STAR MULTI CARE SERVICES INC
S-3/A, 2000-04-17
HOME HEALTH CARE SERVICES
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<PAGE>

     As filed with the Securities and Exchange Commission on April 14, 2000
                                                      Registration No. 333-79847

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

                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                                 AMENDMENT NO. 4
                                       TO
                                    FORM S-3
                             REGISTRATION STATEMENT
                                      UNDER
                           THE SECURITIES ACT OF 1933

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

       New York                                                 11-1975534
- ----------------------                                         --------------
(State or other jurisdiction of                              (I.R.S. Employer
Incorporation or organization)                              Identification No.)

                         33 Walt Whitman Road, Suite 302
                          Huntington Station, NY 11746
                                 (516) 423-6689
                    ----------------------------------------
               (Address, including zip code, and telephone number,
       Including area code, of registrant's principal executive offices)

                                Stephen Sternbach
                         Star Multi Care Services, Inc.
                              33 Walt Whitman Road
                                    Suite 302
                          Huntington Station, NY 11746
                                 (516) 423-6689
           ----------------------------------------------------------
            (Name, address, including zip code, and telephone number,
                   Including area code, of agent for service)

                                    Copy to:

                             Lawrence A. Muenz, Esq.
                              Muenz & Meritz, P.C.
                               Three Hughes Place
                               Dix Hills, NY 11746
                                 (631) 242-7384

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

         If the only securities on this Form are being offered pursuant to
dividend or interest reinvestment plans, please check the following box. /_/

         If any of the securities being registered on this Form are to be
offered on a delayed or continuous basis pursuant to Rule 415 under the
Securities Act of 1933, other than securities offered only in connection with
dividend or interest reinvestment plans, check the following box. /X/

         If this Form is filed to register additional securities for an offering
pursuant to Rule 462(b) under the Securities Act, please check the following box
and list the Securities Act registration statement number of the earlier
effective registration statement for the same offering. /_/

         If this Form is a post-effective amendment filed pursuant to Rule
462(c) under the Securities Act, check the following box and list the Securities
Act registration statement number of the earlier effective registration
statement for the same offering. /_/ __________


<PAGE>




         If delivery of the prospectus is expected to be made pursuant to Rule
434, please check the following box. /_/





<PAGE>


<TABLE>
<CAPTION>

                         CALCULATION OF REGISTRATION FEE

- ---------------------------------------------  -------------------  ----------------  -------------------  ----------------
                                                                       Proposed
            Title of Each Class                   Amount to be          Maximum        Proposed Maximum       Amount of
       of Securities to be Registered              Registered       Offering Price        Aggregate         Registration
                                                                       per Share        Offering Price           Fee
- ---------------------------------------------  -------------------  ----------------  -------------------  ----------------
<S>                                            <C>                  <C>               <C>                  <C>
Common Stock, $.001 par value per share.              398,268 (2)      $2.0625  (6)          $821,428.00       $228.00 (8)
- ---------------------------------------------  -------------------  ----------------  -------------------  ----------------
Common Stock, $.001 par value per share.              16, 667 (3)       $5.175  (6)           $86,250.00        $24.00 (8)
- ---------------------------------------------  -------------------  ----------------  -------------------  ----------------
Common Stock, $.001 par value per share.                5,487 (4)      $2.0625  (6)              $11,317         $3.00 (8)
- ---------------------------------------------  -------------------  ----------------  -------------------  ----------------
Common Stock, $.001 par value per share.                9,200 (5)        $6.50  (6)              $59,800        $15.00 (8)
- ---------------------------------------------------------------------------------------------------------  ----------------
Total Registration Fee..................                                                                           $270.00
- ---------------------------------------------------------------------------------------------------------  ----------------
</TABLE>

(1)  Represents the shares of common stock being registered for resale by the
     selling stockholders.

(2)  Includes 398,268 shares of common stock issuable upon conversion of 575
     shares of Series A 8% Preferred Stock. The number of shares of common stock
     indicated to be issuable in connection with such transaction and offered
     for resale hereby was included in our initial filing of this registration
     statement on June 2, 1999 and at that time was an estimate and was, based
     on a registration rights agreement among us and one of the selling
     stockholders, the number of shares that would be issuable upon conversion
     of 575 shares of Series A 8% Preferred Stock at a price of $2.0625 per
     share. This presentation was not intended to constitute a prediction as to
     the future market price of the common stock or as to the number of shares
     of common stock into which the Series A 8% Preferred Stock would be
     converted.

(3)  Pursuant to a registration rights agreement among us and the selling
     stockholders, the number of shares represents the number of shares which
     would be issuable upon exercise of warrants to purchase 16,667 shares of
     common stock at 115% of the closing bid price on April 30, 1999 ($3.750),
     after giving effect to a one-for three reverse stock split. This
     presentation is not intended to constitute a prediction as to the future
     market price of the common stock or as to the number of shares of common
     stock issuable upon exercise of the warrants. See "Risk Factors --
     Dilution"; and "Description of Securities."

(4)  Common stock shares issued in lieu of the quarterly cash dividend payable
     to the holder of the 575 shares of Series A 8% Convertible Preferred Stock
     for the quarters ended June 30, 1999 and September 30, 1999.

(5)  Common stock shares issued in lieu of the quarterly cash dividend payable
     to the holder of the 575 shares of Series A 8% Convertible Preferred Stock
     for the quarter ended December 31, 1999.

(6)  Estimated solely for the purpose of calculating the registration fee
     pursuant to Rule 457(c) and (g) of the Securities Act of 1933, as
     amended (the "Securities Act");

(7)  Estimated solely for the purpose of calculating the registration fee
     pursuant to Rule 457(g) of the Securities Act, based on the higher of (a)
     the exercise price of the warrants or (b) the offering price of securities
     of the same class included in this registration statement.

(8)  Paid with the original filing of the registration statement.



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 Section 8(a), may
determine.


<PAGE>




The information in this prospectus is not complete. We may not sell these
securities until the registration statement filed with the Securities and
Exchange Commission is effective. This prospectus is not an offer to sell nor is
it seeking an offer to buy these securities in any state where the offer or sale
is not permitted.

                   SUBJECT TO COMPLETION, DATED April 14, 2000

PROSPECTUS

                         STAR MULTI CARE SERVICES, INC.

                         429,622 shares of common stock

     The stockholders of Star Multi Care Services, Inc. listed on page 9 of this
prospectus are offering for sale 429,622 shares of common stock of Star Multi
Care under this prospectus.

     On April 12, 2000, the Series A Preferred Stock shares were convertible
into 215,440 shares of common stock. Therefore, in the aggregate, on April 12,
2000, the total number of shares being offered for sale with this Prospectus
equaled 246,794 shares.

     The Shaar Fund, Ltd, the selling stockholder, may offer their shares
through public or private transactions, at prevailing market prices, or at
privately negotiated prices. See "Plan of Distribution."

            ---------------------------------------------------------
                      NASDAQ SmallCap Market Symbol: "SMCS"
            ---------------------------------------------------------

     On April 12, 2000, the closing price of one share of our common stock on
the NASDAQ SmallCap Market was $3.8125.

     This investment involves a high degree of risk. You should carefully
     consider the factors described under the caption "risk factors" beginning
     on page 2 of this prospectus.

     Neither the Securities and Exchange Commission nor any state securities
     commission has approved or disapproved these securities or determined if
     this prospectus is truthful or complete. Any representation to the contrary
     is a criminal offense.

             The date of this prospectus is _________________, 2000


<PAGE>





                                  RISK FACTORS

         Before you buy shares of our common stock, you should be aware that
there are various risks associated with that purchase, including those described
below. You should consider carefully these risk factors, together with all of
the other information in this prospectus and the documents we have incorporated
by reference in the section "Where You Can Find More Information About Us,"
before you decide to purchase shares of our common stock.

   --------------------------------------------------------------------------
                 Risks Associated with the Industry in Which We
                                    Operate
   --------------------------------------------------------------------------

A decline in the value of our receivables will reduce the amount we can borrow
under a secured loan to finance operations, resulting in a potential cash flow
shortage.

         We are dependent upon a lending arrangement with Daiwa Securities to
finance our operations because many of our third party payers do not pay our
receivables in a timely manner. We use a loan from Daiwa, secured by all of our
assets, to finance our operating expenses while we await payment of our
receivables. The amount of the loan is based upon a percentage of eligible
receivables. If the value of the eligible receivables declines, we may not be
able to borrow enough money under the terms of the loan to cover our operating
expenses.

If we violate the covenants of our lending arrangement with Daiwa, Daiwa may opt
to foreclose on our assets.

         If we violate the covenants of our lending arrangement with Daiwa,
Daiwa may not grant us a waiver. If we are not granted a waiver and we are
unable to correct the violation, Daiwa may foreclose on our assets. If Daiwa
forecloses on our assets, the company will be unable to service its clients,
fulfill its contracts, or successfully compete against its competitors and
shareholder would experience a sharp decline in the value of their shares.

We may have to lower prices or spend more money to effectively compete against
companies with greater resources than us which could result in lower revenues
and/or profits.

