                        reference to Exhibit 10.(w) to STAR's  Quarterly  Report
                        on Form 10-QSB for the quarterly  period ended  November
                        30, 1995.)
   16.      (a)         Letter dated April 25, 1995, as amended, from Deloitte &
                        Touche LLP to the  Securities  and Exchange  Commission.
                        (Incorporated  by reference to EFCC's  Current Report on
                        Form 8-K/A dated March 21, 1995.)
   23.      (a)  **     Consent of Holtz Rubenstein & Co., LLP
            (b)  **     Consent of Ernst & Young LLP
            (c)  **     Consent of Deloitte & Touche LLP
            (d)  **     Consent of Carpenter & Onorato, P.C.
            (e)         Consent of Parker Chapin Flattau & Klimpl, LLP (included
                        in  their   opinion   filed  as  Exhibit  5(a)  to  this
                        Registration Statement).
            (f)         Consent of Meltzer, Lippe, Goldstein,  Wolf & Schlissel,
                        P.C. (included in their opinion filed as Exhibit 8(a) to
                        this Registration Statement).
            (g)  **     Consent of Telesis Mergers & Acquisitions, Inc.
            (h)  **     Consent of Broad & Cassel
    24.     (a)  **     Power  of  attorney of certain officers and directors of
                        STAR.  (Included on Signature Page).
    99.     (a)  **     Form of STAR Proxy Card.
            (b)  **     Form of EFCC Proxy Card.

- -------------------
*    Incorporated  by  reference to STAR's  Registration  Statement on Form S-18
     dated May 14, 1991. (Registration No. 33- 39697-NY)
**   Filed herewith.

<PAGE>

                         STAR MULTI CARE SERVICES, INC.

CROSS-REFERENCE SHEET BETWEEN ITEMS IN FORM S-4 AND
JOINT PROXY STATEMENT/PROSPECTUS PURSUANT TO
ITEM 501(b) OF REGULATION S-K.



ITEM                                                   CAPTION IN JOINT PROXY
 NO.                  FORM  S-4 CAPTION                STATEMENT/PROSPECTUS  
- ----                  -----------------                ----------------------

1.             Forepart of Registration  
               Statement and Outside Front
               Cover Page of Prospectus......Facing    Page   of    Registration
                                             Statement; Outside Front Cover Page

2.             Inside Front and Outside  
               Back Cover Pages of 
               Prospectus....................Inside Front Cover Page;  Available
                                             Information; Table of Contents

3.             Risk Factors, Ratio of 
               Earnings to Fixed Charges and
               Other Information.............Summary;     Summary     Historical
                                             Consolidated     Financial    Data;
                                             Comparative  Per Share  Data;  Risk
                                             Factors; The EFCC Meeting; The STAR
                                             Meeting; The Merger

4.             Terms of the Transaction......Summary;  The  Merger;  The  Merger
                                             Agreement;  Comparison of Rights of
                                             Holders  of EFCC  Common  Stock and
                                             STAR  Common  Stock  

5.             Pro Forma Financial
               Information...................Summary;   Summary   Unaudited  Pro
                                             Forma Condensed  Combined Financial
                                             Data; Unaudited Pro Forma Condensed
                                             Combined  Financial  Statements  

6.             Material Contracts with the   
               Company Being Acquired........           *

7.             Additional Information 
               Required for Reoffering by
               Persons and Parties Deemed
               to Be Underwriters............           *

8.             Interests of Named Experts 
               and Counsel...................The Merger; Legal Matters; Experts

9.             Disclosure of Commission 
               Position on Indemnification  
               for Securities Act 
               Liabilities...................           *

10.            Information With Respect to S-3
               Registrants...................           *

11.            Incorporation of Certain
               Information by Reference......           *



<PAGE>


ITEM                                                   CAPTION IN JOINT PROXY
 NO.                  FORM  S-4 CAPTION                STATEMENT/PROSPECTUS  
- ----                  -----------------                ----------------------

