MARINER HEALTH GROUP INC
10-Q, 1996-11-14
NURSING & PERSONAL CARE FACILITIES
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                       SECURITIES AND EXCHANGE COMMISSION

                              WASHINGTON D.C. 20549

                                    FORM 10-Q


(MARK ONE)
 
   X
 -----  QUARTERLY  REPORT  PURSUANT  TO  SECTION  13 OR 15(d) OF THE  SECURITIES
EXCHANGE ACT OF 1934

FOR THE QUARTERLY PERIOD ENDED        SEPTEMBER 30, 1996
                                      ------------------


                                       OR

              TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF
                       THE SECURITIES EXCHANGE ACT OF 1934

                   FOR THE TRANSITION PERIOD FROM        TO
                                                  -------  -------
                         COMMISSION FILE NUMBER 0-21512
                                                -------

                           MARINER HEALTH GROUP, INC.
             (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)

           DELAWARE                                    NO. 06-1251310
           --------                                    --------------
   (STATE OF INCORPORATION)                            (I.R.S. EMPLOYER
                                                      IDENTIFICATION NO.)

                 125 EUGENE O'NEILL DRIVE, NEW LONDON, CT 06320
                 ----------------------------------------------
               (ADDRESS OF PRINCIPAL EXECUTIVE OFFICE) (ZIP CODE)
 
                                (860) 701-2000
                                 --------------
                     (TELEPHONE NUMBER, INCLUDING AREA CODE)

         INDICATE BY CHECK MARK WHETHER THE REGISTRANT (1) HAS FILED ALL REPORTS
REQUIRED TO BE FILED BY SECTION 13 OR 15(D) OF THE  SECURITIES  EXCHANGE  ACT OF
1934  DURING  THE  PRECEDING  12 MONTHS  (OR FOR SUCH  SHORTER  PERIOD  THAT THE
REGISTRANT WAS REQUIRED TO FILE SUCH REPORTS),  AND (2) HAS BEEN SUBJECT TO SUCH
FILING REQUIREMENTS FOR THE PAST 90 DAYS. YES X NO
                                             ---  ---

28,956,821  SHARES OF COMMON STOCK, $.01 PAR VALUE, WERE OUTSTANDING AT NOVEMBER
12 1996.





                           MARINER HEALTH GROUP, INC.
- -------------------------------------------------------------------------------
FORM 10Q - SEPTEMBER 30, 1996
                                      INDEX

<TABLE>
<CAPTION>

<S>                                                                     <C>
PART I   FINANCIAL INFORMATION                                          PAGE
         ---------------------                                          ----

ITEM 1.  FINANCIAL STATEMENTS

                  CONSOLIDATED BALANCE SHEETS AS OF
                  DECEMBER 31, 1995 AND SEPTEMBER 30, 1996                3

                  CONSOLIDATED STATEMENTS OF OPERATIONS FOR THE
                  NINE MONTHS ENDED SEPTEMBER 30, 1995 AND 1996 AND
                  THREE MONTHS ENDED SEPTEMBER 30, 1995 AND 1996          4

                  CONSOLIDATED STATEMENTS OF CASH FLOWS FOR THE
                  NINE MONTHS ENDED SEPTEMBER 30, 1995 AND 1996           5

                  NOTES TO CONSOLIDATED FINANCIAL STATEMENTS              6 - 8

ITEM 2.  MANAGEMENT'S DISCUSSION AND ANALYSIS OF
                  FINANCIAL CONDITION AND RESULTS OF OPERATIONS           9 - 14

PART II. OTHER INFORMATION
         -----------------

ITEM 6.  EXHIBITS AND REPORTS ON FORM 8-K                                 15

EXHIBIT INDEX                                                             16

SIGNATURES                                                                17
</TABLE>


ITEM 1 FINANCIAL STATEMENTS

                   MARINER HEALTH GROUP, INC. AND SUBSIDIARIES
                           CONSOLIDATED BALANCE SHEETS
                 (IN THOUSANDS, EXCEPT SHARE AND PER SHARE DATA)
                                   (UNAUDITED)
<TABLE>
<CAPTION>


                                                                                                      December         September
                                                                                                         31,              30,
                                                                                                        1995             1996
                                                                                                 -----------------------------------
                                             ASSETS
<S>                                                                                                   <C>              <C>
   Current assets:
                Cash and cash equivalents                                                             $      4,086     $      10,703
                Accounts receivable, less allowance for doubtful accounts of $10,078
                   and $10,133, respectively                                                                92,537           112,080
                Estimated settlements due from third-party payors                                           12,915            18,397
                Prepaid expenses and other current assets                                                    6,757            11,951
                Deferred income tax benefit                                                                  9,918             9,997
                                                                                                   ---------------------------------
                                 Total current assets                                                      126,213           163,128

   Property, plant, and equipment, net                                                                     174,486           331,906
   Goodwill, net of accumulated amortization of $19,084 and $8,678, respectively                            78,212           199,121
   Intangible and other assets, net of accumulated amortization of $6,550
        and $5,443, respectively                                                                            30,144            23,200
   Restricted cash and cash equivalents                                                                      1,198             2,545
   Deferred income tax benefit                                                                               1,273             1,989
                                                                                                 -----------------------------------
                                 Total assets                                                           $  411,526     $     721,889
                                                                                                 ===================================

                      LIABILITIES AND STOCKHOLDERS' EQUITY
   Current liabilities:
                Current maturities of long-term debt and capital lease obligations                       $   5,156     $       5,652
                Accounts payable                                                                            10,904            20,608
                Accrued payroll                                                                              6,072             7,774
                Accrued vacation                                                                             5,053             7,059
                Other accrued expenses                                                                      22,808            43,445
                Deferred income taxes                                                                          987               265
                Other liabilities                                                                            1,085             3,263
                                                                                                 -----------------------------------
                                 Total current liabilities                                                  52,065            88,066

   Long-term debt and capital lease obligations,
        less current portion                                                                               107,910           297,231
   Deferred income taxes                                                                                     6,007            15,690
   Deferred gain                                                                                             2,122             1,997
   Redeemable stock and other long-term liabilities                                                         1,030                533
                                                                                                    --------------------------------
                                 Total liabilities                                                         169,134           403,517
   Commitments and contingencies
   Stockholders' equity
                Common  stock,  $.01 par value;  50,000,000  shares  authorized;
                 22,540,010 issued and outstanding at December 31, 1995 and
                 28,971,091 shares issued and outstanding at September 30, 1996.                               225               290
                Additional paid-in capital                                                                 246,660           312,681
                Unearned compensation                                                                         (15)              (10)
                Retained earnings (deficit)                                                                (4,478)             5,411
                                                                                                 -----------------------------------
                                 Total stockholders' equity                                                242,392           318,372
                                                                                                 -----------------------------------
                                 Total liabilities and stockholders' equity                             $  411,526      $    721,889
                                                                                                 ===================================

</TABLE>

                             See accompanying notes


                                       3



                   MARINER HEALTH GROUP, INC. AND SUBSIDIARIES
                      CONSOLIDATED STATEMENTS OF OPERATIONS
                      (IN THOUSANDS, EXCEPT PER SHARE DATA)
                                   (UNAUDITED)
<TABLE>
<CAPTION>


                                                           Nine months ended                          Three months ended
                                                              September 30,                               September 30,
                                                                                                  
                                                          1995                 1996                  1995                   1996
                                                          ----                 ----                  ----                   ----
                                                                                                                         

<S>                                                  <C>                 <C>                      <C>                  <C>
Net patient service revenue                       $      244,417      $      410,389        $         83,325      $        134,699
Other revenue                                              9,116               8,145                   6,484                 3,052
                                                 ----------------     ---------------       -----------------     -----------------
Total operating revenue                                  253,533             418,534                  89,809               137,751
                                                 ----------------     ---------------       -----------------     -----------------


Operating expenses:
  Facility operating costs                               198,945             326,777                  71,672               112,863
  Corporate general and administrative                    31,253              39,546                   8,690                11,025
                                                 ----------------     ---------------       -----------------     -----------------
                                                         230,198             366,323                  80,362               123,888
                                                 ----------------     ---------------       -----------------     -----------------

  Interest expense, net                                    1,627              17,733                     896                 6,763
  Facility rent expense, net                               1,446               2,318                     528                 1,106
  Depreciation and amortization                            7,903              15,677                   2,612                 5,349
                                                 ----------------     ---------------       -----------------     -----------------
Total operating expenses                                 241,174             402,051                  84,398               137,106
                                                 ----------------     ---------------       -----------------     -----------------

Operating income                                          12,359              16,483                   5,411                   645
Gain (loss) on sale of facilities                            (8)                 ---                       3                   ---
                                                 ----------------     ---------------       -----------------     -----------------
Income before income taxes and
  extraordinary item                                      12,351              16,483                   5,414                   645
Provision for income taxes                                 4,449               6,593                   1,928                   324
                                                 ----------------     ---------------       -----------------     -----------------
Net income before extraordinary item                       7,902               9,890                   3,486                   321
Extraordinary Item                                       (1,138)                 ---                     ---                   ---
                                                 ================     ===============       =================     =================
Net income                                       $         6,764      $        9,890        $          3,486      $            321
                                                 ================     ===============       =================     =================

Net income per common and common
  equivalent share                               $          0.30      $         0.34        $           0.15      $           0.01
                                                           
                                                 ================     ===============       =================     =================


  Weighted average common and common
  equivalent share outstanding                            22,822              29,384                  22,780                29,573
                                                 ================     ===============       =================     =================


</TABLE>


                             See accompanying notes


                                       4




                   MARINER HEALTH GROUP, INC. AND SUBSIDIARIES
                      CONSOLIDATED STATEMENTS OF CASH FLOWS
                                 (IN THOUSANDS)
                                   (UNAUDITED)

<TABLE>
<CAPTION>


                                                                                          Nine months ended September 30
                                                                                            1995                1996
                                                                                     ---------------------------------------

<S>                                                                               <C>                  <C>
Cash flows from operating activities:
Net income                                                                        $           6,764    $           9,890
                                                                                                          
Adjustments  to  reconcile  net income to cash (used by)  provided by  operating
activities:
  Extraordinary item                                                                          1,138                  ---
  Depreciation and amortization                                                               7,903               15,677
  Provision for losses on accounts receivable                                                 2,056                2,541
  Loss on sale of facilities                                                                      8                  ---
  Amortization of deferred gain                                                               (372)                (125)
  Amortization of stock plan expense                                                             17                    5
  Earnings from partnerships                                                                    (7)                  ---
  Non-cash charge for warrants issued                                                           ---                  850
  Amortization of deferred financing costs                                                      ---                  906
  Charge for abandonment of assets                                                              ---                1,061
  Changes in operating assets and liabilities:
    Increase in accounts receivable                                                        (27,499)              (7,289)
    (Increase) decrease in estimated settlements from third parties                         (6,142)                1,073
    Increase in prepaid expenses and other current assets                                   (1,390)              (3,851)
    Increase in accounts payable                                                              4,732                1,084
    Increase (decrease) in accrued liabilities                                                  399              (3,391)
    Increase (decrease) in other current liabilities                                            956              (1,055)
                                                                                   -----------------    -----------------
  Net Cash (Used by) Provided by Operating Activities                                      (11,437)               17,376
                                                                                   -----------------    -----------------

Cash flows used by investing activities:
  Purchase of plant, property and equipment                                                (10,309)             (15,385)
  Cash paid for acquisitions, net of cash acquired                                         (15,346)             (87,679)
  Deficits acquired                                                                           1,055                4,220
  Purchase deposit                                                                         (19,500)                  ---
  Increase in intangible and other assets                                                   (1,750)              (6,985)
                                                                                   -----------------    -----------------
Net Cash Used by Investing Activities                                                      (45,850)            (105,829)
                                                                                   -----------------    -----------------

Cash flows from financing activities:
  Drawings on line of credit                                                                 31,000               94,981
  Proceeds from notes offering                                                                  ---              149,666
  Repayments on line of credit                                                              (9,000)            (135,481)
  Repayments of long term debt and capital lease obligations                                (1,280)             (18,599)
  Proceeds from exercise of employee stock options and warrants                                 952                3,849
  Shares issued under employee stock purchase plan                                              400                  310
  Borrowings from investor                                                                      464                  ---
  Partnership distributions                                                                      39                  ---
  (Increase) decrease in restricted cash                                                       (85)                  344
                                                                                   -----------------    -----------------
  Net Cash Provided by Financing Activities                                                  22,490               95,070
                                                                                   -----------------    -----------------

(Decrease) increase in cash and cash equivalents                                           (34,797)                6,617
Cash and cash equivalents at beginning of period                                             37,209                4,086
                                                                                   -----------------    -----------------
Cash and cash equivalents at end of period                                         $           2,412    $          10,703
                                                                                   =================    =================

</TABLE>

                             See accompanying notes


                                       5


                   MARINER HEALTH GROUP, INC. AND SUBSIDIARIES
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

1.       The consolidated  financial  statements as of and for the periods ended
         September 30, 1995 and 1996 are unaudited. All adjustments and accruals
         have been made which, in the opinion of the  management,  are necessary
         for a fair  presentation.  Results of  operations  for the period ended
         September 30, 1996 are not necessarily indicative of those expected for
         any future period.

         In addition to normal,  recurring  adjustments,  corporate  general and
         administrative  expenses  for the first nine months of 1996  included a
         charge of $6,511,000  composed of $5,661,000  related to the pooling of
         interests with MedRehab, Inc. ("MedRehab") and a charge of $850,000 for
         warrants issued in connection with a preferred provider agreement.

         As  a  result  of  certain   issues   raised  by  notices  of  provider
         reimbursement  received  during the last two weeks of September and the
         first week of  October,  1996 from fiscal  intermediaries,  the Company
         changed its estimate of required  reserves  and provided an  additional
         $10 million of reserves on its estimated  settlements  from third party
         payors.  The additional  reserves  reduced revenue in the period by $10
         million.

         The accompanying  unaudited interim  consolidated  financial statements
         have been prepared in accordance with the instructions to Form 10-Q and
         the rules and  regulations of the  Securities and Exchange  Commission.
         These financial  statements have been prepared with the assumption that
         users of the  interim  financial  information  have either read or have
         access to the Company's audited  consolidated  financial statements for
         the year ended  December 31, 1995.  Accordingly,  footnote  disclosures
         which would  substantially  duplicate the disclosures  contained in the
         Company's December 31, 1995 audited  consolidated  financial statements
         have been omitted from these unaudited interim  consolidated  financial
         statements.  Certain  information  and  footnote  disclosures  normally
         included in the financial  statements  prepared in accordance  with the
         generally accepted accounting principles have been condensed or omitted
         pursuant to such  instructions,  rules and  regulations.  Although  the
         Company  believes  that  the  disclosures  are  adequate  to  make  the
         information  presented  not  misleading,  it is  suggested  that  these
         unaudited  interim   consolidated   financial  statements  be  read  in
         conjunction with the audited consolidated  financial statements and the
         notes  thereto  included in the  Company's  Current  Report on Form 8-K
         dated June 13,1996.

         The unaudited interim consolidated  financial statements of the Company
         have  been  prepared  to give  retroactive  effect to the  merger  with
         MedRehab   which  was   accounted   for  as  a  pooling  of  interests.
         Accordingly,   the  accompanying   unaudited   consolidated   financial
         statements have been restated to include the accounts and operations of
         MedRehab for all periods presented.

2.       In  January  1996,  Mariner  completed  the  merger  with  Convalescent
         Services,  Inc.  ("CSI") and its acquisition of certain related assets.
         In the  merger,  all of the  issued and  outstanding  shares of capital
         stock of CSI were  converted  into the right to receive an aggregate of
         5,853,656  shares of the Company's Common Stock and $7,000,000 in cash.
         In connection with the CSI merger, Mariner acquired certain assets that
         are related to CSI's business from affiliates of CSI's stockholders for
         an  aggregate  of  approximately  $17,694,000  in cash  and  loaned  an
         aggregate of $1,619,000 to the partnerships that sold certain assets to
         the Company.  In addition,  the Company acquired options to purchase 12
         of the facilities  leased by CSI from affiliates of CSI's  stockholders
         at fair market value and made  nonrefundable  deposits in the aggregate
         of  $13,155,000  with the  lessors  of the  facilities  subject to such
         options.  The options are exercisable  during specified periods between
         1998 and 2010.  The  aggregate  estimated  fair market  value as of the
         earliest  exercise date of the options of, and the  aggregate  purchase
         price for, the 12  facilities  subject to the options is  approximately
         $59,585,000  (which  includes  the deposit of  $13,155,000  paid by the
         Company in May 1995).  Mariner financed the cash  consideration paid in
         these transactions with borrowings under the Company's Credit Facility.


                                       6
        

3.       In January 1996,  Mariner entered into an agreement to be the preferred
         provider of subacute services to Premier ("APS"),  which is the largest
         hospital-health  care alliance in the United States with  approximately
         1,700 member hospitals. As the preferred subacute provider, Mariner may
         contract  individually  with  member  hospitals  and systems to provide
         subacute services.  This agreement provides the Company the opportunity
         to more quickly expand its services in certain of its existing  markets
         and enter new markets with lower capital commitments.  Pursuant to this
         arrangement,  an APS affiliate was granted warrants to purchase 210,000
         shares of Mariner  Common  Stock at an  exercise  price of $11.375  per
         share,  as well as warrants to purchase up to an  additional  1,890,000
         shares of Mariner Common Stock over a five year period depending on the
         performance  of the  arrangements  between  Mariner and  APS-affiliated
         facilities.  The Company recorded a charge of approximately $850,000 in
         the first quarter of 1996 as a result of the 210,000 warrants granted.

4.       On March 1, 1996, the Company consummated a merger with MedRehab,  Inc.
         ("MedRehab").  The tax-free,  stock-for-stock transaction was accounted
         for as a pooling of interests.  In total, an aggregate of approximately
         2,312,500  shares  of  Mariner  Common  Stock  were  exchanged  for all
         outstanding  shares of  MedRehab  capital  stock or will be issued upon
         exercise of options to purchase shares of MedRehab  capital stock.  The
         results  of  MedRehab  prior to the  merger  included  in the  restated
         financial  statements  have not been  separately  disclosed as they are
         immaterial  to the  results of the  combined  Company.  The  historical
         financial  statements  of the Company for all  periods  presented  give
         retroactive effect to the MedRehab merger.

5.       In March 1996,  Mariner acquired a primary care physician  organization
         in the Orlando,  Florida area. In this  transaction,  Mariner issued an
         aggregate of 48,722 shares of its Common Stock and paid an aggregate of
         approximately  $1,500,000  in cash which was financed  under the Credit
         Facility.

6.       On April 4, 1996,  the Company sold  $150,000,000  aggregate  principal
         amount of its 9 1/2% Senior  Subordinated Notes due 2006 (the "Notes").
         The Notes  are  uncollateralized  senior  subordinated  obligations  of
         Mariner  and,  as such,  are  subordinated  in right of  payment to all
         existing  and  future  senior   indebtedness   of  Mariner,   including
         indebtedness  under  the  Credit  Facility.  From the net  proceeds  of
         approximately  $144,500,000  from the sale of the Notes,  approximately
         $131,000,000 was used to repay all then outstanding  indebtedness under
         the Credit Facility (including interest and certain other fees) and the
         remainder was used to pay a portion of the purchase  price for the 1996
         Florida Acquisition (as defined herein).

7.       In May, 1996 the Company  completed its  acquisition  of a company that
         operates  seven  skilled  nursing  facilities  and one assisted  living
         facility with an aggregate of 960 beds in Florida, Tennessee and Kansas
         (the "1996  Florida  Acquisition").  All of the issued and  outstanding
         shares of common stock of that company were converted into the right to
         receive an aggregate of approximately  $28,050,000 in cash. The Company
         financed the consideration paid in the 1996 Florida  Acquisition with a
         portion of the net proceeds  from the sale of the Notes and  borrowings
         under the Credit Facility.

8.       In the fourth quarter of 1996,  Mariner  consummated its acquisition of
         certain  assets  of  Allegis  Health  Services,  Inc.  ("Allegis")  and
         certain  of  its  affiliates.   Under  the  terms  of  the  acquisition
         agreement, the Company purchased five inpatient facilities, assumed two
         operating   leases  and  one  capital  lease  and  purchased   Allegis'
         institutional   pharmacy  and  its  rehabilitation  program  management
         subsidiary. The total

                                       7


         purchase price consisted of the assumption of approximately $12,000,000
         in debt,  including the capital lease, and $98,000,000 in cash borrowed
         under the Credit  Facility.  The cash portion of the purchase  price is
         subject to  adjustment  (to a maximum of  $105,000,000  but in no event
         less than $95,000,000)  based on a multiple of the net operating income
         of the assets acquired.

9.       On  October  1,  1996,  the  Company  acquired  a 163-bed  facility  in
         Jacksonville, Florida. The total purchase price was $9,850,000. Mariner
         funded  the  purchase  price  by  assuming  two  HUD  mortgages  in the
         aggregate  principal  amount of approximately  $4,236,000.  The Company
         borrowed  $6,500,000 under its Credit Facility to fund the remainder of
         the cash price and to replace  reserves  required  by the HUD  mortgage
         agreements.



                                       8


ITEM 2.

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

         FORWARD-LOOKING STATEMENTS AND ASSOCIATED RISK

         This Report contains  forward-looking  statements within the meaning of
Section 27A of the Securities Act and Section 21E of the Securities Exchange Act
of 1934, including statements regarding, among other items, plans and objectives
of management, estimates of future financial performance, and anticipated trends
in the  Company's  business and  financial  performance.  These  forward-looking
statements are based largely on the Company's  expectations and are subject to a
number of risks and  uncertainties,  certain of which are  beyond the  Company's
control.  Actual  results  could differ  materially  from these  forward-looking
statements as a result of the factors  described in the section  entitled  "Risk
Factors"  (included in Amendment  No. 1 on Form 10-K/A to the  Company's  Annual
Report  on Form  10-K  filed on April 9, 1996  with  respect  to the year  ended
December 31, 1995) including, among others (i) the Company's dependence on third
party payors; (ii) changes in the health care industry as a result of political,
economic or regulatory  influences;  (iii) changes in regulations  governing the
health care industry; (iv) changes in the competitive  marketplace,  and (v) the
impact that the  Company's  leverage may have on  operations.  In light of these
risks and  uncertainties,  there can be no  assurance  that the  forward-looking
information contained in this Report will in fact transpire.  Therefore,  actual
results could differ materially from expectations.

RESULTS OF OPERATIONS

         The  following  table  sets  forth  certain   consolidated   historical
financial data as percentages  of total  operating  revenue for the three months
and nine months ended September 30, 1995 and 1996 and the percentage  changes in
the dollar  amounts of revenues and expenses for the three and nine months ended
September 30, 1995 as compared to the three and nine months ended  September 30,
1996, respectively.

<TABLE>
<CAPTION>

                                Nine months                Percentage Increase          Three months       Percentage Increase
                                  ended                        (Decrease)                ended                Decrease)
                                September 30,               Nine months ended          September 30,       Three months ended
                                                                     

                                     1995        1996       1996   over   1995       1995        1996       1996   over   1995
                                     ----        ----       ----           ----      ----        ----       ----          ----
      
<S>                                  <C>         <C>              <C>               <C>         <C>              <C>
Revenues:
  Net patient service revenue          96.4%       98.1%            67.9%             92.8%       97.8%           61.7%
  Other revenue                         3.6%        1.9%          (10.7)%              7.2%        2.2%          (52.9)%
                                     --------    --------                           --------    --------
  Total operating revenue             100.0%      100.0%            65.1%            100.0%      100.0%           53.4%


Operating and administrative
expenses:
  Facility operating costs             78.5%       78.1%            64.3%             79.8%       81.9%           57.5%
  Corporate general and                12.3%        9.4%            26.5%              9.7%        8.0%           26.9%
administrative


Interest expense, net                   0.6%        4.2%           989.9%              1.0%        4.9%           654.8%
Facility rent expense, net              0.6%        0.6%            60.3%              0.6%        0.8%           109.5%
Depreciation and amortization           3.1%        3.7%            98.4%              2.9%        3.9%           104.8%
                                     --------    --------                           --------    --------
Total operating costs and
  administrative expense               95.1%       96.1%            66.7%             94.0%       99.5%           62.5%
                                     --------    --------                           --------    --------


Income before income tax and
  extraordinary item                    4.9%        3.9%            33.5%              6.0%        0.5%          (88.1)%
                                     --------    --------                           --------    --------

</TABLE>

                                       9


THREE MONTHS ENDED  SEPTEMBER 30, 1995 AND 1996

         REVENUE.  Total operating revenue increased 53% from $89,809,000 during
the three  months  ended  September  30, 1995 to  $137,751,000  during the three
months ended September 30, 1996.

         Net patient service revenue increased by approximately $51,374,000,  or
62%, from the third  quarter of 1995 to the third  quarter of 1996.  Net patient
service  revenue  includes  revenue from basic  medical and  ancillary  services
provided by the Company, including rehabilitation, pharmacy and infusion therapy
services and the provision of medical  equipment and supplies.  The increase was
primarily the result of the inclusion in 1996 of revenue from 38 facilities, two
pharmacies  and several  home health  agencies  acquired  after June 1995.  As a
result of certain  issues raised by notices of provider  reimbursement  received
during the last two weeks of September and the first week of October,  1996 from
fiscal intermediaries, the Company changed its estimate of required reserves and
provided an additional $10 million of reserves on its estimated settlements from
third party payors. The additional reserves reduced revenue in the period by $10
million. Management believes that this amount is adequate to protect the Company
against the steps taken by the  intermediaries.  Although the Company intends to
exercise all of its rights in the appeal process, there can be no assurance that
it will prevail. In any event, final resolution could take several years.

         Other revenue aggregated  $3,052,000 during the quarter ended September
30, 1996.  This revenue was generated  primarily  from the Company's  management
activities  related  to  subacute  care units and  facilities.  During the three
months ended September 30, 1995, the Company earned significant  management fees
for  managing  27  facilities  previously  operated  by CSI.  Since  24 of those
facilities  were acquired in January,  1996,  these  facilities did not generate
management  fee revenue during the three months ended  September 30, 1996.  This
resulted in a decrease in other  revenue for the third  quarter of 1996 compared
to the third quarter of 1995.

         FACILITY OPERATING COSTS. Facility operating costs consist of primarily
employee  salaries,  wages and  benefits,  food,  ancillary  supplies,  pharmacy
supplies, plant operations and, in the third quarter of 1995, costs related to a
significant change in business focus at the Company's Baltimore  facility.  Most
clinical staff and rehabilitation  therapists are paid an hourly wage. Salaries,
wages and  benefits  as a  percentage  of  revenues  are higher at newly  opened
facilities,  which  require a basic  complement  of staff on the day the program
opens regardless of the patient census,  than at continuing  facilities.  As the
patient  census  increases  and  the  patient  mix  improves  at  its  inpatient
facilities,  the Company has generally experienced decreases in such expenses as
a percent of  revenues at those  facilities.  Various  other types of  operating
expenses,  including medical supplies,  pharmacy supplies,  nutritional  support
services and expenses associated with the provision of ancillary services,  vary
more directly with patient census as well as general rates of inflation.

         Facility  operating costs  increased 58% from  $71,672,000 in the third
quarter of 1995 to  $112,863,000 in the third quarter of 1996. This increase was
principally  the result of the  inclusion  of expenses  for 38  facilities,  two
pharmacies  and several home health  agencies  acquired  after June,  1995. As a
percentage of total operating  revenue,  these costs  aggregated 79.8% and 81.9%
for the three  months  ended  September  30,  1995 and 1996,  respectively.  The
increase in these  expenses as a percentage  of revenue was due to the reduction
of revenue resulting from the $10 million reserve posted during the quarter.

         CORPORATE GENERAL AND  ADMINISTRATIVE  EXPENSES.  Corporate general and
administrative  expenses  include the expenses of the  Company's  corporate  and
regional offices,  which provide training,  marketing,  financial and management
services.  These expenses  increased 27% from $8,690,000 in the third quarter of
1995 to  $11,025,000  in the third quarter of 1996.  This increase was primarily
the  result of  increased  investment  in  overhead  related  to the  geographic
regional  structure  implemented  by the  Company  in 1996 and offset in part by
synergies realized in the MedRehab merger.

         As a percentage of total  revenue,  these  expenses were  approximately
9.7%  and  8.0%  for the  three  months  ended  September  30,  1995  and  1996,
respectively.

         INTEREST EXPENSE,  NET. Interest expense increased from $896,000 in the
third quarter of 1995 to $6,763,000 in the third quarter of 1996.  This increase
was the  result  of  interest  related  to the Notes  issued  in April  1996 and
increased  borrowings under the Credit Facility (as defined herein) used to fund
operations and  acquisitions  of facilities  and  businesses  acquired after the
second quarter of 1995.


                                       10


         RENT  EXPENSE,  NET. Rent expense  increased  110% from $528,000 in the
third quarter of 1995 to $1,106,000 in the third quarter of 1996.  This increase
was due to additional  facilities  under operating lease  agreements,  offset in
part by the purchase of a previously  leased  facility in the fourth  quarter of
1995.

         DEPRECIATION AND  AMORTIZATION.  Depreciation and amortization  expense
increased 105% from $2,612,000 in the third quarter of 1995 to $5,349,000 in the
third  quarter  of  1996.  This  increase  was  primarily  attributable  to  the
facilities and businesses acquired after the second quarter of 1995.

         PROVISION FOR INCOME TAX. The Company  expects its  effective  rate for
1996  to  be  approximately  40%.  This  increase  from  38%  in  1995  is  due,
principally,  to  permanent  book to tax  differences  including  non-deductible
goodwill recorded on certain  acquisitions offset by the expected utilization of
deferred tax assets acquired in the MedRehab merger.

         NINE MONTHS ENDED SEPTEMBER 30, 1995 AND 1996.

         REVENUE. Total operating revenue increased 65% from $253,533,000 during
the first nine months of 1995 to $418,534,000 in the first nine months of 1996.

         Net patient service revenue increased by approximately $165,972,000, or
68%,  from the first nine months of 1995 to the first nine  months of 1996.  The
increase was  primarily  the result of the  inclusion in 1996 of revenue from 38
facilities,  two pharmacies and several home health agencies acquired since June
1995. The increase was offset,  in part, by the $10 million  reserve on Medicare
receivables posted in the third quarter.

         Other  revenue  aggregated  $8,145,000  during  the nine  months  ended
September  30, 1996.  This revenue was  generated  primarily  from the Company's
management activities related to subacute care units and facilities.  During the
second half of 1995, the Company earned significant management fees for managing
27 facilities  previously  operated by CSI.  Since 24 of those  facilities  were
acquired in January,  1996,  these  facilities  did not generate  management fee
revenue  during the first nine  months of 1996.  This  resulted in a decrease in
other  revenue  for the first  nine  months of 1996  compared  to the first nine
months of 1995.

         FACILITY  OPERATING COSTS.  Facility operating costs increased 64% from
$198,945,000  in the first nine months of 1995 to $326,777,000 in the first nine
months of 1996.  This  increase was  principally  the result of the inclusion of
expenses for 38  facilities,  two  pharmacies  and several home health  agencies
acquired  after the second  quarter of 1995. As a percentage of total  operating
revenues,  these  costs  aggregated  78.5% and 78.1% in the first nine months of
1995 and 1996, respectively.

         CORPORATE GENERAL AND  ADMINISTRATIVE  EXPENSES.  Corporate general and
administrative  expenses increased 27% from $31,253,000 in the first nine months
of 1995 to  $39,546,000  in the first  nine  months of 1996.  The  increase  was
primarily the result of additional  corporate  personnel required to support the
additional  facilities  acquired  and managed  during 1995 and 1996,  as well as
increased  investment in overhead related to the geographic  regional  structure
implemented  by the Company in 1996 and offset in part by synergies  realized in
the MedRehab merger.

         During the second quarter of 1995,  the Company  accrued costs totaling
$8,073,000  related  to the  merger  with CSI and the  consolidation  of various
regional and satellite  offices to the New London,  Connecticut  office. Of this
total charge,  approximately  $3,691,000  related to severance and corresponding
payroll costs and approximately $4,382,000 related to expenses incurred to close
the regional offices.

         During the first quarter of 1996,  these expenses  included a charge of
$6,511,000  composed  of  $5,661,000  related to the pooling of  interests  with
MedRehab  and a charge of $850,000  for  warrants  issued in  connection  with a
preferred provider agreement.

         As a  percentage  of total  operating  revenues,  these  expenses  were
approximately   12%  and  9%  in  the  first  nine  months  of  1995  and  1996,
respectively.



                                       11


         INTEREST  EXPENSE,  NET.  Interest expense increased from $1,627,000 in
the first nine months of 1995 to  $17,733,000  in the first nine months of 1996.
This  increase was primarily the result of interest on the Notes issued in April
1996 and  borrowings  used  primarily to fund  operations  and  acquisitions  of
facilities and businesses acquired during and after the second quarter of 1995.

         RENT EXPENSE,  NET. Rent expense  increased 60% from  $1,446,000 in the
first nine months of 1995 to $2,318,000  in the first nine months of 1996.  This
increase was due to additional  facilities  under  operating  lease  agreements,
offset in part by the  purchase of a  previously  leased  facility in the fourth
quarter of 1995.

         DEPRECIATION AND  AMORTIZATION.  Depreciation and amortization  expense
increased 98% from $7,903,000 in the first nine months of 1995 to $15,677,000 in
the first nine  months of 1996,  principally  as the result of the  addition  of
facilities and businesses after the second quarter of 1995.

         EXTRAORDINARY  ITEM.  During the second  quarter of 1995,  the  Company
amended certain  significant  terms of its Credit  Facility.  As a result of the
amendment,  the Company wrote off its remaining  unamortized  deferred financing
fees of $1,836,000 with a resulting tax benefit of $698,000.

         LIQUIDITY AND CAPITAL RESOURCES

         Mariner  has  financed  its   operations,   acquisitions   and  capital
expenditures primarily from borrowings, cash provided by operations and proceeds
from securities  issuances.  As of September 30, 1996,  working capital and cash
and cash equivalents were $75,062,000 and $10,703,000, respectively.

         Mariner has a $250,000,000  senior secured  revolving  credit  facility
with a syndicate of banks (the  "Credit  Facility").  As of April 30, 1996,  the
Company entered into an amendment to the Credit Facility to increase the size of
the Credit Facility to $200,000,000  from  $175,000,000,  extend the maturity of
the Credit  Facility and reduce certain  restrictions  that the Credit  Facility
imposes on the  operations of the business of the Company and its  subsidiaries.
As of July 1, 1996 the terms were  amended to provide  for  borrowings  of up to
$250,000,000. As of December 31, 1995 and September 30, 1996, principal balances
outstanding  under  the  Credit  Facility  were  approximately  $64,500,000  and
$24,000,000, respectively, and letters of credit outstanding under this facility
were  $2,612,000  and  $4,785,000,  respectively.  On April 5, 1996, the Company
repaid  all  then  outstanding   indebtedness  (other  than  letters  of  credit
outstanding  under the Credit  Facility) under the Credit Facility with proceeds
from the offering of the Notes described below. Mariner has used, and intends to
continue to use, borrowings under the Credit Facility to finance the acquisition
and development of additional  subacute care facilities and related  businesses,
and  for  general  corporate  purposes,  including  working  capital.  Mariner's
obligations  under the Credit  Facility  are  collateralized  by a pledge of the
stock  of  its   subsidiaries  and  are  guaranteed  by  all  of  the  Company's
subsidiaries.  In  addition,  the Credit  Facility  is secured by  mortgages  on
certain of the Company's  inpatient  facilities,  leasehold mortgages on certain
inpatient  facilities leased by the Company,  and security  interests in certain
other  properties  and assets of the  Company and its  subsidiaries.  The Credit
Facility  matures  on April  30,  1999 and  provides  for  prime or  LIBOR-based
interest rate options.  The borrowing  availability  and rate of interest varies
depending upon specified  financial  ratios.  The Credit  Facility also contains
covenants  which,  among other things,  require the Company to maintain  certain
financial  ratios and impose certain  limitations or prohibitions on the Company
with respect to the incurrence of indebtedness,  senior indebtedness,  liens and
capital  leases;  the payment of dividends on, and the  redemption or repurchase
of, its capital stock;  investments and acquisitions,  including acquisitions of
new facilities;  the merger or  consolidation  of the Company with any person or
entity; and the disposition of any of the Company's properties or assets.

         On April  4,  1996,  the  Company  issued  the  Notes.  The  Notes  are
uncollateralized  senior  subordinated  obligations of Mariner and, as such, are
subordinated in right of payment to all existing and future senior  indebtedness
of  Mariner,  including  indebtedness  under the Credit  Facility.  From the net
proceeds of approximately $144,500,000 from the sale of the Notes, approximately
$131,000,000  was used to repay all  outstanding  indebtedness  under the Credit
Facility  (including interest and certain other fees) and the remainder was used
to pay a portion of the  purchase  price for the 1996 Florida  Acquisition.  The
Notes contain certain covenants,  including,



                                       12


among  other  things,  covenants  with  respect to the  following  matters:  (i)
limitation  on  indebtedness;  (ii)  limitation on  restricted  payments;  (iii)
limitation  on the  incurrence  of liens;  (iv)  restriction  on the issuance of
preferred stock of subsidiaries; (v) limitation on transactions with affiliates;
(vi) limitation on sale of assets; (vii) limitation on other senior subordinated
indebtedness;  (viii) limitation on guarantees by subsidiaries;  (ix) limitation
on the creation of any restriction on the ability of the Company's  subsidiaries
to make  distributions;  and (x) restriction on mergers,  consolidations and the
transfer  of all or  substantially  all of the assets of the  Company to another
person.  The Notes were issued under an  Indenture  dated as of April 4, 1996 by
and among the Company and State Street Bank and Trust  Company,  as trustee (the
"Indenture").

         Accounts   receivable   (net  of  allowances)   were   $92,537,000  and
$112,080,000  at  December  31,  1995  and  September  30,  1996,  respectively.
Estimated  settlements  due from third party payors  aggregated  $12,915,000 and
$18,397,000  at December  31, 1995 and  September  30, 1996,  respectively.  The
increases  primarily  reflected  the  addition  of  the  CSI  and  1996  Florida
Acquisition  offset, in part, by the additional $10 million reserve for Medicare
receivables  which the Company recorded in the third quarter of 1996. The number
of days sales in accounts  receivable and estimated  settlements  due from third
party  payors was  approximately  96 days at  December  31,  1995 and 87 days at
September 30, 1996. This decrease was primarily due to improved  collections and
completion of billing systems conversions.

         In March  1995,  Mariner  acquired a 60-bed  skilled  nursing  facility
located in St.  Petersburg,  Florida,  for $2,500,000 in available cash. In June
1995,  Mariner  purchased  a 150-bed  skilled  nursing  facility  in  Nashville,
Tennessee, for a total purchase price of approximately $8,500,000.  The purchase
price  was  financed  under the  Credit  Facility.  In June  1995,  the  Company
purchased an 80,000 square-foot building in New London,  Connecticut to serve as
its  corporate  headquarters.  The  purchase  price  of  the  new  building  was
$3,050,000 and was financed under the Credit Facility. The Company completed the
relocation to its new headquarters in October 1995. During the fourth quarter of
1995,  Mariner also completed the acquisition of six skilled nursing  facilities
with an  aggregate of 686 beds in central and  northern  Florida (the  "Heritage
Acquisition").   The  purchase  price  for  such  transaction  was  $42,800,000,
consisting of the payment of  $33,000,000 in cash, the assumption of debt in the
amount of  $7,200,000  and the  issuance  of a note in the  principal  amount of
$2,600,000.  The cash portion of the transaction was financed through borrowings
under  the  Credit   Facility.   In  October  1995,  the  Company   acquired  an
institutional  pharmacy operation based in Dallas, Texas, for the total purchase
price of approximately  $1,623,000.  The purchase price was financed through the
Company's Credit Facility and the issuance of a note to the seller.

         During the fourth quarter of 1995, the Company  borrowed  approximately
$8,000,000  under  the  Credit  Facility   primarily  to  fund  working  capital
requirements.

         In January 1996,  Mariner  completed the CSI merger and its acquisition
of certain related assets. In the CSI merger,  all of the issued and outstanding
shares of  capital  stock of CSI were  converted  into the right to  receive  an
aggregate of 5,853,656  shares of the Company's  Common Stock and  $7,000,000 in
cash. In connection with the CSI merger,  Mariner  acquired  certain assets that
are related to CSI's  business  from  affiliates  of CSI's  stockholders  for an
aggregate  of  approximately  $17,694,000  in cash and  loaned an  aggregate  of
$1,619,000  to the  partnerships  that sold certain  assets to the  Company.  In
addition,  the Company acquired options to purchase 12 of the facilities  leased
by CSI from  affiliates  of CSI's  stockholders  at fair  market  value and made
nonrefundable  deposits in the aggregate of $13,155,000  with the lessors of the
facilities subject to such options. The options are exercisable during specified
periods  between 1998 and 2010. The aggregate  estimated fair market value as of
the earliest  exercise date of the options of, and the aggregate  purchase price
for,  the 12  facilities  subject to the  options is  approximately  $59,585,000
(which  includes  the  deposit  of  $13,155,000  paid by the  Company).  Mariner
financed the cash consideration paid in these transactions with borrowings under
the Credit Facility.

         On March 1, 1996, the Company  completed the MedRehab  merger.  Mariner
issued an aggregate of  approximately  2,312,500  shares of its Common Stock for
all of MedRehab's  outstanding  capital  stock and options to purchase  MedRehab
capital stock in a merger that was  accounted for as a pooling of interests.  In
addition,  the Company prepaid an aggregate  principal  amount of  approximately
$14,000,000  of  MedRehab's  outstanding  indebtedness  at  the  closing  of the
MedRehab  merger.  The Company repaid this  indebtedness  with funds it


                                       13


borrowed  under  the  Credit  Facility.  Certain  former  MedRehab  stockholders
exercised  their  right to require  the Company to  repurchase  their  shares of
Mariner Common Stock for approximately $1,326,000 on July 31, 1996.

         In May, 1996 the Company  completed the 1996 Florida  Acquisition which
involved seven skilled nursing facilities and one assisted nursing facility with
an aggregate of 960 beds in Florida, Tennessee and Kansas. All of the issued and
outstanding  shares of common stock were  converted into the right to receive an
aggregate  of  approximately  $28,050,000  in cash.  The  Company  financed  the
consideration  paid in the 1996  Florida  Acquisition  with a portion of the net
proceeds from the sale of the Notes and  borrowings  under the Credit  Facility.

         In March 1996,  Mariner acquired a primary care physician  organization
in the Orlando,  Florida area. In this transaction,  Mariner issued an aggregate
of 48,722  shares of its Common  Stock and paid an  aggregate  of  approximately
$1,500,000 in cash which was financed under the Credit Facility.

         In the fourth quarter of 1996,  Mariner  consumated its  acquisition of
certain assets of Allegis and certain of its affiliates.  Under the terms of the
acquisition agreement, the Company purchased five inpatient facilities,  assumed
two operating leases and one capital lease and purchased Allegis'  institutional
pharmacy  and  its  rehabilitation  program  management  subsidiary.  The  total
purchase  price of  $110,000,000  consisted of the  assumption of $12,000,000 in
debt,  including the capital lease,  and $98,000,000 in cash. Under the terms of
the  agreement,  $103,000,000  of the  purchase  price was paid at the  closings
during the fourth quarter of 1996. Approximately $98,500,000 of that amount plus
certain  closing  costs was borrowed  under the Credit  Facility.  The remaining
$3,000,000 will be paid if certain financial performance  conditions are met for
1996. The Company currently expects to borrow this amount, if earned,  under the
Credit Facility.

         On  October  1,  1996,  the  Company  acquired  a 163-bed  facility  in
Jacksonville,  Florida. The total purchase price was $9,830,000.  Mariner funded
the purchase  price by assuming two HUD  mortgages  in the  aggregate  principal
amount of approximately  $4,236,000.  The Company borrowed  $6,500,000 under its
Credit  Facility to fund the remainder of the cash portion of the purchase price
and to replace reserves required by the HUD mortgage agreements.

         During  the  first  nine  months of 1996,  the  Company  also  borrowed
approximately  $10,000,000  under the Credit Facility  primarily to fund working
capital requirements.

         The Company's capital  expenditures for the nine months ended September
30, 1996 were  approximately  $15,385,000.  The Company  currently expects total
capital expenditures for 1996 to be approximately  $25,000,000.  Funds have been
used to upgrade the Company's  information  systems, for expansion of facilities
and for deferred maintenance on the facilities acquired from CSI.

         The Company  intends to expand its clinical  programs in  strategically
selected  metropolitan  areas  throughout  the United  States.  The Company also
intends to expand its pharmacy,  home care,  physician  practice  management and
rehabilitation services. In addition to acquiring individual facilities, Mariner
may acquire businesses that operate multiple facilities or ancillary health care
services businesses.  The Company continually identifies and evaluates potential
acquisition   candidates  and,  in  many  cases,   engages  in  discussions  and
negotiations  regarding potential  acquisitions.  There can be no assurance that
any of the Company's  discussions or negotiations will result in an acquisition.
Further,  if the Company makes any acquisitions,  there can be no assurance that
it will be able to operate any acquired  facilities or businesses  profitably or
otherwise successfully implement its expansion strategy.



                                       14


         Mariner believes that its future capital  requirements will depend upon
a number of factors, including cash generated from operations, the rate at which
it acquires  additional  inpatient  facilities  or other  health  care  services
businesses  and the  rate at  which  it adds  rehabilitation  programs.  Mariner
expects  to fund such  capital  expenditures  with  borrowings  under its Credit
Facility,  its  existing  cash  resources  and  cash  from  operations.  Mariner
currently  believes that the cash from  operations,  its existing cash resources
and  borrowings  under the Credit  Facility will be sufficient to meet its needs
for the foreseeable future.



                                     PART II

                                OTHER INFORMATION

ITEM 6. - EXHIBITS AND REPORTS ON FORM 8-K

         (a)      Exhibits.

         The exhibits which are filed with this report,  or are  incorporated by
reference into this report,  are set forth on the Exhibit Index which appears on
page 14 of this report.

         (b)      Reports on Form 8-K.

         October 3, 1996.  Item 2 - Acquisition  or  Disposition  of Assets,  to
disclose the  consummation  of the  acquisition  of certain assets from Allegis;
Item 5 - Other Events,  to disclose the issuance of a press  release  addressing
uncertainty in the Medicare industry and describing the Company's  adoption of a
generally more conservative  approach for Medicare  reimbursement;  and Item 7 -
Financial Statements,  Pro Forma Financial Information and Exhibits, to disclose
certain  financial  information  relating  to the  acquisition  of  assets  from
Allegis.



                                       15


                                  EXHIBIT INDEX

EXHIBIT NO.                         DESCRIPTION
- -----------                         -----------

10.1                                Employment Agreement dated as of
                                    August 16, 1996 by and between the Company
                                    and David N. Hansen

10.2                                Amendment No. 10 to Credit Agreement and
                                    Waiver

11                                  Computation  of  shares  used in determining
                                    net income per share

27                                  Financial Data Schedule


                                       16


                                   SIGNATURES


         PURSUANT TO THE  REQUIREMENTS  OF THE SECURITIES  EXCHANGE ACT OF 1934,
THE  REGISTRANT  HAS DULY  CAUSED  THIS REPORT TO BE SIGNED ON ITS BEHALF BY THE
UNDERSIGNED THEREUNTO DULY AUTHORIZED.


                            MARINER HEALTH GROUP, INC.



DATE                        BY: /s/ David N. Hansen
                                ---------------------------
                                David N. Hansen
                                Treasurer and Chief Financial Officer
                                (Authorized officer and principal accounting and
                                financial officer)

                                       17


                                                                    EXHIBIT 10.1

                              EMPLOYMENT AGREEMENT

      This Employment Agreement dated as of August 16, 1996 (the "Agreement") by
and between Mariner Health Group, Inc., a Delaware  corporation (the "Company"),
and David N. Hansen (the "Executive"):

                                   WITNESSETH:

      WHEREAS,  the Company  desires to employ the Executive,  and the Executive
desires to be employed by the Company,  to render services to the Company on the
terms and subject to the conditions set forth in this Agreement;

      NOW,  THEREFORE,  in  consideration of these premises and of the covenants
and agreements set forth in this  Agreement,  the parties hereto hereby agree as
follows:

      1.  Employment.  During the Term,  the Company shall employ the Executive,
and the Executive  agrees to serve the Company,  as its Executive Vice President
and Chief  Financial  Officer  upon the terms and  conditions  set forth in this
Agreement.

      2. Term. Unless earlier terminated in accordance with this Agreement,  the
term of the  Executive's  employment  under this  Agreement  (the "Term")  shall
commence  as of  September  15,  1996 (or such other date as the Company and the
Executive may agree) and shall expire on December 31, 1996;  provided,  however,
that upon  expiration of the Term, this Agreement shall be extended from year to
year without  further  action on the part of the parties  hereto,  unless either
party hereto gives written  notice of termination to the other party at least 90
days prior to the expiration of the then current term.

