TRANSWORLD HEALTHCARE INC
8-K, 2000-04-20
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                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

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

                                    FORM 8-K

                                 CURRENT REPORT

     Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

         Date of Report (Date Of Earliest Event Reported) April 6, 2000


                           Transworld Healthcare, Inc.
             ------------------------------------------------------
             (Exact name of Registrant as specified in its charter)

                                    New York
                  --------------------------------------------
                 (State or other jurisdiction of incorporation)

     1-11570                                           13-3098275
- ------------------------                 ------------------------------------
(Commission File Number)                 (I.R.S. Employer Identification No.)


                  555 Madison Avenue, New York New York    10022
               ----------------------------------------------------
               (Address of principal executive offices)  (Zip Code)

       Registrant's telephone number, including area code: (212) 750-0064


      -------------------------------------------------------------------
         (Former name or former address, if changed since last report.)


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Item 2.   Acquisition or Disposition of Assets.

          On April 6, 2000 Transworld Healthcare (UK) Limited ("Transworld UK"),
          a subsidiary of Transworld Healthcare, Inc. ("Transworld") acquired
          all of the issued and outstanding shares of Nightingale Nursing Bureau
          Limited ("Nightingale") pursuant to an agreement for sale and purchase
          (the "Agreement") dated April 6, 2000 between Transworld UK and the
          selling shareholders named in the Agreement for a purchase price of
          (pound)9,651,000 (approximately $15,442,000), plus an additional sum
          of up to (pound)3,500,000 (approximately $5,600,000) in deferred
          consideration dependent upon 2000 and 2001 Pre-Tax Profits (as defined
          in the Agreement). (pound)8,601,000 (approximately $13,762,000) of the
          purchase price for the acquisition was paid using cash on hand and
          funds borrowed under Transworld UK's existing senior secured credit
          facilities with the remaining (pound)1,050,000 (approximately
          $1,680,000) of consideration being paid in 1,050,000 shares of 5 pence
          par value class A1 common shares of Transworld UK. The purchase price
          of the acquisition is being allocated on the basis of the fair value
          of the net assets acquired (approximately $2,025,000) with the
          remaining portion attributable to intangible assets. The Company is
          still evaluating the allocation of these intangibles.

          Nightingale is a London based provider of registered nursing and care
          staff to NHS Trust Hospitals and the independent sector. It has an
          additional branch in Sydney, Australia.

          The founder and principal owner of Nightingale, has joined the board
          of Transworld UK. In addition, another shareholder of Nightingale will
          be remaining with Nightingale to take over the position of Managing
          Director.

Item 7.   Financial Statements, Pro Forma Financial Information and Exhibits

     (a)  Financial Statements of Businesses Acquired.

          None.

     (b)  Pro Forma Financial Information.

          None.

     (c)  Exhibits.

          Share Sale and Purchase Agreement of Nightingale Nursing Bureau
          Limited between Transworld Healthcare (UK) Limited and W-A Thompson, D
          T Thompson and others dated April 6, 2000.

          Certain statements contained herein are forward-looking statements
          that have been made pursuant to the safe harbor provisions of the
          Private Securities Litigation Reform Act of 1995. Forward-looking
          statements involve unknown risks and uncertainties which may cause
          actual results in the future periods or plans for future periods to
          differ materially from those described herein as anticipated, believed
          or estimated.



                                     Page 2





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                                 CONFORMED COPY


                      DATED          6 APRIL          2000
                      ------------------------------------





         (1)      W-A THOMPSON, D T THOMPSON AND OTHERS



         (2)      TRANSWORLD HEALTHCARE (UK) LIMITED





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

                                 SHARE SALE AND
                               PURCHASE AGREEMENT
                                 CONFORMED COPY

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













                               STEPHENSON HARWOOD
                            ONE, ST PAUL'S CHURCHYARD
                                 LONDON EC4M 8SH
                               TEL: 020 7329 4422
                               FAX: 020 7606 0822
                                  REF: 815/943


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                                    CONTENTS
                                                                        PAGE


1        Definitions and Interpretation...................................1

2        Sale of Shares...................................................8

3        Earn-Out.........................................................9

4        Pre-Tax Profits.................................................14

5        Warranties......................................................16

6        Completion......................................................18

7        Sellers' Guarantees.............................................21

8        Competition.....................................................22

9        Ancillary Provisions............................................23
         9.1      Confidential Information...............................23
         9.3      Further Assurances.....................................24
         9.4      Assignment.............................................24
         9.5      Severability...........................................25
         9.6      Costs and expenses.....................................25
         9.7      Entire agreement.......................................25
         9.8      Announcements..........................................25
         9.9      Non-merger.............................................26
         9.10     Counterparts...........................................26
         9.11     Notices................................................26
         9.12     Governing law..........................................28

Schedule 1...............................................................29
            Part 1.......................................................29
            The Sellers..................................................29

Schedule 1...............................................................31
            Part 2.......................................................31
            Details of the Company.......................................31

Schedule 2...............................................................32
            Part 1.......................................................32
            Warranties...................................................32

Schedule 2...............................................................63
            Part 2.......................................................63
            Limitations..................................................63


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Schedule 2...............................................................67
            Part 3.......................................................67
            Buyer's Warranties...........................................67

Schedule 3...............................................................69
            Part I.......................................................69
            UK Premises..................................................69

Schedule 4...............................................................71
            Tax Deed.....................................................71


1        Definitions And Interpretation..................................71

2        Covenant........................................................73

3        Limitations to the Covenant.....................................75

4        Claims Procedures...............................................77

5        Payments........................................................79

6        Recoveries......................................................80

7        Joint and Several Obligations...................................81

8        Assignment......................................................81

9        General.........................................................81

Schedule 5...............................................................84
            Accounting Policies..........................................84


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                      DATED:        6 APRIL         2000

BETWEEN:

(1)      The several  persons  whose names and  addresses  are set out in column
         (1) of part 1 of schedule 1 (the "SELLERS"); and


(2)       TRANSWORLD HEALTHCARE (UK) LIMITED a company incorporated in England
          and Wales with registered number 3370146, having its registered office
          at Balderton Hall, South Drive, Newark, Nottinghamshire NG24 3TR (the
          "BUYER")

1        DEFINITIONS AND INTERPRETATION

         In this Agreement unless inconsistent with the context or otherwise
         specified:-

         1.1      the following expressions have the following meanings:-

                  "ACCOUNTS"           :   the audited financial statements of
                                           the Company comprising the profit and
                                           loss account of the Company for the
                                           accounting period ended on 28
                                           November 1999 and the audited balance
                                           sheet of the Company as at the
                                           Balance Sheet Date together with the
                                           notes on such financial statements,
                                           director's report and auditors
                                           certificate;

                  "ACCOUNTS"           :   means financial statements of the
                                           Company, comprising the balance sheet
                                           of the Company, the balance sheet and
                                           profit and loss account of the
                                           Company together with the notes
                                           thereon as at and for the financial
                                           period specified;

                  "2000 ACCOUNTS"      :   means the accounts as at and for the
                                           12 month period ending on 3 December
                                           2000 prepared in accordance with
                                           clause 4;

                  "2001 ACCOUNTS"      :   means the accounts as at and for the
                                           12 month period ending on 2 December
                                           2001 prepared in accordance with
                                           clause 4;


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                  "THIS AGREEMENT"     :   this agreement (and the schedules to
                                           it), as varied from time to time
                                           pursuant to its terms;

                  "AUDITORS"           :   means the auditors from time to time
                                           of the Buyer;

                  "AVERAGE GROWTH"     :   means the average growth in Pre-Tax
                                           Profits over two years calculated by
                                           adding together the per centage
                                           growth in Pre-Tax Profits in respect
                                           of the 2000 Pre-Tax Profits as
                                           against the Pre-Tax Profits for the
                                           period ended 28 November 1999 (deemed
                                           Pre-Tax Profits for such period
                                           being(pound)1,100,000) and in respect
                                           of 2001 Pre-Tax Profits as against
                                           the 2000 Pre-Tax Profits and dividing
                                           the resulting figure by two;

                  "BALANCE SHEET DATE" :   28 November 1999;

                  "BUSINESS IP"        :   all Intellectual Property used by the
                                           Company in its business;

                  "BUYER'S GROUP"      :   the group of companies comprising the
                                           Buyer and any company which is for
                                           the time being a subsidiary of the
                                           Buyer and "BUYER'S GROUP MEMBER"
                                           means any one of them;

                  "BUYER'S SOLICITORS" :   Ashurst Morris Crisp of Broadwalk
                                           House, 5 Appold Street, London EC2A
                                           2HA and any successor firm;

                  "COMPANY"            :   Nightingale Nursing Bureau Limited,
                                           brief particulars of which are set
                                           out in part 2 of schedule 1;

                  "COMPLETION"         :   completion of the sale and purchase
                                           of the Shares in accordance with
                                           clause 6;

                  "COMPUTER SYSTEMS"   :   the computer hardware, firmware and
                                           peripherals belonging to or used by
                                           the Company and all material computer
                                           programs, operating systems and



                                       2
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                                           other software licensed to the
                                           Company or used by the Company or
                                           resident on any Company computer
                                           equipment in combination with one
                                           another;

                "CONFIDENTIAL INFORMATION" all information, trade secrets and
                                           know-how relating to the Company's
                                           business, financial or other affairs
                                           (including future plans and targets
                                           of the Company) which is not in the
                                           public domain;

                "CONSIDERATION SHARES" :   the 1,050,000 A1 ordinary shares of
                                           five pence each in the capital of the
                                           Buyer to be issued pursuant to clause
                                           3;

                "DEFERRED CONSIDERATION:   means the dates set out for payment
                                           of the Deferred

                PAYMENT DATES"             Consideration in clause 3.7;

                "DEFERRED CONSIDERATION":  means together the sums payable
                                           pursuant to clause 3;

                "DISCLOSURE LETTER"     :  the letter of the same date as the
                                           date of this Agreement from the
                                           Sellers to the Buyer disclosing
                                           certain exceptions to the Warranties;

                "EARN-OUT ACCOUNTS"     :  means one or both of the 2000 and
                                           2001 Accounts (as the context may
                                           require);

                "ENCUMBRANCE"           :  any mortgage, charge (fixed or
                                           floating), pledge, lien,
                                           hypothecation, trust, right of
                                           set-off or other third party right or
                                           interest (legal or equitable)
                                           including any right of pre-emption,
                                           assignment by way of security,
                                           reservation of title or any other
                                           security interest of any kind
                                           howsoever created or arising or any
                                           other agreement or arrangement
                                           (including a sale and repurchase
                                           arrangement) having similar effect;

                "ESCROW ACCOUNT"         : means an account in the joint names
                                           of the Buyer's Solicitors and the
                                           Sellers' Solicitors opened and


                                       3
<PAGE>

                                           operated in accordance with the
                                           Escrow Instruction letter;

             "ESCROW INSTRUCTION LETTER" : means the instruction letter from the
                                           Buyer and the Sellers to the Buyer's
                                           Solicitors and the Sellers'
                                           Solicitors in the agreed form;

             "GROWTH"                    : means the growth in Pre-Tax Profits
                                           as compared with the previous
                                           financial period, which in the case
                                           of the 2000 Pre-Tax Profits will be
                                           the period to 28 November 1999 (in
                                           respect of which Pre-Tax Profits will
                                           be deemed to be(pound)1,100,000) and
                                           in the case of the 2001 Pre-Tax
                                           Profits will be the 2000 Pre-Tax
                                           Profits;

             "GUARANTEE"                 : the guarantees, details of which are
                                           listed at paragraph 13.3 of the
                                           specific disclosures in the
                                           Disclosure Letter;

             "HOMECARE BUSINESS"         : the business of providing nursing
                                           support to individuals at home
                                           carried on by the Company;

             "ICTA"                      : the Income and Corporation Taxes Act
                                           1988;

             "INTELLECTUAL PROPERTY      : copyright, patents, registered and
                                           unregistered trade and service marks,
                                           trade names, domain names, registered
                                           and unregistered design rights,
                                           semiconductor topography and chip
                                           design rights, know-how, trade
                                           secrets, confidential and proprietary
                                           information and other intellectual
                                           property rights and rights of a
                                           similar nature in any jurisdiction
                                           and applications and registrations
                                           for and extensions and renewals of
                                           such rights in any jurisdiction;

             "MANAGEMENT ACCOUNTS"       : Management accounts for the period
                                           from 30 November 1998 to 28 February
                                           2000, in the agreed form;


                                       4
<PAGE>


         "NON-CONTRACT CLIENT     :  the business of supplying temporary nursing
          BUSINESS"                  staff to hospitals under the Company's
                                     standard terms and conditions carried
                                     on by the Company;

         "PARTIES"                :  the parties to this  Agreement; and "PARTY"
                                     means any of them;

         "PERMIT"                 :  a permit, licence, consent, approval,
                                     certificate, registration and all other
                                     authorisations necessary in any
                                     jurisdiction for the proper and efficient
                                     operation of the Company's business;

         "PREMISES"               :  the premises specified in schedule 3;

         "PRE-TAX PROFITS"        :  means the net profits on ordinary
                                     activities of the Company before deducting
                                     United Kingdom corporation tax (excluding,
                                     for the avoidance of doubt, profits and
                                     losses of a capital nature) for the
                                     financial period in question as drawn from
                                     the relevant Earn-Out Accounts and agreed
                                     or determined as such pursuant to clause 4;

         "1999 PRE-TAX PROFITS"    : means the Pre-Tax Profits in respect of the
                                     12 month period ended 28 November 1999
                                     which shall be deemed to be
                                     (pound)1,100,000;

         "2000 PRE-TAX PROFITS"    : means the Pre-Tax Profits in respect of the
                                     12 month period ending 3 December 2000;

         "2001 PRE-TAX PROFITS"    : means the Pre-Tax Profits in respect of the
                                     12 month period ending 2 December 2001;

         "PRICE"                   : the sum of(pound)9,651,000 and the Deferred
                                     Consideration (if any);

         "RELATED PERSON"          : shall be in relation to one person a person
                                     connected with that person in accordance
                                     with section 839 of


                                       5
<PAGE>

                                     ICTA except that in construing section 839,
                                     "control" has the meaning given by Section
                                     840 or Section 416 ICTA so that there is
                                     control whenever Section 840 or 416 ICTA
                                     requires);

         "SELLERS"                 : the several persons whose names and
                                     addresses are set out in column (1) of part
                                     1 of schedule 1;

         "SELLERS' ACCOUNT"        : means the account in the name of Stephenson
                                     Harwood Client No. 2 Account number
                                     20341109 at The Royal Bank of Scotland PLC,
                                     London City Office Branch, (Bank Sort Code
                                     15-10-00);

         "SELLERS' REPRESENTATIVE" : means Wendy Thompson or such other person
                                     as may be appointed from time to time by
                                     service of a notice in writing on the Buyer
                                     specifying such other person duly signed by
                                     persons who are entitled to a majority of
                                     the Deferred Consideration;

         "SELLERS' SOLICITORS"     : Stephenson Harwood of One St Paul's
                                     Churchyard, London EC4M 8SH and any
                                     successor firm;

         "SHARES"                  : all of the issued shares in the capital of
                                     the Company;

         "SOLE AGENCY BUSINESS"    : the business of supplying nursing staff to
                                     hospitals under sole agency agreements
                                     carried on by the Company;

         "TARGET RETURN"           : means in relation to the 2000 Pre-Tax
                                     Profits (pound)1,320,000 and in relation to
                                     the 2001 Pre-Tax Profits (pound)1,584,000;

         "TAX AUTHORITY"           : any local, municipal, governmental, state,
                                     federal or other fiscal or revenue
                                     authority, body or official anywhere in the
                                     world (which shall include reference to
                                     customs and excise authorities) competent
                                     to impose Taxation;



                                       6
<PAGE>

         "TAX DEED"                : the deed to be entered into between (1) the
                                     Sellers and (2) the Buyer in the form set
                                     out in schedule 4;

         "TCGA"                    : the Taxation of Chargeable Gains Act 1992;

         "TMA"                     : the Taxes Management Act 1970;

         "VAT"                     : value added tax;

         "VATA 1994"               : the Value Added Tax Act 1994;

         "WARRANTIES"              : the warranties set out in part 1 of
                                     schedule 2;

         "WORKING DAY"             : any week day (except Saturdays and public
                                     holidays);

         1.2      references to clauses and schedules are to clauses of and the
                  schedules to this Agreement;

         1.3      words importing gender include each gender;

         1.4      references to persons include bodies corporate, firms and
                  unincorporated associations;

         1.5      the singular includes the plural and vice versa;

         1.6      clause headings are included for the convenience of the
                  Parties only and do not affect its interpretation;

         1.7      references to statutory provisions shall be construed as
                  references to those provisions as respectively amended,
                  consolidated, extended or re-enacted from time to time and
                  shall include any orders, regulations, instruments or other
                  subordinate legislation made under the relevant statute
                  (except to the extent that any amendment, consolidation,
                  extension or re-enactment of any statutory provision or the
                  making of any subordinate legislation in each case after the
                  date of this Agreement would increase the Seller's liability
                  under this Agreement);

         1.8      the expressions "TAXATION" and "TAX" have the meanings given
                  to them in clause 1 of the Tax Deed;



                                       7
<PAGE>

         1.9      the expression "COMPANY" has the same meaning as in the
                  definition in section 735 of the Companies Act 1985, the
                  expressions "DIRECTOR" and "SHADOW DIRECTOR" have the
                  respective meanings given to them by section 741 of the
                  Companies Act 1985 and the provisions of sections 736 and 736A
                  of the Companies Act 1985 apply in determining whether one
                  company is a subsidiary or holding company of another;

         1.10     the expression "DISCLOSED" means fairly disclosed to the Buyer
                  in or by the Disclosure Letter;

         1.11     a reference to an SSAP means a Statement of Standard
                  Accounting Practice published by the Institute of Chartered
                  Accountants in England and Wales or a Financial Reporting
                  Standard adopted or issued by the Accounting Standards Board;

         1.12     where a statement is qualified by the expression "SO FAR AS
                  THE SELLERS ARE AWARE" or "TO THE BEST OF THE KNOWLEDGE,
                  INFORMATION AND BELIEF OF THE SELLERS", or any similar
                  expression, that statement shall be deemed to be made on the
                  basis that the Sellers' have made all reasonable enquiries to
                  ascertain the relevant facts of each other and of Jan Baum,
                  Shirley McDonnell and Cathy Bouvy; and

         1.13     the expression "IN THE AGREED TERMS" means in relation to any
                  document, in the form agreed between the Parties and for the
                  purposes of identification, signed on the date of this
                  Agreement by the Buyers' Solicitors and the Sellers'
                  Solicitors.

2        SALE OF SHARES

         2.1      Subject to the terms of this Agreement and for the
                  consideration appearing in it, the Sellers shall sell with
                  full title guarantee and the Buyer shall buy the Shares free
                  from Encumbrances and together with all rights and benefits
                  now and hereafter attaching or accruing to them and all
                  dividends and distributions declared, made or paid after the
                  Balance Sheet Date.

         2.2      Each of the Sellers waives or agrees to procure the waiver of
                  any rights or restrictions conferred upon them or any other
                  person which may exist in relation to the Shares under the
                  Articles of Association of the Company or otherwise.



