SUN HEALTHCARE GROUP INC
10-Q, 1997-08-14
SKILLED NURSING CARE FACILITIES
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                                 UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549
 
                            ------------------------
 
                                   FORM 10-Q
 
/X/ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE
    ACT OF 1934
 
                  FOR THE QUARTERLY PERIOD ENDED JUNE 30, 1997
 
                                       OR
 
/ / TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE
    ACT OF 1934
 
                        COMMISSION FILE NUMBER: 1-12040
 
                            ------------------------
 
                           SUN HEALTHCARE GROUP, INC.
             (Exact name of Registrant as specified in its charter)
 
<TABLE>
<S>                    <C>
      DELAWARE              85-0410612
      (State of          (I.R.S. Employer
   Incorporation)       Identification No.)
</TABLE>
 
                            ------------------------
 
                                101 SUN LANE, NE
                         ALBUQUERQUE, NEW MEXICO 87109
                                 (505) 821-3355
                  (Address and telephone number of Registrant)
 
    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 twelve 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 ninety days. Yes _X_ No ____
 
    As of August 7, 1997, there were 49,348,388 shares of the Registrant's $.01
par value Common Stock outstanding, net of treasury shares.
 
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<PAGE>
                  SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
                                     INDEX
                 FORM 10-Q--FOR THE QUARTER ENDED JUNE 30, 1997
 
<TABLE>
<CAPTION>
                                                                                                     PAGE NUMBERS
                                                                                                     -------------
<S>           <C>                                                                                    <C>
                                          PART I. FINANCIAL INFORMATION
 
Item 1.       Consolidated Financial Statements:
 
              Consolidated Balance Sheets
              June 30, 1997 and December 31, 1996..................................................              1
 
              Consolidated Statements of Earnings
              For the three months ended June 30, 1997 and 1996....................................              2
 
              Consolidated Statements of Earnings
              For the six months ended June 30, 1997 and 1996......................................              3
 
              Consolidated Statements of Cash Flows
              For the six months ended June 30, 1997 and 1996......................................              4
 
              Notes to Consolidated Financial Statements...........................................         5 - 12
 
Item 2.       Management's Discussion and Analysis of Financial Condition and Results of
                Operations.........................................................................        13 - 28
 
                                            PART II. OTHER INFORMATION
 
Item 1.       Legal Proceedings....................................................................             29
 
Item 6.       Exhibits and Reports on Form 8-K.....................................................             29
 
Signatures.........................................................................................             30
</TABLE>
<PAGE>
                  SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
                          CONSOLIDATED BALANCE SHEETS
 
<TABLE>
<CAPTION>
                                                                                          JUNE 30,   DECEMBER 31,
                                                                                            1997         1996
                                                                                          ---------  ------------
                                                                                           (IN THOUSANDS, EXCEPT
                                                                                                SHARE DATA)
<S>                                                                                       <C>        <C>
                                                     ASSETS
Current assets:
  Cash and cash equivalents.............................................................  $   8,045   $   14,880
  Restricted cash.......................................................................      1,666        2,236
  Accounts receivable, net of allowance for doubtful accounts of $19,509 and $16,877 in
    1997 and 1996, respectively.........................................................    348,086      282,268
  Other receivables.....................................................................     14,323       33,430
  Prepaids and other assets.............................................................     25,906       17,618
  Deferred tax asset....................................................................      8,717       12,716
                                                                                          ---------  ------------
    Total current assets................................................................    406,743      363,148
                                                                                          ---------  ------------
Property and equipment, net.............................................................    544,211      305,720
Goodwill, net...........................................................................    520,741      432,505
Other assets, net.......................................................................    124,634      115,056
Deferred tax asset......................................................................      7,858       12,997
                                                                                          ---------  ------------
    Total assets........................................................................  $1,604,187  $1,229,426
                                                                                          ---------  ------------
                                                                                          ---------  ------------
                                      LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities:
  Current portion of long-term debt.....................................................  $  46,973   $   28,982
  Accounts payable......................................................................     43,506       39,180
  Accrued compensation and benefits.....................................................     45,840       32,612
  Workers' compensation accrual.........................................................      9,435        7,863
  Payable to APTA shareholders..........................................................     --           23,545
  Other accrued liabilities.............................................................     41,801       19,384
  Income taxes payable..................................................................      8,138       --
                                                                                          ---------  ------------
    Total current liabilities...........................................................    195,693      151,566
                                                                                          ---------  ------------
Long-term debt, net of current portion..................................................    772,021      483,453
Other long-term liabilities.............................................................     13,568       14,813
Deferred income taxes...................................................................     12,143        4,760
                                                                                          ---------  ------------
    Total liabilities...................................................................    993,425      654,592
                                                                                          ---------  ------------
Minority interest.......................................................................      2,386        2,697
 
Commitments and contingencies
 
Stockholders' equity:
  Preferred stock of $.01 par value, authorized 5,000,000 shares, none issued...........     --           --
  Common stock of $.01 par value, authorized 100,000,000 shares, 51,271,837 and
    51,142,729 shares issued and outstanding at June 30, 1997 and December 31, 1996,
    respectively........................................................................        513          511
  Additional paid-in capital............................................................    635,007      611,434
  Retained earnings.....................................................................     56,072       22,313
  Cumulative translation adjustment.....................................................      4,235        3,718
                                                                                          ---------  ------------
                                                                                            695,827      637,976
                                                                                          ---------  ------------
Less:
  Common stock held in treasury, at cost, 2,030,116 shares as of June 30, 1997 and
    December 31, 1996...................................................................     25,069       25,069
  Grantor stock trust, at market, 2,997,319 and 3,019,993 shares as of June 30, 1997 and
    December 31, 1996, respectively.....................................................     62,382       40,770
                                                                                          ---------  ------------
    Total stockholders' equity..........................................................    608,376      572,137
                                                                                          ---------  ------------
    Total liabilities and stockholders' equity..........................................  $1,604,187  $1,229,426
                                                                                          ---------  ------------
                                                                                          ---------  ------------
</TABLE>
 
          See accompanying notes to consolidated financial statements.
 
                                       1
<PAGE>
                  SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
                      CONSOLIDATED STATEMENTS OF EARNINGS
 
<TABLE>
<CAPTION>
                                                                                              THREE MONTHS ENDED
                                                                                                   JUNE 30,
                                                                                            ----------------------
                                                                                               1997        1996
                                                                                            ----------  ----------
                                                                                            (IN THOUSANDS, EXCEPT
                                                                                                 SHARE DATA)
<S>                                                                                         <C>         <C>
Total net revenues........................................................................  $  447,545  $  325,452
                                                                                            ----------  ----------
Costs and expenses:
  Operating...............................................................................     366,885     267,233
  Corporate general and administrative....................................................      20,999      14,978
  Provision for losses on accounts receivable.............................................       3,579       1,243
  Depreciation and amortization...........................................................      12,706       8,237
  Interest, net...........................................................................      14,162       6,485
                                                                                            ----------  ----------
    Total costs and expenses..............................................................     418,331     298,176
                                                                                            ----------  ----------
Earnings before income taxes..............................................................      29,214      27,276
Income taxes..............................................................................      11,393      10,910
                                                                                            ----------  ----------
  Net earnings............................................................................  $   17,821  $   16,366
                                                                                            ----------  ----------
                                                                                            ----------  ----------
Net earnings per common and common equivalent share:
  Primary.................................................................................  $     0.38  $     0.35
                                                                                            ----------  ----------
                                                                                            ----------  ----------
  Fully Diluted...........................................................................  $     0.36  $     0.34
                                                                                            ----------  ----------
                                                                                            ----------  ----------
Weighted average number of common and common equivalent shares outstanding:
  Primary.................................................................................      46,939      46,618
                                                                                            ----------  ----------
                                                                                            ----------  ----------
  Fully Diluted...........................................................................      52,051      51,332
                                                                                            ----------  ----------
                                                                                            ----------  ----------
</TABLE>
 
          See accompanying notes to consolidated financial statements.
 
                                       2
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                  SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
                      CONSOLIDATED STATEMENTS OF EARNINGS
 
<TABLE>
<CAPTION>
                                                                                            SIX MONTHS ENDED JUNE
                                                                                                     30,
                                                                                            ----------------------
                                                                                               1997        1996
                                                                                            ----------  ----------
                                                                                            (IN THOUSANDS, EXCEPT
                                                                                                 SHARE DATA)
<S>                                                                                         <C>         <C>
Total net revenues........................................................................  $  846,181  $  645,744
                                                                                            ----------  ----------
Costs and expenses:
  Operating...............................................................................     694,787     531,862
  Corporate general and administrative....................................................      39,446      29,177
  Provision for losses on accounts receivable.............................................       6,773       2,463
  Depreciation and amortization...........................................................      24,347      16,489
  Interest, net...........................................................................      25,486      12,911
                                                                                            ----------  ----------
    Total costs and expenses..............................................................     790,839     592,902
                                                                                            ----------  ----------
Earnings before income taxes..............................................................      55,342      52,842
Income taxes..............................................................................      21,583      21,137
                                                                                            ----------  ----------
  Net earnings............................................................................  $   33,759  $   31,705
                                                                                            ----------  ----------
                                                                                            ----------  ----------
Net earnings per common and common equivalent share:
  Primary.................................................................................  $     0.72  $     0.67
                                                                                            ----------  ----------
                                                                                            ----------  ----------
  Fully Diluted...........................................................................  $     0.68  $     0.64
                                                                                            ----------  ----------
                                                                                            ----------  ----------
Weighted average number of common and common equivalent shares outstanding:
  Primary.................................................................................      46,862      47,187
                                                                                            ----------  ----------
                                                                                            ----------  ----------
  Fully Diluted...........................................................................      52,019      51,954
                                                                                            ----------  ----------
                                                                                            ----------  ----------
</TABLE>
 
          See accompanying notes to consolidated financial statements.
 
                                       3
<PAGE>
                  SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
                     CONSOLIDATED STATEMENTS OF CASH FLOWS
 
<TABLE>
<CAPTION>
                                                                                            SIX MONTHS ENDED JUNE
                                                                                                     30,
                                                                                            ---------------------
                                                                                               1997       1996
                                                                                            ----------  ---------
                                                                                               (IN THOUSANDS)
<S>                                                                                         <C>         <C>
CASH FLOWS FROM OPERATING ACTIVITIES:
  Net earnings............................................................................  $   33,759  $  31,705
  Adjustments to reconcile net earnings to net cash provided by (used for) operating
    activities--
    Depreciation and amortization.........................................................      24,347     16,489
    Provision for losses on accounts receivable...........................................       6,773      2,463
    Other, net............................................................................        (438)    (1,091)
    Changes in operating assets and liabilities:
      Accounts receivable.................................................................     (70,784)   (36,329)
      Other current assets................................................................       7,934        256
      Other current liabilities...........................................................      25,636     (3,018)
      Income taxes payable................................................................      27,185     28,055
                                                                                            ----------  ---------
      Net cash provided by operating activities...........................................      54,412     38,530
                                                                                            ----------  ---------
CASH FLOWS FROM INVESTING ACTIVITIES:
  Capital expenditures, net...............................................................     (30,090)   (19,954)
  Acquisitions, net of cash acquired......................................................    (180,932)   (43,933)
  Purchase of minority interest in OmniCell Technologies, Inc.............................      --        (25,332)
  Net proceeds from sale of SunSurgery Corporation........................................      --         24,827
  Proceeds from sale and leaseback of property and equipment..............................      43,768      9,809
  Other assets expenditures...............................................................     (48,677)    (9,065)
                                                                                            ----------  ---------
      Net cash used for investing activities..............................................    (215,931)   (63,648)
                                                                                            ----------  ---------
CASH FLOWS FROM FINANCING ACTIVITIES:
  Long-term debt borrowings...............................................................     160,284     39,567
  Long-term debt repayments...............................................................      (4,427)    (3,602)
  Net proceeds from issuance of common stock..............................................      (1,071)       718
  Purchases of treasury stock.............................................................      --        (25,069)
  Other financing activities..............................................................       1,677        (98)
                                                                                            ----------  ---------
      Net cash provided by financing activities...........................................     156,463     11,516
                                                                                            ----------  ---------
Effect of exchange rate on cash and cash equivalents......................................      (1,779)       (85)
                                                                                            ----------  ---------
Net decrease in cash and cash equivalents.................................................      (6,835)   (13,687)
Cash and cash equivalents at beginning of period..........................................      14,880     23,102
                                                                                            ----------  ---------
Cash and cash equivalents at end of period................................................  $    8,045  $   9,415
                                                                                            ----------  ---------
                                                                                            ----------  ---------
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION:
  Cash paid during period for:
    Interest net of $964 and $407 capitalized during the six months ending June 30, 1997
      and 1996, respectively..............................................................  $   28,996  $  13,866
                                                                                            ----------  ---------
                                                                                            ----------  ---------
    Income taxes..........................................................................  $   (5,602) $  (6,918)
                                                                                            ----------  ---------
                                                                                            ----------  ---------
SUPPLEMENTARY SCHEDULE OF NON-CASH INVESTING AND FINANCING ACTIVITIES:
  The Company's acquisitions during the six months ended June 30, 1997 and 1996, involved
    the following:
    Fair value of assets acquired.........................................................  $  341,357  $  49,905
    Liabilities assumed...................................................................    (178,052)    (5,011)
    Cash payments made to former APTA shareholders........................................      17,817     --
    Fair value of stock and warrants issued...............................................        (190)      (961)
                                                                                            ----------  ---------
    Cash payments made, net of cash received from others..................................  $  180,932  $  43,933
                                                                                            ----------  ---------
                                                                                            ----------  ---------
</TABLE>
 
          See accompanying notes to consolidated financial statements.
 
                                       4
<PAGE>
                  SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
 
1.  BASIS OF PRESENTATION
 
    In the opinion of management of Sun Healthcare Group, Inc. (the "Company" or
"Sun"), the accompanying interim consolidated financial statements present
fairly the Company's financial position at June 30, 1997 and December 31, 1996,
the consolidated results of its operations for the three and six month periods
ended June 30, 1997 and 1996, and the consolidated statements of cash flows for
the six month periods ended June 30, 1997 and 1996. All adjustments are of a
normal and recurring nature. These statements are presented in accordance with
the rules and regulations of the United States Securities and Exchange
Commission ("SEC"). Accordingly, they are unaudited, and certain information and
footnote disclosures normally included in the Company's annual consolidated
financial statements have been condensed or omitted, as permitted under the
applicable rules and regulations. Readers of these statements should refer to
the Company's audited consolidated financial statements and notes thereto for
the year ended December 31, 1996, which are included in the Company's Annual
Report on Form 10-K as amended on Form 10-K/A-1 for the year ended December 31,
1996. The results of operations presented in the accompanying financial
statements are not necessarily representative of operations for an entire year.
 
    NEWLY ISSUED PRONOUNCEMENTS
 
    The Financial Accounting Standards Board ("FASB") has issued Statement of
Financial Accounting Standards ("SFAS") No. 128 "Earnings Per Share" which is
effective for both interim and annual reporting periods ending after December
15, 1997. This standard requires restatement of prior interim and annual
earnings per share calculations. SFAS No. 128 replaces fully diluted EPS with
diluted EPS and replaces primary EPS with basic EPS. Basic EPS is computed by
dividing reported earnings by weighted average shares outstanding. Diluted EPS
is computed the same way as fully diluted EPS, except that the calculation now
uses the average share price for the reporting period to compute dilution from
options and warrants under the treasury stock method. The Company will adopt the
new standard in its reporting for the quarter and the year ended December 31,
1997. Management does not believe that adoption of this standard will have a
significant impact on earnings per share.
 
    The FASB has also issued SFAS No. 130, "Reporting Comprehensive Income"
which is effective for fiscal years beginning after December 15, 1997 and
requires restatement of earlier financial statements for comparative purposes.
SFAS No. 130 requires that items meeting the criteria of a component of
comprehensive income, including foreign currency items and unrealized gains and
losses on certain investments in debt and equity securities, be shown in the
financial statements. SFAS No. 130 does not require a specific format for
disclosure of comprehensive income and its components in the financial
statements. Management has not yet determined the effect of SFAS No. 130 on the
consolidated financial statements.
 
    The FASB has also issued SFAS No. 131, "Disclosures about Segments of an
Enterprise and Related Information." This standard requires that a public
business enterprise report financial and descriptive information about its
reportable operating segments. Operating segments are components of an
enterprise about which separate financial information is available that is
evaluated regularly by the chief operating decision maker in deciding how to
allocate resources and in assessing performance. SFAS No. 131 also requires that
all public business enterprises report information about the revenues derived
from the enterprise's products or services (or groups of similar products and
services), about the countries in which the enterprise earns revenues and holds
assets, and about major customers regardless of whether that information is used
in making operating decisions. However, this Statement does not require an
enterprise to report information that is not prepared for internal use if
reporting it would be impractical. This Statement is effective for financial
statements for periods beginning after December 15, 1997. In the initial
 
                                       5
<PAGE>
                  SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
1.  BASIS OF PRESENTATION (CONTINUED)
year of application, comparative information for earlier years is required to be
restated. Comparative information for interim periods is not required until the
second year of application. Management has not yet determined the effect, if
any, of SFAS No. 131 on the consolidated financial statements.
 
2.  ACQUISITIONS
 
    On February 18, 1997, the Company signed definitive agreements with each of
Retirement Care Associates, Inc. ("Retirement Care"), an operator of skilled
nursing facilities and assisted living centers, and Contour Medical, Inc.
("Contour"), a national provider of medical/surgical supplies, under which the
Company agreed to acquire Retirement Care and its approximately 65% owned
subsidiary, Contour. The agreements, as amended, call for the Company to issue
0.68265 shares of common stock in exchange for each outstanding share of
Retirement Care common stock (subject to adjustment as provided in the
agreement) and for the Company to pay $8.50 per share in cash, stock or a
combination of cash and stock (at the election of the Company) for the remaining
35% of Contour not presently owned by Retirement Care. The acquisition of
Retirement Care is expected to be accounted for as a pooling of interests and
the acquisition of Contour is expected to be accounted for as a purchase. These
transactions are expected to close in the second half of 1997.
 
    Costs to be incurred in connection with the mergers of Retirement Care and
Contour are expected to be significant and would be charged against earnings of
the combined company. The charge is currently estimated to be approximately
$31,100,000, of which approximately $21,000,000 would be for transaction costs
and integration expenses, including elimination of redundant corporate
functions, severance costs related to headcount reductions and the write-off of
certain intangibles and property and equipment. Approximately $16,000,000 of
these estimated charges are expected to be charged to operations in the fiscal
quarter in which the Retirement Care merger is consummated. The remaining
approximate $5,000,000 of the estimated charges are expected to be expensed as
incurred as these costs will benefit future combined operations. These amounts
are preliminary estimates only and are therefore subject to change. In addition,
there can be no assurance that the Company will not incur additional charges in
subsequent quarters to reflect costs associated with the mergers.
 
    In addition, the Company currently expects that the charge would include
approximately $10,100,000 of adjustments to Retirement Care's March 31, 1997
balance sheet, which are based on the Company's review of Retirement Care's
financial statements and the underlying assumptions used to prepare such
financial statements, the Company's current understanding of Retirement Care's
operations and the Company's evaluation of Retirement Care's internal control
structure during the due diligence process. The Company believes that the
balance sheet adjustments relate primarily to additional accruals for expected
liabilities as well as to an increase in Retirement Care's provision for losses
on accounts receivable. It is possible that a substantial portion of the
foregoing approximate $10,100,000 charge would be recorded by Retirement Care as
an adjustment to Retirement Care's historical financial statements prior to the
consummation of the mergers. In that event, there would be a commensurate
reduction in the merger charge. The Company cannot predict at this time whether
or when Retirement Care might make any adjustments, or, if made, how any such
adjustments may affect, if at all, Retirement Care's historical financial
statements. The Company is continuing to review and discuss these matters with
Retirement Care.
 
    On January 10, 1997, the Company loaned Retirement Care $9,750,000 in order
to enable Retirement Care to cause the repayment of certain indebtedness
incurred by Contour in connection with Contour's
 
                                       6
<PAGE>
                  SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
2.  ACQUISITIONS (CONTINUED)
acquisition of Atlantic Medical Supply Company, Inc. ("Atlantic") on August 6,
1996. On July 10, 1997, the Company and Retirement Care amended the terms of the
loan to: (i) increase the applicable interest rate by 2.0%; (ii) extend the
maturity date to 120 days after the termination of the Retirement Care Merger
Agreement; and (iii) replace the collateral securing the loan with a second lien
on all of Retirement Care's accounts receivable. Consistent with Retirement
Care's bank line of credit, the loan is unconditionally and irrevocably
guaranteed by certain officers of Retirement Care. On July 10, 1997, the Company
also agreed to loan Retirement Care an additional $5,000,000, which loan is also
secured by a second lien on all of Retirement Care's accounts receivable and is
unconditionally and irrevocably guaranteed by certain officers of Retirement
Care.
 
    On January 30, 1997, a wholly owned subsidiary, of the Company acquired all
of the capital stock not previously owned by the Company of Ashbourne PLC
("Ashbourne"), which as of the date of acquisition provided healthcare services
to patients through 49 nursing facilities in the United Kingdom. Pursuant to the
acquisition, the Company paid approximately L67,300,000 ($110,100,000 as of the
respective dates of payments) for the portion of Ashbourne totaling 70.8% not
previously owned by the Company. The acquisition was accounted for as a purchase
and the results of operations have been included in the Company's financial
statements from the date of acquisition on January 30, 1997. The total fair
value of 100% of Ashbourne's assets acquired, including goodwill of
approximately $45,800,000, was approximately $337,500,000 and liabilities
assumed totaled approximately $147,800,000 The allocation of the purchase price
is preliminary and will be finalized upon the completion of asset valuations. In
addition, the Company is still evaluating certain obligations of Ashbourne prior
to the merger and further adjustments may result. The acquisition of Ashbourne
is immaterial to the results of the Company and, therefore, pro forma
information is not provided.
 
    On December 15, 1996 a wholly owned subsidiary of the Company acquired all
of the capital stock of APTA Healthcare PLC ("APTA"), which, as of the date of
acquisition, provided healthcare services to patients through 32 nursing
facilities in the United Kingdom. During the six months ended June 30, 1997, the
Company paid cash totaling approximately L11,200,000 ($17,817,000 as of the
respective dates of payments) to former stockholders of APTA and issued notes
with a maturity not to exceed five years, totaling approximately L2,500,000
($4,100,000 as of June 30, 1997) to the remaining stockholders of APTA who
elected not to receive cash as consideration.
 
    In April 1997, the Company acquired the operations of thirteen long-term
care facilities which had previously been managed by the Company since the third
quarter of 1996, for a purchase price of $12,572,000, including the assumption
of $10,722,000 in long-term debt. Prior to and in connection with the
acquisition, the Company extended financing of approximately $14,800,000 to the
former operators of these facilities.
 
    In addition, during the six months ended June 30, 1997, the Company acquired
the operations of nine long-term care and assisted living facilities for
$12,000,000 plus the assumption of all of the facilities' leases. In connection
with the acquisition, the Company agreed to provide financing of $5,800,000 to
the owner of the nine facilities for expansion of certain of the facilities.
 
    In addition, during the six months ended June 30, 1997, the Company acquired
the net ownership of or leasehold rights to or the management of nine long-term
care facilities in the United Kingdom and fourteen long-term care facilities in
the United States. Also during the six months ended June 30, 1997, the
 
                                       7
<PAGE>
                  SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
2.  ACQUISITIONS (CONTINUED)
Company acquired seven pharmacies in the United States and six pharmacies in the
United Kingdom. The pro forma impact of these acquisitions and the acquisitions
discussed above is immaterial.
 
3.  DISPOSITIONS
 
    In May 1997, the Company announced its intent to sell and divest itself of
its outpatient rehabilitation clinics in the United States, as well as Columbia
Health Care Inc., the Company's Canadian outpatient rehabilitation therapy
subsidiary. The sale of these operations is expected to result in no material
gain or loss. The results of operations of these businesses are immaterial.
 
4.  PROPERTY AND EQUIPMENT
 
    During the six months ended June 30, 1997, the Company sold five of its
long-term and subacute care facilities in the United States for approximately
$30,700,000 in cash and approximately $5,600,000 in assumption of debt and
leased them back under fourteen year leases. Also, during the six months ended
June 30, 1997, the Company, through its United Kingdom subsidiary, sold four of
its long-term care facilities for approximately $13,100,000 and leased them back
under twelve year leases. These transactions produced no material gain or loss.
 
5.  COMMITMENTS
 
    (a)  CONSTRUCTION COMMITMENTS
 
    As of June 30, 1997, the Company had capital commitments of approximately
$28,100,000, including a new corporate office building and various contracts
related to improvements to existing facilities in the United States, and capital
commitments of approximately L17,200,000 ($28,600,000 as of June 30, 1997),
including various contracts related to the development, construction and
completion of nine new long-term care facilities in the United Kingdom.
 
    (b)  FINANCING COMMITMENTS
 
    The Company has agreed to lend up to $47,000,000 under a revolving
subordinated credit agreement ("Financing Facility") to a developer of assisted
living facilities for the development, construction and operation of assisted
living facilities. Any advances under the Financing Facility are expected to be
funded by borrowings under the Company's future and existing revolving credit
facilities and will be subject to certain conditions, including the approval of
each project by the Company. The developer has obtained a commitment for
mortgage financing to fund 50% of the cost of each project. The Company's
advances under the Financing Facility are subordinate to the mortgage financing.
The Financing Facility with respect to each facility bears interest at 9% or 13%
depending on the percentage of completion of the facility under construction.
All amounts advanced are due in full on November 1, 2001. The advances to the
developer totalled approximately $9,000,000 and $23,500,000 at December 31, 1996
and June 30, 1997. As of June 30, 1997, eight assisted living facilities were
under development. In addition, the Company has entered into a purchase option
agreement with the developer whereby the Company will pay the developer $50,000
for each option to purchase any of the facilities. The option will grant the
Company the right to purchase the facility, after a specified time period, at
the greater of the estimated fair market value of the property or the total
amount invested by the developer.
 
                                       8
<PAGE>
                  SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
6.  STOCK INCENTIVE PLANS
 
    (a)  1997 STOCK INCENTIVE PLAN
 
    In January 1997, the Board of Directors adopted the 1997 Stock Incentive
Plan (the "Plan"). Awards made under the Plan may be in the form of stock
options, stock appreciation rights, stock awards, performance share awards, or
other stock-based awards. The Plan is intended to replace the existing stock
option plan for executives, and awards currently outstanding under that plan
will not be affected. The Plan reserves 4,500,000 shares for awards. In the six
months ended June 30, 1997, the Company awarded an aggregate of 776,000 shares
of restricted stock to nine senior executives, which will be expensed over the
vesting period. Approximately 105,000 of the restricted shares vested
immediately. The remaining restricted stock awards vest ratably over the
remaining four to five years. These restricted stock awards are subject to a
substantial risk of forfeiture and are subject to defeasance if the Plan is not
approved by the stockholders.
 
    (b)  1997 NON-EMPLOYEE DIRECTORS' STOCK PLAN
 
    In April 1997, the Board of Directors adopted the 1997 Non-Employee
Directors' Stock Plan (the "Director Plan") which is subject to stockholder
approval. Awards made under the Director Plan may be in the form of stock
options or stock awards. The Director Plan is intended to replace the existing
stock option plan for non-employee directors, and awards currently outstanding
under that plan will not be affected. The Directors Plan reserves 400,000 shares
for awards. There have been no grants awarded as of June 30, 1997.
 
7.  NET EARNINGS PER SHARE
 
    Net earnings per common and common equivalent share is based upon the
weighted average number of common shares outstanding during the period plus the
effect of incremental shares of common stock contingently issuable upon exercise
of stock options.
 
    Fully diluted net earnings is determined on the assumption that the 6%
Debentures and the 6 1/2% Debentures were converted as of January 1, 1996. Net
earnings is adjusted for the interest on the debentures, net of interest related
to additional assumed borrowings to fund the cash consideration on conversion of
the 6 1/2% Debentures and the related income tax benefits.
 
8.  OTHER EVENTS
 
    (a)  GOVERNMENT INVESTIGATION
 
    The Company is the subject of a pending Federal investigation by the United
States Department of Health and Human Services' Office of Inspector General
("OIG") and the United States Department of Justice. In July 1997, the Criminal
Division of the United States Department of Justice informed the Company that it
had completed its investigation of the Company, and that it would not initiate
any actions against the Company or any individuals. The investigation by the
Civil Division of the Department of Justice and the OIG is still proceeding. At
this time, the Company understands that the investigation includes a review of
whether the Company's rehabilitation therapy subsidiary properly provided and/or
billed for concurrent therapy services and whether it provided unnecessary or
unordered services to residents of skilled nursing facilities. The Company
understands that the investigation also includes a review of whether its
long-term care subsidiary properly disclosed its relationship with the Company's
 
                                       9
<PAGE>
                  SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
8.  OTHER EVENTS (CONTINUED)
rehabilitation therapy subsidiary and properly sought reimbursement for services
provided by that subsidiary.
 