      3. Duties and  Responsibilities.  (a) During the Term, the Executive shall
serve as the  Executive  Vice  President  and  Chief  Financial  Officer  of the
Company.  In the  performance  of his  responsibilities  as the  Executive  Vice
President and Chief Financial Officer,  the Executive shall be subject to all of
the Company's  policies,  rules and regulations  applicable to its executives of
comparable  status  and shall  report  directly  to, and shall be subject to the
direction and control of, the Chief Executive Officer of the Company (the "CEO")
or, if the CEO so  determines,  the President of the Company,  and shall perform
such duties  commensurate  with his  position as shall be assigned to him by the
CEO or the  President,  as the case  may be.  In  performing  such  duties,  the
Executive  will be  subject  to and will  substantially  abide by,  and will use
reasonable  efforts  to cause  employees  of the  Company  to be  subject to and
substantially abide by, all policies and procedures developed by the Company.

              (b)  During  the  Term,  the  Executive  shall  devote  all of his
business time,  energies,  skills and attention to the affairs and activities of
the Company and any corporation,  partnership or other entity  controlled by the
Company (each, a  "Subsidiary").  The Executive  shall provide these services to
the Company and its  Subsidiaries  described in this Agreement in a professional


                          Employment Agreement--Page 2


and diligent manner.  During the Term, the Executive shall not devote any of his
business time, energies, skills or attention to the affairs or activities of any
other business or organization, without the prior approval of the CEO.

              (c) To  induce  the  Company  to enter  into this  Agreement,  the
Executive  represents and warrants to the Company that: (i) the Executive is not
a party or subject to any  employment  agreement or  arrangement  with any other
person, firm, company, corporation or other business entity and the Executive is
subject to no restraint, limitation or restriction by virtue of any agreement or
arrangement,  or by virtue of any law or rule of law or  otherwise  which  would
impair the Executive's  right or ability (A) to enter the employ of the Company,
or (B) to perform fully his duties and  obligations  pursuant to this Agreement,
and (ii) to the  Executive's  knowledge,  no material  litigation  is pending or
threatened  against any  business  or business  entity  owned or  controlled  or
formerly owned or controlled by the Executive.

      4. Compensation. (a) For all services rendered by the Executive under this
Agreement,  the Company shall pay or cause to be paid to the Executive,  and the
Executive  shall accept,  the Base Salary,  and Bonus if any, (as such terms are
hereinafter defined in this Section 4) all in accordance with and subject to the
terms  of  this  Agreement.  For  the  purposes  of  this  Agreement,  the  term
"Compensation" shall mean the Base Salary, and Bonus if any. The Executive shall
have the right to elect to defer in accordance with applicable  Internal Revenue
Service requirements for a reasonable time the Compensation payable to him, such
deferral  to be  evidenced  by  appropriate  documentation  at the  time of such
deferral.  In addition,  to the Base Salary and Bonus,  the  Executive  shall be
entitled to receive such other bonuses,  options and other  remuneration  as the
Board may from time to time approve, in its sole discretion.

              (b) During the Term,  the Company  shall pay the  Executive a base
salary (the "Base Salary") at an annual rate of $350,000.  The Executive's  Base
Salary shall be reviewed at least  annually based upon a  recommendation  to the
Compensation  Committee of the Board (the  "Compensation  Committee") by the CEO
and may be increased  (but not decreased) by the  Compensation  Committee in its
sole discretion.  The Base Salary shall be payable in installments in accordance
with the Company's  regular  practices,  as such  practices may be modified from
time to time, but in no event less often than monthly.

              (c) During the Term,  the  Executive  shall be eligible to earn an
annual  performance  bonus (the  "Bonus") if the Company  meets the  performance
objectives  established  by the  Compensation  Committee  for  purposes  of this
Agreement for the applicable  period during the Term.  The Bonus  (including the
amount  thereof)  shall  be  reviewed  at  least  annually  by the  Compensation
Committee and shall be payable as determined  by the  Compensation  Committee in
its sole discretion.

              (d) The Executive shall be entitled to reasonable  periods of paid
vacation,  personal  and  sick  leave  during  the Term in  accordance  with the
Company's policies regarding such vacation and leaves;  provided,  however, that
in no event shall the  Executive be entitled to less than four weeks of vacation
per year. The Executive  shall be entitled to carry over or be  compensated  for
accrued  but unused  vacation  from any year in  accordance  with the  Company's
regular  practices, 


                          Employment Agreement--Page 3


as such practices may be modified from time to time; provided, however, that the
Executive  shall be entitled to carry over up to two weeks of accrued but unused
vacation from one year to the next.

              (e) The Executive is authorized  to incur  reasonable  expenses in
the  performance  of his duties  hereunder  during the Term.  The Company  shall
reimburse  the Executive  for all such  expenses  upon the  presentation  by the
Executive,  not less frequently than monthly,  of signed,  itemized  accounts of
such expenditures and vouchers,  all in accordance with the Company's procedures
and  policies as adopted and in effect from time to time and  applicable  to its
executives of comparable status.

              (f) The Executive  shall be eligible to  participate  in qualified
retirement, deferred compensation, group medical, accident, disability, life and
health  benefit plans of the Company as may be provided by the Company from time
to time to Company  executives  of  comparable  status,  subject  to, and to the
extent that,  the  Executive is eligible  under such benefit plans in accordance
with their respective terms. The Company shall pay the expenses  associated with
the  Executive's  participation  in such  benefit  plans to the same  extent the
Company pays the expenses associated with participation by other employees.

              (g) During the Term, the Company shall, at the Company's  expense,
provide the Executive with a suitable  automobile of Executive's choice and with
an  allowance  for  the  operating  expenses  associated  with  his  use of such
automobile in accordance with the Company's regular practices, as such practices
may be modified from time to time.

              (h) The Company shall grant to the  Executive  options to purchase
an aggregate of 500,000  shares of Common  Stock,  all of which options shall be
granted upon commencement of Executive's employment with the Company pursuant to
this  Agreement  (collectively,  the  "Options").  Each of the Options  shall be
granted  pursuant to a stock plan  maintained by the Company in compliance  with
Rule 16b-3  under the  Securities  Exchange  Act of 1934 (the "1934  Act").  The
Options shall be evidenced by agreements in substantially  the forms of Exhibits
A, B and C to this  Agreement.  The exercise price of each Option shall be equal
to the fair  market  value per share of Common  Stock on the date the  option is
granted.  Each of the  Options is  intended  to qualify as an  "incentive  stock
option"  under Section  422(b) of the Internal  Revenue Code of 1986, as amended
(the "Code"), to the maximum extent eligible under the Company's stock plans and
applicable law.

              (i) On or before  December  1,  1996,  the  Company  shall pay the
Executive  $100,000 as a signing bonus for entering into this  Agreement,  which
payment shall be payable regardless of whether the Executive is then an employee
of the  Company  and in  addition  to the other  payments  contemplated  by this
Section 4.

      5.  Termination.  (a)  During the Term  (regardless  of whether or not the
Company  experiences  a Change in Control (as defined  below)),  the Company may
terminate  the  employment  of the  Executive  for "Cause." For purposes of this
Agreement,  "Cause" means: (a) the Executive's  conviction of any crime (whether
or not involving  the Company)  which 


                          Employment Agreement--Page 4


constitutes  a felony in the  jurisdiction  involved  (other than  unintentional
motor vehicle felonies); (b) any intentional act of theft, fraud or embezzlement
by the  Executive  in  connection  with  his  work  with  the  Company;  (c) the
Executive's  continuing,  repeated and willful failure or refusal to perform his
duties and services under this  Agreement  (other than due to his incapacity due
to  illness  or  injury),  provided  that  such  failure  or  refusal  continues
uncorrected  for a period of 30 days after the  Executive  shall  have  received
written  notice  from the Board  stating  with  specificity  the  nature of such
failure or refusal; or (d) the Executive's violation of Section 6.

              (b) During  the Term  (regardless  of  whether or not the  Company
experiences  a Change in Control),  the Company may  terminate  the  Executive's
employment at any time without  Cause.  For purposes of this  Agreement,  if the
Company gives written  notice of  termination  to the Executive at least 90 days
prior  to the  expiration  of the  then  current  Term,  such  action  shall  be
considered  termination of the Executive's  employment without Cause pursuant to
this Section 5(b).

              (c) The Executive may voluntarily  terminate his employment at any
time by giving the Company at least 90 days'  prior  written  notice;  provided,
however,  that, at any time after receiving such written notice, the Company may
terminate the  Executive's  employment on shorter notice or with no prior notice
(which  termination  shall not be deemed a termination  without Cause under this
Agreement);  and provided  further that if the  Executive's  termination  of his
employment  pursuant  to the  provisions  of this  Section  5(c) is because of a
breach by the Company of its obligations  under Sections 3(a), 4(a), 4(b), 4(c),
4(f), 4(h) and 4(i) (a "Material  Breach"),  such termination shall be effective
upon receipt of written notice thereof by the Company.

              (d)  Following a Change in Control of the Company,  the  Executive
may  voluntarily  terminate  his  employment  at any  time  prior  to the  first
anniversary of such Change in Control for Good Reason (as defined below).

              (e)  (i) If the  Company  terminates  the  Executive's  employment
pursuant to the  provisions of Section 5(a) (for Cause) at any time  (regardless
of whether or not the Company  experiences  a Change of Control),  the Executive
shall not be entitled to any Compensation or benefits following the date of such
termination,  other  than  Compensation  and  benefits  required  to be  paid or
provided by law and payment of the Executive's normal post-termination  benefits
in accordance with the Company's  retirement,  insurance and other benefit plans
and arrangements.

                   (ii) If either (x) the  Company  terminates  the  Executive's
employment at any time either prior to a Change in Control or from and after the
first  anniversary of a Change in Control  pursuant to the provisions of Section
5(b) (without Cause), or (y) the Executive terminates his employment at any time
either prior to a Change in Control or from and after the first anniversary of a
Change in  Control  pursuant  to the  provisions  of Section  5(c)  because of a
Material  Breach,  (A) the Executive  shall  continue to receive the Base Salary
being paid to him immediately prior to such termination and a bonus equal to the
Bonus paid to him by the Company  with  respect to the most  recently  completed
fiscal year (collectively, the "Severance Benefit") until the second anniversary
of such  termination;  and (B) the  Company  shall  pay the  Executive's  normal
post-termination benefits in accordance with the Company's retirement, 


                          Employment Agreement--Page 5


insurance and other benefit plans and arrangements;  provided, however, that the
Company  shall  continue  to provide  the  Executive  coverage  under its health
benefit plans or arrangements until the second anniversary of such termination.

                   (iii) If either (x) the Company  terminates  the  Executive's
employment at any time during a period  commencing  with a Change in Control and
ending  one year from such  Change in  Control  pursuant  to the  provisions  of
Section 5(b) (without Cause), or (y) the Executive  terminates his employment at
any time during a period commencing with a Change in Control and ending one year
from such Change in Control  pursuant to the  provisions of Section 5(c) because
of a Material Breach or Section 5(d) (for Good Reason),  (A) the Executive shall
continue to receive the Base Salary being paid to him immediately  prior to such
termination  and a bonus  equal to the  Bonus  paid to him by the  Company  with
respect to the most recently completed fiscal year (collectively,  the "Extended
Severance Benefit") until the third anniversary of such termination; and (B) the
Company shall pay the Executive's normal post-termination benefits in accordance
with  the   Company's   retirement,   insurance  and  other  benefit  plans  and
arrangements;  provided, however, that the Company shall continue to provide the
Executive  coverage  under its health  benefit plans or  arrangements  until the
third anniversary of such termination.

                   (iv) If the Executive  voluntarily  terminates his employment
with the Company pursuant to the provisions of Section 5(c) for any reason other
than a Material Breach, or dies or becomes disabled,  the Executive shall not be
entitled to receive any  Compensation  or  benefits  following  the date of such
termination,  death or  disability;  provided,  however,  that, if the Executive
shall become  disabled,  the Company shall continue to pay the Executive's  Base
Salary,  and shall  continue the  Executive's  coverage under its health benefit
plans or arrangements, for a period of up to 180 continuous days during any such
period of disability.

              (f)  If  either  (x)  the  Company   terminates  the   Executive's
employment at any time either prior to a Change in Control or from and after the
first  anniversary of a Change in Control  pursuant to the provisions of Section
5(b) (without Cause), or (y) the Executive terminates his employment at any time
either prior to a Change in Control or from and after the first anniversary of a
Change in  Control  pursuant  to the  provisions  of Section  5(c)  because of a
Material Breach, fifty percent (50%) of all outstanding stock options (including
the  Options),  warrants and the like held by the  Executive at the time of such
termination  which  have not yet  vested at the time of such  termination  shall
immediately  be  fully  vested.  If  either  (x)  the  Company   terminates  the
Executive's  employment at any time during a period  commencing with a Change in
Control  and  ending  one year  from  such  Change in  Control  pursuant  to the
provisions of Section 5(b) (without Cause), or (y) the Executive  terminates his
employment at any time during a period  commencing  with a Change in Control and
ending  one year from such  Change in  Control  pursuant  to the  provisions  of
Section 5(c) because of a Material Breach or Section 5(d) (for Good Reason), (i)
all  outstanding  stock options  (including the Options),  warrants and the like
held by the Executive at the time of such termination  which have not yet vested
at the time of such termination  shall  immediately be fully vested and (ii) the
Executive  shall have the option to require that the Company pay an amount equal
to the then present value of the Extended Severance Benefit to which he would be
entitled  (using the prime rate used by the Company's  primary bank or, if none,


                          Employment Agreement--Page 6


Citibank,  N.A.) within 30 days of a request therefor. The option referred to in
clause (ii) of the preceding  sentence shall be exercised,  if at all, within 60
days after such  termination.  Except as provided in this Section  5(f),  if the
Executive  ceases to be employed by the Company for any reason  (including death
or disability),  no further  installments of any then outstanding  stock options
(including the Options) shall become  exercisable  after the date of termination
of the Executive's employment by the Company.

              (g) For purposes of this Agreement, the following terms shall have
the meanings set forth below:

              "Change in Control"  means the  occurrence of any of the following
events during the Term:

              (i) The Company is merged or consolidated  or reorganized  into or
      with another  corporation  or other legal person,  and as a result of such
      merger,  consolidation  or  reorganization  less  than a  majority  of the
      combined  voting  power  of  the   then-outstanding   securities  of  such
      surviving,  resulting or  reorganized  corporation  or person  immediately
      after such  transaction  is held in the  aggregate  by the  holders of the
      then-outstanding  securities entitled to vote generally in the election of
      directors  of the  Company  ("Voting  Stock")  immediately  prior  to such
      transaction;

              (ii) The Company sells or otherwise transfers all or substantially
      all of its assets to any other corporation or other legal person, and as a
      result  of such sale or  transfer  less than a  majority  of the  combined
      voting power of the  then-outstanding  securities of such  corporation  or
      person immediately after such sale or transfer is held in the aggregate by
      the holders of Voting Stock of the Company  immediately prior to such sale
      or transfer;

              (iii) There is a report  filed on Schedule  13D or Schedule  14D-1
      (or any successor schedule,  form or report), each as promulgated pursuant
      to the 1934 Act,  disclosing  that any  "person"  (as such term is used in
      Section  13(d)(3)  or  Section  14(d)(2)  of the 1934 Act) has  become the
      "beneficial owner" (as such term is used in Rule 13d-3 under the 1934 Act)
      of securities representing 35% or more of the Voting Stock of the Company;

              (iv) The  Company  files a  report  or  proxy  statement  with the
      Securities and Exchange  Commission pursuant to the 1934 Act disclosing in
      response to Form 8-K or Schedule 14A (or any successor  schedule,  form or
      report  or item  therein)  that a change in  control  of the  Company  has
      occurred; or

              (v) If during any period of two consecutive years, individuals who
      at the  beginning  of any such period  constitute  the Board cease for any
      reason to constitute at least a majority thereof,  unless the election, or
      the  nomination  for  election  by the  Company's  stockholders,  of  each
      director of the Company first elected during such period was approved by a
      vote of at least a majority of the directors then still in office who were
      directors of the Company at the beginning of any such period;


                          Employment Agreement--Page 7


provided,  however,  that a  "Change  in  Control"  shall  not be deemed to have
occurred for purposes of this Agreement solely because (i) the Company,  (ii) an
entity in which the Company directly or indirectly beneficially owns 50% or more
of  the  voting  securities,  or  (iii)  any  Company-sponsored  employee  stock
ownership plan or any other employee  benefit plan of the Company,  either files
or becomes  obligated to file a report or a proxy statement under or in response
to Schedule  13D,  Schedule  14D-1,  Form 8-K or Schedule 14A (or any  successor
schedule, form or report) under the 1934 Act, disclosing beneficial ownership by
it of shares of Voting  Stock or because  the Company  reports  that a change in
control of the Company has occurred by reason of such beneficial ownership.

              "Good Reason" means the occurrence of one or more of the following
events following a Change in Control:

              (A) Failure to elect,  reelect or otherwise maintain the Executive
      in the  office  or  position  in the  Company  which  the  Executive  held
      immediately prior to a Change in Control,  or the removal of the Executive
      as a director of the Company (or any  successor  thereto) if the Executive
      shall have been a director of the Company  immediately prior to the Change
      in Control;

              (B) A  significant  adverse  change in the  nature or scope of the
      authorities, powers, functions, responsibilities or duties attached to the
      position with the Company which the Executive  held  immediately  prior to
      the Change in Control,  a reduction in the  aggregate  of the  Executive's
      Compensation  received  from  the  Company,  or  the  termination  of  the
      Executive's  rights to any benefits to which he was  entitled  immediately
      prior to the Change in Control or a  reduction  in scope or value  thereof
      without the prior written  consent of the  Executive,  any of which is not
      remedied  within 10 calendar  days after receipt by the Company of written
      notice from the Executive of such change, reduction or termination, as the
      case may be;

              (C) A determination  by the Executive made in good faith that as a
      result of a Change in  Control  and a change in  circumstances  thereafter
      significantly  affecting his position,  including a change in the scope of
      the business or other activities for which he was responsible  immediately
      prior to the Change in Control, he has been rendered  substantially unable
      to carry out, has been  substantially  hindered in the  performance of, or
      has suffered a substantial  reduction in, any of the authorities,  powers,
      functions, responsibilities or duties attached to the position held by the
      Executive  immediately prior to the Change in Control,  which situation is
      not remedied  within 10 calendar days after written  notice to the Company
      from the Executive of such determination;

              (D)  The  liquidation,   dissolution,   merger,  consolidation  or
      reorganization of the Company or transfer of all or a significant  portion
      of its  business  or  assets,  unless  the  successor  or  successors  (by
      liquidation, merger, consolidation,  reorganization or otherwise) to which
      all  or a  significant  portion  of  its  business  or  assets  have  been
      transferred  (directly  or by  operation  of law) shall have  assumed  all
      duties and  obligations  of the Company under this  Agreement  pursuant to
      Section 9(c);


                          Employment Agreement--Page 8



              (E) The Company shall relocate its principal executive offices, or
      require the Executive to have his principal  location of work changed,  to
      any  location  which is in excess of 25 miles  from the  location  thereof
      immediately  prior to the Change in Control or the Company  shall  require
      the Executive to travel away from his office in the course of  discharging
      his responsibilities or duties thereunder  significantly more (in terms of
      either  consecutive  days or aggregate days in any calendar year) than was
      required of him prior to the Change in Control  without,  in either  case,
      his prior written consent; or

              (F) Without  limiting the  generality or effect of the  foregoing,
      any  Material  Breach of this  Agreement  by the Company or any  successor
      thereto.

              (h) Notwithstanding anything to the contrary in this Agreement and
in  addition to any other  Compensation,  Severance  Benefits  or other  amounts
payable by the Company to the Executive pursuant to this Agreement or otherwise,
if (i)  the  Company  terminates  the  Executive's  employment  pursuant  to the
provisions of Section 5(b) (without  Cause),  or the  Executive  terminates  his
employment pursuant to the provisions of Section 5(d) (for Good Reason), after a
Change  in  Control  of the  Company  and (ii) it shall be  determined  that any
payment or distribution  (actual or deemed) by the Company to or for the benefit
of the  Executive,  whether  paid or payable  or  distributed  or  distributable
pursuant to the terms of this  Agreement  or  otherwise  or  resulting  from the
accelerated  vesting of then  outstanding  options to purchase  shares of Common
Stock (including the Options) (a "Payment"),  would be subject to the excise tax
imposed by Section 4999 of the Code,  or any interest or penalties  with respect
to such  excise  tax (such  excise  tax,  together  with any such  interest  and
penalties,  are hereinafter  collectively  referred to as the "Excise Tax"), the
Executive  shall be  entitled  to receive  an  additional  payment (a  "Gross-Up
Payment")  in an amount such that after  payment by the  Executive  of all taxes
(including  any  interest or  penalties  imposed  with  respect to such  taxes),
including  any Excise Tax  imposed  upon the  Gross-Up  Payment,  the  Executive
retains an amount of the Gross-Up  Payment  equal to the Excise Tax imposed upon
the Payments.  If the Excise Tax is subsequently  determined to be less than the
amount  taken  into  account  hereunder  at  the  time  of  termination  of  the
Executive's  employment,  the Executive shall repay to the Company,  at the time
that the  amount of such  reduction  in Excise Tax is  finally  determined,  the
portion  of the  Gross-Up  Payment  attributable  to such  reduction  (plus that
portion of the  Gross-Up  Payment  attributable  to the Excise Tax and  federal,
state and local income tax imposed on the Gross-Up  Payment  being repaid by the
Executive to the extent that such repayment results in a reduction in Excise Tax
and/or a federal,  state or local  income tax  deduction)  plus  interest on the
amount of such  repayment at the rate provided in Section  1274(b)(2)(B)  of the
Code.  If the Excise Tax is  determined  to exceed the amount taken into account
hereunder  at  the  time  of  the  termination  of  the  Executive's  employment
(including  by reason of any payment the  existence or amount of which cannot be
determined  at the time of the  Gross-Up  Payment),  the  Company  shall make an
additional  Gross-Up  Payment  in  respect of such  excess  (plus any  interest,
penalties or additions  payable by the Executive with respect to such excess) at
the time that the amount of such excess is finally determined. The Executive and
the Company shall each  reasonably  cooperate with the other in connection  with
any administrative or judicial proceedings concerning the existence or amount of
liability  for  Excise  Tax with  respect to the  Payments.  All  determinations
required  to be made 



                          Employment Agreement--Page 9


under this Section 5(i),  including  whether a Gross-Up  Payment is required and
the amount of such Gross-Up Payment,  shall be made by the Company's independent
accountants.

      6. Restrictive  Covenants.  (a) Executive  acknowledges  that (i) he has a
major responsibility for the operation,  administration,  development and growth
of the Company's business, (ii) the Company's business is or may become national
or  international  in scope,  (iii) his work for the Company has brought him and
will continue to bring him into close contact with  confidential  information of
the Company and its customers,  and (iv) the agreements and covenants  contained
in this Section 6 are essential to protect the business interests of the Company
and that the Company will not enter into this Agreement but for such  agreements
and covenants.  For purposes of this Section 6,  references to the Company shall
mean the Company and its Subsidiaries.

              (b)(i)  During  the Term and until  the  later of (x) three  years
following the date of termination of Executive's employment with the Company for
any reason and (y) the end of the period  during which the Executive is entitled
to  receive  the  Extended  Severance  Benefit  pursuant  to  Section  5(e)(iii)
(disregarding  any exercise of rights under Section  5(f)(y)) (the  "Termination
Period"), the Executive shall not, directly or indirectly,  perform any services
in the United  States for any person or entity other than the Company that is in
the business,  directly or indirectly,  of providing health care services of the
type the Company is providing, or of the type the Executive is aware the Company
is  contemplating  providing,  at the time of the Executive's  termination  (the
"Business");  or, without limiting the generality of the foregoing, be or become
or agree to be or become,  interested  in or  associated  with,  in any capacity
(whether  as  a  partner,  shareholder,   owner,  officer,  director,  employee,
principal, agent, creditor, trustee,  consultant,  co-venturer or otherwise) any
individual, corporation, firm, association,  partnership, joint venture or other
business  entity that  competes in the  Business;  provided,  however,  that the
Executive may own,  solely as an  investment,  not more than one percent (1%) of
any  class of  securities  of any  corporation  that is  publicly  traded on any
national  securities exchange in the United States of America or reported on the
National Association of Securities Dealers, Inc.'s Automated Quotation System.

                 (ii)  During the Term and during the  Termination  Period,  the
Executive shall not, directly or indirectly,  (i) induce or attempt to influence
any employee of the Company or its Subsidiaries to leave its employ, (ii) aid or
agree  to aid  any  competitor,  customer  or  supplier  of the  Company  or its
Subsidiaries  in any attempt to hire any person who shall have been  employed by
the  Company or its  Subsidiaries  within the  one-year  period  preceding  such
requested  aid, or (iii) induce or attempt to  influence  any person or business
entity who was a customer of the Company or its Subsidiaries  during any portion
of the Term or the Termination  Period to transact business with a competitor of
the Company in the Company's business.

                 (iii) During the Term, the  Termination  Period and thereafter,
the Executive  shall not disclose to anyone any material  information  about the
affairs of the  Company or its  Subsidiaries,  including  trade  secrets,  trade
"know-how,"  inventions,  customer lists,  business plans,  operational methods,
pricing policies,  marketing plans, sales plans,  identity of customers,  sales,


                          Employment Agreement--Page 10


profits or other financial  information  which is confidential to the Company or
is not generally known in the relevant trade.

              (c) If the Executive breaches,  or threatens to commit a breach of
Section 6(b) (the "Restrictive Covenants"), the Company shall have the following
rights and remedies,  each of which shall be in addition to any other rights and
remedies   available  to  the  Company  at  law  or  in  equity:  The  Executive
acknowledges and agrees that in the event of a violation or threatened violation
of any of the  provisions of Sections  6(b),  the Company shall have no adequate
remedy at law and shall  therefore be entitled to enforce each such provision by
temporary or permanent  injunctive or mandatory  relief obtained in any court of
competent  jurisdiction  without the necessity of proving  damages,  posting any
bond or other security,  and without  prejudice to any other rights and remedies
which may be available at law or in equity.

              (d) If any of the Restrictive  Covenants,  or any part thereof, is
held to be invalid or unenforceable,  the same shall not affect the remainder of
the covenant or covenants,  which shall be given full effect,  without regard to
the invalid or  unenforceable  portions.  Without limiting the generality of the
foregoing,  if any of the Restrictive Covenants, or any part thereof, is held to
be  unenforceable  because of the duration of such provision or the area covered
thereby, the parties hereto agree that the court making such determination shall
have the power to reduce the duration  and/or area of such provision and, in its
reduced form, such provision shall then be enforceable.

              (e) The parties hereto intend to and hereby confer jurisdiction to
enforce the Restrictive Covenants upon the courts of any jurisdiction within the
geographical scope of such Restrictive  Covenants.  In the event that the courts
of any one or more of such jurisdictions  shall hold such Restrictive  Covenants
wholly unenforceable by reason of the breadth of such scope or otherwise,  it is
the intention of the parties  hereto that such  determination  not bar or in any
way affect the Company's right to the relief provided above in the courts of any
other jurisdictions within the geographical scope of such Restrictive Covenants,
as to breaches of such covenants as they relate to each jurisdiction  being, for
this purpose, severable into diverse and independent covenants.

      7. No Mitigation Obligation.  The Company hereby acknowledges that it will
be  difficult,  and may be  impossible,  for the  Executive  to find  reasonably
comparable employment in the event of his termination pursuant to the provisions
of Section 5(b) (without  Cause) or Section 5(c) because of a Material Breach or
Section 5(d) for Good Reason, and that the noncompetition  covenant contained in
Section 6 will further limit the  employment  opportunities  for the  Executive.
Accordingly,  the  parties  hereto  expressly  agree  that  the  payment  of the
Severance Benefit or Extended  Severance Benefit by the Company to the Executive
in accordance with the terms of this Agreement will be liquidated  damages,  and
the  Executive  shall not be  required  to  mitigate  the amount of any  payment
provided for in this  Agreement by seeking other  employment  or otherwise,  nor
shall any profits, income, earnings or other benefits from any source whatsoever
create any mitigation,  offset, reduction or any other obligation on the part of
the Executive hereunder or otherwise.


                          Employment Agreement--Page 11


      8. Legal Fees and Expenses.  (a) Except as provided in Section 8(b),  each
party shall pay or cause to be paid and shall be solely  responsible for any and
all attorneys' and related fees and expenses  incurred by it in connection  with
any dispute arising with respect to this Agreement;  provided,  however, that if
the  Executive  prevails in any such dispute,  the Company  shall  reimburse the
Executive  for any and all such fees and expenses  incurred by the  Executive in
connection with such dispute.

              (b)  Except in the event  that the  Executive  is  terminated  for
Cause,  it is the  intent  of the  Company  that,  if a Change  in  Control  has
occurred,  the Executive not be required to incur the expenses  associated  with
the  enforcement of his rights under this Agreement by litigation or other legal
action because the cost and expense thereof would substantially detract from the
benefits intended to be extended to the Executive hereunder.  Accordingly, if it
should appear to the Executive that, after a Change in Control,  the Company has
failed to comply  with any of its  obligations  under this  Agreement  or if the
Company or any other person takes any action to declare this  Agreement  void or
unenforceable,  or  institutes  any  litigation  designed to deny, or to recover
from,  the  Executive  the  benefits  intended to be  provided to the  Executive
hereunder, the Company irrevocably authorizes the Executive from time to time to
retain  counsel of his  choice,  at the  expense of the  Company as  hereinafter
provided,  to represent  the  Executive in  connection  with the  initiation  or
defense of any  litigation  or other  legal  action,  whether by or against  the
Company or any director,  officer,  stockholder or other person  affiliated with
the  Company,  in any  jurisdiction.  If a Change in Control has  occurred,  the
Company  shall pay or cause to be paid and shall be solely  responsible  for any
and all attorneys' and related fees and expenses  incurred by the Executive as a
result of the  Company's  failure to perform  this  Agreement  or any  provision
hereof or as a result of the Company or any person  contesting  the  validity or
enforceability of this Agreement or any provision hereof as aforesaid.

      9.  Miscellaneous.  (a) The Company  may,  from time to time apply for and
take  out,  in its own  name and at its own  expense,  life,  health,  accident,
disability or other  insurance upon the Executive in any sum or sums that it may
deem  necessary to protect its  interests,  and the Executive  agrees to aid and
cooperate in all  reasonable  respects with the Company in procuring any and all
such  insurance,  including  without  limitation,  submitting  to the  usual and
customary  medical  examinations,  and by filling out,  executing and delivering
such applications and other instruments in writing as may be reasonably required
by an insurance company or companies to which an application or applications for
such insurance may be made by or for the Company.

              (b) This  Agreement  is a  personal  contract,  and the rights and
interests of the  Executive  hereunder may not be sold,  transferred,  assigned,
pledged  or  hypothecated,  except  as  otherwise  expressly  permitted  by  the
provisions of this Agreement. Except as otherwise expressly provided herein, the
Executive shall not have any power of anticipation,  alienation or assignment of
payments  contemplated  hereunder,  and all rights and benefits of the Executive
shall be for the sole  personal  benefit of the  Executive,  and no other person
shall  acquire  any right,  title or interest  hereunder  by reason of any sale,
assignment,  transfer,  claim or judgment or bankruptcy  proceedings against the
Executive;  provided,  however,  that in the event of the Executive's death, the
Executive's estate,  legal  representative or beneficiaries (as the case may be)
shall  have  the 


                          Employment Agreement--Page 12


right to receive all of the benefits that accrued to the Executive  pursuant to,
and in accordance  with,  the terms of this  Agreement  prior to the date of the
Executive's death.

              (c) The Company  shall have the right to assign this  Agreement to
any  successor  of  substantially  all of its  business or assets,  and any such
successor  shall be bound by all of the provisions  hereof;  provided,  however,
that such assignment shall not preclude the exercise of the Executive's  rights,
if any, pursuant to Section 5(d).

              (d) Any notice  required or permitted to be given pursuant to this
Agreement  shall be in  writing,  and sent to the  party for whom or which it is
intended,  at the  address  of such  party set forth  below,  by  registered  or
certified  mail,  return receipt  requested,  or at such other address as either
party shall  designate by notice to the other in the manner  provided herein for
giving notice.

      If to the Company:                   Mariner Health Group, Inc.
                                           125 Eugene O'Neill Drive
                                           New London, CT 06320
                                           Attention: Chief Executive Officer

      with copies to:                      Testa, Hurwitz & Thibeault
                                           High Street Tower
                                           125 High Street
                                           Boston, MA  02110
                                           Attention: Mark H. Burnett

      If to the Executive:                 David N. Hansen
                                           100 Westgate Road
                                           Wellesley, MA  02181

      with copies to:                      Hale and Dorr
                                           60 State Street
                                           Boston, MA  02109
                                           Attention: Jonathon D. Rosenfeld

                 (e) This Agreement may not be changed,  amended,  terminated or
superseded  orally,  but only by an  agreement  in  writing,  nor may any of the
provisions hereof be waived orally, but only by an instrument in writing, in any
such case signed by the party against whom enforcement of any change, amendment,
termination, waiver, modification, extension or discharge is sought.

                 (f) Except as otherwise  provided herein,  this Agreement shall
be governed by and  construed  and enforced in  accordance  with the laws of the
State of  Connecticut,  without  giving effect to the  principles of conflict of
laws thereof.

                 (g) All  descriptive  headings of the several  Sections of this
Agreement are inserted for convenience only and do not constitute a part of this
Agreement.


                          Employment Agreement--Page 13


                 (h) If any provision of this  Agreement,  or part  thereof,  is
held to be unenforceable,  the remainder of this Agreement and provision, as the
case may be, shall nevertheless remain in full force and effect.

                 (i) Each of the parties hereto shall, at any time and from time
to time hereafter,  upon the reasonable  request of the other, take such further
action and  execute,  acknowledge  and deliver all such  instruments  of further
assurance as necessary to carry out the provisions of this Agreement.

                 (j)  This   Agreement   contains  the  entire   agreement   and
understanding  between the Company and the Executive with respect to the subject
matter hereof. No  representations  or warranties of any kind or nature relating
to the  Company  or its  affiliates  or  their  respective  businesses,  assets,
liabilities,  operations,  future  plans or  prospects  have  been made by or on
behalf  of the  Company  to the  Executive;  nor  have  any  representations  or
warranties  of any kind or nature  been made by the  Executive  to the  Company,
expect as expressly set forth in this Agreement.

                 (k)  The  Company  shall  pay the  reasonable  legal  fees  and
expenses  incurred by the Executive in connection  with the  negotiation of this
Agreement.

      IN WITNESS WHEREOF,  the parties hereto have executed this Agreement as of
the date first above written.

                                       MARINER HEALTH GROUP, INC.


                                       By: /s/ Arthur W. Stratton, Jr.
                                          -------------------------------------
                                          Arthur W. Stratton, Jr.
                                          Chief Executive Officer and President

                                        /s/ David N. Hansen
                                       ------------------------------
                                       David N. Hansen



                 AMENDMENT NO. 10 TO CREDIT AGREEMENT AND WAIVER



         THIS AMENDMENT NO. 10 TO CREDIT AGREEMENT (the "Amendment") dated as of
July 1, 1996 by and among  Mariner  Health Group,  Inc., a Delaware  corporation
(the "Borrower"),  PNC Bank,  National  Association,  Chemical Bank,  CoreStates
Bank,  N.A.,  Creditanstalt-Bankverein,  First  Union  National  Bank  of  North
Carolina,  Mellon Bank, N.A.,  Toronto Dominion (New York), Inc. and NationsBank
of  Tennessee,  N.A.,  (collectively,  the  "Banks"),  and  PNC  Bank,  National
Association, in its capacity as agent for the Banks (the "Agent").

                                   WITNESSETH:

         WHEREAS,  the  parties  hereto  are  parties  to  that  certain  Credit
Agreement  dated  as of May 18,  1994,  as  amended  (the  "Credit  Agreement"),
pursuant to which the Banks provided a $200,000,000 revolving credit facility to
the Borrower; and

         WHEREAS,  the  Borrower,  the Banks  and the Agent  desire to amend and
restate  the  Credit  Agreement  as  hereinafter  provided,   including  without
limitation to increase the revolving  credit facility to $250,000,000 and to add
Toronto Dominion (New York), Inc. and Chemical Bank as Banks.

         NOW,  THEREFORE,  the parties hereto,  in consideration of their mutual
covenants and agreements hereinafter set forth and intending to be legally bound
hereby, covenant and agree as follows:

         1.       Definitions.

         Defined terms used herein unless  otherwise  defined  herein shall have
the  meanings  ascribed  to them in the  Credit  Agreement  as  amended  by this
Amendment.

         2.       Amendment of Credit Agreement.

                  A.  Articles I through XI. The parties  hereto do hereby amend
and restate the recitals  and  Articles I through XI to the Credit  Agreement as
set forth on Exhibit 1 hereto.

                  B. Schedules. Schedule 1.01(R)(2) Commitments of Banks, to the
Credit  Agreement  is hereby  amended  and  restated to read as set forth on the
schedule  attached  hereto bearing the same numerical  reference as the original
schedule.   Schedule  6.01  (a)  and  (c)  Qualifications  to  do  Business  and
Subsidiaries is hereby amended and restated to read as set forth on the schedule
attached hereto bearing the same numerical  references as the original schedule,
but the new title,  Qualifications  to do  Business,  Subsidiaries  and Excluded
Entities.

                  C.  Exhibits.  Each of the  following  exhibits  to the Credit
Agreement  is hereby  amended  and  restated to read as set forth on the exhibit
attached hereto bearing the same numerical reference as the original exhibit:


                                      -2-


     Exhibit 8.01(m)(i)          --    Acquisition Approval Certificate
     Exhibit 8.01(m)(ii)         --    -
     Exhibit 8.03(d)(2)          --    Compliance Certificate for Quarter Ending
                                       3/31/96 and Thereafter

                  D. Additional  Banks.  Toronto  Dominion (New York),  Inc. and
Chemical Bank upon execution of this Amendment,  hereby each became a Bank party
to the Credit Agreement.

         3. Conditions of Effectiveness of this Agreement.  The effectiveness of
this  Amendment  is  expressly  conditioned  upon  satisfaction  of  each of the
following conditions precedent:

                  (a)   Representations   and  Warranties:   No  Defaults.   The
representations  and  warranties of the Borrower  contained in Article VI of the
Credit  Agreement  shall be true and  accurate  on the date hereof with the same
effect as though such  representations and warranties had been made on and as of
such date (except  representations  and  warranties  which relate  solely -to an
earlier date or time,  which  representations  and warranties  shall be true and
correct on and as of the specific dates or times  referred to therein),  and the
Borrower  shall have  performed and complied  with all covenants and  conditions
hereof;  no Event of Default or  Potential  Default  under the Credit  Agreement
shall have occurred and be continuing or shall exist.

                  (b) Organization, Authorization and Incumbency. There shall be
delivered  to the Agent for the benefit of each Bank a  certificate  dated as of
the date hereof and signed by the  Secretary or an  Assistant  Secretary of each
Loan Party, certifying as appropriate as to:

                           (i)      all  action  taken  by such  Loan  Party  in
                                    connection with this Amendment and the other
                                    Loan Documents;

                           (ii)     the  names  of  the   officer  or   officers
                                    authorized  to sign this  Amendment  and the
                                    other  documents  executed and  delivered in
                                    connection  herewith  and  described in this
                                    Section  3 and the true  signatures  of such
                                    officer or officers  and, in the case of the
                                    Borrower, specifying the Authorized Officers
                                    permitted  to act on behalf of the  Borrower
                                    for purposes of the Loan  Documents  and the
                                    true  signatures of such officers,  on which
                                    the  Agent  and each  Bank may  conclusively
                                    rely; and

                           (iii)    copies  of  its  organizational   documents,
                                    including its  certificate of  incorporation
                                    and  bylaws if it is a  corporation  and its
                                    certificate of partnership  and  partnership
                                    agreement  if it is a  partnership,  in each
                                    case  as  in  effect  on  the  date  hereof,
                                    certified by the appropriate  state official
                                    where  such  documents  are filed in a state
                                    office together with  certificates  from the
                                    appropriate   state   officials  as  to  the
                                    continued  existence  and good  standing  of
                                    each of the Loan Parties in each state where
                                    organized;  provided  that  each of the


                                      -3-


                                    Loan  Parties  other than  Borrower  may, in
                                    lieu of  delivering  copies of the foregoing
                                    organizational  documents  and good standing
                                    certificates,      certify      that     the
                                    organizational  documents  and good standing
                                    certificates  previously delivered remain in
                                    effect and have not been amended.

                  (c) Opinions of Counsel. There shall be delivered to the Agent
for the benefit of each Bank a written  opinion  dated the date hereof of Testa,
Hurwitz & Thibeault, L.L.P., counsel for the Loan Parties, in form and substance
satisfactory to the Agent.

                  (d) Fees and Expenses.  The Borrower  shall pay or cause to be
paid to the Agent for itself and for the  account of the Banks to the extent not
previously paid the fees set forth in that certain letter agreement  between the
Borrower  and the  Agent  regarding  fees of the Agent and  certain  Banks  with
respect to the increase in the Revolving Credit Commitments from $200 million to
$250  million and all other fees  accrued  through the date hereof and the costs
and expenses of the Agent and the Banks including,  without limitation,  fees of
the Agent's counsel in correction with this Amendment.

                  (e) Acknowledgment.  Each of the Loan Parties,  other than the
Borrower,  shall have executed the Confirmation of Guaranty in the form attached
hereto as Exhibit 2 hereto.

                  (f)  Legal  Details:   Counterparts.  All  legal  details  and
proceedings in connection with the  transactions  contemplated by this Amendment
shall be in form and substance  satisfactory  to the Agent,  and the Agent shall
have received all such other counterpart  originals or certified or other copies
of such documents and proceedings in connection with such transactions,  in form
and substance satisfactory to the Agent.

                  (g) Notes.  The Borrower  shall have delivered to the Agent on
behalf of each Bank a Note in the amount of each Bank's Commitment.

                  (h)  Mariner  Health   Properties  IV,  Ltd.   Mariner  Health
Properties IV, Ltd. (formerly known as Regency Health Properties IV, Ltd.) shall
have  executed  a  joinder  to the  -Guaranty  Agreement  in form and  substance
satisfactory to the Agent.

         4. Outstanding Items. The Borrower covenants and agrees to undertake in
good faith to complete as promptly as possible, but no later than July 31, 1996,
all  outstanding  items required to be completed in connection with Amendments 1
through 9 of the Credit  Agreement,  the  satisfaction  of which it is expressly
agreed has not been waived by the Banks.

         5. Mortgages.  On or before July 31, 1996, the borrower shall cause the
Loan  Parties  to enter  into  appropriate  amendments  to the  Mortgages,  such
amendments to be in form and substance  satisfactory  to the Agent to set forth,
among other  matters,  an  acknowledgment  of the  increase in the amount of the
Revolving Credit Commitments to $250 million.

         6.       Amendment to Certain Other Loan Documents.


                                      -4-


                  (a) Schedule 1 to that certain Guaranty Agreement made by each
Subsidiary of the Borrower party thereto, for the benefit of the Banks, dated as
of May 18, 1994, as amended is hereby  amended and restated to read as set forth
on the Schedule attached hereto bearing the same numerical reference and name.

                  (b) Schedule A to the  following  Pledge  Agreements is hereby
amended  and  restated  to read as set  forth on the  schedule  attached  hereto
bearing the same numerical reference and name:

                           (i)      SCHEDULE   A   TO   THE   PLEDGE   AGREEMENT
                                    (Borrower)  dated  as of May  18,  1994,  as
                                    amended,  by the  Borrower,  as  pledgor  in
                                    favor of the Agent

                           (ii)     SCHEDULE   A   TO   THE   PLEDGE   AGREEMENT
                                    (Subsidiaries  Pledging  Stock)  dated as of
                                    May  18,  1994,   as  amended,   by  certain
                                    Subsidiaries of the Borrower,  as pledgor in
                                    favor of the Agent

                           (iii)    SCHEDULE A TO AMENDED  AND  RESTATED  PLEDGE
                                    AGREEMENT       (Subsidiaries'      Pledging
                                    Partnership  Interests)  dated June 1, 1996,
                                    as amended,  by certain  Subsidiaries of the
                                    Borrower, as pledgor in favor of the Agent

         7. Force and Effect.  Except as expressly  modified by this  Amendment,
the Credit  Agreement  and the other Loan  Documents  are  hereby  ratified  and
confirmed and shall remain in full force and effect after the date hereof.

         8. Governing Law. This Amendment shall be deemed to be a contract under
the laws of the  Commonwealth  of  Pennsylvania  and for all  purposes  shall be
governed by and construed  and enforced in accordance  with the internal laws of
the  Commonwealth  of  Pennsylvania  without  regard  to its  conflict  of  laws
principles.




                              [INTENTIONALLY BLANK]


                                      -5-


                   [SIGNATURE PAGE l OF 2 TO AMENDMENT NO. 10]

         IN WITNESS WHEREOF,  the parties hereto have executed this Amendment as
of the date first above written.

                                           MARINER HEALTH GROUP, INC.

                                           By: _________________________________
                                           Name: _______________________________
                                           Title: ______________________________

                                           PNC BANK, NATIONAL ASSOCIATION,
                                           individually and as Agent

                                           By: _________________________________
                                           Name: _______________________________
                                           Title: ______________________________

                                           CORESTATES BANK, N.A.

                                           By: _________________________________
                                           Name: _______________________________
                                           Title: ______________________________

                                           CREDITANSTALT - BANKVEREFN

                                           By: _________________________________
                                           Name: _______________________________
                                           Title: ______________________________

                                           By: _________________________________
                                           Name: _______________________________
                                           Title: ______________________________

                                           FIRST UNION NATIONAL BANK OF
                                           NORTH CAROLINA

                                           By: _________________________________
                                           Name: _______________________________
                                           Title: ______________________________



                                      -6-


                   [SIGNATURE PAGE 2 OF -TO AMENDMENT NO. 10]

                                           MELLON BANK, N.A.

                                           By: _________________________________
                                           Name: _______________________________
                                           Title: ______________________________

                                           NATIONSBANK OF TENNESSEE, N.A.

                                           By: _________________________________
                                           Name: _______________________________
                                           Title: ______________________________





                                   EXHIBIT 1

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

            AMENDED AND RESTATED RECITALS AND ARTICLES I THROUGH XI
                       OF THE REVOLVING CREDIT AGREEMENT

                       (Cover page, table of contents and
                                first paragraph
                       are also attached for convenience)





                     $250,000,000 REVOLVING CREDIT FACILITY



                                CREDIT AGREEMENT

                                  by and among

                           MARINER HEALTH GROUP, INC.