                                       8
<PAGE>

         2.3       The Buyer shall not be obliged to complete the purchase of
                   any of the Shares unless the Sellers complete the sale of all
                   the Shares simultaneously, but completion of the purchase of
                   some Shares shall not affect the rights of the Buyer with
                   respect to its rights to the other Shares.

3        EARN-OUT

         3.1      The consideration for the sale of the Shares shall be the
                  aggregate of:-

                  3.1.1    the sum of(pound)9,651,000 to be satisfied at
                           Completion as to(pound)8,601,000 in cash allocated
                           between the Sellers in the amounts set out against
                           each of the Sellers' names under the heading "Cash
                           ((pound))" in column 6 of schedule 1, part 1 in
                           cleared and immediately available funds for same day
                           value by telegraphic transfer to the Sellers' Account
                           and as to(pound)1,050,000 by the allotment and issue
                           to the Sellers of such numbers of Consideration
                           Shares as are set out against each of the Sellers'
                           names under the heading "Shares" in column 6 of
                           schedule 1, part 1 at a price of(pound)1.00 per share
                           credited as fully paid and save as set out in the
                           Articles of Association of the Buyer ranking pari
                           passu with the existing issued ordinary shares of 5p
                           each in the capital of the Buyer; and

                  3.1.2    an additional sum of up to (pound)3,500,000 in
                           aggregate Deferred Consideration dependent upon the
                           2000 Pre-Tax Profits and the 2001 Pre-Tax Profits on
                           the basis and subject to the terms and conditions set
                           out in this clause 3.

         3.2      Subject as set out in this clause 3 and in particular clause
                  3.6, the sum of (pound)1,500,000 shall be payable to the
                  Sellers by way of Deferred Consideration if the 2000 Pre-Tax
                  Profits are at least (pound)1,320,000.

         3.3      Subject as set out in this clause 3 and in particular clause
                  3.6, the sum of (pound)1,500,000 shall be payable to the
                  Sellers by way of Deferred Consideration if the 2001 Pre-Tax
                  Profits are at least (pound)1,584,000.

         3.4      If the Target Return is achieved in respect of both the 2000
                  Pre-Tax Profits and the 2001 Pre-Tax Profits then Deferred
                  Consideration of up to (pound)500,000 in aggregate may be
                  payable to the Sellers in addition to the sums payable
                  pursuant to clauses 3.2 and 3.3, the amount of such additional
                  sum shall be calculated in accordance with 3.4.1.



                                       9
<PAGE>

                  3.4.1    If the considerations in clause 3.4 are satisfied,
                           the Average Growth shall be calculated and additional
                           consideration shall be payable to the Sellers in the
                           following amounts:-

                           (a)      of(pound)100,000 in aggregate if the Average
                                    Growth is equal to or greater than 23 per
                                    cent and less than 24 per cent; or

                           (b)      of(pound)300,000 in aggregate if the Average
                                    Growth is equal to or greater than 24 per
                                    cent and less than 25 per cent; or

                           (c)      of(pound)500,000 in aggregate if the Average
                                    Growth is equal to or greater than 25 per
                                    cent;

                           if the Average Growth is less than 23 per cent no
                           further Deferred Consideration shall be payable.

         3.5      If the Target Return has not been achieved in respect of both
                  the 2000 Pre-Tax Profits and the 2001 Pre-Tax Profits none of
                  clauses 3.2, 3.3 and 3.4 shall be applicable and any payment
                  of Deferred Consideration shall be calculated on the basis of
                  the Average Growth. The Deferred Consideration shall be
                  payable (if at all) in the following sums:

                  3.5.1    of (pound)1,000,000 in aggregate if the Average
                           Growth is equal to or greater than 18 per cent and
                           less than 18.5 per cent; or

                  3.5.2    of (pound)1,500,000 in aggregate if the Average
                           Growth is equal to or greater than 18.5 per cent and
                           less than 19 per cent; or

                  3.5.3    of (pound)2,000,000 in aggregate if the Average
                           Growth is equal to or greater than 19 per cent and
                           less than 19.5 per cent; or

                  3.5.4    of (pound)2,500,000 in aggregate if the Average
                           Growth is equal to or greater than 19.5 per cent and
                           less than 20 per cent;

                  if the Average Growth is less than 18 per cent no Deferred
                  Consideration shall be payable to the Sellers.

                                       10
<PAGE>

         3.6      3.6.1    If the Target Return is achieved in respect of
                           either but not both of the 2000 Pre-Tax Profits or
                           the 2001 Pre-Tax Profits then the Deferred
                           Consideration shall be payable to the Sellers as set
                           out in this clause 3.6.

                  3.6.2    If the Target Return is not achieved in respect of
                           the 2000 Pre-Tax Profits:-

                           (a)      there shall be no Deferred Consideration
                                    payable pursuant to clauses 3.2 or 3.4;

                           (b)      whether or not the Target Return is achieved
                                    in respect of the 2001 Pre-Tax Profits there
                                    shall be no Deferred Consideration payable
                                    pursuant to clause 3.3;

                           (c)      the Average Growth shall then be calculated
                                    and using the Average Growth figure there
                                    shall be calculated and payable to the
                                    Sellers the amount that would be payable
                                    pursuant to clause 3.5 if the Deferred
                                    Consideration fell to be calculated pursuant
                                    to that clause save that Deferred
                                    Consideration of (pound)3,000,000 shall be
                                    payable in aggregate if the Average Growth
                                    is equal to or greater than 20 per cent.

                  3.6.3    If the Target Return is achieved in respect of the
                           2000 Pre-Tax Profits but the Target Return is not
                           achieved in respect of the 2001 Pre-Tax Profits:-

                           (a)      Deferred Consideration shall be payable in
                                    accordance with the terms of clause 3.2;

                           (b)      there shall be no Deferred Consideration
                                    payable pursuant to clause 3.3;

                           (c)      if the 2001 Pre-Tax Profits are less than
                                    (pound)1,478,400 no additional Deferred
                                    Consideration shall be payable and the
                                    Sellers' Consideration Shares shall convert
                                    into deferred shares in accordance with
                                    article 34.1 of the articles of association
                                    of the Buyer unless the sum of
                                    (pound)1,500,000 shall be paid in
                                    immediately available funds by the Sellers
                                    to the Buyer within twenty one days of
                                    determination of the 2001 Pre-Tax Profits in
                                    accordance with clause 4;



                                       11
<PAGE>

                           (d)      if the 2001 Pre-Tax Profits are equal to or
                                    more than(pound)1,478,400 the Average Growth
                                    shall then be calculated and using the
                                    Average Growth figure there shall be
                                    calculated the amount that would be payable
                                    pursuant to Clause 3.5 if the Deferred
                                    Consideration fell to be calculated pursuant
                                    to that clause save that Deferred
                                    Consideration of (pound)3,000,000 shall be
                                    payable in aggregate if Average Growth is
                                    equal to or greater than 20 per cent and if
                                    the amount so calculated is greater than the
                                    amount paid pursuant to Clause 3.6.3(a)
                                    above the excess shall be paid to the
                                    Sellers.

         3.7      Any amounts payable pursuant to clauses 3.1 to 3.6 shall be
                  paid within fifteen Business Days after the date on which the
                  relevant Pre-Tax Profits shall be agreed or determined
                  pursuant to clause 3 and shall be satisfied in cash to be
                  allocated between the Sellers in the proportions set out
                  against each of the Sellers' names in column 7 of schedule 1,
                  part 1. Provided that, subject to the Pre-Tax Profits having
                  been determined in accordance with clause 4, such amounts
                  shall be paid no later than 6 months after the end of the
                  relevant financial period.

         3.8      Any payment of cash pursuant to clauses 3.1 to 3.6 shall be
                  made by means of telegraphic transfer (or such other means as
                  the Sellers' Representative and Buyer shall agree in writing)
                  on the Deferred Consideration Payment Date to the Sellers'
                  Account and receipt of such sum shall be good discharge to the
                  Buyer.

         3.9      The Sellers' Representative is irrevocably authorised to act
                  on behalf of the Sellers for the purpose of giving any consent
                  or approval pursuant to or approving any amendment of any of
                  the provisions of this agreement relating to or having a
                  bearing on the calculation of the amount of the Deferred
                  Consideration or resolving with the Buyer any dispute as to
                  the interpretation of this agreement relating to or having a
                  bearing on the same.

         3.10     Each of Belinda Burgess and Wendy Thompson agree not to
                  transfer the Consideration Shares (or any shares deriving
                  therefrom) prior to 6 April 2002 unless, subject as set out in
                  this clause, prior to such date a listing for such Shares (or
                  any shares deriving therefrom) has been obtained when, if the
                  Consideration Shares have converted into ordinary shares in
                  accordance with Article 34.1 of the Articles of Association of
                  the Buyer they shall be free to sell such shares. If such
                  Shares shall not have converted into ordinary shares a third
                  party on-market sale of


                                       12
<PAGE>

                  the Consideration Shares may be made provided that
                  arrangements reasonably satisfactory to the Buyer are made to
                  ensure that an amount equal to the purchase price to be paid
                  by the transferee of any shares to be transferred and held by
                  Wendy Thompson or Belinda Burgess is paid into the Escrow
                  Account. At such time as there is (pound)1,500,000 in
                  aggregate in the Escrow Account there shall be no further
                  restrictions upon the transfer of Consideration Shares by
                  Wendy Thompson or Belinda Burgess other than those set out in
                  the Articles or clause 3.12. All sums held in the Escrow
                  Account shall be released to the Sellers when such Shares
                  would otherwise have converted into ordinary shares under
                  Article 34.1 \(a) and (b) of the Buyer's Articles of
                  Association. Sums held in the Escrow Account shall be released
                  to the Buyer in circumstances where clause 3.6.3 applies and
                  the sum of (pound)1,500,000 referred to in clause 3.6.3 has
                  not been paid to the Buyer in which case sums held in the
                  Escrow Account, to the extent required to satisfy such sum,
                  shall be released to the Buyer. Interest shall follow
                  principal.


         3.11     For the purposes of this clause the following shall constitute
                  a transfer of shares in the Buyer:-

                  (a)      any direction (by way of renunciation or otherwise)
                           by a holder entitled to an allotment or transfer of
                           shares that a share be allotted or issued or
                           transferred to some person other than himself; or

                  (b)      any sale or other disposition of any legal or
                           equitable interest in the share (including any voting
                           right attached to it)

                           (i)      whether or not by the relevant holder;

                           (ii)     whether or not for consideration; and

                           (iii)    whether or not effected by an instrument
                                    in writing.

         3.12     Each of Belinda Burgess and Wendy Thompson agree to enter into
                  such reasonable and customary restrictions in relation to the
                  Consideration Shares (or any shares deriving therefrom) held
                  by them following a listing as any investment bank, sponsor or
                  similar entity engaged by the Buyer or other member of the
                  Buyer's group or any holding company of the Buyer shall
                  request on a listing of any or all of the shares of the Buyer
                  (or other


                                       13
<PAGE>

         member of the Buyer's Group or any holding company of the Buyer on any
         stock exchange).

4        PRE-TAX PROFITS

         4.1      For the purpose of determining the Pre-Tax Profits the Buyer
                  shall cause the Company to prepare and deliver to each party
                  and the Auditors, as soon as practicable following the end of
                  the period to which the relevant Earn-Out Accounts relate, but
                  in any event within 60 days after such date, draft Earn-Out
                  Accounts. The Earn-Out Accounts shall be prepared in
                  accordance with Schedule 5 and the Companies Acts 1985 to 1989
                  (as amended).

         4.2      Immediately following preparation of the relevant draft
                  Earn-Out Accounts by the Company, the Buyer shall instruct the
                  Auditors to review the same and to determine the Pre-Tax
                  Profits for the relevant period as soon as possible and in any
                  event not later than 90 days after the end of the period to
                  which the relevant Earn-Out Accounts relate.

         4.3      Immediately following the Auditors' determination of the
                  relevant Pre-Tax Profits, there shall be supplied to the Buyer
                  and the Sellers' Representative a statement of the relevant
                  Pre-Tax Profits determined by the Auditors together with the
                  draft Earn-Out Accounts and such supporting documentation as
                  is necessary to enable the Sellers to review each of them. The
                  Buyer and the Sellers' Representative shall have a period of
                  30 days (the "PROFIT AGREEMENT PERIOD") in which to review and
                  agree or dispute the Auditors' determination of the relevant
                  Pre-Tax Profits.

         4.4      The Auditors' determination of the relevant Pre-Tax Profits
                  shall in the absence of the service of a notice within the
                  Profit Agreement Period by either Party on the other disputing
                  the amount so determined be deemed to constitute the final and
                  binding agreement between the Sellers and the Buyer as to the
                  amount thereof.

         4.5      In the event that the relevant Pre-Tax Profits have not been
                  agreed by the termination of the Profit Agreement Period the
                  determination of the Pre-Tax Profits shall be referred to an
                  independent firm of chartered accountants (the "EXPERT")
                  appointed by agreement between the Sellers' Representative and
                  Buyer or, in default of agreement on such appointment within
                  ten Business Days of the expiry of the Profit Agreement
                  Period, on the application of either the Buyer or the Sellers'


                                       14
<PAGE>

                  Representative, by the President for the time being of the
                  Institute of Chartered Accountants in England and Wales, or
                  his duly appointed deputy. In making such determination the
                  Expert shall act as an expert and not as an arbitrator and his
                  decision shall (in the absence of manifest error (and the
                  Expert shall give reasons for his determination)) be final and
                  binding on the Parties. Each Party shall bear the costs and
                  expenses of all counsel and other advisers, witnesses and
                  employees retained by it and the costs and expenses of the
                  Expert shall be borne by the Parties in the proportions he may
                  direct or, in the absence of direction, equally. Subject to
                  any rule of law or of any regulatory body or any provision of
                  any contract or arrangement entered into prior to the date of
                  this Agreement to the contrary, the Buyer shall afford as soon
                  as reasonably practicable upon request to the Sellers and
                  their agents and to the Expert all facilities and access to
                  the Company's premises, books, accounts, records, returns and
                  other documents as may be in the Company's possession or
                  control as may be required by the Expert to make his
                  determination.

         4.6      The Buyer hereby covenants with the Sellers that during the
                  period commencing on the date hereof and ending on 2 December
                  2001 the business of the Company as carried on prior to the
                  date hereof shall be carried on and developed solely within
                  the Company without prejudice to the Buyer's ability to run
                  and develop its existing business (including without
                  limitation its existing operations in the Greater London area)
                  and to acquire similar or competing businesses.

         4.7      The Sellers agree with the Buyer (on behalf of itself and on
                  behalf of the Company) to pay to the Buyer the amount of any
                  sums paid pursuant to clause 4.7.1 and 4.7.2 and to keep the
                  Buyer and the Company fully indemnified against any cost,
                  liabilities or expenses associated with or arising from:-

                  4.7.1    any costs, sums or expenses paid by or payable by the
                           Company and associated with or relating to the sale
                           and purchase, including any management bonuses (other
                           than normal Christmas bonuses and bonuses of
                           (pound)9,206 and AUS$1,527 to Jan Baum and Cathy
                           Bouvy respectively); or

                  4.7.2    arising from any payment, sale, transfer, gift,
                           distribution or other similar or like payment made
                           other than in the ordinary course of trading on or
                           after 28 November 1999 or arising from a breach of
                           warranties 11.3, 11.5, 11.6, 11.7 or 11.8.



                                       15
<PAGE>

5        WARRANTIES

         5.1      The Sellers warrant to the Buyer in the terms set out in part
                  1 of schedule 2.

         5.2      Each of the Warranties set out in each paragraph of part 1 of
                  schedule 2 is separate and independent and shall not be
                  limited by the terms of any of the other Warranties or any
                  other term of this agreement.

         5.3      The Warranties are given subject to the matters disclosed.

         5.4      Without prejudice to the Buyer's duty to mitigate its loss,
                  the Sellers' liability in respect of any claim under the
                  Warranties shall be limited as provided in part 2 of schedule
                  2.

         5.5      The Buyer acknowledges that it has not entered into this
                  Agreement in reliance upon any representation or warranty
                  other than the Warranties. Save for the warranties and
                  indemnities set out in this Agreement and the Tax Deed or as
                  required by statute, all representations and warranties,
                  express or implied, statutory or otherwise, in respect of the
                  Company and/or any business or assets of the Company are
                  expressly excluded. Without prejudice to the foregoing the
                  Buyer irrevocably and unconditionally waives any right it may
                  have to claim rescission for misrepresentation whether or not
                  contained in this Agreement, or damages for breach of any
                  warranty not contained in this Agreement or the Tax Deed
                  unless such misrepresentation or warranty was made
                  fraudulently.

         5.6      Any information supplied by or on behalf of the Company to or
                  on behalf of any or all of the Sellers in connection with the
                  Warranties, the Disclosure Letter or otherwise in relation to
                  the business and affairs of the Company shall not constitute a
                  representation or warranty or guarantee as to the accuracy
                  thereof by the Company and each of the Sellers undertakes to
                  the Buyer that it will not bring any and all claims which it
                  might otherwise have against the Company or any of its
                  respective directors, employees, agents or advisers in respect
                  thereof.

         5.7      Without restricting the rights of the Buyer or the ability of
                  the Buyer to claim damages on any basis available to it if the
                  Sellers are in breach of any of the Warranties the Seller
                  shall pay to the Buyer the amount necessary to put the Company
                  into the position which would have existed if the said
                  Warranties had not


                                       16
<PAGE>

                  been breached together with all reasonable costs and expenses
                  incurred by the Buyer and the Company as a result of such
                  breach.

         5.8      Each of Wendy-Anne Thompson and David Theodore Thompson (the
                  "TRUSTEES") the Trustees of the Wendy Thompson 1998 Settlement
                  and the Doctor D.T. Thompson Bare Trust for Olivia Burgess
                  (the "TRUSTS") undertakes in relation to the Trusts from the
                  date of this Agreement until whichever is the later of:-

                  5.8.1    two years after the date hereof; or

                  5.8.2    if before the expiry of such two year period notice
                           of any claim hereunder or under the Tax Deed has been
                           given to him in his capacity as a Trustee the date
                           upon which all such claims shall have been settled in
                           full or withdrawn or finally dismissed;

                           such Trustee will not:

                  5.8.3    without the prior written consent of the Buyer (such
                           consent not to be unreasonably withheld) mortgage
                           charge or pledge any assets of the relevant Trust or
                           use such assets in any other way as security for any
                           borrowings (whether of the Trustees or any other
                           person);

                  5.8.4    distribute such assets of the relevant Trust (whether
                           by way of outright transfer loan or otherwise) to
                           beneficiaries of the relevant Trust who are not
                           themselves Sellers without the consent of the Buyer.

                           For the avoidance of doubt, the word "ASSETS" as used
                           in this clause is not intended to include any income
                           arising thereon.

         5.9      In the event that any of the Trustees (the "RETIRING TRUSTEE"
                  which expression shall where the context permits include any
                  New Trustee as defined below) shall retire as a trustee of
                  either Trust he hereby undertakes with the Buyer immediately
                  prior to his so retiring to obtain from any person or persons
                  replacing him (the "NEW TRUSTEE") a covenant to the Buyer and
                  the Retiring Trustee to be bound by this agreement and all the
                  obligations of the Retiring Trustee hereunder in place of the
                  Retiring Trustee and on the giving of such a covenant by the
                  New Trustee the Retiring Trustee shall (except in relation to
                  any claim notice of which has


                                       17
<PAGE>

                  previously been given) thereupon be discharged from all or any
                  liability under this agreement or under the Tax Deed.