    The Company is unable to determine at this time when the investigation will
be concluded or what its precise scope might be. If there have been improper
practices or the investigation is broader in scope than the Company currently
understands it to be, depending on the nature and extent of such impropriety,
the investigation may have a negative impact on the Company. Based on its
current understanding of the investigation, however, the Company does not
believe that the outcome of the investigation will have a material adverse
effect on the Company's financial condition or results of operations.
 
    (b)  LITIGATION
 
    In May 1997, the Company received court approval of the $24,000,000
settlement of certain class-action shareholder lawsuits which amount was
previously paid in the fourth quarter of 1996. The Company received $9,000,000
during March 1997, from its director and officer liability insurance carrier for
its claim submitted in connection with the settlement.
 
    On or about January 23, 1996, two former stockholders of SunCare, John
Brennan and Susan Bird, filed a lawsuit (the "SunCare Litigation") against the
Company and certain of its officers and directors in the United States District
Court for the Southern District of Indiana. Plaintiffs allege, among other
things, that the Company did not disclose material facts concerning the
investigation by the OIG and that the Company's financial results were
misstated. The complaints purport to state claims, INTER ALIA, under Federal and
state securities laws and for breach of contract, including a breach of a
registration rights agreement pursuant to which the Company agreed to register
the shares of the Company's common stock issued to such former stockholders of
SunCare in the acquisition. Plaintiffs purport to seek recission, unspecified
compensatory damages, punitive damages and other relief. By Order dated October
11, 1996, the court granted in part and denied in part defendants' motion to
dismiss.
 
    On September 8, 1995, a derivative action was filed in the United States
District Court for the District of New Mexico, captioned BRICKELL PARTNERS V.
TURNER, ET AL. The complaint was not served on any defendant. On June 19, 1996,
an amended complaint alleging breach of fiduciary duty by certain current and
former of the Company's directors and officers was filed and subsequently served
on the defendants. On August 5, 1996, the District Court dismissed this action
without prejudice for failure to serve the defendants within the required time
period. The plaintiffs filed a new complaint, alleging the same claims, on
August 19, 1996. Defendants have moved to dismiss the new complaint.
 
    The Company believes the SunCare Litigation and the derivative action will
not have a material adverse impact on its financial condition or results of
operations, although the unfavorable resolution of any of these actions in any
reporting period could have a material adverse impact on the Company's results
of operations for that period.
 
9.  SUMMARIZED FINANCIAL INFORMATION
 
    The Company acquired Mediplex on June 23, 1994 and became a co-obligor with
Mediplex with respect to the 6 1/2% Convertible Subordinated Debentures and the
11 3/4% Senior Subordinated Notes
 
                                       10
<PAGE>
                  SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
9.  SUMMARIZED FINANCIAL INFORMATION (CONTINUED)
subsequent to the acquisition. Summarized financial information of Mediplex is
provided below (in thousands):
 
<TABLE>
<CAPTION>
                                                                                          JUNE 30,   DECEMBER 31,
                                                                                            1997         1996
                                                                                         ----------  ------------
<S>                                                                                      <C>         <C>
Current assets.........................................................................  $   97,489   $  103,269
Noncurrent assets......................................................................     403,807      429,555
Current liabilities....................................................................      26,989       21,904
Noncurrent liabilities.................................................................      75,931       83,370
Due to parent..........................................................................     136,799      152,447
</TABLE>
 
<TABLE>
<CAPTION>
                                                                     THREE MONTHS ENDED    SIX MONTHS ENDED JUNE
                                                                          JUNE 30,                  30,
                                                                   ----------------------  ----------------------
                                                                      1997        1996        1997        1996
                                                                   ----------  ----------  ----------  ----------
<S>                                                                <C>         <C>         <C>         <C>
Net revenues.....................................................  $  126,589  $  116,357  $  247,948  $  233,170
Costs and expenses...............................................     119,664     105,280     235,792     213,174
Earnings before intercompany charges and income taxes............       6,925      11,077      12,156      19,996
Intercompany charges(1)..........................................      17,976      13,115      34,331      25,926
Earnings (loss) before income taxes..............................     (11,051)     (2,038)    (22,175)     (5,930)
Income taxes (benefit)...........................................      (4,241)       (135)     (8,648)       (983)
Net earnings (loss)..............................................  $   (6,810) $   (1,903) $  (13,527) $   (4,947)
</TABLE>
 
- ------------------------
 
(1) Through various intercompany agreements entered into by Sun and Mediplex,
    Sun provides management services, licenses the use of its trademarks and
    acts on behalf of Mediplex to make financing available for its operations.
    Sun charged Mediplex for management services totaling $7,858,000 and
    $8,146,000 for the three months ended June 30, 1997 and 1996, respectively;
    and $15,426,000 and $16,123,000 for the six months ended June 30, 1997 and
    1996, respectively. Royalty fees charged to Mediplex for the three months
    ended June 30, 1997 and 1996 for the use of Sun trademarks were $1,806,000
    and $1,639,000, respectively; and $3,545,000 and $3,242,000 for the six
    months ended June 30, 1997 and 1996, respectively. Intercompany interest
    charged to Mediplex for the three months ended June 30, 1997 and 1996 for
    advances from Sun was $8,312,000 and $3,330,000, respectively; and
    $15,360,000 and $6,561,000 for the six months ended June 30, 1997 and 1996,
    respectively.
 
10.  SUBSEQUENT EVENTS
 
    On July 8, 1997, the Company issued $250,000,000 aggregate principal amount
of 9 1/2% Senior Subordinated Notes due 2007 (the "9 1/2% Notes"). The net
proceeds from the sale were used to reduce outstanding borrowings under the
Company's revolving credit facility, which amounts may be subsequently
reborrowed. The 9 1/2% Notes are redeemable by the Company at a premium, in
whole or in part, after July 1, 2002.
 
    On July 26, 1997, the Company signed a definitive agreement with Regency
Health Services, Inc. ("Regency") under which the Company will acquire Regency
for $22 per share, or approximately $369,000,000 in cash. The Company commenced
a tender offer for all of the outstanding shares of Regency on August 1, 1997.
The acquisition will be accounted for on a purchase accounting basis. The tender
offer is scheduled to expire on September 15, 1997, but it may be extended at
any time. Regency is an operator
 
                                       11
<PAGE>
                  SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
10.  SUBSEQUENT EVENTS (CONTINUED)
of skilled nursing facilities and a diversified provider of rehabilitation
therapy, institutional pharmacy and home health services.
 
    The Company has obtained a new long-term financing commitment (the "Senior
Credit Facilities") which is expected to consist of an aggregate principal
amount of $1,000,000,000 as follows: (i) a $500,000,000 revolving credit
facility and (ii) a $500,000,000 term loan facility with two borrowing tranches.
Tranche A will have a borrowing maximum of $250,000,000 and Tranche B will have
the same maximum borrowing limit. Borrowings with respect to Tranche A are
expected to bear interest at either the prevailing prime rate plus .075% or
LIBOR plus .225%. Borrowings with respect to Tranche B bear interest at the
prevailing prime rate plus .125% or LIBOR plus .275%. The term loan facilities
will be subject to an amortization schedule to be agreed upon. Tranche A will be
due six years from the date of a final agreement and Tranche B will be due seven
years from the date of a final agreement. The terms of the Senior Credit
Facilities have not been finalized and are still being negotiated. Upon
execution of this financing commitment, the Company's existing Credit Facility
will be refinanced using the revolving credit facility portion of this financing
commitment. If the Company refinances its existing Credit Facility with the new
long-term financing commitment, the Company expects to record an extraordinary
loss relating to the extinguishment of debt of approximately $3,000,000 before
taxes.
 
                                       12
<PAGE>
ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
  OF OPERATIONS
 
OVERVIEW
 
    Sun Healthcare Group, Inc., through its direct and indirect subsidiaries
(hereinafter collectively referred to as the "Company"), is a provider of
long-term, subacute and related specialty healthcare services, including
rehabilitation and respiratory therapy services and pharmaceutical services.
Long-term care and subacute care services and outpatient therapy services are
provided through affiliated facilities. Therapy services and pharmaceutical
services are provided in both affiliated and nonaffiliated facilities located in
the United States. The Company also provides long-term care and pharmaceutical
services in the United Kingdom.
 
    The Company's strategy is to increase profitability through the provision of
ancillary services such as rehabilitation and respiratory therapy services and
pharmaceutical services to both affiliated and nonaffiliated facilities. These
services have significantly higher margins than the margins associated with
routine services provided to residents of facilities. The Company's earnings
growth has historically resulted from its acquisition of long-term and subacute
care facilities ("facilities"), use of its long-term care and subacute care
operations as a base for expansion of ancillary services, provision of ancillary
services to nonaffiliated facilities and expansion of ancillary services through
acquisitions.
 
    The Company's results of operations for the three and six months ended June
30, 1997 and 1996 reflect the acquisition of facilities, the growth of the
Company's existing facility operations, the expansion of the Company's therapy
service operations and temporary therapy staffing services, and the growth of
the Company's pharmaceutical service operations.
 
    In February 1997, the Company agreed to acquire Retirement Care Associates,
Inc. ("Retirement Care"), an operator of skilled nursing facilities and assisted
living centers, and its approximately 65% owned subsidiary, Contour Medical,
Inc. ("Contour"), a national provider of medical/surgical supplies. In addition,
the Company agreed to acquire the remaining 35% of Contour not presently owned
by Retirement Care. The acquisition of Retirement Care is expected to be
accounted for as a pooling of interest and the acquisition of Contour is
expected to be accounted for as a purchase. These transactions are expected to
close in the second half of 1997.
 
    On July 26, 1997, the Company signed a definitive agreement with Regency
Health Services, Inc. ("Regency") under which the Company will acquire Regency.
The Company commenced a tender offer for all of the outstanding shares of
Regency on August 1, 1997. The acquisition will be accounted for on a purchase
accounting basis. The tender offer is scheduled to expire on September 15, 1997,
but it may be extended at any time. Regency is an operator of skilled nursing
facilities and a diversified provider of rehabilitation therapy, institutional
pharmacy and home health services.
 
    At June 30, 1997, the Company operated 183 facilities with 22,004 licensed
beds in the United States and 133 facilities with 7,632 licensed beds in the
United Kingdom.
 
    At June 30, 1996, the Company operated 133 facilities with 16,066 licensed
beds in the United States and 36 facilities with 1,802 licensed beds in the
United Kingdom. Between June 30, 1996 and June 30, 1997, the Company acquired a
net 49 facilities in the United States and 91 facilities in the United Kingdom,
resulting in a net increase of 5,784 and 5,429 licensed beds in the United
States and United Kingdom, respectively. In addition, in January 1997, the
Company acquired the portion not previously owned by the Company of Ashbourne
PLC ("Ashbourne"), an operator of 49 nursing and residential support facilities
with 3,613 licensed beds in the United Kingdom. Also, in December 1996, the
Company acquired APTA Healthcare PLC ("APTA"), an operator of 32 nursing and
residential support facilities with 1,264 licensed beds in the United Kingdom.
In addition, between June 30, 1996 and June 30, 1997 the Company developed and
opened one and six facilities with a total of 154 and 401 licensed beds in the
United States and United Kingdom, respectively.
 
                                       13
<PAGE>
    The Company's therapy service operations include the provision of physical,
occupational and speech therapy, the provision of respiratory care, and the
distribution of related equipment and supplies. As of June 30, 1997, the Company
provided its therapy services to 844 nonaffiliated facilities, an increase of
171 facilities from the 673 nonaffiliated facilities serviced at June 30, 1996.
 
    The Company's temporary therapy staffing service operations had 23 and 20
division offices at June 30, 1997 and June 30, 1996, respectively. During the
six months ended June 30, 1997, the Company provided a total of 1,369,000
temporary therapy staffing hours to nonaffiliates, an increase of 234,000 hours
from the 1,135,000 nonaffiliated temporary therapy staffing hours provided
during the three months ended June 30, 1996.
 
    The Company's pharmaceutical service operations include the provision of
pharmaceuticals and the distribution of related supplies. As of June 30, 1997,
the Company operated twenty-one regional pharmacies, four in-house long-term
care pharmacies, and one pharmaceutical billing and consulting center. As of
June 30, 1996, the Company operated fourteen regional pharmacies and three
in-house long-term care pharmacies.
 
    The Company's foreign operations, in addition to the nursing home facilities
in the United Kingdom, include the provision of outpatient therapy services in
Canada through the Company's acquisition of Columbia Health Care Inc.
("Columbia") and pharmaceutical services in the United Kingdom. In May 1997, the
Company announced its intention to sell and divest itself of its outpatient
therapy service operations in Canada, as well as in the United States. The sale
of these operations is expected to close during the second half of 1997. The
Company operated twelve pharmacies and one supply distribution center in the
United Kingdom as of June 30, 1997.
 
    The following table sets forth certain operating data for the Company as of
the dates indicated:
 
<TABLE>
<CAPTION>
                                                                                   JUNE 30,
                                                                             --------------------
                                                                               1997       1996     DECEMBER 31, 1996
                                                                             ---------  ---------  -----------------
<S>                                                                          <C>        <C>        <C>
Long-term and Subacute Care Facility Operations:
  Long-term and subacute care facilities (including managed facilities):
    Domestic operations....................................................        183        133            160
    Foreign operations.....................................................        133         36             75
                                                                             ---------  ---------         ------
      Total................................................................        316        169            235
                                                                             ---------  ---------         ------
                                                                             ---------  ---------         ------
  Licensed beds (including managed facilities):
    Domestic operations....................................................     22,004     16,066         19,321
    Foreign operations.....................................................      7,632      1,802          3,420
                                                                             ---------  ---------         ------
      Total................................................................     29,636     17,868         22,741
                                                                             ---------  ---------         ------
                                                                             ---------  ---------         ------
Therapy Service Operations:
  Nonaffiliated facilities served..........................................        844        673            759
  Affiliated facilities served.............................................        168        128            152
                                                                             ---------  ---------         ------
      Total................................................................      1,012        801            911
                                                                             ---------  ---------         ------
                                                                             ---------  ---------         ------
Temporary Therapy Staffing Service Operations:
  Hours billed to nonaffiliates (in thousands)
    Three months ended June 30.............................................        698        591         --
    Six months ended June 30...............................................      1,369      1,135         --
    Year ended December 31.................................................     --         --              2,402
 
Pharmaceutical Operations:
  Nonaffiliated facilities served..........................................        394        290            325
  Affiliated Facilities served.............................................        143        104            112
                                                                             ---------  ---------         ------
      Total................................................................        537        394            437
                                                                             ---------  ---------         ------
                                                                             ---------  ---------         ------
</TABLE>
 
                                       14
<PAGE>
RESULTS OF OPERATIONS
 
    The following table sets forth the amount and percentages of certain
elements of total net revenues for the periods presented (dollars in thousands):
 
<TABLE>
<CAPTION>
                                         THREE MONTHS ENDED JUNE 30,                        SIX MONTHS ENDED JUNE 30,
                               ------------------------------------------------  ------------------------------------------------
                                        1997                     1996                     1997                     1996
                               -----------------------  -----------------------  -----------------------  -----------------------
<S>                            <C>         <C>          <C>         <C>          <C>         <C>          <C>         <C>
Long-term and subacute care
  services...................  $  272,568         61%   $  206,257         63%   $  511,857         60%   $  411,786         64%
Therapy services to
  nonaffiliates..............      66,160         15        53,652         16       131,584         16       106,300         16
Foreign operations...........      48,317         11        14,209          4        86,090         10        25,843          4
Temporary therapy staffing
  services to
  nonaffiliates..............      34,292          8        28,398          9        67,237          8        54,435          8
Pharmaceutical services to
  nonaffiliates..............      24,138          5        16,375          5        44,859          5        32,492          5
Ambulatory surgery...........      --          --            4,989          2        --          --           11,857          2
Management fees and other....       2,070      --            1,572          1         4,554          1         3,031          1
                               ----------        ---    ----------        ---    ----------        ---    ----------        ---
  Total net revenues.........  $  447,545        100%   $  325,452        100%   $  846,181        100%   $  645,744        100%
                               ----------        ---    ----------        ---    ----------        ---    ----------        ---
                               ----------        ---    ----------        ---    ----------        ---    ----------        ---
</TABLE>
 
    Revenues for long-term and subacute care services include revenues billed to
patients for therapy and pharmaceutical services provided by the Company's
affiliated operations. Revenues for therapy services provided to affiliated
facilities were $42,978,000 and $27,866,000 for the three months ended June 30,
1997 and 1996, respectively; and $76,998,000 and $54,532,000 for the six months
ended June 30, 1997 and 1996, respectively. Revenues provided to affiliated
facilities for pharmaceutical services were $6,917,000 and $4,753,000 for the
three months ended June 30, 1997 and 1996, respectively; and $12,890,000 and
$9,570,000 for the six months ended June 30, 1997 and 1996, respectively.
 
    The following table presents the percentage of total net revenues
represented by certain items for the Company for the periods presented:
 
<TABLE>
<CAPTION>
                                                                                   THREE MONTHS ENDED     SIX MONTHS ENDED
                                                                                        JUNE 30,              JUNE 30,
                                                                                  --------------------  --------------------
                                                                                    1997       1996       1997       1996
                                                                                  ---------  ---------  ---------  ---------
<S>                                                                               <C>        <C>        <C>        <C>
Total net revenues..............................................................      100.0%     100.0%     100.0%     100.0%
Costs and expenses:
  Operating.....................................................................       82.0       82.1       82.1       82.3
  Corporate general and administrative..........................................        4.7        4.6        4.7        4.5
  Provision for losses on accounts receivable...................................        0.8        0.4        0.8        0.4
  Depreciation and amortization.................................................        2.8        2.5        2.9        2.6
  Interest, net.................................................................        3.2        2.0        3.0        2.0
                                                                                  ---------  ---------  ---------  ---------
    Total costs and expenses....................................................       93.5       91.6       93.5       91.8
                                                                                  ---------  ---------  ---------  ---------
Earnings before income taxes....................................................        6.5        8.4        6.5        8.2
Income taxes....................................................................        2.5        3.4        2.5        3.3
                                                                                  ---------  ---------  ---------  ---------
Net earnings....................................................................        4.0%       5.0%       4.0%       4.9%
                                                                                  ---------  ---------  ---------  ---------
                                                                                  ---------  ---------  ---------  ---------
</TABLE>
 
                                       15
<PAGE>
    The results of the Company's ambulatory surgery operations are immaterial to
the Company's consolidated results and, therefore, this discussion excludes the
Company's ambulatory surgery operations. The Company sold its ambulatory surgery
subsidiary in the second quarter of 1996.
 
THREE MONTHS ENDED JUNE 30, 1997 COMPARED TO THREE MONTHS ENDED JUNE 30, 1996
 
    Total net revenues for the three months ended June 30, 1997 increased 38%
from $325,452,000 for the three months ended June 30, 1996 to $447,545,000.
 
    Net revenues from long-term and subacute care services, which includes
revenues generated from therapy and pharmaceutical services provided at the
Company's facilities, increased from $206,257,000 for the three months ended
June 30, 1996 to $272,568,000 for the three months ended June 30, 1997, a 32%
increase. Approximately $53,773,000 or 81% of this increase results from 57
leased or owned facilities acquired or opened since December 31, 1995. The
remaining net revenue increase of $15,459,000, after giving effect to a decrease
in net revenues of approximately $2,921,000 relating to three facilities sold
during 1996 and two facilities sold during 1997, is primarily attributable to an
increase in revenue per patient day and an increase in occupancy levels since
December 31, 1995 on a same facility basis for the 123 leased or owned
facilities in operation all of fiscal year 1996 and the six months ended June
30, 1997. The increase in revenue per patient day was a result of payor rate
increases and the expansion of the Company's subacute services.
 
    Net revenues from therapy services to nonaffiliated facilities increased 23%
from $53,652,000 for the three months ended June 30, 1996 to $66,160,000 for the
three months ended June 30, 1997 primarily as a result of an increase in the
number of nonaffiliated facilities served from 673 facilities at June 30, 1996
to 844 facilities at June 30, 1997.
 
    Net revenues from foreign operations increased 240% from $14,209,000 for the
three months ended June 30, 1996 to $48,317,000 for the three months ended June
30, 1997. Approximately $29,991,000 or 88% of this increase was the result of
increased net revenues from the nursing home operations in the United Kingdom.
The increase relating to the nursing home operations in the United Kingdom was
primarily the result of the Company's acquisitions of Ashbourne PLC
("Ashbourne") during January 1997 and APTA Healthcare PLC ("APTA") during
December 1996, which when combined, added approximately $26,700,000 of net
revenues during the three months ended June 30, 1997.
 
    Net revenues from temporary therapy staffing services to nonaffiliated
facilities increased 21% from $28,398,000 for the three months ended June 30,
1996 to $34,292,000 for the three months ended June 30, 1997 primarily as a
result of an increase in service hours billed to nonaffiliates from 591,000
hours in the three months ended June 30, 1996 to 698,000 hours in the three
months ended June 30, 1997. The increase in service hours billed was primarily
attributable to new offices acquired.
 
    Net revenues from pharmaceutical services to nonaffiliated facilities
increased 47% from $16,375,000 for the three months ended June 30, 1996 to
$24,138,000 for the three months ended June 30, 1997. The growth in net revenues
was primarily a result of the increase in the number of nonaffiliated facilities
served from 290 at June 30, 1996 to 394 at June 30, 1997. The increase in
nonaffiliated facilities served was the result of the opening and acquisition of
pharmacies during 1997 and 1996 and the increase in the number of nonaffiliated
facilities served by pharmacies open prior to January 1, 1996.
 
    Operating expenses, which includes rent expense of $33,024,000 and
$21,821,000 for the three months ended June 30, 1997 and 1996, respectively,
increased 37% from $267,233,000 for the three months ended June 30, 1996 to
$366,885,000 for three months ended June 30, 1997. The increase resulted
primarily from the net increase of 15 leased or owned facilities during the year
ended December 31, 1996 and 37 leased or owned facilities during the six months
ended June 30, 1997 and the growth in therapy and temporary therapy staffing
services. Operating expenses as a percentage of net revenues decreased from
82.1% for the three months ended June 30, 1996 to 82.0% for the three months
ended June 30, 1997. The decrease of operating expenses as a percentage of net
revenues was primarily due to the operations in the United Kingdom including the
acquisitions of Ashbourne and APTA whose facility leases are primarily capital
 
                                       16
<PAGE>
leases and therefore include interest and depreciation expense instead of rent
expense. In addition, the decrease is partially offset by lower operating
margins in the United Kingdom as occupancy rates in the United Kingdom have been
negatively impacted by eleven newly developed long-term care facilities opened
since June 30, 1996.
 
    Corporate general and administrative expenses, which include regional costs
related to the supervision of operations, increased 40% from $14,978,000 for the
three months ended June 30, 1996 to $20,999,000 for the three months ended June
30, 1997. As a percentage of net revenues, corporate general and administrative
expenses increased from 4.6% for the three months ended June 30, 1996 to 4.7%
for the three months ended June 30, 1997. The increase was primarily due to an
increase in costs relating to the expansion of the Company's corporate
infrastructure to support the development of the Company's foreign operations,
newly acquired domestic operations, and implementation of new business
strategies. The increase was also due to expansion of the Company's corporate
infrastructure to support the operations of fourteen facilities in California
for which the Company entered into a management agreement during the third
quarter of 1996. The Company acquired the operations of thirteen of these
facilities during the second quarter of 1997.
 
    The provision for losses on accounts receivable increased 188% from
$1,243,000 for the three months ended June 30, 1996 to $3,579,000 for the three
months ended June 30, 1997. As a percentage of net revenues, provision for
losses on accounts receivable increased from 0.4% for the three months ended
June 30, 1996 to 0.8% for the three months ended June 30, 1997. Since the second
half of 1996, the Company increased its accounts receivable reserve in response
to a slowdown in collections from nonaffiliated facilities for therapy services
due to delays in payment by the nonaffiliated facilities' Medicare fiscal
intermediaries (see "Liquidity and Capital Resources").
 
    Depreciation and amortization increased 54% from $8,237,000 for the three
months ended June 30, 1996 to $12,706,000 for the three months ended June 30,
1997. As a percentage of net revenues, depreciation and amortization expense
increased from 2.5% for the three months ended June 30, 1996 to 2.8% for the
three months ended June 30, 1997, respectively. The increase is primarily due to
the assets acquired by the Company, including goodwill, of Ashbourne acquired
during the first quarter of 1997 and APTA acquired during the fourth quarter of
1996.
 
    Net interest expense increased 118% from $6,485,000 for the three months
ended June 30, 1996 to $14,162,000 for the three months ended June 30, 1997. As
a percentage of net revenues, interest expense increased from 2.0% for the three
months ended June 30, 1996 to 3.2% for the three months ended June 30, 1997. The
increase was primarily related to borrowings associated with the acquisitions of
Ashbourne and APTA and the purchase of a 9.9% interest in OmniCell Technologies,
Inc. ("OmniCell"). Each of these acquisitions was financed by borrowings under
the Company's revolving credit facility. The increase was also due to interest
expense related to capital leases assumed by the Company as part of the
Company's acquisitions of Ashbourne and APTA.
 
    The Company's effective tax rate was 39% for the three months ended June 30,
1997 and was 40% for the three months ended June 30, 1996. The decrease in the
effective tax rate was due to a more favorable mix of state income in the United
States than in the prior year.
 
    Net earnings were $17,821,000 for the three months ended June 30, 1997 as
compared to net earnings of $16,366,000 for the three months ended June 30,
1996. As a percentage of net revenues, net earnings decreased from 5.0% for the
three months ended June 30, 1996, to 4.0% for the three months ended June 30,
1997. The decrease was primarily due to the increased costs and lower margins
from the Company's nursing home operations in the United Kingdom, including the
borrowing costs associated with acquisitions in the United Kingdom (discussed
above).
 
                                       17
<PAGE>
SIX MONTHS ENDED JUNE 30, 1997 COMPARED TO SIX MONTHS ENDED JUNE 30, 1996
 
    Total net revenues for the six months ended June 30, 1997 increased 31% from
$645,744,000 for the six months ended June 30, 1996 to $846,181,000.
 
    Net revenues from long-term and subacute care services, which includes
revenues generated from therapy and pharmaceutical services provided at the
Company's facilities, increased from $411,786,000 for the six months ended June
30, 1996 to $511,857,000 for the six months ended June 30, 1997, a 24% increase.
Approximately $77,959,000 or 78% of this increase results from 57 leased or
owned facilities acquired or opened since December 31, 1995. The remaining net
revenue increase of $30,490,000, after giving effect to a decrease in net
revenues of approximately $8,378,000 relating to three facilities sold during
1996 and two facilities sold during 1997, is primarily attributable to an
increase in revenue per patient day and an increase in occupancy levels since
December 31, 1995 on a same facility basis for the 123 leased or owned
facilities in operation all fiscal year 1996 and the six months ended June 30,
1997. The increase in revenue per patient day was a result of payor rate
increases and the expansion of the Company's subacute services.
 
    Net revenues from therapy services to nonaffiliated facilities increased 24%
from $106,300,000 for the six months ended June 30, 1996 to $131,584,000 for the
six months ended June 30, 1997 primarily as a result of an increase in the
number of nonaffiliated facilities served from 673 facilities at June 30, 1996
to 844 facilities at June 30, 1997.
 
    Net revenues from foreign operations increased 233% from $25,843,000 for the
six months ended June 30, 1996 to $86,090,000 for the six months ended June 30,
1997. Approximately $52,175,000 or 87% of this increase was the result of
increased net revenues from the nursing home operations in the United Kingdom.
The increase relating to the nursing home operations in the United Kingdom was
primarily the result of the Company's acquisitions of Ashbourne during January
1997 and APTA during December of 1996, which when combined, added approximately
$43,100,000 of net revenues during the six months ended June 30, 1997.
 
    Net revenues from temporary therapy staffing services to nonaffiliated
facilities increased 24% from $54,435,000 for the six months ended June 30, 1996
to $67,237,000 for the six months ended June 30, 1997 primarily as a result of
an increase in service house billed to nonaffiliates from 1,135,000 hours in the
six months ended June 30, 1996 to 1,369,000 hours in the six months ended June
30, 1997. The increase in service hours billed was primarily attributable to new
offices acquired.
 