         Our success in the marketplace depends on many factors, including
quality of care and price structure. Given these factors we cannot assure you
that we will be able to compete successfully with larger competitors with
greater resources. For example, if our competitors offer lower prices, we could
be forced to lower prices, which would result in reduced margins and a decrease
in revenues. If we do not lower prices we could lose sales and market share. In
either case, if we are unable to compete against our main competitors we would
not be able to generate sufficient revenues to grow the company.

         In addition, we may have to spend more money to effectively compete for
market share, including funds to expand our infrastructure, which is a capital
and time extensive process. Further, if other companies want to aggressively
compete against us, we may have to spend more money on advertising, promotion,
trade shows, marketing and overhead expenses, hiring and retaining personnel.
These higher expenses would hurt our net income and profits.

If our customers implement alternative payment structures, we may experience a
decline in revenue.

                                      -2-

<PAGE>

         We are reimbursed for our services primarily by the Medicaid programs,
insurance companies, managed care companies and other third-party payers, such
as managed care companies. Generally, managed care companies have sought to
contain costs by reducing payments to providers. Continued cost reduction
efforts by managed care companies could adversely affect our results of
operations and future profitability. The implementation of alternative payment
methodologies by any of these payers could have an adverse impact on revenues
and profit margins.

         The Company has four types of customers, which form the base of its
referral source. The customer base includes state funded public assistance
programs (Medicaid), other third party payers (subcontracts), insurance
companies and private pay customers. Reductions or loss of customers that would
result in lost revenue could occur through:

o        The loss of contract and/or subcontract relationships.

o        Loss of approval or lack of renewal by state and/or county
         administrative agencies.

o        Loss of or reduction in referral sources for new cases.

o        New regulatory compliance parameters that we cannot meet.

We may acquire companies in the future and these acquisitions could result in
the dilution of our shareholders and a disruption of our business.

         We may attempt to grow Star in the future through a merger,
acquisition, joint venture or other structure. We may not be able to identify,
acquire, profitably manage or successfully integrate any acquired business
without substantial expense, delay, or other operational or financial problems.
Entering into an acquisition involves many risks, any of which could materially
harm our business, including:

         o        diversion of management's attention from other business
                  concerns;

         o        failure to assimilate the acquired company with our
                  pre-existing business;

         o        potential loss of key employees from either our pre-existing
                  business or the acquired business;

         o        dilution of our existing shareholders as a result of issuing
                  common stock or other securities; and

         o        assumption of liabilities of the acquired company.

         We have no current agreements and are not involved in any negotiations
with respect to any acquisitions.

If we are unable to expand our business, we may not be able to successfully
compete against our competitors.

         Our industry is characterized by increased consolidation of companies.
If we are unable to expand our business, we may not be able to compete
successfully against our larger competitors. Expansion of our operations will
depend on the following:

         o        obtaining new contracts and referrals;


                                       -3-
<PAGE>

         o        servicing additional patients;

         o        retaining skilled management and personnel;

         o        successfully managing growth; and,

         o        the availability of adequate financing.

         There can be no assurance that Star will be able to successfully expand
its business.

If the states in which we operate impose more restrictive regulatory
requirements, or we fail to comply with state licensing standards for
participation in the Medicare and Medicaid programs, our ability to generate
revenues could be adversely affected.

         The imposition of more restrictive regulatory requirements or the
denial or revocation of any license, certification, Medicaid or Medicare
approval, or permit necessary for operation in a particular market could have a
material adverse effect on our operations. Our business is subject to
substantial and frequently changing regulations by federal, state, and local
authorities, which require significant compliance responsibilities by Star. Each
state in which we operate maintains its own form of licensing standards and may
maintain Certificate of Need or other Medicare requirements specific to the
state, which are above the federal government's minimum standard requirements
for participation in the Medicaid and Medicare programs. In addition, any future
expansion into new markets would require us to comply with all licensing, and/or
Certificate of Need requirements and other regulations pertinent to that
jurisdiction. If we are denied participation in the Medicare and Medicaid
programs, we will lose a significant source of revenues.

         Star maintains all applicable licenses for provision of home care and
facility staffing services in the states of New York, New Jersey, Pennsylvania,
Ohio, and Florida. In addition, we maintain Medicare Certification in certain
offices and counties in the states of Ohio, Pennsylvania, and Florida, with
Florida maintaining Certificate of Need requirements. As a provider of services
under the Medicare as well as some state Medicaid programs the U.S. Health Care
Financing Administration and/or state health departments require that we prepare
cost reports reflecting annual expenditures and development of capital
expenditure plans. The regulatory agencies of the states in which Star operates
require compliance with certain regulations and standards with respect to health
care personnel records, client records, nursing and administrative supervision,
incident and complaint monitoring and follow-up, and the establishment of
professional advisory boards. Additionally, we must comply with both federal and
state Anti-kickback regulations.

Audits by Federal and State regulatory agencies may result in retroactive
adjustments to payments received from Medicare and Medicaid, and may have a
material effect on our profitability.

                  Due to our participation in the Medicare and Medicaid programs
we are subject to survey and audit of operational, clinical and financial
records with respect to proper applications of general regulations governing
operation, cost reporting criteria, and other payment formulas. These audits can
result in retroactive adjustments for payments received from these programs
resulting in either amounts due to governmental agencies from Star or amounts
due to Star as adjustments from the governmental agency. We may have to
establish a reserve for potential


                                      -4-
<PAGE>

liability to comply with any assessment against us for retroactive adjustment to
previous payments received, adversely affecting profitability in the period in
which we establish a reserve.

         Effective in January 1998, Star complied with a new payment formula or
reimbursement under the Medicare program. This payment formula, termed the
Interim Payment System, for Medicare was developed by the U.S. Health Care
Financing Administration to serve as a middle step, as the government moved from
a cost based reimbursement system to a episodic disease based Prospective
Payment System. In addition, to the imposition of IPS, which set per patient
limits on Medicare home care reimbursements, HCFA also revised regional cost
limits which combined with IPS had a material effect in reducing revenue and
reimbursement for Star's Florida based certified home health agency from
approximately $8.4 million in revenue during the fiscal year ended May 31, 1998,
to approximately $5.4 million in corresponding reimbursement and revenue for
fiscal year ended May 31, 1999. The Company has restructured its Florida
Medicare operation to function under both the IPS and the revised cost limits.
However, congressional debate over the appropriateness and fairness of
retroactive establishment and imposition of regulations associated with IPS and
the changes in the cost limits could bring further modification and or
adjustments that may have a material adverse effect on Star's operations.

         In February 1998, Star's Regulatory Counsel advised Star that the Civil
Division of the United States Attorney for the Southern District of Florida
relinquished jurisdiction to the Medicare intermediary for recovery of an
administrative overpayment with respect to a previously disclosed 1997 audit of
Star Multi Care Services of Florida, Inc. d/b/a American Health Care Services,
Star's Medicare agency, by the Office of Audit Services of the Office of
Inspector General of the United States Department of Health and Human Services.

The Medicare intermediary informed Star that it had assessed an administrative
overpayment against Star in the amount of $1,248,747 based on the 1997 Audit. We
have appealed the administrative overpayment determination by pursuing
administrative and judicial remedies. Such appeal could result in elimination or
reduction of the overpayment amount. Star's Regulatory Counsel has also advised
that Star has claims against third parties (e.g., subcontractors and licensed
home health agencies) for a portion of any liability of Star in connection with
such administrative overpayment. Star had established a reserve, in the period
ended February 28, 1998, for $1.25 million, in connection with the
administrative overpayment. In preparation of its administrative appeal, Star's
Regulatory Counsel has retained an expert to review the government's statistical
methods used in assessing the overpayment against Star. The expert has advised
Star's Regulatory Counsel that the statistical sampling procedures used by the
government indicate significant errors and based upon these findings and in
consultation with Regulatory Counsel, the management of Star has reversed the
reserve of $1.25 million as of May 31, 1999. On February 29, 2000, Star
announced that based upon the Company's appeal, the Administrative Law Judge has
overturned the Medicare intermediary's assessment of an overpayment of
$1,248,747 to Star's Medicare agency, and that it is not liable for any portion
of this assessment. The reversal of this overpayment assessment was for the
fiscal 1993 period. The Departmental Appeals Board can decide to review the
Administrative Law Judges's decision on its own motion within sixty days of
February 23, 2000. Regulatory counsel has advised the Company, however, that
this would be highly unlikely. Although the Company had previously fully
reserved for this overpayment liability, in consultation with Regulatory
Counsel, the management of the Company had reversed the reserve of $1.25 million
as of May 31, 1999.