         5.10     Any Retiring Trustee who retires without the appointment of a
                  New Trustee in his place shall continue to be liable under
                  this Agreement to the same extent as if he had continued to be
                  a Trustee until a New Trustee is appointed in place of the
                  Retiring Trustee and gives a covenant to be bound by this
                  Agreement and all the obligations of the Retiring Trustee
                  hereunder in place of the Retiring Trustee.

         5.11     The personal representatives of any Trustee who shall have
                  been the last surviving trustee of either Trust (the "DECEASED
                  TRUSTEE") shall be liable under this Agreement to the same
                  extent as the Deceased Trustee would have been if he were
                  alive until a new trustee or trustees is appointed in place of
                  the Deceased Trustee and gives a covenant to the Buyer and the
                  personal representatives of the Deceased Trustee to be bound
                  by this agreement and all the obligations of the Deceased
                  Trustee hereunder in place of the Deceased Trustee.

         5.12     The Buyer warrants to the Sellers in the terms set out in Part
                  3 of Schedule 2.

         5.13     The aggregate liability of the Buyer in respect of all claims
                  made on it under clause 5.12 shall not exceed(pound)1,050,000;

6        COMPLETION

         6.1      Completion shall take place at the offices of the Sellers'
                  Solicitors immediately after the signing of this Agreement (or
                  at such other place and time as shall be mutually agreed
                  between the Parties) when the events set out in clauses 6.2 to
                  6.6 (inclusive) shall take place.

         6.2      The Sellers shall cause to be delivered to the Buyer:-

                  6.2.1    transfers in common form in respect of the Shares
                           duly executed by the respective registered holders in
                           each case in favour of the Buyer (or as it may
                           direct) accompanied by the relative certificates;

                  6.2.2    the certificate of incorporation, the common seal and
                           the statutory books of the Company;

                  6.2.3    the agreed list of deeds and other documents relating
                           to the Premises;



                                       18
<PAGE>

                  6.2.4    a counterpart of the Tax Deed duly executed by the
                           Sellers;

                  6.2.5    duly executed agreements for the provision of
                           services (in the agreed terms) in respect of Wendy
                           Thompson and Belinda Burgess; and

                  6.2.6    the resignation letters referred to in clause 6.4.

         6.3      The Sellers shall procure the passing of board resolutions of
                  the Company:-

                  6.3.1    approving for registration the transfers referred to
                           in clause 6.2.1 (subject to their being duly
                           stamped);

                  6.3.2    appointing such persons as the Buyer may nominate as
                           directors of the Company;

                  6.3.3    appointing such person as the Buyer may nominate as
                           secretary of the Company;

                  6.3.4    resolving that the Company enter the agreements for
                           the provision of services referred to in clause
                           6.2.5;

                  6.3.5    revoking all mandates to bankers and giving authority
                           in favour of the directors appointed under clause
                           6.3.2 or such other persons as the Buyer may nominate
                           to operate the bank accounts thereof; and

                  6.3.6    changing the accounting reference date of the Company
                           to 30 September, the first such accounting period
                           ending 30 September 2000.

         6.4      The Sellers shall:-

                  6.4.1    cause such of the directors of the Company as the
                           Buyer shall require to resign from their
                           directorships in and all offices of profit under the
                           Company without any payment under the Employment
                           Rights Act 1996 or otherwise and shall deliver to the
                           Buyer their written resignations containing an
                           acknowledgement by deed signed by each of them that
                           he has no claim against the Company for compensation
                           for loss of office or termination of employment or
                           otherwise (except only for any accrued remuneration
                           and expenses remaining to be reimbursed, details of
                           which are set out in the Disclosure Letter);



                                       19
<PAGE>

                  6.4.2    cause the secretary of the Company to resign from
                           such office and from all other offices of profit
                           under the Company without any payment under the
                           Employment Rights Act 1996 or otherwise and shall
                           deliver to the Buyer her written resignation
                           containing an acknowledgement by deed in the terms
                           set out in clause 6.4.1; and

                  6.4.3    procure the resignation without compensation of any
                           nature of the auditors of the Company and shall
                           deliver to the Buyer a copy of the auditors' written
                           resignation containing both an acknowledgement that
                           they have no claim for compensation for loss of
                           office, professional fees or otherwise, and a
                           statement expressed to be for the purposes of section
                           394(1) of the Companies Act 1985 that there are no
                           circumstances connected with their resignation which
                           they consider should be brought to the notice of the
                           members or creditors of the Company, the original of
                           the written resignation having been deposited at the
                           registered office of the Company.

         6.5      The Sellers shall procure that at Completion:-

                  6.5.1    there are repaid all sums (if any) owing to the
                           Company by the Sellers or any Related Person except
                           those arising in the ordinary course of trade and
                           whether or not such sums are due for repayment;

                  6.5.2    the Company is released from any guarantee,
                           indemnity, bond, letter of comfort or Encumbrance or
                           other similar obligation given or incurred by it
                           which relates in whole or in part to debts or other
                           liabilities or obligations, whether actual or
                           contingent, of any Seller or Related Person other
                           than the Company;

                  and prior to such repayment or release the Sellers undertake
                  to the Buyer (on behalf of themselves and as trustee on behalf
                  of the Company) to keep the Company fully indemnified against
                  any failure to make any such repayment or any liability
                  arising under any such guarantee, indemnity, bond, letter of
                  comfort or Encumbrance.

         6.6      The Sellers hereby irrevocably release and discharge the
                  Company and its officers and employees from all claims,
                  demands, obligations and causes of action whatsoever which
                  they now have, ever have had or (but for this clause) might


                                       20
<PAGE>

                  hereafter have against the Company and its officers and
                  employees in respect of any matter, fact or circumstance
                  occurring prior to the date hereof whatsoever.

         6.7      Each of the Sellers undertakes to the Buyer (on behalf of
                  themselves and as trustee on behalf of the Company) to
                  indemnify the Company against any claims, demands, obligations
                  and causes of action (including any claims for unfair
                  dismissal or relating to termination of employment) against
                  the Company purportedly released pursuant to clause 6.6 above
                  if such release and/or discharge shall be ineffective, void or
                  unenforceable for any reason.

         6.8      The Buyer shall:-

                  6.8.1    pay the Price in the manner provided by clause 3.1.1;

                  6.8.2    cause to be delivered to the Sellers a counterpart of
                           the Tax Deed duly executed by the Buyer; and

                  6.8.3    cause to be delivered to the Sellers Share
                           Certificates in respect of the Consideration Shares.

         6.9      Each of the Sellers acknowledges that, immediately following
                  Completion until such time as the transfer(s) of the Shares
                  have been registered in the register of members of the
                  Company, each of the Sellers will hold those Shares registered
                  in his or her name on trust for and as nominee for the Buyer
                  or its nominees and undertakes to hold all dividends and
                  distributions and exercise all voting rights available in
                  respect of those Shares in accordance with the directions of
                  the Buyer or its nominees and if the Sellers are in breach of
                  the undertakings contained in this clause each of the Sellers
                  irrevocably authorise the Buyer to appoint some person or
                  persons to execute all instruments or proxies (including
                  consents to short notice) or other documents which the Buyer
                  or its nominees may reasonably require and which may be
                  necessary to enable the Buyer or its nominees to attend and
                  vote at general meetings of the Company and to do any thing or
                  things necessary to give effect to the rights contained in
                  this clause.

7        SELLERS' GUARANTEES

         The Buyer shall use all reasonable endeavours to procure the release,
         as soon as practicable after Completion, of the Guarantees. Until such
         release, the Buyer undertakes to the Sellers


                                       21
<PAGE>

         to keep the Sellers indemnified and held harmless from and against all
         actions, proceedings, costs, expenses, loss and damage whatsoever
         arising out of or in connection with each such Guarantee insofar as it
         relates to an obligation or liability of the Company.

8        COMPETITION

         8.1      The Sellers acknowledge that there is considerable scope to
                  expand the Company's business in Australia and acknowledge
                  that the Company intends to expand it shortly. The Sellers
                  undertake to the Buyer that they will not directly or
                  indirectly on their own account or on behalf of any other
                  person and whether as principal, shareholder, partner,
                  employee, agent or otherwise:-

                  8.1.1    during the period of 3 years after Completion carry
                           on or be concerned or interested or engaged (except
                           as a shareholder in a public listed company holding
                           not more than 5 per cent of the share capital
                           generally entitling the holder to cast a vote at a
                           general meeting of such company) in the United
                           Kingdom in any business competing with the type of
                           business carried on by the Company as at Completion;

                  8.1.2    during the period of 3 years after Completion carry
                           on or be concerned or interested or engaged (except
                           as a shareholder in a public listed company holding
                           not more than 5 per cent of the share capital
                           generally entitling the holder to cast a vote at a
                           general meeting of such company) in Australia in any
                           business competing with the type of business carried
                           on by the Company as at Completion;

                  8.1.3    during the period of 3 years after Completion
                           canvass, solicit the custom of any person who was a
                           customer of the Company during the 1 year prior to
                           Completion in respect of services competitive with
                           those supplied by the Company;

                  8.1.4    during the period of 3 years after Completion solicit
                           induce or seek to induce or endeavour to entice away
                           from the Company any person who was an employee of
                           such Company as at Completion, provided that this
                           restriction only applies to employees who are likely
                           to come into possession of confidential information
                           during the course of their employment with the
                           Company or who, in the course of such employment,
                           have had dealings


                                       22
<PAGE>

                           with persons who were customers of the Company
                           sufficient to influence customer relationships or
                           connections of the Company during the 1 year prior to
                           Completion.

                  8.1.5    use any trade or domain name (including the
                           expressions "Nightingale", "NNB" or "Nightingale
                           Nursing Bureau") or e-mail address used by the
                           Company at any time during the 2 years immediately
                           preceding the date of this Agreement or any other
                           name intended or likely to be confused with any such
                           trade or domain name or e-mail address.

         8.2      The Sellers agree that the undertakings contained in this
                  clause 8 are reasonable and are entered into for the purpose
                  of protecting the goodwill of the business of each member of
                  the Buyer's Group and that accordingly the benefit of the
                  undertakings may be assigned within the Buyer's Group by the
                  Buyer and its successors in title without the consent of the
                  Sellers provided that if the assignee ceases to be a member of
                  the Buyer's Group the benefit of the assignment will be
                  transferred back to a member of the Buyer's Group.

         8.3      Each undertaking contained in this clause 8 is and shall be
                  construed as separate and severable and if one or more of the
                  undertakings is held to be against the public interest or
                  unlawful or in any way an unreasonable restraint of trade or
                  unenforceable in whole or in part for any reason the remaining
                  undertakings or parts thereof, as appropriate, shall continue
                  to bind the Sellers.

         8.4      If any undertaking contained in this clause 8 shall be held to
                  be void but would be valid if deleted in part or reduced in
                  application, such undertaking shall apply with such deletion
                  or modification as may be necessary to make it valid and
                  enforceable. Without prejudice to the generality of the
                  foregoing, such period (as the same may previously have been
                  reduced by virtue of this clause 8.4) shall take effect as if
                  reduced by six months until the resulting period shall be
                  valid and enforceable.

9        ANCILLARY PROVISIONS

         9.1      CONFIDENTIAL INFORMATION

                  The Sellers shall not, and shall procure that no adviser or
                  agent or Related Party of the Sellers shall use or disclose to
                  any person Confidential Information.



                                       23
<PAGE>

         9.2      Clause 9.1 does not apply to:-

                  (a)      disclosure of Confidential Information to or at the
                           written request of the Buyer;

                  (b)      use or disclosure of Confidential Information
                           required to be disclosed by law, regulation or any
                           revenue authority;

                  (c)      disclosure of Confidential Information to
                           professional advisers for the purpose of advising the
                           Sellers; or

                  (d)      Confidential Information which is in the public
                           domain other than by the Seller's breach of clause
                           9.1.

         9.3      FURTHER ASSURANCES

                  Following Completion the Sellers shall from time to time
                  forthwith upon request from the Buyer at the Seller's
                  expense do or procure the doing of all acts and/or execute
                  or procure the execution of all such documents in a form
                  reasonably satisfactory to the Buyer for the purpose of
                  vesting in the Buyer the full legal and beneficial title to
                  the Shares and otherwise giving the Buyer the full benefit
                  of this Agreement.

         9.4      ASSIGNMENT

                  9.4.1    Subject to clause 9.4.2 neither any of the Sellers
                           nor the Buyer shall assign, encumber, dispose of or
                           otherwise transfer any of their rights under this
                           Agreement without the prior written consent of the
                           other Parties. The Buyer may assign within the
                           Buyer's Group provided that if the assignee ceases to
                           be a member of the Buyer's Group the benefit of the
                           assignment will be transferred back to a member of
                           the Buyer's Group.

                  9.4.2    It is hereby agreed and declared that the Buyer shall
                           be entitled to assign the benefit of all or part of
                           this agreement and the Tax Deed by way of security to
                           any lender, group of lenders, agent or security
                           trustee by way of security for the borrowings,
                           guarantees and/or other indebtedness of all or any
                           part of the Buyer's Group made or to be made pursuant
                           to facility or other agreements or any amendment,
                           restatement or extension of them.



                                       24
<PAGE>

         9.5      SEVERABILITY

                  If any part of this Agreement is found by any court or other
                  competent authority to be invalid, unlawful or unenforceable
                  then such part shall be severed from the remainder of this
                  Agreement which shall continue to be valid and enforceable to
                  the fullest extent permitted by law.

         9.6      COSTS AND EXPENSES

                  9.6.1    Each Party shall pay their own costs and expenses
                           incurred in the sale and purchase of the Shares and
                           the Sellers agree with the Buyer (on behalf of itself
                           and on behalf of the Company) to keep the Company
                           fully indemnified against any costs, expenses or
                           liabilities associated with or relating to the sale
                           and purchase including any management bonuses (other
                           than normal Christmas bonuses and bonuses of
                           (pound)9,206 and AUS$1,527 to Jan Baum and Cathy
                           Bouvy respectively);

                  9.6.2    The stamp duty payable in relation to the transfer of
                           the Shares shall be payable by the Buyer.

         9.7      ENTIRE AGREEMENT

                  9.7.1    This Agreement constitutes the entire understanding
                           between the Parties in relation to its subject
                           matter.

                  9.7.2    Except as otherwise permitted by this Agreement, no
                           change to its terms shall be effective unless it is
                           in writing and signed by or on behalf of all Parties.

         9.8      ANNOUNCEMENTS

                  No announcement or circular in connection with this Agreement
                  or any matter arising from this Agreement shall be made or
                  issued by or on behalf of any of Party or its Related Persons
                  or professional advisers without the prior written consent of
                  the other Party which shall not be unreasonably withheld. The
                  restrictions in this clause 9.8 shall not apply to any
                  statement which is required to be made by law or applicable
                  regulation or to announcements, communications or circulars
                  made or sent by the Buyer after Completion to customers,
                  clients or suppliers of the


                                       25
<PAGE>

                  Company save for the initial announcements to customers,
                  clients or suppliers which shall be in the agreed terms.

         9.9      NON-MERGER

                  Notwithstanding Completion, this Agreement shall remain in
                  full force and effect as regards any of its unperformed or
                  unimplemented provisions including, without limitation, all
                  guarantees, warranties and undertakings. The remedies of the
                  Buyer in respect of any breach of the Warranties shall
                  continue to subsist notwithstanding Completion.

         9.10     COUNTERPARTS

                  9.10.1   This Agreement may be executed in any one or more
                           number of counterparts each of which, when executed,
                           shall be deemed to form part of and together
                           constitute this Agreement.

                  9.10.2   This Agreement shall be immediately binding and
                           effective when each of the Parties has
                           unconditionally executed either this Agreement or any
                           of those counterparts.

         9.11     NOTICES

                  9.11.1   Any notice or other communication to be given under
                           this Agreement shall either be delivered by hand or
                           sent by first class post or facsimile transmission
                           (provided that, in the case of facsimile
                           transmission, the notice is confirmed by being
                           delivered by hand or sent by first class post within
                           two Working Days after transmission) as follows:

                           (a)      (in the case of the Sellers) to: Wendy-Anne
                                    Thompson

                                    Address:         The Old Rectory
                                                     Stapleford Tawney
                                                     Essex RM4 1TD

                                    Fax:             01708 688643

                                    with a copy to: Robert Haldane



                                       26
<PAGE>

                                    Address:         Stephenson Harwood
                                                     One St. Paul's Chuchyard
                                                     London EC4M 8SH

                                    Fax:             020 7606 0822


                           (b)      (in the case of the Buyer) to: The Company
                                    Secretary

                                    Address:  Transworld Healthcare (UK) Limited
                                              Balderton Hall
                                              South Drive
                                              Balderton
                                              Newark
                                              Nottinghamshire
                                              NG24 3TR

                                              Fax: 01636 610659


                  9.11.2   A Party may change the address or facsimile number or
                           the name of the person for whose attention notices
                           are to be addressed by serving a notice on the others
                           in accordance with this clause 9.11.

                  9.11.3   All notices shall be deemed to have been served as
                           follows:-

                           (a)      if delivered by hand, at the time of
                                    delivery;

                           (b)      if posted by first-class inland post at the
                                    expiration of two Working Days after the
                                    envelope containing the same was delivered
                                    into the custody of the postal authorities;
                                    and

                           (c)      if communicated by facsimile, six hours
                                    after the time of transmission;

                                    PROVIDED that where, in the case of delivery
                                    by hand or by facsimile transmission, such
                                    delivery or transmission occurs after 5 p.m.
                                    on a Working Day or on a day which is not a
                                    Working Day, service shall be deemed to
                                    occur at 9.00 a.m. on the next following
                                    Working Day.

                  9.11.4   In proving such service it shall be sufficient to
                           prove that the envelope containing such notice was
                           properly addressed and delivered either to the


                                       27
<PAGE>

                           address shown thereon or into the custody of the
                           postal authorities or that a completed report
                           confirming that such notice has been transmitted in
                           full was received by the sender as the case may be.

         9.12     GOVERNING LAW

                  This Agreement shall be construed and take effect in all
                  respects in accordance with English law.