    Net revenues from pharmaceutical services to nonaffiliated facilities
increased 38% from $32,492,000 for the six months ended June 30, 1996 to
$44,859,00 for the six months ended June 30, 1997. The growth in net revenues
was primarily a result of the increase in the number of nonaffiliated facilities
served from 290 at June 30, 1996 to 394 at June 30, 1997. The increase in
nonaffiliated facilities served was the result of the opening and acquisition of
pharmacies during 1997 and 1996 and the increase in the number of nonaffiliated
facilities served by pharmacies open prior to January 1, 1996.
 
    Operating expenses, which includes rent expense of $60,672,000 and
$43,294,000 for the six months ended June 30, 1997 and 1996, respectively,
increased 31% from $531,862,000 for the six months ended June 30, 1996 to
$694,787,000 for the six months ended June 30, 1997. The increase resulted
primarily from the net increase of 15 leased or owned facilities during the year
ended December 31, 1996 and 37 leased or owned facilities during the six months
ended June 30, 1997 and the growth in therapy and temporary therapy staffing
services. Operating expenses as a percentage of net revenues decreased from
82.3% for the six months ended June 30, 1996 to 82.1% for the six months ended
June 30, 1997. The decrease in operating expenses as a percentage of net
revenues was primarily due to the acquisitions of Ashbourne and APTA whose
facility leases are primarily capital leases and therefore include interest and
depreciation expense instead of rent expense. In addition, the decrease is
partially offset by lower operating margins in the United Kingdom as occupancy
rates in the United Kingdom have been negatively impacted by eleven newly
developed long-term care facilities opened since June 30, 1996.
 
                                       18
<PAGE>
    Corporate general and administrative expenses, which include regional costs
related to the supervision of operations, increased 35% from $29,177,000 for the
six months ended June 30, 1996 to $39,446,000 for the six months ended June 30,
1997. As a percentage of net revenues, corporate general and administrative
expenses increased from 4.5% for the six months ended June 30, 1996 to 4.7% for
the six months ended June 30, 1997. The increase was primarily due to an
increase in costs relating to the expansion of the Company's corporate
infrastructure to support the development of the Company's foreign operations,
newly acquired domestic operations, and implementation of new business
strategies. The increase was also due to expansion of the Company's corporate
infrastructure to support the operations of fourteen facilities in California
for which the Company entered into a management agreement during the third
quarter of 1996. The Company acquired the operations of thirteen of these
facilities during the second quarter of 1997.
 
    The provision for losses on accounts receivable increased 175% from
$2,463,000 for the six months ended June 30, 1996 to $6,773,000 for the six
months ended June 30, 1997. As a percentage of net revenues, provision for
losses on accounts receivable increased from 0.4% for the six months ended June
30, 1996 to 0.8% for the six months ended June 30, 1997. Since the second half
of 1996, the Company increased its accounts receivable reserve in response to a
slowdown in collections from nonaffiliated facilities for therapy services due
to delays in payment by the nonaffiliated facilities' Medicare fiscal
intermediaries (see "Liquidity and Capital Resources").
 
    Depreciation and amortization increased 48% from $16,489,000 for the six
months ended June 30, 1996 to $24,347,000 for the six months ended June 30,
1997. As a percentage of net revenues, depreciation and amortization expense
increased from 2.6% for the six months ended June 30, 1996 to 2.9% for the six
months ended June 30, 1997, respectively. The increase is primarily due to the
assets acquired by the Company, including goodwill, of Ashbourne acquired during
the first quarter of 1997 and APTA acquired during the fourth quarter of 1996.
 
    Net interest expense increased 97% from $12,911,000 for the six months ended
June 30, 1996 to $25,486,000 for the six months ended June 30, 1997. As a
percentage of net revenues, interest expense increased from 2.0% for six months
ended June 30, 1996 to 3.0% for the six months ended June 30, 1997. The increase
was primarily related to borrowings associated with the acquisitions of
Ashbourne and APTA, the repurchase of 2,030,116 shares of the Company's
outstanding common stock and the purchase of a 9.9% interest in OmniCell
Technologies, Inc. Each of these acquisitions was financed by borrowings under
the Company's revolving credit facility. The increase was also due to interest
expense related to capital leases assumed by the Company as part of the
Company's acquisitions of Ashbourne and APTA.
 
    The Company's effective tax rate was 39% for the six months ended June 30,
1997 and was 40% for the six months ended June 30, 1996. The decrease in the
effective tax rate was due to a more favorable mix of state income in the United
States than in the prior year.
 
    Net earnings were $33,759,000 for the six months ended June 30, 1997 as
compared to net earnings of $31,705,000 for the six months ended June 30, 1996.
As a percentage of net revenues, net earnings decreased from 4.9% for the six
months ended June 30, 1996 to 4.0% for the six months ended June 30, 1997. The
decrease was primarily due to the increased costs and lower margins from the
Company's nursing home operations in the United Kingdom, including the borrowing
costs associated with acquisitions in the United Kingdom (discussed above).
 
LIQUIDITY AND CAPITAL RESOURCES
 
    At June 30, 1997, the Company had working capital of $211,050,000, including
cash and cash equivalents of $8,045,000, as compared to working capital of
$211,582,000, including cash and cash equivalents of $14,880,000 at December 31,
1996. For the six months ended June 30, 1997, net cash provided by operations
was $54,412,000 compared to net cash provided by operations for the six months
ended June 30, 1996 of $38,530,000. The net cash provided by operations for the
six months ended June 30,
 
                                       19
<PAGE>
1997 reflects the Company's growth in net earnings, reduced Federal and state
tax payments due to realization of certain deferred tax assets, and receipt of
$9,000,000 from the Company's director and officer insurance carrier and timing
of certain obligations of the Company. This was offset by the net cash used for
operations to fund an increase in accounts receivable (as discussed below).
 
    The Company's accounts receivable have increased since January 1, 1997.
Accounts receivable increased in part because of the growth in the Company's
therapy and pharmaceutical services businesses since January 1, 1997; however,
accounts receivable for the Company's therapy rehabilitation services to
nonaffiliates have increased by $19,965,000 since December 31, 1996 to
$98,798,000 at June 30, 1997, and continue to increase disproportionately to the
growth in net revenues from that line of business. Collections of rehabilitation
therapy services receivables from nonaffiliated facilities have slowed because
payment is primarily dependent upon such facilities' receipt of payment from
fiscal intermediaries which, in some instances, have been delayed because fiscal
intermediaries are conducting reviews of such facilities' therapy claims. As a
result, the Company has increased its provision for losses on accounts
receivable since mid-1996 (see "Results of Operations").
 
    Other significant operating uses and receipt of cash for the six months
ended June 30, 1997 were payments of $28,996,000 for interest and the receipt of
net refunds totaling $5,602,000 for income taxes.
 
    In May 1997, the Company received court approval of the $24,000,000
settlement of certain class-action shareholder lawsuits which amount was
previously paid during the fourth quarter of 1996. The Company received
$9,000,000 during March 1997 from its director and officer liability insurance
carrier for its claims submitted in connection with the settlement. In addition,
the Company accrued additional charges and expenses of $4,250,000 in 1996 and
$5,505,000 in 1995 related to monitoring and responding to the continuing OIG
investigation and responding to the shareholder litigation matters. The charges
do not contain any estimated amounts for settlement of the OIG investigation or
remaining shareholder litigation matters (see "Effects from Changes in
Reimbursement" and "Litigation"). As of June 30, 1997, an accrual of $3,436,000
related to the previously recorded charges and expenses remained.
 
    The Company incurred $30,090,000 and $19,954,000 in capital expenditures
during the six months ended June 30, 1997 and 1996, respectively. Substantially
all such expenditures during the six months ended June 30, 1997 were for the
continued development and construction of one facility in the United States and
nine new facilities in the United Kingdom, and routine capital expenditures.
These expansions were financed through borrowings under the Company's revolving
credit facility. The Company had capital expenditure commitments, as of June 30,
1997, under various contracts, including approximately $28,100,000 in the United
States and L17,200,000 ($28,600,000 as of June 30, 1997) in the United Kingdom.
These include contractual commitments to improve existing facilities and to
develop, construct and complete a corporate office building in the United States
and nine facilities in the United Kingdom.
 
    The Company paid $180,932,000 and $43,933,000 for acquisitions during the
six months ended June 30, 1997 and 1996, respectively. This includes
$110,100,000 and $17,817,000 of cash paid by the Company during the six months
ended June 30, 1997 to former stockholders of Ashbourne and APTA, respectively.
In addition, the Company issued L2,500,000 ($4,100,000 as of June 30, 1997) of
notes, with a maturity not to exceed five years, to former stockholders of APTA
who elected not to receive cash as consideration. In addition, during the six
months ended June 30, 1997, the Company acquired the operations of nine
long-term care and assisted living facilities for $12,000,000 plus the
assumption of all the facilities' leases. In connection with this acquisition,
the Company agreed to provide financing of $5,800,000 to the owner of the nine
facilities for expansion of certain of the facilities. Both acquisitions were
funded by borrowings under the Company's credit facility.
 
    In April 1997, the Company acquired the operations of thirteen long-term
care facilities which had previously been managed by the Company since the third
quarter of 1996, for a purchase price of $12,572,000, including the assumption
of $10,722,000 in long-term debt. Prior to and in connection with the
acquisition, the Company extended financing of approximately $14,800,000 to the
former operators of
 
                                       20
<PAGE>
these facilities. During the six months ended June 30, 1997, the Company
acquired a total net ownership of, the leasehold rights to, or the management of
58 long-term care facilities in the United Kingdom, including 49 facilities
acquired in the acquisition of Ashbourne, and 10 long-term care facilities in
the United States. The Company also acquired or opened seven pharmacies in the
United States and six pharmacies in the United Kingdom.
 
    On February 18, 1997, the Company signed definitive agreements with each of
Retirement Care and Contour, under which the Company agreed to acquire
Retirement Care and its approximately 65% owned subsidiary, Contour. The
agreements, as amended, call for the Company to issue 0.68265 shares of common
stock in exchange for each outstanding share of Retirement Care common stock
(subject to adjustment as provided in the agreement), or for an approximate
purchase price of approximately $191,000,000 as of August 12, 1997, and for the
Company to pay $8.50 per share in cash, stock or a combination of cash and stock
(at the election of the Company), equal to approximately $35,000,000, for the
remaining 35% of Contour not presently owned by Retirement Care. The acquisition
of Retirement Care is expected to be accounted for as a pooling of interests and
the acquisition of Contour is expected to be accounted for as a purchase. These
transactions are expected to close in the second half of 1997.
 
    Costs to be incurred in connection with the mergers of Retirement Care and
Contour are expected to be significant and would be charged against earnings of
the combined company. The charge is currently estimated to be approximately
$31,100,000, of which approximately $21,000,000 would be for transaction costs
and integration expenses, including elimination of redundant corporate
functions, severance costs related to headcount reductions and the write-off of
certain intangibles and property and equipment. Approximately $16,000,000 of
these estimated charges are expected to be charged to operations in the fiscal
quarter in which the Retirement Care merger is consummated. The remaining
approximate $5,000,000 of the estimated charges are expected to be expensed as
incurred as these costs will benefit future combined operations. These amounts
are preliminary estimates only and are therefore subject to change. In addition,
there can be no assurance that the Company will not incur additional charges in
subsequent quarters to reflect costs associated with the mergers.
 
    In addition, the Company currently expects that the charge would include
approximately $10,100,000 of adjustments to Retirement Care's March 31, 1997
balance sheet, which are based on the Company's review of Retirement Care's
financial statements and the underlying assumptions used to prepare such
financial statements, the Company's current understanding of Retirement Care's
operations and the Company's evaluation of Retirement Care's internal control
structure during the due diligence process. The Company believes that the
balance sheet adjustments relate primarily to additional accruals for expected
liabilities as well as to an increase in Retirement Care's provision for losses
on accounts receivable. It is possible that a substantial portion of the
foregoing approximate $10,100,000 charge would be recorded by Retirement Care as
an adjustment to Retirement Care's historical financial statements prior to the
consummation of the mergers. In that event, there would be a commensurate
reduction in the merger charge. The Company cannot predict at this time whether
or when Retirement Care might make any adjustments, or, if made, how any such
adjustments may affect, if at all, Retirement Care's historical financial
statements. The Company is continuing to review and discuss these matters with
Retirement Care.
 
    The foregoing statements with respect to Retirement Care's financial
statements and any adjustments or charges related thereto are forward-looking.
If the Retirement Care acquisition is consummated, the actual adjustments could
differ, possibly materially, and could be affected by a number of factors,
including Retirement Care and the Company's factual findings upon further review
of these matters, and the interpretation and application of generally accepted
accounting principles to those factual findings. The foregoing statements do not
address what adjustments, if any, may be made to Retirement Care's financial
statements if the acquisition does not occur. In addition, there can be no
assurance that the Company will not incur additional charges in subsequent
quarters to reflect cost associated with the Mergers.
 
                                       21
<PAGE>
    On January 10, 1997, the Company loaned Retirement Care $9,750,000 in order
to enable Retirement Care to cause the repayment of certain indebtedness
incurred by Contour in connection with Contour's acquisition of Atlantic Medical
Supply Company, Inc. ("Atlantic") on August 6, 1996. On July 10, 1997, the
Company and Retirement Care amended the terms of the loan to: (i) increase the
applicable interest rate by 2.0%; (ii) extend the maturity date to 120 days
after the termination of the Retirement Care Merger Agreement; and (iii) replace
the collateral securing the loan with a second lien on all of Retirement Care's
accounts receivable. Consistent with Retirement Care's bank line of credit, the
loan is unconditionally and irrevocably guaranteed by certain officers of
Retirement Care. On July 10, 1997, the Company also agreed to loan Retirement
Care an additional $5,000,000, which loan is also secured by a second lien on
all of Retirement Care's accounts receivable and is unconditionally and
irrevocably guaranteed by certain officers of Retirement Care.
 
    On July 26, 1997, the Company signed a definitive agreement with Regency
Health Services, Inc. ("Regency") under which the Company will acquire Regency
for $22 per share, or approximately $369,000,000 in cash and the assumption of
$184,908,000 in debt. The Company commenced a tender offer for all of the
outstanding shares of Regency on August 1, 1997. The tender offer is expected to
expire on September 15, 1997, but it may be extended at any time. The
acquisition is expected to close during the fourth quarter of 1997. Regency is
an operator of skilled nursing facilities and a diversified provider of
rehabilitation therapy, institutional pharmacy and home health services.
 
    The Company conducts business outside of the United States, in the United
Kingdom and in Canada. The foreign operations account for 10% and 4% of the
Company's total net revenues during the six months ended June 30, 1997 and the
year ended December 31, 1996, respectively, and 31% of the Company's
consolidated total assets as of June 30, 1997. The Company's financial condition
and results of operations are subject to foreign exchange risk. Because of the
Company's foreign growth strategies, the Company does not expect to repatriate
funds invested overseas and, therefore, foreign currency transaction exposure is
not normally hedged. Exceptional planned foreign currency cash flow
requirements, such as acquisitions overseas, are hedged selectively to prevent
fluctuations in the anticipated foreign currency value. Changes in the net worth
of the Company's foreign subsidiaries arising from currency fluctuations are
accumulated in the translation adjustments component of stockholders' equity.
 
    During the six months ended June 30, 1997, the Company sold five of its
long-term and subacute care facilities in the United States for approximately
$30,700,000 in cash and approximately $5,600,000 in assumption of debt and
leased them back under fourteen year leases. Also, during the six months ended
June 30, 1997, the Company, through its United Kingdom subsidiary, sold four of
its long-term care facilities for approximately $13,100,000 and leased them back
under twelve year leases.
 
    The Company expects to lend up to $47,000,000, under a revolving
subordinated credit agreement ("Financing Facility") to a developer of assisted
living facilities for the development, construction and operation of assisted
living facilities. Any advances under the Financing Facility are expected to be
funded by borrowings under the Company's future and existing credit facilities
and will be subject to certain conditions, including the approval of each
project by the Company. The developer has obtained a commitment for mortgage
financing to fund 50% of the cost of each project. The Company's advances under
the Financing Facility are subordinate to the mortgage financing. The Financing
Facility with respect to each facility bears interest at 9% or 13% depending on
the percentage of completion of the facility under construction. All amounts
advanced are due in full on November 1, 2001. The advances to the developer
totalled approximately $9,000,000 and $23,500,000 at December 31, 1996 and June
30, 1997. As of June 30, 1997, eight assisted living facilities were under
development. In addition, the Company has entered into a purchase option
agreement with the developer whereby the Company will pay the developer $50,000
for each option to purchase any of the facilities. The option will grant the
Company the right to purchase any of the facilities, after a specified time
period, at the greater of the estimated fair market value of the property or the
total amount invested by the developer.
 
                                       22
<PAGE>
    At June 30, 1997, the Company had, on a consolidated basis, $818,994,000 of
outstanding indebtedness, including $422,900,000 of indebtedness under its
$490,000,000 credit facility (the "Credit Facility"). The Company also had
$26,435,000 of outstanding standby letters of credit under the Credit Facility
as of June 30, 1997.
 
    On July 8, 1997, the Company issued $250,000,000 aggregate principal amount
of 9 1/2% Senior Subordinated Notes due 2007 (the "9 1/2% Notes"). The net
proceeds from the sale were used to reduce outstanding borrowings under the
Company's revolving credit facility. The 9 1/2% Notes are redeemable by the
Company at a premium, in whole or in part, after July 1, 2002.
 
    The Company has obtained a new long-term financing commitment (the "Senior
Credit Facilities") which is expected to consist of an aggregate principal
amount of $1,000,000,000 as follows: (i) a $500,000,000 revolving credit
facility and (ii) a $500,000,000 term loan facility with two borrowing tranches.
Tranche A will have a borrowing maximum of $250,000,000 and Tranche B will have
the same maximum borrowing limit. Borrowings with respect to Tranche A are
expected to bear interest at either the prevailing prime rate plus .075% or
LIBOR plus .225%. Borrowings with respect to Tranche B bear interest at the
prevailing prime rate plus .125% or LIBOR plus .275%. The term loan facilities
will be subject to an amortization schedule to be agreed upon. Tranche A will be
due six years from the date of a final agreement and Tranche B will be due seven
years from the date of a final agreement. The terms of the Senior Credit
Facilities have not been finalized and are still being negotiated. Upon
execution of this financing commitment, the Company's existing Credit Facility
will be refinanced using the revolving credit facility portion of this financing
commitment. If the Company refinances its existing Credit Facility with the new
long-term financing commitment, the Company expects to record an extraordinary
loss relating to the extinguishment of debt of approximately $3,000,000 before
taxes.
 
    The Company's ongoing capital requirements relate to the costs associated
with its facilities under construction, routine capital expenditures, advances
under the Financing Facility, potential acquisitions and implementation of
growth strategies.
 
    The Company believes that its current borrowing capacity under its credit
facility and its anticipated borrowing capacity under the Senior Credit
Facilities, cash from operations and the cash received from the issuance of the
9 1/2% Notes in July 1997 will be sufficient to satisfy its working capital
needs, capital commitments related to its facilities under construction, routine
capital expenditures, advances under the Financing Facility, current debt
service obligations and to fund potential conversions of 6 1/2% Convertible
Debentures. The Company anticipates that it will fund its construction
commitments as well as its requirements relating to future growth through (i)
the available borrowing capacity under its credit facility, (ii) the use of
operating leases and common stock in the future as a means of acquiring
facilities and new operations, (iii) the availability of leaseback financing
through real estate investment trusts and other financing sources and (iv) the
sale of securities in the public or private capital markets. The Company is
currently evaluating several financing alternatives, which include the issuance
of debt and/or equity. Even if the Company does not have an immediate need for
additional financing, it may seek to access the public or private capital
markets if it believes that conditions are favorable. In addition, such
acquisitions or additional financing may require approval of various lenders
under the Company's credit facility. If such sources of financing are not
available, the Company may not be able to pursue growth opportunities as
actively as it has in the past, and may be required to alter certain of its
operating strategies.
 
EFFECTS FROM CHANGES IN REIMBURSEMENT
 
    The Company derives a substantial percentage of its total revenues from
Medicare, Medicaid and private insurance. The Company's financial condition and
results of operations may be affected by the revenue reimbursement process,
which in the Company's industry is complex and can involve lengthy delays
between the time that revenue is recognized and the time that reimbursement
amounts are settled. Net revenues realizable under third-party payor agreements
are subject to change due to examination and
 
                                       23
<PAGE>
retroactive adjustment by payors during the settlement process. Payors may
disallow in whole or in part requests for reimbursement based on determinations
that certain costs are not reimbursable or reasonable or because additional
supporting documentation is necessary. The Company recognizes revenues from
third-party payors and accrues estimated settlement amounts in the period in
which the related services are provided. The Company estimates these settlement
balances by making determinations based on its prior settlement experience and
its understanding of the applicable reimbursement rules and regulations. The
majority of third-party payor balances are settled two to three years following
the provision of services. The Company has experienced differences between the
net amounts accrued and subsequent settlements, which differences are recorded
in operations at the time of settlement. The Company's results of operations
would be materially and adversely affected if the amounts actually received from
third-party payors in any reporting period differs materially from the amounts
accrued in prior periods. The Company's financial condition and results of
operations may also be affected by the timing of reimbursement payments and rate
adjustments from third-party payors. The Company has from time to time
experienced delays in receiving reimbursement from intermediaries.
 
    In August 1997, Congress passed the Balanced Budget Act of 1997 (the "Act"),
which includes among other things, changes to the reimbursement provisions
applicable to skilled nursing and therapy services. The Act provides a
prospective payment system, where the government pays a fixed fee per patient
day to skilled nursing facilities to cover routine service costs and ancillary
and capital related costs for beneficiaries receiving skilled services. For
existing facilities, this prospective payment system will be phased in over a
four year period, starting after July of 1998. The federal per diem rate will be
based on average costs reported in 1995 and will be updated annually to reflect
inflation. The Company is continuing to review the Act and its impact on the
Company.
 
    The Company's growth strategy relies heavily on the acquisition of long-term
and subacute care facilities. Regardless of the legal form of the acquisition,
the Medicare and Medicaid Programs often require that the Company assume certain
obligations relating to the reimbursement paid to the former operators of the
facilities acquired by the Company. For example, the Company may be responsible
for any final cost report settlements or findings in the examination process
which result in the recoupment from the Company of reimbursement previously paid
to the former owner if the former owner is unable to meet its repayment
obligations.
 
    The Company has learned that a fiscal intermediary and a Medicaid agency in
one of the states in which the Company operates may be examining cost reports
filed by a predecessor operator of several facilities acquired in the Mediplex
acquisition. If, as a result of any such examination, it is concluded that
overpayments to the predecessor operator were made, the Company, as the current
operator of such facilities, may be held financially responsible for any such
overpayments. At this time the Company is unable to predict the outcome of any
such examination.
 
    Various cost containment measures adopted by governmental and private pay
sources have begun to restrict the scope and amount of reimbursable healthcare
expenses and limit increases in reimbursement rates for medical services. Any
reductions in reimbursement levels under Medicaid, Medicare or private payor
programs and any changes in applicable government regulations or interpretations
of existing regulations could significantly affect the Company's profitability.
Furthermore, government programs are subject to statutory and regulatory
changes, retroactive rate adjustments, administrative rulings and government
funding restrictions, all of which may materially affect the rate of payment to
the Company's facilities and its therapy and pharmaceutical businesses. There
can be no assurance that payments under governmental or private payor programs
will remain at levels comparable to present levels or will be adequate to cover
the costs of providing services to patients eligible for assistance under such
programs. Significant decreases in utilization and limits on reimbursement could
have a material adverse effect on the Company's financial condition and results
of operations, including the possible impairment of certain assets.
 
                                       24
<PAGE>
    In March 1997, the Health Care Financing Authority ("HCFA") proposed revised
salary equivalency guidelines for physical therapy and respiratory therapy, and
proposed salary equivalency guidelines for occupational therapy and speech
therapy provided by contract suppliers such as the Company's rehabilitation
therapy subsidiary. Reimbursement for such services is currently evaluated under
Medicare's reasonable cost principles. Implementation of the proposed guidelines
by HCFA could directly or indirectly limit the reimbursement the Company and its
customers receive for certain therapy services on a prospective basis. Such
limitation on reimbursements could have a material adverse effect on the
Company's results of operations. Additionally, if the proposed guidelines are
adopted, it could have an adverse effect on the cash flow of the facilities to
whom the Company provides services; thereby potentially adversely affecting the
collectibility of amounts owed to the Company.
 
    In 1995, and periodically since then, HCFA has provided information to
intermediaries for use in determining reasonable costs for occupational and
speech therapy. This information, although not intended to impose limits on such
costs, suggests that fiscal intermediaries should carefully review costs which
appear to be in excess of what a "prudent buyer" would pay for those services.
While the effect of these directives is still uncertain, they are a factor
considered by such intermediaries in evaluating the reasonableness of amounts
paid by providers for the services of the Company's rehabilitation therapy
subsidiary. If salary equivalency guidelines, such as the ones discussed above
are implemented, such guidelines will govern reimbursement rates and the HCFA
directives and reasonable cost guidelines discussed in this paragraph will
become moot. In addition, some intermediaries require facilities to justify the
cost of contract therapists versus employed therapists as an aspect of the
"prudent buyer" analysis. With respect to rehabilitation therapy services
provided to affiliated facilities, a retroactive adjustment of Medicare
reimbursement could be made for some prior periods. With respect to
nonaffiliated facilities, an adjustment of reimbursement rates for therapy
services could result in indemnity claims against the Company, based on the
terms of substantially all of the Company's existing contracts with such
facilities, for payments previously made by such facilities to the Company that
are reduced by Medicare in the audit process. Any change in reimbursement rates
resulting from implementation of the HCFA directives or a reduction in
reimbursement as a result of a change in application of reasonable cost
guidelines could have a material adverse affect on the Company's financial
condition and results of operations (depending on the rates adopted) and
customers' ability to pay for prior and continuing services.
 
    Current Medicare regulations that apply to transactions between related
parties, such as the Company's subsidiaries, are relevant to the amount of
Medicare reimbursement that the Company is entitled to receive for the
rehabilitation and respiratory therapy and pharmaceutical services that it
provides to Company-operated facilities. These related party regulations require
that, among other things, a substantial part of the rehabilitation and
respiratory therapy services or pharmaceutical services, as the case may be, of
the relevant subsidiary be transacted with nonaffiliated entities in order for
the Company to receive reimbursement for services provided to Company-operated
facilities at the rates applicable to services provided to nonaffiliated
entities. The related party regulations do not indicate a specific level of
services that must be provided to nonaffiliated entities in order to satisfy the
"substantial part" requirement of such regulations. In instances where this
issue has been litigated by others, no consistent standard has emerged as to the
appropriate threshold necessary to satisfy the "substantial portion"
requirement.
 
    The Company's net revenues from rehabilitation therapy services, including
net revenues from temporary therapy staffing services, provided to nonaffiliated
facilities represented 72%, 74% and 73% of total rehabilitation and temporary
therapy staffing services net revenues for the six months ended June 30, 1997
and the years ended December 31, 1996 and 1995, respectively. Respiratory
therapy services provided to nonaffiliated facilities represented 56%, 55% and
64% of total respiratory therapy services net revenues for the six months ended
June 30, 1997 and the year ended December 31, 1996 and the period from the date
of acquisition of SunCare on May 5, 1995 to December 31, 1995, respectively. The
Company's respiratory therapy operations did not provide services to affiliated
facilities prior to the acquisition of SunCare on May 5, 1995. Net revenues from
pharmaceutical services billed to nonaffiliated facilities
 
                                       25
<PAGE>
represented 78%, 78% and 78% of total pharmaceutical services revenues for the
six months ended June 30, 1997, and the years ended December 31, 1996 and 1995.
The Company believes that it satisfies the requirements of these regulations
regarding nonaffiliated business. Consequently, it has claimed and received
reimbursement under Medicare for rehabilitation and respiratory therapy and
pharmaceutical services provided to patients in its own facilities at a higher
rate than if it did not satisfy these requirements. If the Company were deemed
to not have satisfied these regulations, the reimbursement that the Company
receives for rehabilitation and respiratory therapy and pharmaceutical services
provided to its own facilities would be significantly reduced, as a result of
which the Company's financial condition and results of operations would be
materially and adversely affected. If, upon audit by Federal or state
reimbursement agencies, such agencies find that these regulations have not been
satisfied, and if, after appeal, such findings are sustained, the Company could
be required to refund some or all of the difference between its cost of
providing these services to any entity found to be subject to the related party
regulations and the higher amount actually received. While the Company believes
that it has satisfied and will continue to satisfy these regulations, there can
be no assurance that its position would prevail if contested by relevant
reimbursement agencies. The foregoing statements with respect to the Company's
ability to satisfy these regulations are forward looking and could be affected
by a number of factors, including the interpretation of Medicare regulations by
Federal or state reimbursement agencies and the Company's ability to provide
services to nonaffiliated facilities.
 