                                       and

                             THE BANKS PARTY HERETO

                                       and

                    PNC BANK, NATIONAL ASSOCIATION, as Agent











                      Dated as of May 18, 1994, as amended







                                TABLE OF CONTENTS



<TABLE>
<S>                                                                                                             <C>
ARTICLE I - CERTAIN DEFINITIONS...................................................................................1

   1.01 Certain Definitions.......................................................................................1

   1.02 Construction.............................................................................................28

   1.03 Accounting Principles....................................................................................28


ARTICLE II - REVOLVING CREDIT FACILITY...........................................................................29

   2.01 Revolving Credit Commitments; Limitation on Borrowings...................................................29
      (a) Revolving Credit Commitments...........................................................................29
      (b) Extension by Banks of the Expiration Date..............................................................29
      (c) Limitation on Borrowings...............................................................................29

   2.02 Nature of Banks' Obligations with Respect to Revolving Credit Loans......................................30

   2.03 Commitment Fees..........................................................................................30

   2.04 [Intentionally Omitted]..................................................................................31

   2.05 Revolving Credit Loan Requests...........................................................................31

   2.06 Making Revolving Credit Loans............................................................................32

   2.07 Revolving Credit Note....................................................................................32

   2.08 Use of Proceeds..........................................................................................33

   2.09 Letter of Credit Subfacility.............................................................................33

   2.10 Voluntary Reduction of Revolving Credit Commitments......................................................34


ARTICLE III - COLLATERAL.........................................................................................34

   3.01 Collateral...............................................................................................34


ARTICLE IV - INTEREST RATES......................................................................................34

   4.01 Interest Rate Options....................................................................................34
      (a) Revolving Credit Interest Rate Options.................................................................35
      (b) Rate Quotations........................................................................................36

   4.02 Interest Periods.........................................................................................36

   4.03 Interest After Default...................................................................................37

   4.04 Euro-Rate Unascertainable................................................................................37


                                      (i)


   4.05 Selection of Interest Rate Options.......................................................................38


ARTICLE V - PAYMENTS.............................................................................................38

   5.01 Payments.................................................................................................38

   5.02 Pro Rata Treatment of Banks..............................................................................39

   5.03 Interest Payment Dates...................................................................................39

   5.04 Voluntary Prepayments....................................................................................39

   5.05 Mandatory Prepayments....................................................................................40
      (a) Sale of Assets.........................................................................................41
      (b) Application Among Interest Rate Options................................................................41

   5.06 Additional Compensation in Certain Circumstances.........................................................41
      (a) Increased Costs or Reduced Return Resulting From Taxes, Reserves, Capital Adequacy
      Requirements, Expenses, Etc................................................................................41
      (b) Indemnity..............................................................................................42


ARTICLE VI - REPRESENTATIONS AND WARRANTIES......................................................................43

   6.01 Representations and Warranties - Effective On And After Date of This Agreement...........................43
      (a) Organization and Qualification.........................................................................43
      (b) [Intentionally Omitted.]...............................................................................43
      (c) Excluded Entities; Subsidiaries........................................................................43
      (d) Power and Authority....................................................................................44
      (e) Validity and Binding Effect............................................................................44
      (f) No Conflict............................................................................................44
      (g) Litigation.............................................................................................44
      (h) Title to Properties....................................................................................44
      (i) Financial Statements...................................................................................45
      (j) Margin Stock...........................................................................................46
      (k) Full Disclosure........................................................................................46
      (l) Taxes..................................................................................................47
      (m) Consents and Approvals.................................................................................47
      (n) No Event of Default; Compliance with Instruments.......................................................47
      (o) Patents, Trademarks, Copyrights, Etc...................................................................48
      (p) Security Interests in the Collateral...................................................................48
      (q) [Intentionally Omitted.]...............................................................................48
      (r) Status of the Pledged Collateral.......................................................................48
      (s) Insurance..............................................................................................49
      (t) Compliance with Laws...................................................................................49
      (u) Material Contracts, Licenses, Permits and Approvals....................................................49
      (v) Investment Companies...................................................................................50
      (w) Plans and Benefit Arrangements.........................................................................50
      (x) Employment Matters.....................................................................................51
      (y) Environmental Matters..................................................................................52
      (z) Senior Debt Status.....................................................................................53
      (aa) Convalescent Merger...................................................................................53
      (bb) Regency Merger........................................................................................54


                                      (ii)


      (cc) Mortgage and Leasehold Mortgage Liens.................................................................56

   6.02 Updates to Schedules.....................................................................................56


ARTICLE VII - CONDITIONS OF LENDING..............................................................................56

   7.01 [Intentionally Omitted.].................................................................................57

   7.02 Each Additional Loan.....................................................................................57

   7.03 Conditions to Consummation of Regency Merger and Making of Additional Loan in connection with Regency
   Merger........................................................................................................57


ARTICLE VIII - COVENANTS.........................................................................................58

   8.01 Affirmative Covenants....................................................................................58
      (a) Preservation of Existence, Etc.........................................................................58
      (b) Payment of Liabilities, Including Taxes, Etc...........................................................58
      (c) Maintenance of Insurance...............................................................................59
      (d) Maintenance of Properties and Leases...................................................................59
      (e) Maintenance of Patents, Trademarks, Etc................................................................59
      (f) Visitation Rights......................................................................................59
      (g) Keeping of Records and Books of Account................................................................59
      (h) Plans and Benefit Arrangements.........................................................................60
      (i) Compliance with Laws...................................................................................60
      (j) Use of Proceeds........................................................................................60
      (k) [Intentionally Omitted.]...............................................................................60
      (l) Subordination of Intercompany Loans, Other Loans and Advances to the Borrower..........................60
      (m) Approval of Financial Statements in Permitted Acquisitions; Notice of Permitted Acquisition............60
      (n) Dissolution of Certain Subsidiaries....................................................................62
      (o) Westbury Associates, Ltd...............................................................................62
      (p) Further Assurances.....................................................................................62
      (q) Convalescent Facilities................................................................................62
      (r) Regency Facilities.....................................................................................64

   8.02 Negative Covenants.......................................................................................65
      (a) Indebtedness...........................................................................................66
      (b) Liens..................................................................................................67
      (c) Guaranties.............................................................................................67
      (d) Loans and Investments..................................................................................67
      (e) Dividends and Related Distributions....................................................................68
      (f) Liquidations, Mergers, Consolidations, Acquisitions....................................................68
      (g) Dispositions of Assets or Subsidiaries.................................................................69
      (h) Affiliate Transactions.................................................................................70
      (i) Subsidiary, Partnerships and Joint Ventures............................................................70
      (j) Continuation of or Change in Business..................................................................71
      (k) Plans and Benefit Arrangements.........................................................................71
      (l) Fiscal Year............................................................................................72
      (m) Issuance of Stock......................................................................................72
      (n) [Intentionally Omitted.]...............................................................................72
      (o) [Intentionally Omitted.]...............................................................................72
      (p) Capital Expenditures and Leases........................................................................72


                                     (iii)


      (q) Minimum Fixed Charge Coverage Ratio....................................................................73
      (r) Maximum Leverage Ratio.................................................................................73
      (s) [Intentionally Omitted.]...............................................................................73
      (t) Minimum Net Worth......................................................................................74
      (u) Senior Indebtedness to Cash Flow From Operations Ratio.................................................74
      (v) Incurrence of Indebtedness Permitted By the Indenture..................................................74
      (w) [Intentionally Omitted.]...............................................................................74
      (x) Negative Pledges.......................................................................................74
      (y) Prohibition of Defeasance of Subordinated Notes........................................................75

   8.03 Reporting Requirements...................................................................................75
      (a) [Intentionally Omitted.]...............................................................................75
      (b) Quarterly Financial Statements; Additional Convalescent Statements.....................................75
      (c) Annual Financial Statements............................................................................75
      (d) Certificate of the Borrower............................................................................76
      (e) Notice of Default......................................................................................76
      (f) Notice of Litigation...................................................................................76
      (g) Certain Events.........................................................................................76
      (h) Budgets, Forecasts, Other Reports and Information......................................................77
      (i) Notices Regarding Plans and Benefit Arrangements.......................................................77
      (j) Notices with Respect to Indenture......................................................................79


ARTICLE IX - DEFAULT.............................................................................................79

   9.01 Events of Default........................................................................................79

   9.02 Consequences of Event of Default.........................................................................82

   9.03 Notice of Sale...........................................................................................85


ARTICLE X - THE AGENT............................................................................................85

   10.01 Appointment.............................................................................................85

   10.02 Delegation of Duties....................................................................................85

   10.03 Nature of Duties; Independent Credit Investigation......................................................85

   10.04 Actions in Discretion of Agent; Instructions from the Banks.............................................86

   10.05 Reimbursement and Indemnification of Agent by the Borrower..............................................86

   10.06 Exculpatory Provisions..................................................................................87

   10.07 Reimbursement and Indemnification of Agent by Banks.....................................................87

   10.08 Reliance by Agent.......................................................................................88

   10.09 Notice of Default.......................................................................................88

   10.10 Notices.................................................................................................88


                                      (iv)


   10.11 Banks in Their Individual Capacities....................................................................88

   10.12 Holders of Notes........................................................................................88

   10.13 Equalization of Banks...................................................................................88

   10.14 Successor Agent.........................................................................................89

   10.15 Agent's Fee.............................................................................................89

   10.16 Availability of Funds...................................................................................89

   10.17 Calculations............................................................................................90

   10.18 Beneficiaries...........................................................................................90

   10.19 Holding of Loan Documents...............................................................................90


ARTICLE XI - MISCELLANEOUS.......................................................................................90

   11.01 Modifications, Amendments or Waivers....................................................................90

   11.02 No Implied Waivers; Cumulative Remedies; Writing Required...............................................91

   11.03 Reimbursement and Indemnification of Banks by the Borrower; Taxes.......................................91

   11.04 Holidays................................................................................................92

   11.06 Funding by Branch, Subsidiary or Affiliate..............................................................92
      (a) Notional Funding.......................................................................................92
      (b) Actual Funding.........................................................................................93

   11.06 Notices.................................................................................................93

   11.07 Severability............................................................................................93

   11.08 Governing Law...........................................................................................93

   11.09 Prior Understanding.....................................................................................93

   11.10 Duration; Survival......................................................................................94

   11.11 Successors and Assigns..................................................................................94

   11.12 Confidentiality.........................................................................................95

   11.13 Counterparts............................................................................................95

   11.14 Agent's or Bank's Consent...............................................................................95

   11.15 Exceptions..............................................................................................95

   11.16 Consent to Forum; Waiver of Jury Trial..................................................................95


                                      (v)


   11.17 Tax Withholding Clause..................................................................................96

   11.18 Effect on Prior Credit Agreement; Amendments on Fourth Amendment Effective Date.........................96
      (a) Amendment and Restatement..............................................................................96

</TABLE>

                                      (iv)




                                    SCHEDULES

SCHEDULE 1.01(P)           PERMITTED LIENS

SCHEDULE 1.01(R)(2)        COMMITMENTS OF BANKS

SCHEDULE 2.09(a)           EXISTING LETTERS OF CREDIT; LOANS, INTEREST AND OTHER
                           OBLIGATIONS UNDER PRIOR CREDIT AGREEMENT

SCHEDULES 6.01(a)          QUALIFICATIONS  TO  DO  BUSINESS,   SUBSIDIARIES  AND
and 6.01(c)                EXCLUDED ENTITIES

SCHEDULE 6.01(u)           MATERIAL CONTRACTS

SCHEDULE 6.01(y)           ENVIRONMENTAL DISCLOSURES

SCHEDULE 6.01(z)           CERTAIN  DISCLOSURES  REGARDING  OTHER  DEBT  OF  THE
                           BORROWER

SCHEDULE 6.01(aa)          CONVALESCENT FACILITIES INDEBTEDNESS,  LIEN RELEASES;
                           INTERCREDITOR AGREEMENTS; NON-DISTURBANCE AGREEMENTS;
                           CONSENTS TO LEASEHOLD MORTGAGES AND SECOND LIENS

SCHEDULE 6.01(bb)          REGENCY  FACILITIES   INDEBTEDNESS;   LIEN  RELEASES;
                           INTERCREDITOR AGREEMENTS; NON-DISTURBANCE AGREEMENTS;
                           CONSENTS TO LEASEHOLD MORTGAGES AND SECOND LIENS

SCHEDULE 8.01(l)           CERTAIN   DISCLOSURES   REGARDING   SUBORDINATION  OF
                           INDEBTEDNESS

SCHEDULE 8.02(a)           PERMITTED INDEBTEDNESS

SCHEDULE 8.02(c)           CERTAIN GUARANTIES

SCHEDULE 8.02(x)           EXISTING NEGATIVE PLEDGE COVENANTS






                                    EXHIBITS

EXHIBIT 1.01(A)            ASSIGNMENT AND ASSUMPTION AGREEMENT

EXHIBIT 1.01(G)            GUARANTY AND SURETYSHIP AGREEMENT

EXHIBIT 1.01(I)(1)         INTERCREDITOR AGREEMENT - LEASED FACILITY
  (A) and (B)

EXHIBITS 1.01(I)(2)        INTERCREDITOR AGREEMENT - OWNED FACILITY
  (A) and (B)

EXHIBIT 1.01(L)            LEASEHOLD MORTGAGE

EXHIBIT 1.01(M)            MORTGAGE

EXHIBIT 1.01(P)(1)         PLEDGE AGREEMENT (Borrower)

EXHIBIT 1.01(P)(2)         PLEDGE AGREEMENT (Subsidiaries Pledging Stock)

EXHIBIT 1.01(P)(3)         PLEDGE AGREEMENT  (Subsidiaries  Pledging Partnership
                           Interests)

EXHIBIT 1.01(R)            REVOLVING CREDIT NOTE

EXHIBIT 1.01(S)            SUBORDINATION AGREEMENT (Intercompany)

EXHIBIT 1.01(T)            TRUSTEE AGREEMENT

EXHIBIT 2.05               REVOLVING CREDIT LOAN REQUEST

EXHIBIT 8.01(l)            TERMS OF CERTAIN SUBORDINATED INDEBTEDNESS

EXHIBIT 8.01(m)(i)         ACQUISITION APPROVAL CERTIFICATE

EXHIBIT 8.01(m)(ii)        ACQUISITION NOTICE CERTIFICATE

EXHIBIT 8.03(d)(2)         COMPLIANCE  CERTIFICATE  FOR QUARTERS  ENDING 3/31/96
                           AND THEREAFTER







                                CREDIT AGREEMENT

                  THIS CREDIT  AGREEMENT is dated as of May 18, 1994 and is made
by  and  among  MARINER  HEALTH  GROUP,   INC.,  a  Delaware   corporation  (the
"Borrower"),  the  BANKS  (as  hereinafter  defined),  and  PNC  BANK,  NATIONAL
ASSOCIATION,  in its  capacity  as agent  for the  Banks  under  this  Agreement
(hereinafter referred to in such capacity as the "Agent").

                                   WITNESSETH:

                  WHEREAS,  the  Borrower has  requested  the Banks to provide a
revolving  credit facility to the Borrower in an aggregate  principal amount not
to exceed $250,000,000; and

                  WHEREAS, the Banks are willing to provide such credit upon the
terms and conditions hereinafter set forth.

                  NOW, THEREFORE,  the parties hereto, in consideration of their
mutual  covenants  and  agreements  hereinafter  set forth and  intending  to be
legally bound hereby, covenant and agree as follows:

                                    ARTICLE I
                               CERTAIN DEFINITIONS
                               -------------------

                  1.01  Certain  Definitions.  In  addition  to words  and terms
defined  elsewhere in this  Agreement,  the following words and terms shall have
the following meanings, respectively, unless the context hereof clearly requires
otherwise:

                        Acquisition  Approval Certificate shall have the meaning
set forth in Section 8.01(m)(i).

                        Acquisition  Income  Reporting  Period  shall  mean  the
period  during  which  Borrower  shall  measure   Consolidated  Cash  Flow  from
Operations  pursuant to Section  8.01(m) for  purposes of  computing  Borrower's
leverage ratio and its other  financial  covenants on the date on which Borrower
makes any Permitted Acquisition, which period shall be either:

                                    (1)  the   four   fiscal   quarters   ending
immediately  before the date of such  Permitted  Acquisition  (the  "Immediately
Preceding  Four  Quarters")  if such  Permitted  Acquisition  occurs  after  the
Delivery  Date for the  financial  statements  of Borrower for such  Immediately
Preceding Four Quarters, or

                                    (2) the  four  fiscal  quarters  ending  one
quarter period prior to the end of the Immediately  Preceding Four Quarters (the
"Second  Preceding Four Quarters") if such Permitted  Acquisition  occurs before
the Delivery Date for the financial  statements of Borrower for the  Immediately
Preceding Four Fiscal Quarters.

                           Acquisition Notice Certificate shall have the meaning
given to such term in Section 8.01(m)(ii).






                           Acquisition  Reporting  Certification  shall mean any
Permitted  Acquisition with respect to which Borrower delivers or is required to
deliver either an  Acquisition  Notice  Certificate  or an Acquisition  Approval
Certificate pursuant to Section 8.01(m).

                           Adjusted  Consolidated  Net Income shall mean for any
period of  determination  an amount  equal to the net income of the Borrower and
its Subsidiaries for such period  determined and consolidated in accordance with
GAAP,  plus the  following  expenses to the extent such expenses are deducted in
computing such net income:  (i) up to $9,230,000 of extraordinary,  nonrecurring
charges incurred by the Loan Parties in connection with the Convalescent  Merger
incurred in the following amounts during the following fiscal quarters: $757,000
during the fiscal quarter  beginning  January 1, 1995 and ending March 31, 1995;
$8,410,000 during the fiscal quarter beginning April 1, 1995 and ending June 30,
1995;  $54,000  during  the  fiscal  quarter  beginning  July 1, 1995 and ending
September 30, 1995;  and $9,000 during the fiscal quarter  beginning  October 1,
1995 and ending  December  31, 1995;  (ii) up to  $1,138,000  of  extraordinary,
nonrecurring  deferred  financing  charges  incurred  by  the  Loan  Parties  in
connection with the Fourth Amendment  during the fiscal quarter  beginning April
1, 1995 and ending  June 30,  1995;  (iii) up to  $6,543,000  of  extraordinary,
nonrecurring  charges  incurred by the Loan Parties  during the fiscal  quarters
beginning  January 1, 1996 and ending June 30, 1996, in  connection  with one or
more Permitted  Acquisitions  consummated during such period,  including without
limitation,  in connection  with the  Convalescent  Merger;  and (iv) such other
extraordinary nonrecurring charges as approved by the Required Banks pursuant to
Section 8.01(m).

                           Affiliate  as to any  person  shall  mean  any  other
person (i) which directly or indirectly controls,  is controlled by, or is under
common control with such person,  (ii) which  beneficially  owns or holds 50% or
more of any class of the voting stock of the  Borrower,  or (iii) 50% or more of
the voting  stock (or in the case of a person  which is not an  individual  or a
corporation,  50% or more of the equity interest) of which is beneficially owned
or held, directly or indirectly, by the Borrower. Control, as used herein, shall
mean the possession, directly or indirectly, of the power to direct or cause the
direction  of the  management  or  policies  of a person,  whether  through  the
ownership of voting securities, by contract or otherwise, including the power to
elect a majority of the directors or trustees of a corporation or trust,  as the
case may be.

                           Agent shall mean PNC Bank,  National  Association and
its successors.

                           Agent's Fee shall have the  meaning  assigned to that
term in Section 10.15 hereof.

                           Agreement  shall mean this  Credit  Agreement  as the
same may be  supplemented,  amended,  modified  or  restated  from  time to time
including all schedules and exhibits hereto.

                           Ansonia  shall mean  Mariner  Health Care of Southern
Connecticut, a corporation organized and existing under the laws of the State of
Connecticut.


                                      -2-


                           Assignment  and  Assumption  Agreement  shall mean an
Assignment  and  Assumption  Agreement  by and  among  a  Purchasing  Bank,  the
Transferor  Bank and the Agent,  as Agent and on behalf of the remaining  Banks,
substantially in the form of Exhibit 1.01(A) hereto.

                           Authorized   Officer   shall   mean   those   persons
designated  by written  notice to the Agent  from the  Borrower,  authorized  to
execute notices,  reports and other documents required  hereunder.  The Borrower
may amend such list of  persons  from time to time by giving  written  notice of
such amendment to the Agent.

                           Banks shall mean the financial  institutions named on
Schedule  1.01(R)(2)  hereto  and their  respective  successors  and  assigns as
permitted hereunder, each of which is referred to herein as a Bank.

                           Base Rate shall mean the greater of (i) the  interest
rate per annum announced from time to time by the Agent at its Principal  Office
as its then prime rate,  which rate may not  necessarily be the lowest rate then
being  charged  commercial  borrowers  by the Agent,  or (ii) the Federal  Funds
Effective Rate plus one-half percent (0.5%) per annum.

                           Base Rate  Option  shall  mean  Loans  subject to the
Revolving Credit Base Rate Option.

                           Benefit   Arrangement  shall  mean  at  any  time  an
"employee  benefit plan," within the meaning of Section 3(3) of ERISA,  which is
neither a Plan or a  Multiemployer  Plan and which is  maintained,  sponsored or
otherwise contributed to, by any member of the ERISA Group.

                           Blue  Corporation  shall  mean  Blue  Corporation,  a
Georgia  corporation  and wholly owned  subsidiary of the Borrower  which merged
into  Convalescent  on the  Convalescent  Merger  Effective Date pursuant to the
terms of the Convalescent Merger Agreement.

                           Borrower  shall mean Mariner  Health  Group,  Inc., a
corporation organized and existing under the laws of the State of Delaware.

                           Borrowing Date shall mean,  with respect to any Loan,
the date for the making thereof or the renewal thereof or conversion  thereof to
the same or a different Interest Rate Option, which shall be a Business Day.

                           Borrowing  Tranche shall mean (i) with respect to the
Revolving  Credit  Euro-Rate  Portion of the Loans,  Loans to which a  Euro-Rate
Option  applies by reason of the selection of,  conversion to or renewal of such
Interest  Rate  Option on the same day and  having the same  Euro-Rate  Interest
Period,  and (ii) with respect to the Revolving  Credit Base Rate Portion of the
Loans, Loans to which the Base Rate Option applies by reason of the selection of
or conversion of such Interest Rate Option.

                           Business  Day shall mean (i) with  respect to matters
relating to the Euro-Rate  Option,  a day on which banks in the London interbank
market are dealing in U.S.  Dollar


                                      -3-


deposits and on which commercial  banks are open for domestic and  international
business  in  Pittsburgh,  Pennsylvania  and New York,  New York,  and (ii) with
respect  to any  other  matter,  a day on which  commercial  banks  are open for
business in Pittsburgh, Pennsylvania and New York, New York.

                           Change in Ownership shall mean if, from and after the
Closing Date, any person or group within the meaning of Section  13(d)(3) of the
Securities  Exchange Act of 1934,  as amended (the "1934 Act") and the rules and
regulations promulgated thereunder (other than a person or group owning stock of
the  Borrower  prior to the  initial  public  offering of the  Borrower's  stock
consummated on June 15, 1993) shall have acquired  beneficial  ownership (within
the  meaning  of Rule  13d-3  of the  1934  Act),  directly  or  indirectly,  of
securities  of  the  Borrower  (or  other   securities   convertible  into  such
securities)  representing 50% or more of combined voting power of all securities
of the Borrower  entitled to a vote in the  election of  directors  (hereinafter
called a "Controlling  Person"). Any change in ownership which has resulted from
the  Convalescent  Merger  shall  be  excluded  from  the  determination  in the
preceding sentence. For purposes of this definition, a person or group shall not
be a Controlling Person if such person or group holds voting power in good faith
and not for the purpose of  circumventing  this  definition  as an agent,  bank,
broker, nominee,  trustee, or holder of irrevocable proxies given in response to
a solicitation  pursuant to the 1934 Act, for one or more beneficial  owners who
do not individually, or, if they are a group acting in concert, as a group, have
the voting power specified in this definition.

                           CLF Lender shall have the meaning  given to such term
in Section 6.01(aa).

                           CLF Lessor shall have the meaning  given to such term
in Section 6.01(aa).

                           CLF Lessor  Indebtedness shall have the meaning given
to such term in Section 6.01(aa).

                           Class A Excluded  Entities  shall  mean  collectively
those Excluded Entities which have not incurred any Restricted  Indebtedness nor
are subject to or bound by the terms of any agreement with respect to Restricted
Indebtedness,  and Class A Excluded  Entity  shall mean  separately  any Class A
Excluded Entity.

                           Closing  Date shall mean May 18,  1994,  which is the
Business Day on which the first
Loan was made.

                           COF Lender  shall have the  meaning  assigned to such
term in Section 6.01(aa).

                           COF Owner shall have the  meaning  given to such term
in Section 6.01(aa).

                           COF Owner  Indebtedness  shall have the meaning given
to such term in Section 6.01(aa).


                                      -4-


                           Collateral shall mean the Pledged Collateral,  all of
the  collateral  under the Mortgages  and the Leasehold  Mortgages and any other
collateral  security  in which any of the Loan  Parties  may  hereafter  grant a
security  interest  or other  lien to the Agent for the  benefit of the Banks as
security for their obligations under the Loan Documents.

                           Commitment  shall  mean as to any Bank its  Revolving
Credit  Commitment,  and  Commitments  shall mean the aggregate of the Revolving
Credit Commitments of all of the Banks.

                           Commitment  Fee shall have the  meaning  assigned  to
that term in Section 2.03 hereof.

                           Consolidated Cash Flow from Operations for any period
of determination  shall mean the difference between the amounts determined under
the following  clauses (i) and (ii): (i) the sum of (X) the sum of  Consolidated
Net Income, depreciation,  amortization,  other non-cash charges to Consolidated
Net Income,  interest  expense and income tax  expense of the  Borrower  and its
Restricted Subsidiaries for such period determined in accordance with GAAP, plus
(Y)  for  periods  beginning  on  and  after  April  1,  1996,  the  sum  of the
Consolidated  Cash  Flow  from  Operations  Adjustment  Amount  for all  Class A
Excluded Entities, minus (ii) non-cash credits to net income of the Borrower and
its Restricted  Subsidiaries for such period determined in accordance with GAAP,
subject to the adjustments described in this definition below.

                           If the Loan Parties make a Permitted  Acquisition and
the Banks approve of the  historical and pro-forma  financial  statements of the
business  acquired in such  Permitted  Acquisition  pursuant to Section  8.01(m)
hereof, Consolidated Cash Flow from Operations shall be adjusted as set forth in
paragraphs  (A), (B) and (C) below.  The  adjustments in Paragraphs (A), (B) and
(C) below shall apply to  computations  of the ratios in  Sections  2.01,  2.03,
4.01(a),  8.02(f), 8.02(r) and 8.02(u) on the date of such Permitted Acquisition
and at the  end of  each  of the  four  fiscal  quarters  after  such  Permitted
Acquisition.  (The  adjustments  described in Paragraphs (A) and (B) below shall
not  apply  to  computations  of such  ratios  made as of the end of the  fiscal
quarter immediately preceding the date of such Permitted Acquisition.)

                           (A)  Consolidated   Cash  Flow  from  Operations  for
periods  prior to such  Permitted  Acquisition  shall include (i) the sum of net
income,  depreciation,  amortization,  other  non-cash  charges  to net  income,
interest  expense  and income tax  expense of the  acquired  business,  plus the
adjustment,  if any pursuant to clause (C) below, minus (ii) non-cash credits to
net income of such business, in each case as determined in accordance with GAAP,
(B)  Extraordinary  or  nonrecurring  expenses under GAAP incurred in connection
with such  Permitted  Acquisition  shall be excluded  from the net income of the
acquired  business when computing  Consolidated Cash Flow from Operations in the
preceding  sentence if the Required Banks have agreed to such exclusion pursuant
to Section 8.01(m), and

                           (C) To the extent, in the determination of net income
of the acquired business utilized in clause (A) above,  deductions were taken in
respect of rental expense


                                      -5-


pursuant  to  operating  leases  in  accordance  with  GAAP  and  following  the
consummation of a Permitted  Acquisition the Borrower  appropriately amends such
leases so that,  in  accordance  with GAAP,  such  rental  expense  pursuant  to
operating  leases may properly be treated as rental expense  pursuant to capital
leases  (and the  Borrower  treats  such  leases as capital  leases for  periods
following the consummation by the Borrower of such Permitted  Acquisition) then,
such net  income for  purposes  of clause (A) above  shall be  increased  by the
deductions  taken in respect of rental expense pursuant to such operating leases
during the period of determination.

                           Consolidated  Cash  Flow from  Operations  Adjustment
Amount  shall  mean,  for  each  Class A  Excluded  Entity,  for any  period  of
determination,  the  amount  equal  to  the  product  of  (A) a  percentage,  as
determined  by the Agent in its  reasonable  discretion,  multiplied  by (B) the
difference between (i) the sum of net income, depreciation,  amortization, other
non-cash charges to such net income,  interest expense and income tax expense of
such Class A Excluded  Entity for such period,  as determined in accordance with
GAAP,  minus (ii) non-cash credits to net income of such Class A Excluded Entity
for such period,  as  determined in accordance  with GAAP.  In  determining  the
applicable  percentage  under clause (A) above,  the Agent shall review with the
Borrower the constituent  documents of each Excluded Entity,  including  without
limitation,  partnership  agreements,  shareholder agreements and other relevant
documents  which the  Borrower  agrees to  provide  as the Agent may  reasonably
request,  and the Agent shall also review the equity ownership  interests of the
Loan Parties in each  Excluded  Entity and the actual cash flow  available to be
distributed to the Loan Parties from the operations of each Excluded Entity.

                           Consolidated  Net Income shall mean for any period of
determination  an  amount  equal  to the  net  income  of the  Borrower  and its
Restricted  Subsidiaries for such period determined in accordance with GAAP, but
without  regard  to net  income  attributable  to  Excluded  Entities,  plus the
following  expenses to the extent such  expenses are deducted in computing  such
net income: (i) up to $9,230,000 of extraordinary, nonrecurring charges incurred
by the Loan Parties in connection with the  Convalescent  Merger incurred in the
following  amounts during the following  fiscal  quarters:  $757,000  during the
fiscal quarter beginning  January 1, 1995 and ending March 31, 1995;  $8,410,000
during the fiscal  quarter  beginning  April 1, 1995 and ending  June 30,  1995;
$54,000  during the fiscal quarter  beginning July 1, 1995 and ending  September
30, 1995;  and $9,000 during the fiscal  quarter  beginning  October 1, 1995 and
ending December 31, 1995; (ii) up to $1,138,000 of  extraordinary,  nonrecurring
deferred  financing  charges incurred by the Loan Parties in connection with the
Fourth  Amendment  during the fiscal quarter  beginning April 1, 1995 and ending
June 30, 1995;  (iii) up to $6,543,000 of  extraordinary,  nonrecurring  charges
incurred by the Loan Parties  during the fiscal  quarters  beginning  January 1,
1996 and  ending  June  30,  1996,  in  connection  with  one or more  Permitted
Acquisitions  consummated during such period,  including without limitation,  in
connection  with the  Convalescent  Merger;  and (iv) such  other  extraordinary
nonrecurring  charges as  approved  by the  Required  Banks  pursuant to Section
8.01(m).

                           Consolidated  Net Worth  shall mean as of any date of
determination total stockholders' equity of the Borrower and its Subsidiaries as
of such date determined and consolidated in accordance with GAAP.


                                      -6-


                           Convalescent shall mean Convalescent Services,  Inc.,
a corporation organized and existing under the laws of the State of Georgia.

                           Convalescent    Amendment    Agreement   shall   mean
collectively  (i) that  certain  Amendment  Agreement  dated as of May 24, 1995,
together with each of the schedules and exhibits thereto;  and (ii) that certain
Second Amendment  Agreement dated as of December 29, 1995, together with each of
the schedules and exhibits thereto.

                           Convalescent   Amendment  Documents  shall  mean  the
Convalescent  Amendment,  the  Convalescent  Management  Agreement,  the  Master
Agreements  and each of the other  documents  executed  in  connection  with the
Convalescent Amendment.

                           Convalescent Annual Statements shall have the meaning
given to such term in Section 6.01(i)(i)(B).

                           Convalescent Certification shall have the meaning set
forth in the Fourth Amendment.

                           Convalescent  Facilities shall mean  collectively the
Convalescent Owned Facilities,  Convalescent  Leased Facilities and Convalescent
Managed Facilities.

                           Convalescent  Facility  Purchase Option shall mean an
option  provided  by a CLF  Lender or COF Lender in an  Intercreditor  Agreement
giving the Agent or the Banks the right to purchase the CLF Lessor  Indebtedness
or COF Owner Indebtedness from such CLF Lender or COF Lender upon certain events
of default relating to such Indebtedness.

                           Convalescent  Historical  Statements  shall  have the
meaning given to such term in Sections 6.01(i)(i)(B).

                           Convalescent   Interim   Statements  shall  have  the
meaning given to such term in Sections 6.01(i)(i)(B).

                           Convalescent  Leased Facilities shall mean the health
care  facilities  leased by  Convalescent,  as lessee.  Borrower  has listed the
Convalescent Leased Facilities on Schedule 6.01(aa).

                           Convalescent Managed Facilities shall mean the health
care facilities formerly managed by Convalescent (and managed by Mariner through
the Convalescent  Merger  Effective Date).  Borrower has listed the Convalescent
Managed Facilities on Schedule 6.01(aa) under the heading  "Convalescent Managed
Facilities."

                           Convalescent  Management  Agreement  shall  mean  the
Management  Agreement,  dated as of May 24, 1995,  pursuant to which Mariner and
Convalescent and affiliates of Convalescent  agreed that Mariner managed each of
the Convalescent  Facilities  between May 24, 1995 and the  Convalescent  Merger
Effective Date.


                                      -7-


                           Convalescent  Merger  shall  mean the  merger of Blue
Corporation  into  Convalescent  and the other  transactions  referred to in the
Convalescent  Merger Documents.  The Convalescent  Merger occurred on January 2,
1996.

                           Convalescent   Merger   Agreement   shall   mean  the
Agreement and Plan of Merger dated as of January 9, 1995,  pursuant to which the
Convalescent Merger was consummated.

                           Convalescent   Merger   Documents   shall   mean  the
Convalescent   Merger  Agreement,   the  Convalescent  Proxy,  the  Convalescent
Participation  Agreement,  the other  Operating  Agreements  referred  to in the
Convalescent  Participation  Agreement,  the Management Agreement, the Amendment
Agreement  and the other  Amendment  Documents  and each of the other  documents
executed in connection with or relating to the Convalescent Merger.

                           Convalescent Merger Effective Date shall mean January
2, 1996,  which is the  effective  time of the merger of Blue  Corporation  into
Convalescent.

                           Convalescent  Owned  Facilities shall mean the health
care  facilities  owned by Convalescent or its  Subsidiaries.  The  Convalescent
Owned Facilities are listed on Schedule 6.01(aa).

                           Convalescent  Participation Agreement shall mean that
certain  Participation  Agreement dated as of January 9, 1995, as amended on May
24, 1995, and December 29, 1995, among Borrower, Blue Corporation,  Convalescent
and the other parties referred to therein.

                           Convalescent  Proxy shall mean the Proxy Statement of
the Borrower dated March 14, 1995 and any subsequent  Proxy Statement  issued by
Borrower in connection with the Convalescent Merger.

                           Corporate  Shares shall have the meaning  assigned to
that term in Section 6.01(c).

                           Corporate  Subsidiaries shall mean each Subsidiary of
Borrower which is a corporation.

                           Delivery  Date  shall  mean  the  date  which  is the
earlier  of (i)  the  date on  which  the  Borrower  delivers  its  consolidated
financial statements to the Agent and the Banks pursuant to Sections 8.03(b) and
(c),  or (ii) one  Business  Day  following  the date on  which  such  financial
statements are due to be delivered pursuant to such Sections.

                           Dollar,  Dollars, U.S. Dollars and the symbol $ shall
mean lawful money of the United States of America.

                           Environmental   Complaint   shall  mean  any  written
complaint  setting  forth a cause of action for  personal,  property  or natural
resource  damage or equitable  relief,  order,  notice of  violation,  citation,
request for information issued pursuant to any Environmental Laws by an


                                      -8-


Official Body, subpoena or other written notice of any type relating to, arising
out of, or issued pursuant to any of the Environmental Laws or any Environmental
Conditions,  as the case may be, in each case with  respect to any  violation or
alleged  violation of Environmental  Laws or release or threatened  release of a
Regulated Substance.

                           Environmental Conditions shall mean any conditions of
the  environment,  including,  without  limitation,  the work place,  the ocean,
natural resources (including flora or fauna), soil, surface water, ground water,
any actual or potential drinking water supply sources,  substrata or the ambient
air,  relating  to or arising out of, or caused by the use,  handling,  storage,
treatment, recycling,  generation,  transportation,  release, spilling, leaking,
pumping,  emptying,   discharging,   injecting,  escaping,  leaching,  disposal,
dumping,  threatened  release or other  management or mismanagement of Regulated
Substances resulting from the use of, or operations on, the Property.

                           Environmental  Laws  shall mean all  federal,  state,
local and foreign laws and regulations,  including without  limitation  permits,
licenses,  authorizations,  bonds, orders, judgments, consent decrees issued, or
entered  into,  pursuant  thereto,  relating to pollution or protection of human
health or the  environment or employee safety in the work place or the operation
of the activities of the Borrower and its Subsidiaries.

                           ERISA  shall  mean  the  Employee  Retirement  Income
Security Act of 1974,  as the same may be amended or  supplemented  from time to
time, and any successor statute of similar import, and the rules and regulations
thereunder, as from time to time in effect.

                           ERISA Group shall mean, at any time, the Borrower and
all members of a controlled  group of corporations  and all trades or businesses
(whether or not incorporated) under common control and all other entities which,
together with the Borrower,  are treated as a single  employer under Section 414
of the Internal Revenue Code.

                           Euro-Rate  shall  mean  with  respect  to  the  Loans
comprising any Borrowing  Tranche to which the Euro-Rate  Option applies for any
Euro-Rate  Interest Period,  the interest rate per annum determined by the Agent
by dividing (the  resulting  quotient  rounded upward to the nearest 1/100 of 1%
per annum) (i) the rate of interest  determined by the Agent in accordance  with
its usual procedures  (which  determination  shall be conclusive absent manifest
error) to be the  Euro-Rate  offered by Telerate  page 4756 as quoted by Noonan,
Astley & Pearce (or appropriate  successor) at  approximately  11:00 A.M. London
time two (2)  Business  Days prior to the first day of such  Euro-Rate  Interest
Period  for  delivery  on the first  day of such  Euro-Rate  Interest  Period in
amounts comparable to such Borrowing Tranche and having maturities comparable to
such  Euro-Rate  Interest  Period  by (ii) a  number  equal  to 1.00  minus  the
Euro-Rate  Reserve  Percentage.  The  Euro-Rate  may  also be  expressed  by the
following formula:

                                    Telerate page 4756 as Quoted by Noonan,
                Euro-Rate     =     [Astley & Pearce (or appropriate successor)]
                                    1.00 - Euro-Rate Reserve Percentage


                                      -9-


The Euro-Rate shall be adjusted with respect to any Euro-Rate Option outstanding
on the effective  date of any change in the Euro-Rate  Reserve  Percentage as of
such  effective  date. The Agent shall give prompt notice to the Borrower of the
Euro-Rate as determined or adjusted in accordance herewith,  which determination
shall be conclusive absent manifest error.

                           Euro-Rate  Interest  Period  shall  have the  meaning
assigned to that term in Section 4.02 hereof.

                           Euro-Rate  Option  shall  mean  Loans  subject to the
Revolving Credit Euro-Rate Option.

                           Euro-Rate  Reserve  Percentage shall mean the maximum
percentage (expressed as a decimal rounded upward to the nearest 1/100 of 1%) as
determined by the Agent (which determination shall be conclusive absent manifest
error) which is in effect during any relevant period, as prescribed by the Board
of Governors of the Federal  Reserve System (or any  successor) for  determining
the reserve requirements (including, without limitation,  supplemental, marginal
and  emergency  reserve  requirements)  with  respect  to  eurocurrency  funding
(currently  referred to as "Eurocurrency  Liabilities") of a member bank in such
System.

                           Event of  Default  shall  mean any of the  Events  of
Default described in Section 9.01 of this Agreement.

                           Excluded  Entities  shall  mean (i) any  partnership,
corporation or limited  liability  company which is not a Subsidiary of any Loan
Party and with  respect to which a Loan Party has made a  Restricted  Investment
permitted by Section  8.02(d)(iv),  and (ii) any Unrestricted  Subsidiary of the
Borrower which the Borrower has  designated as one of the Excluded  Entities and
with respect to which a Loan Party has made a Restricted Investment permitted by
Section  8.02(d)(iv),  and Excluded  Entity shall mean  separately  any Excluded
Entity.

                           Existing  Letters of Credit  shall  have the  meaning
given to such term in Section 2.09.

                           Expiration  Date  shall  mean,  with  respect  to the
Revolving Credit Commitment, April 30, 1999.

                           Federal Funds  Effective  Rate for any day shall mean
the rate per annum  (based on a year of 360 days and  actual  days  elapsed  and
rounded upward to the nearest 1/100 of 1%) announced by the Federal Reserve Bank
of New York (or any successor) on such day as being the weighted  average of the
rates on overnight Federal funds transactions  arranged by Federal funds brokers
on the previous  trading day, as computed and announced by such Federal  Reserve
Bank (or any successor) in substantially the same manner as such Federal Reserve
Bank computes and  announces  the weighted  average it refers to as the "Federal
Funds  Effective  Rate"  as of the  date of this  Agreement;  provided,  if such
Federal  Reserve Bank (or its successor) does not announce such rate on any day,
the  "Federal  Funds  Effective  Rate" for such day shall be the  Federal  Funds
Effective Rate for the last day of which such rate was announced.


                                      -10-


                           First  Trust   Indenture   shall  mean  that  certain
Indenture  of Trust dated as of October 1, 1993,  between  Cabell  County,  West
Virginia and First Trust National Association, as Trustee.

                           Fourth  Amendment  shall mean that certain  Amendment
No. 4 to  Credit  Agreement,  Waiver  and  Consent  dated  July 18,  1995  among
Borrower, the Banks and Agent, together with the schedules and exhibits thereto.

                           Fourth  Amendment  Documents  shall  mean the  Fourth
Amendment and the documents executed or delivered in connection therewith.

                           Fourth  Amendment  Effective Date shall mean July 18,
1995, the effective date of the Fourth Amendment.

                           Fourth  Amendment  Fee shall mean the  non-refundable
fee paid to each Bank on the Fourth  Amendment  Effective Date in the amount set
forth on Schedule 1.01(R)(2)  referenced in and attached to the Fourth Amendment
as set forth in the column titled "Fourth Amendment Fee."

                           GAAP  shall  mean   generally   accepted   accounting
principles  as are in effect on the Closing Date,  subject to the  provisions of
Section 1.03 hereof,  and applied on a consistent  basis  (except for changes in
application in which the Borrower's  independent  certified  public  accountants
concur) both as to classification of items and amounts.

                           Guaranty of any person shall mean any  obligation  of
such person  guaranteeing or in effect  guaranteeing any liability or obligation
of any other person in any manner,  whether  directly or indirectly,  including,
without limiting the generality of the foregoing,  any agreement to indemnify or
hold  harmless  any  other  person,  any  performance  bond or other  suretyship
arrangement and any other form of assurance against loss, except  endorsement of
negotiable or other instruments for deposit or collection in the ordinary course
of business.

                           Guaranty   Agreements  shall  mean  collectively  the
Guaranty and Suretyship Agreements, in substantially the form attached hereto as
Exhibit  1.01(G)  executed and delivered by the  Subsidiaries of Borrower except
for Pinnacle Rehab of Gwinnette and Pinnacle's Kansas Joint Venture to the Agent
for the benefit of the Banks and Guaranty  Agreement  shall mean  separately any
Guaranty Agreement.

                           Historical Statements shall have the meaning given to
such term in Section 6.01(i)(ii)(C).

                           Indebtedness shall mean as to any person at any time,
any and  all  indebtedness,  obligations  or  liabilities  (whether  matured  or
unmatured,   liquidated  or  unliquidated,   direct  or  indirect,  absolute  or
contingent,  or joint or  several)  of such  person  for or in  respect  of: (i)
borrowed money,  including,  without  limitation the  Subordinated  Notes,  (ii)
amounts  raised  under  or  liabilities  in  respect  of any  note  purchase  or
acceptance credit facility,


                                      -11-


(iii)  reimbursement  obligations  under any  letter of  credit,  currency  swap
agreement,  interest rate swap, cap, collar or floor agreement or other interest
rate  protection  agreement,  (iv)  any  other  transaction  (including  without
limitation  forward sale or purchase  agreements,  capitalized  (not  operating)
leases  required  under GAAP to be  disclosed as a liability on the Loan Party's
balance sheet and conditional sales agreements)  having the commercial effect of
a borrowing of money  entered into by such person to finance its  operations  or
capital  requirements  (but not including the deferred portion of any Restricted
Investment  in an Excluded  Entity if such  amount is to be paid from  available
cash flow from  operations  of the  Borrower and its  Subsidiaries  and also not
including trade payables and accrued expenses incurred in the ordinary course of
business  which are not  represented by a promissory  note,  instrument or other
evidence of  indebtedness  and which are not more than ninety (90) days past due
(unless  such  past due  indebtedness  is being  disputed  in good  faith and an
appropriate  reserve has been established  with respect to such  indebtedness in
accordance  with  GAAP)),  provided  that,  for purposes of this clause (iv) the
phrase "other  evidence of  indebtedness"  shall not include any ordinary course
evidence of trade  accounts  payable of the Borrower or any  Subsidiary  such as
purchase orders or invoices,  or (v) any Guaranty of  Indebtedness  for borrowed
money.

                           Indenture  shall mean that  certain  Indenture  dated
April 4, 1996, between the Borrower and State Street Bank and Trust Company,  as
trustee,  in  respect of the  Subordinated  Notes,  as the same may be  amended,
modified,  supplemented  or restated from time to time in  accordance  with this
Agreement.

                           Intercreditor  Agreements shall mean collectively the
Intercreditor  Agreement - Leased Facility, the Intercreditor  Agreement - Owned
Facility and the intercreditor  agreements  entered into as required pursuant to
Section  8.02(d)(iv),  and  Intercreditor  Agreement  shall mean  separately any
Intercreditor Agreement.

                           Intercreditor  Agreement - Leased Facility shall mean
collectively  (i) the  Intercreditor  Agreements  executed by certain of the CLF
Lenders,  certain  CLF  Lessors  and  the  Agent;  and  (ii)  the  Intercreditor
Agreements to be executed by certain of the RLF Lenders, certain RLF Lessors and
the Agent,  each in form and  substance  satisfactory  to the  Agent.  If MHF is
required to obtain an Intercreditor  Agreement from a lender to a Regency Leased
Facility,  whether  upon a  refinancing  or  otherwise,  MHF  shall use its best
efforts to obtain an agreement in the form of Exhibit  1.01(I)(1)(A) hereto, but
in no event shall it obtain an  agreement  less  favorable to the Agent than the
form attached as Exhibit  1.01(I)(1)(B) hereto. Except as described on Schedules
6.01(aa) and  6.01(bb),  each  Intercreditor  Agreement  shall  provide that the
lender  (i)  grants  to the Agent a  Convalescent  Facility  Purchase  Option or
Regency Facility  Purchase Option,  as the case may be, and (ii) consents to the
grant by  Convalescent  or Regency,  as the case may be, to the Agent of (a) the
Leasehold  Mortgage  relating to the Convalescent  Leased Facility which secures
such CLF Lessor Indebtedness;  (b) Liens on the assets of Convalescent  relating
to such Convalescent Leased Facility;  such Liens shall be second in priority to
the  Liens  granted  by  Convalescent  to such  CLF  Lender  in such  assets  if
Convalescent  has  granted  Liens in such  assets  to such CLF  Lender;  (c) the
Leasehold  Mortgage  relating to the Regency Leased  Facility which secures such
RLF Lessor  Indebtedness;  and (d) Liens on the assets of Regency or MHF, as the
case may be,  relating  to such  Regency


                                      -12-


Leased Facility;  such Liens shall be second in priority to the Liens granted by
Regency or MHF, as the case may be, to such RLF Lender in such assets if Regency
or MHF, as the case may be, has granted Liens in such assets to such RLF Lender.

                           Intercreditor  Agreement - Owned  Facility shall mean
collectively  (i) the  Intercreditor  Agreements  executed by certain of the COF
Lenders and the Agent; and (ii) the  Intercreditor  Agreements to be executed by
certain  of  the  ROF  Lenders  and  the  Agent,  each  in  form  and  substance
satisfactory  to the  Agent.  If MHF is  required  to  obtain  an  Intercreditor
Agreement from a lender to a Regency Owned Facility,  whether upon a refinancing
or otherwise,  MHF shall use its best efforts to obtain an agreement in the form
of Exhibit  1.01(I)(2)(A)  hereto,  but in no event shall it obtain an agreement
less  favorable  to the Agent than the form  attached  as Exhibit  1.01(I)(2)(B)
hereto.   Except  as  described  on  Schedules   6.01(aa)  and  6.01(bb),   each
Intercreditor  Agreement shall provide that the lender (i) grants to the Agent a
Convalescent  Facility  Purchase Option or Regency Facility  Purchase Option, as
the case may be, and (ii)  consents to the  execution and delivery of a Mortgage
in favor of the Agent for the  benefit  of the Banks on the  Convalescent  Owned
Facility which secures the COF Owner  Indebtedness owed to such COF Lender or on
the Regency Owned Facility which secures the Regency Owner  Indebtedness owed to
such Regency Lender, as the case may be.

                           Interest  Payment Date shall mean each date specified
for the payment of interest in Section 5.03.

                           Interest Rate Option shall mean the Revolving  Credit
Euro-Rate Option or Revolving Credit Base Rate Option.

                           Internal Revenue Code shall mean the Internal Revenue
Code of 1986, as the same may be amended or supplemented  from time to time, and
any  successor  statute  of  similar  import,  and  the  rules  and  regulations
thereunder, as from time to time in effect.

                           Labor  Contracts  shall have the meaning  assigned to
that term in Section 6.01(u).

                           Law  shall  mean  any  law  (including  common  law),
constitution,  statute, treaty, regulation,  rule, ordinance,  opinion, release,
ruling, order, injunction, writ, decree or award of any Official Body.

                           Leasehold  Mortgages  shall  mean  collectively,  the
Leasehold Mortgages,  each substantially in the form of Exhibit 1.01(L), granted
by  Convalescent in favor of the Agent for the benefit of the Banks with respect
to each of the Convalescent  Leased Facilities or granted by MHF in favor of the
Agent for the benefit of the Banks with respect to certain of the Regency Leased
Facilities.

                           Letter of Credit  shall have the meaning  assigned to
that term in Section 2.09.


                                      -13-


                           Letter of Credit Fee shall have the meaning  assigned
to that term in Section 2.09.

                           Lien shall mean any mortgage,  deed of trust, pledge,
lien, security interest,  charge or other encumbrance or security arrangement of
any nature whatsoever, whether voluntarily or involuntarily given, including but
not limited to any  conditional  sale or title  retention  arrangement,  and any
assignment,  deposit arrangement or capitalized lease intended as, or having the
effect of, security and any filed financing  statement or other notice of any of
the foregoing  (whether or not a lien or other  encumbrance is created or exists
at the time of the filing).