                                       28
<PAGE>

                                   SCHEDULE 1

                                     PART 1

                                   THE SELLERS
<TABLE>
<CAPTION>
(1)                             (2)                (3)                (4)               (5)
NAME AND ADDRESS                  "A" SHARES         "B" SHARES         "C" SHARES        "D" SHARES
OF SELLER
<S>                             <C>                <C>                <C>               <C>

Wendy-Anne Thompson                   63,316             91,350            158,290           228,375
The Old Rectory
Stapleford Tawney
Essex
RM4 1TD

David Theodore Thompson                1,200                  -              3,000                 -
The Old Rectory
Stapleford Tawney
Essex
RM4 1TD

Richard James Thompson                 5,075              5,075             12,687            12,687
The Old Rectory
Stapleford Tawney
Essex
RM4 1TD

Belinda Mary Burgess                   5,075              5,075             12,687            12,687
59 Tetherdown
Muswell Hill
London N10 1NH

Wendy-Anne Thompson and               25,634                  -             64,085                 -
David Theodore Thompson
(The Wendy Thompson
1998 Settlement)
The Old Rectory
Stapleford Tawney
Essex  RM4 1TD

Wendy-Anne Thompson and                1,200                  -              3,000                 -
David Theodore Thompson
(The Doctor D.T. Thompson
Bare Trust for Olivia Burgess)
The Old Rectory
Stapleford Tawney
Esses RM4 1TD

                                 -----------       ------------       ------------       -----------
TOTAL                                101,500            101,500            253,749           253,749
                                ------------       ------------       ------------      ------------

</TABLE>








                                       29
<PAGE>


<TABLE>
<CAPTION>
(1)                            (6)                             (7)
NAME AND ADDRESS                 CONSIDERATION PAYABLE            DEFERRED CONSIDERATION (%)
OF SELLER                       CASH (POUND)      SHARES
<S>                             <C>                               <C>

Wendy-Anne Thompson             6,353,111.16    1,000,000                     76.19
The Old Rectory
Stapleford Tawney
Essex
RM4 1TD

David Theodore Thompson            57,050.25            -                      0.59
The Old Rectory
Stapleford Tawney
Essex
RM4 1TD

Richard James Thompson            482,550.00            -                      5.00
The Old Rectory
Stapleford Tawney
Essex
RM4 1TD

Belinda Mary Burgess              432,550.00       50,000                      5.00
59 Tetherdown
Muswell Hill
London N10 1NH

Wendy-Anne Thompson and         1,218,688.34            -                     12.63
David Theodore Thompson
(The Wendy Thompson
1998 Settlement)
The Old Rectory
Stapleford Tawney
Essex  RM4 1TD

Wendy-Anne Thompson and            57,050.25            -                      0.59
David Theodore Thompson
(The Doctor D.T. Thompson
Bare Trust for Olivia Burgess)
The Old Rectory
Stapleford Tawney
Esses RM4 1TD

                                ---------       ---------                   -------
                                8,601,000       1,050,000                    100
TOTAL                           ---------       ---------                   -------

</TABLE>


                                       30


<PAGE>

                                   SCHEDULE 1

                                     PART 2

                             DETAILS OF THE COMPANY

Country of incorporation : United Kingdom

Company number :           2158123

Date of incorporation :    27 August 1987

Registered office :        2 Tavistock Place
                           London WC1H 9RA

Tax residence:             UK

Authorised share capital : (pound)329,874.50, consisting of 101,500 A
                           ordinary shares of (pound)1 each, 101,500 B
                           ordinary shares of (pound)1 each, 253,749 C
                           ordinary shares of 25p each aND 253,749 D
                           ordinary shares of 25p each

Issued share capital :     (pound)329,874.50, consisting of 101,500 A
                           ordinary shares of (pound)1 each, 101,500 B
                           ordinary shares of (pound)1 each, 253,749 C
                           ordinary shares of 25p each aND 253,749 D
                           ordinary shares of 25p each

Directors :                Dr David Theodore Thompson
                           Richard James Thompson
                           Wendy-Anne Thompson
                           Belinda Mary Burgess

Secretary :                Belinda Mary Burgess

Auditors :                 Fraser Russell
                           Greenwood House
                           91/99 New London Road
                           Chelmsford
                           Essex
                           CM2 0PP


                                       31
<PAGE>

                                   SCHEDULE 2

                                     PART 1

                                   WARRANTIES

1        Documents delivered
2        The Company and the Sellers
3        Accounts
4        Tax
5        Premises
6        Assets
7        Material contracts and liabilities
8        Intellectual Property and Information Technology
9        Compliance with legislation etc
10       Employment
11       Events since Balance Sheet Date
12       Shares and Securities
13       Loans
14       Litigation etc
15       Insolvency
16       Insurances
17       Other
18       Constitution
19       Pensions



                                       32
<PAGE>

1        DOCUMENTS DELIVERED

1.1      The Sellers have delivered to the Buyer:

         1.1.1    a true and complete copy of the Accounts; and

         1.1.2    a true and complete copy of the memorandum and articles of
                  association of the Company.

1.2       All written information contained in the disclosure files and the
          supplemental information files made available to the Buyer for
          inspection before or during the negotiations leading to this Agreement
          is accurate and not misleading.

1.3      The information set out in schedules 1 and 3 is accurate and not
         misleading.

2        THE COMPANY AND THE SELLERS

2.1      The Sellers are the only legal and beneficial owners of the Shares.

2.2      The Company has not now, and has not since its incorporation had, any
         subsidiary nor has it since its incorporation been a subsidiary of any
         body corporate.

2.3      The Company has been in continuous existence since incorporation.

2.4      The Company has not allotted any shares other than the Shares and the
         Shares are fully paid or credited as fully paid.

2.5      The Company is not the owner or the registered holder of any share in
         or other security of any body corporate wherever incorporated nor has
         it agreed to become the owner or registered holder of any such share or
         security.

2.6      Each Seller has full power to enter into and perform this Agreement and
         the Tax Deed respectively and this Agreement constitutes and the Tax
         Deed will, when executed, constitute legally valid and binding
         obligations of each Seller which will be enforceable in accordance with
         their terms.

2.7      The execution of this agreement, the acquisition of the Shares by the
         Buyer or compliance with the terms of this Agreement will not:

         2.7.1    cause the Company to lose the benefit of any Permit, right,
                  privilege or licence it currently enjoys;



                                       33
<PAGE>

         2.7.2    give rise to or cause to become exercisable any right of
                  pre-emption;

         2.7.3    conflict with or result in a breach of or give rise to an
                  event of default under or require the consent of a person
                  under or enable a person to terminate or relieve a person from
                  an obligation under an agreement, arrangement or obligation to
                  which the Company is a party;

         2.7.4    result in any customer being entitled:

                  (a)      to cease dealing with the Company;

                  (b)      substantially to reduce its existing level of
                           business; or

                  (c)      to change the terms upon which it deals with the
                           Company; or

         2.7.5    so far as the Sellers are aware (but without any requirement
                  to make enquiries as referred to in clause 1.12), result in
                  any officer or senior employee leaving the Company.

2.8      There is no agreement or arrangement (legally enforceable or not) to
         which the Company is or during the three years ending on the date of
         this Agreement was a party and in which any Seller or a Related Person
         is or was interested in any way and there is not outstanding any
         indebtedness or other liability (actual or contingent) or obligations
         owing by the Company to any of the Sellers nor is there any
         indebtedness, other such liability or obligations owing to the Company
         by any such person.

3        ACCOUNTS

3.1      The Accounts:

         3.1.1        have been prepared on a basis consistent with previous
                      accounts of the Company and have been prepared and audited
                      in accordance with the law and Generally Accepted
                      Accounting Principles, Standards and Policies in the
                      United Kingdom;

         3.1.2        comply with the Companies Act 1985 and all other
                      applicable statutes and regulations and show a true and
                      fair view of the assets, liabilities, financial position
                      and state of affairs of the Company and of the profits and
                      losses for the financial period ended on the Balance Sheet
                      Date;



                                       34
<PAGE>

         3.1.3        make full provision or reserve for all actual liabilities
                      and contain proper and adequate provision or reserve for
                      or disclose all contingent liabilities or financial
                      commitments existing at the Balance Sheet Date;

3.2      The results shown by the audited profit and loss account of the Company
         for each of the three financial years of the Company ended on the
         Balance Sheet Date have not (except as disclosed in those accounts)
         been affected by an extraordinary, exceptional or non-recurring item or
         by any other matter making the profits or losses for a period covered
         by any of those accounts unusually high or low.

3.3      The Management Accounts have been prepared by the Company on the bases
         set out in the Disclosure letter with due care and attention and show
         with reasonable accuracy the state of affairs and profit or loss of the
         Company as at the date to which and for the period in respect of which
         they were prepared.

3.4      The books of account and all other records of the Company (including
         any which it may be obliged to produce under any contract now in force)
         are up to date, in its possession and are true and complete in
         accordance with the law and applicable standards, principles and
         practices generally accepted in the United Kingdom.

3.5      All deeds and documents (properly stamped where stamping is necessary
         for the enforcement thereof) belonging to the Company or which ought to
         be in the possession of the Company are in the possession of the
         Company.

4        TAX

         RETURNS

4.1      All returns of the Company and all records, information and notices
         reasonably requested or required by law for Taxation purposes have been
         made or supplied within the requisite periods and on a proper basis and
         were correct and accurate in all material respects and are not subject
         to any dispute with the Inland Revenue or any other fiscal authority at
         the date of this Agreement.

         RECORDS

4.2      The Company retains sufficient records to calculate the tax liability
         or relief arising on any disposal or realisation of any asset owned at
         the Balance Sheet Date or acquired since that


                                       35
<PAGE>

         date and has kept and maintained all records required by the Inland
         Revenue in respect of self-employed nurses and/or nurses working in
         patients' own homes.

         ACCOUNTS

4.3      The Accounts contain full provision or reserve for all Taxation
         (including deferred Taxation) which may be assessed on the Company for
         the accounting period ended on the Balance Sheet Date or for any prior
         period (on the basis of the rates of tax and taxation statutes in force
         at the Balance Sheet Date) in respect of any transaction, event or
         omission occurring or deemed to occur or any income, profit or gains
         earned, accrued or received or deemed to be earned, accrued or received
         by the Company on or prior to the Balance Sheet Date or for which the
         Company is accountable up to such date and all contingent or disputed
         liabilities for Taxation have been properly provided for or disclosed
         in the Accounts.

         POST BALANCE SHEET DATE

4.4      Since the Balance Sheet Date no further liability or contingent
         liability for Taxation has arisen otherwise than as a result of trading
         activities in the ordinary course of business.

         PAYMENT OF TAXATION

4.5      The Company has paid all Taxation for which it is liable to account to
         the Inland Revenue or other fiscal authority on the due date for
         payment of such Taxation and is under no liability to pay any penalty
         or interest in connection with such Taxation.

         DEDUCTIONS

4.6      The Company has deducted all Taxation required to be deducted from any
         payments made by the Company.

         PAY AS YOU EARN

4.7      The Company has in all material respects properly operated the PAYE and
         National Insurance systems and has complied with all of its reporting
         obligations in connection with the same. No PAYE audit in respect of
         the Company has been made by the Inland Revenue nor has the Company
         been notified of such audit.





                                       36
<PAGE>
         GIVE AS YOU EARN

4.8      No payroll deduction scheme pursuant to section 202 of ICTA has been
         operated by the Company.

         VALUE ADDED TAX

4.9      (a)      The Company is a registered taxable person for the purpose
                  of the VAT legislation and has not at any time been treated as
                  a member of a group of companies for such purpose and has not
                  made any application to be so treated and no circumstances
                  exist whereby the Company would or might become liable for VAT
                  as an agent or otherwise by virtue of section 47 of the VATA
                  1994.

         (b)      The Company has complied in all material respects with the
                  requirements and provisions of the VAT legislation and has
                  made and maintained accurate and up to date records invoices
                  accounts and other documents required by or necessary for the
                  purposes of the VAT legislation and the Company has at all
                  times punctually paid and made all payments and returns
                  required thereunder.

         (c)      The Company has not made any exempt supplies in consequence of
                  which it is or will be unable to obtain credit for all input
                  tax paid by it during any VAT quarter ending after the Balance
                  Sheet Date.

         CLEARANCES

4.10     No action has been taken by the Company in respect of which any consent
         or clearance from the Inland Revenue or other Taxation Authority was
         required except in circumstances where such consent or clearance was
         validly obtained and where any conditions attaching thereto were met
         and will, immediately following Completion, continue to be met.

         CORPORATION TAX

         DUAL RESIDENCE

4.11     The Company is not and has not within the past six years been a dual
         resident company within the meaning of section 404(4) of ICTA and has
         not been involved in a transaction to which section 404 of ICTA or any
         other provision (including any exclusion from a provision) relating to
         dual resident investment companies as there defined could apply.





                                       37
<PAGE>
         SECONDARY LIABILITY

4.12     No transaction or event has occurred in consequence of which the
         Company is or may be held liable for any tax or deprived of relief or
         allowances otherwise available to it in consequence of any tax or may
         otherwise be held liable for or to indemnify any person in respect of
         any tax, where some other company or person is or may become primarily
         liable for the tax in question (whether by reason of any such other
         company being or having been a member of the same group of companies or
         otherwise).

         DEDUCTIONS

4.13     The Company has not made any payment or incurred any liability to make
         any payment of a revenue nature which could be disallowed as a
         deduction in computing the taxable profits of the Company or as a
         charge on the Company's income.

         TRANSFER PRICING

4.14     All transactions entered into by the Company have been entered into on
         an arm's length basis and the consideration (if any) charged or
         received or paid by the Company on all transactions entered into by it
         has been equal to the consideration which might have been expected to
         be charged, received or paid (as appropriate) between independent
         persons dealing at arm's length and no notice or enquiry pursuant to
         section 770 of ICTA or the transfer pricing provisions of any
         arrangements made under section 788 of ICTA (relief by agreement with
         other countries) has been made in connection with any of such
         transactions.

         CAPITAL ALLOWANCES

4.15     No balancing charge in respect of any capital allowances claimed or
         given would arise if all the assets of the Company were to be realised
         for a consideration equal to the amount of the book value thereof as
         shown or included in the Completion Accounts. All necessary conditions
         for all capital allowances (as defined in section 832(1) of ICTA)
         claimed by the Company were at all material times satisfied and remain
         satisfied and the Company has not since the Balance Sheet Date become
         liable for any balancing charge.

         REPAYMENTS OF SHARE CAPITAL

4.16     The Company has not made (and will not be deemed to have made) any
         distribution within the meaning of sections 209 and 210 (bonus issue
         following repayment of capital) of ICTA since incorporation except
         dividends properly authorised and shown in its Accounts nor is the
         Company bound to make any such distribution.



                                       38
<PAGE>

         SALES AT BOOK VALUE

4.17     No chargeable gain or profit (disregarding the effects of any
         indexation relief available) would arise if any asset of the Company
         (other than trading stock) were to be realised for a consideration
         equal to the amount of the book value thereof as shown or included in
         the Accounts.

         VALUATION OF ASSETS

4.18     (a)      The Company has not since the Balance Sheet Date disposed
                  of any asset so that section 17 of the TCGA (disposals and
                  acquisitions treated as made at market value) might apply to
                  increase the consideration deemed to be given on such
                  disposal.

         (b)      The Company has not since the Balance Sheet Date held or had
                  any interest in any asset where section 17 of the TCGA might
                  apply to reduce the consideration deemed to be given on the
                  acquisition of that asset.

         CLOSE COMPANIES

         TRANSFERS OF VALUE

4.19     The Company has made no transfer of value such as is specified in
         section 94(1) (or section 99(2)) of the Inheritance Tax Act 1984.

         LOANS TO PARTICIPATORS

4.20     The Company has not made any loan advance or payment or given any
         consideration falling within sections 419-420 or 422 of ICTA.

         DISTRIBUTIONS

4.21     The Company has made no payments and conferred no benefits falling to
         be treated as distributions under section 418 of ICTA.

         TRANSFERS AT UNDERVALUE

4.22     The Company has not made a transfer at an undervalue so that section
         125 of the TCGA could apply.



                                       39
<PAGE>

         STAMP DUTY

4.23     All documents in the enforcement of which the Company is interested and
         which are in its possession have been duly stamped and since the
         Balance Sheet Date the Company has not been a party to any transaction
         whereby the Company was or is or could become liable to stamp duty
         reserve tax.

         INHERITANCE TAX

4.24     The Company is not, nor will become, liable to be assessed to capital
         transfer tax or inheritance tax as donor or donee of any gift or
         transferor or transferee of value (actual or deemed) nor as a result of
         any disposition, chargeable transfer or transfer of value (actual or
         deemed) made by or deemed to be made by any other person.

5        THE PREMISES

         UK PREMISES

5.1      The Premises set out in Schedule 3 Part 1 ("THE UK PREMISES") comprise
         all the freehold and leasehold land owned, used or occupied by the
         Company in the United Kingdom and all agreements whereby the Company
         has any financial entitlement relating to any land in the United
         Kingdom at the date hereof.

         NO OTHER LIABILITIES

5.2      The Company has no actual or contingent obligations or liabilities (in
         any capacity including as principal contracting party or guarantor) in
         relation to any lease or other interest in land apart from the leases
         of the Premises referred to in Schedule 3 Part 1.

         GOOD AND MARKETABLE TITLE

5.3      The Company has a good and marketable title to the UK Premises which
         title is leasehold and the Company is solely legally and beneficially
         entitled to the UK Premises for an unencumbered estate in possession.



                                       40
<PAGE>

         TITLE DEEDS AND DOCUMENTS

5.4      The Company has under its control all title deeds and documents
         necessary to prove its leasehold title to the UK Premises and the same
         are original documents or properly examined abstracts; where any of the
         UK Premises are leasehold the title documents include all necessary
         consents for the grant and assignment of the lease, memoranda of rent
         increases where appropriate and all reversioners' consents required
         under the lease.

         NO ADVERSE RIGHTS IN COURSE OF ACQUISITION

5.5      No liberty, right, easement, licence or other arrangement is enjoyed or
         is in the course of being acquired by or against the UK Premises (and
         none is needed) nor is any needed for obtaining access to any land or
         for repair of the UK Premises or to comply with any fire regulations.

         ADEQUACY OF EXISTING BENEFICIAL RIGHTS

5.6      Each of the UK Premises has the benefit of all rights necessary for the
         continued present use which is in the Sellers' reasonable view not
         inconsistent with the permitted use and enjoyment of the same such
         rights not being capable of withdrawal by any person nor liable to be
         made subject to any charge therefor save for the usual service charges
         under the leases of the UK Premises.

         NO ENCUMBRANCES

5.7      The UK Premises and the title deeds thereto are not subject to any
         encumbrance or any lease or agreement for lease and the UK Premises are
         free from mortgages charges and liens and are not subject to any
         outgoings other than uniform business rates charges for utilities and
         the like and rent and service charge.

         NO OVERRIDING INTERESTS

5.8      The UK Premises are not subject to any overriding interests within the
         meaning of section 70 of the Land Registration Act 1925.

         OTHER MATTERS ADVERSELY AFFECTING THE UK PREMISES

5.9      The terms of the documents affecting or subject to which the UK
         Premises are held are not of an onerous or unusual nature for a lease
         of this type nor do they, in the Sellers'


                                       41
<PAGE>

         reasonable view conflict with the user thereof and there is no material
         subsisting breach on the part of the Company of any covenant condition
         or agreement contained in any lease under which the Company holds the
         UK Premises and no Landlord has refused to accept rent or made any
         complaint or objection.

         NO DEFAULT

5.10     To the Sellers' knowledge the Company has duly performed, observed and
         complied with all statutory and common law requirements, by-laws,
         orders, building regulations and other stipulations and regulations
         affecting the UK Premises and (in the Sellers' reasonable view) the
         uses of the UK Premises and (without prejudice to the generality of the
         foregoing) all outgoings have been paid to date and (in the case of
         leasehold property) no notice of any alleged breach of any of the terms
         of any such lease or tenancy agreement as aforesaid has been served on
         the Company.

         LEASEHOLD PREMISES

5.11     (a)      Each of the UK Premises which is leasehold is held under
                  the leases brief details of which are set out in Schedule 3
                  Part 1 and save as aforementioned no licences or collateral
                  arrangements or concessions have been entered into or granted
                  each such lease being a head lease nor any rights of
                  determination on the part of the landlord save for usual
                  forfeiture provisions and there are no rent reviews which are
                  in the course of being determined.