REGULATION
 
    The Company's subsidiaries, including those which provide subacute and
long-term care, rehabilitation and respiratory therapy and pharmaceutical
services, are engaged in industries which are extensively regulated. As such, in
the ordinary course of business, the operations of these subsidiaries are
continuously subject to state and Federal regulatory scrutiny, supervision and
control. Such regulatory scrutiny often includes inquiries, investigations,
examinations, audits, site visits and surveys, some of which may be non-routine.
 
    In addition to being subject to the direct regulatory oversight of state and
Federal regulatory agencies, these industries are frequently subject to the
regulatory supervision of fiscal intermediaries. Fiscal intermediaries are
agents of HCFA who interpret and implement applicable laws and regulations and
make decisions about the appropriate reimbursement to be paid under Medicare and
Medicaid. The Company's subsidiaries are subject to the oversight of several
different intermediaries. Those different intermediaries have taken varying
interpretations of the applicable laws and regulations. The lack of uniformity
in the interpretation and implementation of such laws and regulations reflects
in part the fact that the statutory standards are subject to interpretation and
the manuals which are published and utilized by HCFA and the intermediaries in
performing their regulatory functions are often not sufficiently specific to
provide clear guidance in the areas which are the subject of regulatory
scrutiny.
 
    It is the policy of the Company to comply with all applicable laws and
regulations, and the Company believes that its subsidiaries are in substantial
compliance with all material laws and regulations which are applicable to their
businesses. However, given the extent to which the interpretation and
implementation of applicable laws and regulations varies and the lack of clear
guidance in the areas which are the subject of regulatory scrutiny, there can be
no assurance that the business activities of the Company's subsidiaries will not
from time to time become the subject of regulatory scrutiny, or that such
scrutiny will not result in interpretations of applicable laws or regulations by
government regulators or intermediaries which differ materially from those taken
by the Company's subsidiaries. In addition, if the Company is ever found to have
engaged in improper practices, it could be subject to civil, administrative, or
criminal fines, penalties or restitutionary relief.
 
                                       26
<PAGE>
    In January 1995, the Company learned that it was the subject of a pending
Federal investigation. The investigating agencies are the United States
Department of Health and Human Services' Office of Inspector General ("OIG") and
the United States Department of Justice. In July 1997, the Criminal Division of
the U.S. Department of Justice informed the Company that it had completed its
investigation of the Company, and that it would not initiate any actions against
the Company or any individuals. The investigation by the Civil Division of the
Department of Justice and the OIG is still proceeding. The government is in the
process of collecting information, and the Company has cooperated and continues
to cooperate with the investigators.
 
    At this time, the Company understands that the investigation includes a
review of whether the Company's rehabilitation therapy subsidiary properly
provided and/or billed for concurrent therapy services and whether it provided
unnecessary or unordered services to residents of skilled nursing facilities.
The Company understands that the investigation also includes a review of whether
its long-term care subsidiary properly disclosed its relationship with the
Company's rehabilitation therapy subsidiary and properly sought reimbursement
for services provided by that subsidiary.
 
    The Company is unable to determine at this time when the investigation will
be concluded or what its precise scope might be. If there have been improper
practices or the investigation is broader in scope that the Company currently
understands it to be, depending on the nature and extent of such impropriety,
the investigation may have a negative impact on the Company. However, based on
its current understanding of the investigation, however, the Company does not
believe that the outcome of the investigation will have a material adverse
effect on the Company's financial condition or results of operations. From time
to time the negative publicity surrounding the investigation adversely affected
the private pay enrollment in certain inpatient facilities and slowed the
Company's success in obtaining additional outside contracts in the
rehabilitation therapy business, which resulted in higher than required
therapist staffing levels. The foregoing statements with respect to the outcome
of the investigation are forward-looking and could be affected by a number of
factors, including the actual scope of the investigation, the government's
factual findings and the interpretation of Federal statutes and regulations by
the government and federal courts and whether any such factual findings could
serve as a basis for proceedings by other regulatory authorities.
 
    In 1996, the Connecticut Attorney General's office and the Connecticut
Department of Social Services ("DSS") began an investigation and initiated a
hearing in order to determine whether the Company's long-term care subsidiary
submitted false and misleading fiscal information on its 1993 and 1994 Medicaid
cost reports. The hearing is still in progress and the Company is unable to
determine at this time when the investigation will be concluded or whether the
evidence will warrant further administrative action or Medicaid reimbursement
sanctions by DSS. However, based on the Company's current understanding of the
investigation, the Company does not believe the investigation will have a
material adverse effect on the Company's financial condition or results of
operations. The foregoing statement with regard to the outcome of this
investigation is forward-looking and could be affected by a number of factors,
including factual findings and the interpretation of applicable laws and
regulations by the Attorney General and the DSS and whether any such factual
findings could serve as a basis for proceedings by other regulatory authorities.
 
LITIGATION
 
    In May 1997, the Company received court approval of the $24,000,000
settlement of certain class-action shareholder lawsuits which amount was
previously paid in the fourth quarter of 1996. The Company received $9,000,000
during March 1997, from its director and officer liability insurance carrier for
its claim submitted in connection with the settlement.
 
    On or about January 23, 1996, two former stockholders of SunCare, John
Brennan and Susan Bird, filed a lawsuit (the "SunCare Litigation") against the
Company and certain of its officers and directors in the United States District
Court for the Southern District of Indiana. Plaintiffs allege, among other
things,
 
                                       27
<PAGE>
that the Company did not disclose material facts concerning the investigation by
the OIG and that the Company's financial results were misstated. The complaints
purport to state claims, INTER ALIA, under Federal and state securities laws and
for breach of contract, including a breach of a registration rights agreement
pursuant to which the Company agreed to register the shares of the Company's
common stock issued to such former stockholders of SunCare in the acquisition.
Plaintiffs purport to seek recision, unspecified compensatory damages, punitive
damages and other relief. By Order dated October 11, 1996, the court granted in
part and denied in part defendants' motion to dismiss.
 
    On September 8, 1995, a derivative action was filed in the United States
District Court for the District of New Mexico, captioned BRICKELL PARTNERS V.
TURNER, ET AL. The complaint was not served on any defendant. On June 19, 1996,
an amended complaint alleging breach of fiduciary duty by certain current and
former of the Company's directors and officers was filed and subsequently served
on the defendants. On August 5, 1996, the District Court dismissed this action
without prejudice for failure to serve the defendants within the required time
period. The plaintiffs filed a new complaint, alleging the same claims, on
August 19, 1996. Defendants have moved to dismiss the new complaint.
 
    The Company believes the SunCare Litigation and the derivative action will
not have a material adverse impact on its financial condition or results of
operations, although the unfavorable resolution of any of these actions in any
reporting period could have a material adverse impact on the Company's results
of operations for that period. The foregoing statements with respect to the
possible outcomes of the SunCare Litigation and the derivative action are
forward-looking and could be affected by a number of factors, including judicial
interpretations of applicable law, the uncertainties and risk inherent in any
litigation, particularly a jury trial, the existence, scope and number of any
subsequently filed complaints and the outcome of the OIG investigation and all
factors that could affect the outcome.
 
                                       28
<PAGE>
                           PART II. OTHER INFORMATION
 
ITEM 1. LEGAL PROCEEDINGS
 
    Information with respect to this item is found in Management's Discussion
and Analysis of Financial Condition and Results of Operations and is hereby
incorporated herein by reference.
 
ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K
 
(a) Exhibits
 
<TABLE>
<S>        <C>
 (2.1)*    Agreement and Plan of Merger, dated as of July 26, 1997, by and among Sun
             Healthcare Group, Inc., Sunreg Acquisition Corp. and Regency Health Service,
             Inc.
 (2.2)*    Stockholder Agreement, dated as of July 26, 1997, among Sun Healthcare Group,
             Inc., Sunreg Acquisition Corp., and the persons listed on Schedule A thereto.
 (4.1)     Indenture related to the $250,000,000 9% Senior Subordinated Notes due 2007 by and
             between Sun Healthcare Group, Inc., the Guarantors named and herein, and First
             Trust National Association, dated July 8, 1997.
(11.1)     Computation of Earnings per Share
(27)       Financial Data Schedule
</TABLE>
 
- ------------------------
 
*   Incorporated by reference from exhibits to the Company's Schedule 14D-1 and
    Schedule 13D, dated August 1, 1997.
 
(b) Reports on Form 8-K
 
    Report dated January 30, 1997 and filed April 14, 1997 reporting, among
    other things, the acquisition of Ashbourne PLC as no longer meeting the
    significance test of Regulation S-X when measured against Sun's Annual
    Report on Form 10-K for the year ended December 31, 1996.
 
    Report dated May 27, 1997 and filed May 30, 1997 reporting the Company's
    signing amendments to the exchange ratio from the previously signed
    definitive agreements with Retirement Care Associates, Inc. ("Retirement
    Care") and Contour Medical, Inc. ("Contour") under which the Company agreed
    to purchase Retirement Care and its 65% owned subsidiary Contour.
 
    Report dated June 17, 1997 and filed June 18, 1997 reporting the estimated
    costs and charges to be incurred in connection with the Company's
    acquisition of Retirement Care and Contour.
 
    Report dated July 9, 1997 and filed July 10, 1997 reporting the completion
    of a private placement by the Company of $250 million in Senior Subordinated
    Notes at an annual rate of 9.5%.
 
                                       29
<PAGE>
                                   SIGNATURES
 
    Pursuant to the requirements of the Securities and Exchange Act of 1934, the
Registrant has duly caused this report to be signed on its behalf by the
undersigned thereunto duly authorized.
 
<TABLE>
<S>                             <C>  <C>
                                SUN HEALTHCARE GROUP, INC.
 
Date: August 13, 1997           By:            /s/ ROBERT D. WOLTIL*
                                     -----------------------------------------
                                                  Robert D. Woltil
                                            PRINCIPAL FINANCIAL OFFICER
</TABLE>
 
- ------------------------
 
*   Signing on the behalf of the Registrant and as principal financial officer.
 
                                       30

<PAGE>

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




                           SUN HEALTHCARE GROUP, INC.

                                     ISSUER,

                          THE GUARANTORS NAMED HEREIN,

                                       AND

                        FIRST TRUST NATIONAL ASSOCIATION,

                                     TRUSTEE


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


                                    INDENTURE



                            Dated as of July 8, 1997


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



                                  $250,000,000
                   9 1/2% Senior Subordinated Notes due 2007



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

<PAGE>

                                TABLE OF CONTENTS
                                                                            PAGE
                                                                            ----
                                    ARTICLE I

                   DEFINITIONS AND INCORPORATION BY REFERENCE


SECTION 1.1.   Definitions  . . . . . . . . . . . . . . . . . . . . . . . .   1
SECTION 1.2.   Incorporation by Reference of TIA  . . . . . . . . . . . . .  19
SECTION 1.3.   Rules of Construction  . . . . . . . . . . . . . . . . . . .  19

                                    ARTICLE II

                                  THE SECURITIES

SECTION 2.1.   Form and Dating  . . . . . . . . . . . . . . . . . . . . . .  20
SECTION 2.2.   Execution and Authentication . . . . . . . . . . . . . . . .  20
SECTION 2.3.   Registrar and Paying Agent . . . . . . . . . . . . . . . . .  21
SECTION 2.4.   Paying Agent to Hold Assets in Trust . . . . . . . . . . . .  22
SECTION 2.5.   Securityholder Lists . . . . . . . . . . . . . . . . . . . .  22
SECTION 2.6.   Transfer and Exchange  . . . . . . . . . . . . . . . . . . .  22
SECTION 2.7.   Replacement Securities . . . . . . . . . . . . . . . . . . .  28
SECTION 2.8.   Outstanding Securities . . . . . . . . . . . . . . . . . . .  29
SECTION 2.9.   Treasury Securities  . . . . . . . . . . . . . . . . . . . .  29
SECTION 2.10.  Temporary Securities . . . . . . . . . . . . . . . . . . . .  29
SECTION 2.11.  Cancellation . . . . . . . . . . . . . . . . . . . . . . . .  30
SECTION 2.12.  Defaulted Interest . . . . . . . . . . . . . . . . . . . . .  30
SECTION 2.13.  CUSIP Numbers  . . . . . . . . . . . . . . . . . . . . . . .  31
SECTION 2.14.  Offer to Purchase by Application of Excess Proceeds  . . . .  31

                                    ARTICLE III

                                    REDEMPTION

SECTION 3.1.   Right of Redemption  . . . . . . . . . . . . . . . . . . . .  34
SECTION 3.2.   Notices to Trustee . . . . . . . . . . . . . . . . . . . . .  34
SECTION 3.3.   Selection of Securities to Be Redeemed . . . . . . . . . . .  35
SECTION 3.4.   Notice of Redemption . . . . . . . . . . . . . . . . . . . .  35
SECTION 3.5    Effect of Notice of Redemption . . . . . . . . . . . . . . .  36
SECTION 3.6.   Deposit of Redemption Price  . . . . . . . . . . . . . . . .  36
SECTION 3.7.   Securities Redeemed in Part  . . . . . . . . . . . . . . . .  37



                                       i
<PAGE>

                                                                            PAGE
                                                                            ----
                                    ARTICLE IV

                                    COVENANTS

SECTION 4.1.   Payment of Securities  . . . . . . . . . . . . . . . . . . .  37
SECTION 4.2.   Maintenance of Office or Agency  . . . . . . . . . . . . . .  37
SECTION 4.3.   Limitation on Restricted Payments. . . . . . . . . . . . . .  38
SECTION 4.4.   Corporate and Partnership Existence  . . . . . . . . . . . .  40
SECTION 4.5.   Payment of Taxes and Other Claims  . . . . . . . . . . . . .  40
SECTION 4.6.   Maintenance of Properties and Insurance  . . . . . . . . . .  41
SECTION 4.7.   Compliance Certificate; Notice of Default  . . . . . . . . .  41
SECTION 4.8.   Reports  . . . . . . . . . . . . . . . . . . . . . . . . . .  42
SECTION 4.9.   Limitation on Status as Investment Company . . . . . . . . .  42
SECTION 4.10.  Limitation on Transactions with Affiliates . . . . . . . . .  42
SECTION 4.11.  Limitation on Incurrence of Additional Indebtedness
               and Issuance of Preferred Stock. . . . . . . . . . . . . . .  43
SECTION 4.12.  Limitations on Dividends and Other Payment 
               Restrictions Affecting Subsidiaries. . . . . . . . . . . . .  45
SECTION 4.13.  Limitations on Layering Indebtedness; 
               Redeemable Stock; Liens Securing Indebtedness  . . . . . . .  46
SECTION 4.14.  Limitation on Sales of Assets and Subsidiary Stock . . . . .  46
SECTION 4.15.  Waiver of Stay, Extension or Usury Laws  . . . . . . . . . .  48
SECTION 4.17   Limitations on Lines of Business . . . . . . . . . . . . . .  48
SECTION 4.16.  Rule 144A Information Requirement. . . . . . . . . . . . . .  48

                                    ARTICLE V

                               SUCCESSOR CORPORATION

SECTION 5.1.   Limitation on Merger, Sale or Consolidation  . . . . . . . .  48
SECTION 5.2.   Successor Corporation Substituted  . . . . . . . . . . . . .  50

                                    ARTICLE VI

                          EVENTS OF DEFAULT AND REMEDIES

SECTION 6.1.   Events of Default  . . . . . . . . . . . . . . . . . . . . .  50
SECTION 6.2.   Acceleration of Maturity Date; Rescission and Annulment  . .  52
SECTION 6.3.   Collection of Indebtedness and Suits for Enforcement
               by Trustee . . . . . . . . . . . . . . . . . . . . . . . . .  53
SECTION 6.4.   Trustee May File Proofs of Claim . . . . . . . . . . . . . .  54
SECTION 6.5.   Trustee May Enforce Claims Without Possession of Securities.  55



                                      ii
<PAGE>

                                                                            PAGE
                                                                            ----

SECTION 6.6.   Priorities . . . . . . . . . . . . . . . . . . . . . . . . .  55
SECTION 6.7.   Limitation on Suits  . . . . . . . . . . . . . . . . . . . .  56
SECTION 6.8.   Unconditional Right of Holders to Receive Principal, 
               Premium and Interest . . . . . . . . . . . . . . . . . . . .  56
SECTION 6.9.   Rights and Remedies Cumulative . . . . . . . . . . . . . . .  57
SECTION 6.10.  Delay or Omission Not Waiver . . . . . . . . . . . . . . . .  57
SECTION 6.11.  Control by Holders . . . . . . . . . . . . . . . . . . . . .  57
SECTION 6.12.  Waiver of Existing or Past Default . . . . . . . . . . . . .  57
SECTION 6.13.  Undertaking for Costs  . . . . . . . . . . . . . . . . . . .  58
SECTION 6.14.  Restoration of Rights and Remedies . . . . . . . . . . . . .  58

                                    ARTICLE VII

                                     TRUSTEE

SECTION 7.1.   Duties of Trustee  . . . . . . . . . . . . . . . . . . . . .  59
SECTION 7.2.   Rights of Trustee  . . . . . . . . . . . . . . . . . . . . .  60
SECTION 7.3.   Individual Rights of Trustee . . . . . . . . . . . . . . . .  61
SECTION 7.4.   Trustee's Disclaimer . . . . . . . . . . . . . . . . . . . .  61
SECTION 7.5.   Notice of Default  . . . . . . . . . . . . . . . . . . . . .  61
SECTION 7.6.   Reports by Trustee to Holders  . . . . . . . . . . . . . . .  62
SECTION 7.7.   Compensation and Indemnity . . . . . . . . . . . . . . . . .  62
SECTION 7.8.   Replacement of Trustee . . . . . . . . . . . . . . . . . . .  63
SECTION 7.9.   Successor Trustee by Merger, Etc.  . . . . . . . . . . . . .  64
SECTION 7.10.  Eligibility; Disqualification  . . . . . . . . . . . . . . .  64
SECTION 7.11.  Preferential Collection of Claims Against Company  . . . . .  64

                                  ARTICLE VIII

               DISCHARGE; LEGAL DEFEASANCE AND COVENANT DEFEASANCE

SECTION 8.1.   Discharge; Option to Effect Legal Defeasance 
               or Covenant Defeasance . . . . . . . . . . . . . . . . . . .  65
SECTION 8.2.   Legal Defeasance and Discharge . . . . . . . . . . . . . . .  65
SECTION 8.3.   Covenant Defeasance  . . . . . . . . . . . . . . . . . . . .  66
SECTION 8.4.   Conditions to Legal or Covenant Defeasance . . . . . . . . .  66
SECTION 8.5.   Deposited Cash and U.S. Government Obligations 
               to be Held in Trust; Other Miscellaneous Provisions  . . . .  67
SECTION 8.6.   Repayment to the Company . . . . . . . . . . . . . . . . . .  68
SECTION 8.7.   Reinstatement  . . . . . . . . . . . . . . . . . . . . . . .  68



                                       iii
<PAGE>

                                                                            PAGE
                                                                            ----
                                  ARTICLE IX

                       AMENDMENTS, SUPPLEMENTS AND WAIVERS

SECTION 9.1.   Supplemental Indentures Without Consent of Holders . . . . .  69
SECTION 9.2.   Amendments, Supplemental Indentures and Waivers 
               with Consent of Holders  . . . . . . . . . . . . . . . . . .  70
SECTION 9.3.   Compliance with TIA  . . . . . . . . . . . . . . . . . . . .  71
SECTION 9.4.   Revocation and Effect of Consents  . . . . . . . . . . . . .  71
SECTION 9.5.   Notation on or Exchange of Securities  . . . . . . . . . . .  72
SECTION 9.6.   Trustee to Sign Amendments, Etc. . . . . . . . . . . . . . .  72
SECTION 9.7    Agreement by Representative Under the Credit Agreement . . .  72

                                  ARTICLE X

                                  RESERVED

                                  ARTICLE XI

                         RIGHT TO REQUIRE REPURCHASE

SECTION 11.1.  Repurchase of Securities at Option of 
               the Holder Upon a Change of Control  . . . . . . . . . . . .  73

                                 ARTICLE XII

                                  GUARANTEE

SECTION 12.1.  Guarantee  . . . . . . . . . . . . . . . . . . . . . . . . .  75
SECTION 12.2.  Execution and Delivery of Guarantee  . . . . . . . . . . . .  77
SECTION 12.3.  Certain Bankruptcy Events  . . . . . . . . . . . . . . . . .  78
SECTION 12.4.  Limitation on Merger, Consolidation, Etc. of Guarantors;
               Release of Certain Guarantors. . . . . . . . . . . . . . . .  78
SECTION 12.5.  Future Guarantors  . . . . . . . . . . . . . . . . . . . . .  78

                                  ARTICLE XIII

                                  SUBORDINATION

SECTION 13.1.  Securities Subordinated to Senior Debt . . . . . . . . . . .  79
SECTION 13.2.  No Payment on Securities in Certain Circumstances  . . . . .  79
SECTION 13.3.  Securities Subordinated to Prior Payment of 



                                      iv
<PAGE>

                                                                            PAGE
                                                                            ----

               All Senior Debt on Dissolution, Liquidation or
               Reorganization . . . . . . . . . . . . . . . . . . . . . . .  81
SECTION 13.4.  Securityholders to Be Subrogated to Rights of 
               Holders of Senior Debt . . . . . . . . . . . . . . . . . . .  82
SECTION 13.5.  Obligations of the Company and the Guarantors Unconditional.  83
SECTION 13.6.  Trustee Entitled to Assume Payments Not Prohibited 
               in Absence of Notice . . . . . . . . . . . . . . . . . . . .  83
SECTION 13.7.  Application by Trustee of Assets Deposited with It . . . . .  83
SECTION 13.8.  Subordination Rights Not Impaired by Acts or Omissions 
               of the Company, the Guarantors or Holders of Senior Debt . .  84
SECTION 13.9.  Securityholders Authorize Trustee to Effectuate 
               Subordination of Securities  . . . . . . . . . . . . . . . .  84
SECTION 13.10. Right of Trustee to Hold Senior Debt . . . . . . . . . . . .  85
SECTION 13.11. Article XIII Not to Prevent Events of Default  . . . . . . .  85
SECTION 13.12. No Fiduciary Duty of Trustee to Holders of Senior Debt . . .  85

                                 ARTICLE XIV

                                MISCELLANEOUS

SECTION 14.1.  TIA Controls . . . . . . . . . . . . . . . . . . . . . . . .  85
SECTION 14.2.  Notices  . . . . . . . . . . . . . . . . . . . . . . . . . .  86
SECTION 14.3.  Communications by Holders with Other Holders . . . . . . . .  87
SECTION 14.4.  Certificate and Opinion as to Conditions Precedent . . . . .  87
SECTION 14.5.  Statements Required in Certificate or Opinion  . . . . . . .  87
SECTION 14.6.  Rules by Trustee, Paying Agent, Registrar  . . . . . . . . .  88
SECTION 14.7.  Legal Holidays . . . . . . . . . . . . . . . . . . . . . . .  88
SECTION 14.8.  Governing Law  . . . . . . . . . . . . . . . . . . . . . . .  88
SECTION 14.9.  No Adverse Interpretation of Other Agreements  . . . . . . .  89
SECTION 14.10. No Recourse Against Others . . . . . . . . . . . . . . . . .  89
SECTION 14.11. Successors . . . . . . . . . . . . . . . . . . . . . . . . .  89
SECTION 14.12. Duplicate Originals  . . . . . . . . . . . . . . . . . . . .  89
SECTION 14.13. Severability . . . . . . . . . . . . . . . . . . . . . . . .  89
SECTION 14.14. Table of Contents, Headings, Etc.  . . . . . . . . . . . . .  89
SECTION 14.15. Qualification of Indenture . . . . . . . . . . . . . . . . .  89
SECTION 14.16. Registration Rights  . . . . . . . . . . . . . . . . . . . .  90

               SIGNATURES . . . . . . . . . . . . . . . . . . . . . . . . .  91

EXHIBIT A      FORM OF SECURITY . . . . . . . . . . . . . . . . . . . . . . A-1



                                       v
<PAGE>

                              CROSS-REFERENCE TABLE                            


<TABLE>
<CAPTION>

  TIA                                                          INDENTURE        
SECTION                                                         SECTION 
- -------                                                         -------
<S>                                                             <C>
310(a)(1) . . . . . . . . . . . . . . . . . . . . . . 
 7.10
 (a)(2) . . . . . . . . . . . . . . . . . . . . . . . 
 7.10
 (a)(3) . . . . . . . . . . . . . . . . . . . . . . . 
 N.A.
  (a)(4). . . . . . . . . . . . . . . . . . . . . . . 
 N.A.
  (a)(5). . . . . . . . . . . . . . . . . . . . . . . 
 7.10
  (b) . . . . . . . . . . . . . . . . . . . . . . . . 
 7.8

 7.10;    

 14.2  
 (c) . . . . . . . . . . . . . . . . . . . . . . . . 
 N.A.
 311(a). . . . . . . . . . . . . . . . . . . . . . .
  7.11
   (b) . . . . . . . . . . . . . . . . . . . . . . .
  7.11
   (c) . . . . . . . . . . . . . . . . . . . . . . .
  N.A.
 312(a). . . . . . . . . . . . . . . . . . . . . . .
  2.5
   (b) . . . . . . . . . . . . . . . . . . . . . . .
  14.3 . . . . . . . . . . . . . . . . . . . . . . .
   (c) . . . . . . . . . . . . . . . . . . . . . . .
  14.3
 313(a). . . . . . . . . . . . . . . . . . . . . . .
  7.6
   (b)(1). . . . . . . . . . . . . . . . . . . . . .
  N.A.
   (b)(2). . . . . . . . . . . . . . . . . . . . . .
  7.6



                                     vi

<PAGE>

  TIA                                                          INDENTURE
SECTION                                                         SECTION 
- -------                                                         -------

   (c) . . . . . . . . . . . . . . . . . . . . . . .
  7.6;

  14.2
   (d) . . . . . . . . . . . . . . . . . . . . . . . 
  7.6
314(a) . . . . . . . . . . . . . . . . . . . . . . .
  4.7(a);

  4.8;

  12.2
   (b) . . . . . . . . . . . . . . . . . . . . . . .
  N.A.
   (c)(1). . . . . . . . . . . . . . . . . . . . . .
  2.2;
 
  7.2;

  12.2
   (c)(2). . . . . . . . . . . . . . . . . . . . . .
  7.2;

  12.2
   (c)(3). . . . . . . . . . . . . . . . . . . . . . 
  N.A.
   (d) . . . . . . . . . . . . . . . . . . . . . . .
  N.A.
   (e) . . . . . . . . . . . . . . . . . . . . . . .
  14.5
   (f) . . . . . . . . . . . . . . . . . . . . . . .
  N.A.
315(a) . . . . . . . . . . . . . . . . . . . . . . .
 7.1(b)
   (b) . . . . . . . . . . . . . . . . . . . . . . .
 7.5;
 
 7.6;



                                    vii

<PAGE>
 
 TIA                                                           INDENTURE
SECTION                                                         SECTION
- -------                                                         -------




 14.2
   (c) . . . . . . . . . . . . . . . . . . . . . . .
 7.1(a)
   (d) . . . . . . . . . . . . . . . . . . . . . . .
      6.11;
       . . . . . . . . . . . . . . . . . . . . . . .
 7.1(b),
       . . . . . . . . . . . . . . . . . . . . . . .
                                                                  (c)
  (e)  . . . . . . . . . . . . . . . . . . . . . . .
 6.13
316(a)(last sentence). . . . . . . . . . . . . . . .
 2.9
  (a)(1)(A). . . . . . . . . . . . . . . . . . . . .
 6.11
  (a)(1)(B). . . . . . . . . . . . . . . . . . . . .
 6.12
  (a)(2) . . . . . . . . . . . . . . . . . . . . . .
 N.A.
  (b). . . . . . . . . . . . . . . . . . . . . . . . 
 6.12;

 6.7
317(a)(1). . . . . . . . . . . . . . . . . . . . . . 
 6.3
  (a)(2) . . . . . . . . . . . . . . . . . . . . . .
 6.4
  (b). . . . . . . . . . . . . . . . . . . . . . . .
 2.4


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


N.A. means Not Applicable
Note:  This Cross-Reference Table shall not, for any purpose, be deemed to be a
part of this Indenture.