12.            Information With Respect 
               to S-2 or S-3 Registrants.....          *

13.            Incorporation of Certain 
               Information by Reference......          *

14.            Information With Respect to
               Registrants Other Than S-3 
               or S-2 Registrants............Summary;  STAR  Summary  Historical
                                             Consolidated     Financial    Data;
                                             Comparative    Per   Share    Data;
                                             Comparative  Market Data;  Business
                                             of   STAR;   STAR's    Management's
                                             Discussion    and    Analysis    of
                                             Financial  Condition and Results of
                                             Operations;  Ownership  of  Certain
                                             Beneficial Owners and Management of
                                             STAR; Management of STAR; Executive
                                             Compensation   of   STAR;   Certain
                                             Relationships      and      Related
                                             Transactions of STAR; Unaudited Pro
                                             Forma Condensed  Combined Financial
                                             Statements;      STAR     Financial
                                             Statements


15.            Information With Respect to 
               S-3 Companies.................          *

16.            Information With Respect to 
               S-2 or S-3 Companies..........          *

17.            Information With Respect to
               Companies Other Than S-2 or 
               S-3 Companies ................Summary;  EFCC  Summary  Historical
                                             Consolidated     Financial    Data;
                                             Comparative    Per   Share    Data;
                                             Comparative  Market Data;  Business
                                             of   EFCC;   EFCC's    Management's
                                             Discussion    and    Analysis    of
                                             Financial  Condition and Results of
                                             Operations;  Ownership  of  Certain
                                             Beneficial Owners and Management of
                                             EFCC;  Executive  Officers of EFCC;
                                             Significant   Employees   of  EFCC;
                                             Certain  Relationships  and Related
                                             Transactions of EFCC; Unaudited Pro
                                             Forma Condensed  Combined Financial
                                             Statements;      EFCC     Financial
                                             Statements

18.            Information if Proxies, 
               Consents or Authorizations 
               are to be Solicited...........Outside Front Cover Page;  Summary;
                                             The Meetings; The Merger



<PAGE>


ITEM                                                   CAPTION IN JOINT PROXY
 NO.                  FORM  S-4 CAPTION                STATEMENT/PROSPECTUS  
- ----                  -----------------                ----------------------


19.            Information if Proxies,  
               Consents, or Authorizations  
               are not to be Solicited or 
               in an Exchange Offer..........       *


__________________
*    Indicates that Item is not applicable or answer is in the negative.



                 FIRST AMENDMENT TO AGREEMENT AND PLAN OF MERGER

           FIRST  AMENDMENT  (the "First  Amendment")  to Agreement  and Plan of
Merger (the "Original  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,  each of Star,  Merger  Sub and EFCC  has  entered  into the
Original  Agreement  and now desires to make  certain  changes to said  Original
Agreement;

           WHEREAS,  the Boards of Directors  of Star,  Merger Sub and EFCC have
approved  the  changes  to the  Original  Agreement  set  forth  in  this  First
Amendment.

           NOW,  THEREFORE,  in  consideration  of the  mutual  representations,
warranties,  covenants,  agreements  and conditions  herein,  the parties hereby
agree as follows:

           1.         Section  7.2(a)  is hereby  deleted  in its  entirety  and
                      replaced by the following:

                      "(a)       The Merger shall not have been  consummated  by
                      September 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;"

           2.         Except as expressly  amended by this First Amendment,  the
Original  Agreement and all of its terms,  covenants,  conditions and provisions
are hereby  ratified and  confirmed  in all respects and shall  continue in full
force and effect.

           IN  WITNESS  WHEREOF,  the  parties  hereto  have  caused  this First
Amendment to be signed by their respective  officers  thereunto duly authorized,
as of the 6th day of April, 1997.

EXTENDED FAMILY CARE CORPORATION                 STAR MULTI CARE SERVICES, INC.


