MARINER HEALTH GROUP INC
10-Q, 1996-08-14
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     June 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
                                             -----    -----

28,833,524 shares of Common Stock, $.01 par value, were outstanding at August 5,
1996.





                           MARINER HEALTH GROUP, INC.
 ------------------------------------------------------------------------------

FORM 10-Q - JUNE 30, 1996
                                      INDEX                           

PART I   Financial Information                                          Page
- ------   ---------------------                                          ----

Item 1.  Financial Statements

                  Consolidated Balance Sheets as of
                  December 31, 1995 and June 30, 1996                     3

                  Consolidated Statements of Operations for the
                  Six Months Ended June 30, 1995 and 1996 and
                  Three Months Ended June 30, 1995 and 1996               4

                  Consolidated Statements of Cash Flows for the
                  Six Months Ended June 30, 1995 and 1996                 5

                  Notes to Consolidated Financial Statements              6 - 7

Item 2.  Management's Discussion and Analysis of
                  Financial Condition and Results of Operations           8 - 13

PART II. Other Information


Item 4.  Submission of Matters to a Vote of
                  Security Holders                                        14

Item 6.  Exhibits and Reports on Form 8-K                                 14

Exhibit Index                                                             15

Signatures                                                                16



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 31,      June 30,        
                                                                                                      1995            1996
                                                                                            --------------------------------
                                     ASSETS
<S>                                                                                             <C>            <C>   
Current assets:
             Cash and cash equivalents                                                           $      4,086   $      4,601
             Accounts receivable, less allowance for doubtful accounts of $10,078
                and $8,817, respectively                                                               92,537        112,076
             Estimated settlements due from third-party payors                                         12,915         32,781
             Prepaid expenses and other current assets                                                  6,757         14,354
             Deferred income tax benefit                                                                9,918          9,918
                                                                                             --------------------------------
                                      Total current assets                                            126,213        173,730

Property, plant, and equipment, net                                                                   174,486        331,390
Goodwill, net of accumulated amortization of $19,084 and $7,187, respectively                          78,212        186,014
Intangible and other assets, net of accumulated amortization of $6,550
     and $4,880, respectively                                                                          30,144         22,021
Restricted cash and cash equivalents                                                                    1,198          3,100
Deferred income tax benefit                                                                             1,273          1,273
                                                                                             --------------------------------
                                      Total assets                                                 $  411,526     $  717,528
                                                                                             ================================

                      LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities:
             Current maturities of long-term debt and capital lease obligations                    $    5,156      $   5,607
             Accounts payable                                                                          10,904         23,905
             Accrued payroll                                                                            6,072          7,461
             Accrued vacation                                                                           5,053          7,647
             Other accrued expenses                                                                    22,808         34,158
             Deferred income taxes                                                                        987            987
             Other liabilities                                                                          1,085          4,115
                                                                                             --------------------------------
                                      Total current liabilities                                        52,065         83,880

Long-term debt and capital lease obligations,
     less current portion                                                                             107,910        298,498
Deferred income taxes                                                                                   6,007         14,913
Deferred gain                                                                                           2,122          2,056
Redeemable stock and other long-term liabilities                                                        1,030          1,854
                                                                                               ------------------------------
                                      Total liabilities                                               169,134        401,201
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
              28,815,838 shares issued and outstanding at June 30, 1996.                                  225            288
             Additional paid-in capital                                                               246,660        310,960
             Unearned compensation                                                                       (15)           (12)
             Retained earnings (deficit)                                                              (4,478)          5,091
                                                                                             --------------------------------
                                      Total stockholders' equity                                      242,392        316,327
                                                                                             --------------------------------
                                      Total liabilities and stockholders' equity                   $  411,526     $  717,528
                                                                                             ================================

                             See accompanying notes
</TABLE>




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

<TABLE>
<CAPTION>
                                                                                                                           
                                                             Six months ended                            Three months ended         
                                                                 June 30,                                      June 30,             
                                                         1995                1996                    1995                  1996 
                                                         ----                ----                    ----                  ---- 
<S>                                                 <C>                 <C>                      <C>                   <C>          
Net patient service revenue                          $   161,092         $   275,690              $   81,753            $  143,061
Other revenue                                              2,632               5,093                   1,812                 2,543
                                                 ----------------     ---------------       -----------------     -----------------
Total operating revenue                                  163,724             280,783                  83,565               145,604
                                                 ----------------     ---------------       -----------------     -----------------