                                    viii

<PAGE>
- -------                                                         -------
</TABLE>


























                                    ix


<PAGE>

          INDENTURE, dated as of July 8, 1997, by and among Sun Healthcare 
Group, Inc., a Delaware corporation (the "COMPANY"), the Guarantors referred 
to below and First Trust National Association, as trustee (the "Trustee").

          Each party hereto agrees as follows for the benefit of each other 
party and for the equal and ratable benefit of the Holders of the Company's 
9 1/2% Series A Senior Subordinated Notes due 2007 and the class of 9 1/2% 
Series B Senior Subordinated Notes due 2007 to be exchanged for the 9 1/2% 
Series A Senior Subordinated Notes due 2007:

                               ARTICLE I

               DEFINITIONS AND INCORPORATION BY REFERENCE

          SECTION 1. DEFINITIONS.

          "ACQUIRED DEBT" means, with respect to any specified Person, (i) 
Indebtedness of any other Person existing at the time such other Person is 
merged with or into or became a Subsidiary of such specified Person, 
including, without limitation, Indebtedness incurred in connection with, or 
in contemplation of, such other Person merging with or into or becoming a 
Subsidiary of such specified Person, and (ii) Indebtedness secured by a Lien 
encumbering any asset acquired by such specified Person.

          "AFFILIATE" of any specified Person means any other Person directly 
or indirectly controlling or controlled by or under direct or indirect common 
control with such specified Person.  For purposes of this definition, 
"control" (including, with correlative meanings, the terms "controlling," 
"controlled by" and "under common control with"), as used with respect to any 
Person, shall mean the possession, directly or indirectly, of the power to 
direct or cause the direction of the management or policies of such Person, 
whether through the ownership of voting securities, by agreement or 
otherwise; PROVIDED that beneficial ownership of 10% or more of the voting 
securities of a Person shall be deemed to be control.

          "AGENT" means any Registrar, Paying Agent or co-Registrar.

          "APPROVED JURISDICTION" means the United States of America, Canada, 
the United Kingdom and any other member nation of the Organization for 
Economic Development and Cooperation.

          "ASSET SALE" means (i) the sale, lease, conveyance or other 
disposition of any assets, including, without limitation, by way of a sale 
and leaseback or by merger or consolidation (PROVIDED that the sale, lease, 
conveyance or other disposition of all or substantially all of the assets of 
the Company and its Subsidiaries taken as a whole will be governed by the 
Section 5.1 or 11.1 and not by Section 4.14), and (ii) the issuance or sale 
by the Company or any of its Subsidiaries of Equity Interests of any of the 
Company's Subsidiaries, in the case of either clause (i) or (ii), whether in 
a 

<PAGE>

single transaction or a series of related transactions (a) that have a fair 
market value in excess of $5 million or (b) for Net Proceeds in excess of $5 
million. Notwithstanding the foregoing:  (a) a transfer of assets by the 
Company to a Subsidiary or by a Subsidiary to the Company or to another 
Subsidiary, (b) an issuance of Equity Interests by a Subsidiary to the 
Company or to another Subsidiary, and (c) a Nursing Facility Swap will not be 
deemed to be an Asset Sale.

          "ASSET SALE OFFER" shall have the meaning specified in Section 4.14.

          "ASSET SALE PAYMENT" shall have the meaning specified in Section 4.14.

          "BANKRUPTCY LAW" means Title 11, U.S. Code, or any similar Federal,
state or foreign law for the relief of debtors.

          "BOARD OF DIRECTORS" means, with respect to any Person, the board of
directors of such Person or any committee of the board of directors of such
Person authorized, with respect to any particular matter, to exercise the power
of the board of directors of such Person.

          "BOARD RESOLUTION" means, with respect to any Person, a duly adopted
resolution of the Board of Directors of such Person.

          "BUSINESS DAY" means each Monday, Tuesday, Wednesday, Thursday and
Friday which is not a day on which banking institutions in New York, New York
are authorized or obligated by law or executive order to close.  

          "CAPITAL LEASE OBLIGATION" means, at the time any determination
thereof is to be made, the amount of the liability in respect of a capital lease
that would at such time be required to be capitalized on a balance sheet in
accordance with GAAP.

          "CAPITAL STOCK" means (i) in the case of a corporation, corporate
stock, (ii) in the case of an association or business entity, any and all
shares, interests, participations, rights or other equivalents (however
designated) of corporate stock, (iii) in the case of a partnership, partnership
interests (whether general or limited) and (iv) any other interest or
participation that confers on a Person the right to receive a share of the
profits and losses of, or distributions of assets of, the issuing Person.

          "CAREERSTAFF COMPANY" means (i) CareerStaff Unlimited, Inc., a
Delaware corporation and a Wholly Owned Subsidiary of the Company, and its
direct and indirect Wholly Owned Subsidiaries (collectively, "CareerStaff
Unlimited") so long as such persons conduct no material business except
acquiring, holding or selling equity or other interests in other CareerStaff
Companies or (ii) any Subsidiary of the Company (a) in which CareerStaff
Unlimited is the general partner, (b) which is no less than 5% and no more than
10% owned by persons that are not Affiliates of the Company and (c)
substantially all of whose business consists of temporary therapy staffing. 

                                       2

<PAGE>

          "CASH EQUIVALENTS" means (i) United States dollars, (ii) securities 
issued or directly and fully guaranteed or insured by the government of an 
Approved Jurisdiction or any agency or instrumentality thereof having 
maturities of not more than one year from the date of acquisition, (iii) 
certificates of deposit with maturities of one year or less from the date of 
acquisition, bankers' acceptances (or, with respect to foreign banks, similar 
instruments) with maturities not exceeding one year and overnight bank 
deposits, in each case with any domestic commercial bank organized under the 
laws of the United States of America or any state thereof or the District of 
Columbia, or any United States branch of a foreign bank having at the date of 
acquisition thereof combined capital and surplus of not less than $500 
million, (iv) repurchase obligations with a term of not more than seven days 
for underlying securities of the types described in clauses (ii) and (iii) 
above entered into with any financial institution meeting the qualifications 
specified in clause (iii) above, (v) commercial paper having the highest 
rating obtainable from Moody's or S&P and in each case maturing within one 
year after the date of acquisition, and (vi) investments in money market 
funds which invest substantially all their assets in securities of the types 
described in the foregoing clauses (i) through (v).

          "CHANGE OF CONTROL" means the occurrence of any of the following:  
(i) the sale, lease, transfer, conveyance or other disposition, in one or a 
series of related transactions, of all or substantially all of the assets of 
the Company and its Subsidiaries taken as a whole to any Person or group (as 
such term is used in Sections 13(d)(3) and 14(d)(2) of the Exchange Act) 
other than to a Person or group who, prior to such transaction, held a 
majority of the voting power of the voting stock of the Company, (ii) the 
acquisition by any Person or group (as defined above) of a direct or indirect 
interest in more than 50% of the voting power of the voting stock of the 
Company, by way of merger or consolidation or otherwise, or (iii) the first 
day on which a majority of the members of the Board of Directors of the 
Company are not Continuing Directors.

          "CHANGE OF CONTROL OFFER" shall have the meaning specified in 
Section 11.1.

          "CHANGE OF CONTROL PAYMENT" shall have the meaning specified in 
Section 11.1.

          "CHANGE OF CONTROL PAYMENT DATE" shall have the meaning specified 
in Section 11.1.

          "CODE" means the Internal Revenue Code of 1986, as amended.

          "COMMENCEMENT DATE" shall have the meaning specified in Section 2.14.

          "COMPANY" means the party named as such in this Indenture until a 
successor replaces it pursuant to this Indenture, and thereafter means such 
successor.

          "CONSOLIDATED CASH FLOW" means, with respect to any Person for any 
period, the Consolidated Net Income of such Person for such period plus, 
without duplication, the sum of (i) provision for taxes based on income or 
profits of such Person and its Subsidiaries for such period, to the extent 
such provision for taxes was included in computing such Consolidated Net 
Income, (ii) the Fixed Charges of such Person and its Subsidiaries for such 
period, to the extent that such Fixed 

                                       3

<PAGE>

Charges were deducted in computing such Consolidated Net Income, (iii) 
depreciation and amortization (including amortization of goodwill and other 
intangibles) of such Person and its Subsidiaries for such period to the 
extent that such depreciation and amortization were deducted in computing 
such Consolidated Net Income, and (iv) other non-cash items of such Person 
and its Subsidiaries for such period to the extent such non-cash items were 
deducted in computing such Consolidated Net Income, less the amount of all 
cash payments made by such person or any of its Subsidiaries during such 
period to the extent such payments relate to non-cash charges that were added 
back in determining Consolidated Cash Flow for such period or any prior 
period, in each case on a consolidated basis and determined in accordance 
with GAAP.  Notwithstanding the foregoing, the provision for taxes on the 
income or profits of, the depreciation and amortization of, and the other 
non-cash items of, a Subsidiary of the referent Person shall be added to 
Consolidated Net Income to compute Consolidated Cash Flow only to the extent 
(and in the same proportion) that the Net Income of such Subsidiary was 
included in calculating the Consolidated Net Income of such Person and only 
if a corresponding amount would be permitted at the date of determination to 
be dividended to the Company by such Subsidiary without prior approval (that 
has not been obtained), pursuant to the terms of its charter and all 
agreements, instruments, judgments, decrees, orders, statutes, rules and 
governmental regulations applicable to that Subsidiary or its stockholders.

          "CONSOLIDATED NET INCOME" means, with respect to any Person for any 
period, the aggregate of the Net Income of such Person and its Subsidiaries 
for such period, on a consolidated basis; PROVIDED that (i) the Net Income, 
if positive, of any Person that is not a Subsidiary or that is accounted for 
by the equity method of accounting shall be included only to the extent of 
the amount of dividends or distributions paid in cash to the referent Person 
or a Wholly Owned Subsidiary thereof, but in any case not in excess of such 
Person's pro rata share of such Person's Net Income for such period, (ii) the 
Net Income, if positive, of any Subsidiary shall be excluded to the extent 
that the declaration or payment of dividends or similar distributions by that 
Subsidiary of that Net Income is not at the date of determination permitted 
without any prior governmental approval (that has not been obtained) or, 
directly or indirectly, by operation of the terms of its charter or any 
agreement, instrument, judgment, decree, order, statute, rule or governmental 
regulation applicable to that Subsidiary or its stockholders, (iii) the Net 
Income of any Person acquired in a pooling of interests transaction for any 
period prior to the date of such acquisition shall be excluded, (iv) the 
cumulative effect of a change in accounting principles shall be excluded and 
(v) 1996 non-recurring charges in the pre-tax amount of up to $26 million 
shall be excluded.

          "CONSOLIDATED NET WORTH" means, with respect to any Person as of 
any date, the sum of (i) the consolidated equity of the common stockholders 
of such Person and its consolidated Subsidiaries as of such date plus (ii) 
the respective amounts reported on such Person's balance sheet as of such 
date with respect to any series of Preferred Stock (other than Redeemable 
Stock), less all write-ups (other than write-ups resulting from foreign 
currency translations and write-ups of tangible assets of a going concern 
business made in accordance with GAAP as a result of the acquisition of such 
business) subsequent to the date of this Indenture in the book value of any 
asset owned by such Person or a consolidated Subsidiary of such Person, and 
excluding the cumulative effect of a change in accounting principles, all as 
determined in accordance with GAAP.

                                       4

<PAGE>

          "CONTINUING DIRECTORS" means, as of any date of determination, any 
member of the Board of Directors of the Company who (i) was a member of such 
Board of Directors on the date of this Indenture or (ii) was nominated for 
election or elected to such Board of Directors with the approval of a 
majority of the Continuing Directors who were members of such Board at the 
time of such nomination or election.

          "CORPORATE TRUST OFFICE" means the office of the Trustee in the
Borough of Manhattan, The City of New York.

          "COVENANT DEFEASANCE" shall have the meaning specified in Section 8.3.

          "CREDIT AGREEMENT" means that certain Fourth Amended and Restated 
Credit Agreement, dated as of October 29, 1996, by and among the Company, The 
Mediplex Group, Inc. and NationsBank of Texas, N.A. and the other banks that 
are parties thereto, providing for $490 million in aggregate principal amount 
of Senior Revolving Debt, including any related notes, collateral documents, 
instruments and agreements executed in connection therewith, and in each case 
as amended, increased, modified, extended, renewed, refunded, replaced or 
refinanced, in whole or in part, from time to time.

          "CUSTODIAN" means any receiver, trustee, assignee, liquidator,
sequestrator or similar official under any Bankruptcy Law.

          "DEFAULT" means any event or condition that is or with the passage of
time or the giving of notice or both would be an Event of Default.

          "DEFAULTED INTEREST" shall have the meaning specified in Section 2.12.

          "DEFINITIVE SECURITIES" means Securities that are in the form of
Security attached hereto as Exhibit A that do not include the information called
for by footnotes 3 and 6 thereof.

          "DEPOSITORY" means, with respect to the Securities issuable or 
issued in whole or in part in global form, the person specified in Section 
2.3 as the Depository with respect to the Securities, until a successor shall 
have been appointed and become such pursuant to the applicable provision of 
this Indenture, and, thereafter, "Depository" shall mean or include such 
successor.

          "EQUITY INTERESTS" means Capital Stock and all warrants, options or 
other rights to acquire Capital Stock (but excluding any debt security that 
is convertible into, or exchangeable for, Capital Stock).

          "EVENT OF DEFAULT" shall have the meaning specified in Section 6.1.

          "EXCHANGE ACT" means the Securities Exchange Act of 1934, as 
amended, and the rules and regulations promulgated by the SEC thereunder.

                                       5

<PAGE>

          "EXCHANGE SECURITIES" means the 9 1/2% Series B Senior Subordinated 
Notes due 2007, as supplemented from time to time in accordance with the 
terms hereof, to be issued pursuant to this Indenture in connection with the 
offer to exchange Securities for the Initial Securities that may be made by 
the Company and the Guarantors pursuant to the Registration Rights Agreement 
that contains the information referred to in footnotes 1 and 2 to the form of 
Security attached hereto as Exhibit A.

          "EXISTING INDEBTEDNESS" means Indebtedness of the Company and its 
Subsidiaries in existence on the date of this Indenture, until such amounts 
are repaid.

          "FIXED CHARGE COVERAGE RATIO" means with respect to any Person for 
any period, the ratio of the Consolidated Cash Flow of such Person for such 
period to the Fixed Charges of such Person for such period.  In the event 
that such Person or any of its Subsidiaries incurs, assumes, guarantees, 
redeems or repays any Indebtedness (other than revolving credit borrowings) 
or issues or redeems Preferred Stock subsequent to the commencement of the 
period for which the Fixed Charge Coverage Ratio is being calculated but 
prior to the date on which the event for which the calculation of the Fixed 
Charge Coverage Ratio is made (the "Calculation Date"), then the Fixed Charge 
Coverage Ratio shall be calculated giving pro forma effect to such 
incurrence, assumption, guarantee, redemption or repayment of Indebtedness, 
or such issuance or redemption of Preferred Stock, as if the same had 
occurred at the beginning of the applicable Reference Period. In addition, 
for purposes of making the computation referred to above, (i) acquisitions 
that have been made by the Company or any of its Subsidiaries, including 
through mergers or consolidations and including any related financing 
transactions, during the Reference Period or subsequent to such Reference 
Period and on or prior to the Calculation Date shall be deemed to have 
occurred on the first day of the Reference Period, and (ii) the Consolidated 
Cash Flow and Fixed Charges attributable to operations or businesses disposed 
of prior to the Calculation Date shall be excluded (but in the case of Fixed 
Charges, only to the extent that the obligations giving rise to such Fixed 
Charges would no longer be obligations contributing to such Person's Fixed 
Charges subsequent to the Calculation Date).

          "FIXED CHARGES" means, with respect to any Person for any period, 
the sum (without duplication and determined in each case in accordance with 
GAAP) of (i) the consolidated interest expense of such Person and its 
Subsidiaries for such period, whether paid or accrued (including, without 
limitation, amortization of original issue discount, non-cash interest 
payments, the interest component of any deferred payment obligations, the 
interest component of all payments associated with Capital Lease Obligations, 
commissions, discounts and other fees and charges incurred in respect of 
letters of credit or bankers' acceptance financings, and net payments (if 
any) pursuant to Hedging Obligations) and (ii) the consolidated interest 
expense of such Person and its Subsidiaries that was capitalized during such 
period, and (iii) interest under any guarantee by such Person or any of its 
Subsidiaries of Indebtedness of any other Person in the amount of interest 
attributable to the Indebtedness guaranteed and (iv) the product of (a) all 
cash dividend payments (and non-cash dividend payments in the case of a 
Person that is a Subsidiary) on any series of Preferred Stock of such Person, 
times (b) a fraction, the numerator of which is one and the denominator of 
which is one 

                                       6

<PAGE>

minus the then current combined federal, state and local statutory tax rate 
of such Person, expressed as a decimal, in each case, on a consolidated basis 
and in accordance with GAAP; PROVIDED that in the event any cash dividend 
payment is deductible for federal, state and/or local tax purposes, the 
amount of the tax deduction relating to such cash dividend payment for such 
period shall be subtracted from the Fixed Charges for such Person for such 
period.

          "FOREIGN COMPANIES" means any Subsidiary of the Company which (i) 
is not organized under the laws of the United States, any state thereof or 
the District of Columbia and (ii) conducts substantially all of its business 
operations in a country other than the United States of America.

          "FUTURE SUBSIDIARY GUARANTOR" shall have the meaning specified in
Section 4.17.

          "GAAP" means generally accepted accounting principles set forth in the
opinions and pronouncements of the Accounting Principles Board of the American
Institute of Certified Public Accountants and statements and pronouncements of
the Financial Accounting Standards Board or in such other statements by such
other entity as have been approved by a significant segment of the accounting
profession, applied on a consistent basis and as in effect from time to time.

          "GLOBAL SECURITY" means a Security that contains the information
referred to in footnotes 3 and 8 to the form of Security attached hereto as
Exhibit A.

          "GUARANTEE" means a guarantee (other than by endorsement of negotiable
instruments for collection in the ordinary course of business), direct or
indirect, in any manner (including, without limitation, letters of credit and
reimbursement agreements in respect thereof), of all or any part of any
Indebtedness.

          "GUARANTEE" shall have the meaning provided in Section 12.1.

          "GUARANTORS" means (i) the Present Subsidiary Guarantors and (ii) any
Future Subsidiary Guarantors that become Guarantors pursuant to the terms of
this Indenture, but excluding (a) any Persons whose Guarantees have been
released pursuant to the terms of this Indenture.

          "HEDGING OBLIGATIONS" means, with respect to any Person, the
obligations of such Person under (i) interest rate swap agreements, interest
rate cap agreements and interest rate collar agreements, (ii) foreign exchange
contracts or currency swap agreements and (iii) other agreements or arrangements
designed to protect such Person against fluctuations in interest rates or
currency values.

          "HOLDER" or "SECURITYHOLDER" means the Person in whose name a Security
is registered on the Registrar's books.

          "INCUR" or "INCUR" shall have the meaning specified in Section 4.11 of
this Indenture.

                                       7

<PAGE>

          "INDEBTEDNESS" means, with respect to any Person, without duplication,
(i) any Redeemable Stock of such Person, (ii) any liabilities and obligations of
such Person, whether or not contingent, in respect of borrowed money or
evidenced by bonds, notes, debentures or similar instruments or letters of
credit (or reimbursement agreements in respect thereof) or bankers' acceptances
or representing Capital Lease Obligations or the balance deferred and unpaid of
the purchase price of any property or representing any Hedging Obligations,
except any such balance that constitutes an accrued expense or trade payable, if
and to the extent any of the foregoing indebtedness (other than letters of
credit and Hedging Obligations) would appear as a liability upon a balance sheet
of such Person prepared in accordance with GAAP, (iii) all liabilities and
obligations of any other Person secured by a Lien on any asset of such Person,
whether or not such indebtedness is assumed by such Person (the amount thereof
being deemed to equal such asset's fair market value), and (iv) to the extent
not otherwise included, the guarantee by such Person of any liabilities or
obligations of any other Person of the kind described in the preceding clauses
(i)-(iii).

          "INDENTURE" means this Indenture, as amended or supplemented from time
to time in accordance with the terms hereof.

          "INITIAL PURCHASERS" means Donaldson, Lufkin & Jenrette Securities
Corporation, Credit Suisse First Boston Corporation, J.P. Morgan Securities Inc.
and NationsBanc Capital Markets, Inc., severally, and not jointly.

          "INITIAL SECURITIES" means the 9 1/2% Series A Senior Subordinated
Notes due 2007, as supplemented from time to time in accordance with the terms
hereof, issued under this Indenture that contains the information referred to in
footnotes 1, 2, 4, 5, 6, 7 and 9 to the form of Security attached hereto as
Exhibit A.

          "INTEREST PAYMENT DATE" means the stated due date of an installment of
interest on the Securities.

          "INVESTMENT" by any Person in any other Person means (without
duplication) (i) the acquisition (whether by purchase, merger, consolidation or
otherwise) by such Person (whether for cash, property, services, securities or
otherwise) of capital stock, bonds, notes, debentures, partnership or other
ownership interests or other securities, including any options or warrants, of
such other Person or any agreement to make any such acquisition; (ii) the making
by such Person of any deposit with, or advance, loan or other extension of
credit to, such other Person (including the purchase of property from another
Person subject to an understanding or agreement, contingent or otherwise, to
resell such property to such other Person) or any commitment to make any such
advance, loan or extension (but excluding accounts receivable or deposits
arising in the ordinary course of business); and (iii) other than guarantees of
Indebtedness of the Company or any Subsidiary to the extent permitted by Section
4.11, the entering into by such Person of any guarantee of, or other credit
support or contingent obligation with respect to, Indebtedness or other
liability of such other Person; PROVIDED THAT Investments shall not be deemed to
include extensions of trade credit by such 

                                       8

<PAGE>

Person or any of its Subsidiaries on commercially reasonable terms in 
accordance with normal trade practices of such Person or such Subsidiary, as 
the case may be.

          "ISSUE DATE" means the date of the first issuance of the Securities
under this Indenture.

          "JUNIOR SECURITY" means any Qualified Equity Interests and any
Indebtedness of the Company or a Guarantor, as applicable, that is subordinated
in right of payment to Senior Debt at least to the same extent as the Securities
or the Guarantee, as applicable, and has no scheduled installment of principal
due, by redemption, sinking fund payment or otherwise, on or prior to the
Maturity Date.

          "LEGAL DEFEASANCE" shall have the meaning specified in Section 8.2.

          "LEGAL HOLIDAY" shall have the meaning specified in Section 13.7.

          "LIEN" means, with respect to any asset, any mortgage, lien, pledge,
charge, security interest or encumbrance of any kind in respect of such asset
given to secure Indebtedness, whether or not filed, recorded or otherwise
perfected under applicable law (including any conditional sale or other title
retention agreement, any lease in the nature thereof, any option or other
agreement to sell or give a security interest in and any filing of or agreement
to give any financing statement under the Uniform Commercial Code (or equivalent
statutes) of any jurisdiction with respect to any such lien, pledge, charge or
security interest).

          "LIQUIDATED DAMAGES" means such liquidated damages as defined in the
Registration Rights Agreement.

          "MATURITY DATE" means, when used with respect to any Security, the
date specified on such Security as the fixed date on which the final installment
of principal of such Security is due and payable (in the absence of any
acceleration thereof pursuant to the provisions of this Indenture regarding
acceleration of Indebtedness or any Change of Control Offer or Offer to
Purchase).

          "MOODY'S" means Moody's Investors Services, Inc. and its successors.

          "NET INCOME" means, with respect to any Person, the consolidated net
income (loss) of such Person, determined in accordance with GAAP, excluding,
however, the effect of any extraordinary or other material non-recurring gain or
loss outside the ordinary course of business (including without limitation any
gain from the sale or other disposition of assets outside of the ordinary course
of business or from the issuance or sale of any Equity Interests), together with
any related provision for taxes on such extraordinary or other material non-
recurring gain or loss.

          "NET PROCEEDS" means the aggregate cash or Cash Equivalent proceeds
received by the Company or any of its Subsidiaries in respect of any Asset Sale,
net of the direct costs relating to such Asset Sale (including, without
limitation, legal, accounting and investment banking fees, and 

                                       9

<PAGE>

sales commissions) and any other expenses incurred or to be incurred by the 
Company or a Subsidiary as a direct result of the sale of such assets 
(including, without limitation, severance, relocation, lease termination and 
other similar expenses), taxes actually paid or due and payable as a result 
thereof in the year of sale or the immediately following year (after taking 
into account the application of deductions, net operating losses and other 
tax attributes), amounts required to be applied to the repayment of 
Indebtedness (other than Subordinated Indebtedness) secured by a Lien on the 
asset or assets that were the subject of such Asset Sale, any reserve for 
adjustment in respect of the sale price of such asset or assets established 
in accordance with GAAP and all distributions and other payments required to 
be made and actually made to minority interests holders in Subsidiaries as a 
result of such Asset Sale; PROVIDED, that if the instrument or agreement 
governing such Asset Sale requires the transferor to maintain a portion of 
the purchase price in escrow (whether as a reserve for adjustment of the 
purchase price or otherwise) or to provide for indemnification of the 
transferee for specified liabilities in maximum specified amount, the portion 
of the cash or Cash Equivalents that is actually placed in escrow or 
segregated and set aside by the transferor for such indemnification 
obligations shall not be deemed to be Net Proceeds until the escrow 
terminates or the transferor ceases to segregate and set aside such funds, in 
whole or in part, and then only to the extent of the proceeds released from 
escrow to the transferor or that are no longer segregated and set aside by 
the transferor.

          "NON-CASH CONSIDERATION" means any non-cash or non-Cash Equivalent
consideration received by the Company or a Subsidiary of the Company in
connection with an Asset Sale and any non-cash or non-Cash Equivalent
consideration received by the Company or any of its Subsidiaries upon
disposition thereof.

          "NON-QUALIFIED ASSET SALE" means an Asset Sale in which the Non-Cash
Consideration received by the Company and its Subsidiaries exceeds 20% of the
total consideration received in connection with such Asset Sale calculated in
accordance with clause (x), but not clause (y), of the proviso to the first
sentence of Section 4.14.

          "NURSING FACILITY" means a nursing facility, hospital, outpatient
clinic, assisted living center, hospice, long-term care facility, subacute care
facility or other facility that is used or useful in the provision of healthcare
services.

          "NURSING FACILITY SWAP" means an exchange of assets by the Company or
one or more Subsidiaries of the Company or of the Equity Interests of a
Subsidiary for one or more Nursing Facilities and/or one or more Related
Businesses or of the Equity Interests of any Person owning one or more Nursing
Facilities and/or one or more Related Businesses.

          "OBLIGATIONS" means any principal, premium, interest, penalties, fees,
indemnifications, reimbursements, damages and other liabilities payable under
the documentation governing any Indebtedness.

          "OFFER AMOUNT" shall have the meaning specified in Section 2.14.

                                      10

<PAGE>

          "OFFER PERIOD" shall have the meaning specified in Section 2.14.

          "OFFICER" means, with respect to the Company or any Guarantor, the
Chief Executive Officer, the President, any Vice President, the Chief Financial
Officer, the Treasurer, the Controller, or the Secretary of the Company or such
Guarantor.

          "OFFICERS' CERTIFICATE" means, with respect to the Company or such
Guarantor, a certificate signed by two Officers or by an Officer and an
Assistant Secretary of the Company or such Guarantor and otherwise complying
with the requirements of Sections 14.4 and 14.5.

          "OPINION OF COUNSEL" means a written opinion from legal counsel who is
reasonably acceptable to the Trustee complying with the requirements of Sections
14.4 and 14.5.

          "PAYING AGENT" shall have the meaning specified in Section 2.3.

          "PAYMENT DEFAULT" means any failure to pay any scheduled installment
of principal on any Indebtedness within the grace period provided for such
payment in the documentation governing such Indebtedness.

          "PAYMENT NOTICE" shall have the meaning specified in Section 13.2.