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









                     [PARKER CHAPIN FLATTAU & KLIMPL, LLP]
                                  [Letterhead]


                                                                   July 28, 1997

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

Gentlemen:

           This opinion is rendered to you in connection with the filing by Star
Multi Care Services,  Inc. ("Star"),  a New York corporation,  of a Registration
Statement on Form S-4 (the  "Registration  Statement")  with the  Securities and
Exchange  Commission  relating to the  registration  under the Securities Act of
1933, as amended,  of an aggregate of up to 1,021,052  shares (the  "Shares") of
Star's common stock,  par value $.001 per share, in connection with the proposed
merger (the  "Merger") of EFCC  Acquisition  Corp.  ("Merger  Sub"),  a Delaware
corporation  and  wholly-owned  subsidiary of Star,  into  Extended  Family Care
Corporation ("EFCC"), a New York corporation, pursuant to the Agreement and Plan
of Merger  among  Star,  Merger Sub and EFCC,  dated as of  January 3, 1997,  as
amended on April 6, 1997 (the "Merger Agreement"),  and the transactions related
thereto.

           In rendering this opinion we have examined,  among other things,  the
Merger Agreement,  the Certificate of Incorporation and By-laws of Star and such
other  corporate   documents  and  records  as  we  have  deemed   necessary  or
appropriate.  We have  also  made  such  examination  of law as we  have  deemed
necessary or appropriate.  As to any facts material to such opinion, we have, to
the  extent  that  relevant  facts  were not  established  by use,  relied  upon
certificates   and  statements  of  public  officials  and  officers  and  other
representatives   of  Star.  In  all  such  examinations  we  have  assumed  the
genuineness of all signatures, the authenticity of all documents submitted to us
as  originals  and the  accuracy  and  conformity  with  original  documents  of
documents submitted to us as copies.

           Based upon and subject to the  foregoing,  it is our opinion that the
Shares,  when issued in accordance with the terms of the Merger Agreement,  will
be validly issued, fully paid and non-assessable.

           We hereby  consent to the filing of this opinion as an Exhibit to the
Registration Statement and the use of our name under the caption "Legal Matters"
in  the  Proxy  Statement/Prospectus  constituting  a part  of the  Registration
Statement.

                                             Very truly yours,


                                         /s/ PARKER CHAPIN FLATTAU & KLIMPL, LLP








                                    July 25, 1997



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.

           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").



<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
July 24, 1997
Page 2

           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 tax 



<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
July 24, 1997
Page 3

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,  the Board of Directors  and
shareholders  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 Matters" 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 4,212,387 shares of common stock
issued and outstanding.

           On January 21,  1997,  when EFCC had  minimal  current  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  approximately  $160,000 in cash,
$150,000 in other current  assets,  83% of the stock of TPC Home Care  Services,
Inc., a New York corporation ("TPC") and $610,000 in intercompany debt from TPC.
The other 17% of TPC is owned by many different shareholders.



<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
July 24, 1997
Page 4



           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 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  l00% 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 is a New York corporation  formed on December 31, 1996 for
the sole  purpose of  effecting  the Star  Merger.  Merger Sub is 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 clay prior to the


<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
July 24, 1997
Page 5

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.

           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, Coss and/or Star to us, as set forth in
the Letters of Representation:

           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)        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.

           (d)        To the best of the  knowledge of the  management  of EFCC,
Coss acquired their EFCC stock before the  formulation of any plan 



<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
July 24, 1997
Page 6


in  connection  with the Star Merger and not in  contemplation  of Merger  Sub's
subsequent acquisition of the outstanding capital stock of EFCC.

           (e)        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.

           (f)        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.

           (g)        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.

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

           (i)        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.

           (j)        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.

           (k)        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.



<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
July 24, 1997
Page 7

           (l)        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.

           (m)        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)),  to the extent they have been acquired by Merger Sub in
the Star Merger.

           (n)        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.

           (o)        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.

           (p)        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.

           (q)        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 in the EFCC or TPC in the ordinary
course of business and are associated with the business of EFCC or TPC.

           (r)        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.

           (s)        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 


<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
July 24, 1997
Page 8

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.

           (t)        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 FFCC 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.

           (u)        None of the  representations  or warranties  made by EFCC,
Coss and, to the  knowledge of the officers of Star and Merger Sub,  none of the
representations  or  warranties  made by 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.

                                   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:

           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:

           1.         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 


<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
July 24, 1997
Page 9

United States  federal  income tax purposes as a  reorganization  within the
meaning of Section 368(a) of the Code.