         (b)      No agreement has been entered into nor has any application
                  been made to any Court for the exclusion from the leases under
                  which the Company holds the UK Premises of sections 24-28 of
                  the Landlord and Tenant Act 1954 (as amended)

         (c)      The Company is not holding over pursuant to any lease of any
                  of the UK Premises

         OCCUPATIONAL INTERESTS

5.12     There are no occupational interests in the UK Premises other than those
         of the Company.

         USE

5.13     The existing use of each of the UK Premises is only that specified in
         Schedule 3 Part 1 and is in the Sellers' reasonable view not
         inconsistent with the lawful permitted use whether


                                       42
<PAGE>

         under the current Town and Country Planning legislation or other
         statutory provision and are not temporary uses and all necessary
         consents to such existing uses have been obtained.

         DEVELOPMENT

5.14     All development carried on by the Company has been and is lawful and
         all necessary consents and permissions have been or are being obtained
         for such development.

         ADEQUACY OF PLANNING CONSENTS

5.15     The consents referred to in paragraph 5.13 above are subsisting and are
         not temporary or suspended and are also either unconditional or subject
         only to conditions which have been satisfied so that nothing further
         remains to be done thereunder or are not such as would be regarded as
         onerous by a prudent occupier of commercial property of the nature of
         the UK Premises and no such planning permission remains unimplemented
         (whether in whole or in part) nor has any planning application been
         submitted by the Company which awaits determination.

         NO COMPULSORY ACQUISITION OR ENFORCEMENT PROCEEDINGS

5.16     There are no outstanding enforcement or other notices or proceedings
         issued by the Company in respect of any of the UK Premises.

         REPLIES TO ENQUIRIES

5.17     All disclosures and written replies to enquiries and requisitions
         relating to the UK Premises made or given by or on behalf of the
         Sellers or the Company to the Buyer or its solicitors are complete and
         correct in all material respects to the best of the Sellers' knowledge.

         NO LITIGATION

5.18     The Company is not engaged in any litigation or arbitration proceedings
         in connection with any of the UK Premises. There is no cause of action
         which has arisen or accrued or law suit or arbitration threatened or
         pending against the Company in connection with the UK Premises and no
         circumstances are believed to exist which are likely to give rise to
         any.



                                       43
<PAGE>

         NO VITIATION OF INSURANCE

5.19     The Company has not knowingly done or omitted to do anything whereby
         any policy of insurance has or may become void or voidable and all
         requisite insurances are in force and all current premiums are fully
         paid.

         NO DISPUTES

5.20     The UK Premises are not to the Sellers' knowledge affected by any
         outstanding disputes, notices or complaints which affect the use of the
         UK Premises for the purposes for which they are now used and there are
         to the Sellers' knowledge no encumbrances affecting the UK Premises and
         which in the Sellers' reasonable view would prevent or impede the
         Company from operating and carrying on the businesses currently carried
         on at the UK Premises.

         LOCAL AUTHORITIES - LAND CHARGES AND REPLIES TO ENQUIRIES

5.21     The UK Premises are not affected by any matter or thing which would be
         revealed by official certificates of search made or raised within a
         period of 6 months prior to the date of this Agreement in the register
         of local land charges or by replies to enquiries on form CON 29D or (if
         appropriate) form CON 29D (London) made or raised within a period of 6
         months prior to the date of this Agreement which would adversely affect
         the UK Premises or the value thereof or the continued uses thereof for
         the existing uses indicated in Schedule 3 Part 1.

         FIRE PRECAUTIONS ACT 1971

5.22     So far as the Sellers are aware the Company has complied with its
         obligations under the Fire Precautions Act 1971 and the Company's
         landlord has applied for and obtained fire certificates thereunder in
         respect of UK Premises to the extent required by such Act.

         VAT

5.23     The Landlord has elected the UK Premises in the United Kingdom for the
         purpose of VAT and the Company pays VAT on rent payments.



                                       44
<PAGE>

         AUSTRALIAN PREMISES

5.24     The Premises set out in Schedule 3 Part 2 ("THE AUSTRALIAN PREMISES")
         comprise all the freehold and leasehold land owned, used or occupied by
         the Company in Australia and all agreements whereby the Company has any
         financial entitlement relating to any land in Australia at the date
         hereof.

         NO OTHER LIABILITIES

5.25     The Company has no actual or contingent obligations or liabilities (in
         any capacity including as principal contracting party or guarantor) in
         relation to any lease or other interest in land apart from the leases
         of the Australian Premises referred to in Schedule 3 Part 2.

         GOOD AND MARKETABLE TITLE

5.26     The Company has a good and marketable title to the Australian Premises
         which title is leasehold and the Company is solely legally and
         beneficially entitled to Australian Premises for an unencumbered estate
         in possession.

         TITLE DEEDS AND DOCUMENTS

5.27     The Company has (subject to the mortgage hereinafter referred to) all
         title deeds and documents necessary to prove its leasehold title to the
         Australian Premises and the same are original documents or properly
         examined abstracts; where any of the Australian Premises are leasehold
         the title documents include all necessary consents for the grant and
         assignment of the lease, memoranda of rent increases where appropriate
         and all reversioners' consents required under the lease.

         NO ENCUMBRANCES

5.28     The Australian Premises and the title deeds thereto are not subject to
         any encumbrance or any lease or agreement for lease and the Australian
         Premises are free from mortgages charges and liens (other than a
         mortgage to National Australia Bank) and are not subject to any
         outgoings other than uniform business rates charges for utilities and
         the like and rent and service charge.



                                       45
<PAGE>

         NO OVERRIDING INTERESTS

5.29     The Australian Premises are not subject to any undocumented
         occupational rights of third parties.

         OTHER MATTERS ADVERSELY AFFECTING THE PREMISES

5.30     The terms of the documents affecting or subject to which the Australian
         Premises are held are not of an onerous or unusual nature for a lease
         of this type nor do they, in the Sellers' reasonable view conflict with
         the user thereof and there is no material subsisting breach on the part
         of the Company of any covenant condition or agreement contained in any
         lease under which the Company holds the Australian Premises and no
         Landlord has refused to accept rent or made any complaint or objection.

         NO DEFAULT

5.31     To the Seller's knowledge the Company has duly performed, observed and
         complied with all requirements of Australian law affecting the
         Australian Premises and (in the Seller's reasonable view) the uses of
         the Australian Premises and (without prejudice to the generality of the
         foregoing) all outgoings have been paid to date and (in the case of
         leasehold property) no notice of any alleged breach of any of the terms
         of any such lease or tenancy agreement as aforesaid has been served on
         the Company.

         LEASEHOLD PREMISES

5.32     (a)      The Australian Premises which is leasehold is held under the
                  lease brief details of which are set out in Schedule 3 Part 2
                  and save as aforementioned no licences or collateral
                  arrangements or concessions have been entered into or granted
                  each such lease being a head lease nor any rights of
                  determination on the part of the landlord save for usual
                  forfeiture provisions and there are no rent reviews which are
                  in the course of being determined. The lease provides that
                  rent is to be reviewed on the exercise of the option for new
                  lease in accordance with the Consumer Price Index and after
                  each subsequent 12 month period. The relevant review dates are
                  23 April 2000, 23 April 2001 and 23 April 2002.

         (b)      The Company is not holding over pursuant to any lease of any
                  of the Australian Premises.



                                       46
<PAGE>

         OCCUPATIONAL INTERESTS

5.33     There are no occupational interests in the Australian Premises other
         than those of the Company.

         USE

5.34     The existing use of each of the Australian Premises is only that
         specified in Schedule 3 Part 2 and is in the Sellers' reasonable view
         not inconsistent with the lawful permitted use whether under current
         Australian Town and Country Planning legislation or other Australian
         statutory provision and are not temporary uses and all necessary
         consents to such existing uses have been obtained.

         NO COMPULSORY ACQUISITION OR ENFORCEMENT PROCEEDINGS

5.35     So far as the Sellers are aware there are no outstanding enforcement or
         other notices or proceedings issued by the Company in respect of any of
         the Australian Premises.

         REPLIES TO ENQUIRIES

5.36     All disclosures and written replies to enquiries and requisitions
         relating to the Australian Premises made or given by or on behalf of
         the Seller or the Company to the Buyer or its solicitors are complete
         and correct in all material respects to the best of the Sellers'
         knowledge.

         NO LITIGATION

5.37     The Company is not engaged in any litigation or arbitration proceedings
         in connection with any of the Australian Premises. There is no cause of
         action which has arisen or accrued or law suit or arbitration
         threatened or pending against the Company in connection with the
         Australian Premises and no circumstances are believed to exist which
         are likely to give rise to any.

         NO VITIATION OF INSURANCE

5.38     The Company has not knowingly done or omitted to do anything whereby
         any policy of insurance has or may become void or voidable and all
         requisite insurances are in force and all current premiums are fully
         paid.



                                       47
<PAGE>

         NO DISPUTES

5.39     The Australian Premises are not to the Sellers' knowledge affected by
         any outstanding disputes, notices or complaints which affect the use of
         the Australian Premises for the purposes for which they are now used
         and there are to the Sellers' knowledge no encumbrances affecting the
         Australian Premises and which in the Sellers' reasonable view would
         prevent or impede the Company from operating and carrying on the
         businesses currently carried on at the Australian Premises.

         FIRE PRECAUTIONS

5.40     So far as the Sellers are aware its fit out contractor complied with
         its fire precaution obligations under Australian law

6        ASSETS

6.1      There are no Encumbrances, nor has the Company agreed to create any
         Encumbrances over any part of its undertaking, or assets and all the
         undertaking, property and assets (tangible or intangible) used by the
         Company in connection with its business (other than the Premises) are
         in the sole legal and beneficial ownership of the Company and are in
         the exclusive possession of the Company.

7        MATERIAL CONTRACTS AND LIABILITIES

7.1      True and complete copies of the agreements relating to the Sole Agency
         Business ("the Sole Agency Agreements") are set out in the Disclosure
         Letter.

7.2      A true and complete list of the Non-Contract Client Business undertaken
         by the Company between 1 December 1998 and 28 November 1999 is set out
         in the Disclosure Letter.

7.3      A true and complete list of the Homecare Business undertaken by the
         Company between 1 December 1998 and 28 November 1999 is set out in the
         Disclosure Letter.

7.4      A copy of the standard terms and conditions of the business of the
         Company are annexed to the Disclosure Letter and the Company has not
         entered into any agreement or arrangement with a customer on terms
         different from these.



                                       48
<PAGE>

7.5      The Company has no liabilities (actual or contingent) other than the
         liabilities disclosed in the Accounts or which have arisen in the
         ordinary course of business since the Balance Sheet Date.

7.6      The Company is not a party to:-

         7.6.1    any hire, hire-purchase, leasing or conditional sale agreement
                  or payment on deferred terms or credit sale contract or
                  similar agreement;

         7.6.2    any joint venture, partnership association or consortium
                  agreement or arrangement or obligation; 7.6.3 any agency,
                  marketing or management agreement;

         7.6.3    any agency, marketing or management agreement;

         7.6.4    any material agreement or arrangement (including without
                  limitation the Sole Agency Agreements) which is capable of
                  being terminated as a direct result of the change of the
                  control of the Company effected by or pursuant to this
                  Agreement;

         7.6.5    any contract which is not on an arm's-length commercial basis;

         7.6.6    any contract which is of an unusual or abnormal nature or
                  outside the ordinary and proper course of business;

         7.6.7    any contract which is of a long-term nature (that is unlikely
                  to have been fully performed in accordance with its terms more
                  than six months after the date on which it was entered into);

         7.6.8    any contract which would restrict its freedom to engage in any
                  activity or business or confines its activities or business to
                  a particular place.

7.7      The Company is not in default under, and has not committed any breach
         of any of the terms of, any agreement, instrument or arrangement to
         which it is a party, and no threat or claim of any such default or
         breach has been made and is outstanding against the Company nor are
         there any outstanding disputes relating to any such agreement,
         arrangement or obligation no party with whom the Company has entered
         into an agreement, arrangement or obligation has given notice of its
         intention to terminate or has sought to repudiate or disclaim the
         agreement, arrangement or obligation.



                                       49
<PAGE>

7.8      No party with whom the Company has entered into an agreement or
         arrangement is in material breach of the agreement or arrangement.

7.9      Since the Balance Sheet Date book debts owed to the Company have been
         incurred, paid and collected in the ordinary course and on a basis
         consistent with past practices. All book debts owed to the Company
         included in the Accounts or arising since the Balance Sheet Date are
         capable of collection in the ordinary course.

7.10     No customer is entitled to repayment of the amounts invoiced in respect
         of holiday pay for nurses, whether or not that holiday has been taken.

8        INTELLECTUAL PROPERTY AND INFORMATION TECHNOLOGY

8.1      So far as the Sellers are aware, all registered and unregistered
         Business IP used by the Company is either:

         (a)      solely, legally and beneficially owned by the Company; or

         (b)      used by the Company subject to and in accordance with the
                  terms of licences granted to the Company by the owners
                  thereof.

8.2      The Business IP owned by the Company is free from any mortgage, charge
         (fixed or floating), pledge, trust, right of set off or other third
         party right or interest (legal or equitable) including any right of
         pre-emption, assignment by way of security, reservation of title or any
         other security interest of any kind however created or arising or any
         other agreement or arrangement (including a sale and repurchase
         arrangement) having similar effect;

8.3      The details of all registered Business IP set out in the Disclosure
         Letter are correct and:

         (a)      all procedural steps, including the payment of all applicable
                  fees, have been taken diligently for the prosecution and
                  maintenance of the registered Business IP owned by the
                  Company; and

         (b)      commercially reasonable steps have been taken for the
                  maintenance and protection of unregistered Business IP owned
                  by the Company.

8.4      The terms of all material licences or rights relating to the Business
         IP which have been granted by the Company or which the Company intends
         to grant for the purposes of its


                                       50
<PAGE>

         business or which are being currently negotiated by the Company are set
         out in the Disclosure Letter and unless disclosed, the Company is not
         obliged to enter into any of the agreements set out therein which the
         Company intends to grant or which the Company is currently negotiating.
         So far as the Sellers are aware, there has been or is no material
         breach nor are the Sellers aware of any fact or matter which would or
         may create a breach of any of the licences set out in the Disclosure
         Letter which have been granted by the Company relating to the Business
         IP.

8.5      The terms of all material licences or rights relating to the Business
         IP granted to the Company or which the Company intends to acquire for
         the purposes of its business or which are being currently negotiated by
         the Company are set out in the Disclosure Letter, and unless disclosed,
         the Company is not obliged to enter into any of the agreements set out
         therein which the Company intends to grant or which the Company is
         currently negotiating. So far as the Sellers are aware, there has been
         or is no material breach nor are the Sellers aware of any fact or
         matter which would or may create a breach of any of the licences which
         have been granted to the Company relating to the Business IP.

8.6      The terms of all other written agreements or consents or undertakings
         entered into by the Company relating to the Business IP are set out in
         the Disclosure letter. So far as the Sellers are aware, there has been
         or is no material breach nor are the Sellers aware of any fact or
         matter which would or may create a breach of any of such agreements,
         consents or undertakings.

8.7      The Company is the sole legal and beneficial owner of the copyright in
         the logo registered as a trade mark with registration number 2120432.

8.8      The Company is the sole legal and beneficial owner of copyright in
         databases compiled or used by it or of any database rights which exist
         in the same.

8.9      So far as the Sellers are aware, all Business IP owned by the Company
         is valid and enforceable and none of it is being challenged or opposed
         by any person.

8.10     So far as the Sellers are aware, none of the business operations of the
         Company infringe, or are alleged to infringe, any Intellectual Property
         held by any third party or involve, or are alleged to involve, the
         unauthorised use of confidential information disclosed to the Company
         in circumstances which might entitle a third party to make a claim. No
         written claim has been received by the Company in the last three years
         which alleges any such infringing act or


                                       51
<PAGE>

         process or misuse of confidential information or which otherwise
         disputes the right of the Company to use any Business IP.

8.11     So far as the Sellers are aware, no person is infringing or threatening
         to infringe, or has during the last three years infringed or threatened
         to infringe, any Business IP (including, without limitation, misuse of
         Confidential Information).

8.12     The Company has taken all reasonable steps to prevent the unauthorised
         disclosure of Confidential Information and so far as the Sellers are
         aware, no such unauthorised disclosure has occurred in the past three
         years, (except insofar as the same has fallen into the public domain
         through no fault of the Company).

8.13     The Computer Systems have suffered no material failure or breakdown in
         the twelve months preceding this Agreement and the Sellers are not
         aware that any material Computer Systems are likely to require
         replacement or material upgrading within one year of Completion if the
         Company's business continues on the same scale as it did immediately
         prior to Completion.

8.14     Maintenance contracts are in full force and effect in respect of all
         elements of the Computer Systems which the Sellers and/or the Company
         reasonably believe are critical to the Company's business. Details of
         all such maintenance contracts are set out in the Disclosure Letter,
         and so far as the Sellers are aware there is no reason to believe that
         those maintenance contracts will not be renewed by the other
         contracting party or parties upon their expiry (if so required by the
         Company) upon substantially similar terms to those now applicable.

8.15     So far as the Sellers are aware, the Computer Systems are free of any
         software lock, time bomb, virus infection or similar code.

8.16     The Company has taken the steps set out in the Disclosure Letter with
         regard to the issue of Year 2000 Compliance (as defined in British
         Standard Disc PD 2000-1) and the Company has suffered no material
         disruption to its business attributable to the Year 2000 non-compliance
         of any software, hardware or other equipment.

8.17     The Company is registered under the UK Data Protection Act 1984 and the
         Company has not received any notice, letter or complaint alleging a
         breach by it of the provisions of any UK Data Protection Act and has no
         reason to believe that circumstances exist which may give rise to such
         a notice, letter or complaint, including in respect of processing which
         was


                                       52
<PAGE>

         underway immediately before 24 October 1998, and the Company has taken
         the steps set out in the Disclosure Letter in the light of the 1998
         Data Protection Act.

9        COMPLIANCE WITH LEGISLATION

9.1      The Company has, and so far as the Sellers are aware, all of its
         directors, officers, agents and employees have during the course of
         their duties in relation to the Company complied in all material
         respects with all applicable legislation and regulation of the United
         Kingdom and any relevant foreign jurisdiction.

9.2      There are not in existence nor have there been, nor so far as the
         Sellers are aware are there pending, any investigations, enquiries or
         disciplinary proceedings by or on behalf of any governmental or other
         body in respect of the affairs of the Company.

9.3      All Permits necessary for the carrying on of the Company's business
         have been obtained and the terms thereof are being complied with.

9.4      There are no pending or threatened proceedings which might in any way
         affect the Permits and the Sellers are not aware of any reason why any
         of them should be suspended, threatened or revoked or be invalid.

9.5      Neither the Company nor a person for whose acts or defaults the Company
         may be  vicariously  liable has:-

         (a)      induced a person to enter into an agreement or arrangement
                  with the Company by means of an unlawful or immoral payment,
                  contribution or gift or other inducement;

         (b)      offered or made an unlawful or immoral payment, contribution,
                  gift or other inducement to a government official or employee.

9.6      The Company has complied with all its duties and obligations under the
         Nurse Agencies Act 1957 or equivalent applicable legislation in any
         other jurisdiction.