                           Loan Documents shall mean this Agreement,  the Notes,
the Guaranty  Agreements,  the Pledge Agreements,  the Mortgages,  the Leasehold
Mortgages,   the   Intercreditor   Agreements,   the  Trustee   Agreement,   the
Subordination  Agreement  (Intercompany),  the letter  from PNC Bank to Borrower
dated June 30, 1994 and  Amendment  Nos. 2 and 3 dated as of September  28, 1994
and September 30, 1994, respectively,  the Fourth Amendment Documents, Amendment
No. 5 dated November 3, 1995, Amendment No. 6 dated December 29, 1995, Amendment
No. 7 dated February 15, 1996,  Amendment No. 8 dated March 28, 1996,  Amendment
No. 9 dated April 30, 1996,  Amendment  No. 10 dated  __________,  and any other
instruments, certificates or documents delivered or contemplated to be delivered
hereunder or thereunder or in connection herewith or therewith,  as the same may
have  previously  been or in the future be  supplemented or amended from time to
time in accordance  herewith or therewith,  and Loan Document  shall mean any of
the Loan Documents.

                           Loan   Parties   shall  mean  the  Borrower  and  its
Subsidiaries,  other  than  those  Subsidiaries  which  are  permitted  Excluded
Entities.

                           Loan  Request  shall  mean a  request  for  Revolving
Credit Loans made in accordance with Section 2.05 hereof or a request to select,
convert to or renew a Euro-Rate Option in accordance with Section 4.02 hereof.

                           Loans  shall  mean  collectively  and Loan shall mean
separately all Revolving Credit Loans or any Revolving Credit Loan.

                           Mariner Historical  Statements shall have the meaning
given to such term in Section 6.01(i)(i)(A).

                           Mariner  Maryland  shall mean Mariner  Health Care of
Baltimore,  Inc., a  corporation  organized  and existing  under the laws of the
Commonwealth of Massachusetts.

                           Mariner-NBT/NBG Guaranty shall have the meaning given
to such term in Section 8.01(o).

                           Material   Adverse  Change  shall  mean  any  set  of
circumstances  or events which (a) has or could  reasonably  be expected to have
any material adverse effect  whatsoever upon the validity or  enforceability  of
this  Agreement  or any  other  Loan  Document,  (b) is or


                                      -14-


could  reasonably  be  expected  to be  material  and  adverse to the  business,
properties,  assets, financial condition,  results of operations or prospects of
the Borrower and its Subsidiaries  taken as a whole,  (c) impairs  materially or
could reasonably be expected to impair materially the ability of the Borrower or
any of its Subsidiaries to duly and punctually pay or perform its  Indebtedness,
or (d) impairs  materially or could reasonably be expected to impair  materially
the  ability  of the Agent or any of the  Banks,  to the  extent  permitted,  to
enforce  their  legal  remedies  pursuant  to this  Agreement  or any other Loan
Document.

                           Material  Subsidiary  shall mean any  Subsidiary  the
revenue or net income of which  represented  more than five  percent (5%) of the
Borrower's consolidated revenues or consolidated net income during the preceding
four (4) fiscal quarters.

                           MedRehab   Merger   shall  mean  the  merger  of  MRI
Acquisition Corp., a Delaware  corporation and a wholly-owned  Subsidiary of the
Borrower  with and into  MedRehab,  Inc., a Delaware  corporation  and the other
transactions  referred to in the MedRehab Merger Documents.  The MedRehab Merger
occurred on March 1, 1996.

                           MedRehab  Merger  Agreement  shall mean that  certain
Agreement  and Plan of Merger  dated as of  February  9, 1996,  by and among the
Borrower,  MRI Acquisition Corp., a Delaware  corporation and MedRehab,  Inc., a
Delaware corporation.

                           MedRehab  Merger  Documents  shall mean the  MedRehab
Merger Agreement and all other documents executed in connection with or relating
to the MedRehab Merger.

                           Member  Interests shall have the meaning  assigned to
that term in Section 6.01(c).

                           MHF shall mean  Mariner  Health of Florida,  Inc.,  a
Delaware corporation and a wholly-owned subsidiary of the Borrower.

                           month,  with respect to a Euro-Rate  Interest Period,
shall  mean  the  interval  between  the  days in  consecutive  calendar  months
numerically  corresponding  to the first day of such Euro-Rate  Interest Period.
The  last  day of a  calendar  month  shall  be  deemed  to be such  numerically
corresponding  day for such calendar  month (i) if there is no such  numerically
corresponding  day in such  calendar  month,  or (ii) if the  first  day of such
Euro-Rate Interest Period is the last Business Day of a calendar month.

                           Mortgages  shall mean  collectively  the second  Lien
Mortgages, each substantially in the form of Exhibit 1.01(M): (i) granted by the
COF  Owner in favor of the  Agent  for the  benefit  of the Banks on each of the
Convalescent  Owned  Facilities  which is  encumbered by Liens in favor of a COF
Lender;  or (ii)  granted by the ROF Owner in favor of the Agent for the benefit
of the Banks on each of the Regency  Owned  Facilities  which is  encumbered  by
Liens in favor of a ROF Lender.


                                      -15-


                           Multiemployer  Plan shall mean any  employee  benefit
plan which is a "multiemployer plan" within the meaning of Section 4001(a)(3) of
ERISA and to which the  Borrower or any member of the ERISA Group is then making
or accruing an obligation to make  contributions  or, within the preceding  five
Plan years, has made or had an obligation to make such contributions.

                           Multiple  Employer  Plan  shall mean a Plan which has
two or more contributing  sponsors  (including the Borrower or any member of the
ERISA Group) at least two of whom are not under common  control,  as such a plan
is described in Sections 4063 and 4064 of ERISA.

                           NBG shall mean NationsBank of Georgia, N.A.

                           NBT shall mean NationsBank of Tennessee, N.A.

                           Ninth  Amendment  Effective Date shall mean April 30,
1996,  which  shall  be the  effective  date  of the  Amendment  No.  9 to  this
Agreement.

                           Non-Disturbance  Agreements  shall mean  collectively
(i) the  non-disturbance  agreements  executed  by each  CLF  Lender  listed  on
Schedule 6.01(aa) and  Convalescent,  each providing in part that the CLF Lender
shall  recognize  Convalescent's  right as the  lessee  under  its  lease of its
Convalescent Leased Facility should the CLF Lender foreclose upon such facility,
and  (ii)  the   non-disturbance   agreements  or  other  agreement   containing
nondisturbance  provisions  executed  by each  RLF  Lender  listed  on  Schedule
6.01(bb) and MHF,  each  providing  in part that the RLF Lender shall  recognize
Regency's  right as the lessee  under its lease of its Regency  Leased  Facility
should  the RLF  Lender  foreclose  upon  such  facility,  such  non-disturbance
agreements or provisions to be reasonably  satisfactory to the Agent in form and
substance.

                           Notes shall mean  collectively  the Revolving  Credit
Notes.

                           Official  Body  shall  mean  any  national,  federal,
state, local or other government or political subdivision thereof or any agency,
authority,  bureau, central bank,  commission,  department or instrumentality of
any government or political subdivision thereof, or any court,  tribunal,  grand
jury or arbitrator, in each case whether foreign or domestic.

                           Partnership  Interest shall have the meaning given to
such term in Section 6.01(c).

                           Partnership  Subsidiaries  shall mean each Subsidiary
of Borrower which is a general or limited partnership.

                           PBGC  shall  mean  the   Pension   Benefit   Guaranty
Corporation  established  pursuant  to  Subtitle  A of  Title IV of ERISA or any
successor.


                                      -16-


                           Permitted   Acquisition   shall   mean  any   merger,
consolidation  or acquisition  after the Closing Date described in and permitted
under clauses (iii) or (iv) of Section 8.02(f).

                           Permitted  Convalescent  Leased  Facility Liens shall
mean Liens on certain  of the  Permitted  General  Intangibles  of  Convalescent
relating to certain of the  Convalescent  Leased  Facilities  more  particularly
described on Schedule  6.01(aa).  Each such Lien is granted by  Convalescent  in
favor of a CLF Lender and secures CLF Lessor Indebtedness  described on Schedule
6.01(aa).  Such  Liens are  permitted  hereunder  on and after the  Convalescent
Merger Effective Date, subject to the following limitations:

                                (i) Each of such Liens must be  terminated on or
before the earlier of: (i) the  maturity  of the CLF Lessor  Indebtedness  which
such Lien secures (without giving effect to any extension of such maturity after
the Fourth  Amendment  Effective Date) or (ii) any  refinancing,  replacement or
substitution of the CLF Lessor Indebtedness which such Lien secures;

                                (ii)  Convalescent  shall have  granted to Agent
perfected  security interests in each of the assets encumbered by such Liens and
Agent's  security  interests  shall have  priority  over all other Liens on such
assets  except that they shall be  subordinate  to the Liens in favor of the CLF
Lender,  unless the CLF Lender is listed on  Schedule  6.01(aa)  hereto and such
Schedule states that such Lender has refused to consent to the grant to Agent of
such second Liens;

                                (iii) The amount of CLF Indebtedness  secured by
such Liens may not be increased  after the Fourth  Amendment  Effective Date and
any  reductions  in the  amount of such  Indebtedness  after  such date shall be
permanent; and

                                (iv)  Any  termination  of such  Liens  by a CLF
Lender in an asset after the Fourth Amendment  Effective Date shall be permanent
and Convalescent may not thereafter grant a new Lien on such asset.

                           Permitted  Convalescent  Owned  Facility  Liens shall
mean Liens on real and personal  property of  Convalescent  or its  Subsidiaries
relating  to certain of the  Convalescent  Owned  Facilities  more  particularly
described  on  Schedule  6.01(aa).  Such  Liens are  granted in favor of the COF
Lender and secure COF Owner Indebtedness as described on Schedule 6.01(aa). Such
Liens are permitted hereunder, subject to the following limitations:

                                (i) Each of such Liens must be  terminated on or
before the earlier of: (i) the maturity of the COF Owner Indebtedness which such
Lien secures  (without giving effect to any extension of such maturity after the
Fourth  Amendment  Effective  Date)  or (ii)  any  refinancing,  replacement  or
substitution of the COF Owner Indebtedness which such Lien secures; and

                                (ii) The COF Owner  shall have  granted to Agent
second  priority  mortgage  liens and  security  interests in each of the assets
which is encumbered by such Liens; and


                                      -17-


                                (iii)  The  amount  of  COF  Owner  Indebtedness
secured by such Liens may not be increased after the Fourth Amendment  Effective
Date and any reductions in the amount of such Indebtedness after such date shall
be permanent; and

                                (iv) Any  termination  of a Lien by a COF Lender
in an asset after the Fourth  Amendment  Effective  Date shall be permanent  and
Convalescent  or its  Subsidiaries  may not thereafter  grant a new Lien on such
asset.

                           Permitted  General  Intangibles  shall mean licenses,
permits, certificates or Medicare/Medicaid reimbursement contracts.

                           Permitted Investments shall mean:

                                (i) direct  obligations  of the United States of
America or any agency or  instrumentality  thereof or obligations  backed by the
full faith and credit of the United States of America  maturing in twelve months
or less from the date of acquisition;

                                (ii)  commercial  paper  maturing in 180 days or
less rated not lower than A-1 by Standard & Poor's Corporation or P-1 by Moody's
Investors Service on the date of acquisition;

                                (iii)   demand   deposits,   time   deposits  or
certificates  of deposit  maturing  within one year in  commercial  banks  whose
obligations  are rated A-1, A or the  equivalent  or better by Standard & Poor's
Corporation or Moody's Investors Service on the date of acquisition;

                                (iv)   publicly   traded  debt   securities   or
preferred  stocks  rated  at  least A or  better  by  either  Standard  & Poor's
Corporation or by Moody's  Investors Service which in the aggregate do not have,
at any time, a cost basis under GAAP in excess of $1,000,000;

                                (v) common stocks,  or mutual funds which invest
in common stocks provided that (A) such stocks are of corporations organized and
existing  under the laws of the United  States of  America,  (B) such stocks are
traded  publicly  on a national  securities  exchange  or the "over the  counter
market", (C) the Borrower or its Subsidiaries do not have a cost basis in excess
of  $15,000,000  in the  aggregate  in such  stocks  and mutual  funds,  (D) the
Borrower or its  Subsidiaries  invest in such stocks or mutual funds using funds
obtained  from sources  other than,  directly or  indirectly,  proceeds of Loans
hereunder  and (E) the cost basis of the  Borrower or its  Subsidiaries  in such
stocks and mutual funds does not exceed at any time the amount of cash  invested
in investments described in clauses (i) through (iv) and (vi) of this definition
of Permitted Investments; and

                                (vi)  investments in money market funds rated AA
or AAm-G or higher by Standard & Poor's Corporation (or equivalent rating) whose
net asset value remains a constant $1.00 per share.


                                      -18-


                           Permitted Liens shall mean:

                                (i) Liens for  taxes,  assessments,  or  similar
charges,  incurred in the ordinary  course of business and which are not yet due
and payable;

                                (ii)  Pledges or deposits  made in the  ordinary
course of business to secure payment of workers' compensation, or to participate
in any fund in connection with workers'  compensation,  unemployment  insurance,
old-age pensions or other social security programs;

                                (iii)   Liens   of    mechanics,    materialmen,
warehousemen,  carriers,  or other like Liens,  securing obligations incurred in
the  ordinary  course of business  that are not yet due and payable and Liens of
landlords  securing  obligations  to pay lease payments that are not yet due and
payable or in default;

                                (iv) Good faith  pledges or deposits made in the
ordinary course of business to secure performance of bids, tenders,  progress or
advance payments,  contracts (other than for the repayment of borrowed money) or
leases,  not in excess of the  aggregate  amount  due  thereunder,  or to secure
statutory  obligations,  or  surety,  appeal,  indemnity,  performance  or other
similar bonds required in the ordinary course of business;

                                (v)    Encumbrances    consisting    of   zoning
restrictions,  easements,  reservations,  rights of way or other restrictions on
the use of real  property,  none of  which  materially  impairs  the use of such
property as currently used or the value  thereof,  and none of which is violated
in any material respect by existing or proposed structures or land use;

                                (vi) Liens,  security interests and mortgages in
favor of the Agent for the benefit of the Banks;

                                (vii) Liens in respect of capital  leases as and
to the extent  permitted  in Section  8.02(p) and Liens in respect of  operating
leases;

                                (viii)  Any  Lien  existing  on the date of this
Agreement  and  described  on  Schedule  1.01(P)  hereto  (excluding   Permitted
Convalescent Leased Facility Liens, Permitted Convalescent Owned Facility Liens,
Permitted  Regency Leased  Facility  Liens and Permitted  Regency Owned Facility
Liens, which are addressed in clauses (xi), (xii), (xiii) and (xiv) below and in
the  definitions  of such terms)  provided  that the  principal  amount  secured
thereby is not hereafter  increased and no additional  assets become  subject to
such Lien (other than through  after-acquired  property clauses in effect on the
date hereof);

                                (ix) Purchase Money Security  Interests or other
liens, provided that the aggregate amount of loans and deferred payments secured
by such  Purchase  Money  Security  Interests  or other  liens  shall not exceed
$500,000  (excluding for the purpose of this  computation  any loans or deferred
payments secured by Liens described on Schedule 1.01(P) hereto);


                                      -19-


                                (x) The following, (A) if the validity or amount
thereof is being contested in good faith by appropriate  and lawful  proceedings
diligently  conducted so long as levy and execution thereon have been stayed and
continue to be stayed or (B) if a final judgment is entered and such judgment is
discharged  within  thirty  (30) days of entry,  and in either  case they do not
materially  affect the Collateral or, in the  aggregate,  materially  impair the
ability of any Loan  Party to perform  its  obligations  hereunder  or under the
other Loan Documents:

                                          (1)   Claims  or  Liens   for   taxes,
                  assessments or charges due and payable and subject to interest
                  or  penalty,  provided  that such Loan  Party  maintains  such
                  reserves or other appropriate  provisions as shall be required
                  by GAAP  and  pays  all such  taxes,  assessments  or  charges
                  forthwith  upon the  commencement  of proceedings to foreclose
                  any such Lien;

                                          (2)  Claims,   Liens  or  encumbrances
                  upon, and defects of title to, real or personal property other
                  than a  material  portion  of the  Collateral,  including  any
                  attachment of personal or real property or other legal process
                  prior to adjudication of a dispute on the merits; or

                                          (3)  Claims  or  Liens  of  mechanics,
                  materialmen,   warehousemen,   carriers,  or  other  statutory
                  nonconsensual Liens;

                              (xi) Permitted Convalescent Leased Facility Liens;

                              (xii) Permitted Convalescent Owned Facility Liens;

                              (xiii) Permitted Regency Leased Facility Liens;

                              (xiv) Permitted Regency Owned Facility Liens; and

                                (xv) With respect to an Unrestricted  Subsidiary
which is an  Excluded  Entity,  Liens  securing  Indebtedness  incurred  by such
Unrestricted Subsidiary,  provided that the sole assets subject to such Lien are
assets of such Unrestricted Subsidiary or assets of a person other than any Loan
Party or other Unrestricted Subsidiary.

                           Permitted  Regency  Leased  Facility Liens shall mean
Liens on certain of the Permitted General Intangibles of Regency or MHF relating
to certain of the Regency  Leased  Facilities  more  particularly  described  on
Schedule 6.01(bb). Each such Lien is granted by Regency in favor of a RLF Lender
and secures RLF Lessor Indebtedness  described on Schedule 6.01(bb).  Such Liens
are permitted  hereunder on and after the Regency Merger Effective Date, subject
to the following limitations:

                                (i) Each of such Liens must be  terminated on or
before the earlier of: (i) the  maturity  of the RLF Lessor  Indebtedness  which
such Lien secures (without giving effect to any extension of such maturity after
the Ninth  Amendment  Effective  Date) or (ii) any  refinancing,  replacement or
substitution of the RLF Lessor Indebtedness which such Lien secures;


                                      -20-


                                (ii)   Regency   shall  have  granted  to  Agent
perfected  security interests in each of the assets encumbered by such Liens and
Agent's  security  interests  shall have  priority  over all other Liens on such
assets  except that they shall be  subordinate  to the Liens in favor of the RLF
Lender,  unless the RLF Lender is listed on  Schedule  6.01(bb)  hereto and such
Schedule states that such Lender has refused to consent to the grant to Agent of
such second Liens;

                                (iii) The amount of RLF Indebtedness  secured by
such Liens may not be increased after the Ninth Amendment Effective Date and any
reductions  in the  amount  of  such  Indebtedness  after  such  date  shall  be
permanent; and

                                (iv)  Any  termination  of such  Liens  by a RLF
Lender in an asset after the Ninth  Amendment  Effective Date shall be permanent
and Regency may not thereafter grant a new Lien on such asset.

                           Permitted  Regency  Owned  Facility  Liens shall mean
Liens on real and  personal  property  of Regency  or MHF or their  Subsidiaries
relating to certain of the Regency Owned Facilities more particularly  described
on  Schedule  6.01(bb).  Such  Liens are  granted in favor of the ROF Lender and
secure ROF Owner Indebtedness as described on Schedule 6.01(bb).  Such Liens are
permitted hereunder, subject to the following limitations:

                                (i) Each of such Liens must be  terminated on or
before the earlier of: (i) the maturity of the ROF Owner Indebtedness which such
Lien secures  (without giving effect to any extension of such maturity after the
Ninth  Amendment  Effective  Date)  or  (ii)  any  refinancing,  replacement  or
substitution of the ROF Owner Indebtedness which such Lien secures; and

                                (ii) The ROF Owner  shall have  granted to Agent
second  priority  mortgage  liens and  security  interests in each of the assets
which is encumbered by such Liens; and

                                (iii)  The  amount  of  ROF  Owner  Indebtedness
secured by such Liens may not be increased after the Ninth  Amendment  Effective
Date and any reductions in the amount of such Indebtedness after such date shall
be permanent; and

                                (iv) Any  termination  of a Lien by a ROF Lender
in an asset after the Ninth  Amendment  Effective  Date shall be  permanent  and
Regency or its Subsidiaries may not thereafter grant a new Lien on such asset.

                           Person  shall  mean  any   individual,   corporation,
partnership,    association,    joint-stock   company,   trust,   unincorporated
organization,  joint  venture,  government  or political  subdivision  or agency
thereof, or any other entity.

                           Pinnacle  shall mean  Pinnacle  Care  Corporation,  a
corporation organized and existing under the laws of the State of Delaware.


                                      -21-


                           Pinnacle Rehab of Gwinnette shall mean Pinnacle Rehab
of Gwinnette,  a general  partnership  formed and existing under the laws of the
State of Georgia,  with  Pinnacle  Rehabilitation  of Georgia,  Inc.,  a Georgia
corporation, Maurice Jove and Howard Krone as its general partners.

                           Pinnacle's Kansas Joint Venture shall mean Pinnacle's
Kansas Joint Venture,  a general  partnership formed and existing under the laws
of the State of Kansas,  with  Pinnacle  Rehabilitation  of  Missouri,  Inc.,  a
Missouri corporation and Jusker Corporation, a Kansas corporation as its general
partners.

                           Plan  shall  mean  at any  time an  employee  pension
benefit plan (including a Multiple  Employer Plan but not a Multiemployer  Plan)
which is  covered  by Title IV of ERISA or is  subject  to the  minimum  funding
standards  under  Section  412 of the  Internal  Revenue  Code and either (i) is
maintained  by any member of the ERISA Group for  employees of any member of the
ERISA  Group  or (ii) has at any time  within  the  preceding  five  years  been
maintained  by any entity which was at such time a member of the ERISA Group for
employees of any entity which was at such time a member of the ERISA Group.

                           Pledge  Agreements shall mean collectively the Pledge
Agreements in substantially the form attached hereto as: (i) Exhibit  1.01(P)(1)
executed  and  delivered  by the  Borrower  to the Agent for the  benefit of the
Banks;  (ii) Exhibit  1.01(P)(2)  executed and delivered by any Subsidiary which
owns any equity ownership interest in another Corporate  Subsidiary to the Agent
for  the  benefit  of  the  Banks;  (iii)  Exhibit  1.01(P)(3)  executed  by any
Subsidiary  which owns any interest in a  Partnership  Subsidiary;  and (iv) any
other agreement  pledging equity  interests of a Subsidiary to the Agent for the
benefit of the Banks,  in form and substance  satisfactory  to the Agent, as any
such Pledge Agreement may hereinafter be modified, amended, restated or replaced
from time to time in form and substance  satisfactory  to the Agent,  and Pledge
Agreement shall mean separately any Pledge Agreement.

                           Pledged Collateral shall have the meaning assigned to
that term in the respective Pledge Agreements.

                           PNC Bank shall mean PNC Bank, National Association, a
national banking association, its successors and assigns.

                           Potential  Default  shall mean any event or condition
which  with  notice,  passage  of time or a  determination  by the  Agent or the
Required Banks, or any combination of the foregoing,  would  constitute an Event
of Default.

                           Principal  Office shall mean the main banking  office
of the Agent, Fifth Avenue and Wood Street, Pittsburgh, Pennsylvania 15265.

                           Prior Credit Agreement shall mean that certain Credit
Agreement dated as of October 6, 1993 among  Borrower,  certain of the Banks and
PNC Bank, as Agent.

                           Prior  Security  Interest  shall  mean  a  valid  and
enforceable  perfected  first  priority  security  interest  under  the  Uniform
Commercial Code in the UCC Collateral which is subject only to Permitted Liens.


                                      -22-


                           Prohibited  Transaction  shall  mean  any  prohibited
transaction  as defined in Section 4975 of the Internal  Revenue Code or Section
406 of ERISA for which  neither an  individual  nor a class  exemption  has been
issued by the United States Department of Labor.

                           Property shall mean all real property, both owned and
leased, of the Loan Parties.

                           Purchase  Money  Security  Interest  shall mean Liens
upon  tangible  personal  property  securing  loans to a Loan Party or  deferred
payments by a Loan Party for the purchase of such tangible personal property.

                           Purchase  Price  shall  mean,  with  respect  to  any
Permitted  Acquisition by the Loan Parties, the sum of (i) cash paid at closing,
(ii) the  amount  of any  deferred  payments,  which are not  contingent  on the
financial performance of the business being acquired, (iii) the projected amount
of any deferred  payments which are  contingent on the financial  performance of
the business being acquired following the acquisition, provided that it shall be
assumed for purposes of such  projection  that the cash flow and other financial
performance  of the acquired  business in each year after the  acquisition  date
shall be the same as the  financial  performance  of such  business  during  the
twelve (12) months  preceding such date,  (iv) the amount of any debt assumed or
guaranteed  by any Loan Party,  (v) if the Loan Parties are  acquiring  stock of
another person (whether by purchase,  merger or otherwise) the amount of debt of
such person outstanding after the acquisition, plus (vi) the value of any stock,
securities or other consideration given by any of the Loan Parties in connection
therewith.  If the  consideration  to be paid  in  connection  with a  Permitted
Acquisition  includes  deferred  payments  which are contingent on the financial
performance  of the acquired  business after the  acquisition,  the Loan Parties
shall compare the amount of deferred  payments  which the Loan Parties  actually
pay (or which become  ascertainable if the Loan Parties can ascertain the amount
of any  deferred  payments  before  paying  them) with the amount which the Loan
Parties  projected  they would pay  pursuant  to clause  (iii) in the  preceding
sentence. The Purchase Price in connection with such acquisition shall be deemed
to  increase  by the  amount of such  excess for  purposes  of  determining  the
aggregate  Purchase Price paid by the Loan Parties in connection  with Permitted
Acquisitions pursuant to Sections 8.02(f)(iii)(v) and 8.02(f)(iv)(x).

                           Purchasing  Bank shall  mean a Bank  which  becomes a
party to this Agreement by executing an Assignment and Assumption Agreement.

                           Ratable Share shall mean the proportion that a Bank's
Revolving Credit Commitment bears to the Revolving Credit  Commitments of all of
the Banks, respectively.

                           Regency shall mean Regency Health Care Centers, Inc.,
a  corporation  organized  and  existing  under the laws of the State of Georgia
which shall merge with and into  Mariner  Health of  Florida,  Inc.,  a Delaware
corporation  and a  wholly-owned  subsidiary of the Borrower  which shall be the
survivor of such merger in accordance with the Regency Merger Documents.

                           Regency   Facilities  shall  mean   collectively  the
Regency Owned Facilities and Regency Leased Facilities.


                                      -23-


                           Regency Facility Purchase Option shall mean an option
provided by a RLF Lender or ROF Lender in an Intercreditor  Agreement giving the
Agent or the Banks the right to  purchase  the RLF  Lessor  Indebtedness  or ROF
Owner  Indebtedness  from such RLF Lender or ROF Lender upon  certain  events of
default relating to such Indebtedness.

                           Regency Leased  Facilities shall mean the health care
facilities leased by Regency, as lessee.  Borrower has listed the Regency Leased
Facilities on Schedule 6.01(bb) under the heading "Regency Leased Facilities."

                           Regency  Merger shall mean the merger of Regency into
Mariner  Health of Florida,  Inc.,  a Delaware  corporation  and a  wholly-owned
subsidiary of the Borrower and the other transactions referred to in the Regency
Merger Documents. The Regency Merger is expected to occur on May 1, 1996.

                           Regency  Merger  Agreement  shall  mean that  certain
Agreement and Plan of Merger dated as of February 27, 1996,  among the Borrower,
Mariner  Health of Florida,  Inc., a Delaware  corporation,  Regency Health Care
Centers, Inc., a Florida corporation,  MedTx Corporation, a Florida corporation,
Dennis J. Ferguson, J. Steven Garthe, Joseph V. Lennartz,  Deborah B. Wilson and
Ronald E. Hayes,  as trustee of The Ronald E. Hayes  Revocable Trust of 1994, or
hereinafter  amended  or  modified  from  time  to  time  as  permitted  by this
Agreement.

                           Regency  Merger  Documents  shall  mean  the  Regency
Merger Agreement and all other documents executed in connection with or relating
to the Regency Merger.

                           Regency   Merger   Effective   Date  shall  mean  the
effective time of the merger of Regency into Mariner Health of Florida, Inc. The
Regency Merger Effective Date is expected to be on May 1, 1996.

                           Regency Owned  Facilities  shall mean the health care
facilities  owned by Regency or its  Subsidiaries.  The Regency Owned Facilities
are listed on Schedule 6.01(bb) under the heading "Regency Owned Facilities."

                           Regulated   Substances   shall  mean  any  substance,
including without limitation any solid,  liquid,  gaseous,  thermal or thoriated
material, refuse, garbage, wastes, chemicals, petroleum products or by-products,
dust,  scrap,   PCB's,  heavy  metals,  any  substances  defined  as  "hazardous
substances,"  "pollutants,"  "pollution,"  "contaminant,"  "hazardous  or  toxic
substances,"  "toxic  wastes,"  "regulated   substances,"   "industrial  waste,"
"residual  waste,"  "solid  wastes,"  "municipal  wastes,"  "infectious  waste,"
"chemotherapeutic waste," "medical waste" or any related materials or substances
as now or hereafter  defined  pursuant to any  Environmental  Laws,  ordinances,
rules  or  directives  of  any  Official  Body,  the  generation,   manufacture,
processing,  distribution,  treatment, storage, disposal, transport,  recycling,
reclamation,  use,  reuse  or  other  management  or  mismanagement  of which is
regulated by the Environmental Laws.

                           Regulation  U shall mean  Regulation  U, T, G or X as
promulgated by the Board of Governors of the Federal Reserve System,  as amended
from time to time.

                           Reimbursement   Agreement  shall  mean  that  certain
Reimbursement  Agreement  dated  as  of  October  1,  1993,  as  amended,  among
Seventeenth  Street  Partnership,  NBT  and NBG  which  provides  in  part  that
Seventeenth  Street  Partnership shall reimburse NBT and NBG in respect of draws
under the Seventeenth Street Letter of Credit.


                                      -24-


                           Reportable  Event means a reportable  event described
in Section 4043 of ERISA and  regulations  thereunder  with respect to a Plan or
Multiemployer Plan.

                           Required  Banks  shall mean (i) if there are no Loans
outstanding,  Banks whose Commitments  aggregate at least 51% of the Commitments
of all of the Banks, or (ii) if there are Loans  outstanding,  Banks whose Loans
outstanding  aggregate at least 51% of the total  principal  amount of the Loans
outstanding hereunder.

                           Restricted  Indebtedness  shall mean with  respect to
the  Excluded   Entities,   Indebtedness   secured  by  any  Liens,  other  than
Indebtedness  not to exceed $250,000 in the aggregate for all Excluded  Entities
secured by Purchase Money Security Interests.

                           Restricted  Investments  shall mean  collectively the
following   with  respect  to  the  Excluded   Entities:   (i)   investments  or
contributions  by any of the Loan Parties  directly or  indirectly  in or to the
capital of or other payments to (except in connection with transactions for fair
value in the ordinary course of business) an Excluded Entity,  (ii) loans by any
of the  Loan  Parties  directly  or  indirectly  to an  Excluded  Entity,  (iii)
guaranties by any of the Loan Parties  directly or indirectly of the obligations
of an Excluded Entity, or (iv) other  obligations,  contingent or otherwise,  of
any of the Loan  Parties to or for the  benefit of an  Excluded  Entity.  If the
nature of a Restricted  Investment is tangible  property then the amount of such
Restricted Investment shall be determined by valuing such property at fair value
in  accordance  with the past  practice of the Loan Parties and such fair values
shall be satisfactory to the Agent, in its sole discretion.

                           Restricted  Subsidiaries  shall mean all Subsidiaries
of the Borrower other than the  Unrestricted  Subsidiaries of the Borrower which
as of the date of determination are Excluded Entities.

                           Revolving  Credit  Base Rate  Option  shall  have the
meaning assigned to that term in Section 4.01(a)(i).

                           Revolving  Credit  Base Rate  Portion  shall mean the
portion of the  Revolving  Credit Loans  bearing  interest at any time under the
Revolving Credit Base Rate Option.

                           Revolving Credit Commitment shall mean as to any Bank
at any time,  the  amount  initially  set forth  opposite  its name on  Schedule
1.01(R)(2)  hereto in the column  labeled  "Amount of  Commitment  for Revolving
Credit  Loans," and  thereafter on Schedule I to the most recent  Assignment and
Assumption Agreement, as such amount shall be reduced from time to time pursuant
to Sections 2.01 and 2.10 hereof,  and Revolving Credit  Commitments  shall mean
the aggregate Revolving Credit Commitments of all of the Banks.

                           Revolving  Credit  Euro-Rate  Option  shall  have the
meaning assigned to that term in Section 4.01(a)(ii).

                           Revolving  Credit  Euro-Rate  Portion  shall mean the
portion of the  Revolving  Credit Loans  bearing  interest at any time under the
Revolving Credit Euro-Rate Option.


                                      -25-


                           Revolving  Credit Loan Request shall have the meaning
set forth in Section 2.05.

                           Revolving  Credit Loans shall mean  collectively  and
Revolving  Credit Loan shall mean  separately all Revolving  Credit Loans or any
Revolving  Credit  Loan made by the  Banks or one of the  Banks to the  Borrower
pursuant to Section 2.01 hereof.

                           Revolving  Credit Notes shall mean  collectively  all
the Revolving Credit Notes of the Borrower in the form of Exhibit 1.01(R) hereto
evidencing the Revolving Credit Loans together with all amendments,  extensions,
renewals,  replacements,  refinancings or refundings thereof in whole or in part
and Revolving Credit Note shall mean separately any Revolving Credit Note.

                           RLF Lender shall have the meaning  given to such term
in Section 6.01(bb).

                           RLF Lessor shall have the meaning  given to such term
in Section 6.01(bb).

                           RLF Lessor  Indebtedness shall have the meaning given
to such term in Section 6.01(bb).

                           ROF Lender shall have the meaning  given to such term
in Section 6.01(bb).

                           ROF Owner shall have the  meaning  given to such term
in Section 6.01(bb).

                           ROF Owner  Indebtedness  shall have the meaning given
to such term in Section 6.01(bb).

                           Solvent  shall mean,  with respect to any person on a
particular  date,  that on such date (i) the fair value of the  property of such
person is  greater  than the total  amount of  liabilities,  including,  without
limitation,  contingent  liabilities,  of such  person,  (ii) the  present  fair
saleable  value of the assets of such  person is not less than the  amount  that
will be required to pay the  probable  liability  of such person on its debts as
they become absolute and matured,  (iii) such person is able to realize upon its
assets and pay its debts and other liabilities, contingent obligations and other
commitments  as they mature in the normal  course of business,  (iv) such person
does  not  intend  to,  and  does  not  believe  that it  will,  incur  debts or
liabilities  beyond such person's  ability to pay as such debts and  liabilities
mature, and (v) such person is not engaged in business or a transaction,  and is
not  about to engage in  business  or a  transaction,  for which  such  person's
property  would   constitute   unreasonably   small  capital  after  giving  due
consideration to the prevailing practice in the industry in which such person is
engaged.  In computing the amount of contingent  liabilities  at any time, it is
intended that such liabilities will be computed at the amount which, in light of
all the facts and  circumstances  existing at such time,  represents  the amount
that can reasonably be expected to become an actual or matured liability.

                           Subordinated  Indebtedness Incurrence Date shall mean
March 28, 1996, the date of issuance by the Borrower of the  Subordinated  Notes
pursuant to and in accordance with the Indenture.


                                      -26-


                           Subordinated  Notes  shall  mean the $150  million in
original  principal amount of Subordinated Notes due 2006 issued by the Borrower
pursuant to the Indenture.  It is acknowledged that prior to the Exchange Offer,
the Subordinated  Notes shall consist of the Series A Securities,  and following
the  Exchange  Offer,  the  Subordinated  Notes  shall  consist  of the Series B
Securities  and any Series A Securities  which are not exchanged in the Exchange
Offer, as such terms are defined in the Indenture.

                           Subordination  Agreement  (Intercompany)  shall  mean
that  certain  Subordination  Agreement  (Intercompany)  in the form of  Exhibit
1.01(S)  hereto  executed and  delivered by each Loan Party to the Agent for the
benefit of the Banks.

                           Subsidiary  of any  person at any time shall mean (i)
any corporation,  limited  liability company or trust of which more than 50% (by
number of shares or number of votes) of the  outstanding  capital stock,  member
interests or shares of  beneficial  interest  normally  entitled to vote for the
election of one or more  directors or trustees  (regardless  of any  contingency
which does or may  suspend  or dilute  the voting  rights) is at such time owned
directly  or  indirectly  by  such  Person  or  one or  more  of  such  Person's
Subsidiaries, or any partnership of which such Person is a general partner or of
which more than 50% of the  general or voting  partnership  interests  is at the
time directly or indirectly owned by such Person or one or more of such Person's
Subsidiaries,  and (ii)  any  corporation,  trust,  limited  liability  company,
partnership  or other entity which is controlled or capable of being  controlled
by such Person or one or more of such Person's Subsidiaries.

                           Total  Indebtedness  shall  mean  as of any  date  of
determination,  without duplication,  the total Indebtedness of the Borrower and
its Subsidiaries.

                           Transferor  Bank shall mean the selling Bank pursuant
to an Assignment and Assumption Agreement.

                           Tri-State shall mean Tri-State  Health Care,  Inc., a
West  Virginia  corporation,  which is a  Subsidiary  of  Pinnacle  and the sole
general partner of Seventeenth Street Partnership.

                           Trustee  Agreement  shall  mean that  certain  Paying
Agency  Agreement  executed  by  Convalescent,  PNC Bank and  certain of the CLF
Lessors listed on Schedule 6.01(aa) in the form of Exhibit 1.01(T) providing for
the payment by  Convalescent to PNC Bank, as trustee for  Convalescent  and such
CLF Lessors,  of monies due to the CLF Lessors under the leases between such CLF
Lessors and Convalescent,  and the subsequent payment of such monies by PNC Bank
to the CLF Lenders.

                           UCC Collateral shall mean the Pledged  Collateral and
that  portion of the  Collateral  under the Mortgage or the  Leasehold  Mortgage
which consists of personal  property in which a security interest may be granted
under the Uniform Commercial Code.

                           Uniform   Commercial  Code  shall  have  the  meaning
assigned to that term in Section 6.01(p).

                           Unrestricted  Subsidiary  of any  person  at any time
shall mean any corporation or limited  liability  company of which more than 50%
but less than 80% (by  number  of shares or number of votes) of the  outstanding
capital stock or member interests  normally


                                      -27-


entitled to vote for the election of one or more  directors  (regardless  of any
contingency  which does or may  suspend or dilute the voting  rights) is at such
time owned directly or indirectly by such Person or one or more of such Person's
Subsidiaries, or any partnership of which such Person is a general partner or of
which  more than 50% but less  than 80% of the  general  or  voting  partnership
interests is at the time directly or  indirectly  owned by such Person or one or
more of such Person's Subsidiaries.

                  1.02  Construction.  Unless  the  context  of  this  Agreement
otherwise clearly requires,  references to the plural include the singular,  the
singular  the  plural  and the part the whole,  "or" has the  inclusive  meaning
represented by the phrase "and/or," and "including" has the meaning  represented
by the phrase "including  without  limitation."  References in this Agreement to
"determination"  of or by the Agent or the Banks shall be deemed to include good
faith  calculations  by the  Agent or the  Banks  (in the  case of  quantitative
determinations) and good faith beliefs by the Agent or the Banks (in the case of
qualitative  determinations).  Whenever  the Agent or the Banks are  granted the
right  herein to act in its or their  sole  discretion  or to grant or  withhold
consent  such  right  shall be  exercised  in good  faith.  The words  "hereof,"
"herein,"  "hereunder"  and  similar  terms  in  this  Agreement  refer  to this
Agreement as a whole and not to any particular provision of this Agreement.  The
section and other headings contained in this Agreement and the Table of Contents
preceding this  Agreement are for reference  purposes only and shall not control
or affect the  construction of this Agreement or the  interpretation  thereof in
any respect.  Section,  subsection,  schedule and exhibit references are to this
Agreement unless otherwise specified.

                  1.03 Accounting  Principles.  Except as otherwise  provided in
this  Agreement,  all  computations  and  determinations  as  to  accounting  or
financial matters and all financial  statements to be delivered pursuant to this
Agreement  shall  be made  and  prepared  in  accordance  with  GAAP  (including
principles of consolidation where appropriate),  and all accounting or financial
terms shall have the meanings  ascribed to such terms by GAAP.  In the event of:
(i) any dissolution or liquidation of any Subsidiary pursuant to Section 8.02(f)
of this Agreement,  (ii) any  consolidation  or merger of any Subsidiary with or
into any person  (other  than the  Borrower or another  Subsidiary)  pursuant to
Section  8.02(f)  of this  Agreement,  or (iii)  the  sale,  transfer,  lease or
disposition  of assets of the Borrower or any Subsidiary  permitted  pursuant to
Section 8.02(g)(v) of this Agreement,  then, in the case of any of the foregoing
clauses (i), (ii) or (iii),  any financial  covenant to be calculated  hereunder
(including,  without limitation,  those set forth in Sections 2.01(c), 4.01, and
8.02(q) through  8.02(u),  inclusive)  shall be calculated for the period during
which such sale,  transfer,  lease or other  disposition  occurs,  excluding all
financial items (for example and without  limitation,  all cash flow,  revenues,
expenses,  and income) attributable to the assets sold,  transferred,  leased or
otherwise disposed of.

                                   ARTICLE II
                            REVOLVING CREDIT FACILITY
                            -------------------------

                  2.01   Revolving Credit Commitments; Limitation on Borrowings.

                           (a)  Revolving  Credit  Commitments.  Subject  to the
terms and conditions hereof and relying upon the  representations and warranties
herein set forth, each Bank


                                      -28-


severally agrees to make revolving  credit loans (the "Revolving  Credit Loans")
to the  Borrower  at any time and from time to time on or after the date  hereof
to, but not including,  the Expiration Date in an aggregate principal amount not
to exceed at any one time such Bank's  Revolving  Credit  Commitment  minus such
Bank's Ratable Share of the aggregate undrawn face amount of outstanding Letters
of Credit issued pursuant to Section 2.09. Within such limits of time and amount
and subject to the other provisions of this Agreement,  the Borrower may borrow,
repay and reborrow  pursuant to this Section 2.01. In no event shall outstanding
Revolving Credit Loans as of any date exceed the Revolving Credit Commitments as
of such  date,  and the entire  outstanding  principal  amount of the  Revolving
Credit Loans shall be due and payable on the Expiration Date.

                           (b) Extension by Banks of the Expiration  Date.  Upon
or promptly after delivery by the Borrower of the annual financial statements to
be provided under Section  8.03(c) for the fiscal year ending  December 31, 1996
or any subsequent fiscal year, the Borrower may request a one-year  extension of
the  Expiration  Date by  written  notice to the Banks,  and the Banks  agree to
respond to the  Borrower's  request for an  extension by the later of sixty (60)
days following receipt of the request or May 31 of such year; provided, however,
that all the Banks must consent to any extension of the Expiration  Date and the
failure of the Banks to respond  within such time period shall not in any manner
constitute an extension of the Expiration Date.

                           (c)  Limitation on  Borrowings.  Notwithstanding  the
provisions of Sections  2.01(a) and 2.01(b) of this  Agreement,  the outstanding
principal  amount of Revolving  Credit Loans to the Borrower shall not exceed at
any time an amount such that after giving effect to such  borrowings,  the ratio
of (i)  Total  Indebtedness  to (ii)  Consolidated  Cash  Flow  from  Operations
exceeds:  (A) 3.75 to 1.0 from and including the  Convalescent  Merger Effective
Date through but not including the  Subordinated  Indebtedness  Incurrence Date;
and (B) 4.5 to 1.0 from and after the Subordinated Indebtedness Incurrence Date.

                                For   purposes   of  such   ratio,   the  amount
determined  under  clause (i) shall be as of the date of  determination  and the
amount determined under clause (ii) shall be for the twelve-month  period ending
on the last day of the month which precedes such date of determination.

                                Notwithstanding    the    provisions   of   this
subsection (c), at no time shall the outstanding principal amount of proceeds of
Revolving  Credit Loans made to the  Borrower  which are used by the Borrower or
any Subsidiary of the Borrower to, directly or indirectly, make an investment in
or loan to Ansonia, exceed Two Million Dollars ($2,000,000). Notwithstanding the
provisions of this subsection (c), at no time shall proceeds of Revolving Credit
Loans be used by the Borrower or any Subsidiary of the Borrower to,  directly or
indirectly,  make an  investment  in or loan to Pinnacle  Rehab of  Gwinnette or
Pinancle's  Kansas  Joint  Venture.   Notwithstanding  the  provisions  of  this
subsection (c), until all required governmental licenses and approvals have been
obtained from governmental  regulatory  authorities for the operation of Regency
Nursing and Rehabilitation  Center located in Olathe,  Kansas, by Regency Health
Properties VI, Ltd., no proceeds of Revolving  Credit Loans shall be


                                      -29-


used  by the  Borrower  or  any  Subsidiary  of the  Borrower  to,  directly  or
indirectly, make an investment in or loan to Regency Health Properties VI, Ltd.

                           2.02  Nature of Banks'  Obligations  with  Respect to
Revolving  Credit  Loans.  Each Bank shall be obligated to  participate  in each
request for Revolving Credit Loans pursuant to Section 2.05 hereof in accordance
with its Ratable  Share.  The  aggregate of each Bank's  Revolving  Credit Loans
outstanding  hereunder  to the  Borrower  at any time  shall  never  exceed  its
Revolving  Credit  Commitment  minus its Ratable Share of the aggregate  undrawn
face  amount of  outstanding  Letters of Credit.  The  obligations  of each Bank
hereunder  are  several.  The  failure  of any Bank to perform  its  obligations
hereunder  shall not affect the  obligations  of the Borrower to any other party
nor shall any other  party be liable for the failure of such Bank to perform its
obligations  hereunder.  The Banks shall have no  obligation  to make  Revolving
Credit Loans hereunder on or after the Expiration Date.

                           2.03  Commitment   Fees.   Accruing  from  the  Ninth
Amendment  Effective Date until the Expiration  Date, the Borrower agrees to pay
to the Agent for the  account of each Bank,  as  consideration  for such  Bank's
Revolving Credit Commitment  hereunder,  a commitment fee (the "Commitment Fee")
equal to the  applicable  percentage set forth below based on the ratio of Total
Indebtedness to Consolidated Cash Flow from Operations.


         Ratio of Total Indebtedness
               to Consolidated                                Commitment Fee
          Cash Flow From Operations                            (per annum)
          -------------------------                            -----------

          Greater than 4.0 to 1.0                                  .375%

          Greater than 3.5 to 1.0
          but less than or equal to
          4.0 to 1.0                                               .250%

          Greater than 3.0 to 1.0
          but less than or equal
          to 3.5 to 1.0                                            .225%

          Greater than 2.5 to 1.0
          but less than or equal
          to 3.0 to 1.0                                            .200%

          Less than or equal to
          2.5 to 1.0                                               .150%


                                      -30-


Such  ratio  shall  be  computed  on the  date  of  each  Acquisition  Requiring
Certification  as  more  fully  set  forth  in the  third  sentence  of  Section
8.01(m)(i) or the second sentence of Section 8.01(m)(ii), as applicable, and any
interest rate adjustment  attributable to such computation shall be effective on
the date of such Acquisition Requiring Certification.  If Borrower does not make
any Acquisition  Requiring  Certification  during any fiscal  quarter,  (1) such
ratio  shall  also  be  computed  as of the  end of such  fiscal  quarter,  with
Consolidated  Cash Flow from  Operations  computed for the four fiscal  quarters
then ended and (2) any increase in the Commitment Fee  attributable  to a change
in such ratio shall be  effective  as of the  Delivery  Date for the  Borrower's
consolidated  financial  statements for such quarter and (3) any decrease of the
Commitment Fees  attributable to a change in such ratio shall be effective as of
the later of the Delivery  Date for such  financial  statements  and the date on
which such  financial  statements  are  actually  delivered to the Agent and the
Banks. The Commitment Fees shall be computed on the Fourth  Amendment  Effective
Date based on the  Historical  Statements and such  computation  shall remain in
effect after such date until it is changed  pursuant to the preceding  sentence.
Commitment  Fees shall be computed on the basis of a year of 365 or 366 days, as
the case may be, and actual days elapsed on the average daily unborrowed  amount
of such  Bank's  Revolving  Credit  Commitment  (less its  Ratable  Share of the
aggregate undrawn face amount of outstanding  Letters of Credit) as the same may
be  constituted  from time to time.  All  Commitment  Fees  shall be  payable in
arrears on the first Business Day of each April, July, October and January after
the date hereof commencing on January 1, 1994 and on the Expiration Date or upon
acceleration of maturity of the Notes.

                  2.04     [Intentionally Omitted].