           2.         Star,  Merger  Sub and  EFCC  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 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,  if any,  (but not loss) will be
recognized  on the  receipt  of  cash,  other  than  cash  received  in  lieu of
fractional  shares,  and gain or loss,  if any, will be recognized in connection
with the receipt of cash 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 shares would constitute a
capital asset in the hands of the exchanging stockholder.

           4.         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.

           5.         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.

           6.         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.




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Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
July 24, 1997
Page 10

           7.         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.

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

           9.         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.

           10.        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  Is opinion) .
However,  the opinion has no binding effect or official  status of any kind, and
the  conclusions  stated herein are not free from 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

<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
July 24, 1997
Page 11

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-l(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
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



<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
July 24, 1997
Page 12

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
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

- --------
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.
July 24, 1997
Page 13

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 366(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.


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Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
July 24, 1997
Page 14

           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. , 469 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  202(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 

<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
July 24, 1997
Page 15

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  of  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  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 Factional  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.



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Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
July 24, 1997
Page 16

           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 or memorandum, or similar property created by the personal
ef forts of the taxpayer,  accounts or notes receivable acquired in the ordinary
course  of a trade  or  business  f or  services  rendered  or from  the sale of
inventory  or  other  property  held  by the  taxpayer  primarily  f or  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 f or 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.         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  



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Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
July 24, 1997
Page 17

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.

           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,(7)  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.(8)

           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

- --------
7    SEE ALSO Rev. Proc. 86-42, 1986-2 C.B. 722.
8    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.
July 24, 1997
Page 18

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
366(a)(1)(C)  reorganization.  The IRS held that because the cash  proceeds were
not retained by 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 1.3 68-1
(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.




<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
July 24, 1997
Page 19

           (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 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.(9) On the one 
- --------
9    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).  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 


<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
July 24, 1997
Page 20

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.(10)   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.(11)

           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  non-historic
EFCC shareholders, i.e., as bad continuity.

           (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),(12)  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  non-historic  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.

- --------
     previously taken by the Service.
10   Priv. Let. Rul. 9324021 (Mar. 19, 1993) (representation c).
11   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).
12   Martin D. Ginsburg and Tack S. Levin, Mergers,  Acquisitions,  and Buyouts,
     ss 610.3.2 (Jan. 1996).



<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
July 24, 1997
Page 21

                     (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  9041064  (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.(13)
Nevertheless  it  is  possible  that  the  IRS  may  assert  that  the  $750,000
distribution  paid by 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."

- --------
13   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.
July 24, 1997
Page 22

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.(14)  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 the target parent  corporation
qualified as tax-free reorganization under Code Section 368 (a).(15) 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.

- --------
14   See supra notes 11-13 and accompanying text.
15   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).



<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
July 24, 1997
Page 23

                     (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.(16)

                     (6)       Value of Star Common Stock

           The IRS  position in  connection  with  determining  whether at least
50%(17) 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  of the
reorganization."(18)  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

- -------- 
16   See supra notes 3-6 and accompanying text.
17   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.
18   Id.




<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
July 24, 1997
Page 24


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.(19)

           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  ($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  $4,607,5O6(20)  as determined  on the third  business day prior to the
Effective Time, using the average of the

- --------
19   SEE Rev. Rul. 81-190, 1981-2 C.B. 84.
20   See infra note 28.



<PAGE>


Extended Family Care Corporation, Inc.
Star Multi Care Services, Inc.
July 24, 1997
Page 25


closing  sales price of a share of Star  common  stock as reported on the NASDAQ
National Market during the 120 treading 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,(21)  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.
                                                
                                                
                                                
                                                By:
                                                           Stephen M. Breitstone



- --------
21   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.











                         CONSENT OF INDEPENDENT AUDITORS


           We consent to the  reference of our firm under the caption  "Experts"
and the use of our dated July 19, 1996,  except as to the pooling interests with
AMSERV  HEALTHCARE  INC.,  which is as of  August  23,  1996,  with  respect  to
consolidated financial statements of Star Multi Care Services,  Inc. included in
this Proxy  Statement Star Multi Care Services,  Inc. that is made a part of the
Registration  Statement  (Form S-4) and  Prospectus of Star Multi Care Services,
Inc.