         On July 16, 1998, the Office of Audit Services, Office of Inspector
General of the United States Department of Health and Human Services advised
Star that it commenced an audit of Star Multi Care Services of Florida, Inc.
(d/b/a American Health Care Services), Star's Medicare agency. They conducted
the audit in conjunction with the United States Attorney's Office for the
Southern District of Florida and involved a review of claims for home health

                                      -5-
<PAGE>

services submitted by American Health during 1995 and 1996. A similar audit
commenced during May of 1997 for its submitted claims during 1993. Broad and
Cassel, Star's regulatory counsel, advised us that they have been in contact
with the Office of Inspector General and the Assistant United States Attorney
assigned to this matter, and there is no way to determine at this time the
extent of American Health's liability. Regulatory Counsel has advised American
Health that it may litigate or appeal any determination of liability and pursue
claims against third parties (e.g., subcontractors and licensed home health
agencies) for a portion of any liability of American Health. Management
anticipates that this matter will be satisfactorily resolved. This is grounded
upon the advice of Regulatory Counsel to Star as to

         (1) the resolution of similar types of audits or claims based upon
         their experience in the health care industry, handling appeals of these
         determinations and dealing with similar matters before the Office of
         Inspector General and the Department of Justice, even though there has
         not been a final determination of liability, and there can be no
         assurance as to the ultimate liability; and

         (2) the fact that American Health will have the right, whether or not
         the Office of the Inspector General and Department of Justice resolve
         this audit or claim in whole or in part in American Health's favor, to
         appeal or litigate any liability, determination and pursue a claim
         against third-party independent contractors and other parties that may
         have rendered services to American Health, even though there is no
         assurance that any such claims would ultimately be collectible.

         In August 1995, the Office of Deputy Attorney General for Medicaid
Fraud Control initiated a personnel, clinical and billing investigation for the
years 1992 through 1995. On December 3, 1997, Star was advised by its counsel
that the investigation, which was previously reported as pending, may be
expanded through 1997 and that Star was a target of a criminal investigation. In
response to this, Star conducted its own internal investigation and revised its
systems and has voluntarily disclosed the results of its internal investigation
to the Office of Deputy Attorney General for Medicaid Fraud Control. Star had
established a reserve of $1,000,000 in connection with this matter. The amount
accrued had been based upon information learned to date.

         Star discovered errors in certain cost reports that we had previously
submitted to the New York State Department of Social Services during the years
1993-1995, the basis of which served to determine the Medicaid reimbursement
rates in respect of Star for the years 1994-1996. We submitted amended cost
reports containing the correct data to the New York State Department of Health
in February 1998, which we expect to result in the NY Department of Health's
retroactive recalculation of Star's Medicaid reimbursement rate and imposition
of a substantial overpayment assessment against Star. Star established a
reserve, in the period ended February 28, 1998, for $660,000, in connection with
this overpayment assessment.

         On May 10, 1999 Star entered into a Settlement Agreement with the State
of New York whereby the State of New York will discharge and forever release
Star, including its officers, directors and employees, for any further liability
regarding Star's submission of claims for or receipt of Medicaid payments for
home health care services for the audited period of 1992 through 1996, as
discussed above. Star had previously accrued $1.66 million for this claim, but
subsequently settled this claim for $532,823 less than the initial accrual. The
Attorney General stated in his press release that Star has fully cooperated with
the State's investigation and immediately remedied the problems the Attorney
General's office pointed out by improving its personnel training procedures and
submitting revised cost reports.

         The terms of this Settlement Agreement provided for:


                                      -6-
<PAGE>

         (a) No admission by Star of any criminal or civil liability, guilt,
         wrongdoing or unacceptable practice, nor a determination of guilt of
         any violation of any Federal, State or Local statute, rule or
         regulation.

         (b) Star agreed to pay to New York State the total sum of $1,167,177,
         with an initial payment of $200,000. The balance shall be payable over
         four years at 9% interest.

         As part of Star's restructuring program, Star relocated the offices of
its Medicare agency and Star's Florida operation center to smaller and less
costly facilities in Miramar, Florida from Miami Lakes, Florida. Unfortunately,
Star was unable to find sub-tenants for the vacated office space in Miami Lakes.
Therefore, the landlord of the Miami Lakes offices obtained a judgment against
Star's wholly owned subsidiary, Star Multi Care Services of Florida, Inc. for
the sum of $1,045, 342. Additionally, the landlord instituted a lawsuit against
Star Multi Care Services, Inc. seeking to enforce a guaranty that the landlord
alleged that Star had previously provided to the landlord at the initial term of
the Miami Lakes lease. Star and Star of Florida have entered into a settlement
agreement with the landlord for the sum of $300,000, which we paid in full as of
May 31, 1999.



If our liability insurance is insufficient to cover liabilities resulting from
claims arising from the conduct of our personnel, claims for negligence or
wrongful acts could have a materially adverse effect on our financial condition.

         Star's employees and independent contractors routinely make decisions,
which can have significant medical consequences to the patients in their care.
As a result, we are exposed to substantial liability in the event of negligence
or wrongful acts of our personnel. The Company 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 we will be able to maintain our existing insurance at an
acceptable cost or obtain additional insurance in the future, as required. 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. If a party
successfully asserts a partially or completely uninsured claim of significant
magnitude, it could have a material adverse effect on Star and its financial
condition.

If we are unable to successfully complete an overhaul of our internal operations
to comply with new regulatory and reimbursement rules, we may experience a
decline in sales revenue.

                  We are restructuring our internal operations in the area of
information technology and personnel to comply with a variety of regulatory and
reimbursement changes as well as internal and governmental audit findings. There
can be no guarantee that the restructuring will be successful and that we will
be able to implement the restructuring without losing key personnel and sales
revenue.

         We placed all field offices on the same operating software for client
intake, scheduling, personnel and clinical database management, billing and
compliance. We chose an industry tested and respected product for front office
operations that is compatible with future regulatory and accreditation
requirements. This front office software product will transmit data to our
Resource Center into one new accounting system, which collects all financial,


                                      -7-
<PAGE>

accounting and general ledger data. If this computer system does not work as
expected, this could have a material adverse impact upon Star's billing, case
management and revenue, which would result in a decline in our profitability.

If we are unable to operate efficiently with a reduced workforce, we may
experience a material decline in results from operations.

         Star has modified or replaced its accounting, operational and clinical
management teams to include known industry professionals with a variety of
health care skills and expertise. This includes the Resource Center which is
responsible for payroll, billing and collection activities for the organization
which was restructured in its entirety by reducing staff by more than 40% as the
result of automation and job description efficiencies, while simultaneously
initiating new operational policies and procedures designed to insure accuracy
and integrity in work processes. Failure to fully and/or properly integrate
these personnel changes could have a material adverse impact upon Star's
billing, case management and revenue.

If we are unable to attract or retain quality healthcare professionals, we will
be unable to meet our customer needs.

                  Our professional nurses and other health care personnel are
also key to the continued provision of quality care to our patients. The
possible inability to attract and retain qualified franchisees, skilled
management and sufficient numbers of credentialed health care professionals and
para-professionals could adversely affect our operations and quality of service.

   --------------------------------------------------------------------------
                              Risks Associated with
                      Our Internal Operations and Policies
   --------------------------------------------------------------------------

Since we do not intend to declare dividends in the foreseeable future, the
return on your investment will depend upon appreciation of the market price of
your shares.

         We have never paid any dividends on our common stock. Our board of
directors does not intend to declare any dividends in the foreseeable future,
but intends to retain all earnings, if any, for use in our business operations.
As a result, the return on your investment in Star Multi Care will depend upon
any appreciation in the market price of the common stock. The holders of common
stock are entitled to receive dividends when, as and if the board of directors
declares dividends, out of funds legally available for dividend payments. The
payment of dividends, if any, in the future is within the discretion of our
board of directors and will depend upon our earnings, capital requirements and
financial condition, and other relevant factors.

 ------------------------------------------------------------------------------
            Risks Which May Dilute the Value of Your Star Multi Care
                Shares or Limit the Effect of Their Voting Power
 ------------------------------------------------------------------------------

The price of our common stock is highly volatile.


                                      -8-
<PAGE>

         The price of our common stock is highly volatile. During the period
from January 1, 1998 to February 16, 2000 the closing price of our common stock
has ranged from a high of $17.25 to a low of $0.75. Following periods of
volatility in the market price of a company's securities, securities class
action litigation has often been instituted against such a company. If similar
litigation were instituted against us, it could result in substantial costs and
a diversion of our management's attention and resources, which could have an
adverse effect on our business. The volatile fluctuations of the market price
are based on

         (1) the number of shares in the market at the time as well as the
         number of shares we may be required to issue in the future, compared to
         the market demand for our shares;

         (2) our performance and meeting expectations of our performance,
         including the development and commercialization of our products and
         proposed products;

         (3) changes in the home health care industry; and

         (4) general economic and market conditions.


We have 902,576 shares of our common stock reserved for future issuances which
can dilute the value of your Star Multi Care common stock.

         We have outstanding convertible securities, options and warrants that
are convertible into or exercisable for shares of common stock at discounts from
future market prices of the common stock. Those discounts could result in
substantial dilution to existing holders of common stock. The sale of the common
stock acquired at a discount could have a negative impact on the trading price
of the common stock and could increase the volatility in the trading price of
the common stock.

              To the extent the selling stockholders convert and then sell their
common stock, the common stock price may decrease due to the additional shares
in the market. This could allow the Shaar Fund to convert its convertible
preferred stock into greater amounts of common stock, the sales of which would
further depress the stock price. See the sections entitled "Dilution" and
"Description of Securities" for a summary of the number of shares, which could
be issued upon conversion of the outstanding preferred stock at various market
prices.

         The significant downward pressure on the price of the common stock as
the Shaar Funds converts and sell material amounts of common stock could
encourage short sales by the selling stockholders or others. This could place
further downward pressure on the price of the common stock.

         In addition, we intend to seek additional financing which may result in
the issuance of additional shares of our capital stock and/or rights to acquire
additional shares of our capital stock. Those additional issuances of capital
would result in a reduction of your percentage interest in Star Multi Care.