9.7      So far as the Sellers are aware (without being under any obligation to
         make enquiries) there are no pending changes in the current exemption
         for agency nurses to undertake work in the United Kingdom on a working
         holiday visa.



                                       53
<PAGE>

10       EMPLOYMENT

10.1     The information set out in the employment section of the Disclosure
         Letter is accurate and shows as at the date of this Agreement the
         names, job title, date of commencement of employment or consultancy and
         date of birth of all officers, employees and consultants of the Company
         and all remuneration payable and other benefits which the Company is
         obliged to or actually provides (whether now or in the future) to each
         category of officers, employees and consultants, or former officers,
         employees or consultants or their dependants including particulars of
         all commission, incentive, profit sharing, bonus and share option
         schemes medical, permanent health insurance, directors' and officer's
         insurance, travel, car, redundancy and other benefit schemes,
         arrangements and understandings "the Schemes") which the Company has
         operated together with the entitlement to notice of different
         categories of employees, officers and consultants and the length of
         continuous employment of those categories of employees and officers for
         the purposes of the Employment Rights Act 1996 (the "ERA").

10.2     No remuneration is due from the Company to any category of officer,
         employee or consultant or former officer, employee or consultant other
         than the outstanding part of any current salaries, commissions and fees
         and other benefits which are payable to the present officers, employees
         and consultants. All forms PII(D) required to be submitted to the
         Inland Revenue in respect of benefits in kind for officers and
         employees of the Company have been accurately completed and duly
         submitted to the Inland Revenue.

10.3     No variation to any of the terms of employment or consultancy listed in
         the employment schedule to the Disclosure Letter has been agreed by the
         Company and no changes in fees, salaries, wages, pension contributions
         or other benefits have been made, announced or proposed to any category
         of officer, employee or consultant of the Company since the Balance
         Sheet Date and the Company is under no obligation to make any such
         changes with or without retrospective operation.

10.4     The Company has not, within a period of one (1) year immediately
         preceding the date of this Agreement, dismissed any employee by reason
         of redundancy or given or become obliged to give notice of any
         redundancies to the Secretary of State nor started nor been obliged to
         start consultation with any independent trade union under the relevant
         provisions of either the Trade Union and Labour Relations
         (Consolidation) Act 1992 or the ERA. The Company has no customary
         arrangement or agreed procedure for selecting employees for redundancy
         or


                                       54
<PAGE>

         any contractual redundancy scheme providing payments or benefits in
         addition to statutory entitlement.

10.5     The Company is not required to pay compensation for any breach of the
         Race Relations Act 1976, the Equal Pay Act 1970, the Sex Discrimination
         Acts 1975 and 1986, the Disability Discrimination Act 1995, the
         Employment Rights Act 1996 or for loss of office or damages for
         wrongful dismissal, or to make any payment in respect of redundancy,
         unfair dismissal, failure to inform and consult under either the Trade
         Union and Labour Relations (Consolidation) Act 1992 (the "TULR(C)A) the
         Transfer of Undertakings (Protection of Employment) Regulations 1981 or
         to reinstate or re-engage any former employee, nor has any gratuitous
         payment been made in connection with the actual or proposed termination
         or suspension of employment or the variation of any contract of
         employment.

10.6     The Disclosure Letter contains copies of all the standard terms and
         conditions, staff handbooks and policies which apply to employees and
         consultants of the Company and identifies which terms and conditions
         apply to which employees and consultants.

10.7     There are no terms and conditions in any contract with any director,
         officer, employee or consultant of the Company pursuant to which such
         person will be entitled to receive any payment or benefit or such
         person's rights will change as a direct consequence of the transaction
         contemplated by this agreement.

10.8     All employees of the Company have received a written statement of
         particulars of their employment as required by section 1 of the ERA.

10.9     The Schemes have at all times been operated in accordance with their
         governing rules or terms.

10.10    No past or present director, officer, employee or any dependant thereof
         or any other participant in any Scheme has made any claim against the
         Company in respect of any Scheme and no event has occurred to the
         Sellers knowledge which could or might give rise to any such claim.

10.11    There are no amounts owing or agreed to be loaned or advanced by the
         Company to any directors, officers, employees and consultants of the
         Company (other than amounts representing remuneration accrued due for
         the current pay period, accrued holiday pay for the current holiday
         year or for reimbursement of expenses).



                                       55
<PAGE>

10.12    No director, officer or employee of the Company has given or received
         notice to terminate his employment.

10.13    There are no directors, officers or employees of the Company who are on
         secondment, maternity leave or absent on grounds of disability or other
         leave of absence (other than normal holidays or absence of no more than
         one week due to illness).

10.14    No directors, officers or employees of the Company are members of a
         trade union, staff association or any other body representing workers
         and no such union, association or body is recognised by the Company for
         the purposes of collective bargaining.

10.15    The Disclosure Letter contains copies of and full details of all rights
         and liabilities relating or pursuant to any collective agreements
         (whether with a trade union, staff association or any other body
         representing workers and whether legally binding or not) concerning the
         Company.

10.16    So far as the Sellers are aware within the three years preceding the
         date hereof the Company has not been engaged or involved in any trade
         dispute (as defined in section 218 of the TULR(C)A) with any employee,
         trade union, staff association or any other body representing workers
         and no event has occurred which could or might give rise to any such
         dispute and no industrial action involving employees of the Company,
         official or unofficial, is now occurring or threatened nor has any
         industrial relations or employment matter been referred either by the
         Company or its employees or by any trade union staff association or any
         other body representing works to ACAS for advice, conciliation or
         arbitration.

10.17    So far as the Sellers are aware no past or present director, officer,
         employee or consultant of the Company or any predecessor in business
         has any claim or right of action against the Company including any
         claim:-

         (a)      in respect of any accident or injury which is not fully
                  covered by insurance; or

         (b)      for breach of any contract of services or for services; or

         (c)      for loss of office or arising out of or connected with the
                  termination of his office or employment

         and no event or inaction has occurred which could or might give rise
         to any such claim.



                                       56
<PAGE>

10.18    There are no enquiries or investigations existing, pending or
         threatened affecting the Company in relation to any directors,
         officers, employees or consultants by the Equal Opportunities
         Commission, the Commission for Racial Equality or the Health and Safety
         Executive.

10.19    So far as the Sellers are aware, there are no terms or conditions under
         which any director, officer or employee of the Company is employed, nor
         has anything occurred or not occurred prior to Completion that may give
         rise to any claim for sex discrimination, race discrimination,
         disability discrimination or equal pay either under domestic United
         Kingdom or European Law whether by such director, officer.

10.20    So far as the Sellers are aware, the Company has complied in all
         material respects with all relevant provisions of the Treaty of Rome,
         EC Directives, statutes, regulations, codes of conduct, collective
         agreements, terms and conditions of employment, orders, declarations
         and awards relevant to the Company's directors, officers, employees and
         consultants or the relations between the Company and any trade union,
         staff association or any other body representing workers.

10.21    The Company has not entered into any agreement and no event has
         occurred which may involve the Company in the future acquiring any
         undertaking or part of one such that the Transfer of Undertakings
         (Protection of Employment) Regulations 1981 may apply thereto.

10.22    In relation to any transactions prior to the date of this Agreement to
         which the following legislative provisions apply, the Sellers and the
         Company have complied with their obligations to inform and consult with
         Trade Unions and other representatives of workers and to send notices
         to the Secretary of State pursuant to s.188 - 194 of the TULR(C)A and
         Regulations 10 and 11 of the Transfer Regulations. In relation to the
         transaction to which this Agreement relates, the Seller and Company
         have complied with such obligations pursuant to s.188 - 194 of the
         TULR(C)A.

10.23    The Company has maintained adequate and suitable records regarding the
         service of its directors, officers, employees and consultants such
         records comply with the requirements of the Data Protection Act 1984.

10.24    The Company has not entered into any agreement or arrangement for the
         management or operation of its business or any part thereof other than
         with its employees.



                                       57
<PAGE>

11       EVENTS SINCE BALANCE SHEET DATE

         Since the Balance Sheet Date:

11.1     the business of the Company has been carried on in the ordinary and
         usual course, without any interruption or alteration in its nature,
         scope or manner, and so as to maintain the same as a going concern;

11.2     there has been no material adverse change in the financial or trading
         position of the Company;

11.3     no dividends, bonuses or other distributions have been paid, declared
         or made in respect of any shares or stock of the Company;

11.4     no share or loan capital of the Company has been allotted or issued or
         agreed to be allotted or issued and the Company has not undergone any
         capital reorganisation or change in its capital structure;

11.5     the Company has not other than in the ordinary course of trading
         disposed of, or agreed to dispose of, an asset or assumed or incurred
         or agreed to assume or incur a liability, obligation or expense (actual
         or contingent);

11.6     the Company has not acquired or agreed to acquire an asset for an
         amount which is higher than open market arms-length value;

11.7     the Company has not repaid any sum in the nature of borrowings in
         advance of any due date or made any loan or incurred any indebtedness;

11.8     the Company has not paid nor is under an obligation to pay any service,
         management or similar charges or any interest or amount in the nature
         of interest to any other person or incurred any liability to make such
         a payment or made any payment to any Seller or any of their Related
         Parties;

11.9     as regards the Sole Agency Business no customer has

         11.9.1   ceased; or

         11.9.2   materially reduced its trade with the Company or informed or
                  threatened the Company that it may so cease or materially
                  reduce such trade, or altered the terms of trade to the
                  Company's disadvantage;



                                       58
<PAGE>

11.10    as regards the Homecare Business and the Non-Contract Client Business
         no customer has ceased or materially reduced its trade with the Company
         or informed or threatened the Company that it may so cease or
         materially reduce such trade, or altered the terms of trade to the
         Company's disadvantage, in each case such as is material in the context
         of the Company's business.

12       SHARES AND SECURITIES

12.1     There is no Encumbrance in relation to any of the shares or unissued
         shares of the Company and are no options or other agreements or
         arrangements outstanding which call for the sale, transfer, issue,
         allotment, conversion, redemption or repayment of, or accord to any
         person the right (whether exercisable now or in the future and whether
         contingent or not) to call for the sale, transfer, issue, allotment,
         conversion, redemption or repayment of, any shares, loan stock or other
         securities in the capital of the Company and there are no claims,
         charges, liens, equities or Encumbrances on the shares issued or
         unissued of the Company.

13       LOANS

13.1     Details of all financial facilities available to the Company are
         contained in the Disclosure Letter. The Company has no borrowings.

13.2     The Company has not factored any of its debts or engaged in any
         financing of a type which would not require to be shown or reflected in
         its accounts.

13.3     The Company is not party to and is not liable (including contingently)
         under a guarantee indemnity or other agreement to secure or incur a
         financial or other obligation with respect to another person's
         obligation.

13.4     The Company does not have nor has it had an investment or other grant
         or subsidy made to it by any person.

13.5     A statement in the agreed terms of all the bank accounts of the Company
         as at the opening of business on the date of this Agreement has been
         supplied to the Buyer and the balances are as stated in the statement.
         The Company does not have any other bank or deposit accounts not
         included in such statement. Since such statement there have been no
         payments out of any such account except for routine payments.



                                       59
<PAGE>

14       LITIGATION ETC.

14.1     Except as plaintiff in proceedings relating to the collection of debts
         arising in the ordinary course of business of less than (pound)5,000
         each and (pound)10,000 in aggregate;

         14.1.1   the Company is not involved and has not during 4 years ending
                  on the date hereof been involved (whether as plaintiff or
                  defendant or otherwise), in any civil, criminal or arbitration
                  proceedings or in any other proceedings in any jurisdiction
                  and no such proceedings are threatened or pending; and

         14.1.2   no person for whose acts or defaults the Company may be liable
                  is, or has during 4 years ending on the date hereof has been
                  involved (whether as plaintiff or defendant or otherwise), in
                  any civil, criminal or arbitration proceedings or in any other
                  proceedings in any jurisdiction resulting from their conduct
                  in relation to the Company's business and no such proceedings
                  are threatened or pending.

14.2     So far as the Sellers are aware there are no facts which are likely to
         result in any such proceedings being brought by or against the Company
         or against any person for whose acts or defaults the Company may be
         vicariously liable or whom the Company is liable to indemnify.

14.3     There is no outstanding judgment, order, decree, arbital award or
         decision of a court, tribunal, arbitrator or government agency in any
         jurisdiction against the Company or a person for whose acts or defaults
         the Company may be vicariously liable.

15       INSOLVENCY

15.1     No order has been made or petition presented or resolution passed for
         the winding up of the Company or for the appointment of a provisional
         liquidator to the Company or for an administration order in respect of
         the Company.

15.2     No distress, execution or other process has been levied on any of the
         assets of the Company.

15.3     The Company has not stopped payment of its debts as they fall due nor
         is insolvent or unable to pay its debts for the purposes of section 123
         of the Insolvency Act 1986 (but for this purpose ignoring the reference
         to "if it is proved to the satisfaction of the court that" in section
         123(1)(e) and 123(2)).

15.4     No administrative receiver or receiver and manager or receiver has been
         appointed of the whole or part of the business or assets of the
         Company.



                                       60
<PAGE>

15.5     No voluntary arrangement under Section 1 of the Insolvency Act 1986 has
         been proposed or approved in respect of the Company. No compromise or
         arrangement under Section 425 of the Companies Act 1985 has been
         proposed, agreed to or sanctioned in respect of the Company. Neither
         the Company nor any of the Sellers has entered into any compromise or
         arrangement with its or their respective creditors generally or any
         class of its or their respective creditors.

15.6     No action has been taken by the Registrar of Companies to strike the
         Company off the register under Section 652 of the Companies Act 1985.

15.7     None of the Sellers has been made bankrupt nor has a petition been
         presented to make any of them bankrupt.

16       INSURANCES

16.1     Details of all current insurances effected by the Company are set out
         in the Disclosure Letter (the "Policies") and all such insurances are
         valid and effective and not void or voidable and all premiums have been
         duly paid to date and so far as the Sellers are aware there is no fact
         or matter which could lead to any such policy being avoided or
         repudiated.

16.2     No claim is outstanding as to any of the Policies and so far as the
         Sellers are aware no matter exists which might give rise to a claim
         under any of the Policies.

17       OTHER

17.1     No person is entitled to receive from the Company a finder's fee,
         brokerage or commission in connection with this Agreement or anything
         in it and the Company is not liable to pay to any of its directors,
         employees, agents and advisers any sum whatsoever in connection with
         the sale of the Shares.

18       CONSTITUTION

18.1     The Company has the power to carry on its business as now conducted and
         the business of the Company has at all times been carried on intra
         vires.

         REGISTER OF MEMBERS

18.2     The register of members of the Company has been properly kept and
         contains true and complete records of the members from time to time of
         the Company and the Company has


                                       61
<PAGE>

         not received any notice or allegation that any of them is incorrect or
         incomplete or should be rectified.

         POWERS OF ATTORNEY

18.3     The Company has not executed any power of attorney or conferred on any
         person other than its directors, officers and employees any authority
         to enter into any transaction on behalf of or to bind the Company in
         any way and which power of attorney remains in force or was granted or
         conferred within three years of the date of Completion.

         STATUTORY BOOKS AND FILINGS

18.4     (a)      The statutory books of the Company are up-to-date, in its
                  possession and are true and
                  complete in accordance with the law.

         (b)      All resolutions, annual returns and other documents required
                  to be delivered to the Registrar of Companies (or other
                  relevant company registry or other corporate authority in any
                  jurisdiction) have been properly prepared and filed and are
                  true and complete and the common seal of the Company is in its
                  possession.

19       PENSIONS

19.1     Save as disclosed the Company is under no obligation or commitment, nor
         is it a party to any custom or practice, to pay, provide or contribute
         towards any "RELEVANT BENEFITS" within the meaning of section 612 of
         the TA (ignoring the exception in that section), or sickness or
         disability benefits, to or in respect of any person and has not at any
         time participated in or contributed towards any scheme or arrangement
         (including personal pension schemes and retirement annuity contracts)
         which has as its purpose or one of its purposes the provision of any
         such benefits (other than schemes which have been fully wound up).

19.2     No undertaking or assurance (whether legally binding or not) has been
         given by the Company to any person as to the continuance, introduction,
         increase or improvement of any such benefit or scheme or arrangement as
         is referred to in paragraph 19.1 of this schedule as disclosed.

19.3     Full and accurate details of the payments made to the personal pension
         plans of Wendy Thompson and David Thompson have been supplied to the
         Buyer or the Buyer's Solicitors.



                                       62
<PAGE>

                                   SCHEDULE 2

                                     PART 2

                                   LIMITATIONS


1.1      The Warranties are given subject to the matters disclosed in this
         Agreement and in the Disclosure Letter.

1.2      The Sellers shall not be liable in respect of any claim under the
         Warranties unless they shall have received from the Buyer written
         notice giving details of the relevant claim including, if reasonably
         practicable, the Buyer's estimate of the amount of the claim:

         1.2.1    in the case of any claim other than a claim for breach of
                  Warranties relating to Taxation, within a period of two years
                  after Completion;

         1.2.2    in the case of any claim under the Warranties relating to
                  Taxation, within a period ending on 28 November 2006;

         and so that any such claim shall (if not previously satisfied, settled
         or withdrawn) be deemed to have been waived or withdrawn at the
         expiration of twelve months after notification of such claim unless
         proceedings in respect of such claim shall then have already been
         served upon the Sellers.

1.3      The Sellers shall not be liable in respect of any claim under the
         Warranties:-

         1.3.1    if and to the extent that such liability arises or is
                  increased as a result of:-

                  (a)      any voluntary act or omission of the Buyer or the
                           Company or of any holding company or subsidiary of
                           either of them or their respective successors in
                           title after Completion otherwise than in the ordinary
                           course of business as carried on at the date of this
                           Agreement, pursuant to a legally binding obligation
                           incurred prior to the date of this Agreement or
                           required by law or applicable regulation; or



                                       63
<PAGE>

                  (b)      any change in any rate of Taxation made after
                           Completion with retroactive effect; or

                  (c)      legislation being introduced or amended or a judgment
                           made the effect of which is to restate common law
                           after the date of this Agreement;

         1.3.2    if and to the extent that provision or reserve in respect of
                  the matters giving rise to such liability has been made in the
                  Accounts; or

         1.3.3    if and to the extent that such liability relates to Taxation
                  for which the Company is or may become liable wholly or
                  primarily as a result of transactions or the implementation of
                  transactions in the ordinary course of its business after the
                  Balance Sheet Date; or

         1.3.4    if and to the extent that the Buyer or the Company have made
                  recovery (and subject to full recovery of the costs of such
                  recovery and after deduction of any tax paid in respect of
                  such recovery) in respect of any loss or damage suffered by
                  either of them arising out of the breach of Warranty under the
                  terms of any insurance policy for the time being in force; or

         1.3.5    which would not have arisen but for anything expressly
                  provided to be done pursuant to this Agreement or which is
                  otherwise done at the written request or with the consent of
                  the Buyer; or

         1.3.6    if any claim arising under the Warranties shall arise by
                  reason of some liability of the Buyer or the Company which at
                  the time the claim is notified to the Sellers is contingent
                  only, in which case the Sellers shall not be under any
                  obligation to make any payment in respect of such claim until
                  such time as the contingent liability becomes an actual
                  liability and is due and payable.