/S/ HOLTZ RUBENSTEIN & CO., LLP
HOLTZ RUBENSTEIN & CO., LLP


Melville, New York
July 23, 1997






               CONSENT OF ERNST & YOUNG LLP, INDEPENDENT AUDITORS




We consent to the  reference to our firm under the caption  "Experts" and to the
use of our report  dated  August 8, 1996,  except for Note 6 and 13, as to which
the date is August 23, 1996, with respect to the audited financial statements of
AMSERV  HEALTHCARE  INC.,  included in the Proxy  Statement  for Star Multi Care
Services,  Inc. that is made a part of the Registration Statement (Form S-4) and
Prospectus of Star Multi Care Services, Inc.



                                            /s/ ERNST & YOUNG LLP
                                            ERNST & YOUNG LLP


San Diego, California
July 23, 1997







INDEPENDENT AUDITORS' CONSENT


We consent  to the  inclusion  in this  Registration  Statement  Star Multi Care
Services,  Inc. on Form S-4 of our report dated October 7, 1994 (relating to the
financial  statements of AMSERV  HEALTHCARE INC., and subsidiaries not presented
separately herein) and to the reference to us under the heading "Experts" in the
Proxy, which is part of this Registration Statement.



/S/ DELOITTE & TOUCHE LLP
DELOITTE & TOUCHE LLP

Las Vegas, Nevada
July 23, 1997









           CONSENT OF CARPENTER & ONORATO, P.C., INDEPENDENT AUDITORS

We consent to the  reference to our firm under the caption  "Experts" and to the
use of our report  dated  February 18,  1997,  with respect to the  consolidated
financial  statements of Extended Family Care Corporation included in this Proxy
Statement  for  Star  Multi  Care  Services,  Inc.  that  is  made a part of the
Registration  Statement  (Form S-4) and  Prospectus of Star Multi Care Services,
Inc.



                                            /S/ CARPENTER & ONORATO, P.C.
                                            CARPENTER & ONORATO, P.C.


Garden City, New York
July 23, 1997







                      TELESIS MERGERS & ACQUISITIONS, INC.
                                  [LETTERHEAD]




                                                       July 23, 1997


Extended Family Care Corporation
One Old Country Road, Suite #335
Carle Place, New York 11514

Star Multi Care Services, Inc.
33 Walt Whitman Road, Suite #302
Huntington, New York 11746


           We  hereby  consent  to the  inclusion  of the  fairness  opinion  in
relation to the  EFCC/Star  Merger and the TPC/EFCC  Merger in the  Registration
Statement on Form S-4 being filed by Star and EFCC, respectively.



                                            Telesis Mergers & Acquisitions, Inc.

                                            /s/ Fred Roa
                                            ------------------------------------
                                            Fred Roa
                                            President, CEO



          795 Franklin Avenue, Franklin Lakes, NJ 07417 (201) 848-9544
                               FAX (201) 848-8335








                        CONSENT TO BE NAMED AS AN EXPERT



           We hereby  consent  to the use of our name as  Regulatory  Counsel of
Star  Multi  Care  Services,   Inc.   ("Registrant")  under  the  caption  "Risk
Factors-Audits"  of the joint Proxy  Statement-Prospective  constituting part of
this Registration Statement on Form S-4.


Dated:     July 25, 1997                               Broad and Cassel


                                                       By:  /s/ Martin R. Press
                                                          ---------------------
                                                           Martin R. Press




                         STAR MULTI CARE SERVICES, INC.
                            99 RAILROAD STATION PLAZA
                              HICKSVILLE, NY 11801

                      THIS PROXY IS SOLICITED BY THE BOARD
                 OF DIRECTORS OF STAR MULTI CARE SERVICES, INC.
                     FOR THE SPECIAL MEETING OF SHAREHOLDERS
                         TO BE HELD ON SEPTEMBER 5, 1997