If we cannot meet the NASDAQ SmallCap Market maintenance requirements, NASDAQ
may delist the common stock which could negatively affect the price of the
common stock and your ability to sell the common stock

         In the future, we may not be able to meet the listing maintenance
requirements of the NASDAQ SmallCap Market and NASDAQ rules, which require,
among other things, minimum net tangible assets of $2 million, a


                                      -9-
<PAGE>

minimum bid price for our common stock of $1.00, and stockholder approval prior
to the issuance of securities in connection with a transaction involving the
sale or issuance of common stock equal to 20 percent or more of a company's
outstanding common stock before the issuance for less than the greater of book
or market value of the stock.

         Although we currently comply with NASDAQ's listing maintenance
requirements, it is possible we may not meet the requirements in the future. For
example, the dilution resulting from the issuance of the convertible preferred
stock discussed above and subsequent conversion and sale of common stock could
have a substantial depressive effect on the common stock bid price causing it to
decrease below $1.00. If we were no longer in compliance with NASDAQ rules and
were unable to receive a waiver or achieve compliance, and if our common stock
were to be delisted from the SmallCap market, an investor in our company may
find it more difficult to sell our common stock. This lack of liquidity also may
make it more difficult for us to raise capital in the future.

If NASDAQ delists our common stock brokers would need to comply with the penny
stock regulations, which could make it more difficult to sell your common stock

         In the event that our securities are not listed on the NASDAQ SmallCap
Market, trading of the common stock would be conducted in the "pink sheets" or
through the NASD's Electronic Bulletin Board and covered by Rule 15g-9 under the
Securities Exchange Act of 1934. Under this rule, broker/dealers who recommend
these securities to persons other than established customers and accredited
investors must make a special written suitability determination for the
purchaser and receive the purchaser's written agreement to a transaction prior
to sale. Securities are exempt from this rule if the market price is at least
$5.00 per share.

         Although the Securities and Exchange Commission adopted regulations
that generally define a penny stock as any equity security that has a market
price of less than $5.00 per share, our common stock, albeit currently less than
$5.00 per share, does not constitute penny stock because our common stock is
quoted on NASDAQ and our net tangible assets currently exceed $2.0 million. If
in the future our common stock falls within the definition of penny stock, these
regulations would require the delivery, prior to any transaction involving our
common stock, of a disclosure schedule explaining the penny stock market and the
risks associated with it. Furthermore, the ability of broker/dealers to sell the
common stock and the ability of purchasers in this offering to sell their
securities in the secondary market would be limited. As a result, the market
liquidity for the common stock would be severely and adversely affected. These
or other regulations in the future could negatively affect the market for these
securities.






                                      -10-
<PAGE>



                INFORMATION REGARDING FORWARD-LOOKING STATEMENTS

         This prospectus contains certain forward-looking statements, which
involve substantial risks and uncertainties. These forward-looking statements
can generally be identified because the context of the statement includes words
such as "may," "will," "except," "anticipate," "intend," "estimate," "continue,"
"believe," or other similar words. Similarly, statements that describe our
future plans, objectives and goals are also forward-looking statements. Our
factual results, performance or achievements could differ materially from those
expressed or implied in these forward-looking statements as a result of certain
factors, including those listed in "Risk Factors" and elsewhere in this
prospectus.

                  WHERE YOU CAN FIND MORE INFORMATION ABOUT US

         We file annual, quarterly and special reports, proxy statements and
other information with the SEC. You may read and copy any document we file at
the SEC's public reference rooms in Washington, D.C. New York, New York and
Chicago, Illinois. Please call the SEC at 1-800-SEC-0330 for further information
on the public reference rooms. Our SEC filings are also available to the public
over the Internet at the SEC's Website at "http://www.sec.gov."

         We have filed with the SEC a registration statement on Form S-3 to
register the shares being offered. This prospectus is part of that registration
statement and, as permitted by the SEC's rules, does not contain all the
information included in the registration statement. For further information with
respect to us and our common stock, you should refer to the registration
statement and to the exhibits and schedules filed as part of the registration
statement, as well as the documents discussed below.

         The SEC allows us to "incorporate by reference" the information we file
with them, which means that we can disclose important information to you by
referring you to those documents. The information incorporated by reference is
an important part of this prospectus, and information that we file later with
the SEC will automatically update or supersede this information.

         This prospectus may contain summaries of contracts or other documents.
Because they are summaries, they will not contain all of the information that
may be important to you. If you would like complete information about a contract
or other document, you should read the copy filed as an exhibit to the
registration statement or incorporated in the registration statement by
reference.

         We incorporate by reference the documents listed below and any future
filings we will make with the SEC under Sections 13(a), 13(c), 14 or 15(d) of
the Securities Exchange Act of 1934 (File No. 0-19041) until all of the shares
are sold:

          o       Annual Report on Form 10-KSB for the fiscal year ended May 31,
                  1999;

          o       Quarterly Reports on Form 10-QSB for the periods ended August
                  31, 1999, November 30, 1999; and February 29, 2000.

          o       The description of our common stock contained in the
                  registration statement on Form S-4 filed on July 19, 1996,
                  including all amendments or reports filed for the purpose of
                  updating that description.


                                      -11-
<PAGE>

         You may request a copy of these filings, at no cost, by writing to us
at 33 Walt Whitman Road, Suite 302, Huntington Station, NY 11746, (516)
423-6689, Attention: Stephen Sternbach.

         You can review and copy the registration statement, its exhibits and
schedules, as well as the documents listed below, at the public reference
facilities maintained by the SEC as described above. The registration statement,
including its exhibits and schedules, are also available on the SEC's web site.

                                 USE OF PROCEEDS

         The selling stockholders are selling all of the shares covered by this
prospectus for their own accounts. Accordingly, we will not receive any proceeds
from the resale of the shares.

         We will receive proceeds from the exercise, if any, of the warrants. We
will use those proceeds, if any, for working capital and general corporate
purposes.

         We will bear the expenses relating to this registration, other than
discounts and commissions, which will be paid by the selling stockholders.

                                    DILUTION

         As of April 6, 2000, we had issued and outstanding 1,726,035 shares of
common stock. At that date, there were an additional 902,576 shares of common
stock reserved for possible future issuances as follows:

         o        options to purchase 487,642 shares at an exercise price
                  between $2.775 and $7.0625 per share. We have registered the
                  shares issuable upon exercise of the options under the
                  Securities Act;

         o        warrants to purchase 16,666 shares at a price of $5.175 per
                  share. Of the 16,666 shares of common stock, 16,666 shares are
                  covered by this prospectus and will be freely tradable without
                  restriction (subject to prospectus delivery requirements) on
                  the effective date of the registration statement; and

         o        398,268 shares issuable upon conversion of 575 shares of
                  Series A 8% Preferred Stock. Of the 398,268 shares of common
                  stock, shares relate to the conversion of 575 shares of Series
                  A 8% Preferred Stock for which we have received conversion
                  notices. Of the 398,268 shares of common stock, 398,268 shares
                  are covered by this prospectus and will be freely tradable
                  without restriction (subject to prospectus delivery
                  requirements) on the effective date of the registration
                  statement.

         During the terms of the outstanding options, warrants and the unit
purchase option, we must give the holders the opportunity to profit from a rise
in the market price of the common stock. The existence of the options, the
warrants and the unit purchase option may adversely affect the terms on which we
may obtain additional equity financing. Moreover, the holders are likely to
exercise their rights to acquire common stock at a time when we would otherwise
be able to obtain capital with more favorable terms than we could obtain through
the exercise of such securities.

Dilution Effects of the Conversion of Outstanding Preferred Stock


                                      -12-
<PAGE>

         The outstanding Series A 8% Preferred Stock is convertible into common
stock over time at the discretion of the holders. If the holders of this
preferred stock were able to fully convert their shares into common stock on
February 29, 2000 and elected to do so, approximately 174,078 additional shares
of common stock would be issued. In addition, you should note the following:

         o        The outstanding convertible series A 8% preferred securities
                  are convertible at a floating rate based on the historical
                  market price of the common stock. As a result, the lower the
                  stock price preceding the time the holder converts, the more
                  common shares the holder will receive upon conversion.

         o        To the extent the selling stockholders convert and then sell
                  their common stock, the common stock price may decrease due to
                  the additional shares in the market. This could allow the
                  selling stockholders to convert their convertible preferred
                  stock into greater amounts of common stock, the sales of which
                  would further depress the stock price.

         o        The significant downward pressure on the price of the common
                  stock as the Shaar Funds convert and sell material amounts of
                  common stock could encourage short sales by the selling
                  stockholders or others. This could place further downward
                  pressure on the price of the common stock.

         o        The conversion of the convertible preferred stock may result
                  in substantial dilution to the interests of other holders of
                  common stock since each holder of convertible preferred may
                  ultimately convert and sell the full amount issuable upon
                  conversion. In this regard, even though each selling
                  stockholder may not covert its preferred stock into more than
                  4.99% of the then outstanding common stock, this restriction
                  does not prevent a selling stockholder from converting and
                  selling some of its holding and then converting the rest of
                  its holdings. In this way, an individual selling stockholder
                  could sell more than 4.99% of the outstanding common stock
                  while never holding more than 4.99% of the outstanding common
                  stock at a time.