                  2.05  Revolving  Credit  Loan  Requests.  Except as  otherwise
provided herein, the Borrower may from time to time prior to the Expiration Date
request  the Banks to make  Revolving  Credit  Loans,  or renew or  convert  the
Interest Rate Option  applicable  to existing  Revolving  Credit  Loans,  by the
delivery to the Agent,  not later than 10:00 A.M.  Pittsburgh time (i) three (3)
Business Days prior to the proposed Borrowing Date with respect to the making of
Revolving  Credit Loans to which the Revolving  Euro-Rate  Option applies or the
conversion  to or the renewal of the Euro-Rate  Option for any Revolving  Credit
Loans; and (ii) one (1) Business Day prior to either the proposed Borrowing Date
with  respect to the making of a Revolving  Credit  Loan to which the  Revolving
Credit  Base Rate  Option  applies  or the last day of the  preceding  Euro-Rate
Interest Period with respect to the conversion to the Revolving Credit Base Rate
Option for any  Revolving  Credit Loan,  of a duly  completed  request  therefor
substantially  in the form of  Exhibit  2.05  hereto or a request  by  telephone
immediately  confirmed  in writing by  letter,  facsimile  or telex in such form
(each, a "Revolving  Credit Loan Request"),  it being  understood that the Agent
may rely in good faith on the  authority of any person  making such a telephonic
request and purporting to be an Authorized  Officer.  Each Revolving Credit Loan
Request shall be irrevocable and shall (i) specify the proposed  Borrowing Date;
(ii)  specify  the  aggregate  amount of the  proposed  Revolving  Credit  Loans
comprising  the  Borrowing  Tranche,  which  shall be in integral  multiples  of
$500,000 and not less than  $5,000,000  for Revolving  Credit Loans to which the
Revolving  Credit  Euro-Rate  Option  applies  and not less  than the  lesser of
$500,000 or the maximum amount available for Revolving Credit Loans to which the
Revolving  Credit Base Rate Option applies;  (iii) specify whether the Revolving
Euro-Rate


                                      -31-


Option or Base Rate Option  shall apply to the proposed  Revolving  Credit Loans
comprising the Borrowing  Tranche;  (iv) specify in the case of Revolving Credit
Loans to which the Revolving Euro-Rate Option applies, an appropriate  Euro-Rate
Interest Period for the proposed Revolving Credit Loans comprising the Borrowing
Tranche; (v) specify the use by the Borrower of the Loan proceeds;  (vi) certify
that no Event of Default or Potential  Default has  occurred  and is  continuing
after giving effect to the proposed  Revolving  Credit Loan and without limiting
the generality of this clause (vi),  certify  compliance with Section 2.01(c) of
this  Agreement;  and  (vii) in the  event  that the  proceeds  of the  proposed
Revolving  Credit  Loan will be used to acquire a new health  care  facility  or
other business, permitted to be acquired pursuant to this Agreement, certify, in
detail  satisfactory  to the Agent,  a  calculation  of the ratio  specified  in
Section 2.01(c).

                  2.06 Making Revolving Credit Loans. The Agent shall,  promptly
after receipt by it of a Loan Request pursuant to Section 2.05, notify the Banks
of its receipt of such Loan Request specifying:  (i) the proposed Borrowing Date
and the time and method of disbursement of such Revolving  Credit Loan; (ii) the
amount  and type of such  Revolving  Credit  Loan and the  applicable  Euro-Rate
Interest  Period (if any);  and (iii) the  apportionment  among the Banks of the
Revolving  Credit Loans as determined  by the Agent in  accordance  with Section
2.02 hereof. Each Bank shall remit the principal amount of each Revolving Credit
Loan to the Agent  such that the Agent is able to, and the Agent  shall,  to the
extent the Banks have made funds  available  to it for such  purpose,  fund such
Revolving Credit Loan to the Borrower in U.S. Dollars and immediately  available
funds  at the  Principal  Office  prior  to  2:00  P.M.  Pittsburgh  time on the
Borrowing Date, provided that if any Bank fails to remit such funds to the Agent
in a timely  manner the Agent may elect in its sole  discretion to fund with its
own funds the Revolving Credit Loan of such Bank on the Borrowing Date.

                  2.07 Revolving  Credit Note. The obligation of the Borrower to
repay the aggregate  unpaid  principal amount of the Revolving Credit Loans made
to it by each Bank,  together  with  interest  thereon,  shall be evidenced by a
promissory note of the Borrower dated the Closing Date in substantially the form
attached  hereto as Exhibit  1.01(R) payable to the order of each Bank in a face
amount equal to the Revolving Credit Commitment of such Bank.

                  2.08 Use of  Proceeds.  The proceeds of the  Revolving  Credit
Loans shall be used for (a) the payment of  obligations  under the Prior  Credit
Agreement, (b) the acquisition and development of health care related businesses
and facilities and (c) general corporate  purposes,  which,  among other things,
may  include  working  capital  or  intercompany  loans to a  Subsidiary  of the
Borrower  provided the Borrower and such Subsidiary  comply with Section 8.01(1)
hereof.

                  2.09     Letter of Credit Subfacility.

                           (a) At the  request of the  Borrower,  the Agent will
issue,  on the terms and conditions  hereinafter  set forth,  standby letters of
credit (collectively,  "Letters of Credit"); provided, however, that each Letter
of Credit  shall have a maximum  maturity of twelve (12) months from the date of
issuance  and shall in no event  expire later than one (1) Business Day prior to
the Expiration Date; provided,  further, however, that in no event shall (i) the
aggregate  undrawn face amount of the Letters of Credit issued  pursuant to this
Section  2.09  exceed,  at any


                                      -32-


one time,  $10,000,000;  or (ii) the aggregate  outstanding principal balance of
the Revolving Credit Loans made to the Borrower pursuant to Section 2.01 and the
aggregate undrawn face amount of the Letters of Credit issued by the Agent under
this Section 2.09 exceed,  at any one time,  the Revolving  Credit  Commitments.
Schedule  2.09(a)  hereto lists  letters of credit which PNC Bank issued for the
accounts of certain of the Loan Parties prior to the date hereof pursuant to the
Prior Credit Agreement and which shall remain outstanding after the Closing Date
(the "Existing  Letters of Credit").  Each Existing  Letter of Credit shall be a
Letter of Credit  hereunder on and after the Closing Date and the  provisions of
this  Section  2.09 shall  apply to such  Existing  Letter of Credit.  (Schedule
2.09(a) also lists all amounts of Loans, interest and expenses outstanding under
the Prior Credit Agreement.)

                           (b)  The  Borrower  shall  pay to the  Agent  for the
ratable  account of the Banks a fee (the  "Letter of Credit  Fee")  equal to the
applicable  interest  rate per annum then in effect for  Revolving  Credit Loans
which are subject to the Euro-Rate Option less the Euro-Rate, which fee shall be
computed  on the face  amount  of each  Letter of  Credit  and shall be  payable
quarterly in arrears commencing with the first Business Day of each April, July,
October  and  January  following  issuance  of each  Letter of Credit and on the
expiration  date for each Letter of Credit.  The Borrower  shall also pay to the
Agent the  Agent's  then in effect  customary  documentation  fee  payable  with
respect to the Letters of Credit as the Agent may generally  charge from time to
time.

                           (c) Any and all  amounts  which the Agent is required
to advance  pursuant  to the  Letters of Credit  shall  become,  at the time the
amounts are advanced, Revolving Credit Loans from the Banks and shall thereafter
bear  interest at the rate set forth in, and in accordance  with the  provisions
contained  in,  Section  4.01.  The Agent  will  notify  the Banks of the amount
required to be advanced  pursuant  to the Letters of Credit.  Before  10:00 A.M.
(Pittsburgh  time) on the date of any  advance  the  Agent is  required  to make
pursuant to the Letters of Credit,  each Bank shall make  available  such Bank's
Ratable Share of such advance in immediately available funds to the Agent.

                           (d) The  Borrower  agrees to be bound by the terms of
the Agent's  application  and/or agreement for Letters of Credit and the Agent's
written  regulations  and  customary  practices  relating  to Letters of Credit,
though such  interpretation  may be different from the Borrower's own, and it is
understood  and agreed that,  except in the case of gross  negligence or willful
misconduct,  the Agent  shall not be liable  for any  error,  negligence  and/or
mistakes,  whether of  omission  or  commission,  in  following  the  Borrower's
instructions or those  contained in the Letters of Credit or any  modifications,
amendments or supplements thereto.

                  2.10 Voluntary Reduction of Revolving Credit Commitments.  The
Borrower  shall  have the  right at any time and from time to time upon not less
than three (3)  Business  Days' prior  written  notice  (which  notice  shall be
irrevocable) to the Agent to terminate or to permanently and ratably reduce,  in
an aggregate amount of not less than $1,000,000 or an integral multiple thereof,
the respective  Revolving Credit Commitments without penalty or premium,  except
as hereinafter set forth.  The Agent shall promptly advise each Bank of the date
and amount of each such reduction. After each such reduction, the Commitment Fee
shall be


                                      -33-


calculated  upon the unused  portion of the Revolving  Credit  Commitments as so
reduced and the amount of reduction may not be reinstated.



                                   ARTICLE III
                                   COLLATERAL
                                   ----------

                  3.01  Collateral.  The Borrower  shall execute and deliver the
Pledge  Agreement in the form of Exhibit  1.01(P)(1)  pledging all of the stock,
partnership interests or other ownership interests owned by the Borrower in each
existing or  hereafter  formed or acquired  Subsidiary  and in each  existing or
hereafter formed or acquired Excluded Entity. Each of the Borrower's  Restricted
Subsidiaries  (whether now existing or hereafter  formed or acquired,  including
without  limitation any Excluded  Entity which becomes a Restricted  Subsidiary,
upon so becoming a Restricted  Subsidiary)  shall execute and deliver a Guaranty
Agreement in the form of Exhibit  1.01(G).  Each of the Borrower's  Subsidiaries
(whether now owned or hereafter acquired) owning stock, partnership interests or
other  ownership  interests  of each  existing or  hereafter  formed or acquired
Subsidiary  or each  existing or hereafter  formed or acquired  Excluded  Entity
shall  execute a Pledge  Agreement in the form of Exhibit  1.01(P)(2) or (3), as
the case may be or other Pledge Agreement in form and substance  satisfactory to
the Agent.

                                   ARTICLE IV
                                 INTEREST RATES
                                 --------------

                  4.01 Interest Rate Options. The Borrower shall pay interest in
respect of the outstanding  unpaid  principal amount of the Loans as selected by
it from the Base Rate Option or Euro-Rate  Option set forth below  applicable to
the  Loans  (it  being  understood  that,  subject  to the  provisions  of  this
Agreement, the Borrower may select different Interest Rate Options and different
Euro-Rate  Interest  Periods  to apply  simultaneously  to the Loans  comprising
different  Borrowing  Tranches and may convert to or renew one or more  Interest
Rate  Options  with  respect to all or any portion of the Loans  comprising  any
Borrowing Tranche;  provided that there shall not be at any one time outstanding
more  than ten (10)  Borrowing  Tranches  in the  aggregate  among all the Loans
accruing interest at a Euro-Rate Option). The Agent's determination of a rate of
interest  and any  change  therein  shall in the  absence of  manifest  error be
conclusive  and binding upon all parties  hereto.  If at any time the designated
rate  applicable to any Loan made by any Bank exceeds such Bank's highest lawful
rate,  the rate of  interest on such Bank's Loan shall be limited to such Bank's
highest lawful rate.

                           (a)  Revolving  Credit  Interest  Rate  Options.  The
Borrower shall have the right to select from the following Interest Rate Options
applicable to the Loans:

                                (i)  Revolving  Credit  Base  Rate  Option:  For
periods  commencing  on  and  after  the  Ninth  Amendment   Effective  Date,  a
fluctuating  rate per annum (computed on the basis of a year of 365 or 366 days,
as the case may be,  and  actual  days  elapsed)  equal to the Base  Rate,  such
interest  rate to change  automatically  from time to time  effective  as of the
effective date of each change in the Base Rate.


                                      -34-


                                (ii)  Revolving  Credit  Euro-Rate  Option:  For
periods  commencing on and after the Ninth Amendment  Effective Date, a rate per
annum  (computed  on the basis of a year of 360 days and  actual  days  elapsed)
equal to the Euro-Rate  plus the applicable  percentage  set forth below,  based
upon the ratio of (a) Total  Indebtedness,  to (b)  Consolidated  Cash Flow from
Operations.  Such  ratio  shall  be  computed  on the  date of each  Acquisition
Requiring Certification as more fully set forth in the third sentence of Section
8.01(m)(i) or the second sentence of Section 8.01(m)(ii), as applicable, and any
interest rate adjustment  attributable to such computation shall be effective on
the date of such Acquisition Requiring Certification.  If Borrower does not make
any Acquisition  Requiring  Certification during any fiscal quarter,  such ratio
shall  also  be  computed  as of the  end of  such  quarter,  but  any  interest
adjustments  attributable  to a change in such ratio shall be effective (a) with
respect to an increase of the applicable  interest rate, as of the Delivery Date
for the Borrower's  consolidated  financial  statements for such quarter and (b)
with respect to a decrease of the  applicable  interest rate, as of the later of
the  Delivery  Date for such  financial  statements  and the date on which  such
financial statements are actually delivered to the Agent and the Banks.

               Ratio of Total Indebtedness
                     to Consolidated
                Cash Flow from Operations               Applicable Interest Rate
                -------------------------               ------------------------

       Greater than 4.0 to 1.0                            Euro-Rate plus 1-1/2%

       Greater than 3.5 to 1.0 but less than or
           equal to 4.0 to 1.0                            Euro-Rate plus 1-1/4%

       Greater than 3.0 to 1.0 but less than or
           equal to 3.5 to 1.0                            Euro-Rate plus 1%

       Greater than 2.5 to 1.0 but less than or
           equal to 3.0 to 1.0                            Euro-Rate plus 3/4%

       Less than or equal to 2.5 to 1.0                   Euro-Rate plus 1/2%


                                (iii)  The  ratio  of  Total   Indebtedness   to
Consolidated  Cash Flow from Operations on the Fourth  Amendment  Effective Date
for purposes of this Section 4.01 shall be based on the Historical Statements.

                           (b) Rate Quotations.  The Borrower may call the Agent
on or before the date on which a Loan  Request is to be  delivered to receive an
indication  of the  rates  then in  effect,  but it is  acknowledged  that  such
indication shall not be binding on the Agent or the Banks nor affect the rate of
interest which thereafter is actually in effect when the election is made.

                  4.02  Interest  Periods.  At any time when the Borrower  shall
select,  convert to or renew a Euro-Rate  Option,  the Borrower shall notify the
Agent thereof at least three (3) Business  Days prior to the  effective  date of
such Euro-Rate Option by delivering a Loan Request.  The notice shall specify an
interest period during which such Interest Rate Option shall apply, such


                                      -35-


periods to be one, two,  three or six months in the event of a Euro-Rate  Option
("Euro-Rate Interest Period"), provided, that:

                           (a)  any  Euro-Rate   Interest   Period  which  would
otherwise  end on a date which is not a Business  Day shall be  extended  to the
next succeeding Business Day unless such Business Day falls in the next calendar
month,  in which  case  such  Euro-Rate  Interest  Period  shall end on the next
preceding Business Day;

                           (b) any Euro-Rate Interest Period which begins on the
last day of a calendar month for which there is no numerically corresponding day
in the subsequent  calendar month during which such Euro-Rate Interest Period is
to end shall end on the last Business Day of such subsequent month;

                           (c) the Revolving Credit  Euro-Rate  Portion for each
Euro-Rate  Interest  Period  shall be in integral  multiples of $500,000 and not
less than $5,000,000;

                           (d) the  Borrower  shall not  select,  convert  to or
renew a  Euro-Rate  Interest  Period for any portion of the Loans that would end
after the Expiration Date; and

                           (e) in the case of the renewal of a Euro-Rate  Option
at the end of a Euro-Rate  Interest  Period,  the first day of the new Euro-Rate
Interest  Period  shall  be the  last day of the  preceding  Euro-Rate  Interest
Period, without duplication in payment of interest for such day.

                  4.03 Interest After Default.  To the extent  permitted by Law,
upon the  occurrence  and during the  continuation  of an Event of Default,  any
principal,  interest,  fee or other amount payable hereunder shall bear interest
for each day thereafter until paid in full (before and after judgment) at a rate
per annum which shall be equal to two hundred  (200) basis points (2% per annum)
above the rate of interest  otherwise  applicable with respect to such amount or
the Base Rate if no rate of interest is otherwise applicable, but in no event in
excess  of the  highest  rate  permitted  under  applicable  law.  The  Borrower
acknowledges that such increased interest rate reflects, among other things, the
fact that such Loans or other amounts have become a  substantially  greater risk
given  their  default  status  and that the Banks  are  entitled  to  additional
compensation  for  such  risk.  If an  Event  of  Default  shall  occur  and  be
continuing,  the Agent may in its discretion limit the Borrower to the Base Rate
Option.

                  4.04     Euro-Rate Unascertainable.

                           (a)  If on  any  date  on  which  a  Euro-Rate  would
otherwise be determined,  the Agent shall have determined  (which  determination
shall be conclusive absent manifest error) that:

                                (i) adequate and  reasonable  means do not exist
for ascertaining such Euro-Rate, or


                                      -36-


                                (ii) a contingency has occurred which materially
and adversely affects the London interbank market relating to the Euro-Rate, or

                  (b) if at any time  any  Bank  shall  have  determined  (which
determination shall be conclusive absent manifest error) that:

                                (i) the  making,  maintenance  or funding of any
Loan to which a Euro-Rate Option applies has been made impracticable or unlawful
by compliance by such Bank in good faith with any Law or any  interpretation  or
application thereof by any Official Body or with any request or directive of any
such Official Body (whether or not having the force of Law), or

                                (ii) such  Euro-Rate  Option will not adequately
and fairly reflect the cost to such Bank of the  establishment or maintenance of
any such Loan, or

                                (iii) after making all  reasonable  efforts that
deposits of the relevant amount in Dollars for the relevant  Euro-Rate  Interest
Period for a Loan to which a Euro-Rate  Option  applies,  respectively,  are not
available to such Bank with respect to a proposed  Euro-Rate  Loan in the London
interbank  market,  in the case of any event  specified in subsection (a) above,
then the Agent shall  promptly so notify the Banks and the Borrower  thereof and
in the case of an event  specified  in  subsection  (b)  above,  such Bank shall
promptly so notify the Agent and endorse a certificate  to such notice as to the
specific  circumstances  of such notice and the Agent shall promptly send copies
of such notice and  certificate  to the other Banks and the Borrower.  Upon such
date as shall be specified  in such notice  (which shall not be earlier than the
date such notice is given) the  obligation  of (A) the Banks in the case of such
notice  given by the Agent or (B) such Bank in the case of such notice  given by
such Bank to allow the  Borrower  to  select,  convert  to or renew a  Euro-Rate
Option shall be suspended until the Agent shall have later notified the Borrower
or such Bank shall have later notified the Agent, of the Agent's or such Bank's,
as the case  may be,  determination  (which  determination  shall be  conclusive
absent  manifest  error) that the  circumstances  giving  rise to such  previous
determination  no longer exist.  If at any time the Agent makes a  determination
under subsection (a) or (b) of this Section 4.04 and the Borrower has previously
notified the Agent of its selection of,  conversion to or renewal of a Euro-Rate
Option  and such  Interest  Rate  Option  has not yet  gone  into  effect,  such
notification  shall be deemed to provide  for  selection  of,  conversion  to or
renewal of the Base Rate Option otherwise  available with respect to such Loans.
If any Bank notifies the Agent of a determination  under  subsection (b) of this
Section 4.04,  the Borrower  shall,  subject to the  Borrower's  indemnification
obligations  under  Section  5.06(b),  as to any  Loan of the  Bank  to  which a
Euro-Rate  Option  applies,  on the date specified in such notice either convert
such Loan to the Base Rate Option otherwise  available with respect to such Loan
or prepay such Loan in  accordance  with Section 5.04 hereof.  Absent due notice
from the Borrower of conversion or prepayment such Loan shall  automatically  be
converted to the Base Rate Option otherwise  available with respect to such Loan
upon such specified date.

                  4.05 Selection of Interest Rate Options. If the Borrower fails
to select a Euro-Rate  Interest  Period in  accordance  with the  provisions  of
Section 4.02 in the case of renewal of the Revolving Credit  Euro-Rate  Portion,
the Borrower shall be deemed to have  converted such


                                      -37-


Loan or portion thereof to the Base Rate Option otherwise available with respect
to such Loans,  commencing upon the last day of that Euro-Rate  Interest Period.
If an Event of  Default  shall  occur  and be  continuing,  the Agent may in its
discretion limit the Borrower to the Base Rate Option hereunder.

                                    ARTICLE V
                                    PAYMENTS
                                    --------

                  5.01  Payments.  All  payments and  prepayments  to be made in
respect of principal,  interest,  Commitment Fees, Closing Fee, Letter of Credit
Fees, Agent's Fee or other fees or amounts due from the Borrower hereunder shall
be payable  prior to 11:00 A.M.  (Pittsburgh  time) on the date when due without
presentment,  demand,  protest  or notice of any kind,  all of which are  hereby
expressly  waived by the Borrower,  and without  setoff,  counterclaim  or other
deduction of any nature, and an action therefor shall immediately  accrue.  Such
payments  shall be made to the Agent at the  Principal  Office  for the  ratable
accounts  of the  Banks  with  respect  to the  Loans  in  U.S.  Dollars  and in
immediately  available  funds,  and the Agent  shall  promptly  distribute  such
amounts to the Banks in immediately  available funds, provided that in the event
payments are received by 11:00 A.M.  (Pittsburgh time) by the Agent with respect
to the Loans and such payments are not  distributed to the Banks on the same day
received by the Agent, the Agent shall pay the Banks the Federal Funds Effective
Rate with respect to the amount of such  payments for each day held by the Agent
and not  distributed  to the Banks.  The Agent's and each  Bank's  statement  of
account,  ledger or other  relevant  record  shall,  in the  absence of manifest
error, be conclusive as the statement of the amount of principal of and interest
on the Loans and other amounts owing under this Agreement and shall be deemed an
"account stated."

                  5.02 Pro Rata  Treatment of Banks.  Each  borrowing,  and each
selection  of,  conversion  to or renewal of any  Interest  Rate Option and each
payment or  prepayment  by the  Borrower  with respect to  principal,  interest,
Commitment  Fees,  Closing Fee,  Letter of Credit Fees, or other fees or amounts
due from the Borrower  hereunder  to the Banks with respect to the Loans,  shall
(except as  provided in Section  4.04(b)  [Euro-Rate  Unascertainable],  5.04(b)
[Voluntary   Prepayments]  or  5.06(a)   [Additional   Compensation  in  Certain
Circumstances]  hereof) be made in proportion to the Loans outstanding from each
Bank and if no such Loans are then  outstanding,  in  proportion  to the Ratable
Share of each Bank.

                  5.03 Interest  Payment  Dates.  Interest on Loans to which the
Base Rate  Option  applies  shall be due and  payable  in  arrears  on the first
Business Day of each April,  July, October and January after the date hereof and
on the Expiration Date or upon  acceleration of the Notes.  Interest on Loans to
which a  Euro-Rate  Option  applies  shall be due and payable on the last day of
each  Euro-Rate  Interest  Period  for those  Loans,  and if any such  Euro-Rate
Interest Period is longer than three months, also on the last day of every third
month during such period.

                  5.04     Voluntary Prepayments.


                                      -38-


                           (a) The  Borrower  shall have the right at its option
from  time to time to  prepay  the  Loans in whole or part  without  premium  or
penalty (except as provided in subsection (b) below or in Section 5.06 hereof):

                                (i) at any  time  with  respect  to any  Loan to
which the Base Rate Option applies,

                                (ii) on the last day of the applicable Euro-Rate
Interest Period with respect to Loans to which a Euro-Rate Option applies,

                                (iii) on the date  specified  in a notice by any
Bank pursuant to Section 4.04(b) [Euro-Rate Unascertainable] hereof with respect
to any Loan to which a Euro-Rate Option applies.

                  Whenever the Borrower desires to prepay any part of the Loans,
it shall provide a prepayment  notice to the Agent at least one (1) Business Day
prior  to  the  date  of   prepayment  of  Loans  setting  forth  the  following
information:

                                       (x) the date,  which  shall be a Business
                  Day, on which the proposed prepayment is to be made; and

                                       (y) the  total  principal  amount of such
                  prepayment,  which shall not be less than (i) $1,000,000  with
                  respect to any Loan to which the Base Rate Option  applies and
                  (ii)  $1,000,000  with  respect  to  any  Loan  to  which  the
                  Euro-Rate Option applies.

                    All prepayment  notices shall be irrevocable.  The principal
amount  of the  Loans for which a  prepayment  notice  is given,  together  with
interest on such principal amount except with respect to Loans to which the Base
Rate  Option  applies,  shall be due and payable on the date  specified  in such
prepayment  notice as the date on which the proposed  prepayment  is to be made.
Unless  otherwise  specified by the Borrower with respect to  prepayments of the
Revolving  Credit  Euro-Rate  Portion of the Loans permitted under (ii) or (iii)
above, all prepayments  shall be applied first to the Revolving Credit Base Rate
Portion of such Loans,  and then to the Revolving  Credit  Euro-Rate  Portion of
such Loans, subject to Section 5.06(b) hereof.

                           (b) In the  event  any Bank (i)  gives  notice  under
Section  4.04(b)  [Euro-Rate  Unascertainable]  or Section  5.06(a)  [Additional
Compensation  in Certain  Circumstances]  hereof,  or (ii) does not  approve any
action as to which  consent of the Banks or Required  Banks is  requested by the
Borrower and obtained  hereunder,  the Borrower  shall have the right,  with the
consent of the Agent, which shall not be unreasonably  withheld,  to: (y) prepay
the Loans of such Bank, in whole together with all interest  accrued thereon and
thereby permanently and irrevocably terminate the Revolving Credit Commitment of
such Bank, or (z) replace such Bank, so long as, in the case of (y) or (z), such
replacement  or  prepayment  occurs within ninety (90) days after (i) receipt of
such  Bank's  notice  under  Section  4.04(b)  or  5.06(a),  or (ii) the date of
obtaining the consent which such Bank has not approved, as applicable,  provided
the Borrower shall also pay to such Bank in the case of either the foregoing (y)
or (z) at the time of such


                                      -39-


prepayment or  replacement  any amounts  required under Section 5.06 and accrued
Commitment Fees due on such amount and all other costs, fees and any amounts due
to such Bank being prepaid or replaced.  Notwithstanding the foregoing sentence,
it is  expressly  agreed that if the  consent of the Banks or Required  Banks is
required and more than one Bank does not approve the action as to which  consent
is requested, the Borrower's right to replace or repay such non-consenting Bank,
if exercised by the  Borrower,  must be exercised to  simultaneously  replace or
prepay all such non-consenting Banks.

                    5.05   Mandatory Prepayments.

                    (a) Sale of Assets.  Within  five (5)  Business  Days of any
sale of assets authorized by Section  8.02(g)(v) hereof, the Borrower shall make
a mandatory prepayment of principal on the Revolving Credit Loans in the amount,
if any,  necessary to bring the Borrower into compliance with the Leverage Ratio
set  forth in  Section  8.02(r)  after  giving  effect to such  disposition.  In
addition to the foregoing mandatory prepayment provisions, in the event that any
sale of assets will result in the Borrower or any Subsidiary receiving "Net Cash
Proceeds" which would otherwise become "Excess Proceeds" (as each of those terms
are defined in the  Indenture),  then at least sixty (60) days prior to the date
any Net Cash Proceeds  would become Excess  Proceeds  under the  Indenture,  the
Borrower shall give written notice to the Agent thereof setting forth the amount
of Net Cash Proceeds at issue.  Upon the direction of the Agent with the consent
of the Required Banks, the Borrower shall make a permanent  payment of principal
on the Revolving  Credit Loans in the amount of said Net Cash Proceeds,  and the
Revolving  Credit  Commitment of each Bank shall be reduced by its Ratable Share
of the principal payment made to such Bank from the Net Cash Proceeds.

                    (b) Application Among Interest Rate Options. All prepayments
required pursuant to this Section 5.05 shall first be applied among the Interest
Rate Options to the principal amount of the Loans subject to a Base Rate Option,
then to Loans subject to Euro-Rate  Option.  In accordance with Section 5.06(b),
the Borrower shall indemnify the Banks for any loss or expense including loss of
margin  incurred  with respect to any such  prepayments  applied  against  Loans
subject  to a  Euro-Rate  Option  on any day  other  than  the  last  day of the
applicable Euro-Rate Interest Period.

                    5.06   Additional Compensation in Certain Circumstances.

                    (a) Increased Costs or Reduced Return  Resulting From Taxes,
Reserves, Capital Adequacy  Requirement(a)ExpeIncreased  Costs or Reduced Return
Resulting From Taxes, Reserves,  Capital Adequacy Requirements,  Expenses, Etc..
If any Law,  guideline or interpretation or any change in any Law,  guideline or
interpretation  or  application  thereof by any  Official  Body charged with the
interpretation  or  administration  thereof or  compliance  with any  request or
directive  (whether or not having the force of Law) of any central bank or other
Official Body:

                           (i) subjects any Bank to any tax or changes the basis
of taxation with respect to this Agreement,  the Notes, the Loans or payments by
the Borrower of principal,  interest, Commitment Fees, or other amounts due from
the Borrower  hereunder or under the Notes  (except for taxes on the overall net
income of such Bank),


                                      -40-


                           (ii)  imposes,   modifies  or  deems  applicable  any
reserve,  special deposit or similar  requirement against credits or commitments
to extend credit extended by, or assets (funded or contingent) of, deposits with
or for the account of, or other acquisitions of funds by, any Bank, or

                           (iii)  imposes,  modifies  or  deems  applicable  any
capital   adequacy  or  similar   requirement  (A)  against  assets  (funded  or
contingent)  of, or letters of credit,  other credits or  commitments  to extend
credit extended by, any Bank, or (B) otherwise  applicable to the obligations of
any Bank under this  Agreement,  and the  result of any of the  foregoing  is to
increase  the cost to,  reduce the income  receivable  by, or impose any expense
(including  loss of margin)  upon any Bank with respect to this  Agreement,  the
Notes or the making, maintenance or funding of any part of the Loans (or, in the
case of any  capital  adequacy  or  similar  requirement,  to have the effect of
reducing  the rate of return on any Bank's  capital,  taking into  consideration
such Bank's  customary  policies with respect to capital  adequacy) by an amount
which such Bank in its sole  discretion  deems to be  material,  such Bank shall
from time to time notify the Borrower and the Agent of the amount  determined in
good faith (using any averaging and attribution  methods employed in good faith)
by such Bank (which  determination shall be conclusive absent manifest error) to
be necessary to  compensate  such Bank for such  increase in cost,  reduction of
income or additional  expense.  Such notice shall set forth in reasonable detail
the basis for such  determination.  Such amount  shall be due and payable by the
Borrower to such Bank ten (10) Business Days after such notice is given.

                  (b)  Indemnity.  In addition to the  compensation  required by
subsection  (a) of this Section 5.06,  the Borrower  shall  indemnify  each Bank
against all liabilities,  losses or expenses (including loss of margin, any loss
or expense incurred in liquidating or employing  deposits from third parties and
any loss or expense incurred in connection with funds acquired by a Bank to fund
or maintain  Loans subject to the Euro-Rate  Option) which such Bank sustains or
incurs as a consequence of any:

                           (i) payment, prepayment, conversion or renewal of any
Loan to which the Euro-Rate  Option  applies on a day other than the last day of
the  corresponding  Euro-Rate  Interest  Period  (whether or not such payment or
prepayment is mandatory,  voluntary or automatic and whether or not such payment
or prepayment is then due),

                           (ii) attempt by the Borrower to revoke (expressly, by
later inconsistent notices or otherwise) in whole or part any notice relating to
Loan Requests  under Section 2.05 or Section 4.02 or  prepayments  under Section
5.04, or reductions of Revolving Credit Commitments under Section 2.10(a), or

                           (iii) default by the Borrower in the  performance  or
observance of any covenant or condition contained in this Agreement or any other
Loan Document,  including without  limitation any failure of the Borrower to pay
when due (by acceleration or otherwise) any principal,  interest, Commitment Fee
or any other amount due hereunder.

                  If any Bank  sustains  or incurs  any such loss or  expense it
shall from time to time  notify the  Borrower of the amount  determined  in good
faith by such Bank (which  determination


                                      -41-


shall be  conclusive  absent  manifest  error and may include such  assumptions,
allocations of costs and expenses and averaging or  attribution  methods as such
Bank shall deem reasonable) to be necessary to indemnify such Bank for such loss
or expense.  Such notice shall set forth in reasonable detail the basis for such
determination. Such amount shall be due and payable by the Borrower to such Bank
ten (10) Business Days after such notice is given.

                                   ARTICLE VI
                         REPRESENTATIONS AND WARRANTIES
                         ------------------------------

                  6.01  Representations  and Warranties - Effective On And After
Date of This  Agreement.  The Borrower  represents and warrants to the Agent and
each of the Banks as follows:

                  (a)  Organization  and  Qualification.   The  Borrower,   each
Restricted  Subsidiary  of the  Borrower  and each  Excluded  Entity  in which a
Restricted Investment has been made are duly organized,  validly existing and in
good standing under the laws of their  respective  jurisdiction of organization;
the  Borrower,  each  Restricted  Subsidiary  of the Borrower and each  Excluded
Entity in which a Restricted  Investment  has been made have the power to own or
lease their  properties and to engage in the business they presently  conduct or
propose to conduct;  and the  Borrower and each  Subsidiary  of the Borrower are
duly  qualified  as  a  foreign   corporation,   limited  liability  company  or
partnership and in good standing in each jurisdiction listed on Schedule 6.01(a)
hereto and in all other jurisdictions where the property owned or leased by them
or  the  nature  of  the  business   transacted  by  them  or  both  makes  such
qualification necessary, except where the failure to so qualify would not have a
material adverse effect on the Borrower or any Subsidiary.

                  (b)      [Intentionally Omitted.]

                  (c) Excluded Entities; Subsidiaries. Schedule 6.01(c) attached
hereto states (i) the name of each of the Borrower's Restricted Subsidiaries and
each Excluded Entity in which a Restricted Investment has been made, (ii) in the
case of each Corporate Subsidiary or Excluded Entity which is a corporation, its
jurisdiction  of  incorporation,  its authorized  capital stock,  the issued and
outstanding shares (referred to herein as the "Corporate Shares") and the owners
thereof,  (iii) in the case of each  Partnership  Subsidiary or Excluded  Entity
which is a partnership,  the jurisdiction in which it is organized,  the type of
organization  (limited or general partnership) and the owners of its partnership
interests (the "Partnership Interests"), and (iv) in the case of each Subsidiary
or Excluded Entity which is a limited  liability  company,  the  jurisdiction in
which  it  is  organized,  its  authorized  member  interests,  the  issued  and
outstanding  member  interests (the "Member  Interests") and the owners thereof.
The  Borrower  and  each  Subsidiary  have  good and  valid  title to all of the
Corporate Shares, Partnership Interests or Member Interests they purport to own,
free and clear in each case of any Lien other than under the Loan Documents. All
Corporate Shares,  Partnership  Interests and Member Interests have been validly
issued and are fully paid and nonassessable.  There are no options,  warrants or
other rights  outstanding to purchase any Member Interests,  Corporate Shares or
Partnership Interests except as indicated on Schedule 6.01(c).


                                      -42-


                  (d) Power and  Authority.  Each Loan  Party has full  power to
enter  into,  execute,  delivery  and carry out this  Agreement,  the other Loan
Documents to which it is a party, to incur the Indebtedness  contemplated by the
Loan Documents and to perform its obligations  under the Loan Documents to which
it is a party and all such actions have been duly  authorized  by all  necessary
proceedings on its part.

                  (e) Validity and Binding Effect.  This Agreement has been duly
executed and delivered by each Loan Party that is a party hereto, and each other
Loan  Document,  when duly  executed and delivered by each Loan Party which is a
party  thereto,  will have been duly  executed and delivered by such Loan Party.
This  Agreement  and each  other Loan  Document  delivered  by the Loan  Parties
pursuant to the  provisions  hereof  will  constitute  legal,  valid and binding
obligations of the Loan Parties thereto,  enforceable against such Loan Party in
accordance  with  their  respective  terms,   except  to  the  extent  that  (i)
enforceability  of  any of the  foregoing  Loan  Documents  may  be  limited  by
bankruptcy,  insolvency,  reorganization,   moratorium  or  other  similar  laws
affecting  the  enforceability  of creditors'  rights  generally or limiting the
right of specific  performance or by general  equitable  principles and (ii) the
exercise by the Banks of their  rights with respect to the  Collateral  would be
subject to the prior approval of health care regulatory authorities.

                  (f) No Conflict.  Neither the  execution  and delivery of this
Agreement or the other Loan  Documents by the Loan Parties nor the  consummation
of the transactions herein or therein  contemplated or compliance with the terms
and  provisions  hereof or  thereof by them will  conflict  with,  constitute  a
default  under or result in any  breach of (i) the terms and  conditions  of the
certificate of incorporation,  by-laws or other organizational  documents of any
Loan Party or (ii) of any Law or of any  material  agreement  or  instrument  or
order, writ,  judgment,  injunction or decree to which any Loan Party is a party
or by which it is bound or to which it is subject,  or result in the creation or
enforcement of any Lien, charge or encumbrance whatsoever upon any property (now
or hereafter  acquired) of any Loan Party  (other than Liens  granted  under the
Loan Documents).

                  (g) Litigation.  There are no actions,  suits,  proceedings or
investigations pending or, to the knowledge of the Borrower,  threatened against
the  Borrower or any  Subsidiary  of the  Borrower  at law or equity  before any
Official Body which individually or in the aggregate would constitute a Material
Adverse  Change.  Neither the Borrower nor any  Subsidiary of the Borrower is in
violation of any order,  writ,  injunction  or any decree of any  Official  Body
which would constitute a Material Adverse Change.

                  (h) Title to Properties.  The Borrower and each  Subsidiary of
the Borrower have good and marketable  title to or valid  leasehold  interest in
all  material  properties,  assets and other rights which they purport to own or
lease or which are  reflected as owned or leased on their  respective  books and
records,  free and clear of all Liens and  encumbrances  except Permitted Liens,
and subject to the terms and conditions of the applicable  leases.  All material
leases of real  property are in full force and effect  without the necessity for
any consent which has not previously  been obtained for the  consummation of the
transactions contemplated hereby.


                                      -43-


                  (i)      Financial Statements.

                           (i) Historical Statements.

                               (A) Loan  Parties  Other  Than  Convalescent  and
Convalescent's  Subsidiaries.  The Borrower has delivered to the Agent copies of
its audited consolidated  year-end financial statements for and as of the end of
the fiscal  years  ended  December  31,  1992,  1993 and 1994 and the  unaudited
consolidated  statements for 1995 for the three quarters ending on September 30,
1995 (collectively the "Mariner Historical  Statements").  The Borrower has also
delivered to the Agent  copies of its audited  consolidated  year-end  financial
statements for and as of the end of the fiscal year ended December 31, 1995 (the
"Updated Mariner Statements" and together with the Mariner Historical Statements
the "Updated Mariner  Historical  Statements").  The Updated Mariner  Historical
Statements were compiled from the books and records maintained by the Borrower's
management,  fairly  present the  consolidated  financial  condition of the Loan
Parties  (excluding  Convalescent and  Convalescent's  Subsidiaries) as of their
dates and the results of operations  for the fiscal  periods then ended and have
been prepared in accordance with GAAP consistently applied, subject (in the case
of the interim statements) to normal year-end audit adjustments.

                               (B)  Convalescent  Statements.  The  Borrower has
delivered to the Agent  copies of the audited  consolidated  year-end  financial
statements of Convalescent and Convalescent's Subsidiaries for and as of the end
of the four fiscal  years ended  December  31,  1994 (the  "Convalescent  Annual
Statements"). In addition, the Borrower has delivered to the Agent copies of the
unaudited   consolidated   interim  financial  statements  of  Convalescent  and
Convalescent's  Subsidiaries  for and as of the end of the nine (9) months ended
September 30, 1995 (the  "Convalescent  Interim  Statements")  (the Convalescent
Annual  Statements  and  Convalescent   Interim  Statements  being  collectively
referred to as the  "Convalescent  Historical  Statements").  The  Borrower  has
delivered to the Agent copies of the unaudited  consolidated  year-end financial
statements of Convalescent and Convalescent's Subsidiaries for and as of the end
of the fiscal year ended December 31, 1995 (the "1995  Convalescent  Statements"
and  together  with  the  Convalescent   Historical  Statements,   the  "Updated
Convalescent  Historical  Statements").   The  Updated  Convalescent  Historical
Statements fairly present the consolidated  financial  condition of Convalescent
and Convalescent's  Subsidiaries as of their dates and the results of operations
for the fiscal periods then ended and have been prepared in accordance with GAAP
consistently  applied,   subject  (in  the  case  of  the  Convalescent  Interim
Statements) to normal year-end audit adjustments.

                               (C)  Regency   Statements.   The   Borrower   has
delivered to the Agent  copies of the audited  consolidated  year-end  financial
statements of Regency and Regency's  Subsidiaries  for and as of the end of each
of the three  fiscal  years ended  December  31, 1995 (the  "Regency  Historical
Statements").  The Regency Historical Statements fairly present the consolidated
financial condition of Regency and Regency's  Subsidiaries as of their dates and
the  results  of  operations  for the  fiscal  periods  then ended and have been
prepared in accordance with GAAP consistently applied.


                                      -44-


                               (D)   MedRehab   Statements.   The  Borrower  has
delivered to the Agent  copies of the audited  consolidated  year-end  financial
statements of MedRehab, Inc. and MedRehab, Inc.'s Subsidiaries for and as of the
end of each of the  three  fiscal  years  ended  June 30,  1995  (the  "MedRehab
Historical  Statements")  and the unaudited  financial  statements for MedRehab,
Inc.  and  MedRehab,  Inc.'s  Subsidiaries  for and as of the six  months  ended
December 31, 1995 (the  "MedRehab  Interim  Statements"  and  together  with the
MedRehab  Annual  Statements  being  collectively  referred to as the  "MedRehab
Historical  Statements").  The MedRehab Historical Statements fairly present the
consolidated  financial condition of MedRehab and MedRehab's  Subsidiaries as of
their dates and the results of operations  for the fiscal periods then ended and
have been prepared in accordance with GAAP consistently applied, subject (in the
case of the MedRehab Interim Statements) to normal year-end audit adjustments.

                           (ii)  Accuracy of Financial  Statements.  Neither the
Borrower nor any  Subsidiary  of Borrower  has any  liabilities,  contingent  or
otherwise,  or material forward or long-term  commitments that are not disclosed
in the  Updated  Mariner  Historical  Statements,  Pinnacle  Annual  Statements,
Updated Convalescent  Historical Statements,  MedRehab Historical Statements and
Regency Historical Statements (collectively,  the "Historical Statements") or in
the notes thereto or that are required to be disclosed under GAAP, and except as
disclosed  therein  there  are no  unrealized  or  anticipated  losses  from any
commitments of the Borrower or any Subsidiary which may cause a Material Adverse
Change.  Since  December  31, 1995,  no Material  Adverse  Change has  occurred;
provided, however, that with the written approval of the Required Banks, express
disclosures to the Banks by the Borrower in the reports provided by the Borrower
to the Banks,  pursuant to Section 8.03 hereof,  shall be deemed to be an update
and an exception to the  representation  made in the  foregoing  portion of this
sentence.

                  (j) Margin  Stock.  Neither the  Borrower  nor any  Subsidiary
engages or intends to engage principally, or as one of its important activities,
in the business of extending credit for the purpose,  immediately,  incidentally
or  ultimately,  of purchasing  or carrying  margin stock (within the meaning of
Regulation  U).  No part of the  proceeds  of any Loan has been or will be used,
immediately,  incidentally or ultimately,  to purchase or carry any margin stock
or to extend  credit to others for the purpose of  purchasing  or  carrying  any
margin stock or to refund Indebtedness  originally incurred for such purpose, or
for any purpose which entails a violation of or which is  inconsistent  with the
provisions of the  regulations of the Board of Governors of the Federal  Reserve
System.

                  (k) Full Disclosure. Neither this Agreement nor any other Loan
Document  contains any untrue  statement of a material  fact or omits to state a
material fact  necessary in order to make the  statements  contained  herein and
therein,  in  light  of the  circumstances  under  which  they  were  made,  not
misleading  considered as a whole;  provided that any information provided after
the date hereof shall be deemed to supersede any prior inconsistent information.
There is no fact  known  to the  Borrower  or any  Subsidiary  which  materially
adversely affects the business,  property, assets, financial condition,  results
of  operations or prospects of the Borrower or any Material  Subsidiary,  which:
(i) prior to or at the date hereof,  has not been set forth in the  Agreement or
in the  certificates,  statements,  agreements or other  documents  furnished in
writing  to the  Agent  and  the  Banks  in  connection  with  the


                                      -45-


transactions  contemplated  hereby or in the Borrower's  public filings with the
Securities and Exchange  Commission,  or (ii) following the date hereof and with
the written  approval  of the  Required  Banks,  has not been set forth in other
documents furnished in writing to the Agent and the Banks.

                  (l) Taxes. All material  federal,  state,  local and other tax
returns  required  to have  been  filed  with  respect  to the  Borrower  or any
Subsidiary  have been filed and payment or adequate  provision has been made for
the payment of all taxes, fees, assessments and other governmental charges which
have or may become due  pursuant  to said  returns  or to  assessments  received
except to the extent that such taxes,  fees,  assessments  and other charges are
being contested in good faith by appropriate  proceedings  diligently  conducted
and for which such reserves or other appropriate provisions, if any, as shall be
required  by GAAP  shall  have been made.  As of the date  hereof,  there are no
agreements or waivers  extending the statutory period of limitations  applicable
to any  federal  income tax return of the  Borrower  or any  Subsidiary  for any
period.

                  (m) Consents and Approvals. No consent,  approval,  exemption,
order or authorization of, or a registration or filing with any Official Body or
any other person is required by any Law or any agreement in connection  with the
execution,  delivery  and  carrying  out of this  Agreement,  or the other  Loan
Documents  or the Merger  Documents  by any Loan  Party,  all of which have been
obtained or made;  provided,  however,  that it is acknowledged  that consent of
health care regulatory authorities issuing any licenses or regulating any health
care  facilities  may be required if the Agent on behalf of the Banks  exercises
the rights and remedies in respect of the Pledged  Collateral  and such exercise
of remedies  results in or  constitutes an assignment of any health care license
issued by a health care regulatory  authority or constitutes a change of control
with respect to the ownership of a health care facility.

                  (n) No Event of Default; Compliance with Instruments. No event
has  occurred  and is  continuing  and no  condition  exists or will exist after
giving  effect to the  borrowings  to be made on the Ninth  Amendment  Effective
Date,  or the  Regency  Merger  Effective  Date under the Loan  Documents  which
constitutes an Event of Default or Potential  Default.  Neither the Borrower nor
any  Subsidiary  is  in  violation  of  (i)  any  term  of  its  certificate  of
incorporation,  by-laws, or other organizational  documents or (ii) any material
agreement  or  instrument  to  which  it is a party or by which it or any of its
properties  may be subject or bound  where such  violation  would  constitute  a
Material Adverse Change.

                  (o)  Patents,  Trademarks,  Copyrights,  Etc. The Borrower and
each Subsidiary owns or possesses all the material patents, trademarks,  service
marks, trade names,  copyrights and other intellectual property rights necessary
to own and  operate its  properties  and to carry on its  business as  presently
conducted  and planned to be  conducted  by the  Borrower  and each  Subsidiary,
without known conflict with the rights of others.

                  (p)  Security  Interests  in the  Collateral.  The  Liens  and
security interests granted to the Agent for the benefit of the Banks pursuant to
the Pledge Agreements,  Mortgages and Leasehold  Mortgages in the UCC Collateral
constitute, and will continue to


                                      -46-


constitute,  Prior Security  Interests  under the Uniform  Commercial Code as in
effect in each applicable  jurisdiction (the "Uniform Commercial Code") or other
applicable Law entitled to all the rights,  benefits and priorities  provided by
the Uniform  Commercial  Code or such Law to the  fullest  extent  permitted  by
applicable law, except that the security  interests in the Collateral  under the
Mortgages and Leasehold  Mortgages may be subordinated to the security interests
Regency granted to the COF Lender,  CLF Lender, ROF Lender or RLF Lender, as the
case may be. Upon the filing of financing  statements  relating to said security
interests  in each office and in each  jurisdiction  where  required in order to
perfect the security  interests  described  above and taking  possession  of the
stock certificates or certificates of ownership of member interests in a limited
liability  company,  as the case may be, evidencing the Pledged Collateral which
constitutes  stock of a corporation or member  interests of a limited  liability
company,  as the case may be, all such action as is  necessary  or  advisable to
establish such rights of the Agent will have been taken,  and there will be upon
execution  and  delivery  of the  Pledge  Agreements,  Mortgages  and  Leasehold
Mortgages,  such  filings,  and such taking of  possession  no necessity for any
further  action in order to preserve,  protect and continue such rights,  except
for  maintaining   possession  of  such  certificates  and  filing  continuation
statements with respect to such financing statements within six (6) months prior
to each five-year  anniversary of the filing of such financing  statements.  Any
expenses  in  connection  with each such action have been or will be paid by the
Borrower.  It is acknowledged that the exercise by the Banks of their rights and
remedies  in  respect  of  the  Pledged  Collateral  which  would  result  in or
constitute  any  assignment  of any license  issued by a health care  regulatory
authority or any change of control with respect to a health care facility may be
subject to the prior approval of such health care regulatory authorities.

                  (q) [Intentionally Omitted.]