           The  undersigned  holder of Common Stock of Star Multi Care Services,
Inc., a New York corporation  ("STAR"),  hereby appoints  Stephen  Sternbach and
William Fellerman,  and each of them, as proxies for the undersigned,  each with
full power of  substitution,  for and in the name of the  undersigned to act for
the  undersigned and to vote, as designated  below,  all of the shares of Common
Stock of STAR that the undersigned is entitled to vote at the Special Meeting of
Shareholders  of STAR, to be held on September 5, 1997 at 10:00 A.M. local time,
at the offices of Parker Chapin Flattau & Klimpl,  LLP, (18th Floor),  New York,
New York, and at any adjournments or postponements thereof.

           THE BOARD OF  DIRECTORS  RECOMMENDS  A VOTE IN FAVOR OF ADOPTION  AND
APPROVAL OF THE AGREEMENT AND PLAN OF MERGER.

           1.  Adoption and approval of the  Agreement  and Plan of Merger dated
January  3,  1997,  between  EXTENDED  FAMILY  CARE  CORPORATION,   a  New  York
corporation  ("EFCC")  and STAR,  providing  for the merger of EFCC  Acquisition
Corp., a New York corporation and a wholly owned subsidiary of STAR, with EFCC.

                      |_| FOR     |_| AGAINST      |_| ABSTAIN

           2.         Adoption of an amendment to STAR's 1992 Stock Option Plan.

                      |_| FOR     |_| AGAINST      |_| ABSTAIN

           3.         Adoption of STAR's 1997 Non-Employee Director Stock Option
Plan.

                      |_| FOR     |_| AGAINST      |_| ABSTAIN

           4.         Upon such other  matters as may  properly  come before the
Special  Meeting  and  any  adjournments  or  postponements  thereof.  In  their
discretion,  the proxies are  authorized to vote upon such other business as may
properly come before the Special Meeting and any  adjournments or  postponements
thereof.  This  proxy  does not  convey  discretionary  authority  to adjourn or
postpone the meeting for the purpose of soliciting additional votes.



                        (Continue and Sign on Other Side)


<PAGE>



(Continued from other side)



           THIS  PROXY,  WHEN  PROPERLY  EXECUTED,  WILL BE VOTED IN THE  MANNER
DIRECTED  HEREIN BY THE UNDERSIGNED  SHAREHOLDER.  IF NO DIRECTION IS MADE, THIS
PROXY  WILL BE VOTED  "FOR" THE  PROPOSAL  SET FORTH IN ITEM 1, 2 AND 3 AND WITH
REGARD TO OTHER MATTERS THAT MAY COME BEFORE THE MEETING OR ANY  ADJOURNMENTS OR
POSTPONEMENTS THEREOF, IN THE DISCRETION OF THE PROXYHOLDERS AS DESCRIBED IN THE
JOINT PROXY STATEMENT.

           The  undersigned  hereby  acknowledges  receipt  of the Notice of the
Special Meeting and the accompanying Joint Proxy Statement.



Dated:  __________, 1997                    ____________________________________
                                             (Signature)


                                            ____________________________________
                                              (Signature if held jointly)


                                            Please   sign   exactly  as  name(s)
                                            appears  hereon and mail it promptly
                                            even  though  you now plan to attend
                                            the Special Meeting. When shares are
                                            held by joint  tenants,  both should
                                            sign.   When  signing  as  Attorney,
                                            Executor, Administrator, Guardian or
                                            Trustee,  please add your full title
                                            as such.  If a  corporation,  please
                                            sign in full  title  as  such.  If a
                                            corporation,   pleas  sign  in  full
                                            corporate name by president or other
                                            authorized     officer.     If     a
                                            partnership,    please    sign    in
                                            partnership   name   by   authorized
                                            person.

                   PLEASE MARK, SIGN AND DATE THIS PROXY CARD
                AND PROMPTLY RETURN IT IN THE ENVELOPE PROVIDED.
              NO POSTAGE NECESSARY IF MAILED IN THE UNITED STATES.