Operating expenses:
  Facility operating costs                               127,273             213,914                  64,451               109,323
  Corporate general and administrative                    22,563              28,521                  16,015                11,294
                                                 ----------------     ---------------       -----------------     -----------------
                                                         149,836             242,435                  80,466               120,617
                                                 ----------------     ---------------       -----------------     -----------------

  Interest expense, net                                      731              10,970                     452                 6,578
  Facility rent expense, net                                 918               1,212                     563                   738
  Depreciation and amortization                            5,291              10,328                   2,631                 5,132
                                                 ----------------     ---------------       -----------------     -----------------
Total operating expenses                                 156,776             264,945                  84,112               133,065
                                                 ----------------     ---------------       -----------------     -----------------

Operating income (loss)                                    6,948              15,838                   (547)                12,539
Loss on sale of facilities                                  (11)                 ---                    (11)                   ---
                                                 ----------------     ---------------       -----------------     -----------------
Income (loss) before income taxes and
  extraordinary item                                       6,937              15,838                   (558)                12,539
Provision for (benefit from) income taxes                  2,521               6,269                   (355)                 5,015
                                                 ----------------     ---------------       -----------------     -----------------
Net income (loss) before extraordinary item                4,416               9,569                   (203)                 7,524
Extraordinary Item                                       (1,138)                 ---                 (1,138)                   ---
                                                 ----------------     ---------------       -----------------     -----------------
Net income (loss)                                $         3,278       $       9,569          $      (1,341)           $     7,524
                                                 ================     ===============       =================     =================

Net income (loss) per common and
 common equivalent share:


  Weighted average common and common                  23,074,000          29,261,000              22,557,000            29,404,000
  equivalent shares outstanding
                                                 ================     ===============       =================     =================

  Net income (loss) per common and
  common equivalent share                          $        0.14       $        0.33          $       (0.06)         $        0.26
                                                 ================     ===============       =================     =================


</TABLE>

                             See accompanying notes







                   MARINER HEALTH GROUP, INC. AND SUBSIDIARIES
                      CONSOLIDATED STATEMENTS OF CASH FLOWS
                                 (IN THOUSANDS)
                                   (UNAUDITED)
<TABLE>
<CAPTION>
                                                                                           Six months ended June 30

                                                                                           1995                1996
                                                                                   -------------------------------------
<S>                                                                                     <C>                  <C>
Cash flows from operating activities:
Net income                                                                                        
                                                                                         $    3,278           $    9,569
Adjustments  to  reconcile  net income to cash (used by)  provided by  operating
activities:
  Extraordinary item                                                                          1,138                  ---
  Depreciation and amortization                                                               5,291               10,328
  Provision for losses on accounts receivable                                                 1,161                1,606
  Loss on sale of facilities                                                                     20                  ---
  Amortization of deferred gain                                                               (248)                 (66)
  Amortization of stock plan expense                                                             11                    3
  Earnings from partnerships                                                                    (7)                  ---
  Non-cash charge for warrants issued                                                           ---                  850
  Amortization of deferred financing costs                                                      ---                  409
  Charge for abandonment of assets                                                              ---                1,061
  Changes in operating assets and liabilities:
    Increase in accounts receivable                                                        (17,591)              (6,350)
    Increase in estimated settlements from third parties                                    (2,973)             (13,311)
    Increase in prepaid expenses and other current assets                                   (1,907)              (6,254)
    Increase in accounts payable                                                              1,525                4,381
    Increase in accrued liabilities                                                           3,437                3,110
    Increase (decrease) in other current liabilities                                            911                (203)
                                                                                   -----------------    -----------------
  Net Cash (Used by) Provided by Operating Activities                                       (5,954)                5,133
                                                                                   -----------------    -----------------

Cash flows used by investing activities:
  Purchase of plant, property and equipment                                                 (7,368)             (11,078)
  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                                                   (1,601)              (4,322)
                                                                                   -----------------    -----------------
Net Cash Used by Investing Activities                                                      (42,760)             (98,859)
                                                                                   -----------------    -----------------