          "PERMITTED LIENS" means (i) Liens in favor of the Company; (ii) Liens
on property of a Person existing at the time such Person is merged into or
consolidated with the Company or any Subsidiary of the Company or becomes a
Subsidiary of the Company, PROVIDED that such Liens were in existence prior to
the contemplation of such merger, consolidation or acquisition and do not extend
to any assets other than those of the Person merged into or consolidated with
the Company or that becomes a Subsidiary of the Company; (iii) Liens on property
existing at the time of acquisition thereof by the Company or any Subsidiary of
the Company, PROVIDED that such Liens were in existence prior to the
contemplation of such acquisition and do not extend to any property other than
that acquired; (iv) Liens to secure the performance of statutory obligations,
surety or appeal bonds, performance bonds or other obligations of a like nature
incurred in the ordinary course of business; (v) Liens securing Senior Debt
outstanding under the Credit Agreement, Liens securing Existing Indebtedness,
and Liens on the Equity Interests in or assets of Foreign Companies securing
Indebtedness outstanding under Foreign Company credit agreements; (vi) Liens for
taxes, assessments or governmental charges or claims that are not yet delinquent
or that are being contested in good faith by appropriate proceedings promptly
instituted and diligently concluded, PROVIDED that any reserve or other
appropriate provision as shall be required in conformity with GAAP shall have
been made therefor; (vii) Liens to secure Permitted Refinancing Indebtedness
incurred to refinance Indebtedness that was secured by a Lien permitted under
this Indenture and that was incurred in accordance with the provisions of this
Indenture, PROVIDED that such Liens do not extend to or cover any property or
assets of the Company or any of its Subsidiaries other than assets or property
securing the Indebtedness so refinanced; (viii) Purchase Money Liens; (ix) any
interest or title of a lessor under any Capital Lease Obligation otherwise
permitted by this Indenture; (x) Liens upon 

                                      11

<PAGE>

specific items of inventory or equipment and proceeds of the Company or any 
Subsidiary securing its obligations in respect of bankers' acceptances issued 
or created for its account (whether or not under the Credit Agreement) to 
facilitate the purchase, shipment, or storage of such inventory and 
equipment; (xi) Liens securing reimbursement obligations with respect to 
letters of credit (whether or not issued under the Credit Agreement) 
otherwise permitted under this Indenture and issued in connection with the 
purchase of inventory or equipment by the Company or any Subsidiary in the 
ordinary course of business; (xii) Liens to secure (or encumbering deposits 
securing) obligations arising from warranty or contractual service 
obligations of the Company or any Subsidiary, including rights of offset and 
setoff; (xiii) Liens securing Acquired Debt otherwise permitted by this 
Indenture, PROVIDED that (A) the Indebtedness secured shall not exceed the 
fair market value of the assets so acquired (such fair market value to be 
determined in good faith by the Board of Directors of the Company at the time 
of such acquisition) and (B) such Indebtedness shall be incurred, and the 
Lien securing such Indebtedness shall be created, within 12 months after such 
acquisition; (xiv) Liens securing Hedging Obligations agreements relating to 
Indebtedness otherwise permitted under this Indenture; (xv) other Liens on 
assets of the Company or any of its Subsidiaries securing Indebtedness that 
is permitted by the terms of this Indenture to be outstanding having an 
aggregate principal amount at any one time outstanding not to exceed $5 
million; (xvi) Liens on Medicare, Medicaid or other patient accounts 
receivable of the Company or its Subsidiaries; (xvii) Liens on real estate 
and related personal property (including, but not limited to, sale and 
leasebacks of and mortgages on real estate and related personal property) not 
to exceed an aggregate amount equal to $60 million per year; (xviii) Liens of 
carriers, warehousemen, mechanics, suppliers, materialmen, repairmen and 
other Liens imposed by law incurred in the ordinary course of business; (xix) 
easements, rights-of-way, zoning restrictions, reservations, encroachments 
and other similar encumbrances in respect of real property; and (xx) Liens 
securing stay and appeal bonds or judgment Liens in connection with any 
judgment not giving rise to a Default under this Indenture. 

          "PERMITTED REFINANCING INDEBTEDNESS" means any Indebtedness of the
Company or any of its Subsidiaries (a) issued in exchange for, or the net
proceeds of which are used solely to extend, refinance, renew, replace, defease
or refund, in whole or in part, or (b) constituting an amendment, modification
or supplement to, or a deferral or renewal of ((a) and (b) above are,
collectively, a "Refinancing"), other Indebtedness of the Company or any of its
Subsidiaries; PROVIDED that: (i) the principal amount of such Permitted
Refinancing Indebtedness does not exceed the lesser of (A) the principal amount
of the Indebtedness so Refinanced and (B) if such Indebtedness being Refinanced
was issued with original issue discount, the accreted value thereof (determined
in accordance with GAAP) (plus, in each case, the amount of any reasonable
expenses incurred in connection therewith); (ii) such Permitted Refinancing
Indebtedness has a final stated maturity later than the final stated maturity
of, and has a Weighted Average Life to Maturity equal to or greater than the
Weighted Average Life to Maturity of, the Indebtedness being Refinanced); (iii)
if the Indebtedness being Refinanced is Subordinated Indebtedness, such
Permitted Refinancing Indebtedness has a final stated maturity later than the
final stated maturity of, and is subordinated in right of payment to, the
Securities on terms at least as favorable to the Holders as those contained in
the documentation governing the Indebtedness being extended, refinanced,
renewed, replaced, defeased 

                                      12

<PAGE>

or refunded; and (iv) if the obligor on the Indebtedness being Refinanced is 
a Subsidiary that is not a Guarantor, such Permitted Refinancing Indebtedness 
shall only be incurred by such Subsidiary.

          "PERSON" or "PERSON" means any corporation, individual, limited
liability company, joint stock company, joint venture, partnership, limited
liability company, unincorporated association, governmental regulatory entity,
country, state or political subdivision thereof, trust, municipality or other
entity.

          "PLAN OF LIQUIDATION" means a plan that provides for, contemplates or
the effectuation of which is preceded or accompanied by (whether or not
substantially contemporaneously) (i) the sale, lease, conveyance or other
disposition of all or substantially all of the assets of the Company otherwise
than as an entirety or substantially as an entirety and (ii) the distribution of
all or substantially all of the proceeds of such sale, lease, conveyance or
other disposition and all or substantially all of the remaining assets of the
Company to holders of Capital Stock of the Company.

          "PREFERRED STOCK" means an Equity Interest of any class or classes of
a Person (however designated) which is preferred as to payments of dividends, or
as to distributions upon any liquidation or dissolution, over Equity Interests
of any other class of such Person.

          "PRESENT SUBSIDIARY GUARANTORS" means Accelerated Care Plus, LLC; 
Bay Colony Health Service, Inc.; Bergen Eldercare, Inc.; Cal-Med, Inc.; 
Clipper Home Affiliates, Inc.; Clipper Home of North Conway, Inc.; Clipper 
Home of Portsmouth, Inc.; Clipper Home of Rochester, Inc.; Clipper Home of 
Wolfeboro, Inc.; Community Re-Entry Services of Cortland, Inc.; G-WZ of 
Stamford, Inc.; Goodwin Nursing Home, Inc.; HC, Inc.; HTA of New Jersey, 
Inc.; Langdon Place of Dover, Inc.; Langdon Place of Exeter, Inc.; Langdon 
Place of Nashua, Inc.; Living Services, Inc.; LTC Staffinders, Inc.; Manatee 
Springs Nursing Center, Inc.; Masthead Corporation; Mediplex Atlanta 
Rehabilitation Institute, Inc.; Mediplex of Colorado, Inc.; Mediplex of 
Concord, Inc.; Mediplex of Connecticut, Inc.; Mediplex of Kentucky Inc.; 
Mediplex of Maryland, Inc.; Mediplex of Massachusetts, Inc.; Mediplex of New 
Hampshire, Inc.; Mediplex of New Jersey, Inc.; Mediplex of New York, Inc.; 
Mediplex of Ohio, Inc.; Mediplex of Tennessee, Inc.; Mediplex of Virginia, 
Inc.; Mediplex Management, Inc.; Mediplex Management of Palm Beach County, 
Inc.; Mediplex Management of Texas, Inc.; Mediplex Rehabilitation of 
Massachusetts, Inc.; New Bedford Acquisition Corp.; New Bedford Nursing 
Center, Inc.; Nursing Home, Inc.; Oakview Treatment Centers of Kansas, Inc.; 
P.M.N.F. Management, Inc.; Pharmacy Factors of California, Inc.; Pharmacy 
Factors of Florida, Inc.; Pharmacy Factors of Texas, Inc.; Quality Care 
Holding Corp.; Quality Nursing Care of Massachusetts, Inc.; Special Medical 
Services, Inc.; Spofford Land, Inc.; Sun Alliance, Inc.; SunBridge, Inc.; Sun 
Care Corp.; SunCare Respitory Services, Inc.; SunChoice Medical Supply, Inc.; 
Sundance Rehabilitation Corporation; SunFactors, Inc.; Sun Lane Purchase 
Corporation; Sunmark of New Mexico; SunQuest Consulting, Inc.; Sunrise 
Healthcare of Colorado, Inc.; Sunrise Healthcare of Florida, Inc; Sunrise 
Healthcare Corporation; SunScript Pharmacy Corporation; Sunrise Rehab of 
Colorado, Inc.; SunSpectrum Outpatient Rehabilitation-Concord, Inc.; The 
Mediplex Group, Inc.; Valley View Psychiatric Services, Inc; and Worcester 
Nursing Center, Inc.

                                      13
<PAGE>

    "PRINCIPAL" of any Indebtedness means the principal of such Indebtedness 
plus, without duplication, any applicable premium, if any, on such 
Indebtedness.

    "PROPERTY" means any right or interest in or to property or assets of any 
kind whatsoever, whether real, personal or mixed and whether tangible or 
intangible.

    "PURCHASE AGREEMENT" means that certain Purchase Agreement dated July 1, 
1997 by and among the Company, the Guarantors and the Initial Purchasers, as 
such agreement may be amended, modified or supplemented from time to time in 
accordance with the terms thereof.

    "PURCHASE DATE" shall have the meaning specified in Section 2.14.

    "PURCHASE MONEY INDEBTEDNESS" means any Indebtedness of a Person to any 
seller or other Person incurred to finance the acquisition or construction 
(including in the case of a Capital Lease Obligation, the lease) of any asset 
or property which is incurred within 180 days of such acquisition or 
completion of construction and is secured only by the assets so financed.

    "PURCHASE MONEY LIEN" means a Lien granted on an asset or property to 
secure Purchase Money Indebtedness permitted to be incurred under this 
Indenture and incurred solely to finance the acquisition of construction of 
such asset or property; PROVIDED that such Lien encumbers only such asset or 
property and is granted within 180 days of such acquisition or completion of 
construction.

    "QUALIFIED EQUITY INTERESTS" shall mean all Equity Interests of the 
Company other than Redeemable Stock of the Company.

    "RECORD DATE" means a Record Date specified in the Securities whether or 
not such Record Date is a Business Day, or, if applicable, as specified in 
Section 2.12.

    "REDEEMABLE STOCK" means any Equity Interest that, by its terms (or by 
the terms of any security into which it is convertible or for which it is 
exchangeable at the option of the holder), or upon the happening of any 
event, matures or is mandatorily redeemable (other than redeemable only for 
Qualified Equity Interests of the issuer), pursuant to a sinking fund 
obligation or otherwise, or redeemable at the option of the holder thereof, 
in whole or in part, on or prior to the date on which the Securities mature.

    "REDEMPTION DATE," when used with respect to any Security to be redeemed, 
means the date fixed for such redemption pursuant to Article III of this 
Indenture and Paragraph 5 in the form of Security attached hereto as Exhibit 
A.

    "REDEMPTION PRICE," when used with respect to any Security to be 
redeemed, means the redemption price for such redemption pursuant to 
Paragraph 5 in the form of Security attached 

                                   14

<PAGE>

hereto as Exhibit A, which shall include, without duplication, in each case, 
accrued and unpaid interest and Liquidated Damages, if any, to the Redemption 
Date.

    "REFERENCE PERIOD" with regard to any Person means the four full fiscal 
quarters (or such lesser period during which such Person has been in 
existence) for which internal financial statements are available ended 
immediately preceding any date upon which any determination is to be made 
pursuant to the terms of the Securities or this Indenture.

    "REGISTRAR" shall have the meaning specified in Section 2.3.

    "REGISTRATION RIGHTS AGREEMENT" means the Registration Rights Agreement 
dated as of the date hereof by and among the Initial Purchasers, the Company 
and the Guarantors, as such agreement may be amended, modified or 
supplemented from time to time in accordance with the terms thereof.

    "RELATED BUSINESS" means the business conducted by the Company and its 
Subsidiaries as of the date of this Indenture and any and all healthcare 
service businesses that in good faith judgment of the Board of Directors of 
the Company are materially related businesses.   Without limiting the 
generality of the foregoing, Related Business shall include the operation of 
Nursing Facilities, long-term and specialty healthcare services, skilled 
nursing care, subacute care, rehabilitation programs, pharmaceutical 
services, health maintenance organizations, insurance companies, preferred 
provider organizations or any other form of managed care business, health 
care information services business, distribution of medical supplies, 
geriatric care and home healthcare or other businesses which provide 
ancillary services to long-term and specialty healthcare facilities.

    "REPRESENTATIVE" means NationsBank, as representative of the lenders 
party to the Credit Agreement, until a successor replaces it pursuant to the 
Credit Agreement, and thereafter means such successor.

    "RESTRICTED INVESTMENT" means, in one or a series of related 
transactions, any Investment, other than (i) Investments in Cash Equivalents, 
(ii) Investments in a Subsidiary of the Company, (iii) Investments in any 
Person that as a consequence of such Investment becomes a Subsidiary of the 
Company, (iv) Investments existing on the date of this Indenture, (v) 
accounts receivable, advances, loans, extensions of credit created or 
acquired in the ordinary course of business, (vi) Investments made as a 
result of the receipt of Non-Cash Consideration from an Asset Sale that was 
made pursuant to Section 4.14, (vii) Investments made as the result of the 
guarantee by the Company or any of its Subsidiaries of Indebtedness of a 
Person or Persons other than the Company or any Subsidiary of the Company 
that is secured by Liens on assets sold or otherwise disposed of by the 
Company or such Subsidiary to such Person or Persons, provided that such 
Indebtedness was in existence prior to the contemplation of such sale or 
other disposition and that the terms of such guarantee permit the Company or 
such Subsidiary to foreclose on the pledged or mortgaged assets if the 
Company or such Subsidiary is required to perform under such guarantee, and 
(viii) Investments in any Related Business.

                                     15

<PAGE>


    "RESTRICTED SECURITY" means a Security, unless or until it has been (i) 
effectively registered under the Securities Act and disposed of in accordance 
with the registration statement covering it or (ii) distributed to the public 
pursuant to Rule 144 (or any similar provision then in force) under the 
Securities Act; PROVIDED, that in no case shall an Exchange Security issued 
in accordance with this Indenture and the terms and provisions of the 
Registration Rights Agreement be a Restricted Security.

    "S&P"  means Standard & Poor's, a division of The McGraw Hill Companies, 
and its successors.

    "SEC" means the Securities and Exchange Commission.

    "SECURITIES" means, collectively, the Initial Securities and, when and if 
issued as provided in the Registration Rights Agreement, the Exchange 
Securities.

    "SECURITIES ACT" means the Securities Act of 1933, as amended, and the 
rules and regulations of the SEC promulgated thereunder.

    "SECURITIES CUSTODIAN" means the Trustee, as custodian with respect to 
the Securities in global form, or any successor entity thereto.

    "SECURITYHOLDER" or "HOLDER" means the Person in whose name a Security is 
registered on the Registrar's books.

    "SENIOR DEBT" of the Company or any Guarantor means Indebtedness 
(including any monetary obligation in respect of the Credit Agreement, and 
interest, whether or not allowable, accruing on Indebtedness incurred 
pursuant to the Credit Agreement after the filing of a petition initiating 
any proceeding under any bankruptcy, insolvency or similar law) of the 
Company or such Guarantor arising under the Credit Agreement unless, by the 
terms of the instrument creating or evidencing such indebtedness, it is 
expressly designated not to be senior in right of payment to the Securities 
or the applicable Guarantee; PROVIDED that in no event shall Senior Debt 
include (i) Indebtedness to any Subsidiary of the Company or any officer, 
director or employee of the Company or any Subsidiary of the Company, (ii) 
Indebtedness incurred in violation of the terms of this Indenture, (iii) 
Indebtedness to trade creditors, (iv) Redeemable Stock and (v) any liability 
for taxes owed or owing by the Company or such Guarantor.  

    "SENIOR REVOLVING DEBT" means revolving credit loans and letters of 
credit outstanding from time to time under the Credit Agreement.

    "SIGNIFICANT SUBSIDIARY" means any Subsidiary that would be a 
"significant subsidiary" as defined in Article 1, Rule 1-02 or Regulation 
S-X, promulgated pursuant to the Act, as such Regulation is in effect on the 
date of this Indenture.

                                  16

<PAGE>


    "SPECIAL RECORD DATE" for payment of any Defaulted Interest means a date 
fixed by the Trustee pursuant to Section 2.12.

    "STOCKHOLDERS' EQUITY" means, with respect to any Person as of any date, 
the stockholders' equity of such Person determined in accordance with GAAP as 
of the date of the most recent available internal financial statements of 
such Person, and calculated on a pro forma basis to give effect to any 
acquisition or disposition by such person consummated or to be consummated 
since the date of such financial statements and on or prior to the date of 
such calculation.

    "SUBORDINATED INDEBTEDNESS" means Indebtedness of the Company or a 
Guarantor that is subordinated in right of payment to the Securities or such 
Subsidiary's Guarantee of the Securities, as applicable.

    "SUBSIDIARY" means, with respect to any Person, (i) any corporation, 
association or other business entity of which more than 50% of the total 
voting power of shares of Capital Stock entitled (without regard to the 
occurrence of any contingency) to vote in the election of directors, managers 
or trustees thereof is at the time owned or controlled, directly or 
indirectly, by such Person or one or more of the other Subsidiaries of such 
Person (or a combination thereof) and (ii) any partnership (a) the sole 
general partner or the managing general partner of which is such Person or a 
Subsidiary of such Person or (b) the only general partners of which are such 
Person or of one or more Subsidiaries of such Person (or any combination 
thereof).

    "SUN SYSTEMS, INC." means Sun Systems, Inc., a Delaware corporation, in 
which the Company expects to have the right to acquire a majority of the 
outstanding Equity Interests.

    "TIA" means the Trust Indenture Act of 1939, as amended, (15 U.S. Code 
Sections 77aaa-77bbbb) as in effect on the date of the execution of this 
Indenture, except as provided in Section 9.3.

    "TRANSFER RESTRICTED SECURITIES" means Securities that bear or are 
required to bear the legend set forth in Section 2.6.

    "TRUSTEE" means the party named as such in this Indenture until a 
successor replaces it in accordance with the provisions of this Indenture and 
thereafter means such successor.

    "TRUST OFFICER" means any officer within the corporate trust division (or 
any successor group) of the Trustee or any other officer of the Trustee 
customarily performing functions similar to those performed by the Persons 
who at that time shall be such officers, and also means, with respect to a 
particular corporate trust matter, any other officer of the Trustee to whom 
such trust matter is referred because of his knowledge of and familiarity 
with the particular subject.

    "U.K. CREDIT AGREEMENTS" means (i) that certain Facility Agreement, dated 
as of August 30, 1996, between Ashbourne plc, Ashbourne Homes (Developments) 
Limited, Ashbourne Homes plc, Larstrike Limited, Sedbury Park Limited 
(collectively, the "Ashbourne Group"), The 

                                  17

<PAGE>

Governor and Company of the Bank of Scotland, and the other banks and 
financial institutions that are parties thereto, providing for L25,000,000 in 
aggregate principal amount of revolving credit; (ii) that certain Facility 
Agreement, dated as of August 30, 1996, between the Ashbourne Group, Midland 
Bank plc, and the other banks and financial institutions that are parties 
thereto, providing for L25,000,000 in aggregate principal amount of revolving 
credit and (iii) that certain Credit Facility Agreement with Lloyds Bank plc 
in the aggregate principal amount of up to L14.0 million, including in (i), 
(ii) and (iii) above, any related notes, collateral documents, instruments 
and agreements executed in connection therewith, and in each case as amended, 
increased, modified, extended, renewed, refunded, replaced or refinanced, in 
whole or in part, from time to time. 

    "U.S. GOVERNMENT OBLIGATIONS" means direct non-callable obligations of, 
or noncallable obligations guaranteed by, the United States of America for 
the payment of which obligation or guarantee the full faith and credit of the 
United States of America is pledged.

    "WEIGHTED AVERAGE LIFE TO MATURITY" means, when applied to any 
Indebtedness at any date, the number of years obtained by dividing (i) the 
sum of the products obtained by multiplying (a) the amount of each then 
remaining installment, sinking fund, serial maturity, or other required 
payments of principal, including payment at final maturity, in respect 
thereof, by (b) the number of years (calculated to the nearest one twelfth) 
that will elapse between such date and the making of such payment, by (ii) 
the then outstanding principal amount of such Indebtedness.

    "WHOLLY OWNED SUBSIDIARY" of any Person means a Subsidiary of such Person 
all of the outstanding Capital Stock or other ownership interests of which 
(other than directors' qualifying shares) shall at the time be owned by such 
Person or by one or more Wholly Owned Subsidiaries of such Person or by such 
Person and one or more Wholly Owned Subsidiaries of such Person.

    SECTION 2. INCORPORATION BY REFERENCE OF TIA.

    Whenever this Indenture refers to a provision of the TIA, such provision 
is incorporated by reference in and made a part of this Indenture. The 
following TIA terms used in this Indenture have the following meanings:

    "COMMISSION" means the SEC.

    "INDENTURE SECURITIES" means the Securities.

    "INDENTURE SECURITYHOLDER" means a Holder or a Securityholder.

    "INDENTURE TO BE QUALIFIED" means this Indenture.

    "INDENTURE TRUSTEE" or "INSTITUTIONAL TRUSTEE" means the Trustee.

                                   18

<PAGE>


    "OBLIGOR" on the indenture securities means the Company, each Guarantor 
and any other obligor on the Securities.

    All other TIA terms used in this Indenture that are defined by the TIA, 
defined by TIA reference to another statute or defined by SEC rule and not 
otherwise defined herein have the meanings assigned to them thereby.

    SECTION 3. RULES OF CONSTRUCTION.

    Unless the context otherwise requires:

    (1)  a term has the meaning assigned to it;

    (2)  an accounting term not otherwise defined has the meaning assigned to 
it in accordance with GAAP;

    (3)  "or" is not exclusive;

    (4)  words in the singular include the plural, and words in the plural 
include the singular;

    (5)  provisions apply to successive events and transactions;

    (6)  "herein," "hereof" and other words of similar import refer to this 
Indenture as a whole and not to any particular Article, Section or other 
subdivision; and

    (7)  references to Sections or Articles means reference to such Section 
or Article in this Indenture, unless stated otherwise.


                                  ARTICLE II

                                THE SECURITIES

    SECTION 1. FORM AND DATING.

    The Securities and the Trustee's certificate of authentication, in 
respect thereof, shall be substantially in the form of Exhibit A hereto, 
which Exhibit is part of this Indenture.  The Securities may have notations, 
legends or endorsements required by law, stock exchange rule or usage.  The 
Company shall approve the form of the Securities and any notation, legend or 
endorsement on them.  Any such notations, legends or endorsements not 
contained in the form of Security attached as Exhibit A hereto shall be 
delivered in writing to the Trustee.  Each Security shall be dated the date 
of its authentication.

                                  19

<PAGE>


    The terms and provisions contained in the forms of Securities shall 
constitute, and are hereby expressly made, a part of this Indenture and, to 
the extent applicable, the Company and the Trustee, by their execution and 
delivery of this Indenture, expressly agree to such terms and provisions and 
to be bound thereby. The Company's seal shall be impressed, affixed, printed 
or reproduced on the Securities and may be in facsimile.

    SECTION 2. EXECUTION AND AUTHENTICATION.

    Two Officers shall sign, or one Officer shall sign and one Officer shall 
attest to, the Security for the Company by manual or facsimile signature.  

    If an Officer whose signature is on a Security was an Officer at the time 
of such execution but no longer holds that office at the time the Trustee 
authenticates the Security, the Security shall be valid nevertheless and the 
Company shall nevertheless be bound by the terms of the Securities and this 
Indenture.

    A Security shall not be valid until an authorized signatory of the 
Trustee manually signs the certificate of authentication on the Security but 
such signature shall be conclusive evidence that the Security has been 
authenticated pursuant to the terms of this Indenture.

    The Trustee shall authenticate Initial Securities for original issue in 
the aggregate principal amount of up to $250,000,000 and shall authenticate 
Exchange Securities for original issue in the aggregate principal amount of 
up to $250,000,000, in each case upon a written order of the Company in the 
form of an Officers' Certificate; PROVIDED that such Exchange Securities 
shall be issuable only upon the valid surrender for cancellation of Initial 
Securities of a like aggregate principal amount in accordance with the 
Registration Rights Agreement. The Officers' Certificate shall specify the 
amount of Securities to be authenticated and the date on which the Securities 
are to be authenticated.  The aggregate principal amount of Securities 
outstanding at any time may not exceed $250,000,000, except as provided in 
Section 2.7. Upon the written order of the Company in the form of an 
Officers' Certificate, the Trustee shall authenticate Securities in 
substitution of Securities originally issued to reflect any name change of 
the Company.

    The Trustee may appoint an authenticating agent acceptable to the Company 
to authenticate Securities.  Unless otherwise provided in the appointment, an 
authenticating agent may authenticate Securities whenever the Trustee may do 
so. Each reference in this Indenture to authentication by the Trustee 
includes authentication by such agent.  An authenticating agent has the same 
rights as an Agent to deal with the Company, any Affiliate of the Company, or 
any of their respective Subsidiaries.

    Securities shall be issuable only in registered form without coupons in 
denominations of $1,000 and any integral multiples thereof.

                                   20



<PAGE>

         SECTION 3. REGISTRAR AND PAYING AGENT.

         The Company shall maintain an office or agency in the Borough of 
Manhattan, The City of New York, where Securities may be presented for 
registration of transfer or for exchange ("REGISTRAR"), and an office or 
agency where Securities may be presented for payment ("PAYING AGENT"), and 
where notices and demands to or upon the Company in respect of the Securities 
may be served.  The Company may act as Registrar or Paying Agent, except 
that, for the purposes of Articles III, VIII, XI, and Section 4.14 hereof and 
as otherwise specified in this Indenture, neither the Company nor any 
Affiliate of the Company shall act as Paying Agent.  The Registrar shall keep 
a register of the Securities and of their transfer and exchange.  The Company 
may have one or more co-Registrars and one or more additional Paying Agents.  
The term "Registrar" includes any co-registrar and the term "Paying Agent" 
includes any additional Paying Agent.  The Company hereby initially appoints 
the Trustee as Registrar and Paying Agent, and by its acknowledgement and 
acceptance on the signature page hereto, the Trustee hereby initially agrees 
so to act.

         The Company shall enter into an appropriate written agency agreement 
with any Agent (including the Paying Agent) not a party to this Indenture, 
which agreement shall implement the provisions of this Indenture that relate 
to such Agent, and shall furnish a copy of each such agreement to the 
Trustee.  The Company shall promptly notify the Trustee in writing of the 
name and address of any such Agent.  If the Company fails to maintain a 
Registrar or Paying Agent, the Trustee shall act as such.

         The Company initially appoints The Depository Trust Company ("DTC"), 
to act as Depositary with respect to the Global Securities.

         The Company initially appoints the Trustee to act as Securities 
Custodian with respect to the Global Securities.

         Upon the occurrence of an Event of Default described in Section 
6.1(viii) or (ix) hereof, the Trustee shall, or upon the occurrence of any 
other Event of Default by notice to the Company, the Registrar and the Paying 
Agent, the Trustee may assume the duties and obligations of the Registrar and 
the Paying Agent hereunder.

         SECTION 4. PAYING AGENT TO HOLD ASSETS IN TRUST.

         The Company shall require each Paying Agent other than the Trustee 
to agree in writing that each Paying Agent shall hold in trust for the 
benefit of Holders or the Trustee all assets held by the Paying Agent for the 
payment of principal of, premium, if any, or interest on, the Securities 
(whether such assets have been distributed to it by the Company or any other 
obligor on the Securities), and shall notify the Trustee in writing of any 
Default in making any such payment.  If either of the Company or a Subsidiary 
of the Company acts as Paying Agent, it shall segregate such assets and hold 
them as a separate trust fund for the benefit of the Holders or the Trustee.  
The Company at any time may require a Paying Agent to distribute all assets 
held by it to the Trustee and


                                      21
<PAGE>

account for any assets disbursed and the Trustee may at any time during the 
continuance of any payment Default or any Event of Default, upon written 
request to a Paying Agent, require such Paying Agent to distribute all assets 
held by it to the Trustee and to account for any assets distributed. Upon 
distribution to the Trustee of all assets that shall have been delivered by 
the Company to the Paying Agent, the Paying Agent (if other than the Company) 
shall have no further liability for such assets.