                  (r)  Status  of the  Pledged  Collateral.  All the  shares  of
capital stock, partnership interests, or member interests in a limited liability
company,  as the case may be,  included in the Pledged  Collateral to be pledged
pursuant to the Pledge  Agreements are or will be upon issuance duly authorized,
validly issued,  fully paid,  nonassessable and all of the Pledged Collateral is
owned  beneficially  and of record by the pledgor  free and clear of any Lien or
restriction on transfer,  except as otherwise  provided in the Pledge Agreements
and except as the right of the Banks to dispose of the Pledged Collateral may be
limited  by  the  Securities  Act of  1933,  as  amended,  and  the  regulations
promulgated  by  the  Securities  and  Exchange  Commission  thereunder  and  by
applicable state securities laws. Except as otherwise disclosed to the Banks, in
writing,  there are no shareholder or other  agreements or  understandings  with
respect to the Pledged Collateral.

                  (s) Insurance.  The insurance  policies and bonds to which the
Borrower or any Subsidiary is a party provide  adequate  coverage from reputable
and  financially  sound insurers in amounts  sufficient to insure the assets and
risks of the Borrower and its  Subsidiaries in accordance with prudent  business
practice  in the  industry  of the  Borrower  and  its  Subsidiaries,  including
self-insurance  to the extent  customary,  and such policies and bonds are valid
and in full force and effect.


                                      -47-


                  (t) Compliance  with Laws.  The Borrower and its  Subsidiaries
are in compliance in all material  respects with all applicable Laws (other than
Environmental  Laws which are  specifically  addressed in subsection (y)) in all
jurisdictions  in which the Borrower or any  Subsidiary  is presently or will be
doing business except where the failure to do so would not constitute a Material
Adverse Change.

                  (u) Material Contracts, Licenses, Permits and Approvals.

                      (A) As of the date hereof,  Schedule  6.01(u) hereto lists
the following  contracts relating to the business operations of the Borrower and
its Subsidiaries:  (i) all employee benefit plans,  employment  agreements where
the compensation paid by the Borrower or any Subsidiary  exceeds $250,000 in any
fiscal year,  collective  bargaining  agreements and labor contracts (the "Labor
Contracts"),  (ii) all written  provider or similar  agreements  (the  "Provider
Agreements")  pursuant to which the Borrower and its Subsidiaries  have received
or may claim any entitlement to receive reimbursement from or as a result of (1)
Medicaid,  Medicare or Blue Cross  programs,  or (2) any other public or private
reimbursement  programs  where the  payments  received  by the  Borrower  or any
Subsidiary  exceeded or are expected to exceed  $6,000,000 in the current fiscal
year,  (iii) all leases of real property where the payments made by the Borrower
or any  Subsidiary  in the current  fiscal year exceed or are expected to exceed
$250,000,  (iv) any contract or series of contracts with the same person for the
furnishing or purchase of  machinery,  equipment,  goods or services,  where the
payments  made by the  Borrower or any  Subsidiary  exceeded or are  expected to
exceed  $1,000,000  in the  aggregate  in  the  current  fiscal  year;  (v)  all
management  contracts  pursuant to which the Borrower or a  Subsidiary  provides
management  services to any other person where the payments received or expected
to be received by the Borrower or any Subsidiary  exceed $500,000 in the current
fiscal  year;  and (vi) all other  material  contracts  filed as exhibits to any
report filed by the  Borrower  with the SEC during the past twelve  months.  All
contracts listed on Schedule  6.01(u) and any Provider  Agreements which provide
for annual  payments  in excess of  $6,000,000  which are not listed on Schedule
6.01(u)  are  valid,   binding  and   enforceable   upon  the  Borrower  or  its
Subsidiaries,  as the case may be, and, to the best  knowledge of the  Borrower,
each of the other parties thereto in accordance with their  respective terms and
there is no default  thereunder,  to the  knowledge  of the  Borrower and of its
Subsidiaries,  with  respect to parties  other than the  Borrower  or any of its
Subsidiaries.  There are no patient care  agreements  with patients or any other
person  or  organization  which  deviate  in such a  material  respect  from the
standard  patient care forms used by the Borrower or any of its  Subsidiaries as
to constitute a Material Adverse Change.

                      (B) Except as set forth on Schedule 6.01(u),  the Borrower
and each of its  Subsidiaries has all material  accreditations,  authorizations,
approvals,  certificates of need, consents, licenses, permits and qualifications
(collectively,  "Approvals")  required (i) for them to construct,  acquire, own,
manage,  lease and/or operate their  facilities  and services,  (ii) for them to
receive payment and reimbursement  from any patient or third party payor, to the
extent in the case of (i) and (ii) such  Approvals are presently  required.  The
Borrower and each of its Subsidiaries have all other material Approvals required
for the lawful  operation of their  businesses.  All  material  Approvals of the
Borrower and each of its  Subsidiaries are in full force


                                      -48-


and  effect  and  have  not been  amended  or  otherwise  modified  (except  for
modifications  which would not have a material  adverse effect upon the Borrower
or any  Subsidiary)  rescinded,  revoked  or  assigned,  and no notice  has been
received  of any  violation  of  applicable  Laws or any  refusal  to renew  any
Approval which could reasonably be expected to cause any of such Approvals to be
modified,  rescinded  or  revoked  (except  for  modifications,  rescissions  or
revocations which would not have a material adverse effect upon the Borrower and
its Subsidiaries taken as a whole). The continuation, validity and effectiveness
of all such Approvals will in no way be adversely  affected by the  transactions
contemplated by this Agreement. Neither the Borrower nor any of its Subsidiaries
knows of any reason why any of them will not be able to  maintain  all  material
Approvals necessary or appropriate to construct,  own, lease, manage and operate
all of  their  facilities  and to  otherwise  conduct  their  businesses  as now
conducted and presently  proposed to be conducted.  There are no deficiencies to
the  conditions  for  participation  by the  Borrower or any  Subsidiary  in any
Medicare,  Medicaid or other  reimbursement  programs  which would preclude such
participation.

                           (v)  Investment  Companies.  The  Borrower  is not an
"investment   company"  registered  or  required  to  be  registered  under  the
Investment Company Act of 1940 or under the "control" of an "investment company"
as such terms are  defined in the  Investment  Company Act of 1940 and shall not
become such an "investment company" or under such "control."

                           (w) Plans and Benefit Arrangements.

                                (i) The  Borrower  and each  member of the ERISA
Group are in compliance in all material respects with any applicable  provisions
of ERISA  with  respect to all  Benefit  Arrangements,  Plans and  Multiemployer
Plans.  There has been no  Prohibited  Transaction  with  respect to any Benefit
Arrangement or any Plan or, to the best knowledge of the Borrower,  with respect
to any  Multiemployer  Plan or Multiple Employer Plan, which could result in any
material  liability of the Borrower or any other member of the ERISA Group.  The
Borrower  and all  members  of the  ERISA  Group  have made when due any and all
payments  required to be made under any  agreement  relating to a  Multiemployer
Plan or a Multiple Employer Plan or any Law pertaining thereto.  With respect to
each Plan and  Multiemployer  Plan,  the  Borrower  and each member of the ERISA
Group (i) have fulfilled in all material  respects their  obligations  under the
minimum funding  standards of ERISA, (ii) have not incurred any liability to the
PBGC and (iii) have not had  asserted  against  them any  penalty for failure to
fulfill the minimum funding requirements of ERISA.

                                (ii) To the  best of the  Borrower's  knowledge,
each  Multiemployer  Plan and  Multiple  Employer  Plan is able to pay  benefits
thereunder when due.

                                (iii)  Neither the Borrower nor any other member
of the ERISA  Group has  instituted  or  intends  to  institute  proceedings  to
terminate any Plan.

                                (iv) No event requiring notice to the PBGC under
Section  302(f)(4)(A)  of ERISA has occurred or is reasonably  expected to occur
with  respect to any Plan,


                                      -49-


and no amendment with respect to which security is required under Section 307 of
ERISA has been made or is reasonably expected to be made to any Plan.

                                (v) The aggregate actuarial present value of all
benefit  liabilities  (whether or not vested)  under each Plan,  determined on a
plan termination  basis, as disclosed in, and as of the date of, the most recent
actuarial  report for such Plan, does not exceed the aggregate fair market value
of the assets of such Plan by an amount in excess of $250,000.

                                (vi)  Neither the  Borrower nor any other member
of the ERISA Group has  incurred  or  reasonably  expects to incur any  material
withdrawal  liability under ERISA to any Multiemployer Plan or Multiple Employer
Plan.  Neither  the  Borrower  nor any other  member of the ERISA Group has been
notified  by  any  Multiemployer  Plan  or  Multiple  Employer  Plan  that  such
Multiemployer  Plan or Multiple  Employer  Plan has been  terminated  within the
meaning of Title IV of ERISA and,  to the best  knowledge  of the  Borrower,  no
Multiemployer  Plan or  Multiple  Employer  Plan is  reasonably  expected  to be
reorganized or terminated, within the meaning of Title IV of ERISA.

                                (vii) To the extent that any Benefit Arrangement
is insured,  the  Borrower and all members of the ERISA Group have paid when due
all premiums required to be paid for all periods. To the extent that any Benefit
Arrangement is funded other than with insurance, the Borrower and all members of
the ERISA Group have made when due all contributions required to be paid for all
periods.

                           (x) Employment Matters.  The Borrower and each of its
Subsidiaries  are in  compliance  with the Labor  Contracts  and all  applicable
federal,  state and local labor and employment Laws  including,  but not limited
to, those related to equal employment  opportunity and affirmative action, labor
relations,  minimum wage, overtime, child labor, medical insurance continuation,
worker adjustment and relocation  notices,  immigration  controls and worker and
unemployment  compensation,  where the  failure  to comply  would  constitute  a
Material Adverse Change. There are no outstanding grievances, arbitration awards
or appeals therefrom arising out of the Labor Contracts or current or threatened
strikes,  picketing,  handbilling  or  other  work  stoppages  or  slowdowns  at
facilities  of the Borrower or any of its  Subsidiaries  which in any case would
constitute a Material  Adverse  Change.  The Borrower has delivered to the Agent
true and correct copies of each of the Labor  Contracts in effect as of the date
hereof.

                           (y)  Environmental  Matters.  Except as  disclosed on
Schedule 6.01(y) hereto:

                                (i)  Neither  the   Borrower   nor  any  of  its
Subsidiaries has received any Environmental  Complaint from any Official Body or
private person alleging that the Borrower,  any of its Subsidiaries or any prior
or subsequent owner of the Property is a potentially responsible party under the
Comprehensive  Environmental Response,  Cleanup and Liability Act ("CERCLA"), 42
U.S.C.  ss.  9601,  et seq.,  or is  potentially  liable  under the Solid  Waste
Disposal  Act,  as  amended,  ("SWDA")  42  U.S.C.  ss.  6901,  et seq.,  or any
comparable  state or foreign law, statute or regulation of either CERCLA or SWDA
and the Borrower has no reason to believe that such an  Environmental  Complaint
might be  received.  There  are no


                                      -50-


pending or, to the Borrower's  knowledge,  threatened  Environmental  Complaints
relating  to the  Borrower,  any  of  its  Subsidiaries  or,  to the  Borrower's
knowledge,  any prior or  subsequent  owner of the  Property  pertaining  to, or
arising  out of, any  Environmental  Conditions  which,  individually  or in the
aggregate,  if  adversely  determined  could  reasonably  be  expected to have a
material  adverse effect on the Borrower or any Subsidiary of the Borrower taken
as a whole.

                                (ii)  Except  for   conditions,   violations  or
failure which  individually  and in the aggregate are not  reasonably  likely to
result in a Material Adverse Change,  there are no  circumstances  at, on or, to
the best of the  Borrower's  knowledge,  under the  Property  that  constitute a
breach of or non-compliance  with any of the Environmental  Laws, and there are,
to the  best of the  Borrower's  knowledge,  no past  or  present  Environmental
Conditions at, on or under the Property or, to the Borrower's knowledge,  at, on
or, to the best of the  Borrower's  knowledge,  under  adjacent  property,  that
prevent compliance with the Environmental Laws at the Property.

                                (iii)  Neither the Property nor any  structures,
improvements,   equipment,   fixtures,   activities  or  facilities  thereon  or
thereunder  contain or use  Regulated  Substances  except in  compliance  in all
material respects with Environmental  Laws. There are no processes,  facilities,
operations,  equipment  or any  other  activities  at, on or, to the best of the
Borrower's knowledge,  under the Property, or, to the Borrower's knowledge,  at,
on or  under  adjacent  property,  that  currently  result  in  the  release  or
threatened  release of Regulated  Substances  onto the  Property,  except to the
extent that such releases or threatened releases are not a material breach of or
otherwise not a material violation of the Environmental  Laws, or are not likely
to result in a Material Adverse Change.

                                (iv) There are no above  ground  storage  tanks,
underground  storage tanks,  or underground  piping  associated with such tanks,
used for the  management  of Regulated  Substances  at, on or under the Property
that (a) do not have, to the extent required by applicable Environmental Laws, a
full  operational  secondary  containment  system  in  place,  and  (b)  are not
otherwise in compliance in all material respects with all Environmental Laws. To
Borrower's best knowledge,  there are no abandoned  underground storage tanks or
underground  piping  associated  with  such  tanks,   previously  used  for  the
management  of Regulated  Substances  at, on or under the Property that have not
been either abandoned in place, or removed, in accordance with the Environmental
Laws.

                                (v) The  Borrower  and each of its  Subsidiaries
have  all  material  permits,  licenses,  authorizations,  plans  and  approvals
necessary  under the  Environmental  Laws for the conduct of the business of the
Borrower and each such Subsidiary as presently conducted.  The Borrower and each
such Subsidiary have submitted all material  notices,  reports and other filings
required by the  Environmental  Laws to be submitted  to an Official  Body which
pertain to past and current operations on the Property.

                                (vi) Except for  violations  which  individually
and in the aggregate are not likely to result in a Material Adverse Change,  all
present and, to the best  knowledge of the  Borrower,  past on-site  generation,
storage, processing,  treatment, recycling,


                                      -51-


reclamation  or disposal of Regulated  Substances  at, on, or under the Property
and,  to the  best  knowledge  of the  Borrower,  all  off-site  transportation,
storage, processing,  treatment, recycling, reclamation or disposal of Regulated
Substances has been done in accordance with the Environmental Laws.

                           (z)  Senior  Debt  Status.  Except  as set  forth  on
Schedule  6.01(z),  the obligations of the Borrower under this Agreement and the
Notes and the  obligations of the  Subsidiaries of Borrower under the Guaranties
do rank and will rank at least pari passu in priority of payment  with all other
Indebtedness  of the Borrower or such  Subsidiaries,  as the case may be, except
Indebtedness  of the  Borrower  or its  Subsidiaries  to the  extent  secured by
Permitted  Liens.  The  obligations of the Borrower under this Agreement and the
Notes constitute "Designated Senior Indebtedness" as such term is defined in the
Indenture.  There is no Lien upon or with  respect to any of the  properties  or
income of the Borrower or any of its Subsidiaries which secures  Indebtedness or
other obligations of any person except for Permitted Liens.

                           (aa) Convalescent Merger.

                                (i) Indebtedness  Related to Convalescent Leased
Facilities.  Schedule 6.01(aa)  describes (1) each Convalescent  Leased Facility
(herein  sometimes  referred to in this  paragraph as the  "facility");  (2) the
person (the "CLF  Lessor")  which owns such facility and leases such facility to
Convalescent;  (3) the amount of Indebtedness (the "CLF Lessor Indebtedness") of
the CLF Lessor,  secured by any assets of such  facility;  (4) the obligee under
such Indebtedness (the "CLF Lender"); (5) any assets of Convalescent relating to
such facility in which Convalescent has granted Liens in favor of the CLF Lessor
(it is  acknowledged  that the CLF  Lessor  has  assigned  such Liens to the CLF
Lender) or CLF Lender;  and (6) the maturity of such CLF Lessor  Indebtedness as
of the Fourth  Amendment  Effective Date and without giving effect to subsequent
amendments.

                                (ii) Indebtedness  Related to Convalescent Owned
Facilities.  Schedule 6.01(aa)  describes (1) each  Convalescent  Owned Facility
(herein  sometimes  referred to in this  paragraph as the  "facility");  (2) the
person  which  owns  such  facility  (the  "COF  Owner");   (3)  the  amount  of
Indebtedness  (the "COF Owner  Indebtedness")  of the COF Owner,  secured by any
assets of such  facility;  (4) the  obligee  under such  Indebtedness  (the "COF
Lender"); (5) the assets of the COF Owner relating to such facility in which the
COF Owner has granted Liens in favor of such COF Lender; and (6) the maturity of
such COF  Owner  Indebtedness  as of the  Fourth  Amendment  Effective  Date and
without giving effect to subsequent amendments.

                                (iii) CLF  Lender,  CLF  Lessor  and COF  Lender
Agreements.

                                      (A) Leased  Facilities.  Schedule 6.01(aa)
states with respect to each Convalescent  Leased Facility whether the CLF Lender
has:

                                          (1) agreed to release its liens in the
assets of Convalescent related to such Facility;

                                          (2)  entered  into  a  Non-Disturbance
Agreement;


                                      -52-



                                          (3)  entered  into  an   Intercreditor
Agreement with the Agent;

                                          (4) granted to the Agent and the Banks
a Convalescent Facility Purchase Option; and

                                          (5)    agreed    to   the   grant   by
Convalescent  to the Agent of (i) a Leasehold  Mortgage and (ii) second Liens in
the assets of Convalescent.



Schedule 6.01(aa) also states, with respect to each Convalescent Leased Facility
(i) whether the CLF Lessor has pursuant to its lease with Convalescent consented
to the grant by  Convalescent  to the  Agent of a  Leasehold  Mortgage  and (ii)
whether Convalescent has granted Liens to the CLF Lessor pursuant to such lease.

                                      (B) Owned  Facilities.  Schedule  6.01(aa)
states with respect to each  Convalescent  Owned Facility whether the COF Lender
has:

                                          (1)  entered  into  an   Intercreditor
Agreement with Agent;

                                          (2) granted to the Agent and the Banks
a Convalescent Facility Purchase Option; and

                                          (3)    agreed    to   the   grant   by
Convalescent to the Agent of a Mortgage.

                           (bb)     Regency Merger.

                                (i)  Indebtedness   Related  to  Regency  Leased
Facilities. Schedule 6.01(bb) describes (1) each Regency Leased Facility (herein
sometimes referred to in this paragraph as the "facility"); (2) the person which
owns such facility  (the "RLF Lessor") and leases such facility to Regency;  (3)
the amount of Indebtedness  (the "RLF Lessor  Indebtedness")  of the RLF Lessor,
secured by any assets of such facility;  (4) the obligee under such Indebtedness
(the "RLF Lender"); (5) any assets of Regency relating to such facility in which
Regency has granted  Liens in favor of the RLF Lessor (it is  acknowledged  that
the RLF Lessor may have assigned  such Liens to the RLF Lender,  as indicated on
Schedule  6.01(bb))  or RLF  Lender;  and (6) the  maturity  of such RLF  Lessor
Indebtedness as of the Ninth Amendment  Effective Date and without giving effect
to subsequent amendments.

                                (ii)  Indebtedness   Related  to  Regency  Owned
Facilities.  Schedule 6.01(bb) describes (1) each Regency Owned Facility (herein
sometimes referred to in this paragraph as the "facility"); (2) the person which
owns such facility  effective upon the  consummation  of the Regency Merger (the
"ROF Owner");  (3) the amount of Indebtedness (the "ROF Owner  Indebtedness") of
the ROF Owner,  secured by any assets of such  facility;  (4) the


                                      -53-


obligee under such  Indebtedness  (the "ROF Lender");  (5) the assets of the ROF
Owner  relating to such  facility  in which the ROF Owner has  granted  Liens in
favor of such ROF Lender; and (6) the maturity of such ROF Owner Indebtedness as
of the Ninth  Amendment  Effective  Date and without giving effect to subsequent
amendments.

                                (iii) RLF  Lender,  RLF  Lessor  and ROF  Lender
Agreements.

                                      (A) Leased  Facilities.  Schedule 6.01(bb)
states with respect to each Regency Leased Facility whether the RLF Lender has:

                                          (1) agreed to release its liens in the
assets of Regency related to such facility;

                                          (2)  entered  into  a  Non-Disturbance
Agreement;

                                          (3)  entered  into  an   Intercreditor
Agreement with the Agent;

                                          (4) granted to the Agent and the Banks
a Regency Facility Purchase Option; and

                                          (5)  agreed to the grant by Regency to
the Agent of (i) a Leasehold  Mortgage  and (ii)  second  Liens in the assets of
Regency.

                                      Schedule   6.01(bb)   also  states,   with
respect to each Regency Leased Facility (i) whether the RLF Lessor has consented
to the grant by Regency  or MHF to the Agent of a  Leasehold  Mortgage  and (ii)
whether  Regency or MHF shall  grant  Liens to the RLF Lessor  pursuant  to such
lease.

                                      (B) Owned  Facilities.  Schedule  6.01(bb)
states with respect to each Regency Owned Facility whether the ROF Lender has:

                                          (1)  entered  into  an   Intercreditor
Agreement with Agent;

                                          (2) granted to the Agent and the Banks
a Regency Facility Purchase Option; and

                                          (3)  agreed to the grant by Regency to
the Agent of a Mortgage.

                           (cc) Mortgage and Leasehold Mortgage Liens. The Liens
granted to the Agent for the benefit of the Banks  pursuant to the Mortgages and
the  Leasehold  Mortgages  constitute  valid Liens under  applicable  law having
priority  over all other Liens except that they may be  subordinate  to Liens in
favor of the COF Owners and CLF  Lenders,  or in favor of the ROF Owners and RLF
Lenders,  as the case may be. All such action as will be  necessary or advisable
to  establish  such  Liens of the Agent and its  priority  as  described  in the
preceding


                                      -54-


sentence will be taken at or prior to the time  required for such  purpose,  and
there will be as of the date of  execution  and  delivery of the  Mortgages  and
Leasehold  Mortgages  no necessity  for any further  action in order to protect,
preserve and continue such Liens and such priority.

                  6.02 Updates to Schedules.  Should any of the  information  or
disclosures  provided  on any of  the  Schedules  attached  hereto  (other  than
Schedules  relating solely to  representations  and warranties made solely as of
the Closing Date, solely as of the Fourth Amendment  Effective Date or solely as
of the Ninth  Amendment  Effective  Date)  become  outdated or  incorrect in any
material respect,  the Borrower shall promptly provide the Agent in writing with
such revisions or updates to such Schedule as may be necessary or appropriate to
update or correct the same;  provided,  however that no Schedule shall be deemed
to have been amended,  modified or  superseded by any such  correction or update
that would disclose the occurrence of an event or condition which  constitutes a
Potential  Default  or Event of  Default,  nor shall any breach of  warranty  or
representation  resulting  from the  inaccuracy  or  incompleteness  of any such
Schedule  be deemed to have been cured  thereby,  unless and until the  Required
Banks,  in their sole and absolute  discretion,  shall have  accepted in writing
such revisions or updates to such Schedule.

                                   ARTICLE VII
                              CONDITIONS OF LENDING
                              ---------------------

                  The  obligation of each Bank to make Loans and of the Agent to
issue Letters of Credit  hereunder is subject to the performance by the Borrower
of its  obligations  to be performed  hereunder at or prior to the making of any
such Loans or issuance of such Letters of Credit and to the  satisfaction of the
following further conditions:

                  7.01     [Intentionally Omitted.]

                  7.02 Each Additional  Loan. At the time of making any Loans or
issuing  any  Letters  of Credit  other than the Loan made on the  Closing  Date
hereunder   and  after   giving   effect  to  the   proposed   borrowings:   the
representations  and  warranties of the Borrower  contained in Article VI hereof
shall be true on and as of the date of such additional Loan with the same effect
as though such  representations  and  warranties had been made on and as of such
date (except  representations and warranties which expressly relate solely to an
earlier date or time,  which  representations  and warranties  shall be true and
correct on and as of the  specific  dates or times  referred to therein) and the
Borrower  shall have  performed and complied  with all covenants and  conditions
hereof;  no Event of Default or  Potential  Default  shall have  occurred and be
continuing or shall exist; the making of the Loans or issuing of such Letters of
Credit shall not  contravene  any Law  applicable  to the Borrower or any of the
Banks;  and the Borrower  shall have  delivered to the Agent a duly executed and
completed Loan Request.

                  7.03  Conditions to  Consummation of Regency Merger and Making
of Additional Loan in Connection with Re7.03y  MerConditions  to Consummation of
Regency Merger and Making of Additional Loan in connection with Regency Merger.

                           (a)  Regency  Merger  Closing.  Each  of the  Regency
Merger Documents and the documents in connection with the closing of the Regency
Merger,  including


                                      -55-


without  limitation  the  Intercreditor  Agreements,   Leasehold  Mortgages  and
Mortgages,  is a binding  obligation of each party  thereto.  All  conditions to
closing under the Regency Merger  Agreement,  or other Regency Merger  Documents
have been satisfied.  The Regency Merger has been or simultaneous with permitted
borrowings  hereunder in connection therewith shall be consummated in accordance
with the Laws of the State of Florida and the Regency Merger Documents. Borrower
has delivered to the Agent for the benefit of the Banks true and correct  copies
of each  document  executed or delivered in  connection  with the closing of the
Regency  Merger.  There has been no amendment to the Regency  Merger  Agreement,
other  than such  amendment  as  approved  by the Agent  prior to the  execution
thereof;

                           (b) There  exists no Event of  Default  or  Potential
Default;

                           (c) The ratio of Total  Indebtedness  of the Borrower
and its  Subsidiaries  and Regency and its Subsidiaries as of the Regency Merger
Effective  Date to  Consolidated  Cash Flow from  Operations of Borrower and its
Subsidiaries and Regency and its Subsidiaries,  computed on a pro forma combined
basis for the fourth fiscal quarters ending on December 31, 1995 does not exceed
4.5 to 1.0;

                           (d) An authorized Officer shall have delivered a duly
executed certificate, certifying as to items 7.03(a), (b) and (c) above;

                           (e) The  Agent  shall  have  received  opinions  from
Testa, Hurwitz & Thibeault, the Borrower's counsel and from the Borrower's local
counsel in Florida,  Kansas and  Tennessee,  all such opinions to be in form and
substance satisfactory to the Agent; and

                           (f) Mariner  Health of Florida,  Inc.  and each other
new Subsidiary of the Borrower shall have executed and delivered to the Agent on
behalf of the Banks (i) a joinder  to  Guaranty  Agreement  and a joinder to the
Subordination  Agreement  (Intercompany)  and all of the stock  and  partnership
interests  of each such entity  shall be pledged to the Agent for the benefit of
the Banks pursuant to a Pledge Agreement,  on a first priority  perfected basis;
(ii)  organization  documents  certified by such Loan Party and certified by the
Secretary  of the State of formation  of each such  entity,  together  with good
standing certificates from each jurisdiction where such entity is required to be
qualified to conduct business and from the jurisdiction of its formation;  (iii)
an incumbency certificate of each officer authorized to execute and deliver Loan
Documents;  and (iv)  resolutions  of such entity  certified by the Secretary or
Assistant Secretary thereof authorizing the execution,  delivery and performance
of the Loan Documents.

                                  ARTICLE VIII
                                    COVENANTS
                                    ---------

                  8.01 Affirmative Covenants.  The Borrower covenants and agrees
that until payment in full of the Loans and interest  thereon,  satisfaction  of
all of  the  Borrower's  other  obligations  hereunder  and  termination  of the
Revolving  Credit  Commitments,  the Borrower shall comply at all times with the
following affirmative covenants:


                                      -56-


                  (a)  Preservation of Existence,  Etc.. The Borrower shall, and
shall cause each of its  Subsidiaries  to, maintain its corporate  existence and
its  qualification to do business as a foreign  corporation and good standing in
each  jurisdiction  in which its ownership or lease of property or the nature of
its business makes such qualification necessary,  except where the failure to be
so qualified or in such good standing  would not  constitute a Material  Adverse
Change.

                  (b)  Payment  of  Liabilities,   Including  Taxes,  Etc..  The
Borrower  shall,  and shall  cause  each of its  Subsidiaries  to,  duly pay and
discharge all  liabilities to which it is subject or which are asserted  against
it,  promptly as and when the same shall become due and payable,  including  all
taxes,  assessments and  governmental  charges upon it or any of its properties,
assets, income or profits,  prior to the date on which penalties attach thereto,
except to the extent that such  liabilities,  including  taxes,  assessments  or
charges,  are being  contested  in good  faith  and by  appropriate  and  lawful
proceedings diligently conducted and for which such reserve or other appropriate
provisions,  if any, as shall be required by GAAP shall have been made, but only
to the extent that failure to discharge any such liabilities would not result in
any additional  liability which would adversely  affect to a material extent the
financial  condition of the Borrower and its  Subsidiaries  taken as a whole and
which would affect the Collateral.

                  (c)      Maintenance of Insurance.nsurance

                           (i) The Borrower  shall,  and shall cause each of its
Subsidiaries to, insure its properties and assets against loss or damage by fire
and such other insurable hazards as such assets are commonly insured  (including
fire,  extended  coverage,   property  damage,  worker's  compensation,   public
liability  and  business   interruption   insurance)  and  against  other  risks
(including  errors and  omissions)  in such  amounts as similar  properties  and
assets are insured by prudent  companies  in similar  circumstances  carrying on
similar businesses, and with reputable and financially sound insurers, including
self-insurance  to the  extent  customary.  At the  request  of the  Agent,  the
Borrower  shall  deliver  (x) on the Closing  Date and  annually  thereafter  an
original certificate of insurance signed by the Borrower's independent insurance
broker  describing  and  certifying  as to the existence of the insurance on the
Collateral  required  to be  maintained  by this  Agreement  and the other  Loan
Documents and (y) from time to time a summary schedule  indicating all insurance
then in force with respect to the Borrower.

                  (d) Maintenance of Properties and Leases.  The Borrower shall,
and shall cause each of its  Subsidiaries  to, maintain in good repair,  working
order and condition  (ordinary  wear and tear  excepted) in accordance  with the
general practice of other businesses of similar character and size, all of those
properties  useful or  necessary  to its  business,  and from time to time,  the
Borrower  will make or cause to be made all  appropriate  repairs,  renewals  or
replacements thereof.

                  (e)  Maintenance  of Patents,  Trademarks,  Etc.. The Borrower
shall,  and shall cause each of its  Subsidiaries to, maintain in full force and
effect all patents, trademarks, trade names, copyrights,  licenses,  franchises,
permits and other  authorizations


                                      -57-


necessary for the ownership and operation of its  properties and business if the
failure so to maintain the same would constitute a Material Adverse Change.

                  (f) Visitation  Rights.  The Borrower  shall,  and shall cause
each of its Subsidiaries to, permit any of the officers or authorized  employees
or  representatives of the Agent or any of the Banks to visit and inspect any of
its  properties  and to examine and make excerpts from its books and records and
discuss its business  affairs,  finances and accounts with its officers,  all in
such detail and at such times during normal  business  hours and as often as any
of the Banks may reasonably  request,  provided that each Bank shall provide the
Borrower and the Agent with reasonable  notice prior to any visit or inspection.
In the event any Bank  desires to conduct  an audit of the  Borrower,  such Bank
shall make a reasonable effort to conduct such audit  contemporaneously with any
audit to be performed by the Agent.

                  (g)  Keeping of Records  and Books of  Account.  The  Borrower
shall,  and shall cause each of its  Subsidiaries  to,  maintain and keep proper
books of record and account  which enable the Borrower and its  Subsidiaries  to
issue financial  statements in accordance with GAAP and as otherwise required by
applicable  Laws of any Official Body having  jurisdiction  over the Borrower or
any  of  its   Subsidiaries,   and  which  accurately  and  fairly  reflect  the
transactions and dispositions of assets of the Borrower or such Subsidiary.

                  (h) Plans and Benefit  Arrangements.  The Borrower shall,  and
shall cause each member of the ERISA Group to,  comply with ERISA,  the Internal
Revenue  Code  and  other  applicable  Laws  applicable  to  Plans  and  Benefit
Arrangements  except where such failure,  alone or in conjunction with any other
failure,  would not result in a Material  Adverse Change.  Without  limiting the
generality of the  foregoing,  the Borrower shall cause all of its Plans and all
Plans  maintained  by any member of the ERISA  Group to be funded in  accordance
with the minimum  funding  requirements  of ERISA and shall make, and cause each
member of the ERISA Group to make, in a timely manner,  all contributions due to
Plans, Benefit Arrangements and Multiemployer Plans.

                  (i) Compliance with Laws. The Borrower shall,  and shall cause
each of its  Subsidiaries  to, comply with all  applicable  Laws,  including all
Environmental Laws, in all respects provided that it shall not be deemed to be a
violation  of this  Section  8.01(i) if any failure to comply with any Law would
not result in fines,  penalties,  other similar liabilities or injunctive relief
which in the aggregate would constitute a Material Adverse Change.

                  (j) Use of Proceeds. The Borrower will use the proceeds of the
Loans only for  lawful  purposes  in  accordance  with  Section  2.08  hereof as
applicable  and such uses shall not  contravene  any applicable Law or any other
provision hereof.

                  (k)      [Intentionally Omitted.]Omitted.]

                  (l)  Subordination  of  Intercompany  Loans,  Other  Loans and
Advances to the Borrower. Except for Indebtedness described on Schedule 8.01(l),
the  Borrower  shall cause any  intercompany  Indebtedness,  and shall cause any
other Indebtedness, loans or advances owed by any Loan Party to any other person
(other than a Loan Party) to be  subordinated  to the


                                      -58-


Loan  Parties'  obligations  under the Loan  Documents on the terms set forth in
Exhibit 8.01(l),  with such revisions thereto as are reasonably  satisfactory to
the Agent.

                           (m)  Approval of  Financial  Statements  in Permitted
Acquisitions;  Notice of Permitted  Acquisit(m) Approval of Financial Statements
in Permitted Acquisitions; Notice of Permitted Acquisition.

                                (i)  Approval  of  Financial   Statements.   The
Borrower  shall  deliver  to the  Banks a  certificate  in the  form of  Exhibit
8.01(m)(i)  hereof (the  "Acquisition  Approval  Certificate")  before  making a
Permitted  Acquisition  if they desire that the cash flow of the  business to be
acquired  during  periods prior to the  acquisition  shall be included when they
compute Cash Flow from  Operations  under this  Agreement.  The  Borrower  shall
attach  to  such  Acquisition  Approval  Certificate  copies  of the  historical
financial  statements  of the business to be acquired  including  the annual and
interim balance sheets and income statements for at least three (3) fiscal years
prior to the Permitted  Acquisition and pro forma statements which shall include
a combined balance sheet as of the acquisition date and cash flow statements for
the preceding year. The pro forma  statements  shall set forth: (1) Consolidated
Cash  Flow  from  Operations  of the Loan  Parties  and the  acquired  business,
adjusted in accordance  with clause (A) of the definition of  Consolidated  Cash
Flow from Operations,  for the Acquisition Income Reporting Period in connection
with such Permitted  Acquisition,  and (2) Total Indebtedness on the date of the
Permitted Acquisition after giving effect to the acquisition and the Loans to be
made on such  date,  and (3) the ratio of the amount in clause (2) to the amount
in clause (1),  which ratio shall not exceed (A) 3.75 to 1.0 from and  including
the   Convalescent   Merger   Effective  Date  through  but  not  including  the
Subordinated Indebtedness Incurrence Date; and (B) 4.5 to 1.0 from and after the
Subordinated  Indebtedness Incurrence Date. The Acquisition Approval Certificate
shall confirm the accuracy of the foregoing  computations and that, after giving
effect to the Permitted  Acquisition and the Loans made on the date thereof,  no
Event of Default shall exist and the Loan Parties  shall be in  compliance  with
all of their covenants hereunder, assuming, for purposes of Borrower's financial
covenants,  that all items of income, expense and cash flow are reported for the
Acquisition  Income  Reporting  Period and that all balance sheet items (such as
Indebtedness) are measured on the date of such Permitted  Acquisition.  The Loan
Parties may make the  Permitted  Acquisition  prior to  receiving  the  Required
Banks'  approval of Borrower's  Acquisition  Approval  Certificate  with respect
thereto;  provided that the Loan Parties may not,  until they have received such
approval, include the cash flow of the business to be acquired for periods prior
to the acquisition in their net income when they compute  Consolidated Cash Flow
from  Operations.  The Banks  shall use their  best  efforts  to  respond to the
Borrower's request for approval of each Acquisition  Approval Certificate within
two (2) Business Days following the Banks' receipt of such certificate and shall
not unreasonably withhold or delay such approval.  The Borrower may request that
extraordinary, nonrecurring expenses under GAAP incurred in connection with such
Permitted  Acquisition be excluded from the  Consolidated Net Income of the Loan
Parties and from the net income of the business to be acquired when they compute
Consolidated Cash Flow from Operations pursuant to clause (1) above. Examples of
such expenses include,  without limitation,  transaction costs, debt prepayments
and similar charges,  brokers' fees,  attorneys' fees and accountants' fees. The
foregoing  expenses  shall be excluded from net income in such  computations  of
Consolidated Cash Flow from Operations if the Required Banks agree in writing to
such request.


                                      -59-


                                (ii) Notice.  The Borrower  shall deliver to the
Banks a notice  in the form of  Exhibit  8.01(m)(ii)  (the  "Acquisition  Notice
Certificate")  at least  two (2)  Business  Days  before  making  any  Permitted
Acquisition  except  for:  (1) a  Permitted  Acquisition  described  in  Section
8.01(m)(i)  with  respect to which the  Borrower is  delivering  an  Acquisition
Approval  Certificate,  or (2) a Permitted  Acquisition if the Purchase Price in
connection therewith is less than $2,500,000. The Acquisition Notice Certificate
shall  set  forth  the  ratio of (1)  Consolidated  Cash  Flow  From  Operations
(excluding the cash flow of the acquired  business) for the  Acquisition  Income
Reporting  Period in connection with such Permitted  Acquisition,  and (2) Total
Indebtedness on the date of the Permitted Acquisition after giving effect to the
acquisition and the Loans to be made on such date,  which ratio shall not exceed
(A)  3.75 to 1.0 from and  including  the  Convalescent  Merger  Effective  Date
through but not including the Subordinated Indebtedness Incurrence Date; and (B)
4.5 to 1.0 from and after the  Subordinated  Indebtedness  Incurrence  Date. The
Acquisition  Notice  Certificate also shall confirm that, after giving effect to
the Permitted  Acquisition  and the Loans made on the date thereof,  no Event of
Default  shall exist and the Loan  Parties  shall be in  compliance  with all of
their  covenants  hereunder,  assuming,  for  purposes of  Borrower's  financial
covenants,  that all items of income, expense and cash flow are reported for the
Acquisition  Income  Reporting  Period and that all balance sheet items (such as
Indebtedness) are measured on the date of such Permitted Acquisition.

                                (iii)  Additional  Information.  With respect to
any Acquisition  Approval  Certificate or Acquisition  Notice  Certificate,  the
Borrower  shall  provide  to the  Banks,  as the  Banks may  reasonably  request
detailed  calculations  and  information  supporting the financial  calculations
therein and the financial statements attached thereto.

                  (n) Dissolution of Certain Subsidiaries.  Borrower shall cause
Pinnacle Rehab of Gwinnette and Pinnacle's  Kansas Joint Venture to be dissolved
on or before December 31, 1996. Borrower shall not, directly or indirectly, make
any capital contributions or other investments in, loans to, guarantees or other
obligations on behalf of, or other payments,  distributions  or contributions to
or for the benefit of,  Pinnacle  Rehab of Gwinnette or Pinnacle's  Kansas Joint
Venture on or after the Closing Date, except for payment of immaterial  expenses
on behalf of such entities relating to their dissolution.

                  (o) Westbury  Associates,  Ltd..  Borrower shall, on or before
December 31, 1996,  cause  Westbury  Associates,  Ltd. to become a  wholly-owned
Subsidiary of Borrower.

                  (p) Further  Assurances.  Each Loan Party shall,  from time to
time,  at its  expense,  faithfully  preserve and protect the Agent's Lien on or
perfected  security  interest in the Collateral as a continuing  perfected Lien,
subject only to Permitted  Liens, and shall do such other acts and things as the
Agent in its sole  discretion  may deem necessary or advisable from time to time
in order to  preserve,  perfect  and protect  the Liens  granted  under the Loan
Documents  and to exercise and enforce its rights and remedies  thereunder  with
respect to the Collateral.

                  (q)      Convalescent Facilities.cilities

                           (i) Convalescent Owned Facilities.


                                      -60-


                                (A) Termination of Liens. Borrower shall:

                                     (1) Cause any Lien  securing  any COF Owner
Indebtedness  to be  terminated on or before the earlier of: (i) the maturity of
such COF Owner  Indebtedness  (without  giving  effect to any  extension of such
maturity after the Fourth  Amendment  Effective  Date) or (ii) any  refinancing,
replacement or substitution of such COF Owner Indebtedness;

                                     (2) Not  permit  the  amount  of COF  Owner
Indebtedness  secured by Liens in favor of the COF  Lenders to exceed the amount
of such Indebtedness  existing on the Fourth Amendment  Effective Date, less any
repayments of such Indebtedness after such date; and

                                (3) Cause  each COF Owner not to grant a Lien on
any asset of such COF Owner if the COF  Lender  has  previously  terminated  its
Liens or has never obtained a Lien on such asset.

                           (B) Intercreditor  Agreements.  Cause each COF Lender
on the Convalescent  Merger Effective Date and thereafter any other person which
loans money to any COF Owner,  or otherwise  obtains a Lien in any of the assets
of any  COF  Owner  relating  to any of the COF  Owned  Facilities  (whether  by
assignment of the COF Owner Indebtedness or otherwise), on the date of such loan
or lien to execute and deliver to Agent an  Intercreditor  Agreement in the form
described in the definition of "Intercreditor Agreement." Borrower shall deliver
or cause to be  delivered  to Agent a true and correct  copy of the  original of
each  Intercreditor  Agreement  within one (1) Business Day after such agreement
has been executed pursuant to the preceding sentence.

                      (ii) Convalescent Leased Facilities.

                           (A) Termination of Liens. Borrower shall:

                                (1)  Cause  any  Lien  securing  any CLF  Lessor
Indebtedness  to be  terminated on or before the earlier of: (i) the maturity of
such CLF Lessor  Indebtedness  (without  giving  effect to any extension of such
maturity after the Fourth  Amendment  Effective  Date) or (ii) any  refinancing,
replacement or substitution of such CLF Lessor Indebtedness;

                                (2)  Not   permit   the  amount  of  CLF  Lessor
Indebtedness  secured by Liens in favor of the CLF  Lenders to exceed the amount
of such Indebtedness  existing on the Fourth Amendment  Effective Date, less any
repayments of such Indebtedness after such date; and

                                (3)  Cause  Convalescent  not to grant a Lien on
any of its asset if the CLF Lessor or CLF Lender has  previously  terminated its
Liens or has never obtained a Lien on such asset.


                                      -61-


                           (B)  Non-Disturbance  and  Intercreditor  Agreements.
Convalescent  shall cause each CLF Lender on the  Convalescent  Merger Effective
Date and any other  person which loans money to, or obtains a Lien in any of the
assets of, the CLF Lessor (whether by assignment of the CLF Lessor  Indebtedness
or  otherwise)  to  execute a  Non-Disturbance  Agreement  and an  Intercreditor
Agreement (in the form  described in the  definition of such term),  as the case
may be,  except for any CLF  Lender  listed on  Schedule  6.01(aa)  if  Schedule
6.01(aa)  states that  Mariner  shall not be required to cause  Convalescent  to
obtain such a Non-Disturbance  Agreement or an Intercreditor Agreement from such
CLF Lender.  Borrower shall deliver or cause to be delivered to Agent a true and
correct  copy  of  each  Non-Disturbance  Agreement  and  the  original  of each
Intercreditor  Agreement  within one (1) Business Day after such  agreement  has
been executed pursuant to the preceding sentence.

                           (C) Trustee Agreements. Convalescent shall cause each
CLF Lessor  listed on  Schedule  6.01(aa) to execute and deliver to PNC Bank the
Trustee  Agreement  if Schedule  6.01(aa)  states that such CLF Lessor  shall be
required to enter into such Trustee Agreement.

          (r)      Regency Facilities.

                   (i)     Regency Owned Facilities.

                           (A) Termination of Liens. Borrower shall:

                                (1)  Cause  any  Lien  securing  any  ROF  Owner
Indebtedness  to be  terminated on or before the earlier of: (i) the maturity of
such ROF Owner  Indebtedness  (without  giving  effect to any  extension of such
maturity  after the Ninth  Amendment  Effective  Date) or (ii) any  refinancing,
replacement or substitution of such ROF Owner Indebtedness;

                                (2)  Cause  Regency  to  grant  to  Agent on the
Regency  Merger  Date  second  priority  mortgage  liens or  perfected  security
interests, pursuant to the Mortgages in the form attached as Exhibit 1.01(M), in
each of the assets which is encumbered by Liens in favor of the ROF Lender;

                                (3)  Not   permit   the   amount  of  ROF  Owner
Indebtedness  secured by Liens in favor of the ROF  Lenders to exceed the amount
of such  Indebtedness  existing on the Ninth Amendment  Effective Date, less any
repayments of such Indebtedness after such date;

                                (4) Cause  each ROF Owner not to grant a Lien on
any asset of such ROF Owner if the ROF  Lender  has  previously  terminated  its
Liens or has never obtained a Lien on such asset; and

                                (5) Not permit the  amendment  of any  documents
evidencing  Indebtedness  due to an ROF Lender  without the prior consent of the
Agent.


                                      -62-


                           (B) Intercreditor  Agreements.  Cause each ROF Lender
on the Regency Merger Effective Date and thereafter any other person which loans
money to any ROF Owner, or otherwise  obtains a Lien in any of the assets of any
ROF Owner relating to any of the ROF Owned Facilities  (whether by assignment of
the ROF Owner  Indebtedness  or otherwise),  on the date of such loan or lien to
execute and deliver to Agent an Intercreditor Agreement in the form described in
the definition of "Intercreditor  Agreement." Borrower shall deliver or cause to
be  delivered  to  Agent  a true  and  correct  copy  of the  original  of  each
Intercreditor  Agreement  within one (1) Business Day after such  agreement  has
been executed pursuant to the preceding sentence.

                   (ii)    Regency Leased Facilities.

                           (A) Termination of Liens. Borrower shall:

                                (1)  Cause  any  Lien  securing  any RLF  Lessor
Indebtedness  to be  terminated on or before the earlier of: (i) the maturity of
such RLF Lessor  Indebtedness  (without  giving  effect to any extension of such
maturity  after the Ninth  Amendment  Effective  Date) or (ii) any  refinancing,
replacement or substitution of such RLF Lessor Indebtedness;

                                (2)  Cause  Regency  to grant  to  Agent  second
priority perfected security  interests,  pursuant to Leasehold  Mortgages in the
form attached as Exhibit  1.01(L),  in each of the assets which is encumbered by
Liens in favor of any RLF Lender, except if the RLF Lender to the Regency Leased
Facility  relating to such assets is listed on Schedule  6.01(bb)  and  Schedule
6.01(bb)  states that such RLF Lender has not  consented to the grant by Regency
of such second priority security interests;

                                (3)  Not   permit   the  amount  of  RLF  Lessor
Indebtedness  secured by Liens in favor of the RLF  Lenders to exceed the amount
of such  Indebtedness  existing on the Ninth Amendment  Effective Date, less any
repayments of such Indebtedness after such date; and

                                (4) Cause  Regency not to grant a Lien on any of
its assets if the RLF Lessor or RLF Lender has  previously  terminated its Liens
or has never obtained a Lien on such asset.

                           (B)  Non-Disturbance  and  Intercreditor  Agreements.
Regency shall cause each RLF Lender on the Regency Merger Effective Date and any
other  person  which  loans money to, or obtains a Lien in any of the assets of,
the RLF  Lessor  (whether  by  assignment  of the  RLF  Lessor  Indebtedness  or
otherwise) to execute a Non-Disturbance Agreement and an Intercreditor Agreement
(in the form  described  in the  definition  of such term),  as the case may be,
except for any RLF Lender  listed on  Schedule  6.01(bb)  if  Schedule  6.01(bb)
states that  Borrower  shall not be  required to cause  Regency to obtain such a
Non-Disturbance  Agreement or an  Intercreditor  Agreement from such CLF Lender.
Borrower shall deliver or cause to be delivered to Agent a true and correct copy
of each  Non-Disturbance  Agreement  and


                                      -63-


the original of each  Intercreditor  Agreement within one (1) Business Day after
such agreement has been executed pursuant to the preceding sentence.