Cash flows from financing activities:
  Drawings on line of credit                                                                 27,500               92,981
  Proceeds from notes offering                                                                  ---              149,666
  Repayments on line of credit                                                              (9,000)            (133,481)
  Repayments of long term debt and capital lease obligations                                  (842)             (17,376)
  Proceeds from exercise of employee stock options and warrants                                 221                2,506
  Shares issued under employee stock purchase plan                                              920                  156
  Partnership distributions                                                                      39                  ---
  Decrease (increase) in restricted cash                                                        157                (211)
                                                                                   -----------------    -----------------
  Net Cash Provided by Financing Activities                                                  18,995               94,241
                                                                                   -----------------    -----------------

Decrease (increase) in cash and cash equivalents                                           (29,719)                  515
Cash and cash equivalents at beginning of period                                             37,209                4,086
                                                                                   =================    =================
Cash and cash equivalents at end of period                                               $    7,490           $    4,601
                                                                                   =================    =================
</TABLE>

                             See accompanying notes








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

1.       The consolidated  financial  statements as of and for the periods ended
         June 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.  In  addition  to  normal,  recurring  adjustments,
         corporate general and administrative  expenses for the first six 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. Results of operations for the period ended June 30,
         1996 are not  necessarily  indicative of those  expected for any future
         period.

         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 Annual Report on Form 10-K, as
         amended, for the year ended December 31, 1995.


         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.


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 (as defined herein).

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 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  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.  Mariner began managing the facilities acquired in the
         1996 Florida  Acquisition on March 1, 1996 for a monthly fee of 6.5% of
         net operating revenues of each facility.

8.       In July 1996,  Mariner  entered into an  agreement  to acquire  certain
         assets from Allegis Health Services, Inc. ("Allegis").  Under the terms
         of the agreement,  the Company will purchase five inpatient facilities,
         assume two operating leases and one capital lease and purchase Allegis'
         institutional   pharmacy  and  its  rehabilitation  program  management
         subsidiary.  The total purchase  price of  $98,000,000  consists of the
         assumption of  $15,000,000 in debt,  including the capital  lease,  and
         $95,000,000 in cash which will be borrowed  under the Credit  Facility.
         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 entities  acquired.  The closing is
         expected to be completed on or about October 1, 1996.




ITEM 2.

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

RESULTS OF OPERATIONS

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


<TABLE>
<CAPTION>
                                          Six months            Percentage              Three months        Percentage Increase
                                            ended                Increase                  ended                (Decrease)
                                           June 30,           Six months ended            June 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          98.4%       98.2%           71.1%              97.8%       98.3%           75.0%
  Other revenue                         1.6%        1.8%           93.5%               2.2%        1.7%           40.3%
                                     --------    --------                           --------    --------
  Total operating revenue             100.0%      100.0%           71.5%             100.0%      100.0%           74.2%


Operating and administrative
expenses:
  Facility operating costs             77.7%       76.2%           68.1%              77.1%       75.1%           69.6%
  Corporate general and                13.8%       10.2%           26.4%              19.2%        7.8%          (29.5%)
administrative


Interest expense, net                   0.4%        3.9%         1400.7%              0.5%        4.5%          1355.3%
Facility rent expense, net              0.6%        0.4%           32.0%               0.7%        0.5%           31.1%
Depreciation and amortization           3.2%        3.7%           95.2%               3.1%        3.5%           95.1%
                                     --------    --------                           --------    --------
Total operating costs and
  administrative expense               95.8%       94.4%           69.0%             100.7%       91.4%           58.2%
                                     --------    --------                           --------    --------


Income before income tax and
  extraordinary item                    4.2%        5.6%          128.3%             -0.7%        8.6%            N/M
                                     --------    --------                           --------    --------


</TABLE>



THREE MONTHS ENDED  JUNE 30, 1995 AND 1996

         REVENUE.  Total operating revenue increased 74% from $83,565,000 during
the three  months  ended June 30, 1995 to  $145,604,000  during the three months
ended June 30, 1996.

         Net patient service revenue  increased by approximately  $61,308,000 or
75% from the second  quarter of 1995 to the second  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
the  result  of the  inclusion  in  1996 of  revenue  from  38  facilities,  two
pharmacies and several home health agencies acquired after June 1995, as well as
increases in revenue per rehabilitation contract.