         SECTION 5. SECURITYHOLDER LISTS.

         The Trustee shall preserve in as current a form as is reasonably 
practicable the most recent list available to it of the names and addresses 
of Holders and shall otherwise comply with TIA Section 312(a).  If the 
Trustee or any Paying Agent is not the Registrar, the Company shall furnish 
to the Trustee on or before the third Business Day preceding each Interest 
Payment Date and at such other times as the Trustee or any such Paying Agent 
may request in writing a list in such form and as of such date as the Trustee 
or any such Paying Agent reasonably may require of the names and addresses of 
Holders and the Company shall otherwise comply with TIA Section 312(a).

         SECTION 6. TRANSFER AND EXCHANGE.

                    (a) TRANSFER AND EXCHANGE OF DEFINITIVE SECURITIES.  When 
Definitive Securities are presented to the Registrar with a request:

                    (x) to register the transfer of such Definitive 
Securities; or

                    (y) to exchange such Definitive Securities for an equal 
principal amount of Definitive Securities of other authorized denominations,

the Registrar shall register the transfer or make the exchange as requested 
if its reasonable requirements for such transaction are met; PROVIDED, 
HOWEVER, that the Definitive Securities surrendered for registration of 
transfer or exchange:

                    (i)  shall be duly endorsed or accompanied by a written 
    instrument of transfer in form reasonably satisfactory to the Company and 
    the Registrar, duly executed by the Holder thereof or his attorney duly 
    authorized in writing; and

                    (ii) in the case of Transfer Restricted Securities that 
    are Definitive Securities, shall be accompanied by the following additional 
    information and documents, as applicable:

                    (A)  if such Transfer Restricted Security is being delivered
         to the Registrar by a Holder for registration in the name of such
         Holder, without transfer, a certification from such Holder to that
         effect (in substantially the form set forth on the reverse of the
         Security); or


                                      22
<PAGE>

                    (B)  if such Transfer Restricted Security is being
          transferred to a "qualified institutional buyer" (within the meaning
          of Rule 144A promulgated under the Securities Act), that is aware that
          any sale of Securities to it will be made in reliance on Rule 144A
          under the Securities Act and that is acquiring such Transfer
          Restricted Security for its own account or for the account of another
          such "qualified institutional buyer," a certification from such Holder
          to that effect (in substantially the form set forth on the reverse of
          the Security); or

                    (C)  if such Transfer Restricted Security is being
          transferred pursuant to an exemption from registration in accordance
          with Rule 144, or outside the United States in an offshore transaction
          in compliance with Rule 904 under the Securities Act, or pursuant to
          an effective registration statement under the Securities Act, a
          certification from such Holder to that effect (in substantially the
          form set forth on the reverse of the Security); or

                    (D)  if such Transfer Restricted Security is being
          transferred in reliance on another exemption from the registration
          requirements of the Securities Act and with all applicable securities
          laws of the States of the United States, a certification from such
          Holder to that effect (in substantially the form set forth on the
          reverse of the Security) and an Opinion of Counsel reasonably
          acceptable to the Company and to the Registrar to the effect that such
          transfer is in compliance with the Securities Act.

                    (b) RESTRICTIONS ON TRANSFER OF A DEFINITIVE SECURITY FOR 
A BENEFICIAL INTEREST IN A GLOBAL SECURITY.  A Definitive Security may not 
be exchanged for a beneficial interest in a Global Security except upon 
satisfaction of the requirements set forth below.  Upon receipt by the 
Trustee of a Definitive Security, duly endorsed or accompanied by appropriate 
instruments of transfer, in form satisfactory to the Trustee, together with:

                    (i)  if such Definitive Security is a Transfer Restricted 
    Security, certification, substantially in the form set forth on the reverse 
    of the Security, that such Definitive Security is being transferred to a 
    "qualified institutional buyer" (as defined in Rule 144A under the 
    Securities Act) in accordance with Rule 144A under the Securities Act; and

                    (ii) whether or not such Definitive Security is a Transfer 
    Restricted Security, written instructions directing the Trustee to make, or 
    to direct the Securities Custodian to make, an endorsement on the Global 
    Security to reflect an increase in the aggregate principal amount of the 
    Securities represented by the Global Security,

then the Trustee shall cancel such Definitive Security and cause, or direct 
the Securities Custodian to cause, in accordance with the standing 
instructions and procedures existing between the Depositary and the 
Securities Custodian, the aggregate principal amount of Securities 
represented by the Global


                                      23
<PAGE>

Security to be increased accordingly.  If no Global Securities are then 
outstanding, the Company shall issue and the Trustee shall authenticate a new 
Global Security in the appropriate principal amount.

                    (c) TRANSFER AND EXCHANGE OF GLOBAL SECURITIES.  The 
transfer and exchange of Global Securities or beneficial interests therein 
shall be effected through the Depositary, in accordance with this Indenture 
(including applicable restrictions on transfer set forth herein, if any) and 
the procedures of the Depositary therefor.

                    (d) TRANSFER OF A BENEFICIAL INTEREST IN A GLOBAL 
SECURITY FOR A DEFINITIVE SECURITY.

                    (i) Any Person having a beneficial interest in a Global 
    Security may upon request exchange such beneficial interest for a 
    Definitive Security. Upon receipt by the Trustee of written instructions or 
    such other form of instructions as is customary for the Depositary, from the
    Depositary or its nominee on behalf of any Person having a beneficial 
    interest in a Global Security, and upon receipt by the Trustee of a written 
    instruction or such other form of instructions as is customary for the 
    Depositary or the Person designated by the Depositary as having such a 
    beneficial interest in a Transfer Restricted Security only, the following 
    additional information and documents (all of which may be submitted by 
    facsimile):

                    (A)  if such beneficial interest is being transferred to the
         Person designated by the Depositary as being the beneficial owner, a
         certification from the transferor that effect (in substantially the
         form set forth on the reverse of the Security); or

                    (B)  if such beneficial interest is being transferred to a
         "qualified institutional buyer" (within the meaning of Rule 144A
         promulgated under the Securities Act), that is aware that any sale of
         Securities to it will be made in reliance on Rule 144A under the
         Securities Act and that is acquiring such beneficial interest in the
         Transfer Restricted Security for its own account or the account of
         another such "qualified institutional buyer", a certification to that
         effect from the transferor (in substantially the form set forth on the
         reverse of the Security); or

                    (C)  if such beneficial interest is being transferred
         pursuant to an exemption from registration in accordance with Rule
         144, or outside the United States in an offshore transaction in
         compliance with Rule 904 under the Securities Act, or pursuant to an
         effective registration statement under the Securities Act, a
         certification from the transferor to that effect (in substantially the
         form set forth on the reverse of the Security); or 

                    (D)  if such beneficial interest is being transferred in
         reliance on another exemption from the registration requirements of
         the Securities Act and in accordance with all applicable securities
         laws of the States of the United States, a


                                      24
<PAGE>

         certification to that effect from the transferor (in substantially the 
         form set forth on the reverse of the Security) or an Opinion of Counsel
         from the transferee or transferor reasonably acceptable to the Company 
         and to the Registrar to the effect that such transfer is in compliance 
         with the Securities Act, 

    then the Trustee or the Securities Custodian, at the direction of the
    Trustee, will cause, in accordance with the standing instructions and
    procedures existing between the Depositary and the Securities Custodian,
    the aggregate principal amount of the Global Security to be reduced and,
    following such reduction, the Company will execute and, upon receipt of an
    authentication order in the form of an Officers' Certificate, the Trustee's
    authenticating agent will authenticate and deliver to the transferee a
    Definitive Security.

                    (ii) Definitive Securities issued in exchange for a 
    beneficial interest in a Global Security pursuant to this Section 2.6(d) 
    shall be registered in such names and in such authorized denominations as 
    the Depositary, pursuant to instructions from its direct or indirect 
    participants or otherwise, shall instruct the Trustee.  The Trustee shall 
    deliver such Definitive Securities to the persons in whose names such 
    Securities are so registered.

                    (e) RESTRICTIONS ON TRANSFER AND EXCHANGE OF GLOBAL 
SECURITIES.  Notwithstanding any other provisions of this Indenture (other 
than the provisions set forth in subsection (f) of this Section 2.6), a 
Global Security may not be transferred as a whole except by the Depositary to 
a nominee of the Depositary or by a nominee of the Depositary to the 
Depositary or another nominee of the Depositary or by the Depositary or any 
such nominee to a successor Depositary or a nominee of such successor 
Depositary.

                    (f) AUTHENTICATION OF DEFINITIVE SECURITIES IN ABSENCE OF 
DEPOSITARY.  If at any time:

                    (i)  the Depositary for the Securities notifies the 
    Company that the Depositary is unwilling or unable to continue as Depositary
    for the Global Securities and a successor Depositary for the Global 
    Securities is not appointed by the Company within ninety days after delivery
    of such notice; or 

                    (ii) the Company, in its sole discretion, notifies the 
    Trustee in writing that it elects to cause the issuance of Definitive 
    Securities under this Indenture,

then the Company will execute, and the Trustee, upon receipt of an Officers' 
Certificate requesting the authentication and delivery of Definitive 
Securities, will, or its authenticating agent will, authenticate and deliver 
Definitive Securities, in an aggregate principal amount equal to the 
principal amount of the Global Securities, in exchange for such Global 
Securities.


                                      25
<PAGE>

                    (g) LEGENDS.

                    (i) Except as permitted by the following paragraph (ii), 
    each Security certificate evidencing the Global Securities and the 
    Definitive Securities (and all Securities issued in exchange therefor or 
    substitution thereof) shall bear a legend in substantially the following 
    form:

              "THIS NOTE (OR ITS PREDECESSOR) HAS NOT BEEN REGISTERED UNDER THE
         U.S. SECURITIES ACT OF 1933, AS AMENDED (THE "SECURITIES ACT") AND,
         ACCORDINGLY, MAY NOT BE OFFERED, SOLD, PLEDGED OR OTHERWISE
         TRANSFERRED WITHIN THE UNITED STATES OR TO, OR FOR THE ACCOUNT OR
         BENEFIT OF, U.S. PERSONS, EXCEPT AS SET FORTH IN THE FOLLOWING
         SENTENCE.  BY ITS ACQUISITION HEREOF OR OF A BENEFICIAL INTEREST
         HEREIN, THE HOLDER (1) REPRESENTS THAT (A) IT IS A "QUALIFIED
         INSTITUTIONAL BUYER" (AS DEFINED IN RULE 144A UNDER THE SECURITIES
         ACT)(A "QIB"), OR (B) IT IS NOT A U.S. PERSON, IS NOT ACQUIRING THIS
         NOTE FOR THE ACCOUNT OR BENEFIT OF A U.S. PERSON AND IS ACQUIRING THIS
         NOTE IN AN OFFSHORE TRANSACTION IN COMPLIANCE WITH REGULATION S UNDER
         THE SECURITIES ACT), (2) AGREES THAT IT WILL NOT, WITHIN THE TIME
         PERIOD REFERRED TO UNDER RULE 144(k) (TAKING INTO ACCOUNT THE
         PROVISIONS OF RULE 144(d) UNDER THE SECURITIES ACT, IF APPLICABLE)
         UNDER THE SECURITIES ACT AS IN EFFECT ON THE DATE OF THE TRANSFER OF
         THIS NOTE, RESELL OR OTHERWISE TRANSFER THIS NOTE EXCEPT (A) TO THE
         COMPANY OR ANY SUBSIDIARY THEREOF, (B) TO A PERSON WHOM THE HOLDER
         REASONABLY BELIEVES IS A QIB PURCHASING FOR ITS OWN ACCOUNT OR FOR THE
         ACCOUNT OF A QIB IN COMPLIANCE WITH RULE 144A UNDER THE SECURITIES
         ACT, (C) OUTSIDE THE UNITED STATES IN AN OFFSHORE TRANSACTION IN
         COMPLIANCE WITH RULE 904 UNDER THE SECURITIES ACT, (D) PURSUANT TO THE
         EXEMPTION FROM REGISTRATION PROVIDED BY RULE 144 UNDER THE SECURITIES
         ACT (IF AVAILABLE), OR (E) PURSUANT TO AN EFFECTIVE REGISTRATION
         STATEMENT UNDER THE SECURITIES ACT AND, IN EACH CASE, IN ACCORDANCE
         WITH THE APPLICABLE STATE SECURITIES LAWS OR (F) IN ACCORDANCE WITH
         ANOTHER EXEMPTION FROM THE REGISTRATION REQUIREMENTS OF THE SECURITIES
         ACT (AND BASED UPON AN OPINION OF COUNSEL ACCEPTABLE TO THE COMPANY)
         AND, IN EACH CASE, IN ACCORDANCE WITH APPLICABLE STATE SECURITIES LAWS
         AND (3) AGREES THAT IT WILL DELIVER TO EACH PERSON TO WHOM THIS NOTE
         OR AN INTEREST HEREIN IS TRANSFERRED A NOTICE SUBSTANTIALLY TO THE
         EFFECT OF THIS LEGEND.  AS USED HEREIN, THE TERMS "OFFSHORE
         TRANSACTION", "UNITED STATES" AND "U.S.


                                      26
<PAGE>

         PERSON" HAVE THE MEANINGS GIVEN TO THEM BY RULE 902 OF REGULATION S 
         UNDER THE SECURITIES ACT. THE INDENTURE CONTAINS A PROVISION REQUIRING
         THE TRUSTEE TO REFUSE TO REGISTER ANY TRANSFER OF THIS NOTE IN 
         VIOLATION OF THE FOREGOING  RESTRICTIONS."

                    (ii) Upon any sale or transfer of a Transfer Restricted 
    Security (including any Transfer Restricted Security represented by a Global
    Security) pursuant to Rule 144 under the Act or an effective registration 
    statement under the Act:

                    (A)  in the case of any Transfer Restricted Security that is
         a Definitive Security, the Registrar shall permit the Holder thereof
         to exchange such Transfer Restricted Security for a Definitive
         Security that does not bear the legend set forth above and rescind any
         restriction on the transfer of such Transfer Restricted Security; and

                    (B)  any such Transfer Restricted Security represented by a
         Global Security shall not be subject to the provisions set forth in
         (i) above (such sales or transfers being subject only to the
         provisions of Section 2.6(c) hereof; PROVIDED, HOWEVER, that with
         respect to any request for an exchange of a Transfer Restricted
         Security that is represented by a Global Security for a Definitive
         Security that does not bear a legend, which request is made in
         reliance upon Rule 144, the Holder thereof shall certify in writing to
         the Registrar that such request is being made pursuant to Rule 144
         (such certification to be substantially in the form set forth on the
         reverse of the Security).

                    (h) CANCELLATION AND/OR ADJUSTMENT OF GLOBAL SECURITY.  
At such time as all beneficial interests in a Global Security have either 
been exchanged for Definitive Securities, redeemed, repurchased or cancelled, 
such Global Security shall be returned to or retained and cancelled by the 
Trustee.  At any time prior to such cancellation, if any beneficial interest 
in a Global Security is exchanged for Definitive Securities, redeemed, 
repurchased or cancelled, the principal amount of Securities represented by 
such Global Security shall be reduced and an endorsement shall be made on 
such Global Security, by the Trustee or the Securities Custodian, at the 
direction of the Trustee, to reflect such reduction.

                    (i) OBLIGATIONS WITH RESPECT TO TRANSFERS AND EXCHANGES 
OF DEFINITIVE SECURITIES.

                    (i) To permit registrations of transfers and exchanges, 
    the Company shall execute and the Trustee or any authenticating agent of the
    Trustee shall authenticate Definitive Securities and Global Securities at 
    the Registrar's request.


                                      27

<PAGE>

                    (ii) No service charge shall be made to a Holder for any 
     registration of transfer or exchange, but the Company may require 
     payment of a sum sufficient to cover any transfer tax, assessments, or 
     similar governmental charge payable in connection therewith (other than 
     any such transfer taxes, assessments, or similar governmental charge 
     payable upon exchanges or transfers pursuant to Section 2.2 (fourth 
     paragraph), 2.10, 3.7, 2.14 (subparagraph 8), 9.5, or 11.1 hereof.

                    (iii) The Registrar shall not be required to register 
     the transfer of or exchange of (a) any Definitive Security selected for 
     redemption in whole or in part pursuant to Article III, except the 
     unredeemed portion of any Definitive Security being redeemed in part, or 
     (b) any Security for a period beginning 15 Business Days before the 
     mailing of a notice of an offer to repurchase pursuant to Article XI or 
     Section 4.14 hereof or redemption of Securities pursuant to Article III 
     hereof and ending at the close of business on the day of such mailing.

                    (iv) The Trustee shall have no obligation or duty to 
     monitor, determine or inquire as to compliance with any restrictions on 
     transfer imposed under this Indenture or under applicable law with 
     respect to any transfer of any interest in any Security (including any 
     transfers between or among Depositary participants or beneficial owners 
     of interests in any Global Security) other than to require delivery of 
     such certificates and other documentation or evidence as are expressly 
     required by, and to do so if and when expressly required by the terms 
     of, this Indenture, and to examine the same to determine substantial 
     compliance as to form with the express requirements thereof.

          SECTION 7.  REPLACEMENT SECURITIES. 

          If a mutilated Security is surrendered to the Trustee or if the 
Holder of a Security claims and submits an affidavit or other evidence, 
satisfactory to the Trustee, to the Trustee to the effect that the Security 
has been lost, destroyed or wrongfully taken, the Company shall issue and the 
Trustee shall authenticate a replacement Security if the Trustee's 
requirements are met.  If required by the Trustee or the Company, such Holder 
must provide an indemnity bond or other indemnity, sufficient in the judgment 
of both the Company and the Trustee, to protect the Company, the Trustee or 
any Agent from any loss which any of them may suffer if a Security is 
replaced.  In the case of any lost Security that will become due and payable 
within 30 days, the Company can choose to pay such Security rather than 
replacing such Security.  The Company may charge such Holder for its 
reasonable, out-of-pocket expenses in replacing a Security.

          Every replacement Security is an additional obligation of the 
Company.

          SECTION 8.  OUTSTANDING SECURITIES.


                                       28

<PAGE>

          Securities outstanding at any time are all the Securities that have 
been authenticated by the Trustee (including any Security represented by a 
Global Security)  except those cancelled by it, those delivered to it for 
cancellation, those reductions in the interest in a Global Security effected 
by the Trustee hereunder and those described in this Section 2.8 as not 
outstanding.  A Security does not cease to be outstanding because the Company 
or an Affiliate of the Company holds the Security, except as provided in 
Section 2.9 hereof.

          If a Security is replaced pursuant to Section 2.7 hereof (other 
than a mutilated Security surrendered for replacement), it ceases to be 
outstanding unless the Trustee receives proof satisfactory to it that the 
replaced Security is held by a BONA FIDE purchaser.  A mutilated Security 
ceases to be outstanding upon surrender of such Security and replacement 
thereof pursuant to Section 2.7 hereof.

          If on a Redemption Date or the Maturity Date the Paying Agent 
(other than the Company or an Affiliate of the Company) holds cash sufficient 
to pay all of the principal and interest and premium, if any, due on the 
Securities payable on that date and payment of the Securities called for 
redemption is not otherwise prohibited, then on and after that date such 
Securities cease to be outstanding and interest on them ceases to accrue.

          SECTION 9.  TREASURY SECURITIES. 

          In determining whether the Holders of the required principal amount 
of Securities have concurred in any direction, amendment, supplement, waiver 
or consent, Securities owned by the Company or Affiliates of the Company 
shall be disregarded, except that, for the purposes of determining whether 
the Trustee shall be protected in relying on any such direction, amendment, 
supplement, waiver or consent, only Securities that a Trust Officer of the 
Trustee knows are so owned shall be disregarded.

          SECTION 10.  TEMPORARY SECURITIES.

          Until Definitive Securities are ready for delivery, the Company may 
prepare and the Trustee shall authenticate temporary Securities.  Temporary 
Securities shall be substantially in the form of Definitive Securities but 
may have variations that the Company reasonably and in good faith consider 
appropriate for temporary Securities.  Without unreasonable delay, the 
Company shall prepare and the Trustee shall, upon receipt of a written order 
of the Company in the form of an Officers' Certificate, authenticate 
Definitive Securities in exchange for temporary Securities.  Until so 
exchanged, the temporary Securities shall in all respects be entitled to the 
same benefits under this Indenture as permanent Securities authenticated and 
delivered hereunder.


                                       29

<PAGE>

          SECTION 11.  CANCELLATION.

          The Company at any time may deliver Securities to the Trustee for 
cancellation.  The Registrar and the Paying Agent shall forward to the 
Trustee any Securities surrendered to them for registration, transfer, 
exchange or payment.  The Trustee, or at the direction of the Trustee, the 
Registrar or the Paying Agent (other than the Company or an Affiliate of the 
Company), and no one else, shall cancel and, at the written direction of the 
Company, shall dispose of all Securities surrendered for transfer, exchange, 
payment or cancellation. Subject to Section 2.7 hereof, the Company may not 
issue new Securities to replace Securities that have been paid or delivered 
to the Trustee for cancellation.  No Securities shall be authenticated in 
lieu of or in exchange for any Securities cancelled as provided in this 
Section 2.11 hereof, except as expressly permitted in the form of Securities 
and as permitted by this Indenture.

          SECTION 12.  DEFAULTED INTEREST.

          Interest on any Security which is payable, and is punctually paid 
or duly provided for, on any Interest Payment Date shall be paid to the 
person in whose name that Security (or one or more predecessor Securities) is 
registered at the close of business on the Record Date for such interest.

          Any interest on any Security which is payable, but is not 
punctually paid or duly provided for, on any Interest Payment Date plus any 
interest payable on the defaulted interest at the rate and in the manner 
provided in Section 4.1 hereof and the Security (herein called "DEFAULTED 
INTEREST"), shall forthwith cease to be payable to the registered holder on 
the relevant Record Date, or, as applicable, the Special Record Date (as 
defined below), and such Defaulted Interest may be paid by the Company, at 
its election in each case, as provided in clause (1) or (2) below:

                    (1)  The Company may elect to make payment of any 
     Defaulted Interest to the persons in whose names the Securities (or 
     their respective predecessor Securities) are registered at the close of 
     business on a Special Record Date for the payment of such Defaulted 
     Interest, which shall be fixed in the following manner.  The Company 
     shall notify the Trustee and the Paying Agent in writing of the amount 
     of Defaulted Interest proposed to be paid on each Security and the date 
     of the proposed payment, and at the same time the Company shall deposit 
     with the Paying Agent an amount of cash equal to the aggregate amount 
     proposed to be paid in respect of such Defaulted Interest or shall make 
     arrangements satisfactory to the Paying Agent for such deposit prior to 
     the date of the proposed payment, such cash when deposited to be held in 
     trust for the benefit of the persons entitled to such Defaulted Interest 
     as provided in this clause (1).  Thereupon the Paying Agent shall fix a 
     special record date for the payment of such Defaulted Interest (a 
     "SPECIAL RECORD DATE"), which shall be not more than 15 days, and not 
     less than 10 days prior to the date of the proposed payment and not less 
     than 10 days after the receipt by the Paying Agent of the notice of the 
     proposed payment.  The Paying Agent Trustee shall promptly notify the 
     Company and the Trustee of such Special Record Date and, in the name and 
     at the expense of the Company, shall cause notice of the proposed 
     payment of such Defaulted Interest and the Special Record Date 


                                       30

<PAGE>

     therefor to be mailed, first-class postage prepaid, to each Holder at 
     his address as it appears in the Security register not less than 10 days 
     prior to such Special Record Date.  Notice of the proposed payment of 
     such Defaulted Interest and the Special Record Date therefor having been 
     mailed as aforesaid, such Defaulted Interest shall be paid to the 
     persons in whose names the Securities (or their respective predecessor 
     Securities) are registered on such Special Record Date and shall no 
     longer be payable pursuant to the following clause (2).

                    (2) The Company may make payment of any Defaulted 
     Interest in any other lawful manner not inconsistent with the 
     requirements of any securities exchange on which the Securities may be 
     listed, and upon such notice as may be required by such exchange, if, 
     after notice given by the Company to the Trustee and the Paying Agent of 
     the proposed payment pursuant to this clause, such manner shall be 
     deemed practicable by the Trustee and the Paying Agent.

          Subject to the foregoing provisions of this Section, each Security 
delivered under this Indenture upon the registration of transfer of or in 
exchange for or in lieu of any other Security shall carry the rights to 
interest accrued and unpaid, and to accrue, which were carried by such other 
Security.

          SECTION 13.  CUSIP NUMBERS.

          The Company in issuing the Securities may use "CUSIP" numbers (if 
then generally in use), and, if so, the Trustee shall use "CUSIP" numbers in 
notices of redemption as a convenience to Holders; PROVIDED that any such 
notice may state that no representation is made as to the correctness of such 
numbers either as printed on the Securities or as contained in any notice of 
a redemption and that reliance may be placed only on the other identification 
numbers printed on the Securities, and any such redemption shall not be 
affected by any defect in or omission of such numbers.  The Company will 
promptly notify the Trustee of any change in the "CUSIP" numbers.

          SECTION 14.  OFFER TO PURCHASE BY APPLICATION OF EXCESS PROCEEDS.

          In the event that the Company shall commence an Asset Sale Offer 
pursuant to Section 4.14 hereof, it shall follow the procedures specified 
below.

          No later than 10 days following the date on which the aggregate 
amount of Excess Proceeds exceeds $25 million, the Company shall notify the 
Trustee of such Asset Sale Offer and provide the Trustee with an Officers' 
Certificate setting forth, in addition to the information to be included 
therein pursuant to Section 4.14 hereof, the calculations used in determining 
the amount of Net Proceeds to be applied to the purchase of Securities.  The 
Company shall commence or cause to be commenced such Asset Sale Offer on a 
date no later than 20 days after such notice (the "COMMENCEMENT DATE").


                                       31

<PAGE>

          The Asset Sale Offer shall remain open for at least 20 Business 
Days after the Commencement Date relating to such Asset Sale Offer and shall 
remain open for no more than such 20 Business Days, except to the extent 
required by applicable law (as so extended, the "OFFER PERIOD").  No later 
than three Business Days after the termination of the Offer Period (the 
"PURCHASE DATE"), the Company shall purchase the principal amount (the "OFFER 
AMOUNT") of Securities required to be purchased in such Asset Sale Offer 
pursuant to Section 4.14 hereof or, if less than the Offer Amount has been 
tendered, all Securities tendered in response to the Asset Sale Offer, in 
each case for an amount in cash equal to the Asset Sale Payment (as defined 
herein).

          If the Purchase Date is on or after an interest payment record date 
and on or before the related interest payment date, any accrued interest 
shall be paid to the Person in whose name a Security is registered at the 
close of business on such record date, and no additional interest shall be 
payable to Holders who tender Securities pursuant to the Asset Sale Offer.

          On the Commencement Date of any Asset Sale Offer, the Company shall 
send or shall cause to be sent by first class mail, a notice to each of the 
Holders at their last registered address, with a copy to the Trustee and the 
Paying Agent, offering to repurchase the Securities held by such Holder 
pursuant to the procedure specified in such notice.  Such notice, which shall 
govern the terms of the Asset Sale Offer, shall contain all instructions and 
materials necessary to enable the Holders to tender Securities pursuant to 
the Asset Sale Offer and shall state:

                         (1)  that the Asset Sale Offer is being made 
                    pursuant to this Section 2.14 and Section 4.14 
                    hereof and the length of time the Asset Sale 
                    Offer shall  remain open;

                         (2)  the Offer Amount, the Asset Sale 
                    Payment and the Purchase Date;

                         (3)  that any Security not tendered or 
                    accepted for payment shall continue to accrue 
                    interest;

                         (4)  that, unless the Company defaults in 
                    the payment of the Purchase Price, any Security 
                    accepted for payment pursuant to the Asset Sale 
                    Offer shall cease to accrue interest after the 
                    Purchase Date;

                         (5)  that Holders electing to have a 
                    Security purchased pursuant to any Asset Sale 
                    Offer shall be required to surrender the 
                    Security, with the form entitled "Option of 
                    Holder to Elect Purchase" on the reverse of the 
                    Security completed, to the Company, a depositary, 
                    if appointed by the Company, or a Paying Agent at 
                    the address specified in the notice prior to the 
                    close of 

                                       32

<PAGE>

                    business on the Business Day next preceding the 
                    Purchase Date;

                         (6)  that Holders shall be entitled to 
                    withdraw their election if the Company, 
                    depositary or Paying Agent, as the case may be, 
                    receives, not later than the close of business on 
                    the Business Day next preceding the termination 
                    of the Offer Period, a facsimile transmission or 
                    letter setting forth the name of the Holder, the 
                    principal amount of the Security the Holder 
                    delivered for purchase and a statement that such 
                    Holder is withdrawing his election to have such 
                    Security purchased;

                         (7)  that, if the aggregate principal amount 
                    of Securities surrendered by Holders exceeds the 
                    Offer Amount, the Trustee shall select the 
                    Securities to be purchased on a PRO RATA basis 
                    (with such adjustments as may be deemed 
                    appropriate by the Trustee so that only 
                    Securities in denominations of $1,000, or 
                    integral multiples thereof, shall be purchased); 
                    and

                         (8)  that Holders whose Securities were 
                    purchased only in part shall be issued new 
                    Securities equal in principal amount to the 
                    unpurchased portion of the Securities surrendered.