1.4      In addition, the Sellers shall not be liable in respect of any claim
         under the Warranties to the extent that the amount by which any
         Taxation for which the Company is or would be liable to be assessed or
         accountable is reduced or extinguished as a result of the matter giving
         rise to such claim.



                                       64
<PAGE>

1.5      The Sellers shall not be liable in respect of any claim under this
         Agreement unless and until the liability of the Sellers for all such
         claims exceeds in aggregate (pound)100,000 after taking inTO account
         all amounts available for set off or deduction pursuant to the
         provisions of this schedule

1.6      The total liability of the Sellers arising by reason of any claims
         under this Agreement and the Tax Deed shall not exceed the aggregate
         amount of (pound)8,500,000.

1.7      If the Buyer or the Company is entitled to recover from some other
         person any sum in respect of any matter or thing which is or has been
         the subject of a successful claim under the Warranties, the Buyer
         shall, and shall procure that the Company shall, if so required by the
         Sellers and at the cost of the Sellers, take all appropriate and
         reasonable steps to enforce such recovery (subject to the Buyer being
         indemnified and secured to its reasonable satisfaction against all
         costs and expenses which may be incurred by reason of such action). The
         Buyer shall have no obligation to take any action which in its opinion
         would or is likely to cause material damage to the business or goodwill
         of the Company or any member of the Buyer's Group.

1.8      The Buyer shall reimburse to the Sellers any amounts subsequently
         recovered by or paid to the Buyer or the Company from or by any third
         party in respect of any matter or liability in respect of which the
         Sellers have paid any sum to the Buyer and/or the Company under the
         Warranties up to a maximum sum equal to the amount paid provided that
         the Buyer and/or the Company shall be entitled to deduct from such
         amounts all reasonable expenses of recovery and Taxation payable in
         respect of such amounts.

1.9      The only remedy of the Buyer in respect of a claim under the Warranties
         shall be in damages and no breach of Warranty shall entitle the Buyer
         to rescind or terminate this Agreement.

1.10     No successful claim under the Warranties relating to Taxation shall
         become payable until one calendar month prior to the date on which the
         Taxation in respect of which the claim is made becomes legally due and
         payable.

1.11     Nothing in this Agreement or in the Warranties shall be deemed to
         relieve the Buyer or the Company from any common law duties to mitigate
         any loss or damage incurred by it or them.



                                       65
<PAGE>

1.12     The Buyer shall promptly give to the Sellers such information as they
         may reasonably request to enable them to investigate such claim and
         their potential liability in respect of such claim;

         1.12.1   the Buyer shall procure that the Company shall take such
                  action as the Sellers may reasonably request in writing to
                  avoid, dispute, resist, appeal, compromise or defend any third
                  party claim which is the subject of a warranty claim but
                  subject to the Buyer or the Company being indemnified and
                  secured to its reasonable satisfaction by the Sellers against
                  all losses, costs, charges and expenses incurred and provided
                  always that the Buyer shall not be required to procure the
                  Company to take any action which in the reasonable opinion of
                  the Buyer would be likely to or may materially damage or
                  prejudice the business interests or goodwill of the Company.
                  If the Sellers do not request the Buyer or the Company to take
                  any such action within 30 days of the notice to the Sellers,
                  the Buyer or the Company shall be free subject to paragraph
                  1.11 above to admit, settle, pay or discharge the claim;

         1.12.2   Any failure by the Sellers to exercise their entitlement under
                  paragraph 1.12.1 above shall not prejudice their rights under
                  this Agreement.
















                                       66
<PAGE>

                                   SCHEDULE 2

                                     PART 3

                               BUYER'S WARRANTIES


1        DOCUMENTS DELIVERED
         The Buyer has delivered to the Sellers:

1.1      a true and complete copy of the Buyer's audited financial statements
         comprising the profit and loss account for the accounting period ended
         30 September 1999 and the balance sheet as at 30 September 1999
         together with the notes on such financial statements, directors' report
         and auditors certificate (the "BUYER'S ACCOUNTS"); and

1.2      a true and complete copy of:

         1.2.1    the memorandum and articles of association of the Buyer;

         1.2.2    the securities purchase agreement between the Buyer and
                  Transworld Holdings (UK) Limited dated 17 December 1999;

         1.2.3    a schedule showing the categories of shareholders and holders
                  of warrants of the Buyer as at the date of this Agreement;

         1.2.4    the warrant instrument dated 17 December 1999; and

         1.2.5    the voting trust agreement dated 17 December 1999.

         all as annexed to this Agreement and initialled by or on behalf of the
         Parties for identification, together known as the "BUYER'S
         INFORMATION".

2        BUYER'S INFORMATION

2.1      Save as disclosed in the Buyer's Information:

         2.1.1    the Buyer has no share capital in issue; and

         2.1.2    there are no options or other agreements or arrangements
                  outstanding which call for the sale, transfer, issue,
                  allotment, conversion, redemption or repayment of, or accord
                  to any person the right (whether exercisable now or in the
                  future and


                                       67
<PAGE>

                  whether contingent or not) to call for the sale, transfer,
                  issue, allotment, conversion, redemption or repayment of, any
                  shares, loan stock or other securities in the capital of the
                  Buyer and there are no claims, charges, liens, equities or
                  Encumbrances on the shares issued or unissued of the Buyer;
                  and

2.2      the particulars given in the Buyer's Information of all categories of
         registered holders of its issued Share Capital or such rights as are
         referred to in paragraph 2.1.2 are true and accurate.

3        ACCOUNTS

3.1      The Buyer's Accounts comply with the Companies Act 1985 and all other
         applicable statutes and regulations and show a true and fair view of
         the state of affairs of the Buyer as at 30 September 1999 and of its
         results for the financial period ended on 30 September 1999;





                                       68
<PAGE>

                                   SCHEDULE 3

                                     PART I

                                   UK PREMISES

UNITED KINGDOM - LEASEHOLD
2 TAVISTOCK PLACE  LONDON WC1
<TABLE>
<CAPTION>

      DOCUMENT      PROPERTY       DATE          PARTIES               CURRENT             CURRENT         ESTATE
                                                                       TENANT              LANDLORD        OWNER
<S>   <C>           <C>            <C>           <C>                   <C>                 <C>             <C>
1     Lease         Basement       20 December   Markheath             Nightingale         London &        Nightingale
                                   1995          Properties            Nursing Bureau      Regional        Nursing
                                                 Limited (1)           Limited             Properties      Bureau
                                                 Nightingale Nursing                       (awaiting       Limited
                                                 Bureau Limited (2)                        confirmation)
                                                 D T Thompson and
                                                 W-A Thompson
                                                 Guarantors (3))

2     Lease         Lower Ground   27 July 1992  Markheath             Nightingale         London &        Nightingale
                    Floor                        Properties            Nursing Bureau      Regional        Nursing
                                                 Limited (1)           Limited             Properties      Bureau
                                                 D T Thompson and                          (awaiting       Limited
                                                 W-A Thompson (2)                          confirmation)

3     Lease         Ground Floor   16 May 1995   Markheath             Nightingale         London &        Nightingale
                                                 Properties            Nursing Bureau      Regional        Nursing
                                                 Limited (1)           Limited             Properties      Bureau
                                                 Nightingale Nursing                       (awaiting       Limited
                                                 Bureau Limited (2)                        confirmation)
                                                 D T Thompson and
                                                 W-A Thompson (3)

4     Licence to    Lower Ground   20 January    Markheath
      Assign        Floor and      1995          Properties
                    Ground Floor                 Limited (1)
                                                 D T Thompson and
                                                 W-A Thompson (2)
                                                 Nightingale Nursing
                                                 Bureau Limited (3)

5     Assignment    Lower Ground   21 February   David Theodore
                    Floor          1995          Thompson and Wendy-
                                                 Anne Thompson (1)
                                                 Nightingale Nursing
                                                 Bureau Limited (2)

6     Rent Review   Ground Floor   18 September  TBI plc (1)
      Memorandum                   1997          Nightingale Nursing
                                                 Bureau Limited (2)

7     Deed of       Ground Floor   20 December   Markheath
      Variation     and Lower      1995          Properties
                    Ground Floor                 Limited (1)
                                                 Nightingale Nursing
                                                 Bureau Limited (2)


                                                             PART II

                                                     AUSTRALIAN PREMISES

AUSTRALIA - LEASEHOLD
48-52 ALFRED STREET, MILSONS POINT, NEW SOUTH WALES, AUSTRALIA

8     Lease         Suite 13       28 June 1999  Juketop Pty Limited   Nightingale         Juketop         Nightingale
                                                 ACN 056 896 327 (1)   Nursing Bureau      Pty             Nursing
                                                 Nightingale Nursing   Limited (2)         Limited         Bureau
                                                 Bureau Limited (2)                        ACN 056         Limited
                                                                                           896 327
</TABLE>


                                       69
<PAGE>









<TABLE>
<CAPTION>

      DOCUMENT      RENT           TERM DATES    RENT         RENT           USE
                                                 PAYMENT      REVIEW DATE
<S>   <C>          <S>             <C>           <C>          <C>            <C>
1     Lease        (pound)         25 December   Quarterly    25 March       Offices within Class
                    6,000 pa       1995 to 27    in advance   1997           B1(a) of the Town and
                    subject        July 2002                                 Country Planning (Use
                    to review                                                Classes) Order 1987





2     Lease        (pound)         10 years      Quarterly    25 March       Offices within Class
                   9,120 pa        from 27       in advance   1997           B1(a) of the Town and
                   subject         July 1992                                 Country Planning (Use
                   to review                                                 Classes) Order 1987


3     Lease        (pound)         10 years      Quarterly    25 March       Offices within Class
                   5,500 pa        from 27       in advance   1997           B1(a) of the Town and
                   subject         July 1992                                 Country Planning (Use
                   to review                                                 Classes) Order 1987




4     Licence to
      Assign






5     Assignment





6     Rent Review
      Memorandum


7     Deed of
      Variation












8     Lease        $16,450         23 April      Monthly      Not            Commercial offices
                   per             1999 to 22    in advance   applicable     including operation as a
                   annum           April 2003                                nursing employment bureau



</TABLE>
                                                          70

<PAGE>


                                   SCHEDULE 4

                                    TAX DEED

                                  DATED: 2000

BETWEEN:

(1)      The several persons whose names and addresses are set out in schedule 1
         ("THE SELLERS") and

(2)      TRANSWORLD HEALTHCARE (UK) LIMITED ("THE COMPANY") a company
         incorporated in England and Wales with registered number 3370146,
         having its registered office at Balderton Hall, South Drive, Balderton,
         Newark, Nottinghamshire NG24 3TR ("THE BUYER");

PRELIMINARY

This Deed is entered into pursuant to an agreement dated April 2000 (the
"Agreement") made between the Sellers and the Buyer for the sale and purchase of
the whole issued share capital of Nightingale Nursing Bureau Limited (the
"Company").

1        DEFINITIONS AND INTERPRETATION

         In this Deed unless inconsistent with the context or otherwise
         specified:

         1.1      the following expressions have the following meanings:

                  "BUSINESS DAY"         : a day on which the clearing banks are
                                           open in London for the transaction of
                                           all normal business.

                  "EVENT"                : any event, act, transaction or
                                           omission and without limitation
                                           includes the earning, receipt or
                                           accrual of any profit, income or
                                           gains or any distribution, failure to
                                           distribute, acquisition, disposal,
                                           transfer,


                                       71
<PAGE>

                                           payment, loan or advance, and
                                           membership of a group or VAT group;

                  "RELIEF"               : includes any loss, relief, allowance,
                                           exemption, set-off, deduction, right
                                           to repayment or credit or other
                                           relief of a similar nature granted by
                                           or available in relation to Taxation
                                           pursuant to any legislation or
                                           otherwise;

                  "TAXATION OR TAX"      : includes any form of taxation, levy,
                                           duty, charge, contribution,
                                           withholding or impost of whatever
                                           nature (including any applicable
                                           fine, penalty, surcharge or interest)
                                           imposed by a Tax Authority;

                  "TAX AUTHORITY"        : any local, municipal, governmental,
                                           state, federal or other fiscal or
                                           revenue authority, body or official
                                           anywhere in the world (which shall
                                           include reference to customs and/or
                                           excise authorities) competent to
                                           impose Taxation;

                  "TAX CLAIM"            : includes any claim, assessment,
                                           notice, demand, letter or other
                                           document issued or any action taken
                                           by or on behalf of a Tax Authority
                                           (or any other circumstance in
                                           relation to the operation of the pay
                                           and file system concerning the
                                           running of tax affairs) from which it
                                           appears that the Company is liable or
                                           is sought to be made liable to make
                                           any payment to a Tax Authority or to
                                           any other person (whether or not the
                                           same is primarily payable by the
                                           Company and whether or not the
                                           Company shall or may have any right
                                           of reimbursement against any other
                                           person) or is denied or sought to be
                                           denied any Relief or is denied or
                                           sought to be denied any repayment of
                                           Taxation within clause 2.2 below;



                                       72
<PAGE>

                  "TAXATION STATUTES"    : means all statutes, statutory
                                           instruments, decrees, orders,
                                           enactments, directives and
                                           regulations whether domestic or
                                           foreign, providing for or imposing
                                           tax.

         1.2      Words and expressions defined in the Agreement shall bear the
                  same meanings wherever used herein and those provisions of the
                  Agreement dealing with construction or interpretation,
                  governing law, jurisdiction, service of notice and agents for
                  the service of process shall (except where otherwise provided)
                  apply equally herein.

         1.3      References to any English legal term for any action, remedy,
                  method of judicial proceedings, legal document, legal status,
                  court, official or any legal concept or thing shall in respect
                  of any jurisdiction other than England be deemed to include
                  what most nearly approximates in that jurisdiction to the
                  English legal term.

         1.4      Any reference to an Event occurring on or before Completion
                  shall be deemed to include a reference to an Event which is
                  deemed for the purposes of any Taxation to have occurred on or
                  before Completion and any reference to an Event occurring
                  shall be deemed to include any Event which is deemed to have
                  occurred for the purposes of any Taxation.

2        COVENANT

         2.1      Subject as hereinafter provided the Sellers hereby covenant to
                  pay the Buyer an amount equal to any liability:

                  2.1.1    of the Company for Taxation which arises in
                           connection with or as a result of one or more Events
                           occurring on or before Completion whether or not the
                           Taxation is chargeable against or attributable to any
                           other person;

                  2.1.2    of the Company for Taxation which would not otherwise
                           have been payable but for the loss, reduction,
                           modification or cancellation of some Relief as a
                           result of an Event occurring on or before Completion
                           where the Relief has been shown as available as an
                           asset in the Accounts or has been taken into


                                       73
<PAGE>

                           account in computing any provision for deferred
                           taxation or otherwise which appears in the Accounts
                           or has resulted in no provision for deferred tax
                           being shown in the Accounts;

                  2.1.3    of the Company for Taxation which would have arisen
                           in consequence of an Event occurring on or before
                           Completion but which is not payable as a result of
                           the utilisation or set-off of some Relief where such
                           Relief has arisen in respect of an Event occurring
                           after Completion;

                  2.1.4    of the Buyer or the Company for costs, charges,
                           interest, fines, penalties or expenses incurred by
                           the Buyer or the Company in connection with any Tax
                           Claim or liability for Taxation as mentioned in this
                           clause 2.1 or clause 2.2 or in taking or defending
                           any action under this Deed;

                  2.1.5    of the Company for Taxation which is properly
                           attributable to and/or primarily the liability of any
                           of the Sellers or to any company controlled by the
                           Sellers and for which the Company is liable as a
                           result of any of the Sellers or any company
                           controlled by the Sellers failing to discharge its
                           primary liability;

                  2.1.6    of the Company for Taxation in respect of or by
                           reference to any income profits or gains earned
                           accrued or received on or before Completion;

                  2.1.7    of the Company for Taxation which arises in
                           connection with or as a result of any failure
                           correctly to operate the PAYE or national insurance
                           contributions systems and in particular but without
                           prejudice to the foregoing in respect of any nurse
                           registered with the Company who undertakes to work in
                           a patient's home who is not a "qualified nurse" as
                           defined by the Inland Revenue or who is subsequently
                           found to be unqualified;

                  2.1.8    of the Company for Taxation in connection with the
                           declaration and payment of a scrip dividend and in
                           particular any of the transactions set out or
                           referred to in the Board Minutes of the Company dated
                           4 April 2000.



                                       74
<PAGE>

          2.2     Any Taxation (including any repayment supplement or interest)
                  which would have been repaid but for the loss, reduction,
                  set-off or cancellation of any right to repayment of such
                  Taxation in consequence of an Event occurring on or before
                  Completion shall for the purposes of clause 2.1.1 be deemed to
                  be Taxation for which the Company is liable and which arises
                  in consequence of the Event.

3        LIMITATIONS TO THE COVENANT

         3.1      The Sellers shall not be liable in respect of any claim under
                  the Tax Deed unless they shall have received from the Buyer
                  written notice giving details of the relevant claim including,
                  if reasonably practicable, the Buyer's estimate of the amount
                  of the claim within a period ending on 28 November 2006 and so
                  that any such claim shall (if not previously satisfied,
                  settled or withdrawn) be deemed to have been waived or
                  withdrawn at the expiration of twelve months after
                  notification of such claim unless proceedings in respect of
                  such claim shall then have already been served upon the
                  Sellers.

         3.2      The Sellers shall not be liable in respect of any claim under
                  the Tax Deed to the extent that the Buyer has recovered an
                  amount in respect of the same liability under the Agreement
                  save that nothing in this clause 3.2 shall fetter the right of
                  the Buyer to choose whether to claim under the Warranties or
                  the Tax Deed.

         3.3      The Sellers shall not be under any liability under this Deed
                  to the extent that:-

                  3.3.1    provision or reserve has been made for such liability
                           in the Accounts; or

                  3.3.2    the liability arises as a result of transactions in
                           the ordinary course of business since the Balance
                           Sheet Date and for this purpose, but without
                           limitation, the following shall not be regarded as
                           being in the ordinary course of business:-

                           (i)      the declaration or payment of any dividend
                                    or the making of any other distribution; or



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                           (ii)     any transaction entered into by the Company
                                    in circumstances where the consideration (if
                                    any) received by or as the case may be, paid
                                    by the Company in respect thereof is less
                                    than or more than the consideration deemed
                                    to have been received or paid for Taxation
                                    purposes but to the extent only of the Tax
                                    Claim arising in respect of the amount by
                                    which the deemed consideration exceeds or is
                                    less than the actual consideration; or

                           (iii)    the Company ceasing or being deemed to
                                    cease, for Taxation purposes, to be the
                                    member of any group or associated with any
                                    other company or person whether in
                                    consequence of the entering into of the Sale
                                    Agreement or anything done under it or
                                    otherwise; or

                           (iv)     an Event which gives rise to a liability on
                                    the Company in respect of the income,
                                    profits or gains, whether actual or deemed
                                    of any non-resident person; or

                           (v)      any other Event which gives rise to a
                                    liability to Taxation on deemed (as opposed
                                    to actual) income, profits or gains; or

                           (vi)     any disposal of a capital asset for a
                                    consideration in excess of (pound)10,000; or

                           (vii)    any failure by the Company to comply with
                                    any provision of the Taxation Statutes or
                                    correctly to operate the PAYE or National
                                    Insurance Systems

                  3.3.3    such liability arises or is increased only as a
                           result of any increase in the rates of Taxation
                           occurring after the Balance Sheet Date with
                           retrospective effect;

                  3.3.4    such liability arises or is increased as a result of
                           any act or omission of the Buyer, the Company or of
                           any holding company or subsidiary of either of them
                           or their respective successors in title after
                           Completion otherwise than


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                           in the ordinary course of business as carried on at
                           the date of this Deed and otherwise than pursuant to
                           a legally binding obligation incurred prior to the
                           date of this Deed and otherwise than as required by
                           law or applicable regulation;

                  3.3.5    any claim shall arise by reason of some liability of
                           the Buyer or the Company which at the time the claim
                           is notified to the Sellers is contingent only, in
                           which case the Sellers shall not be under any
                           obligation to make any payment in respect of such
                           claim until such time as the contingent liability
                           becomes an actual liability and is due and payable;

                  3.3.6    the amount by which any Taxation for which the
                           Company is assessed has at the time of payment in
                           respect of any Tax Claim by the Sellers to the Buyer
                           under this Deed or the Agreement, already been
                           reduced or extinguished as a result of the matter
                           giving rise to such claim (other than a reduction in
                           a liability to Tax which would otherwise have itself
                           given rise to a payment hereunder); or


         3.4      The total liability of the Sellers arising by reason of any
                  claims under this Deed and the Agreement shall not exceed the
                  aggregate amount of (pound)8,500,000.