         Other revenue  aggregated  $2,543,000 during the quarter ended June 30,
1996.  This  revenue  was  generated  primarily  from the  Company's  management
activities related to subacute care units and facilities.

         FACILITY OPERATING COSTS. Facility operating costs consist of primarily
employee  salaries,  wages and  benefits,  food,  ancillary  supplies,  pharmacy
supplies and plant operations. 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 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 70% from  $64,451,000 in the second
quarter of 1995 to $109,323,000  in the second quarter of 1996.  These increases
were principally the result of the inclusion of expenses for 38 facilities,  two
pharmacies and several home health care agencies  acquired after June 1995. As a
percentage of total operating  revenue,  these costs  aggregated 77.1% and 75.1%
for the three months ended June 30, 1995 and 1996, respectively.

         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 decreased 30% from $16,015,000 in the second primarily
quarter of 1995 to $11,294,000 in the second quarter of 1996.  This decrease was
the result of a charge  incurred during the second quarter of 1995, in which the
Company   accrued  costs  totaling   $8,073,000   related  to  the  merger  with
Convalescent  Services,  Inc. ("CSI") and the  consolidation of various regional
and  satellite  offices to the Company's New London,  Connecticut  office.  This
decrease was partially offset by incremental costs associated with the hiring of
additional corporate personnel required to support the additional facilities and
businesses acquired or managed since June 30, 1995.

         As a percentage of total  revenue,  these  expenses were  approximately
19.2% and 7.8% for the three months ended June 30, 1995 and 1996, respectively.

         INTEREST EXPENSE,  NET. Interest expense increased from $452,000 in the
second  quarter  of 1995 to  $6,578,000  in the  second  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 used to fund acquisitions of
facilities and businesses acquired after the second quarter of 1995.

         RENT  EXPENSE,  NET.  Rent expense  increased  31% from $563,000 in the
second quarter of 1995 to $738,000 in the second 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 95% from $2,631,000 in the second quarter of 1995 to $5,132,000 in the
second  quarter  of  1996.  This  increase  was primarily  attributable  to  the
facilities and businesses acquired 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.

         PROVISION FOR INCOME TAX. The Company  expects its  effective  rate for
1996 to be  approximately  40%. This increase from 38% in 1995 is due to certain
permanent  book to tax  differences  offset by the  utilization  of deferred tax
assets related to MedRehab.


         SIX MONTHS ENDED JUNE 30, 1995 AND 1996.

         REVENUE. Total operating revenue increased 71% from $163,724,000 during
the first six months of 1995 to $280,783,000 in the first six months of 1996.

         Net patient service revenue increased by approximately  $114,598,000 or
71% from the first six  months  of 1995 to the  first  six  months of 1996.  The
increase was the result of the inclusion in 1996 of revenue from 38  facilities,
two pharmacies  and several home health care agencies  acquired since June 1995,
as well as increases in revenue per rehabilitation contract.

         Other revenue  aggregated  $5,093,000  during the six months ended June
30, 1996.  This revenue was generated  primarily  from the Company's  management
activities related to subacute care units and facilities.

         FACILITY  OPERATING COSTS.  Facility operating costs increased 68% from
$127,273,000  in the first six months of 1995 to  $213,914,000  in the first six
months of 1996.  These increases were principally the result of the inclusion of
expenses for 38 facilities, two pharmacies and several home health care agencies
acquired  after the second  quarter of 1995. As a percentage of total  operating
revenues, these costs aggregated 77.7% and 76.2% in the first six months of 1995
and 1996, respectively.

         CORPORATE GENERAL AND  ADMINISTRATIVE  EXPENSES.  Corporate general and
administrative  expenses  increased 26% from $22,563,000 in the first six months
of 1995 to  $28,521,000  in the  first  six  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.

         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  13.8%  and  10.2% in the  first  six  months  of 1995  and  1996,
respectively.

         INTEREST EXPENSE,  NET. Interest expense increased from $731,000 in the
first six months of 1995 to  $10,970,000  in the first six months of 1996.  This
increase  was the  result  of  interest  on the Notes  issued in April  1996 and
borrowings  used  primarily to fund  acquisitions  of facilities  and businesses
acquired after the second quarter of 1995.