                              SELLING STOCKHOLDERS

                  This prospectus covers the resale by the selling stockholders
         of up to 398,268 shares of our common stock to be issued upon the
         conversion of our Series A 8% Preferred Stock, which amount of shares
         is an estimate and is not a prediction of the actual number or shares
         of common stock we will issue upon conversion of the Series A 8%
         Preferred Stock. This prospectus also covers the resale by the selling
         stockholders of up to 16,667 shares of our common stock issuable upon
         exercise of warrants issued in connection with the private placement of
         series E preferred stock.

                  Under the terms of the registration rights agreement between
         Star and the Shaar Fund, on April 12, 2000 the Shaar Fund was able to
         convert its shares of Star Series A Preferred Stock into 246,794 shares
         of Star common stock.

                  The following table lists certain information regarding the
         selling stockholders' ownership of shares of our common stock as of
         April 12, 2000, and as adjusted to reflect the sale of the shares.
         Information concerning the selling stockholders, their pledgees, donees
         and other non-sale transferees who may become selling stockholders, may
         change from time to time. To the extent the selling stockholders or any
         of their representatives advise us of such changes, we will report
         those changes in a prospectus supplement to the extent required. See
         "Plan of Distribution."



                                      -13-
<PAGE>


<TABLE>
<CAPTION>


                                                                 Percentage of                  ------------------------
                                           Shares of Common      Common Stock      Shares of      Shares of Common
                                         Stock Owned Prior to   Owned Prior to    Common Stock      Stock Owned
                                               Offering          the Offering      to be Sold       after Offering
                                                                                                ------------------------
                                                                                                  Number      Percent
- ------------------------------------------------------------------------------------------------------------------------
<S>                                      <C>                    <C>               <C>           <C>           <C>
Shaar Fund, Ltd. (2)                               14,687  (1)         *            429,622 (1)      0           *

Total                                                   14,687         *         429,622]            0           *
                                                                       =                             =
</TABLE>

         * Less than 1%

         (1)      Under the terms of a registration statement between Star Multi
                  Care and the Shaar Fund, we agreed to register 100% of the
                  common stock issuable upon conversion of 575 shares of Series
                  A 8% Preferred Stock and warrants to purchase 16,667 shares of
                  common stock at $5.175 per share.






                                      -14-
<PAGE>




Description of Private Placement Transactions

Series A 8% Preferred Stock

         Shaar Fund, Ltd., the holder of the Series A 8% Preferred Stock,
acquired its shares in a private placement transaction entered into on April 30,
1999. The Series A 8% Preferred Stock has the material rights and obligations
discussed below and under the section entitled "Description of Securities." We
have previously filed the agreements relating to these rights and obligations
with the SEC. We urge you to read them in their entirety.

         Securities purchase agreement

         On April 30, 1999, Star completed a private placement by the sale of
$575,000 Series A 8% Convertible Preferred Stock par value $1.00 per share to
the Shaar Fund, Ltd. ("Shaar"), providing Star net proceeds, after fees and
expenses, of $500,000. After sixty days, the preferred stock may be converted to
common stock equal to the lessor of: (a) 125% of the market price three trading
days immediately preceding the closing date, or (b) the market price of Star's
common stock discounted from 10% to 30%, such discount increasing with the
passage of time The preferred stock pays an 8% dividend payable quarterly that
may be converted into common stock at the option of Star. Shaar also received a
Common Stock Purchase Warrant for the right to purchase 16,667 common stock
shares of Star at 115% of the closing bid price on the trading day immediately
preceding the closing date of this sale. The common stock to be issued upon
conversion of preferred stock, the common stock to be issued upon exercise of
warrant, and common stock issued for payment of preferred stock dividend shall
be registered by Star under the Securities Act of 1933. By using the closing
price of Star's common stock on April 12, 2000 of $6.50, to calculate the number
of common stock share that may need to be issued should Shaar convert all of its
preferred stock, the preferred stock may be converted into 126,374 shares of
common stock.

         Registration rights agreement

         In connection with our sale of Series A 8% preferred stock, we agreed
to file a registration statement covering the resale of the common stock
issuable upon conversion of the Series A 8% Preferred Stock and exercise of the
warrants by May 30, 1999 and cause the registration statement to be declared
effective by the SEC by October 28, 1999.

         As long as the registration statement is not declared effective after
October 28, 1999, we would have to pay to the holders liquidated damages equal
to 2.0% of the total purchase price for the first 30 day period after October
28, 1999 until the registration statement has been declared effective and 2% of
the purchase price paid by all investors for all shares of Series A 8% Preferred
Stock purchased and then outstanding for each subsequent 30 day period until the
registration statement was declared effective. In no event, however, shall
liquidated damages be less than $25,000.

         We are in default under the registration rights agreement and, as a
result, we have incurred liquidated damages of $57,500 as of April 7, 2000.

         Warrants


                                      -15-
<PAGE>

         We also issued warrants to purchase 50,000 shares of our common stock
to the purchasers of the Series A 8% Preferred Stock. The warrants are
exercisable at $1.725. All of the warrants have adjustment provisions for
standard dilution events including stock splits, stock dividends and similar
transactions. Therefore, as a result of a one for three reverse stock split of
the common stock of Star, the warrants have been adjusted for the right to
purchase 16,667 shares of common stock of Star with an exercise price of $5.175.

                            DESCRIPTION OF SECURITIES

         The authorized capital stock of Star consists of 5,000,000 shares of
common stock $.001 par value per share. On December 10, 1999, there were issued
and outstanding 1,778,130 shares of common stock. Additionally, Star has
authorized 5,000,000 shares of preferred stock $1.00 par value per share. The
Company has authorized 600 shares of Series A 8% Preferred Stock. On December
13, 1999, there were issued and outstanding 575 shares of the Series A 8%
Preferred Stock. The holders of the Series A 8% Preferred Stock have no voting
power, except as otherwise provided by the New York Business Corporation Law,
and in Article 7 and Article 8 of Article Fifth of Star's Certificate of
Incorporation.

Series A 8% Preferred Stock

         On April 30, 1999, Star completed a private placement by the sale of
$575,000 Series A 8% Convertible Preferred Stock par value $1.00 per share to
the Shaar Fund, Ltd., providing Star net proceeds, after fees and expenses, of
$500,000. After sixty days, the preferred stock may be converted to common stock
equal to the lessor of: (a) 125% of the market price three trading days
immediately preceding the closing date, or (b) the market price of Star's common
stock discounted from 10% to 30%, such discount increasing with the passage of
time, as set forth below on Schedule I. Under the terms of the Registration
Rights Agreement regarding the sale of the preferred stock, Star has an
obligation the file a registration statement with the Securities and Exchange
Commission within 30 days of the closing date of the sale of the preferred
stock. The registration statement must become effective within 150 days. The
method of conversion of the preferred stock to common stock is set forth above
under "Selling Shareholders".

         NASDAQ Marketplace Rules require that a company obtain shareholder
approval prior to the sale of common stock, or stock convertible into common
stock that would represent twenty percent or more of the voting control of the
company. The sale of the preferred stock did not require shareholder approval,
as Article Fifth of Star's Certificate of Incorporation that sets forth the
designations, rights and preferences of the preferred stock specifically limits
the conversion of the preferred stock into common, should such conversion result
in the holders acquiring more than 19.99% of the voting control of Star.

                                   Schedule I

                                Conversion Rates


                                      -16-
<PAGE>

         As used in this Schedule I, "Closing Bid Price" means the closing bid
price for the common stock, par value $.001 per share, as reported by the
National Association of Securities Dealers NASDAQ Stock Market (or any other
exchange or over-the-counter market upon which the common stock is admitted and
listed for trading) for any trading day.

<TABLE>
<CAPTION>

          Days after Funding Date                                             Price

<S>                                           <C>
                   60-90                      90% of the lowest Closing Bid Price for the 10 day period prior to
                                              conversion

                   91-120                     85% of the lowest Closing Bid Price for the 13 day period prior to
                                              conversion

                  121-150                     82.5% of the lowest Closing Bid Price for the 15 day period prior to
                                              conversion

                  151-180                     80% of the lowest Closing Bid Price for the 17 day period prior to
                                              conversion

                  181-210                     77.5% of the lowest Closing Bid Price for the 19 day period prior to
                                              conversion

                  211-240                     75% of the lowest Closing Bid Price for the 22 day period prior to
                                              conversion

                  241-270                     72.5% of the lowest Closing Bid Price for the 25 day period prior to
                                              conversion

               271- maturity                  70% of the lowest Closing Bid Price for the 28 day period prior to
                                              conversion
</TABLE>

The conversion rate for the Series A 8% Preferred Stock is now set at 70% of the
lowest closing bid price for the 28 day period prior to conversion.

Warrant Shares

The investor purchasing the preferred stock discussed above, also received a
Common Stock Purchase Warrant for the right to purchase 50,000 common stock
shares of Star at 115% of the closing bid price on the trading day immediately
preceding the closing date of this sale. As a result of a one for three reverse
stock split of the common stock of Star, the warrants have been adjusted for the
right to purchase 16,667 shares of common stock of Star with an exercise price
of $5.175. Under the terms of the Registration Rights Agreement regarding the
sale of the preferred stock and the issuance of the warrant, Star has an
obligation the file a registration statement with the Securities and


                                      -17-
<PAGE>

Exchange Commission within 30 days of the closing date of the sale of the
preferred stock. The registration statement must become effective within 150
days.