                  8.02  Negative  Covenants.  The Borrower  covenants and agrees
that until payment in full of the Loans and interest  thereon,  satisfaction  of
all of  the  Borrower's  other  obligations  hereunder  and  termination  of the
Revolving  Credit  Commitments,  the Borrower  shall  comply with the  following
negative covenants:

                  (a)  Indebtedness.  Subject to Section  8.02(v),  the Borrower
shall not, and shall not permit any of its  Restricted  Subsidiaries  to, at any
time create, incur, assume or suffer to exist any Indebtedness, except:

                           (i) Indebtedness under the Loan Documents;

                           (ii) Existing  Indebtedness  as set forth on Schedule
8.02(a) hereto  (including any extensions or renewals  thereof provided there is
no  increase  in the  amount  thereof or other  significant  change in the terms
thereof adverse to any Loan Party or to any Bank unless  otherwise  specified on
Schedule 8.02(a));  the COF Owner  Indebtedness and CLF Lessor  Indebtedness are
also subject to the covenants and limitations  described in Section 8.01(q); the
ROF Owner  Indebtedness  and RLF  Lessor  Indebtedness  are also  subject to the
covenants and limitations described in Section 8.01(r);

                           (iii)  Capitalized   leases  as  and  to  the  extent
permitted under Section 8.02(p) and operating leases;

                           (iv) Indebtedness which is subordinated in accordance
with the provisions of Section 8.01(1);

                           (v)  Indebtedness  secured by Purchase Money Security
Interests in an aggregate  amount for the  Borrower  and its  Subsidiaries  on a
consolidated basis at any time not exceeding $500,000;

                           (vi)  Indebtedness of a Loan Party to the Borrower or
to a wholly owned Subsidiary of the Borrower;

                           (vii) the Subordinated  Notes,  provided that neither
the  subordination  provisions  contained  in the  Indenture  nor  Section  1008
[Limitation  on  Indebtedness]  of the  Indenture  shall be  amended  after  the
Subordinated   Indebtedness  Incurrence  Date  and  provided  further  that  the
Indenture  is  not  otherwise   amended  after  the  Subordinated   Indebtedness
Incurrence  Date if the  effect  thereof  would (i)  accelerate  the due date or
increase the amount of any payment due from the Borrower thereunder, (ii) change
the rate at which  interest  is charged  thereunder,  or (iii)  impose  material
restrictions  or obligations on the Borrower or the other Loan Parties which are
not imposed thereunder on the Closing Date or add any term thereto which is less
favorable  in any  material  respect to the Loan  Parties  than the terms of the
Indenture  on the  Subordinated  Indebtedness  Incurrence  Date or which is more
restrictive  to any of the Loan Parties than the terms of the Credit  Agreement;
and


                                      -64-


                           (viii)  Guaranties which  constitute  Indebtedness as
permitted pursuant to Section 8.02(c).

                  (b) Liens. The Borrower shall not, and shall not permit any of
the other Loan Parties or  Unrestricted  Subsidiary  which is an Excluded Entity
with  respect  to which  Restricted  Investments  have  been  made as  permitted
pursuant to Section 8.02(d)(iv) to, at any time create,  incur, assume or suffer
to  exist  any Lien on any of its or  their  property  or  assets,  tangible  or
intangible, now owned or hereafter acquired, or agree or become liable to do so,
except Permitted Liens.

                  (c) Guaranties.  Except as described in Schedule 8.02(c),  the
Borrower  shall not,  and shall not permit any of the other Loan  Parties to, at
any time, directly or indirectly, become or be liable in respect of any Guaranty
except: (i) Guaranties of any obligation or liability of another Loan Party that
is permitted under the other provisions of this Agreement, (ii) Guaranties which
are not required by GAAP to be disclosed in the Borrower's audited  consolidated
financial  statements  (including the footnotes  thereto),  (iii)  Guaranties of
Indebtedness  incurred as part of a permitted Restricted  Investment pursuant to
Section  8.02(d)(iv)  and  (iv)  Guaranties  which  are  subordinated  on  terms
reasonably acceptable to the Agent.

                  (d) Loans and  Investments.  The Borrower shall not, and shall
not  permit  any of the other  Loan  Parties,  to, at any time make or suffer to
remain  outstanding  any loan or  advance  to, or  purchase,  acquire or own any
stock,  bonds,  notes or securities  of, or any  partnership  interest  (whether
general or limited)  in, or any other  investment  or  interest  in, or make any
capital  contribution to, any other person, or agree, become or remain liable to
do any of the foregoing, except:

                           (i) trade  credit  extended  on usual  and  customary
terms in the ordinary course of business;

                           (ii) advances to employees to meet expenses  incurred
by such employees in the ordinary course of business;

                           (iii) Permitted Investments;

                           (iv)  Restricted  Investments  not to  exceed  in the
aggregate  for the  Borrower  and the other Loan  Parties  Twenty  Five  Million
Dollars  ($25,000,000)  outstanding at any time;  provided that (i) the Excluded
Entity in which the Restricted Investment is made is engaged in a business which
is  ancillary  and related to the  business of the Loan  Parties;  (ii) the Loan
Party making a Restricted Investment is either a shareholder,  member or partner
of the  Excluded  Entity in which a  Restricted  Investment  is made;  (iii) the
stock, equity interests in a limited liability company or partnership  interests
owned by a Loan Party in the Excluded Entity in which a Restricted Investment is
made are pledged to the Agent on a first  priority  basis for the benefit of the
Banks;  and (iv) to the extent  that any  Excluded  Entity  incurs  Indebtedness
payable to any person  other than a Loan Party (the  "Third  Party  Lender")  in
excess of $2,500,000,  prior to incurring such Indebtedness,  the Borrower shall
cause the Third Party Lender to enter into an


                                      -65-


intercreditor  agreement  with the  Agent on behalf  of the  Banks,  in form and
substance  satisfactory  to the Agent in its sole discretion with respect to the
Indebtedness  of such Excluded  Entity payable to the Third Party Lender and any
Indebtedness  of such  Excluded  Entity  payable to either the Banks or any Loan
Party; and

                           (v) loans,  advances and  investments  in  Restricted
Subsidiaries.

                  (e) Dividends and Related  Distributions.  The Borrower  shall
not, and shall not permit any of its  Subsidiaries  to, make or pay, or agree to
become or remain  liable to make or pay, any dividend or other  distribution  of
any nature (whether in cash, property, securities or otherwise) on account of or
in respect of their respective shares of capital stock or partnership interests,
as the case may be, or on account of the  purchase,  redemption,  retirement  or
acquisition of their respective shares of capital stock (or warrants, options or
rights  therefor)  or  partnership  interests,  as the case may be,  except  (i)
dividends or distributions  in respect of a partnership  interest payable by any
Subsidiary to the Borrower,  (ii)  dividends  payable by the Borrower  solely in
shares  of  capital  stock  of  the  Borrower,  and  (iii)  up  to  $500,000  of
distributions  per year  payable in the  aggregate  by the  Subsidiaries  of the
Borrower which are limited liability  companies or partnerships to non Affiliate
members of such limited liability companies or non Affiliate limited partners of
such partnerships, so long as after giving effect thereto no Event of Default or
Potential Default has occurred and is continuing. Notwithstanding the foregoing,
the  Borrower  may  purchase  or redeem its stock  (from  funds  other than Loan
proceeds),  from the date hereof through the Expiration Date, up to an aggregate
of $5 million of such stock, provided that, after giving effect to such purchase
or redemption,  so long as after giving effect  thereto no Potential  Default or
Event of Default has  occurred  and is  continuing  and,  without  limiting  the
generality  of the  foregoing,  that  the  Borrower  is in  compliance  (and the
Borrower demonstrates such compliance to the Agent in detail satisfactory to the
Agent) with the Leverage Ratio set forth in Section 8.02(r) and with the Minimum
Net Worth covenant set forth in Section 8.02(t).

                  (f) Liquidations,  Mergers, Consolidations,  Acquisitions. The
Borrower  shall not,  and shall not permit  any of the other  Loan  Parties  to,
dissolve,  liquidate or wind-up its affairs,  or become a party to any merger or
consolidation,  or acquire by purchase,  lease or otherwise all or substantially
all of the assets or capital  stock of any other  person,  provided that (i) any
wholly owned  Subsidiary may consolidate or merge into the Borrower or any other
wholly owned Subsidiary; (ii) a Subsidiary that is not a Material Subsidiary may
be  dissolved,  liquidated  or  wound  up  provided  that  from the date of this
Agreement  through the  Expiration  Date,  the total assets of the  non-Material
Subsidiaries  which  so  dissolve,   liquidate  or  wind  up  shall  not  exceed
$10,000,000 in the aggregate;  (iii) the Borrower or a Restricted  Subsidiary of
the Borrower may acquire all of the capital stock of another corporation so long
as (u) the Purchase Price for such acquisition shall not exceed $75,000,000, (v)
the aggregate  Purchase  Price for such  acquisition  together with all previous
acquisitions  permitted  under  clauses  (iii) and (iv) of this Section  8.02(f)
shall not exceed  $70,000,000 during the fiscal year ending December 31, 1995 or
$150,00,000 in any fiscal year of Borrower  commencing  after December 31, 1995,
(w) such acquired  corporation,  simultaneous with the acquisition  thereof by a
Loan Party,  executes  and  delivers to the Agent for the benefit of the Banks a
Guaranty


                                      -66-


Agreement and a Pledge  Agreement  substantially in the form of Exhibits 1.01(G)
and  1.01(P),  respectively,  and also  delivers  to the Agent such  opinions of
counsel and other documents in connection  therewith as the Agent may reasonably
request,  (x) all of the issued and  outstanding  capital stock of such acquired
corporation owned by a Loan Party is pledged to the Agent for the benefit of the
Banks  pursuant  to a Pledge  Agreement  substantially  in the  form of  Exhibit
1.01(P) hereto, (y) after giving effect to such proposed  acquisition,  no Event
of Default shall have occurred and be continuing, and (z) after giving effect to
such proposed  acquisition (and without limiting the generality of the preceding
clause  (iii)(y)),  the Borrower is in  compliance  with the Leverage  Ratio set
forth in Section 8.02(r) and the Borrower  demonstrates such compliance pursuant
to  Section  8.01(m)  (if  Section  8.01(m)   requires  such   demonstration  of
compliance);  and (iv) the Borrower or any  Restricted  Subsidiary  may merge or
consolidate  with, or acquire all or substantially  all of the assets of another
person  so long as (w) the  Purchase  Price  for  such  acquisition,  merger  or
consolidation shall not exceed $75,000,000, (x) the aggregate Purchase Price for
such acquisition together with all previous acquisitions permitted under clauses
(iii) and (iv) of this Section 8.02(f) shall not exceed  $70,000,000  during the
fiscal  year ending  December  31,  1995 or  $150,000,000  in any fiscal year of
Borrower  commencing  after  December 31, 1995,  (y) after giving effect to such
proposed  acquisition,  merger or consolidation,  no Event of Default shall have
occurred  and be  continuing,  and (z)  after  giving  effect  to such  proposed
acquisition,  merger or  consolidation,  the Borrower is in compliance  with the
Leverage Ratio set forth in Section 8.02(r) and the Borrower  demonstrates  such
compliance  pursuant  to Section  8.01(m)  (if  Section  8.01(m)  requires  such
demonstration  of  compliance).  The Purchase Price paid in connection  with the
Convalescent  Merger  shall be  excluded  from  the  computation  of the  dollar
limitations  on the Purchase Price  permitted to be paid in connection  with the
mergers or other acquisitions  contained in clauses (iii)(u) and (v) and (iv)(w)
and (x) above.  The Purchase Price paid in connection  with the MedRehab  Merger
shall be excluded from the computation of the dollar limitations on the Purchase
Price permitted to be paid in connection with the mergers or other  acquisitions
contained in clauses  (iii)(u)  and (v) and (iv)(w) and (x) above.  The Purchase
Price paid in  connection  with the  Regency  Merger  shall be  included  in the
computation of the dollar limitations on the Purchase Price permitted to be paid
in connection with mergers or other  acquisitions  contained in clauses (iii)(u)
and (v) and  (iv)(w)  and (x)  above.  For  purposes  of the  preceding  clauses
(iii)(z) and (iv)(z),  the Leverage Ratio set forth in Section  8.02(r) shall be
calculated as follows: (i) Total Indebtedness shall be determined as of the date
of the proposed acquisition,  after giving effect thereto, and (ii) Consolidated
Cash Flow from Operations shall be calculated for the twelve-month period ending
on the last day of the fiscal  quarter of the Borrower  which precedes such date
of acquisition.

                  (g) Dispositions of Assets or Subsidiaries. The Borrower shall
not,  and shall not permit  any of the other  Loan  Parties  to,  sell,  convey,
assign,  lease,  abandon or  otherwise  transfer or dispose of,  voluntarily  or
involuntarily,   any  of  its  properties  or  assets,  tangible  or  intangible
(including but not limited to sale, assignment, discount or other disposition of
accounts,  contract rights, chattel paper, equipment or general intangibles with
or without  recourse  or of capital  stock,  shares of  beneficial  interest  or
partnership interests of a Subsidiary), except:


                                      -67-


                           (i) any  sale,  transfer  or lease of  assets  in the
ordinary  course of business  which are no longer  necessary  or required in, or
which are not material to, the conduct of the  Borrower's  or such  Subsidiary's
business;

                           (ii) any  sale,  transfer  or lease of  assets by any
wholly owned Loan Party to the Borrower or any other wholly owned Loan Party (or
by the Borrower to a wholly owned Loan Party);

                           (iii)  any sale,  transfer  or lease of assets in the
ordinary course of business which are replaced by substitute  assets acquired or
leased within the parameters of Section 8.02(p) provided such substitute  assets
are subject to the Banks' Prior Security Interest;

                           (iv)  any  sale  or  transfer  of  assets  which  are
obsolete  or no longer  used or useful in the  business  of the  Borrower or its
Subsidiaries;  provided  that such sales,  transfers or  dispositions  shall not
exceed, in any fiscal year, $1 million in the aggregate for the Borrower and its
Subsidiaries; or

                           (v) any sale, transfer or lease of assets, other than
those specifically excepted pursuant to clauses (i) through (iv) above, which is
approved  by the  Required  Banks  so  long as (x) the  proceeds  of such  sale,
transfer  or lease are  applied as a  mandatory  prepayment  of the Loans to the
extent required by the provisions of Section 5.05 of this  Agreement,  (y) after
giving  effect to such  proposed  disposition,  no Event of  Default  shall have
occurred  and be  continuing,  and (z)  after  giving  effect  to such  proposed
disposition  (and without  limiting the generality of the foregoing clause (y)),
the Borrower is in compliance  (and, with respect to sales,  transfers or leases
of assets of  Subsidiaries  which are not  Material  Subsidiaries,  which sales,
transfers or leases  individually or in the aggregate exceed $10 million for the
period from the date hereof  through and  including  the  Expiration  Date,  the
Borrower  demonstrates  such  compliance  to  the  Agent  in  detail  reasonably
satisfactory to the Agent) with the leverage ratio set forth in Section 8.02(r).
For purposes of this Section 8.02(g)(v), the leverage ratio set forth in Section
8.02(r) shall be calculated as follows: (i) Indebtedness of the Borrower and its
Subsidiaries  shall be  determined  as of the date of the proposed  disposition,
after giving effect  thereto,  and (ii)  Consolidated  Cash Flow from Operations
shall be calculated  for the  twelve-month  period ending on the last day of the
fiscal quarter of the Borrower which precedes such date of disposition but shall
exclude  therefrom  all  amounts  attributable  to the  assets  which  are sold,
transferred or leased.

                  (h) Affiliate Transactions.  The Borrower shall not, and shall
not permit any of its  Subsidiaries  to, enter into or carry out any transaction
with any  Affiliate  (including,  without  limitation,  purchasing  property  or
services  from or selling  property  or  services)  unless such  transaction  is
entered  into in the  ordinary  course  of  business  upon  fair and  reasonable
arm's-length  terms and conditions and is in accordance  with all applicable Law
or unless such transaction is not otherwise prohibited by this Agreement.

                  (i) Subsidiary,  Partnerships and Joint Ventures. The Borrower
shall not,  and shall not permit any  Subsidiary  to, own or create  directly or
indirectly  any  Subsidiaries  other  than  those  listed in  Schedule  6.01(c);
provided,  however,  that the Borrower or a Restricted


                                      -68-


Subsidiary  may acquire a Subsidiary  pursuant to Section  8.02(f) or form a new
Subsidiary  so long as (A) if such  Subsidiary  is a  Restricted  Subsidiary  it
executes  and  delivers  to the Agent for the  benefit  of the Banks a  Guaranty
Agreement  substantially in the form of Exhibit 1.01(G),  , and also delivers to
the  Agent  such  opinions  of  counsel  and  other  documents  as the Agent may
reasonably  request;  and (B) all of the issued and outstanding capital stock of
such Subsidiary owned by a Loan Party is pledged to the Agent for the benefit of
the Banks,  such pledge to be a first priority  perfected  pledge  pursuant to a
Pledge  Agreement.  If  Borrower  is  forming a new  Subsidiary  (as  opposed to
acquiring a Subsidiary)  the obligations set forth in clauses (A) and (B) of the
preceding  sentence shall arise only at such time as such new Subsidiary  either
commences  construction  of a  health  care  facility  or  related  health  care
business, acquires a health care facility or makes another acquisition permitted
under this  Agreement or has a net book value,  as determined  under GAAP, of at
least  $250,000.  Except for investments  permitted  under Section  8.02(d)(iv),
neither  the  Borrower  nor any  Subsidiary  shall  become  or agree to become a
general or  limited  partner in any  general or limited  partnership  or a joint
venturer in any joint venture.

                  (j) Continuation of or Change in Business.  The Borrower shall
not, and shall not permit any  Subsidiary  to, engage in any business other than
(i) its existing  business,  substantially  as conducted  and operated as of the
Closing Date and (ii) related health care businesses.

                  (k) Plans and Benefit  Arrangements.  The Borrower  shall not,
and shall not permit any of its Subsidiaries to:

                           (i) fail to satisfy the minimum funding  requirements
of ERISA and the Internal Revenue Code with respect to any Plan;

                           (ii)  request  a  minimum  funding  waiver  from  the
Internal Revenue Service with respect to any Plan;

                           (iii)  engage in a  Prohibited  Transaction  with any
Plan,  Benefit  Arrangement or Multiemployer Plan which, alone or in conjunction
with any other  circumstances  or set of  circumstances  resulting  in liability
under ERISA, would constitute a Material Adverse Change;

                           (iv) permit the aggregate  actuarial present value of
all benefit liabilities (whether or not vested) under each Plan, determined on a
plan  termination  basis,  as  disclosed  in the most  recent  actuarial  report
completed  with respect to such Plan, to exceed,  as of any actuarial  valuation
date, the fair market value of the assets of such Plan by an amount in excess of
$250,000;

                           (v)  fail to make  when due any  contribution  to any
Multiemployer  Plan that the  Borrower  or any member of the ERISA  Group may be
required to make under any agreement relating to such Multiemployer Plan, or any
Law pertaining thereto;

                           (vi)  withdraw  (completely  or  partially)  from any
Multiemployer  Plan or withdraw (or be deemed under Section  4062(e) of ERISA to
withdraw) from any


                                      -69-


Multiple  Employer  Plan,  where  any such  withdrawal  is likely to result in a
material liability of Borrower or any member of the ERISA Group;

                           (vii)   terminate,   or  institute   proceedings   to
terminate,  any Plan,  where such  termination is likely to result in a material
liability to the Borrower or any member of the ERISA Group;

                           (viii) make any amendment to any Plan with respect to
which security is required under Section 307 of ERISA; or

                           (ix)  fail to give any and all  notices  and make all
disclosures  and  governmental  filings  required  under  ERISA or the  Internal
Revenue  Code,  where such  failure  is likely to result in a  Material  Adverse
Change.

                  (l)  Fiscal  Year.  The  Borrower  shall not permit any of its
Subsidiaries to, change its fiscal year from the  twelve-month  period beginning
January 1 and ending December 31.

                  (m) Issuance of Stock.  The  Borrower  shall not permit any of
its  Subsidiaries to issue any additional  shares of capital stock,  partnership
interests  or member  interests in a limited  liability  company or any options,
warrants  or  other  rights  in  respect  thereof;  provided,  however,  that an
Unrestricted Subsidiary which is an Excluded Entity may issue additional capital
stock,  partnership interests or member interests in a limited liability company
so long as all such capital stock,  partnership interests or member interests in
a limited  liability  company  which are  owned,  beneficially,  of  record,  or
otherwise,  by any Loan  Party  are  pledged  to the  Banks as a first  priority
perfected pledge pursuant to a Pledge  Agreement,  and provided further that any
Restricted Subsidiary may issue additional capital stock,  partnership interests
or member  interests  in a limited  liability  company  so long as such  capital
stock,  partnership interests or member interests in a limited liability company
are  pledged to the Banks as a first  priority  perfected  pledge  pursuant to a
Pledge Agreement.

                  (n)      [Intentionally Omitted.]Omitted.]

                  (o)      [Intentionally Omitted.]Omitted.]

                  (p) Capital  Expenditures and Leases.  The Borrower shall not,
and shall not permit any of its  Subsidiaries to make any payments on account of
the purchase of any assets which if purchased would  constitute  fixed assets or
on account of the lease of any assets which if leased would constitute a capital
lease, in the aggregate  exceeding:  (i)  $11,100,000  during the fiscal year of
January 1, 1995 through  December 31, 1995; (ii)  $30,000,000  during the fiscal
year of January 1, 1996 through December 31, 1996; and (iii) $15,000,000 in each
fiscal  year  thereafter,  and all such  purchases  of fixed  assets or payments
pursuant to such capital  leases shall be made under usual and  customary  terms
and in the ordinary course of business.

                  (q) Minimum Fixed Charge  Coverage  Ratio.  The Borrower shall
not at any  time  permit:  (i)  for  periods  prior  to but  not  including  the
Subordinated  Indebtedness


                                      -70-


Incurrence  Date, the ratio of (x) the sum of Adjusted  Consolidated Net Income,
interest expense,  income tax expense and operating lease expense to (y) the sum
of its interest expense and operating lease expense, in each case determined and
consolidated  in  accordance  with GAAP to be less than 2.5 to 1.0; and (ii) for
periods from and after the Subordinated  Indebtedness Incurrence Date, the ratio
of  (x)  the  sum  of  Adjusted  Consolidated  Net  Income,   interest  expense,
depreciation,  amortization,  income tax expense and operating  lease expense to
(y) the  sum of its  interest  expense,  operating  lease  expense  and  current
maturities of long-term Indebtedness in each case determined and consolidated in
accordance with GAAP to be less than 2.25 to 1.0. Such ratio shall be calculated
as of the end of each fiscal quarter.  Calculations as of the end of each fiscal
quarter shall be for the four fiscal quarters then ended.  Calculations  made as
of the end of the fiscal quarter ending after the Convalescent  Merger Effective
Date and each of the  three  fiscal  quarters  thereafter  shall be based on pro
forma combined  financial  statements of the Borrower and its  Subsidiaries  and
Convalescent and its Subsidiaries to the extent the calculation includes periods
prior to the Convalescent Merger Effective Date. Calculations made as of the end
of the fiscal quarter ending after the Regency Merger Effective Date and each of
the  three  fiscal  quarters  thereafter  shall be based on pro  forma  combined
financial  statements of the Borrower and its  Subsidiaries  and Regency and its
Subsidiaries to the extent the calculation includes periods prior to the Regency
Merger Effective Date, with such pro forma combined  financial  statements to be
utilized to be in the form  attached  to the  Acquisition  Approval  Certificate
delivered in connection with the Regency Merger. It is expressly agreed that for
purposes of calculating the foregoing ratio, for each period of determination at
the end of a fiscal  quarter for the four fiscal  quarters then ended,  Adjusted
Consolidated Net Income,  which is part of the numerator of such ratio, shall be
reduced by an  amount,  if any,  equal to the  excess of (x) the  extraordinary,
nonrecurring charges included in Adjusted  Consolidated Net Income for such four
fiscal quarters, over (y) $16,911,000.

                  (r) Maximum Leverage Ratio. The Borrower shall not at any time
permit the ratio of Total Indebtedness to Consolidated Cash Flow from Operations
to exceed (A) 3.0 to 1.0 from the Fourth  Amendment  Effective  Date through but
not including the  Convalescent  Merger Effective Date; (B) 3.75 to 1.0 from and
including the  Convalescent  Merger Effective Date through but not including the
Subordinated Indebtedness Incurrence Date; and (C) 4.5 to 1.0 from and after the
Subordinated Indebtedness Incurrence Date. For purposes of this Section 8.02(r),
Total  Indebtedness  shall be  calculated as of each date of  determination  and
Consolidated  Cash Flow from  Operations  shall be calculated as of each date of
determination for the four fiscal quarters then ended.

                  (s)      [Intentionally Omitted.]Omitted.]

                  (t)  Minimum  Net Worth.  The  Borrower  shall not at any time
after the Fourth  Amendment  Effective Date permit  Consolidated Net Worth to be
less than the sum of (i) Two Hundred Two Million Five Hundred  Thousand  Dollars
($202,500,000),  (ii)  seventy-five  percent (75%) of Adjusted  Consolidated Net
Income of the Borrower and its Subsidiaries for each fiscal quarter in which net
income was earned (as  opposed to a net loss)  during the period  from March 31,
1995  through  (and  including)  the date of  determination,  (iii) one  hundred
percent (100%) of all increases in capital stock and additional  paid-in capital
from  issuances  for  cash  of


                                      -71-


equity securities and other equity capital investments after March 31, 1995, and
(iv) one hundred percent (100%) of all increases in capital stock and additional
paid-in  capital from  issuances of equity  securities  in  connection  with the
acquisition  of a  Subsidiary  after  March 31, 1995 (so long as the fair market
value at the time of acquisition of the Subsidiary so acquired is at least equal
to the  value of the  capital  stock  or other  equity  securities  so  issued);
provided,  however,  that for purposes of determining  the amount of this clause
(iv), the Borrower shall exclude  therefrom any amounts  attributable to capital
stock issued as  consideration  for the purchase of an intangible asset (so long
as the fair market value of the intangible  asset  purchased does not exceed the
fair market value of the capital stock issued therefor).

                  (u) Senior  Indebtedness to Cash Flow From  Operations  Ratio.
The Borrower  shall not at any time permit the ratio of (i) Total  Indebtedness,
other than the outstanding  principal amount of the Subordinated Notes and other
than the  outstanding  principal  amount of Indebtedness  permitted  pursuant to
Section  8.02(a)(iv),  to (ii)  Consolidated Cash Flow from Operations to exceed
3.25 to 1.0. For  purposes of this  Section  8.02(u),  Total  Indebtedness,  the
outstanding  principal  amount of the  Subordinated  Notes  and the  outstanding
principal amount of Indebtedness permitted pursuant to Section 8.02(a)(iv) shall
be calculated as of each date of determination  and Consolidated  Cash Flow from
Operations  shall be  calculated as of each date of  determination  for the four
fiscal quarters then ended.

                  (v) Incurrence of Indebtedness Permitted By the Indenture.  So
long as any  Indebtedness  or other  obligations  (monetary  or  otherwise)  are
outstanding under the Indenture the Borrower shall not, and shall not permit any
of its Subsidiaries to, at any time create, incur, assume or suffer to exist any
Indebtedness  unless the  incurrence  thereof  complies  with the  provisions of
Section 1008.  [Limitation on Indebtedness] of the Indenture as in effect on the
Ninth  Amendment  Effective  Date without  giving any effect to any grace period
under  the  Indenture  or waiver  under the  Indenture  of any  default  of such
covenant.

                  (w)      [Intentionally Omitted.]Omitted.]

                  (x) Negative Pledges. Except as set forth on Schedule 8.02(x),
Borrower  shall not and shall not permit any of its  Subsidiaries  to enter into
any  agreement  with any person which  prohibits  the Loan Parties from granting
Liens to the Agent or the Banks.

                  (y)  Prohibition  of Defeasance  of  Subordinated  Notes.  The
Borrower  shall not and shall not  permit  any of its  Subsidiaries  to make any
payments to the trustee  under the  Indenture or to any holders of  Subordinated
Notes in payment of the  defeasance or covenant  defeasance of the  Subordinated
Notes  pursuant to Section 402 or 403 of the Indenture or any similar  provision
in any supplement to the Indenture.

                  8.03 Reporting Requirements. The Borrower covenants and agrees
that until payment in full of the Loans and interest  thereon,  satisfaction  of
all of  the  Borrower's  other  obligations  hereunder  and  termination  of the
Revolving Credit Commitments, the Borrower will furnish or cause to be furnished
to the Agent and each of the Banks:

                  (a)      [Intentionally Omitted.]Omitted.]


                                      -72-


                  (b) Quarterly Financial  Statements;  Additional  Convalescent
Statements.  As  soon as  available  and in any  event  within  forty-five  (45)
calendar  days  after  the end of each  fiscal  quarter  in  each  fiscal  year,
financial statements of the Borrower, consisting of a consolidated balance sheet
as of the end of such  fiscal  quarter and related  consolidated  statements  of
income,  retained  earnings and cash flows for the fiscal quarter then ended and
the fiscal year through that date, all in reasonable detail and certified by the
Chief Executive  Officer,  President or Chief Financial Official of the Borrower
as having been prepared in accordance with GAAP,  consistently  applied (subject
to normal year-end audit adjustments), and setting forth in comparative form the
respective  financial  statements for the  corresponding  date and period in the
previous  fiscal year.  The financial  statements  which  Borrower  prepares and
delivers as of each of the four fiscal  quarters  ending after the  Convalescent
Merger Effective Date shall include statements of income,  retained earnings and
cash flows  showing the combined  results of Borrower and its  Subsidiaries  and
Convalescent  and its  Subsidiaries on a pro forma basis for applicable  periods
prior to the Convalescent  Merger Effective Date. Borrower also shall deliver to
the Agent and each of the Banks any financial statements which Borrower receives
from  Convalescent (or prepares on behalf of Convalescent)  for Convalescent and
Convalescent's Subsidiaries relating to the period between December 31, 1994 and
the Convalescent  Merger Effective Dave or any portion of such period.  Borrower
shall deliver such statements  promptly after Borrower receives or prepares such
statements, as the case may be.

                  (c) Annual Financial  Statements.  As soon as available and in
any event  within  ninety  (90) days  after the end of each  fiscal  year of the
Borrower,  financial  statements of the Borrower  consisting  of a  consolidated
balance  sheet  as of the end of such  fiscal  year,  and  related  consolidated
statements of income,  retained earnings and cash flows for the fiscal year then
ended,  all in  reasonable  detail and  setting  forth in  comparative  form the
financial  statements  as of the end of and for the preceding  fiscal year,  and
certified by independent  certified public accountants of nationally  recognized
standing  satisfactory  to the Agent.  The  certificate or report of accountants
shall be free of qualifications  (other than any consistency  qualification that
may result from a change in the method used to prepare the financial  statements
as to which such  accountants  concur) and shall not  include a statement  which
indicates  the  occurrence or existence of any event,  condition or  contingency
which would  materially  impair the  prospect of payment or  performance  of any
covenant, agreement or duty of the Borrower or any of its Subsidiaries under any
of the Loan Documents,  together with a letter of such accountants substantially
to the effect that,  based upon their ordinary and customary  examination of the
affairs of the Borrower and its  Subsidiaries,  performed in connection with the
preparation of such consolidated  financial  statements,  and in accordance with
generally  accepted auditing  standards,  they are not aware of the existence of
any  condition  or event  which  constitutes  an Event of Default  or  Potential
Default  or, if they are aware of such  condition  or event,  stating the nature
thereof.

                  (d) Certificate of the Borrower. Concurrent with the financial
statements of the Borrower  furnished to the Agent and to the Banks  pursuant to
Sections 8.03(b) and 8.03(c) hereof, a certificate of the Borrower signed by the
Chief Executive Officer, President or Chief Financial Officer of the Borrower or
by Scott Hill, Vice President and Corporate  Controller of the Borrower,  in the
form of Exhibit 8.03(d) hereto, to the effect that, except as


                                      -73-


described  pursuant  to  Section  8.03(e)  below,  (i) the  representations  and
warranties of the Borrower  contained in Article VI hereof are true on and as of
the date of such certificate with the same effect as though such representations
and warranties had been made on and as of such date (except  representations and
warranties  which  expressly  relate  solely to an earlier date or time) and the
Borrower has performed and complied  with all covenants and  conditions  hereof,
(ii) no Event of Default or Potential  Default  exists and is  continuing on the
date of such certificate, and (iii) containing calculations in sufficient detail
to demonstrate  compliance as of the date of the financial  statements  with all
financial  covenants  contained  in Section  8.02  hereof and with the  covenant
contained  in  Section  1008  [Limitation  on  Indebtedness]  of the  Indenture.
Certifications  on and after  March  31,  1996  shall be in the form of  Exhibit
8.03(d)(2).

                  (e)  Notice of  Default.  Promptly  after any  officer  of the
Borrower  has  learned of the  occurrence  of an Event of  Default or  Potential
Default, a certificate signed by the Chief Executive Officer, President or Chief
Financial Officer of the Borrower or by Scott Hill, Vice President and Corporate
Controller of the  Borrower,  setting forth the details of such Event of Default
or Potential  Default and the action  which the  Borrower  proposes to take with
respect thereto.

                  (f)  Notice of  Litigation.  Promptly  after the  commencement
thereof, notice of all actions,  suits,  proceedings or investigations before or
by any Official  Body or any other person  against the Borrower  which relate to
the  Collateral,  involve  a claim or  series  of  related  claims  in excess of
$1,000,000 or which if adversely  determined would constitute a Material Adverse
Change.

                  (g)  Certain  Events.  Written  notice  to the  Agent at least
thirty (30)  calendar days prior  thereto,  with respect to any proposed sale or
transfer of assets pursuant to Section 8.02(g)(iii) or (iv).

                  (h)  Budgets,   Forecasts,   Other  Reports  and  Information.
Promptly upon their becoming available to the Borrower:

                       (i) the annual budget of the Borrower, to be supplied not
later than sixty (60) days  prior to  commencement  of the fiscal  year to which
such budget relates,

                       (ii) any reports including  management  letters submitted
to the  Borrower  by  independent  accountants  in  connection  with any annual,
interim or special audit,

                       (iii) any reports,  notices or proxy statements generally
distributed by the Borrower to its stockholders on a date no later than the date
supplied to the stockholders,

                       (iv) regular or periodic  reports,  including Forms 10-K,
10-Q and 8-K,  registration  statements and prospectuses,  filed by the Borrower
with the Securities and Exchange Commission,


                                      -74-


                       (v) a copy of any  material  order in any  proceeding  to
which the Borrower or any of its  Subsidiaries is a party issued by any Official
Body,

                       (vi) regular,  periodic  utilization reports including in
detail  reasonably  satisfactory to the Agent for the period of such reports the
patient  census,  the number of occupied  beds,  the payment  source  (Medicare,
Medicaid, private pay or otherwise) for each patient,

                       (vii) such other reports and information as the Banks may
from time to time reasonably  request.  The Borrower shall also notify the Banks
promptly of the  enactment or adoption of any Law which may result in a Material
Adverse Change with respect to the Borrower after the Borrower  becomes aware or
should reasonably have become aware thereof, and

                       (viii) annual reports in detail satisfactory to the Agent
setting forth the real property owned,  leased or managed by the Borrower or any
Subsidiary,  to be supplied not later than sixty (60) days prior to commencement
of the fiscal year to which any of the foregoing may be applicable.

                  (i)  Notices  Regarding  Plans and Benefit  Arrangements.  (i)
Promptly upon becoming aware of the occurrence  thereof,  notice  (including the
nature of the event and,  when  known,  any action  taken or  threatened  by the
Internal Revenue Service or the PBGC with respect thereto) of:

                                (A) any  Reportable  Event  with  respect to the
Borrower or any member of the ERISA Group  (regardless of whether the obligation
to report said Reportable Event to the PBGC has been waived),

                                (B) any  Prohibited  Transaction  which could be
subject  the  Borrower  or any  member  of the  ERISA  Group to a civil  penalty
assessed pursuant to Section 502(i) of ERISA or a tax imposed by Section 4975 of
the Internal  Revenue Code in connection with any Plan,  Benefit  Arrangement or
any trust created thereunder,

                                (C)  any   assertion   of  material   withdrawal
liability with respect to any Multiemployer Plan,

                                (D) any  partial or complete  withdrawal  from a
Multiemployer  Plan by the Borrower or any member of the ERISA Group under Title
IV of ERISA (or assertion thereof), where such withdrawal is likely to result in
material withdrawal liability,

                                (E) any cessation of operations (by the Borrower
or any member of the ERISA Group) at a facility in the  circumstances  described
in Section 4063(e) of ERISA,


                                      -75-

                                (F)  withdrawal by the Borrower or any member of
the ERISA Group from a Multiple Employer Plan,

                                (G) a failure by the  Borrower  or any member of
the ERISA Group to make a payment to a Plan  required to avoid  imposition  of a
lien under Section 302(f) of ERISA,

                                (H)  the  adoption  of an  amendment  to a  Plan
requiring  the  provision  of security  to such Plan  pursuant to Section 307 of
ERISA, or

                                (I) any change in the actuarial  assumptions  or
funding  methods  used for any  Plan,  where  the  effect  of such  change is to
materially  increase or  materially  reduce the  unfunded  benefit  liability or
obligation to make periodic contributions.

                           (ii) Promptly  after receipt  thereof,  copies of (a)
all  notices  received  by the  Borrower or any member of the ERISA Group of the
PBGC's intent to terminate any Plan  administered  or maintained by the Borrower
or any member of the ERISA Group,  or to have a trustee  appointed to administer
any such  Plan;  and (b) at the  request  of the Agent or any Bank  each  annual
report (IRS Form 5500 series) and all  accompanying  schedules,  the most recent
actuarial  reports,  the  most  recent  financial  information   concerning  the
financial status of each Plan  administered or maintained by the Borrower or any
member of the ERISA Group, and schedules showing the amounts contributed to each
such Plan by or on behalf of the  Borrower  or any member of the ERISA  Group in
which any of their personnel participate or from which such personnel may derive
a benefit,  and each  Schedule B (Actuarial  Information)  to the annual  report
filed by the Borrower or any member of the ERISA Group with the Internal Revenue
Service with respect to each such Plan.

                           (iii)  Promptly  upon the filing  thereof,  copies of
Form 5310, or any successor or equivalent form to Form 5310, filed with the PBGC
in connection with the termination of any Plan.

                  (j) Notices with Respect to Indenture.  Written  notice to the
Agent:

                           (i) immediately upon the occurrence of a "Default" or
an "Event of Default," as such terms are defined in the Indenture;

                           (ii)  immediately upon a "Change of Control," as such
term is defined in the Indenture;

                           (iii)  immediately  upon  receipt  of  a  "notice  of
acceleration"  from either the trustee for the Subordinated Notes or the holders
of the  Subordinated  Notes  pursuant  to Section  502 of the  Indenture  or any
similar provision in any supplement to the Indenture;

                           (iv)  simultaneous  with  the  sending  thereof,  all
notices  required to be sent to the  trustee or the holders of the  Subordinated
Notes under the Indenture; and


                                      -76-


                           (v) immediately upon the receipt thereof, all notices
received from the trustee under the Indenture.

                                   ARTICLE IX
                                     DEFAULT
                                     -------

                  9.01  Events of  Default.  An Event of Default  shall mean the
occurrence or existence of any one or more of the following events or conditions
(whatever the reason therefor and whether voluntary,  involuntary or effected by
operation of Law):

                           (a) The Borrower  shall fail to pay any  principal of
any Loan  (including  scheduled or mandatory  prepayments  or the payment due at
maturity)  or shall  fail to pay any  interest  on any Loan or any other  amount
owing hereunder or under the other Loan Documents after such principal or within
three (3)  Business  Days after such  interest  or other  amount  becomes due in
accordance with the terms hereof or thereof;

                           (b) Any  representation  or warranty made at any time
by the  Borrower  herein or by the  Borrower or any of its  Subsidiaries  in any
other Loan  Document,  or in any  certificate,  other  instrument  or  statement
furnished pursuant to the provisions hereof or thereof, shall prove to have been
false  or  misleading  in any  material  respect  as of the  time it was made or
furnished regardless of whether such representation or warranty was qualified as
to Borrower's knowledge or best knowledge;

                           (c) The Borrower  shall default in the  observance or
performance of any covenant contained in Section 8.01(f) or Section 8.02 hereof;

                           (d) The  Borrower  or any of its  Subsidiaries  shall
default in the  observance or performance  of any other  covenant,  condition or
provision  hereof or of any other Loan Document and such default shall  continue
unremedied  for a period of thirty (30)  Business  Days after any officer of the
Borrower or any Subsidiary  becomes aware of the occurrence  thereof (such grace
period to be  applicable  only in the event  such  default  can be  remedied  by
corrective  action of the Borrower or such Subsidiary as determined by the Agent
in its sole discretion);

                           (e) A default or event of default  shall occur at any
time  under the terms of any other  agreement  involving  borrowed  money or the
extension of credit or any other Indebtedness under which the Borrower or any of
its Subsidiaries may be obligated as borrower or guarantor in excess of $250,000
in aggregate  principal  amount,  and such  breach,  default or event of default
consists  of the  failure  to pay  (beyond  any period of grace  permitted  with
respect thereto,  whether waived or not) any  indebtedness  when due (whether at
stated  maturity,  by  acceleration  or  otherwise) or if such breach or default
permits or causes the  acceleration  of any  indebtedness  (whether  or not such
right shall have been waived) or the termination of any commitment to lend;

                           (f) Any final  judgments or orders for the payment of
money in excess of  $1,000,000  in the  aggregate  (not paid or fully covered by
insurance) shall be entered against


                                      -77-


the Borrower or any of its  Subsidiaries  by a court having  jurisdiction in the
premises which  judgment is not  discharged,  vacated,  bonded or stayed pending
appeal within a period of thirty (30) days from the date of entry;

                           (g)  Any of the  Loan  Documents  shall  cease  to be
legal, valid and binding agreements  enforceable against the party executing the
same or such  party's  successors  and  assigns  (as  permitted  under  the Loan
Documents) in accordance  with the respective  terms thereof or shall in any way
be  terminated  (except  in  accordance  with its  terms) or shall in any way be
challenged  or  contested  or cease to give or  provide  the  respective  Liens,
security interests,  rights, titles,  interests,  remedies, powers or privileges
intended to be created thereby;

                           (h) The  Collateral or any other of the Borrower's or
any of its Subsidiaries' assets are attached,  seized, levied upon or subject to
a writ or distress warrant;  or such come within the possession of any receiver,
trustee,  custodian or assignee for the benefit of creditors and the same is not
cured within thirty (30) days thereafter;

                           (i) A  notice  of lien or  assessment  in  excess  of
$1,000,000 is filed of record with respect to all or any part of the  Borrower's
or any of its  Subsidiaries'  assets by the United  States,  or any  department,
agency or instrumentality  thereof, or by any state, county,  municipal or other
governmental agency, including, without limitation, the Pension Benefit Guaranty
Corporation,  or if any taxes or debts owing at any time or times  hereafter  to
any one of these  becomes  payable and the same is not paid  within  thirty (30)
days after the same becomes  payable unless the same is being  contested in good
faith in accordance with Section 8.01(b);

                           (j) The Borrower or any of its Material  Subsidiaries
ceases to be solvent or admits in writing its inability to pay its debts as they
mature;

                           (k) Any of the following occurs: The Agent determines
in good faith that the amount of Borrower's liability is likely to exceed 10% of
its  Consolidated  Net Worth upon the  occurrence  of (i),  (ii),  (iii) or (iv)
below: (i) any Reportable Event  constitutes  grounds for the termination of any
Plan by the PBGC or the  appointment of a trustee to administer or liquidate any
Plan, shall have occurred and be continuing;  (ii)  proceedings  shall have been
instituted or other action taken to terminate  any Plan or a termination  notice
shall  have  been  filed  with  respect  to any Plan;  (iii) a trustee  shall be
appointed  to  administer  or  liquidate  any Plan;  or (iv) the PBGC shall give
notice of its intent to institute  proceedings to terminate any Plan or Plans or
to appoint a trustee to administer  or liquidate  any Plan;  or, with respect to
any of the events specified in (v), (vi), (vii), (viii) or (ix) below, the Agent
determines in good faith that any such occurrence could be reasonably  likely to
materially and adversely affect the total enterprise represented by the Borrower
and the other members of the ERISA Group;  (v) the Borrower or any member of the
ERISA  Group  shall  fail  to make  any  contributions  when  due to a Plan or a
Multiemployer  Plan;  (vi) the  Borrower  or any member of the ERISA Group shall
make any  amendment to a Plan with respect to which  security is required  under
Section 307 of ERISA;  (vii) the Borrower or any member of the ERISA Group shall
withdraw  completely or partially from a Multiemployer Plan; (viii) the Borrower
or any  member of the  ERISA  Group  shall  withdraw  (or shall be deemed  under
Section 4062(e) of ERISA to withdraw) from a Multiple


                                      -78-


Employer Plan; or (ix) any applicable Law is adopted,  changed or interpreted by
any  Official  Body with respect to or  otherwise  affecting  one or more Plans,
Multiemployer Plans or Benefit Arrangements;

                           (l) The  Borrower  ceases to conduct its  business as
contemplated  or the Borrower or any of its Material  Subsidiaries  is enjoined,
restrained  or in any way  prevented by court order from  conducting  all or any
material  part  of  its  business  and  such  injunction,   restraint  or  other
preventative  order is not  dismissed  within  thirty  (30) days after the entry
thereof;

                           (m) A Change of Ownership occurs;

                           (n) A  proceeding  shall  have been  instituted  in a
court having  jurisdiction in the premises  seeking a decree or order for relief
in respect of the Borrower or any of its  Subsidiaries  in an  involuntary  case
under any applicable bankruptcy, insolvency, reorganization or other similar law
now or  hereafter in effect,  or a receiver,  liquidator,  assignee,  custodian,
trustee, sequestrator,  conservator (or similar official) of the Borrower or any
of its  Subsidiaries  for  any  substantial  part  of its  property,  or for the
winding-up  or  liquidation  of its affairs,  and such  proceeding  shall remain
undismissed  or  unstayed  and in effect for a period of sixty (60)  consecutive
days or such  court  shall  enter a decree or order  granting  any of the relief
sought in such proceeding; or

                           (o) The  Borrower  or any of its  Subsidiaries  shall
commence  a  voluntary  case  under  any  applicable   bankruptcy,   insolvency,
reorganization or other similar law now or hereafter in effect, shall consent to
the entry of an order for relief in an  involuntary  case under any such law, or
shall consent to the appointment or taking possession by a receiver, liquidator,
assignee,  custodian,  trustee,  sequestrator,  conservator  (or  other  similar
official) of itself or for any substantial  part of its property or shall make a
general assignment for the benefit of creditors,  or shall fail generally to pay
its debts as they become due, or shall take any action in  furtherance of any of
the foregoing.

                  9.02     Consequences of Event of Default

                           (a)  If  an  Event   of   Default   specified   under
subsections  (a)  through  (m)  of  Section  9.01  hereof  shall  occur  and  be
continuing,  the  Banks  shall be  under no  further  obligation  to make  Loans
hereunder  and the Agent upon the request of the  Required  Banks,  shall (i) by
written notice to the Borrower, declare the unpaid principal amount of the Notes
then outstanding and all interest accrued thereon, any unpaid fees and all other
Indebtedness  of the  Borrower  to the  Banks  hereunder  and  thereunder  to be
forthwith  due  and  payable,  and  the  same  shall  thereupon  become  and  be
immediately  due and payable to the Agent for the  benefit of each Bank  without
presentment,  demand,  protest or any other notice of any kind, all of which are
hereby  expressly  waived,  and (ii)  require the  Borrower to, and the Borrower
shall  thereupon,  deposit in a non-interest  bearing account with the Agent, as
cash collateral for its obligations under the Loan Documents, an amount equal to
the maximum amount currently or at any time thereafter  available to be drawn on
all outstanding  Letters of Credit, and the Borrower hereby pledges to the Agent
and the Banks, and grants to the Agent and the Banks a security interest in, all
such cash as  security  for such  obligations.  Upon the curing of all  existing
Events of Default


                                      -79-


to the  satisfaction  of the  Required  Banks,  the Agent shall return such cash
collateral to the Borrower; and

                           (b)  If  an  Event   of   Default   specified   under
subsections  (n) or (o) of Section 9.01 hereof  shall occur,  the Banks shall be
under no further  obligations to make Loans  hereunder and the unpaid  principal
amount of the Notes then  outstanding  and all  interest  accrued  thereon,  any
unpaid fees and all other  Indebtedness  of the Borrower to the Banks  hereunder
and  thereunder  shall be  immediately  due and  payable,  without  presentment,
demand, protest or notice of any kind, all of which are hereby expressly waived;
and

                           (c)  If an  Event  of  Default  shall  occur  and  be
continuing,  any Bank to whom any obligation is owed by any Loan Party hereunder
or under any other  Loan  Document  or any  participant  of such Bank  which has
agreed in writing to be bound by the  provisions of Section 10.13 hereof and any
branch,  subsidiary  or  affiliate of such Bank or  participant  anywhere in the
world  shall have the  right,  in  addition  to all other  rights  and  remedies
available to it, without notice to such Loan party, to set-off against and apply
to the then unpaid  balance of all the Loans and all other  obligations  of such
Loan party hereunder or under any other Loan Document any debt owing to, and any
other  funds held in any manner for the account of, such Loan Party by such Bank
or participant or by such branch,  subsidiary or affiliate,  including,  without
limitation,  all funds in all deposit accounts (whether time or demand,  general
or special,  provisionally  credited or finally  credited,  or otherwise) now or
hereafter  maintained  by such Loan Party for its own account (but not including
funds held in custodian or trust accounts) with such Bank or participant or such
branch,  subsidiary or affiliate. Such right shall exist whether or not any Bank
or the Agent shall have made any demand  under this  Agreement or any other Loan
Document,  whether or not such debt  owing to or funds  held for the  account of
such Loan Party is or are matured or unmatured  and  regardless of the existence
or adequacy of any Collateral,  Guaranty or any other security,  right or remedy
available to any Bank or the Agent; and

                           (d)  If an  Event  of  Default  shall  occur  and  be
continuing,  and whether or not the Agent shall have accelerated the maturity of
Loans  of the  Borrower  pursuant  to any of the  foregoing  provisions  of this
Section  9.02,  the Agent or any Bank,  if owed any amount  with  respect to the
Notes,  may proceed to protect and enforce its rights by suit in equity,  action
at law and/or other appropriate proceeding, whether for the specific performance
of any covenant or agreement contained in this Agreement or the Notes, including
as permitted by applicable  Law the obtaining of the ex parte  appointment  of a
receiver,  and,  if such  amount  shall  have  become  due,  by  declaration  or
otherwise,  proceed  to  enforce  the  payment  thereof  or any  other  legal or
equitable right of the agent or such Bank; and

                           (e) From and  after  the date on which  the Agent has
taken any action  pursuant to this Section 9.02 and until all obligations of the
Loan Parties have been paid in full, any and all proceeds  received by the Agent
from any sale or other  disposition of the Collateral,  or any part thereof,  or
the exercise of any other remedy by the Agent, shall be applied as follows:

                                    (i) first,  to  reimburse  the Agent and the
Banks for reasonable out-of-pocket costs, expenses and disbursements,  including
without limitation  reasonable


                                      -80-


attorneys'  fees and  legal  expenses,  incurred  by the  Agent or the  Banks in
connection  with realizing on the Collateral or collection of any obligations of
the Loan Parties under any of the Loan Documents, including advances made by the
Banks  or  any  one of  them  or  the  Agent  for  the  reasonable  maintenance,
preservation, protection or enforcement of, or realization upon, the Collateral,
including without  limitation,  advances for taxes,  insurance,  repairs and the
like and  reasonable  expenses  incurred  to sell or  otherwise  realize  on, or
prepare for sale or other realization on, any of the Collateral;

                                    (ii)  second,   to  the   repayment  of  all
Indebtedness then due and unpaid of the Loan Parties to the Banks incurred under
this  Agreement or any of the Loan  Documents,  whether of principal,  interest,
fees,  expenses  or  otherwise,  in such  manner  as the  Agent  may  reasonably
determine in its discretion and with respect to principal,  interest,  and fees,
shall be made in proportion to the Ratable Share of each Bank; and

                                    (iii) the  balance,  if any,  as required by
Law.