         RENT  EXPENSE,  NET.  Rent expense  increased  32% from $918,000 in the
first six months of 1995 to  $1,212,000  in the first six  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 95% from  $5,291,000 in the first six months of 1995 to $10,328,000 in
the first six  months of 1996,  principally  as the  result of the  addition  of
facilities and businesses after the second quarter of 1995.


         LIQUIDITY AND CAPITAL RESOURCES

         Mariner  has  financed  its   operations,   acquisitions   and  capital
expenditures primarily from borrowings, cash provided by operations and proceeds
from security issuances.  As of June 30, 1996, working capital and cash and cash
equivalents were $89,850,000 and $4,601,000, 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.
During  June of 1996 the terms  were  amended to provide  for  borrowings  up to
$250,000,000.  As of December  31, 1995 and June 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.  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,  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
$112,076,000  at December  31, 1995 and June 30, 1996,  respectively.  Estimated
settlements due from third party payors  aggregated  $12,915,000 and $32,781,000
at December 31, 1995 and June 30, 1996,  respectively.  The increases  primarily
reflected  the  addition of the CSI and Regency  facilities.  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 91 days at June 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 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 living 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  Regency  Acquisition  with a portion of the net
proceeds from the sale of the Notes and  borrowings  under the Credit  Facility.
Mariner began managing the facilities  acquired in the 1996 Regency  Acquisition
on March 1, 1996 for a monthly  fee of 6.5% of net  operating  revenues  of each
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 July 1996,  Mariner  entered into an  agreement  to acquire  certain
assets from Allegis. Under the terms of the agreement, the Company will purchase
five inpatient facilities, assume two operating leases and one capital lease and
purchase  Allegis'   institutional   pharmacy  and  its  rehabilitation  program
management subsidiary.  The total purchase price of $110,000,000 consists of the
assumption of $15,000,000 in debt,  including the capital lease, and $95,000,000
in cash  which  will be  borrowed  under the  Credit  Facility.  The  closing is
expected to be completed on or about October 1, 1996.

         During  the  first  six  months  of 1996,  the  Company  also  borrowed
approximately  $8,000,000  under the Credit  Facility  primarily to fund working
capital requirements.

         The Company's  capital  expenditures  for the six months ended June 30,
1996 were approximately $11,078,000.

         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 continuously 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.

         Mariner believes that its future capital  requirements will depend upon
a number of factors,  including cash  generated from  operations and 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 the 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.

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,  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 "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) changes in the health care  industry as a result of political,
economic or regulatory  influences;  (ii) changes in  regulations  governing the
health care industry; and (iii) changes in the competitive marketplace. 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.



                                     PART II

                                OTHER INFORMATION

ITEM 4. - SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS

         At the Company's annual meeting of stockholders  held May 21, 1996, the
Company's stockholders took the following actions:

         (1) The Company's stockholders reelected Arthur W. Stratton,  Jr., M.D.
and  elected  Stiles  A.  Kellett,  Jr. as Class  III  directors  to serve for a
three-year  term expiring at the Company's  annual  meeting of  stockholders  in
1999.  Election of the directors was determined by a plurality of the votes cast
at the 1996 annual meeting.  With respect to such matter, the votes were cast as
follows:  18,782,455 shares voted for the reelection of Dr.  Stratton,no  shares
voted against the reelection of Dr.  Stratton  and  53,525 shares abstained from
voting on the  proposal, and  18,782,413  shares  voted for the  election of Mr.
Kellett,  no shares voted  against the election of  Mr.  Kellett  and  53,53,567
shares  abstained from voting on the proposal.  No other persons were nominated,
or received votes, for election as directors of the Company whose term of office
continued  after the annual  meeting were:  David C. Fries,  Ph.D.,  Christopher
Grant, Jr. and John F. Robenalt, Esq.

         (2) The  Company's  stockholders  ratified  the  selection of Coopers &
Lybrand L.L.P.,  independent public  accountants,  as auditors for the Company's
fiscal year ending  December  31, 1996.  With respect to such matter,  the votes
were cast as follows:  18,735,193  voted for the  proposal,  72,709 shares voted
against the proposal and 28,078 shares abstained from voting on the proposal.

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.