Dividend Shares

The preferred stock pays an 8% dividend payable quarterly that may be converted
into common stock at the option of Star. Under the terms of the Registration
Rights Agreement regarding the sale of the preferred stock and the issuance of
the warrant, Star has an obligation the file a registration statement with the
Securities and Exchange Commission within 30 days of the closing date of the
sale of the preferred stock. The registration statement must become effective
within 150 days.

Transfer Agent and Registrar

         Continental Stock Transfer & Trust Company is our Transfer Agent and
Registrar for our common stock and the redeemable warrants.

                              PLAN OF DISTRIBUTION

         The selling stockholders and their pledgees, donees, transferees and
other subsequent owners, may offer their shares at various times in one or more
of the following transactions:

        o         on any U.S. securities exchange on which our common stock may
                  be listed at the time of sale
        o         in the over-the-counter market
        o         in privately negotiated transactions
        o         in connection with short sales; or
        o         in a combination of any of the above transactions.

         The selling stockholders may offer their shares of common stock at
prevailing market prices at the time of sale, at prices related to those
prevailing market prices, at negotiated prices or at fixed prices.

         The selling stockholders may also sell the shares under Rule 144
instead of under this prospectus, if Rule 144 is available for those sales.

         The transactions in the shares covered by this prospectus may be
effected by one or more of the following methods:

        o         ordinary brokerage transactions and transactions in which the
                  broker solicits purchasers;
        o         purchases by a broker or dealer as principal, and the resale
                  by that broker or dealer for its account under this
                  prospectus, including resale to another broker or dealer;
        o         block trades in which the broker or dealer will attempt to
                  sell the shares as agent but may position and resell a portion
                  of the block as principal in order to facilitate the
                  transaction; or


                                      -18-
<PAGE>

        o         negotiated transactions between selling stockholders and
                  purchasers without a broker or dealer.

         The selling stockholders and any broker-dealers or other persons acting
on the behalf of parties that participate in the distribution of the shares may
be deemed to be underwriters. Any commissions or profits they receive on the
resale of the shares may be deemed to be underwriting discounts and commissions
under the Securities Act.

         As of the date of this prospectus, we are not aware of any agreement,
arrangement or understanding between any broker or dealer and any of the selling
stockholders with respect to the offer or sale of the shares under this
prospectus.

         We have advised the selling stockholders that during the time each is
engaged in distributing shares covered by this prospectus, each must comply with
the requirements of the Securities Act and Rule 10b-5 and Regulation M under the
Exchange Act. Under those rules and regulations, they:

         o        may not engage in any stabilization activity in connection
                  with our securities;
         o        must furnish each broker which offers common stock covered by
                  this prospectus with the number of copies of this prospectus
                  which are required by each broker; and
         o        may not bid for or purchase any of our securities or attempt
                  to induce any person to purchase any of our securities other
                  than as permitted under the Exchange Act.

         In the purchase agreements and warrants we executed in connection with
the transactions with the selling stockholders we agreed to indemnify and hold
harmless each selling stockholder against liabilities under the Securities Act,
which may be based upon, among other things, any untrue statement or alleged
untrue statement of a material fact or any omission or alleged omission of a
material fact, unless made or omitted in reliance upon written information
provided to us by that selling stockholder. We have agreed to bear the expenses
incident to the registration of the shares, other than selling discounts and
commissions.

                 INDEMNIFICATION FOR SECURITIES ACT LIABILITIES

         Section 722 of the New York Business Corporation Law allows companies
to indemnify their directors and officers against expenses, judgments, fines and
amounts paid in settlement under the conditions and limitations described in the
law. Our certificate of incorporation authorizes us to indemnify our officers,
directors and other agent to the fullest extent permitted under New York law.

         Our certificate of incorporation provides that a director is not
personally liable for monetary damages to us or our stockholders for breach of
his or her fiduciary duties as a director. A director will be held liable for a
breach of his or her duty of loyalty to us or our stockholders, his or her
intentional misconduct or willful violation of law, actions or in actions not in
good faith, an unlawful stock purchase or payment of a dividend under New York
law, or transactions from which the director derives an improper personal
benefit. This limitation of liability does not affect the availability of
equitable remedies against the director including injunctive relief or
rescission.


                                      -19-
<PAGE>

         We have purchased a directors and officers liability and reimbursement
policy that covers liabilities of our directors and officers arising out of
claims based upon acts or omissions in their capacities as directors and
officers.

        Insofar as indemnification for liabilities arising under the Securities
Act may be permitted to our directors, officers and controlling persons pursuant
to the foregoing provisions, or otherwise, we have been advised that in the
opinion of the Securities and Exchange Commission such indemnification is
against public policy as expressed in the Securities Act and is, therefore,
unenforceable.







                                      -20-
<PAGE>



                                  LEGAL MATTERS

        In connection with this registration statement, the validity of the
shares being registered will be passed upon for Star by Muenz & Meritz, P.C.,
Dix Hills, New York.

                                     EXPERTS

        The consolidated balance sheet of Star as of May 31, 1999 and the
consolidated statement of operations, stockholder's equity and cash flows for
each of the three years for the periods ended December 31, 1999, 1998 and 1997,
incorporated by reference in this prospectus from Star's Annual Report on Form
10-K for the period ended May 31, 1999, have been incorporated herein in
reliance on the report of Holtz Rubenstein & Co., LLP given on the authority of
that firm as experts in accounting and auditing.








                                      -21-
<PAGE>



<TABLE>

<S>                                                           <C>
=========================================================     ======================================================







        We have not authorized any dealer, salesperson
or any other person to give any information or to                                     429,622
represent anything not contained in this prospectus.                         SHARES OF COMMON STOCK
You must not rely on any unauthorized information.
This prospectus does not offer to sell or buy any
shares in any jurisdiction where it is unlawful. The
information in this prospectus is current as of
_________________, 2000.

                                                                           STAR MULTI CARE CORPORATION

                   TABLE OF CONTENTS

                                                  Page

Risk Factors.........................................2
Where You Can Find More
        Information About Us........................12
Use of Proceeds.....................................13
Dilution............................................13
Selling Stockholders ...............................14
Description of Securities...........................17
Plan of Distribution ...............................19
Indemnification for Securities
        Act Liabilities.............................21                            ____________
Legal Matters.......................................21                             PROSPECTUS
Experts ............................................21                            ____________




                                                                         _________________________, 2000




=========================================================     ======================================================
</TABLE>




<PAGE>




                                     PART II

                     INFORMATION NOT REQUIRED IN PROSPECTUS

         ITEM 14.  OTHER EXPENSES OF ISSUANCE AND DISTRIBUTION.

                  The following table sets forth the various expenses, which
         will be paid by us in connection with the issuance and distribution of
         the securities being registered on this registration statement. The
         selling stockholders will not incur any of the expenses set forth
         below. All amounts shown are estimates.

<TABLE>
<CAPTION>

<S>                                                                                                  <C>
                           Filing fee for registration statement...................................         $255.00
                           Legal fees and expenses.................................................      $10,000.00
                           Accounting expenses.....................................................       $2,000.00
                           Printing and Publications  .............................................         $500.00
                                                                                                            -------
                           Total...................................................................  $    12,755.00
                                                                                                     ==============
</TABLE>

         ITEM 15.  INDEMNIFICATION OF DIRECTORS AND OFFICERS.

         Under the New York State Business Corporation Law, 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 New York State Business Corporation Law 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 action was in the best interest of the corporation. The New York
State Business Corporation Law 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 has 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 By-laws currently provide for indemnification of
directors and officers and advancement of indemnified expenses to the full
extent now or hereafter permitted by the New York State Business Corporation
Law.

Insofar as indemnification for liabilities arising under the Securities Act of
1933 may be permitted to officers, directors or persons controlling the Company
pursuant to the foregoing provisions, the Company has been informed 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.



                                      II-1
<PAGE>



ITEM 16.  EXHIBITS.

<TABLE>
<CAPTION>

NUMBER                     DESCRIPTION OF EXHIBIT


<S>                                 <C>
           2.     (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.   Incorporated by reference to Exhibit 2(a) to the Company's
                                    Registration Statement on Form S-4 dated July 29, 1997 (Registration No.
                                    333-32171).
                  (b)               First Amendment to Agreement and Plan of Merger among the Company, EFCC
                                    Acquisition Corp. and Extended Family Care Corporation, dated as of April 6,
                                    1997.  Incorporated by reference to Exhibit 2(a) to the Company's Registration
                                    Statement on Form S-4 dated July 29, 1997 (Registration No. 333-32171).
           3.     (a)      *        The Company's Certificate of Incorporation filed April 25, 1961.
                  (b)      *        The Company's Certificate of Amendment to Certificate of Incorporation filed
                                    February 22, 1989.
                  (c)               The Company's Certificate of Amendment to Certificate of Incorporation filed
                                    December 4, 1990.
                  (d)               The Company's Certificate of Amendment to Certificate of Incorporation filed
                                    February 3, 1994. (Incorporated by reference to Exhibit 3 (d) to the Company's
                                    Annual Report on Form 10-KSB for the fiscal year ended May 31, 1994.)
                  (e)               The Company's Certificate of Change filed March 2, 1995. (Incorporated by
                                    reference to Exhibit 3(e) to the Company's Annual Report on Form 10-KSB for the
                                    fiscal year ended May 31, 1995.)
                  (f)               The Company's By-Laws, as amended on November 18, 1992 and September 13, 1993.
                                    (Incorporated by reference to Exhibit 3 (e) to the Company's Annual Report on
                                    Form 10-KSB for the fiscal year ended May 31, 1994.)
                  (g)               Amendment to the Certificate of Incorporation filed on April 28, 1999.
                                    Amendment to the Certificate of Incorporation filed with the Secretary of State
                                    of New York State on December 27, 1999 filed herein.
                  (h)               Amendment to the Certificate of Incorporation filed February 14, 2000.