                        EXTENDED FAMILY CARE CORPORATION
                              ONE OLD COUNTRY ROAD
                                    SUITE 335
                           CARLE PLACE, NEW YORK 11514

                      THIS PROXY IS SOLICITED BY THE BOARD
                OF DIRECTORS OF EXTENDED FAMILY CARE CORPORATION
                     FOR THE SPECIAL MEETING OF SHAREHOLDERS
                         TO BE HELD ON SEPTEMBER 5, 1997



           The  undersigned  holder  of Common  Stock of  Extended  Family  Care
Corporation,  a New York corporation ("EFCC"), hereby appoints Joseph Heller and
Paul Elenio,  and each of them, as proxies for the  undersigned,  each with full
power of  substitution,  for and in the name of the  undersigned  to act for the
undersigned and to vote, as designated  below, all of the shares of Common Stock
of EFCC that the  undersigned  is  entitled  to vote at the  Special  Meeting of
Shareholders of EFCC, to be held on September 5, 1997 at 10: A.M. local time, at
offices of Arbor Health Care Holdings LLC, 333 Earle Ovington Blvd.,  Uniondale,
New York 11553, and at any adjournments or postponements thereof.

           THE BOARD OF  DIRECTORS  RECOMMENDS  A VOTE IN FAVOR OF ADOPTION  AND
APPROVAL OF THE AGREEMENT AND PLAN OF MERGER.

           1.  Adoption and approval of the  Agreement  and Plan of Merger dated
January  3,  1997,  between  EXTENDED  FAMILY  CARE  CORPORATION,   a  New  York
corporation  ("EFCC")  and STAR,  providing  for the merger of EFCC  Acquisition
Corp., a New York corporation and a wholly owned subsidiary of STAR, with EFCC.

                      |_| FOR     |_| AGAINST      |_| ABSTAIN

           2. Upon such other  matters as may  properly  come before the Special
Meeting and any adjournments or postponements thereof. In their discretion,  the
proxies are  authorized  to vote upon such other  business as may properly  come
before the Special Meeting and any adjournments or postponements  thereof.  This
proxy does not convey discretionary authority to adjourn or postpone the meeting
for the purpose of soliciting additional votes.



                                               (Continue and Sign on Other Side)


<PAGE>



(Continued from other side)



           THIS  PROXY,  WHEN  PROPERLY  EXECUTED,  WILL BE VOTED IN THE  MANNER
DIRECTED  HEREIN BY THE UNDERSIGNED  SHAREHOLDER.  IF NO DIRECTION IS MADE, THIS
PROXY WILL BE VOTED  "FOR" THE  PROPOSAL  SET FORTH IN ITEM 1 AND WITH REGARD TO
OTHER  MATTERS  THAT  MAY  COME  BEFORE  THE  MEETING  OR  ANY  ADJOURNMENTS  OR
POSTPONEMENTS THEREOF, IN THE DISCRETION OF THE PROXYHOLDERS AS DESCRIBED IN THE
JOINT PROXY STATEMENT.

           The  undersigned  hereby  acknowledges  receipt  of the Notice of the
Special Meeting and the accompanying Joint Proxy Statement.



Dated:  __________, 1997                    ____________________________________
                                            (Signature)


                                            ____________________________________
                                            (Signature if held jointly)


                                            Please   sign   exactly  as  name(s)
                                            appears  hereon and mail it promptly
                                            even  though  you now plan to attend
                                            the Special Meeting. When shares are
                                            held by joint  tenants,  both should
                                            sign.   When  signing  as  Attorney,
                                            Executor, Administrator, Guardian or
                                            Trustee,  please add your full title
                                            as such.  If a  corporation,  please
                                            sign in full  title  as  such.  If a
                                            corporation,   pleas  sign  in  full
                                            corporate name by president or other
                                            authorized     officer.     If     a
                                            partnership,    please    sign    in
                                            partnership   name   by   authorized
                                            person.

                   PLEASE MARK, SIGN AND DATE THIS PROXY CARD
                AND PROMPTLY RETURN IT IN THE ENVELOPE PROVIDED.
              NO POSTAGE NECESSARY IF MAILED IN THE UNITED STATES.


                                       -2-




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