         April 4, 1996. Item 5 - Other Events,  to disclose the  consummation of
the private placement by the Company of $150 million aggregate  principal amount
of its 9-1/2%  Senior  Subordinated  Notes due 2006 pursuant to Section 4(2) and
Rule 144A under the Securities Act of 1933.

         April 30, 1996.  Item 2 -  Acquisition  or  Disposition  of Assets,  to
disclose the  consummation of the merger of Regency with and into Mariner Health
of Florida,  Inc., a wholly owned subsidiary of the Company, and the acquisition
of certain related assets,  and Item 5 - Other Events, to disclose the amendment
of the Company's  Credit Facility with PNC Bank, N.A., as Agent, to increase the
borrowing  capacity  thereunder from  $175,000,000 to $200,000,000  and Item 7 -
Financial Statements,  Pro Forma Financial Information and Exhibits, to disclose
certain financial information relating to Regency.

         June  13,  1996.  Item  5 -  Others  Events,  to (i)  disclose  certain
historical  financial   information  of  Mariner  which  was  restated  to  give
retroactive  effect to the merger with  MedRehab,  which was  accounted for as a
pooling of interests,  (ii) supplement certain historical financial  information
of  Regency,  which was  acquired  by  Mariner in May 1996,  and (iii)  disclose
certain updated pro forma financial  information relating to the Company and its
recent acquisitions.


                                  EXHIBIT INDEX


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

10.1                               Amendment  No.  10 to  Credit  Agreement  and
                                   Waiver  dated as of July 1, 1996 by and among
                                   the Company, PNC Bank, National  Association,
                                   and the other banks party thereto

10.2                               Amendment  No.  11 to  Credit  Agreement  and
                                   Consent  dated  as of  July  31,  1996 by and
                                   among  the   Company,   PNC  Bank,   National
                                   Association,   and  the  other   banks  party
                                   thereto



11                                 Computation of shares used in determining net
                                   income per share (1) (Dollars in thousands)


27                                 Financial Data Schedule




                                   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 duly thereto authorized.


                                         MARINER HEALTH GROUP, INC.



DATE August 14, 1996                       BY  /s/ Jeffrey W. Kinell
    ------------                           ----------------------------- 
                                           Jeffrey W. Kinell
                                           Treasurer and Chief Financial Officer
                                           (Authorized officer and principal
                                           accounting and financial officer)


                 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").

                              W I T N E S S E T H:

                  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:

         Exhibit 8.01(m)(i)     -        Acquisition Approval Certificate
         Exhibit 8.01(m)(ii)    -        Acquisition Notice Certificate
         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

                                      -2-


                                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
                                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 connection 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.



                                      -3-


                           (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.

                           (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


                                      -4-



               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 1 OF __ 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 - BANKVEREIN


                                   By:
                                   Name:
                                   Title:


                                   By:
                                   Name:
                                   Title:


                                   FIRST UNION NATIONAL BANK OF
                                   NORTH CAROLINA


                                   By:
                                   Name:
                                   Title:



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

                                   MELLON BANK, N.A.


                                   By:
                                   Name:
                                   Title:


                                   NATIONSBANK OF TENNESSEE, N.A.


                                   By:
                                   Name:
                                   Title:







                  [SIGNATURE PAGE 3 OF __ TO AMENDMENT NO. 10]


                                   TORONTO DOMINION (NEW YORK), INC.



                                   By:
                                   Name:
                                   Title:






                  [SIGNATURE PAGE 4 OF __ TO AMENDMENT NO. 10]


                                   CHEMICAL BANK
 


                                   By:
                                   Name:
                                   Title:






                               SCHEDULE 1.01(R)(2)

                              COMMITMENTS OF BANKS


                                                         AMOUNT OF COMMITMENT
               BANK                                   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


                AMENDMENT NO. 11 TO CREDIT AGREEMENT AND CONSENT


                  THIS  AMENDMENT  NO. 11 TO CREDIT  AGREEMENT  and Consent (the
"Amendment")  dated as of July 31, 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").