                  4.1                       Registration  Rights  Agreement  between the Company and the Shaar Fund
                                    Ltd. dated April 26, 1999.
                  5.1                       Legal opinion of Muenz & Meritz, P.C.
                  9.       (a)              Sternbach Proxy
                  (b)               Voting Trust Agreement dated as of June 20,
                                    1996 by and among EFCC, Coss, Arbor, the
                                    Voting Trustee of the Issuer and Kaufman.

                  10.      (a)      *       Form of  Indemnification  Agreement  between  the  Company  and Stephen
                                    Sternbach.
</TABLE>



                                                       II-2
<PAGE>

<TABLE>
<S>                                 <C>

                  (b)               Employment Agreement, dated as of December 3, 1995 between the Company and
                                    Stephen Sternbach. (Incorporated by reference to Exhibit 10.(x) to the
                                    Company's Quarterly Report on Form 10-QSB for the quarterly period ended
                                    February 29, 1996.)
                  (c)      *        The Company's 1991 Incentive Stock Option Plan
                  (d)               The Company's 1992 Incentive Stock Option Plan (as amended and restated
                                    September 13, 1993). (Incorporated by reference to Exhibit 10 (h) to the
                                    Company's Annual Report on Form 10-KSB for the fiscal year ended May 31, 1994.)
                  (e)               Amendment  No. 1 to the  Company's  1992 Stock  Option Plan.  (Incorporated  by
                                    reference to Exhibit  10.(z) to the Company's  Quarterly  Report on Form 10-QSB
                                    for the quarterly period ended February 29, 1996.)
                  (f)               The Company's Employee Stock Purchase Plan, as amended on December 15, 1995.
                                    (Incorporated by reference to Exhibit 10.(y) to the Company'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 the Company's Annual Report on Form 10-K for the fiscal year ended May
                                    31, 1993.)
                  (h)      *        Agreement relating to purchase of the Company among Stephen Sternbach, Renee
                                    the Company 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 the Company and directors and
                                    officers. (Incorporated by reference to Exhibit 10(k) to the Company'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 the  Company.
                                    (Incorporated  by reference to Exhibit 10 (l) to the Company'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  the  Company.
                                    (Incorporated  by reference to Exhibit 10.1 to the Company'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 the Company.  (Incorporated  by reference to Exhibit 10.2
                                    to the Company's Current Report on Form 8-K dated May 26, 1992.)
                  (p)               Employment Agreement dated February 15, 1990, between Alan Spector and the
                                    Company, as assignee of Unity Home Care of
</TABLE>


                                                       II-3
<PAGE>

<TABLE>
<S>                                 <C>
                                    Florida, Inc. (Incorporated by reference to Exhibit 10(o) to the Company'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 the Company.  (Incorporated  by reference to Exhibit 10.1
                                    to the Company'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 the Company. (Incorporated by
                                    reference to Exhibit 21 to the Company's Current Report on Form 8-K dated May
                                    19, 1995.)
                  (s)               Employment Agreement dated May 19, 1995 by and between the Company and Gregory
                                    Turchan. (Incorporated by reference to Exhibit 99.1 to the Company's Current
                                    Report on Form 8-K dated May 19, 1995.)
                  (t)               Loan Agreement dated November 1, 1995 by and between the Company and Chase
                                    Manhattan Bank, N.A. (Incorporated by reference to Exhibit 10.(w) to the
                                    Company's Quarterly Report on Form 10-QSB for the quarterly period ended
                                    November 30, 1995.)
                  (u)               Lease dated December 7, 1998 between Lighthouse Hicksville Limited Partnership,
                                    a New York limited partnership, and Star Multi Care Services, Inc., a Delaware
                                    corporation, for the Company's office space in Hicksville incorporated to the
                                    Company's Form 10-Q for period ended November 30, 1998 as Exhibit 10.1 therein.
                  (v)               Securities Purchase Agreement between the Company and the Shaar Fund, Ltd.
                                    dated April 26, 1999 filed as Exhibit 10(v) in Form S-3/Amendment 2 filed
                                    December 14, 1999 filed as Exhibit 10(w) in Form S-3/Amendment 2 filed December
                                    14, 1999.
                  (w)               Common Stock Purchase Warrant issued to the Shaar Fund, Ltd pursuant to the
                                    Securities Purchase Agreement between the Company and the Shaar Fund, Ltd.
                                    dated April 26, 1999
                  (x)               WAIVER AND AMENDMENT dated as of September 13, 1999 to the Receivables Purchase
                                    and Transfer Agreement, dated November 9, 1998, by and among Star Multi Care
                                    Services, Inc., each of the parties named on Schedule I thereto (each,
                                    including he Primary Servicer, a "Provider" and, collectively, the "Providers")
                                    and SMCS Care, LLC, and to the Loan and Security Agreement, dated as of
                                    November 9, 1998 between the SMCS Care, LLC and Daiwa Healthco-3 LLC
                                    incorporated by reference to the Company's Form 10-Q for period ended November
                                    30, 1999 as Exhibit 10.1 therein.

         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.)
</TABLE>


                                                       II-4
<PAGE>

<TABLE>
<S>                                 <C>
         21.                        List of subsidiaries.
         23.      (a)               Consent of Holtz Rubenstein & Co., LLP.
                  (b)               Consent of Ernst & Young LLP.
                  (c)               Consent of Muenz & Meritz, P.C. included in Exhibit 5.1.
</TABLE>
- -------------------
*        Incorporated by reference to the Company's Registration Statement on
         Form S-18 dated May 14, 1991. (Registration No. 33-39697-NY)


ITEM 17.  UNDERTAKINGS.

         The undersigned registrant hereby undertakes:

         (1) 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 arising
         after the effective date of the registration statement (or the most
         recent post-effective amendment thereof) which, individually or in the
         aggregate, represent a fundamental change in the information set forth
         in the registration statement. Notwithstanding the foregoing, any
         increase or decrease in volume of securities offered (if the total
         dollar value of securities offered would not exceed that which was
         registered) and any deviation from the low or high and of the estimated
         maximum offering range may be reflected in the form of prospectus filed
         with the Securities and Exchange Commission pursuant to Rule 424(b) if,
         in the aggregate, the changes in volume and price represent no more
         than 20 percent change in the maximum aggregate offering price set
         forth in the "Calculation of Registration Fee" table in the effective
         registration statement.

                  (iii) To include any material information with respect to the
         plan of distribution not previously disclosed in the registration
         statement or any material change to such information in the
         registration statement;

         (2) That, for the purpose of determining any liability under the
Securities Act of 1933, each such post-effective amendment will be deemed to be
a new registration statement relating to the securities offered therein, and the
offering of such securities at that time will be deemed to be the initial bona
fide offering thereof.

         (3) 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.

         Insofar as indemnification for liabilities arising under the Securities
Act of 1933 may be permitted to directors, officers and controlling persons of
the small business issuer pursuant to the foregoing provisions, or otherwise,
the small business issuer has been advised that in the opinion of



                                      II-5
<PAGE>

the Securities and Exchange Commission such indemnification is against public
policy as expressed in the Securities Act and is, therefore, unenforceable.

         In the event that a claim for indemnification against such liabilities
(other than the payment by the small business issuer of expenses incurred or
paid by a director, officer or controlling person of the small business issuer
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 small business issuer will, unless in the opinion of its counsel
the matter has been settled by controlling precedent, submit to a court of
appropriate jurisdiction the question whether such indemnification by it is
against public policy as expressed in the Securities Act and will be governed by
the final adjudication of the issue.

         The undersigned small business issuer 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 section
15(d) of the Securities Exchange Act of 1934 (and, where applicable, each filing
of an employee benefit plan's annual report pursuant to section 15(d) of the
Securities Exchange Act of 1934) that is incorporated by reference in the
registration statement will be deemed to be a new registration statement
relating to the securities offered therein, and the offering of such securities
at that time will be deemed to be the initial bona fide offering thereof.



                                      II-6
<PAGE>



                                   SIGNATURES

         Pursuant to the requirements of the Securities Act of 1933, the
registrant certifies that it has reasonable grounds to believe that it meets all
of the requirements for filing on Form S-3 and has duly caused this registration
statement to be signed on its behalf by the undersigned, thereunto duly
authorized, in the City of Huntington Station, the State of New York on April
14, 2000.