                           (f) In  addition  to all of the rights  and  remedies
contained  in this  Agreement or in any of the other Loan  Documents,  the Agent
shall have all of the rights and remedies  with respect to the  Collateral  of a
secured party under the Uniform  Commercial Code or other applicable Law, all of
which rights and remedies shall be cumulative and  non-exclusive,  to the extent
permitted  by Law.  The Agent may,  and upon the request of the  Required  Banks
shall, exercise all post-default rights granted to the Agent and the Banks under
the Loan Documents or applicable Law.

                           (g) Following the  occurrence  and  continuance of an
Event of Default, the Borrower,  at its cost and expense (including the cost and
expense of obtaining any of the following referenced consents,  approvals, etc.)
will  promptly  execute and deliver or cause the  execution  and delivery of all
applications,  certificates, instruments, registration statements, and all other
documents and papers the Agent may request in  connection  with the obtaining of
any   consent,   approval,   registration,   qualification,   permit,   license,
accreditation,  or  authorization  of any other  Official  Body or other  person
necessary or appropriate for the effective  exercise of any rights  hereunder or
under  the  other  Loan  Documents.  Without  limiting  the  generality  of  the
foregoing,  the  Borrower  agrees  that in the  event the Agent on behalf of the
Banks  shall  exercise  its  rights,  hereunder  or  pursuant  to the other Loan
Documents,  to sell,  transfer,  or  otherwise  dispose  of,  or vote,  consent,
operate, or take any other action in connection with any of the Collateral,  the
Borrower  shall execute and deliver (or cause to be executed and  delivered) all
applications,  certificates,  assignments,  and other  documents  that the Agent
requests to facilitate such actions and shall  otherwise  promptly,  fully,  and
diligently  cooperate with the Agent and any other  necessary  persons in making
any  application  for the prior  consent or approval of any Official Body or any
other  person to the exercise by the Agent on behalf of the Banks of any of such
rights  relating  to all or any of  the  Collateral.  Furthermore,  because  the
Borrower  agrees that the  remedies at law, of the Agent on behalf of the Banks,
for failure of the Borrower to comply with the provisions of Section 8.01(f) and
of this Section  9.02(g) would be inadequate and that any such failure would not
be adequately  compensable in damages, the Borrower agrees that the covenants of
Sections 8.01(f) and 9.02(g) may be specifically enforced.


                                      -81-


                           (h) Upon the occurrence  and  continuance of an Event
of Default,  the Agent may request,  without limiting the rights and remedies of
the  Agent on behalf of the Banks  otherwise  provided  hereunder  and under the
other Loan  Documents,  that the Borrower do any of the following:  (i) give the
Agent on behalf of the Banks specific  assignments of the accounts receivable of
the  Borrower  and each  Subsidiary  after such  accounts  receivable  come into
existence,  and schedules of such accounts  receivable,  the form and content of
such assignment and schedules to be satisfactory to the Agent,  (ii) immediately
notify the Agent if any of such accounts  receivable arise out of contracts with
the U.S. Government or any department,  agency or instrumentality  thereof,  and
execute any  instruments  and take any steps required by the Agent in order that
all moneys due and to become due under such  contract  shall be assigned (to the
extent  permitted by law) to the Agent on behalf of the Banks and notice thereof
given  to the  government  under  the  Federal  Assignment  of  Claims  Act,  if
applicable,  or any other  applicable law or regulation;  and in order to better
secure  the  Agent  on  behalf  of the  Banks,  in  relation  to  such  accounts
receivable,  and (iii) to the extent  permitted by Law,  enter into such lockbox
agreements  and establish such lockbox  accounts as the Agent may require,  with
the  local  banks in areas in which the  Borrower  and its  Subsidiaries  may be
operating  (in such  cases,  all  local  lockbox  accounts  shall be  depository
transfer  accounts  entitled "In trust for PNC Bank,  National  Association,  as
Agent") which shall have agreed in writing to the Agent's  requirements  for the
handling of such  accounts  and the  transfer  of account  funds to the Agent on
behalf of the Banks,  all at the Borrower's  sole expense,  and shall direct all
payments from Medicare,  Medicaid,  Blue Cross and Blue Shield,  private payors,
health maintenance organizations, all commercial payors and all other payors due
to the Borrower or any Subsidiary, to such lockbox accounts.

                  9.03  Notice of Sale.  Any notice  required to be given by the
Agent of a sale,  lease,  or other  disposition  of the  Collateral or any other
intended  action by the  Agent,  if given ten (10) days  prior to such  proposed
action, shall constitute  commercially reasonable and fair notice thereof to the
relevant Loan Party.

                                    ARTICLE X
                                    THE AGENT
                                    ---------

                  10.01 Appointment.  Each Bank hereby  irrevocably  designates,
appoints  and  authorizes  PNC Bank to act as Agent  for such  Bank  under  this
Agreement  to execute  and  deliver or accept on behalf of each of the Banks the
other Loan Documents.  Each Bank hereby irrevocably authorizes,  and each holder
of any  Note  by the  acceptance  of a  Note  shall  be  deemed  irrevocably  to
authorize,  the Agent to take such action on its behalf under the  provisions of
this  Agreement  and the other  Loan  Documents  and any other  instruments  and
agreements  referred to herein,  and to exercise such powers and to perform such
duties  hereunder as are  specifically  delegated to or required of the Agent by
the terms  hereof,  together  with  such  powers  as are  reasonably  incidental
thereto.  PNC Bank  agrees  to act as the  Agent on  behalf  of the Banks to the
extent provided in this Agreement.

                  10.02  Delegation of Duties.  The Agent may perform any of its
duties  hereunder by or through agents or employees  (provided  such  delegation
does not  constitute a  relinquishment  of its duties as Agent) and,  subject to
Sections  10.05 and 10.06  hereof,  shall be


                                      -82-


entitled  to  engage  and pay for  the  advice  or  services  of any  attorneys,
accountants  or other experts  concerning  all matters  pertaining to its duties
hereunder and to rely upon any advice so obtained.

                  10.03 Nature of Duties; Independent Credit Investigation.  The
Agent shall have no duties or responsibilities  except those expressly set forth
in this Agreement and no implied covenants, functions, responsibilities, duties,
obligations,  or  liabilities  shall be read into this  Agreement  or  otherwise
exist. The duties of the Agent shall be mechanical and administrative in nature;
the  Agent  shall  not have by reason of this  Agreement  a  fiduciary  or trust
relationship in respect of any Bank; and nothing in this Agreement, expressed or
implied, is intended to or shall be so construed as to impose upon the Agent any
obligation  in respect of this  Agreement  except as expressly set forth herein.
Each  Bank  expressly   acknowledges  (i)  that  the  Agent  has  not  made  any
representations  or  warranties  to it and  that no act by the  Agent  hereafter
taken,  including any review of the affairs of the Loan Parties, shall be deemed
to constitute any representation or warranty by the Agent to any Bank; (ii) that
it has made and will continue to make,  without reliance upon the Agent, its own
independent  investigation  of the  financial  condition and affairs and its own
appraisal of the  creditworthiness  of the Loan Parties is connection  with this
Agreement  and the  making and  continuance  of the Loans  hereunder;  and (iii)
except  as  expressly  provided  herein,  that the Agent  shall  have no duty or
responsibility,  either initially or on a continuing  basis, to provide any Bank
with any credit or other  information with respect thereto,  whether coming into
its possession before the making of any Loan or at any time or times thereafter.

                  10.04 Actions in Discretion  of Agent;  Instructions  from the
Banks. The Agent agrees, upon the written request of the Required Banks, to take
or refrain  from  taking any action of the type  specified  as being  within the
Agent's rights,  powers or discretion herein,  provided that the Agent shall not
be required to take any action which exposes the Agent to personal  liability or
which is contrary to this  Agreement  or any other Loan  Document or  applicable
Law. In the  absence of a request by the  Required  Banks,  the Agent shall have
authority,  in its sole  discretion,  to take or not to take  any  such  action,
unless this Agreement specifically requires the consent of the Required Banks or
all of  the  Banks.  Any  action  taken  or  failure  to act  pursuant  to  such
instructions  or  discretion  shall be binding on the Banks,  subject to Section
10.06 hereof. Subject to the provisions of Section 10.06, no Bank shall have any
right of action whatsoever  against the Agent as a result of the Agent acting or
refraining  from acting  hereunder in accordance  with the  instructions  of the
Required  Banks,  or in the  absence  of  such  instructions,  in  the  absolute
discretion  of the Agent so long as the  Agent is  otherwise  authorized  to act
within its rights and powers as provided in this Agreement.

                  10.05  Reimbursement  and  Indemnification  of  Agent  by  the
Borrower. The Borrower  unconditionally agrees to pay or reimburse the Agent and
save the Agent harmless  against (a) liability for the payment of all reasonable
out-of-pocket  costs,  expenses and disbursements,  including but not limited to
reasonable   fees  and  expenses  of  counsel,   appraisers  and   environmental
consultants,  incurred  by the Agent  (i) in  connection  with the  development,
negotiation,  preparation, execution, performance by a Loan Party or an Excluded
Entity and  interpretation of this Agreement and the other Loan Documents,  (ii)
relating  to any  requested


                                      -83-


amendments,  waivers or consents  pursuant to the  provisions  hereof,  (iii) in
connection  with the enforcement of this Agreement or any other Loan Document or
collection of amounts due hereunder or thereunder or the proof and  allowability
of any claim arising under this Agreement or any other Loan Document, whether in
bankruptcy or  receivership  proceedings or otherwise,  and (iv) in any workout,
restructuring  or in connection with the protection,  preservation,  exercise or
enforcement  of any of the terms hereof or of any rights  hereunder or under any
other  Loan  Document  or in  connection  with any  foreclosure,  collection  or
bankruptcy proceedings, and (b) all liabilities,  obligations,  losses, damages,
penalties,  actions,  judgments,  suits, costs, expenses or disbursements of any
kind or nature  whatsoever  which may be imposed  on,  incurred  by or  asserted
against the Agent,  in its  capacity as such,  in any way relating to or arising
out of this Agreement or any other Loan Documents or any action taken or omitted
by the Agent  hereunder or  thereunder,  provided that the Borrower shall not be
liable  for any  portion  of such  liabilities,  obligations,  losses,  damages,
penalties,  actions,  judgments,  suits, costs, expenses or disbursements if the
same results from the Agent's gross negligence or willful misconduct,  or if the
Borrower  was not given  notice of the  subject  claim  and the  opportunity  to
participate in the defense thereof,  at its expense, or if the same results from
a compromise  or  settlement  agreement  entered into without the consent of the
Borrower. In addition,  upon the occurrence of an Event of Default, the Borrower
agrees to reimburse and pay all reasonable out-of-pocket expenses of the Agent's
regular  employees  and agents  engaged  periodically  to perform  audits of the
Borrower's books, records and business properties.

                  10.06 Exculpatory Provisions. Neither the Agent nor any of its
directors,  officers,  employees,  agents,  attorneys or affiliates shall (a) be
liable to any Bank for any  action  taken or  omitted  to be taken by it or them
hereunder,  or in connection  herewith including without limitation  pursuant to
any Loan Document, unless caused by its or their own gross negligence or willful
misconduct,  (b) be  responsible  in any  manner  to any of the  Banks  for  the
effectiveness,  enforceability,  genuineness,  validity or the due  execution of
this Agreement or any other Loan  Documents or for any recital,  representation,
warranty, document, certificate, report or statement herein or made or furnished
under or in connection with this Agreement or any other Loan  Documents,  unless
caused by its or their own gross  negligence  or willful  misconduct,  or (c) be
under any  obligation  to any of the Banks to  ascertain or to inquire as to the
performance or observance of any of the terms, covenants or conditions hereof or
thereof on the part of the Loan Parties or any Excluded Entity, or the financial
condition  of the Loan  Parties or any  Excluded  Entity,  or the  existence  or
possible existence of any Event of Default or Potential  Default,  unless caused
by its or their own gross  negligence or willful  misconduct.  Neither the Agent
nor any Bank nor any of their respective directors, officers, employees, agents,
attorneys  or  affiliates  shall be liable to the Loan  Parties or any  Excluded
Entity for consequential damages resulting from any breach of contract,  tort or
other wrong in connection with the negotiation, documentation, administration or
collection of the Loans or any of the Loan Documents.

                  10.07  Reimbursement  and  Indemnification  of Agent by Banks.
Each Bank  agrees to  reimburse  and  indemnify  the  Agent (to the  extent  not
reimbursed by the Borrower and without  limiting the  obligation of the Borrower
to do so) in proportion  to its Ratable Share from and against all  liabilities,
obligations,  losses,  damages,  penalties,  actions,  judgments,  suits, costs,
expenses or disbursements of any kind or nature  whatsoever which may be imposed
on,  incurred


                                      -84-


by or asserted  against the Agent,  in its capacity as such, in any way relating
to or arising out of this  Agreement  or any other Loan  Documents or any action
taken or omitted by the Agent  hereunder or  thereunder,  provided  that no Bank
shall be  liable  for any  portion  of such  liabilities,  obligations,  losses,
damages, penalties,  actions, judgments, suits, costs, expenses or disbursements
(a) if the same results from the Agent's gross negligence or willful misconduct,
or (b) if  such  Bank  was  not  given  notice  of the  subject  claim  and  the
opportunity to participate in the defense thereof, at its expense, or (c) if the
same results from a compromise and settlement agreement entered into without the
consent of such Bank.  In addition,  each Bank agrees  promptly to reimburse the
Agent (to the extent not  reimbursed  by the Borrower  and without  limiting the
obligation  of the Borrower to do so) in proportion to its Ratable Share for all
amounts due and  payable by the  Borrower  to the Agent in  connection  with the
Agent's periodic audit of the Borrower's books, records and business properties.
In the event the Banks reimburse or indemnify the Agent pursuant to this Section
10.07 and  subsequent  thereto the Agent is  reimbursed  or  indemnified  by the
Borrower  with  respect  to  the  same  matter  for  which   indemnification  or
reimbursement  was previously made by the Banks,  the Agent will promptly refund
to the Banks,  in accordance  with each Bank's  Ratable Share,  the  duplicative
amount.

                  10.08  Reliance by Agent.  The Agent shall be entitled to rely
upon any  writing,  telegram,  telex or teletype  message,  resolution,  notice,
consent, certificate,  letter, cablegram,  statement, order or other document or
conversation by telephone or otherwise  believed by it to be genuine and correct
and to have been signed, sent or made by the proper person or persons,  and upon
the advice and opinions of counsel and other  professional  advisers selected by
the Agent. The Agent shall be fully justified in failing or refusing to take any
action hereunder unless it shall first be indemnified to its satisfaction by the
Banks  against any and all  liability and expense which may be incurred by it by
reason of taking or continuing to take any such action.

                  10.09 Notice of Default. The Agent shall not be deemed to have
knowledge  or notice of the  occurrence  of any  Potential  Default  or Event of
Default unless the Agent has received written notice from a Bank or the Borrower
referring  to this  Agreement,  describing  such  Potential  Default or Event of
Default and stating that such notice is a "notice of default."

                  10.10  Notices.  The Agent shall  promptly send to each Bank a
copy of all notices  received from any Loan Party  pursuant to the provisions of
this Agreement or the other Loan Documents  promptly upon receipt  thereof.  The
Agent shall  promptly  notify the Borrower and the other Banks of each change in
the Base Rate and the effective date thereof.

                  10.11 Banks in Their  Individual  Capacities.  With respect to
its Revolving Credit  Commitments and the Revolving Credit Loans made by it, the
Agent shall have the same rights and powers  hereunder as any other Bank and may
exercise the same as though it were not the Agent,  and the term "Banks"  shall,
unless the context  otherwise  indicates,  include  the Agent in its  individual
capacity. PNC Bank and its affiliates and each of the Banks and their respective
affiliates may, without liability to account,  except as prohibited herein, make
Loans to,  accept  deposits  from,  discount  drafts for,  act as trustee  under
indentures  of, and  generally  engage in any kind of banking or trust  business
with, the Borrower and its  affiliates,  in the case of the Agent,  as


                                      -85-


though it were not acting as Agent  hereunder  and in the case of each Bank,  as
though such Bank were not a Bank hereunder.

                  10.12 Holders of Notes. The Agent may deem and treat any payee
of any Note as the  owner  thereof  for all  purposes  hereof  unless  and until
written notice of the assignment or transfer  thereof shall have been filed with
the Agent.  Any  request,  authority or consent of any person who at the time of
making  such  request or giving such  authority  or consent is the holder of any
Note shall be conclusive  and binding on any  subsequent  holder,  transferee or
assignee of such Note or of any Note or Notes issued in exchange therefor.

                  10.13  Equalization of Banks. The Banks and the holders of any
participations  in any Notes agree among  themselves  that,  with respect to all
amounts  received  by any  Bank  or  any  such  holder  for  application  on any
obligation hereunder or under any Note or under any such participation,  whether
received by voluntary payment, by realization upon security,  by the exercise of
the right of set-off or banker's lien, by  counterclaim  or by any other non-pro
rata  source,  equitable  adjustment  will be made in the  manner  stated in the
following  sentence so that, in effect,  all such excess  amounts will be shared
ratably  among the Banks and such holders in  proportion  to their  interests in
payments  under the Notes,  except as otherwise  provided in Sections  [4.04(b),
5.04(b) or  5.06(a)]  hereof.  The Banks or any such holder  receiving  any such
amount shall  purchase for cash from each of the other Banks an interest in such
Bank's  Loans in such amount as shall result in a ratable  participation  by the
Banks and each such  holder in the  aggregate  unpaid  amount  under the  Notes,
provided  that  if all or any  portion  of  such  excess  amount  is  thereafter
recovered from the Bank or the holder making such purchase,  such purchase shall
be rescinded  and the purchase  price  restored to the extent of such  recovery,
together  with interest or other  amounts,  if any,  required by law  (including
court order) to be paid by the Bank or the holder making such purchase.

                  10.14 Successor  Agent.  The Agent (i) may resign as Agent, or
(ii) shall resign if such resignation is requested by the Required Banks, in the
case of either (i) or (ii) upon not less than thirty  (30) days'  prior  written
notice to the  Borrower  and the Banks.  If the Agent  shall  resign  under this
Agreement, then either (a) the Required Banks shall appoint from among the Banks
a successor  Agent for the Banks,  or (b) if a  successor  agent shall not be so
appointed and approved  within the thirty (30) day period  following the Agent's
notice to the Banks of its resignation,  then the Agent shall appoint,  with the
consent  of the  Borrower,  such  consent  not to be  unreasonably  withheld,  a
successor  agent who shall serve as Agent until such time as the Required  Banks
appoint a successor agent. Upon its appointment pursuant to either clause (a) or
(b) above,  such successor agent shall succeed to the rights,  powers and duties
of the agent and the term "Agent"  shall mean such  successor  agent,  effective
upon its appointment,  and the former Agent's rights, powers and duties as Agent
shall be terminated without any other or further act or deed on the part of such
former Agent or any of the parties to this  Agreement.  After the resignation of
any Agent hereunder, the provisions of this Article X shall inure to the benefit
of such  former  Agent  and  such  former  Agent  shall  not by  reason  of such
resignation be deemed to be released from liability for any actions taken or not
taken by it while it was an Agent under this Agreement.


                                      -86-


                  10.15  Agent's Fee. For periods  prior to the Ninth  Amendment
Effective  Date,  the Borrower shall pay to the Agent a  nonrefundable  fee (the
"Agent's Fee") as set forth in the letter  agreement dated July 30, 1993 between
the  Borrower  and the  Agent,  such fee to be  payable in the manner and on the
dates set forth in such  letter  agreement.  For  periods on and after the Ninth
Amendment  Effective Date, the Borrower shall pay to the Agent a non-refundable,
annual fee (also the "Agent's Fee") as set forth in the letter  agreement  dated
April 9, 1996 between the Borrower and the Agent,  such fee to be payable in the
manner and on the dates set forth in such letter agreement.

                  10.16 Availability of Funds.  Unless the Agent shall have been
notified  by a Bank  prior to the date upon which a Loan is to be made that such
Bank does not intend to make  available to the Agent such Bank's portion of such
Loan,  the Agent may assume  that such Bank has made or will make such  proceeds
available  to the Agent on such date and the Agent may,  in  reliance  upon such
assumption  (but shall not be required  to),  make  available  to the Borrower a
corresponding amount. If such corresponding amount is not in fact made available
to the Agent by such Bank, the Agent shall be entitled to recover such amount on
demand from such Bank (or, if such Bank fails to pay such amount  forthwith upon
such demand from the Borrower)  together with  interest  thereon,  in respect of
each day during the period commencing on the date such amount was made available
to the Borrower and ending on the date the Agent recovers such amount, at a rate
per annum equal to the Federal Funds Effective Rate in respect of the Loan.

                  10.17  Calculations.  In the  absence of gross  negligence  or
willful misconduct, the Agent shall not be liable for any error in computing the
amount  payable to any Bank  whether in respect of the Loans,  fees or any other
amounts  due to the  Banks  under  this  Agreement.  In the  event  an  error in
computing any amount  payable to any Bank is made,  the Agent,  the Borrower and
each  affected Bank shall,  forthwith  upon  discovery of such error,  make such
adjustments  as shall be required to correct  such error,  and any  compensation
therefor will be calculated at the Federal Funds Effective Rate.

                  10.18 Beneficiaries.  Except as expressly provided herein, the
provisions  of this  Article X are solely  for the  benefit of the Agent and the
Banks,  and the Borrower  shall not have any rights to rely on or enforce any of
the  provisions  hereof.  In  performing  its  functions  and duties  under this
Agreement,  the Agent shall act solely as agent of the Banks and does not assume
and shall not be deemed to have assumed any obligation toward or relationship of
agency or trust with or for the Borrower.

                  10.19  Holding  of  Loan  Documents.  Agent  agrees  that  all
original Loan Documents  retained by it shall be retained for the benefit of the
Banks,  and Agent shall make available  copies of such documents  retained by it
upon the reasonable request of any of the Banks.

                                   ARTICLE XI
                                  MISCELLANEOUS
                                  -------------

                  11.01 Modifications,  Amendments or Waivers.  With the written
consent of the Required Banks, the Agent, acting on behalf of all the Banks, and
the Borrower or the other


                                      -87-


applicable  Loan  Party  may from time to time  enter  into  written  agreements
amending or changing any provision of this  Agreement or any other Loan Document
or the  rights of the Banks or the  Borrower  or such Loan  Party  hereunder  or
thereunder, or may grant written waivers or consents to a departure from the due
performance of the  obligations of the Borrower or such Loan Party  hereunder or
thereunder. Any such agreement, waiver or consent made with such written consent
shall be effective  to bind all the Banks;  provided  that,  without the written
consent of all the Banks, no such agreement, waiver or consent may be made which
will:

                           (a) Reduce the  amount of the  Commitment  Fee or any
other  fees  payable to any Bank  hereunder,  or amend  Sections  5.02 [Pro Rata
Treatment of Banks],  10.06 [Exculpatory  Provisions] and 10.13 [Equalization of
Banks] hereof;

                           (b) Whether or not any Loans are outstanding,  extend
the time for  payment  of  principal  or  interest  of any Loan,  or reduce  the
principal  amount of or the rate of  interest  borne by any Loan,  or  otherwise
affect the terms of payment of the principal of or interest of any Loan;

                           (c) Except for sales of assets  permitted  by Section
8.02(g),  release any Collateral or other  security,  if any, for the Borrower's
obligations hereunder;

                           (d) Release or terminate  any  Guaranty  Agreement of
any Loan party; or

                           (e) Amend  Sections  2.01(c),  4.01(a),  8.02(r),  or
11.01,  change the  definitions or the method of computing the ratios  contained
within such  foregoing  sections,  change the definition of Required  Banks,  or
change  any  requirement  providing  for the  Banks  or the  Required  Banks  to
authorize the taking of any action hereunder.

                  11.02  No  Implied  Waivers;   Cumulative  Remedies;   Writing
Required.  No course of dealing and no delay or failure of the Agent or any Bank
in exercising any right,  power, remedy or privilege under this Agreement or any
other Loan Document shall affect any other or future exercise thereof or operate
as a waiver  thereof;  nor shall any single or partial  exercise  thereof or any
abandonment or discontinuance of steps to enforce such a right, power, remedy or
privilege  preclude any further exercise  thereof or of any other right,  power,
remedy or  privilege.  The rights and  remedies of the Agent and the Banks under
this  Agreement and any other Loan Documents are cumulative and not exclusive of
any rights or remedies  which they would  otherwise  have.  Any waiver,  permit,
consent  or  approval  of any kind or  character  on the part of any Bank of any
breach or default  under this  Agreement or any such waiver of any  provision or
condition of this  Agreement  must be in writing and shall be effective  only to
the extent specifically set forth in such writing.

                  11.03  Reimbursement  and  Indemnification  of  Banks  by  the
Borrower;  Taxes.  The  Borrower  agrees  unconditionally  upon demand to pay or
reimburse  to each  Bank  (other  than the  Agent,  as to which  the  Borrower's
obligations  are set forth in  Section  9.05)  and to save  such  Bank  harmless
against (i) liability  for the payment of all  reasonable  out-of-pocket  costs,
expenses and  disbursements  (including  reasonable fees and expenses of counsel
for each Bank except with


                                      -88-


respect to (a) and (b) below),  incurred by such Bank (a) in connection with the
interpretation  of this  Agreement,  and other  instruments  and documents to be
delivered  hereunder,  (b)  relating  to any  requested  amendments,  waivers or
consents  pursuant  to  the  provisions  hereof,  (c)  in  connection  with  the
enforcement  of this  Agreement or any other Loan  Document,  or  collection  of
amounts due hereunder or thereunder or the proof and  allowability  of any claim
arising under this Agreement or any other Loan  Document,  whether in bankruptcy
or receivership proceedings or otherwise, and (d) in any workout,  restructuring
or in connection with the protection,  preservation,  exercise or enforcement of
any of the  terms  hereof or of any  rights  hereunder  or under any other  Loan
Document  or in  connection  with  any  foreclosure,  collection  or  bankruptcy
proceedings, or (ii) all liabilities,  obligations,  losses, damages, penalties,
actions,  judgments,  suits,  costs,  expenses or  disbursements  of any kind or
nature  whatsoever which may be imposed on, incurred by or asserted against such
Bank,  in its  capacity as such,  in any way  relating to or arising out of this
Agreement  or any other Loan  Documents  or any action  taken or omitted by such
Bank hereunder or thereunder, provided that the Borrower shall not be liable for
any  portion  of such  liabilities,  obligations,  losses,  damages,  penalties,
actions,  judgments,  suits,  costs,  expenses or disbursements  (A) if the same
results from such Bank's gross negligence or willful  misconduct,  or (B) if the
Borrower  was not given  notice of the  subject  claim  and the  opportunity  to
participate in the defense thereof,  at its expense,  or (C) if the same results
from a compromise  or settlement  agreement  entered into without the consent of
the Borrower.  The Banks will attempt to minimize the fees and expenses of legal
counsel  for the Banks  which  are  subject  to  reimbursement  by the  Borrower
hereunder by  considering  the usage of one law firm to represent  the Banks and
the  Agent  if  appropriate  under  the   circumstances.   The  Borrower  agrees
unconditionally to pay all stamp, document,  transfer, recording or filing taxes
or fees and similar impositions now or hereafter  determined by the Agent or any
Bank to be payable in connection with this Agreement or any other Loan Document,
and the Borrower agrees unconditionally to save the Agent and the Banks harmless
from and  against any and all present or future  claims,  liabilities  or losses
with  respect to or  resulting  from any  omission to pay or delay in paying any
such taxes, fees or impositions.

                  11.04  Holidays.  Whenever any payment or action to be made or
taken  hereunder shall be stated to be due on a day which is not a Business Day,
such payment or action shall be made or taken on the next following Business Day
(except as  provided  in Section  4.02(a)  with  respect to  Euro-Rate  Interest
Periods),  and such extension of time shall be included in computing interest or
fees, if any, in connection with such payment or action.

                  11.06    Funding by Branch, Subsidiary or Affiliate.

                  (a) Notional Funding. Each Bank shall have the right from time
to time,  without  notice to the  Borrower,  to deem any branch,  subsidiary  or
affiliate  (which  for the  purposes  of  this  Section  11.05  shall  mean  any
corporation or association  which is directly or indirectly  controlled by or is
under direct or indirect  common  control with any  corporation  or  association
which  directly  or  indirectly  controls  such Bank) of such Bank to have made,
maintained or funded any Loan to which the Euro-Rate Option applies at any time,
provided that immediately  following (on the assumption that a payment were then
due from the  Borrower to such other  office) and as a result of such change the
Borrower would not be under any greater


                                      -89-


financial  obligation pursuant to Section 5.06 hereof than it would have been in
the absence of such  change.  Notional  funding  offices may be selected by each
Bank  without  regard to the Bank's  actual  methods of making,  maintaining  or
funding the Loans or any sources of funding  actually  used by or  available  to
such Bank.

                  (b) Actual  Funding.  Each Bank shall have the right from time
to time to make or maintain any Loan by arranging  for a branch,  subsidiary  or
affiliate  of such  Bank to make or  maintain  such  Loan  subject  to the  last
sentence of this Section  11.05(b).  If any Bank causes a branch,  subsidiary or
affiliate  to make or maintain  any part of the Loans  hereunder,  all terms and
conditions of this Agreement  shall,  except where the context clearly  requires
otherwise, be applicable to such part of the Loans to the same extent as if such
Loans were made or maintained by such Banks but in no event shall any Bank's use
of such a branch,  subsidiary  or  affiliate to make or maintain any part of the
Loans hereunder cause such Bank or such branch, subsidiary or affiliate to incur
any cost or expenses  payable by the Borrower  hereunder or require the Borrower
to pay any other compensation to any Bank (including,  without  limitation,  any
expenses  incurred  or payable  pursuant  to Section  5.06  hereof)  which would
otherwise not be incurred.

                  11.06 Notices. All notices, requests,  demands, directions and
other  communications  (collectively  "notices") given to or made upon any party
hereto  under the  provisions  of this  Agreement  shall be by  telephone  or in
writing (including telex or facsimile  communication) unless otherwise expressly
permitted  hereunder and shall be delivered or sent by telex or facsimile to the
respective parties at the addresses and numbers set forth under their respective
names on the  signature  pages  hereof  or in  accordance  with  any  subsequent
unrevoked  written  direction  from any party to the others.  All notices shall,
except as otherwise  expressly herein provided,  be effective (a) in the case of
telex or facsimile,  when received,  (b) in the case of  hand-delivered  notice,
when hand delivered,  (c) in the case of telephone,  when telephoned,  provided,
however, that in order to be effective,  telephonic notices must be confirmed in
writing no later than the next day by letter,  facsimile or telex,  (d) if given
by mail, four (4) days after such  communication  is deposited in the mails with
first class postage prepaid,  return receipt requested,  and (e) if given by any
other means (including by air courier),  when delivered;  provided, that notices
to the Agent shall not be effective until  received.  Any Bank giving any notice
to the Borrower shall  simultaneously  send a copy thereof to the Agent, and the
Agent  shall  promptly  notify the other  Banks of the receipt by it of any such
notice.

                  11.07  Severability.  The  provisions  of this  Agreement  are
intended to be  severable.  If any  provision  of this  Agreement  shall be held
invalid or unenforceable in whole or in part in any jurisdiction  such provision
shall, as to such jurisdiction,  be ineffective to the extent of such invalidity
or   unenforceability   without  in  any  manner   affecting   the  validity  or
enforceability  thereof in any other  jurisdiction  or the remaining  provisions
hereof in any jurisdiction.

                  11.08  Governing Law. This  Agreement  shall be deemed to be a
contract under the laws of the Commonwealth of Pennsylvania and for all purposes
shall be governed by and


                                      -90-


construed  and  enforced  in  accordance  with the laws of the  Commonwealth  of
Pennsylvania without regard to its conflict of laws principles.

                  11.09 Prior Understanding. This Agreement supersedes all prior
understandings  and  agreements,  whether  written or oral,  between the parties
hereto and thereto relating to the transactions provided for herein and therein,
including any prior confidentiality agreements and commitments.

                  11.10 Duration;  Survival.  All representations and warranties
of the Borrower  contained  herein or made in connection  herewith shall survive
the making of Loans and shall not be waived by the  execution  and  delivery  of
this  Agreement,  any  investigation  by the Agent or the  Banks,  the making of
Loans,  or payment in full of the Loans.  All  covenants  and  agreements of the
Borrower contained in Sections 8.01, 8.02 and 8.03 herein shall continue in full
force and  effect  from and after the date  hereof so long as the  Borrower  may
borrow hereunder and until  termination of the Revolving Credit  Commitments and
payment in full of the Loans.  All  covenants  and  agreements  of the  Borrower
contained  herein  relating to the  payment of  principal,  interest,  premiums,
additional  compensation  or expenses and  indemnification,  including those set
forth in the Notes,  Article V and Sections 10.05, 10.07 and 11.03 hereof, shall
survive  payment in full of the Loans and  termination  of the Revolving  Credit
Commitments.

                  11.11 Successors and Assigns.  This Agreement shall be binding
upon and shall inure to the benefit of the Banks,  the Agent,  the  Borrower and
their respective successors and assigns, except that the Borrower may not assign
or transfer any of its rights and obligations  hereunder or any interest herein.
Each Bank may, at its own cost, make  assignments of or sell  participations  in
all or any part of its Revolving  Credit  Commitment and the Loans made by it to
one or more banks or other entities,  subject to the consent of the Borrower and
the Agent with  respect to any  assignee,  such  consent not to be  unreasonably
withheld,  and provided  that  assignments  may not be made in amounts less than
$5,000,000.  In the case of an  assignment,  upon  receipt  by the  Agent of the
Assignment  and  Assumption  Agreement  and payment to the Agent of a fee in the
amount of $2,000,  the  assignee  shall have,  to the extent of such  assignment
(unless otherwise provided therein),  the same rights,  benefits and obligations
as it would have if it had been a signatory Bank  hereunder,  the Commitments in
Section  2.01 shall be  adjusted  accordingly,  and upon  surrender  of any Note
subject to such assignment, the Borrower shall execute and deliver a new Note to
the assignee in an amount equal to the amount of the Revolving Credit Commitment
or Loan assumed by it and a new Revolving  Credit Note to the assigning  Bank in
an amount  equal to the  Revolving  Credit  Commitment  or Loan  retained  by it
hereunder.  In the case of a participation,  the participant shall only have the
rights specified in Section 9.02(c) (the participant's  rights against such Bank
in respect of such participation to be those set forth in the agreement executed
by such Bank in favor of the participant relating thereto and not to include any
voting rights  except with respect to changes of the type  referenced in clauses
(a),  (b), or (c) under Section 11.01  hereof),  all of such Bank's  obligations
under this Agreement or any other Loan Document  shall remain  unchanged and all
amounts payable by any Loan party hereunder or thereunder shall be determined as
if such Bank had not sold such participation. Each Bank may furnish any publicly
available  information  concerning  any Loan  Party  and any  other  information
concerning  any Loan Party in the  possession  of such Bank from


                                      -91-


time to time to assignees and participants  (including  prospective assignees or
participants)  provided such assignees and participants agree to be bound by the
provisions of Section 11.12 hereof.

                  11.12  Confidentiality.  The Agent and the Banks each agree to
keep  confidential  all  information  obtained  from  any  Loan  party  which is
nonpublic and  confidential or proprietary in nature  (including any information
any Loan Party  specifically  designates  as  confidential),  except as provided
below,  and to use such  information  only in connection  with their  respective
capacities under this Agreement and for the purposes  contemplated  hereby.  The
Agent and the Banks shall be  permitted  to  disclose  such  information  (i) to
outside legal counsel,  accountants and other professional  advisors who need to
know such information in connection with the  administration  and enforcement of
this   Agreement,   subject  to  agreement  of  such  persons  to  maintain  the
confidentiality,  (ii) assignees and  participants  as  contemplated  by Section
11.11,  (iii) to the extent requested by any bank regulatory  authority or, with
notice to the  Borrower,  as  otherwise  required  by  applicable  Law or by any
subpoena or similar legal process,  or in connection with any  investigation  or
proceeding arising out of the transactions  contemplated by this Agreement, (iv)
if it  becomes  publicly  available  other  than as a result of a breach of this
Agreement  or becomes  available  from a source not  subject to  confidentiality
restrictions, or (v) the Borrower shall have consented to such disclosure.

                  11.13   Counterparts.   This  Agreement  may  be  executed  by
different parties hereto on any number of separate counterparts,  each of which,
when so executed and delivered,  shall be an original, and all such counterparts
shall together constitute one and the same instrument.

                  11.14 Agent's or Bank's  Consent.  Whenever the Agent's or any
Bank's  consent is required to be obtained  under this  Agreement  or any of the
other Loan Documents as a condition to any action, inaction, condition or event,
the Agent and each Bank shall be  authorized to give or withhold such consent in
its sole and absolute discretion and to condition its consent upon the giving of
additional collateral, the payment of money or any other matter.

                  11.15   Exceptions.   The   representations,   warranties  and
covenants  contained  herein shall be independent of each other and no exception
to any  representation,  warranty or covenant shall be deemed to be an exception
to any other  representation,  warranty  or  covenant  contained  herein  unless
expressly provided, nor shall any such exceptions be deemed to permit any action
or omission that would be in contravention of applicable Law.

                  11.16  Consent to Forum;  Waiver of Jury Trial.  The  Borrower
hereby  irrevocably  consents to the  nonexclusive  jurisdiction of the Court of
Common Pleas of Allegheny  County and the United States  District  Court for the
Western  District of  Pennsylvania,  and waives personal  service of any and all
process  upon it and  consents  that  all such  service  of  process  be made by
certified or registered mail directed to the Borrower at the addresses  provided
for in Section  11.06 hereof and service so made shall be deemed to be completed
upon actual receipt  thereof.  The Borrower waives any objection to jurisdiction
and venue of any action instituted  against it as provided herein and agrees not
to assert any defense based on lack of jurisdiction or venue. The Borrower,  the
Agent and the Banks hereby waive trial by jury in


                                      -92-


any action,  suit,  proceeding  or  counterclaim  of any kind  arising out of or
related to this Agreement, any other Loan Document or the Collateral to the full
extent permitted by Law.

                  11.17 Tax Withholding  Clause. At least five (5) Business Days
prior to the first date on which interest or fees are payable  hereunder for the
account of any Bank,  each Bank that is not  incorporated  under the laws of the
United States of America or a state thereof  agrees that it will deliver to each
of the  Borrower  and the Agent two (2) duly  completed  copies of (i)  Internal
Revenue  Service Form W-9, 4224 or 1001, or other  applicable form prescribed by
the  Internal  Revenue  Service,  certifying  in  either  case that such Bank is
entitled to receive  payments  under this Agreement and the other Loan Documents
without  deduction or withholding of any United States federal income taxes,  or
is subject to such tax at a reduced rate under an applicable tax treaty, or (ii)
Form W-8 or other  applicable  form or a certificate of the Bank indicating that
no such  exemption or reduced rate is allowable  with respect to such  payments.
Each Bank which so delivers a Form W-8, W-9, 4224 or 1001 further  undertakes to
deliver to each of the Borrower and the Agent two (2) additional  copies of such
form (or a  successor  form) on or before  the date that  such form  expires  or
becomes  obsolete or after the occurrence of any event requiring a change in the
most recent form so delivered by it, and such  amendments  thereto or extensions
or renewals thereof as may be reasonably requested by the Borrower or the Agent,
either  certifying  that such Bank is  entitled to receive  payments  under this
Agreement and the other Loan Documents  without  deduction or withholding of any
United States  federal  income taxes or is subject to such tax at a reduced rate
under an applicable tax treaty or stating that no such exemption or reduced rate
is  allowable.  The Agent shall be entitled to withhold  United  States  federal
income  taxes at the full  withholding  rate  unless  the  Bank  establishes  an
exemption or at the applicable reduced rate as established pursuant to the above
provisions.

                  11.18 Effect on Prior Credit  Agreement;  Amendments on Fourth
Amendment Effective Date.

                  (a)  Amendment  and  Restatement.  This  Agreement  amends and
restates  the Prior Credit  Agreement  effective on the Closing Date except that
the Loan Parties shall comply with the representations, warranties and covenants
contained  in the Prior  Credit  Agreement  applicable  to periods  prior to the
Closing Date, and further except that the interest rate, Commitment Fees, Letter
of Credit Fees and other fees  applicable  to the Loans or otherwise  applicable
for periods prior to the Ninth  Amendment  Effective Date shall be determined as
provided in this  Agreement  without regard to Amendment No. 9 to this Agreement
unless this Agreement after giving effect to Amendment No. 9 otherwise  provides
in which case, the provisions of this Agreement after giving effect to Amendment
No. 9 shall control.



                                      -93-




                                    EXHIBIT 2


                                              ________________, 1996

To:      Mariner Health Group, Inc.
         and each of its subsidiaries

Reference is made to that certain Credit Agreement, dated as of May 18, 1994, as
amended (the "Credit  Agreement"),  by and among Mariner  Health Group,  Inc., a
Delaware corporation, the Banks party thereto and PNC Bank, National Association
("Agent").  All terms used herein unless otherwise defined herein shall have the
meanings as set forth in the Credit Agreement.

The Borrower,  the Banks and the Agent have entered into that certain  Amendment
No. 10 to the Credit Agreement,  dated as of the date hereof (the "Amendment No.
10") a copy of which has been delivered to each Loan Party.

         This letter  agreement  will  confirm that each Loan Party has read and
understands  Amendment  No. 10. Each Loan Party  agrees and  acknowledges  that,
among other  things,  on and after the  effective  date of Amendment No. 10, the
Revolving   Credit   Commitments   will  be  increased  from   $200,000,000   to
$250,000,000.  Each Loan Party hereby  ratifies  and  confirms  each of the Loan
Documents  to which  it is a party by  signing  below  as  indicated,  including
without limitation each Guaranty Agreement and each Pledge Agreement to which it
is a party, including all schedules thereto.

                                         Very truly yours,

                                         PNC BANK, NATIONAL ASSOCIATION,
                                         as Agent


                                         By:______________________________






                               [SIGNATURE PAGE TO
                            CONFIRMATION OF GUARANTY
                          DATED _______________, 1996]



Intending  to be legally  bound  hereby,
the undersigned have accepted and agreed
to the foregoing as of the date and year
first above written.

MARINER  HEALTH  GROUP,  INC.  and  each
Subsidiary    thereof    which    is   a
corporation  and  which is  listed  as a
"Company"  on  Schedule  6.01(c)  of the
Credit Agreement both for itself and, if
applicable,  as general  partner of each
Subsidiary of Mariner Health Group, Inc.
which  is a  partnership  and  which  is
listed  as  a   "Company"   on  Schedule
6.01(c).



By:__________________________________
Title:_______________________________
of each of the foregoing corporations



                               SCHEDULE 1.01(R)(2)

                              COMMITMENTS OF BANKS


              BANK                                       AMOUNT OF COMMITMENT
              ----                                       --------------------
                                                      FOR REVOLVING CREDIT LOANS
                                                      --------------------------

PNC BANK, NATIONAL ASSOCIATION                                 $45,000,000
CHEMICAL BANK                                                  $20,000,000
CORESTATES BANK, N.A.                                          $35,000,000
CREDITANSTALT-BANKVEREIN                                       $20,000,000
FIRST UNION NATIONAL BANK OF NORTH CAROLINA                    $35,000,000
MELLON BANK, N.A.                                              $35,000,000
NATIONSBANK OF TENNESSEE, N.A.                                 $40,000,000
TORONTO DOMINION (NEW YORK), INC.                              $20,000,000
                                                               -----------
                                                              $250,000,000




Exhibit 11:
- -----------

       Computation of shares used in determining net income per share (1)
                             (Dollars in thousands)

<TABLE>
<CAPTION>


                                                           Nine months ended             Three Months Ended
                                                             September 30,                  September 30,
                                                     -------------------------------------------------------------
                                                         1995           1996            1995             1996
                                                     ------------- -------------   ------------------------------

<S>                                                  <C>            <C>             <C>              <C>
Net income                                           $        6,764  $      9,890   $      3,486     $        321
                                                     ============= =============   =============    =============

Weighted average shares outstanding                     22,506,644    28,635,941      22,527,452       28,857,778

Shares issuable based on the treasury stock method:
Options                                                    315,601       675,070         252,328          641,844
Warrants                                                       ---        73,363             ---           73,005
                                                     ------------- -------------   -------------    -------------
                                                        22,822,245    29,384,374      22,779,780       29,572,627
                                                     ============= =============   =============    =============

(1) Fully diluted  income per share has not been  separately  presented,  as the
amounts would not be materially different from primary net income per share.
</TABLE>


<TABLE> <S> <C>


<ARTICLE>                     5
<LEGEND>
THIS  SCHEDULE  CONTAINS  SUMMARY  FINANCIAL   INFORMATION  EXTRACTED  FROM  THE
COMPANY'S FINANCIAL  STATEMENTS DATED SEPTEMBER 30, 1996 AND IS QUALIFIED IN ITS
ENTIRETY BY REFERENCE TO SUCH FINANCIAL STATEMENTS.
</LEGEND>
<MULTIPLIER>                                   1,000
       
<S>                             <C>
<PERIOD-TYPE>                   9-MOS
<FISCAL-YEAR-END>                              DEC-31-1996
<PERIOD-END>                                   SEP-30-1996
<CASH>                                         10,703
<SECURITIES>                                   0
<RECEIVABLES>                                  140,610
<ALLOWANCES>                                   10,133
<INVENTORY>                                    0
<CURRENT-ASSETS>                               163,128
<PP&E>                                         376,304
<DEPRECIATION>                                 44,399
<TOTAL-ASSETS>                                 721,889
<CURRENT-LIABILITIES>                          88,066
<BONDS>                                        0
                          0
                                    0
<COMMON>                                       290
<OTHER-SE>                                     318,083
<TOTAL-LIABILITY-AND-EQUITY>                   721,889
<SALES>                                        418,534
<TOTAL-REVENUES>                               418,534
<CGS>                                          0
<TOTAL-COSTS>                                  402,051
<OTHER-EXPENSES>                               35,728
<LOSS-PROVISION>                               0
<INTEREST-EXPENSE>                             17,733
<INCOME-PRETAX>                                16,483
<INCOME-TAX>                                   6,593
<INCOME-CONTINUING>                            9,890
<DISCONTINUED>                                 0
<EXTRAORDINARY>                                0
<CHANGES>                                      0
<NET-INCOME>                                   9,890
<EPS-PRIMARY>                                  .34
<EPS-DILUTED>                                  .34
        


</TABLE>


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