                              W I T N E S S E T H:

                  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 $250,000,000 revolving credit facility to
the Borrower; and

                  WHEREAS,  as  permitted  by Section  8.02(f)(i)  of the Credit
Agreement, Convalescent Services, Inc., a Georgia corporation and a wholly-owned
Subsidiary of the Borrower  ("CSI") will merge with and into Mariner Health Care
of Nashville,  Inc., a Delaware corporation and a wholly-owned Subsidiary of the
Borrower ("Mariner Nashville"); and

                  WHEREAS,  the  merger of CSI with and into  Mariner  Nashville
shall be  consummated  in  accordance  with that certain  Agreement  and Plan of
Merger  dated June 15,  1996  between  Mariner  Nashville  and CSI (the  "Merger
Agreement"), with Mariner Nashville as the survivor of such merger; and

                  WHEREAS, the Borrower and the Banks desire to amend the Credit
Agreement  as  hereinafter  provided  and  to  consent  to  certain  matters  as
hereinafter provided in connection with the merger of CSI and Mariner Nashville.

                  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.    Schedules.    Schedules    6.01(a)   and   (c),
Qualifications to do Business,  Subsidiaries and Excluded  Entities,  are hereby
amended  and  restated  to read as set forth on the  schedules  attached  hereto
bearing the same numerical references and title as the original schedule.


              3.  Consent in Connection with Merger of CSI with and into Mariner
Nashville.  The  Banks  hereby  consent  to the  assignment  by  CSI to  Mariner
Nashville  and the  assumption  by  Mariner  Nashville  of all of CSI's  rights,
duties, obligations and liabilities under the Loan Documents,  including without
limitation, under the Guaranty Agreement, Pledge Agreements, Leasehold Mortgages
and Mortgages to which CSI is a party, with such assignment and assumption to be
effective  simultaneously  with the  consummation  of the merger of CSI with and
into Mariner Nashville.


              4.  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, after giving effect to the merger of CSI with and into Mariner
Nashville, 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,  after giving effect to the merger of CSI with and
into Mariner Nashville.

                           (b)  Consummation  of Merger.  The merger of CSI with
and into Mariner  Nashville  shall be consummated in accordance  with the Merger
Agreement, and the Borrower shall have delivered to the Agent for the benefit of
the Banks a copy of Articles of Merger  certified by the Secretary of the States
of Georgia and Delaware evidencing the consummation of such merger.

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

                           (d) Joinder of Mariner  Nashville.  Mariner Nashville
shall have  executed  and  delivered to the Agent,  on behalf of the Banks,  the
following:  (i)  joinders  to  the  Guaranty  Agreement  and  the  Subordination
Agreement (Intercompany),  both in form and substance satisfactory to the Agent;
(ii) an opinion of counsel, in form and substance satisfactory


                                      -2-


to the Agent,  and (iii) a  certificate  signed by the Secretary or an Assistant
Secretary  of Mariner  Nashville  certifying  as to all action  taken by Mariner
Nashville in  connection  with the Loan  Documents,  together with a copy of the
resolutions of the Board of Directors of Mariner Nashville, certifying the names
of the officer or officers  authorized to sign the Loan  Documents  executed and
delivered  in  connection  herewith and the true  signatures  of such officer or
officers and certifying,  together with a copy, the organizational  documents of
Mariner Nashville,  including its certificate of incorporation and bylaws, as in
effect on the date hereof.  Certificates from the appropriate state officials as
to the continued existence and good standing of Mariner Nashville, together with
a certificate from the Secretary of State of Delaware certifying the Certificate
of Incorporation of Mariner Nashville shall be provided to the Agent. All of the
issued  and  outstanding  capital  stock of  Mariner  Nashville  shall have been
pledged to the Agent for the benefit of the Banks pursuant to a Pledge Agreement
in form and substance  satisfactory to the Agent, and the stock  certificate and
stock power  therefor  shall have been delivered to the Agent for the benefit of
the Banks.

                           (e) 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.

                           (f)  Approvals.   All  consents  and  approvals  from
governmental  authorities  or agencies or other persons shall have been obtained
and a copy of each shall have been provided to the Agent.


              5.  Amendment to Certain Other Loan Documents.

                           (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



                                      -3-


                               (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


              6.  Consents  and   Amendments  to  Certain  Other   Documents  in
Connection  With the Merger.  To the extent  that any consent of the Banks,  any
amendment  to  any  Intercreditor  Agreement  to  which  CSI is a  party  or any
amendment to any Trustee  Agreement is required in connection with the merger of
CSI with and into Mariner  Nashville,  the Banks hereby  authorize  the Agent to
execute such  consent or amendment on behalf of the Banks,  with such consent or
amendment to be in form and substance satisfactory to the Banks.