                                   STAR MULTI CARE CORPORATION

                                   By:       /s/ Stephen Sternbach
                                            -----------------------------
                                            Stephen Sternbach
                                            Chairman of the Board, President and
                                            Chief Executive Officer

         Pursuant to the requirements of the Securities Act of 1933, this
registration statement on Form S-3 has been signed below by the following
persons in the capacities and on April 14, 2000.

<TABLE>
<CAPTION>

<S>                                                          <C>
/s/ Stephen Sternbach                                        Chairman of the Board,
- --------------------------------------                       President and Chief Executive Officer
Stephen Sternbach


/s/ John P. Innes II                                         Director
- --------------------------------------
John P. Innes II


/s/ Matthew Solof                                            Director
- --------------------------------------
Matthew Solof

/s/ Charles Berdan                                           Director
- --------------------------------------
Charles Berdan

/s/ Gary L. Weinberger                                       Director
- --------------------------------------
Gary L. Weinberger

/s/ Gregory Turchan                                          Senior Vice President, Chief Operating Officer
- --------------------------------------                       and Director
Gregory Turchan
</TABLE>



                                      II-7
<PAGE>




                                 SECURITIES AND
                                    EXCHANGE
                                   COMMISSION

                             WASHINGTON, D.C. 20549


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




                         EXHIBITS TO AMENDMENT NO. 4 TO

                                    FORM S-3

                             REGISTRATION STATEMENT

                                      UNDER

                           THE SECURITIES ACT OF 1933


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







                           STAR MULTI CARE CORPORATION
                       (EXACT NAME OF ISSUER AS SPECIFIED
                                 IN ITS CHARTER)

                                 April 14, 2000



                                      E-1

<PAGE>




NUMBER   DESCRIPTION OF EXHIBIT

<TABLE>
<CAPTION>


<S>                                 <C>
           2.     (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.   Incorporated by reference to Exhibit 2(a) to the Company's
                                    Registration Statement on Form S-4 dated July 29, 1997 (Registration No.
                                    333-32171).
                  (b)               First Amendment to Agreement and Plan of Merger among the Company, EFCC
                                    Acquisition Corp. and Extended Family Care Corporation, dated as of April 6,
                                    1997.  Incorporated by reference to Exhibit 2(a) to the Company's Registration
                                    Statement on Form S-4 dated July 29, 1997 (Registration No. 333-32171).
           3.     (a)      *        The Company's Certificate of Incorporation filed April 25, 1961.
                  (b)      *        The Company's Certificate of Amendment to Certificate of Incorporation filed
                                    February 22, 1989.
                  (c)               The Company's Certificate of Amendment to Certificate of Incorporation filed
                                    December 4, 1990.
                  (f)               The Company's Certificate of Amendment to Certificate of Incorporation filed
                                    February 3, 1994. (Incorporated by reference to Exhibit 3 (d) to the Company's
                                    Annual Report on Form 10-KSB for the fiscal year ended May 31, 1994.)
                  (g)               The Company's Certificate of Change filed March 2, 1995. (Incorporated by
                                    reference to Exhibit 3(e) to the Company's Annual Report on Form 10-KSB for the
                                    fiscal year ended May 31, 1995.)
                  (f)               The Company's By-Laws, as amended on November 18, 1992 and September 13, 1993.
                                    (Incorporated by reference to Exhibit 3 (e) to the Company's Annual Report on
                                    Form 10-KSB for the fiscal year ended May 31, 1994.)
                  (h)               Amendment to the Certificate of Incorporation filed on April 28, 1999.
                                    Amendment to the Certificate of Incorporation filed with the Secretary of State
                                    of New York State on December 27, 1999 filed herein.
                  (h)               Amendment to the Certificate of Incorporation filed February 14, 2000.

                  4.1                       Registration  Rights  Agreement  between the Company and the Shaar Fund
                                    Ltd. dated April 26, 1999.
                  5.1                       Legal opinion of Muenz & Meritz, P.C.
                  9.       (a)              Sternbach Proxy
                  (b)               Voting Trust Agreement dated as of June 20, 1996 by and among EFCC, Coss, Arbor, the
                                    Voting Trustee of the Issuer and Kaufman.

                  10.      (a)      *       Form of  Indemnification  Agreement  between  the  Company  and Stephen
                                    Sternbach.
                  (b)               Employment Agreement, dated as of December 3, 1995 between the Company and Stephen
                                    Sternbach. (Incorporated by reference to
</TABLE>


                                      E-2

<PAGE>

<TABLE>
<S>                                 <C>
                                    Exhibit 10.(x) to the Company's Quarterly Report on Form 10-QSB for the
                                    quarterly period ended February 29, 1996.)
                  (c)      *        The Company's 1991 Incentive Stock Option Plan
                  (d)               The Company's 1992 Incentive Stock Option Plan (as amended and restated
                                    September 13, 1993). (Incorporated by reference to Exhibit 10 (h) to the
                                    Company's Annual Report on Form 10-KSB for the fiscal year ended May 31, 1994.)
                  (e)               Amendment  No. 1 to the  Company's  1992 Stock  Option Plan.  (Incorporated  by
                                    reference to Exhibit  10.(z) to the Company's  Quarterly  Report on Form 10-QSB
                                    for the quarterly period ended February 29, 1996.)
                  (f)               The Company's Employee Stock Purchase Plan, as amended on December 15, 1995.
                                    (Incorporated by reference to Exhibit 10.(y) to the Company'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 the Company's Annual Report on Form 10-K for the fiscal year ended May
                                    31, 1993.)
                  (h)      *        Agreement relating to purchase of the Company among Stephen Sternbach, Renee
                                    the Company 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 the Company and directors and
                                    officers. (Incorporated by reference to Exhibit 10(k) to the Company'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 the  Company.
                                    (Incorporated  by reference to Exhibit 10 (l) to the Company'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  the  Company.
                                    (Incorporated  by reference to Exhibit 10.1 to the Company'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 the Company.  (Incorporated  by reference to Exhibit 10.2
                                    to the Company's Current Report on Form 8-K dated May 26, 1992.)
                  (p)               Employment Agreement dated February 15, 1990, between Alan Spector and the
                                    Company, as assignee of Unity Home Care of Florida, Inc. (Incorporated by
                                    reference to Exhibit 10(o) to the
</TABLE>

                                                        E-3

<PAGE>

<TABLE>
<S>                                 <C>

                                    Company'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 the Company.  (Incorporated  by reference to Exhibit 10.1
                                    to the Company'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 the Company. (Incorporated by
                                    reference to Exhibit 21 to the Company's Current Report on Form 8-K dated May
                                    19, 1995.)
                  (s)               Employment Agreement dated May 19, 1995 by and between the Company and Gregory
                                    Turchan. (Incorporated by reference to Exhibit 99.1 to the Company's Current
                                    Report on Form 8-K dated May 19, 1995.)
                  (t)               Loan Agreement dated November 1, 1995 by and between the Company and Chase
                                    Manhattan Bank, N.A. (Incorporated by reference to Exhibit 10.(w) to the
                                    Company's Quarterly Report on Form 10-QSB for the quarterly period ended
                                    November 30, 1995.)
                  (u)               Lease dated December 7, 1998 between Lighthouse Hicksville Limited Partnership,
                                    a New York limited partnership, and Star Multi Care Services, Inc., a Delaware
                                    corporation, for the Company's office space in Hicksville incorporated to the
                                    Company's Form 10-Q for period ended November 30, 1998 as Exhibit 10.1 therein.
                  (vi)              Securities Purchase Agreement between the Company and the Shaar Fund, Ltd.
                                    dated April 26, 1999 filed as Exhibit 10(v) in Form S-3/Amendment 2 filed
                                    December 14, 1999 filed as Exhibit 10(w) in Form S-3/Amendment 2 filed December
                                    14, 1999.
                  (w)               Common Stock Purchase Warrant issued to the Shaar Fund, Ltd pursuant to the
                                    Securities Purchase Agreement between the Company and the Shaar Fund, Ltd.
                                    dated April 26, 1999
                  (x)               WAIVER AND AMENDMENT dated as of September 13, 1999 to the Receivables Purchase
                                    and Transfer Agreement, dated November 9, 1998, by and among Star Multi Care
                                    Services, Inc., each of the parties named on Schedule I thereto (each,
                                    including he Primary Servicer, a "Provider" and, collectively, the "Providers")
                                    and SMCS Care, LLC, and to the Loan and Security Agreement, dated as of
                                    November 9, 1998 between the SMCS Care, LLC and Daiwa Healthco-3 LLC
                                    incorporated by reference to the Company's Form 10-Q for period ended November
                                    30, 1999 as Exhibit 10.1 therein.
         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.)
</TABLE>

                                                        E-4

<PAGE>

<TABLE>
<S>                                 <C>

         21.                        List of subsidiaries.
         23.      (a)               Consent of Holtz Rubenstein & Co., LLP.
                  (b)               Consent of Ernst & Young LLP.
                  (c)               Consent of Muenz & Meritz, P.C. included in Exhibit 5.1.
</TABLE>

- -------------------
*        Incorporated by reference to the Company's Registration Statement on
         Form S-18 dated May 14, 1991. (Registration No. 33-39697-NY)





                                                        E-5



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