         3.5      No claim under this Deed shall entitle the Buyer to rescind or
                  terminate the Agreement.

4        CLAIMS PROCEDURES

         4.1      The Buyer shall, and shall procure that the Company shall, as
                  soon as reasonably practicable, give written notice to the
                  Sellers of any Tax Claim. Any failure by the Buyer to comply
                  with the foregoing shall entitle the Sellers to claim for any
                  resulting loss to the Sellers but shall not prejudice any
                  claim by the Buyer under this Deed.

         4.2      The Buyer shall and shall procure that the Company will take
                  such action as the Sellers may reasonably request to avoid,
                  dispute, resist or compromise the Tax


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                  Claim. If the Sellers do not request the Buyer to take any
                  such action within 21 days of notice to the Sellers pursuant
                  to clause 4.1 the Buyer shall be free to admit, settle, pay or
                  discharge the Tax Claim.

         4.3      The Sellers shall have the right to have any action referred
                  to in clause 4.2 conducted by professional advisers nominated
                  by them for this purpose provided that:

                  4.3.1    the Buyer is kept informed of all matters pertaining
                           to such action;

                  4.3.2    the appointment of solicitors or other professional
                           advisers shall be subject to the approval of the
                           Buyer (such approval not to be unreasonably withheld
                           or delayed);

                  4.3.3    the Sellers shall make no settlement or compromise of
                           the Tax Claim which is the subject of the action
                           without the prior written approval of the Buyer (such
                           approval not to be unreasonably withheld or delayed);

                  4.3.4    no material communication, written or otherwise,
                           pertaining to the dispute (and in particular no
                           proposal for or consent to any settlement or
                           compromise thereof) shall be transmitted to the
                           Inland Revenue, H.M. Customs & Excise or other
                           taxation authority or governmental body or authority
                           without the same having been submitted to and
                           approved by the Buyer, such approval not to be
                           unreasonably withheld or delayed;

                  4.3.5    no application shall be made for postponement of Tax
                           unless the Buyer and the Company shall be provided
                           with such security as the Buyer may reasonably
                           require in respect of sums subsequently becoming
                           payable under this Deed; and

                  4.3.6    the Sellers shall not be entitled to resist any Tax
                           Claim before any court, tribunal or other appellate
                           body unless it has been advised by a professional tax
                           adviser of appropriate seniority, after disclosure of
                           all relevant information and documents, that it is
                           reasonable to resist the Tax Claim in the manner
                           proposed by the Sellers.



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         4.4      The Buyer shall and shall procure that the Company shall give
                  the Sellers all reasonable co-operation, access and
                  assistance, technical or otherwise, for the purpose of
                  resisting such a Tax Claim provided that each of the Buyer and
                  the Company is indemnified to the reasonable satisfaction of
                  the Buyer by the Sellers against all losses (including
                  additional Tax Claims, reasonable costs, damages and expenses)
                  which may thereby be incurred.

5        PAYMENTS

                  5.1.1    The Sellers shall pay the Buyer any amount which is
                           required to be paid by the Sellers pursuant to clause
                           2.1.1 in cleared funds on or before the fifth
                           Business Day prior to the date on which the Taxation
                           in question is recoverable by or payable to the Tax
                           Authority demanding the Taxation or the day on which
                           any repayment (or increased repayment) of Tax which,
                           but for such Tax Claim, would have been available
                           would have been due;

                  5.1.2    notice of the amount of the payment required to be
                           made by the Sellers under clauses 2.1.2, 2.1.3,
                           2.1.4, 2.1.5, 2.1.6, 2.1.7, 2.1.8 or 2.2 shall be
                           given in writing by the Buyer and the Sellers shall
                           pay the amount to the Buyer on or before the fifth
                           Business Day following the date of the notice;

                  5.1.3    if any sum due under clause 2 is not paid by the
                           Sellers by the later of the due date and the date
                           seven days after the date of the demand made
                           therefor, the same shall carry interest (from such
                           later date until the date of payment) at the rate of
                           two per cent. over base rate for the time being of
                           National Westminster Bank PLC (or in the absence of
                           such rate at such equivalent rate as the Buyer shall
                           reasonably select) save that interest shall not start
                           to run in respect of any payments of Tax above until
                           the day on which the Company makes the payment of Tax
                           due.

          5.2     All sums payable by the Sellers to the Buyer shall be paid
                  insofar as it is lawful free and clear of all deductions and
                  withholdings whatsoever.



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6        RECOVERIES

          6.1     Subject to clause 6.3 and clause 3.3.6 in calculating amounts
                  due from the Sellers under this Deed no account shall be taken
                  of any entitlement of the Buyer or the Company to make any
                  recovery in respect of that amount or the circumstances giving
                  rise to the same from some other person or of any Relief or
                  other benefit which may become available to the Buyer or the
                  Company in consequence of the Tax Claim in question, or the
                  circumstances giving rise to the same.

          6.2     If the Buyer or the Company is or becomes entitled to recover
                  from some other person (not being the Company or any employee
                  of the Company or (in a case where recovery from the same
                  could reasonably be expected significantly to damage the
                  Business) a customer but including, inter alia, any Tax
                  Authority) any amount in respect of the Tax Claim which has
                  resulted in a payment by the Sellers to the Buyer under this
                  Deed, then the Buyer shall promptly notify the Sellers of the
                  said entitlement and, if so required by the Sellers and if the
                  Sellers shall undertake to pay all costs and expenses
                  reasonably incurred by the Buyer and the Company, shall take
                  all reasonable steps to enforce or procure that the Company
                  shall enforce the recovery (keeping the Sellers fully informed
                  of progress).

          6.3     If the Buyer or the Company receive:

                  6.3.1   a recovery as mentioned in clause 6.2; or

                  6.3.2    a Relief (other than a Relief provided for in the
                           Accounts) or other benefit as a result of a claim for
                           Tax giving rise to a claim by the Buyer under the
                           terms of this Deed (other than a reduction in a
                           liability to Tax which would otherwise have itself
                           given rise to a payment hereunder), then the Buyer
                           shall promptly pay to the Sellers an amount equal to
                           so much of that Relief or other benefit received or
                           sum recovered (less any Tax paid by the recipient in
                           respect thereof and less any costs and expenses
                           reasonably incurred by the Buyer and the Company) as
                           does not exceed the amount which the Sellers paid to
                           the Buyer in respect of the Tax Claim in question
                           (together with so much of any interest or repayment
                           supplement paid to the recipient of the recovery or
                           benefit in respect thereof as corresponds to the


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<PAGE>

                           proportion of the recovery or benefit accounted for
                           under this clause 6.3, less any Tax thereon).

7        JOINT AND SEVERAL OBLIGATIONS

         All obligations of the Sellers created by this Deed shall be their
         joint and several obligations.

8        ASSIGNMENT

         8.1      Subject to clause 8.2 neither any of the Sellers nor the Buyer
                  shall assign, encumber, dispose of or otherwise transfer any
                  of their rights under this Deed without the prior written
                  consent of the other Parties. The Buyer may assign within the
                  Buyer's Group provided that if the assignee ceases to be a
                  member of the Buyer's Group, the benefit of the assignment
                  will be transferred back to a member of the Buyer's Group.

        8.2       It is hereby agreed and declared that the Buyer shall be
                  entitled to assign the benefit of all or part of this Tax Deed
                  by way of security to any lender, group of lenders, agent or
                  security trustee by way of security for the borrowings,
                  guarantees and/or other indebtedness of all or any part of the
                  Buyer's Group made or to be made pursuant to facility or other
                  agreements or any amendment, restatement or extension of them.

9        GENERAL

         The provisions of clause 9 of the Agreement shall be deemed
         incorporated herein as if expressly set out herein.

This Agreement has been signed as a deed and delivered on the date first stated
on page 1 above.

Signed and delivered as a deed                       )
By Wayne Palladino as attorney for                   )
Transworld Healthcare (UK) Limited                   )
In the presence of:-                                 )       ..................


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<PAGE>

Signed and delivered as a deed                       )
By Wendy-Anne Thompson                               )
In the presence of:-                                 )       ..................


Signed and delivered as a deed                       )
By Belinda Burgess                                   )
In the presence of:-                                 )       ..................



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<PAGE>


Signed and delivered as a deed                       )
By Richard Thompson acting through                   )
His duly authorised attorney                         )
Wendy-Anne Thompson                                  )
In the presence of:-                                 )       ..................

Signed and delivered as a deed                       )
By David Thompson acting through                     )
His duly authorised attorney                         )
Wendy-Anne Thompson                                  )
In the presence of:-                                 )       ..................

Signed and delivered as a deed                       )
By W-A Thompson and DT Thompson                      )
As trustees for the Wendy Thompson                   )
1998 Settlement acting through their                 )
Duly authorised attorney                             )
Belinda Burgess                                      )
In the presence of:-                                 )       ..................

Signed and delivered as a deed                       )
By W-A Thompson and DT Thompson                      )
As trustees for the Doctor                           )
DT Thompson Bare Trust for Olivia                    )
Burgess acting through their                         )
Duly authorised attorney                             )
Belinda Burgess                                      )
In the presence of:-                                 )       ..................



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<PAGE>


                                   SCHEDULE 5

                               ACCOUNTING POLICIES


SPECIFIC POLICIES FOR THE PREPARATION OF THE DRAFT EARN OUT ACCOUNTS

The draft earn out accounts to be drawn up in accordance with clause 3 shall
consist of a profit and loss statement together with associated notes. It shall
be prepared in accordance with clauses 1 to 6 below.

1.       BASIS OF PREPARATION

1.1      The draft earn out accounts shall be prepared in accordance with the
         policies that appear, and in the order shown, below:
         a) the specific accounting policies set out in clauses 2 to 6 below;
         b) to the extent not covered by a) above, in accordance with the
            accounting policies, principle and practices, used in the
            preparation of the Accounts for the 12 month period ended 28
            November 1999;
         c) to the extent not covered by a) or b) above, in accordance with UK
            GAAP as at the Accounts date, 28 November 1999.
1.2      The Australian profit and loss account will be prepared in the same way
         as that for the year ended 28 November 1999 on an accruals basis and
         will be consolidated in the same way.

2.     REVENUE RECOGNITION

2.1    Sales shall be recognised and included as turnover on the date the
       timesheet is entered onto the system, this date being the billing date.
       Services are billed to all clients based on individual nurse's time sheet
       information.

3.     COSTS RECOGNITION

3.1    All direct costs of nursing services, including but not limited to
       nurses' wages and expenses shall be charged to the profit and loss on the
       date the associated timesheet is entered onto the system to match against
       the recognition of income with appropriate adjustments for prepayments
       and accruals.

3.2    All other costs, including Nightingale's central overheads and sales and
       marketing costs shall be expensed in the period they relate to with
       appropriate adjustments for prepayments and accruals. No accruals will be
       made for the holiday pay of office employees.


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3.3    Three fifths of the salary and any other remuneration paid by the company
       to Belinda Burgess shall be an expense in the earn out accounts.
3.4    Remuneration of up to (pound)30,000 paid by the Buyer on account of
       Nightingale (`The Company') to Wendy Thompson pursuant to her letter of
       appointment shall, unless waived by her, be an expense in the earn out
       accounts.
3.5    All costs charged should be those relating exclusively to the business of
       Nightingale.
3.6    A 33% writeback of gross holiday pay collected will be credited to the
       profit & loss account in each of the earn out years. The remaining 67%
       collected will be set up as a reserve against which legitimate actual
       holiday pay claims will be offset during the course of the earn out
       years. Should the legitimate actual claims for holiday pay during an earn
       out year be greater than 67% of gross holiday pay collected relating to
       that period the excess claimed and paid will be a charge against the 33%
       credited to the relevant earn out accounts.
3.7    Any charges (excluding any intercompany charge arising from the payment
       of up to (pound)30,000 to Wendy Thompson set out in 3.3. above) including
       management charges allocated to the Company in respect of the Buyer's
       Group shall be excluded.
3.8    Full accrual shall be made for all other staff costs, including for the
       avoidance of doubt, bonuses payable to directors and employees. Bonuses
       shall only be payable to staff and directors other than Jan Baum (UK) and
       Cathy Bouvy (Australia) for whom contractually defined amounts are
       payable, if after an accrual is made for their payment the required earn
       out profit of (pound)1.32 million remains for the year ending 3 December
       2000 and (pound)1.584 million remains for the year ending 2 December
       2001. In the event that either Jan Baum or Cathy Bouvy terminate their
       employment with the company during the course of the earn out period any
       bonus relating to any replacement for either Jan Baum or Cathy Bouvy
       should be added back for the purposes of calculation of the earn out
       profit to the extent that, when aggregrated with bonuses already paid in
       the period, it exceeds the amount that either Jan Baum or Cathy Bouvy
       would have earned had they remained with the company.
       Any bonus payable in excess of 5% of gross salary for individuals other
       than those named above or their replacements will be treated as an
       addback in the earn out accounts.
3.9    An adjustment shall be made in order to ensure that Nightingale does not
       incur a duplication of charges due to changing over insurance policies,
       for example any `run off' insurance costs will not be charged as an
       expense in the earn out accounts. A minimal increment in insurance costs
       is anticipated with an estimate of the total cost being (pound)28,000 per
       annum.
3.10   Minimal additional net financial reporting costs will be deducted. These
       are anticipated as being the reasonable costs of employing an accountant
       or book-keeper to provide


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<PAGE>

       information necessary for the Buyer if and only if the Buyer cannot, in
       its reasonable view, get Shirley McDonnell or another employee of the
       Company to provide such information (without incurring material
       expenditure in training Shirley McDonnell or such other employee).
       Nightingale will not suffer audit charges during the earn out period.
3.11   Interest or other charges charged by the companies in the Buyer's Group
       or charged by third parties in respect of monies lent to the Company
       shall be added back.
3.12   An adjustment shall be made to eliminate any exceptional expenditure or
       excess depreciation incurred by Nightingale at the direction of the Buyer
       which is not incurred for the benefit of Nightingale's business. In the
       case of exceptional expenditure which has not been so eliminated, if the
       payback period is not within the earn out period then associated net
       costs will not be charged in the earn out accounts. Net costs are defined
       as the value of the costs of any specific project (including for the
       avoidance of doubt any depreciation incurred on any capital expenditure
       relating to that project) after deducting any incremental turnover
       achieved as a direct result of that project.
3.13   Monetary assets and liabilities denominated in foreign currencies are
       translated into sterling at the rates of exchange ruling at the balance
       sheet date. Transactions in foreign currencies are recorded at the rate
       ruling at the date of the transaction. All differences are taken to the
       profit and loss account.
3.14   50% of certain expenses totalling (pound)62,000 incurred during the
       period from 29 November 1999 to completion shall be added back in the
       earn out accounts for the year ending 3 December 2000. The figure added
       back will be (pound)31,000. Details of these are set out overleaf:


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<PAGE>

       Salaries                              44 (Breakdown: WAT 31, DT 9, RT 4)
       BUPA                                   1
       Pension                                5
       Accounting charge                      8
       Amortisation                           4
                                         ------------
                                             62
                                         ------------

       50% of above costs                    31
                                         -----------


3.15   The costs associated with the financial assistance provided on or around
       the date of this Agreement shall if deducted be added back.

4.     FIXED ASSETS

4.1    No amortisation of goodwill arising in the books of the purchaser on the
       purchase of Nightingale shall be suffered by Nightingale. In addition
       there will be no amortisation of any other intangible asset that might be
       included in the earn out accounts.
4.2    The cost of tangible fixed assets is their purchase cost, together with
       any incidental costs of acquisition.

       Depreciation is calculated so as to write off the cost, or valuation, of
       fixed assets net of residual value on a straight line basis over the
       expected useful economic lives of the assets concerned. The principal
       annual rates used for this purpose are:
       Freehold land                      Not depreciated
       Freehold buildings                 4%
       Short leasehold property           Over term of lease
       Computers                          25%
       Office equipment                   25%
       Motor vehicles                     25%
       Fixtures and fittings              20%

5.     CURRENT ASSETS

5.1    All debtors aged greater than 120 days in the Nightingale business at the
       year end to be provided for in the earn out accounts.


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<PAGE>

6.     LIABILITIES

6.1    Amounts received from customers for services not yet given at the end of
       each earn out accounting period, shall be treated as a liability and
       included in deferred income. For clarification such amounts will not be
       recognised as income or turnover.
6.2    Full provision shall be made for NIC, PAYE & VAT, including any interest
       and penalties, as at the end of each earn out accounting period.
6.3    Provision for dilapidation and maintenance costs shall be provided for in
       the earn out accounts as billed.


This Agreement has been signed on the date first stated on page 1 above.

By Wayne Palladino as attorney for           )
Transworld Healthcare (UK) Limited           )
In the presence of:-                         )    Wayne Palladino
Christine Allen

Signed by Wendy-Anne Thompson                )
In the presence of:-                         )    Wendy-Anne Thompson
Tony Edwards

Signed by Belinda Burgess                    )
In the presence of:-                         )   Belinda Burgess
Tony Edwards

Signed by Richard Thompson                   )
acting through his duly authorised           )
attorney Wendy-Anne Thompson                 )
In the presence of:-                         )   Wendy-Anne Thompson
Tony Edwards
Signed by David Thompson                     )
acting through his duly authorised           )
attorney Wendy-Anne Thompson                 )
In the presence of:-                         )   Wendy-Anne Thompson
Tony Edwards



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<PAGE>

Signed by W-A Thompson and                   )
DT Thompson as trustees for                  )
the Wendy Thompson                           )
1998 Settlement acting through their         )
Duly authorised attorney                     )   Belinda Burgess
Belinda Burgess                              )
In the presence of:-                         )   Wendy-Anne Thompson
Tony Edwards

Signed by W-A Thompson                       )
and DT Thompson                              )
As trustees for the Doctor                   )
DT Thompson Bare Trust for Olivia            )
Burgess acting through their                 )
Duly authorised attorney                     )   Belinda Burgess
Belinda Burgess                              )
In the presence of:-                         )   Wendy-Anne Thompson
Tony Edwards




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