              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]




                                      -4-







                   [SIGNATURE PAGE 1 OF 2 TO AMENDMENT NO. 11]

     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:


                                 CHEMICAL BANK


                                 By:
                                 Name:
                                 Title:



                                 CORESTATES BANK, N.A.


                                 By:
                                 Name:
                                 Title:


                                 CREDITANSTALT - BANKVEREIN


                                 By:
                                 Name:
                                 Title:


                                 By:
                                 Name:
                                 Title:



                   [SIGNATURE PAGE 2 OF 2 TO AMENDMENT NO. 11]

                                 FIRST UNION NATIONAL BANK OF
                                 NORTH CAROLINA


                                 By:
                                 Name:
                                 Title:


                                 MELLON BANK, N.A.


                                 By:
                                 Name:
                                 Title:


                                 NATIONSBANK OF TENNESSEE, N.A.


                                 By:
                                 Name:
                                 Title:


                                 TORONTO DOMINION (NEW YORK), INC.



                                 By:
                                 Name:
                                 Title:






Exhibit 11:   Computation of shares used in determining net income per share (1)
- -----------
                             (Dollars in thousands)
<TABLE>
<CAPTION>
                                                       Six months ended June 30,     Three Months Ended June 30,
                                                     -------------------------------------------------------------
                                                         1995           1996            1995             1996
                                                     --------------  ------------   ------------------------------
<S>                                                  <C>           <C>            <C>               <C>
Net income (loss)                                      $     3,278   $     9,569    $    (1,341)      $     7,524
                                                     ==============  ============   =============    =============

Weighted average shares outstanding                     22,470,326    28,523,796      22,506,051       28,681,350

Shares issuable based on the treasury stock method:
Options                                                    604,086       663,843          51,741          648,456
Warrants                                                       ---        73,539             ---           73,724
                                                     -------------   -----------    -------------    ------------
                                                        23,074,472    29,261,178      22,557,792       29,403,530
                                                     ==============  ============   =============    =============

</TABLE>

(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> <S> <C>


<ARTICLE>                     5
<LEGEND>
THIS  SCHEDULE  CONTAINS  SUMMARY  FINANCIAL   INFORMATION  EXTRACTED  FROM  THE
COMPANY'S  FINANCIAL  STATEMENTS  DATED JUNE 30,  1996 AND IS  QUALIFIED  IN ITS
ENTIRETY BY REFERENCE TO SUCH FINANCIAL STATEMENTS.
</LEGEND>
<MULTIPLIER>                                   1,000
       
<S>                             <C>
<PERIOD-TYPE>                   6-MOS
<FISCAL-YEAR-END>                              DEC-31-1996
<PERIOD-END>                                   JUN-30-1996
<CASH>                                         4,601
<SECURITIES>                                   0
<RECEIVABLES>                                  153,674
<ALLOWANCES>                                   8,817
<INVENTORY>                                    0
<CURRENT-ASSETS>                               173,730
<PP&E>                                         371,997
<DEPRECIATION>                                 40,607
<TOTAL-ASSETS>                                 717,528
<CURRENT-LIABILITIES>                          83,880
<BONDS>                                        0
                          0
                                    0
<COMMON>                                       288
<OTHER-SE>                                     316,039
<TOTAL-LIABILITY-AND-EQUITY>                   717,528
<SALES>                                        280,783
<TOTAL-REVENUES>                               280,783
<CGS>                                          0
<TOTAL-COSTS>                                  242,435
<OTHER-EXPENSES>                               22,510
<LOSS-PROVISION>                               0
<INTEREST-EXPENSE>                             10,970
<INCOME-PRETAX>                                15,838
<INCOME-TAX>                                   6,269
<INCOME-CONTINUING>                            9,569
<DISCONTINUED>                                 0
<EXTRAORDINARY>                                0
<CHANGES>                                      0
<NET-INCOME>                                   9,569
<EPS-PRIMARY>                                  .33
<EPS-DILUTED>                                  .33
        


</TABLE>


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