          On the Purchase Date, the Company shall, to the extent lawful, (i) 
accept for payment, on a PRO RATA basis to the extent necessary, an aggregate 
principal amount equal to the Offer Amount of Securities and other 
Indebtedness ranking on a parity with the Securities whose provisions require 
the Company to make an offer to purchase or redeem such Indebtedness with 
proceeds from any asset sales tendered pursuant to the Asset Sale Offer, or 
if less than the Offer Amount has been tendered, all Securities and other 
Indebtedness or portions thereof so tendered, (ii) deposit with the Paying 
Agent an amount equal to the Purchase Price in respect of all Securities and 
other Indebtedness or portions thereof so tendered but which does not exceed 
the Offer Amount and (iii) deliver or cause to be delivered to the Trustee 
the Securities and other Indebtedness so accepted together with an Officers' 
Certificate stating the aggregate principal amount of Securities and other 
Indebtedness or portions thereof being purchased by the Company.  The Paying 
Agent shall promptly mail to each Holder of Securities so tendered payment in 
an amount equal to the Purchase Price for such Securities and the Trustee 
shall promptly authenticate and mail (or cause to be transferred by book 
entry) a new Security to such Holder equal in principal amount to any 
unpurchased portion of the Securities surrendered, if any; PROVIDED that each 
such new Security shall be in a principal amount of 

                                       33

<PAGE>

$1,000 or an integral multiple thereof.  The Company shall publicly announce 
the results of the Asset Sale Offer on or as soon as practicable after the 
Purchase Date.

          The Company shall comply with the requirements of Rule 14e-1 under 
the Exchange Act and any other securities laws and regulations thereunder to 
the extent such laws and regulations are applicable in connection with the 
purchase of Securities and other Indebtedness as a result of the Asset Sale 
Offer.  To the extent the provisions of any such rule conflict with the 
provisions of this Indenture relating to an Asset Sale Offer, the Company 
shall comply with the provisions of such rule and be deemed not to have 
breached its obligations relating to the Asset Sale Offer by virtue thereof.

                                  ARTICLE III
                                  REDEMPTION

          SECTION 1.  RIGHT OF REDEMPTION.

          Redemption of Securities, as permitted by the provisions of this 
Indenture, shall be made in accordance with such provisions and this Article 
III.  The Company will not have the right to redeem any Securities prior to 
July 1, 2002.  On or after July 1, 2002, the Company will have the right to 
redeem all or any part of the Securities pursuant to paragraph 5 thereof, in 
each case (subject to the right of Holders of record on a Record Date to 
receive interest due on an Interest Payment Date that is on or prior to such 
Redemption Date, and subject to the provisions set forth in Section 3.5), 
including accrued and unpaid interest and Liquidated Damages, if any, thereon 
to the Redemption Date. 

          Except as provided in this paragraph and paragraph 5 of the 
Securities, the Securities may not otherwise be redeemed at the option of the 
Company.

          SECTION 2.  NOTICES TO TRUSTEE.

          If the Company elects to redeem Securities pursuant to Paragraph 5 
of the Securities, it shall notify the Trustee and the Paying Agent in 
writing of the Redemption Date and the principal amount of Securities to be 
redeemed and whether it wants the Paying Agent to give notice of redemption 
to the Holders.

          If the Company elects to reduce the principal amount of Securities 
to be redeemed pursuant to Paragraph 5 of the Securities by crediting against 
any such redemption Securities it has not previously delivered to the Trustee 
and the Paying Agent for cancellation, it shall so notify the Trustee, in the 
form of an Officers' Certificate, and the Paying Agent of the amount of the 
reduction and deliver such Securities with such notice.


                                       34

<PAGE>

          The Company shall give each notice to the Trustee and the Paying 
Agent provided for in this Section 3.2 at least 40 days before the Redemption 
Date (unless a shorter notice shall be satisfactory to the Trustee and the 
Paying Agent).  Any such notice may be cancelled at any time prior to notice 
of such redemption being mailed to any Holder and shall thereby be void and 
of no effect.

          SECTION 3. SELECTION OF SECURITIES TO BE REDEEMED.

          If less than all of the Securities are to be redeemed pursuant to 
Paragraph 5 thereof, the Trustee shall select the Securities to be redeemed 
on a PRO RATA basis, by lot or by such other method as the Trustee shall 
determine to be appropriate and fair and in such manner as complies with any 
applicable Depositary, legal and stock exchange requirements.

          The Trustee shall make the selection from the Securities 
outstanding and not previously called for redemption and shall promptly 
notify the Company and the Paying Agent in writing of the Securities selected 
for redemption and, in the case of any Security selected for partial 
redemption, the principal amount thereof to be redeemed.  Securities in 
denominations of $1,000 may be redeemed only in whole.  The Trustee may 
select for redemption portions (equal to $1,000 or any integral multiple 
thereof) of the principal of Securities that have denominations larger than 
$1,000.  Provisions of this Indenture that apply to Securities called for 
redemption also apply to portions of Securities called for redemption.

          SECTION 4. NOTICE OF REDEMPTION.

          At least 30 days, but not more than 60 days prior to the Redemption 
Date, the Company shall mail a notice of redemption by first class mail, 
postage prepaid, to the Trustee, the Paying Agent and each Holder whose 
Securities are to be redeemed.  At the Company's request, the Paying Agent 
shall give the notice of redemption in the Company's name and at the 
Company's expense.  Each notice for redemption shall identify the Securities 
to be redeemed and shall state:

                     (1)  the Redemption Date;

                     (2)  the Redemption Price, including the amount of accrued
     and unpaid interest and Liquidated Damages, if any, to be paid upon such
     redemption;

                     (3)  the name and address of the Paying Agent;

                     (4)  that Securities called for redemption must be
     surrendered to the Paying Agent at the address specified in such notice to
     collect the Redemption Price;

                     (5)  that, unless (a) the Company defaults in its
     obligation to deposit with the Paying Agent cash which through the
     scheduled payment of principal and interest in respect thereof in
     accordance with their terms will provide the amount to fund the Redemption
     Price in accordance with Section 3.6 hereof or (b) such redemption payment
     is

                                       35
<PAGE>

     prohibited, interest on Securities called for redemption ceases to accrue
     on and after the Redemption Date and the only remaining right of the
     Holders of such Securities is to receive payment of the Redemption Price,
     including accrued and unpaid interest to the Redemption Date, upon
     surrender to the Paying Agent of the Securities called for redemption
     and to be redeemed;

                    (6)  if any Security is being redeemed in part, the portion
     of the principal amount, equal to $1,000 or any integral multiple thereof,
     of such Security to be redeemed and that, after the Redemption Date, and
     upon surrender of such Security, a new Security or Securities in aggregate
     principal amount equal to the unredeemed portion thereof will be issued;

                    (7)  if less than all the Securities are to be redeemed, the
     identification of the particular Securities (or portion thereof) to be
     redeemed, as well as the aggregate principal amount of such Securities to
     be redeemed and the aggregate principal amount of Securities to be
     outstanding after such partial redemption;

                    (8)  the CUSIP number of the Securities to be redeemed;
     and

                    (9)  that the notice is being sent pursuant to this Section
     3.4 and pursuant to the optional redemption provisions of Paragraph 5 of
     the Securities.

          SECTION 5. EFFECT OF NOTICE OF REDEMPTION.

          Once notice of redemption is mailed in accordance with Section 3.4 
hereof, Securities called for redemption become due and payable on the 
Redemption Date and at the Redemption Price, including accrued and unpaid 
interest to the Redemption Date.  Upon surrender to the Trustee or Paying 
Agent, such Securities called for redemption shall be paid at the Redemption 
Price, including interest, if any, accrued and unpaid to the Redemption Date; 
PROVIDED that if the Redemption Date is after a regular Record Date and on or 
prior to the Interest Payment Date, to which such Record Date relates, the 
accrued interest shall be payable to the Holder of the redeemed Securities 
registered on the relevant Record Date; and PROVIDED, FURTHER, that if a 
Redemption Date is a Legal Holiday, payment shall be made on the next 
succeeding Business Day and no interest shall accrue for the period from such 
Redemption Date to such succeeding Business Day.

          SECTION 6. DEPOSIT OF REDEMPTION PRICE.

          On or prior to the Redemption Date, the Company shall deposit with 
the Paying Agent (other than the Company or an Affiliate of the Company) cash 
sufficient to pay the Redemption Price of all Securities to be redeemed on 
such Redemption Date (other than Securities or portions thereof called for 
redemption on that date that have been delivered by the Company to the 
Trustee for cancellation).  The Paying Agent shall promptly return to the 
Company any cash so deposited which is not required for that purpose upon the 
written request of the Company.

                                       36

<PAGE>

          If the Company complies with the preceding paragraph and payment of 
the Securities called for redemption is not prohibited for any reason, 
interest on the Securities to be redeemed will cease to accrue on the 
applicable Redemption Date, whether or not such Securities are presented for 
payment. Notwithstanding anything herein to the contrary, if any Security 
surrendered for redemption in the manner provided in the Securities shall not 
be so paid upon surrender for redemption because of the failure of the 
Company to comply with the preceding paragraph, interest shall continue to 
accrue and be paid from the Redemption Date until such payment is made on the 
unpaid principal, and, to the extent lawful, on any interest not paid on such 
unpaid principal, in each case at the rate and in the manner provided in 
Section 4.1 hereof and the Security.

          SECTION 7. SECURITIES REDEEMED IN PART.

          Upon surrender of a Security that is to be redeemed in part, the 
Company shall execute and the Trustee shall authenticate and deliver to the 
Holder, without service charge to the Holder, a new Security or Securities 
equal in principal amount to the unredeemed portion of the Security 
surrendered.

                                    ARTICLE IV

                                    COVENANTS

          SECTION 1. PAYMENT OF SECURITIES.

          The Company shall pay the principal of and interest (and Liquidated 
Damages, if any) on the Securities on the dates and in the manner provided 
herein and in the Securities.  An installment of principal of or interest 
(and Liquidated Damages, if any) on the Securities shall be considered paid 
on the date it is due if the Trustee or Paying Agent (other than the Company 
or an Affiliate of the Company) holds for the benefit of the Holders, (on or 
before 10:00 a.m. New York City time to the extent necessary to provide the 
funds to the Depository in accordance with the Depository's procedures) on 
that date cash deposited and designated for and sufficient to pay the 
installment.

          The Company shall pay interest on overdue principal and on overdue 
installments of interest (and Liquidated Damages, if any) at the rate 
specified in the Securities compounded semi-annually, to the extent lawful.

          SECTION 2. MAINTENANCE OF OFFICE OR AGENCY.

          The Company and the Guarantors shall maintain in the Borough of 
Manhattan, The City of New York, an office or agency where Securities may be 
presented or surrendered for payment, where Securities may be surrendered for 
registration of transfer or exchange and where notices and demands to or upon 
the Company and the Guarantors in respect of the Securities and this 
Indenture may be served.  The Company and the Guarantors shall give prompt 
written notice to the Trustee and the Paying Agent of the location, and any 
change in the location, of such office or agency.  If at

                                       37
<PAGE>

any time the Company and the Guarantors shall fail to maintain any such 
required office or agency or shall fail to furnish the Trustee and the Paying 
Agent with the address thereof, such presentations, surrenders, notices and 
demands may be made or served at the address of the Trustee set forth in 
Section 14.2 hereof.

          The Company and the Guarantors may also from time to time designate 
one or more other offices or agencies where the Securities may be presented 
or surrendered for any or all such purposes and may from time to time rescind 
such designations; PROVIDED, HOWEVER, that no such designation or rescission 
shall in any manner relieve the Company and the Guarantors of their 
obligation to maintain an office or agency in the Borough of Manhattan, The 
City of New York, for such purposes.  The Company and the Guarantors shall 
give prompt written notice to the Trustee and the Paying Agent of any such 
designation or rescission and of any change in the location of any such other 
office or agency.  The Company and the Guarantors hereby initially designates 
the Corporate Trust Office of the Trustee as such office. 

          SECTION 3. LIMITATION ON RESTRICTED PAYMENTS.  

          The Company shall not, and shall not permit any of its Subsidiaries 
to, directly or indirectly: (i) declare or pay any dividend or make any 
distribution on account of the Equity Interests of the Company or any of its 
Subsidiaries (other than (x) dividends or distributions to the extent payable 
in Qualified Equity Interests of the Company, (y) dividends or distributions 
to the extent payable to the Company or any Subsidiary of the Company, and 
(z) dividends or distributions by any Wholly Owned Subsidiary of the 
Company); (ii) purchase, redeem or otherwise acquire or retire for value any 
Equity Interests of the Company, or any of its Subsidiaries; (iii) make any 
principal payment on, or purchase, redeem, defease or otherwise acquire or 
retire for value any Subordinated Indebtedness, except at the original final 
stated maturity date thereof; or (iv) make any Restricted Investment (all 
such payments and other actions set forth in clauses (i) through (iv) above 
being collectively referred to as "RESTRICTED PAYMENTS"), unless, at the time 
of and after giving effect to such Restricted Payment (the amount of any such 
Restricted Payment, if other than cash or Cash Equivalents, shall be the fair 
market value (as reasonably determined and evidenced by a resolution of the 
Board of Directors set forth in an Officers' Certificate delivered to the 
Trustee prior to the making of such Restricted Payment) of the asset(s) 
proposed to be transferred by the Company or such Subsidiary, as the case may 
be, pursuant to such Restricted Payment):

                     (a)  no Default or Event of Default shall have occurred and
          be continuing or would occur as a consequence thereof; and

                     (b)  the Company would, at the time of such Restricted
          Payment and after giving pro forma effect thereto as if such
          Restricted Payment had been made at the beginning of the Reference
          Period immediately preceding the date of such Restricted Payment, have
          been permitted to incur at least $1.00 of additional Indebtedness
          pursuant to the Fixed Charge Coverage Ratio test set forth in the
          first paragraph of Section 4.11; and

                                       38
<PAGE>

                     (c)  such Restricted Payment, together with the aggregate
          of all other Restricted Payments made by the Company and its
          Subsidiaries after March 31, 1997 (excluding Restricted Payments
          permitted by clauses (w), (x), (y) and (z) of the next succeeding
          paragraph), is less than the sum (without duplication) of (i) 50%
          of the Consolidated Net Income of the Company for the period
          (taken as one accounting period) from the beginning of the first
          fiscal quarter commencing after March 31, 1997 to the end of the
          Company's most recently ended fiscal quarter for which internal
          financial statements are available at the time of such Restricted
          Payment (or, if such Consolidated Net Income for such period
          is a deficit, less 100% of such deficit), plus
          (ii) 100% of the aggregate net cash proceeds received by the Company
          from the issue or sale (other than to a Subsidiary of the Company)
          since March 31, 1997 of (A) Qualified Equity Interests of the Company
          or (B) debt securities of the Company or any of its Subsidiaries that
          were issued after March 31, 1997 and have been converted into or
          exchanged for Qualified Equity Interests of the Company, plus (iii) to
          the extent that any Restricted Investment that was made after the
          Issue Date is sold for cash or otherwise liquidated or repaid for
          cash, the lesser of (A) the cash return to the Company and its
          Subsidiaries of capital with respect to such Restricted Investment
          (net of taxes and the cost of disposition, if any) or (B) the initial
          amount of such Restricted Investment.

          The immediately preceding paragraph will not prohibit the following 
Restricted Payments: (u) dividends or distributions paid by any Subsidiary of 
the Company to stockholders of such Subsidiary other than the Company or 
another Subsidiary of the Company, PROVIDED that such dividends and 
distributions are paid (1) on a PRO RATA basis to each stockholder of such 
Subsidiary or (2) in the case of payment by a Career Staff Company, in 
accordance with the partnership agreement thereof; (v) the payment of any 
dividend within 60 days after the date of declaration thereof, if at said 
date of declaration such payment would have otherwise complied with the 
provisions of this Indenture; (w) the payment of up to an aggregate of $8.0 
million to the extent required in connection with tenders for the outstanding 
6-1/2% Convertible Subordinated Debentures due 2003 pursuant to their terms 
as in effect on the date of this Indenture; (x) the redemption, repurchase, 
retirement or other acquisition of any Equity Interests of the Company issued 
after the date of this Indenture in exchange for, or out of the net cash 
proceeds of, the substantially concurrent sale (other than to a Subsidiary of 
the Company) of Qualified Equity Interests of the Company, PROVIDED that the 
amount of any such net cash proceeds that are utilized for any such 
redemption, repurchase, retirement or other acquisition shall be excluded 
from clause (c)(ii) of the preceding paragraph; (y) the defeasance, 
redemption or repurchase of Subordinated Indebtedness issued after the date 
of this Indenture with the net cash proceeds from an incurrence of Permitted 
Refinancing Indebtedness or in exchange for or out of the net cash proceeds 
from the substantially concurrent sale (other than to a Subsidiary of the 
Company) of Qualified Equity Interests of the Company, PROVIDED that the 
amount of any such net cash proceeds that are utilized for any such 
redemption, repurchase, retirement or other acquisition shall be excluded 
from clause (c)(ii) of the preceding paragraph; and (z) any purchase or 
defeasance of Subordinated Indebtedness to the extent required upon a change 
of control (as defined therein) by the indenture or other agreement or 
instrument pursuant to which such Subordinated

                                       39
<PAGE>


Indebtedness was issued, but only if the Company has complied 
with its obligations under the provisions of Section 11.1 hereof; PROVIDED 
that in the case of each of clauses (u), (v), (w), (x), (y) and (z) of this 
paragraph no Default or Event of Default shall have occurred or be continuing 
at the time of such Restricted Payment or would occur as a consequence 
thereof.

          Not later than the date of making any Restricted Payment, the 
Company shall deliver to the Trustee an Officers' Certificate stating that 
such Restricted Payment is permitted and setting forth the basis upon which 
the calculations required by this Section 4.3 were computed.

          SECTION 4. CORPORATE AND PARTNERSHIP EXISTENCE.

          Subject to Article V, the Company and the Guarantors shall do or 
cause to be done all things necessary to preserve and keep in full force and 
effect their respective corporate or partnership existence, as the case may 
be, and the corporate or partnership existence, as the case may be, of each 
of their Subsidiaries in accordance with the respective organizational 
documents of each of them and the rights (charter and statutory) and 
corporate franchises of the Company, the Guarantors and each of their 
respective Subsidiaries; PROVIDED, HOWEVER, that neither the Company nor any 
Guarantor shall be required to preserve, with respect to themselves, any 
right or franchise, and with respect to any of their respective Subsidiaries, 
any such existence, right or franchise, if (a) the Company shall determine 
that the preservation thereof is no longer desirable in the conduct of the 
business of the Company and (b) the loss thereof is not adverse in any 
material respect to the Holders.

          SECTION 5. PAYMENT OF TAXES AND OTHER CLAIMS.

          Except with respect to immaterial items, the Company and the 
Guarantors shall, and shall cause each of their Subsidiaries to, pay or 
discharge or cause to be paid or discharged, before the same shall become 
delinquent, (i) all taxes, assessments and governmental charges (including 
withholding taxes and any penalties, interest and additions to taxes) levied 
or imposed upon the Company, any Guarantor or any of their Subsidiaries or 
any of their respective properties and assets and (ii) all lawful claims, 
whether for labor, materials, supplies, services or anything else, which have 
become due and payable and which by law have or may become a Lien upon the 
property and assets of the Company, any Guarantor or any of their 
Subsidiaries; PROVIDED, HOWEVER, that neither the Company nor any Guarantor 
shall be required to pay or discharge or cause to be paid or discharged any 
such tax, assessment, charge or claim whose amount, applicability or validity 
is being contested in good faith by appropriate proceedings and for which 
disputed amounts adequate reserves have been established in accordance with 
GAAP.

          SECTION 6. MAINTENANCE OF PROPERTIES AND INSURANCE.

          The Company and the Guarantors shall cause all material properties, 
in the good faith opinion of the Company, used or useful to the conduct of 
their business and the business of each of their Subsidiaries to be 
maintained and kept in good condition, repair and working order (reasonable 
wear and tear excepted) and supplied with all necessary equipment and shall 
cause to be made all

                                       40
<PAGE>

necessary repairs, renewals, replacements, betterments 
and improvements thereof, all as in their reasonable judgment may be 
necessary, so that the business carried on in connection therewith may be 
properly conducted at all times; PROVIDED, HOWEVER, that nothing in this 
Section 4.6 shall prevent the Company or any Guarantor from discontinuing any 
operation or maintenance of any of such properties, or disposing of any of 
them, if such discontinuance or disposal is (a), in the judgment of the Board 
of Directors of the Company, desirable in the conduct of the business of the 
Company and (b) not adverse in any material respect to the Holders.

          The Company and the Guarantors shall provide, or cause to be 
provided, for themselves and each of their Subsidiaries, insurance (including 
appropriate self-insurance) against loss or damage of the kinds that, in the 
reasonable, good faith opinion of the Company is adequate and appropriate for 
the conduct of the business of the Company, the Guarantors and such 
Subsidiaries in a prudent manner, with (except for self-insurance) reputable 
insurers or with the government of the United States of America or an agency 
or instrumentality thereof, in such amounts, with such deductibles, and by 
such methods as shall be customary, in the reasonable, good faith opinion of 
the Company and adequate and appropriate for the conduct of the business of 
the Company, the Guarantors and such Subsidiaries in a prudent manner for 
entities similarly situated in the industry, unless the Company determines 
that failure to provide such insurance (together with all other such 
failures) would not have a material adverse effect on the financial condition 
or results of operations of the Company, such Guarantors or such Subsidiary.

          SECTION 7. COMPLIANCE CERTIFICATE; NOTICE OF DEFAULT.

                                (a) The Company shall deliver to the Trustee 
within 120 days after the end of its fiscal year an Officers' Certificate, 
one of the signers of which shall be the principal executive, principal 
financial or principal accounting officer of the Company, complying with 
Section 314(a)(4) of the TIA and stating that a review of its activities and 
the activities of its Subsidiaries, if any, during the preceding fiscal year 
has been made under the supervision of the signing Officers with a view to 
determining whether the Company has kept, observed, performed and fulfilled 
its obligations under this Indenture (without regard to notice requirements 
or grace periods) and further stating, as to each such Officer signing such 
certificate, whether or not the signer knows of any failure by the Company, 
any Guarantor or any Subsidiary of the Company to comply with any conditions 
or covenants in this Indenture and, if such signer does know of such a 
failure to comply, the certificate shall describe such failure with 
particularity.  The Officers' Certificate shall also notify the Trustee 
should the relevant fiscal year end on any date other than the current fiscal 
year end date.

                                (b) The Company shall, so long as any of the 
Securities are outstanding, deliver to the Trustee, promptly upon becoming 
aware of any Default or Event of Default, an Officers' Certificate specifying 
such Default or Event of Default and what action the Company is taking or 
proposes to take with respect thereto.  The Trustee shall not be deemed to 
have knowledge of any Default, any Event of Default or any such fact unless 
one of its Trust Officers receives written notice thereof from the Company or 
any of the Holders.


                                       41
<PAGE>

          SECTION 8.  REPORTS.

          Whether or not the Company is required by the rules and regulations 
of the Commission, so long as any Securities are outstanding, the Company 
will furnish to the Trustee and all Holders, within 15 days after it is or 
would have been required to file such with the Commission, all quarterly and 
annual financial information that would be required to be contained in a 
filing with the Commission on Forms 10-Q and 10-K if the Company were 
required to file such Forms, including a "Management's Discussion and 
Analysis of Financial Condition and Results of Operations" and, with respect 
to the annual information only, a report thereon by the Company's certified 
independent accountants.  In addition, whether or not required by the rules 
and regulations of the Commission but only to the extent permitted thereby, 
the Company will file a copy of all such information and reports with the 
Commission for public availability and make such information available to 
securities analysts and prospective investors upon request.  Notwithstanding 
anything contrary herein the Trustee shall have no duty to review such 
documents for purposes of determining compliance with any provisions of this 
Indenture.

          SECTION 9.  LIMITATION ON STATUS AS INVESTMENT COMPANY.

          The Company and the Guarantors shall not and shall not permit any 
of their Subsidiaries to become an "investment company" (as that term is 
defined in the Investment Company Act of 1940, as amended), or otherwise 
become subject to regulation under the Investment Company Act.

          SECTION 10.  LIMITATION ON TRANSACTIONS WITH AFFILIATES.

          The Company shall not, and shall not permit any of its Subsidiaries 
to sell, lease, transfer or otherwise dispose of any of its properties or 
assets to, or purchase any property or assets from, or enter into or make any 
contract, agreement, understanding, loan, advance or guarantee with, or for 
the benefit of, any Affiliate (each of the foregoing, an "AFFILIATE 
TRANSACTION"), or any series of related Affiliate Transactions, unless (i) 
such Affiliate Transaction is on terms that are no less favorable to the 
Company or the relevant Subsidiary than those that could have been obtained 
in a comparable transaction by the Company or such Subsidiary with an 
unrelated Person and (ii) the Company delivers to the Trustee (a) with 
respect to an Affiliate Transaction, or any series of related Affiliate 
Transactions, involving aggregate consideration in excess of $2.5 million, a 
resolution of the Board of Directors set forth in an Officers' Certificate 
certifying that such Affiliate Transaction complies with clause (i) above and 
that such Affiliate Transaction has been approved by a majority of the 
disinterested members of the Board of Directors and (b) with respect to an 
Affiliate Transaction, or any series of related Affiliate Transactions, 
involving aggregate consideration in excess of $5 million, an opinion as to 
the fairness to the Company or such Subsidiary of such Affiliate Transaction 
from a financial point of view issued by an investment banking firm of 
national standing; PROVIDED that the following shall not be deemed to be 
Affiliate Transactions: (w) transactions or payments pursuant to any 
employment arrangements, director or officer indemnification agreements or 
employee or director benefit plans entered into by the Company or any of its 
Subsidiaries in the ordinary course of business of the Company or such 
Subsidiary, (x) transactions between or among 


                                       42

<PAGE>

the Company and/or any of its Subsidiaries, (y) any transaction or series of 
related transactions pursuant to terms entered into prior to the date of this 
Indenture and (z) Restricted Payments by the Company which are permitted by 
Section 4.3 and are made on a PRO RATA basis to each stockholder of the 
Company.

          SECTION 11.  LIMITATION ON INCURRENCE OF ADDITIONAL INDEBTEDNESS AND 
ISSUANCE OF PREFERRED STOCK.

          The Company shall not, and shall not permit any of its Subsidiaries 
to, directly or indirectly, create, incur, issue, assume, guarantee or 
otherwise become directly or indirectly liable, contingently or otherwise, 
with respect to (individually and collectively, "INCUR") after the date of 
this Indenture any Indebtedness (including Acquired Debt), and the Company 
will not permit any of its Subsidiaries to issue any shares of Preferred 
Stock; PROVIDED that the Company and its Subsidiaries may incur Indebtedness 
(including Acquired Debt) if (a) no Default or Event of Default shall have 
occurred and be continuing at the time of, or would occur after giving effect 
on a pro forma basis to, such incurrence of Indebtedness and (b) the Fixed 
Charge Coverage Ratio for the Reference Period immediately preceding the date 
on which such additional Indebtedness is incurred would have been at least 
2.0 to 1 for incurrences on or prior to June 30, 1998, 2.25 to 1 for 
incurrences after June 30, 1998 and on or prior to June 30, 1999 and 2.5 to 1 
thereafter, in each case determined on a pro forma basis (including a pro 
forma application of the net proceeds therefrom), as if the additional 
Indebtedness had been incurred at the beginning of such Reference Period.  
Indebtedness consisting of reimbursement obligations in respect of a letter 
of credit will be deemed to be incurred when the letter of credit is first 
issued.

          The foregoing paragraph will not prevent:

          (i)  the incurrence by the Company or any of its Subsidiaries (other
     than the Foreign Companies) of Senior Revolving Debt pursuant to the Credit
     Agreement in an aggregate principal amount at any time outstanding (with
     letters of credit being deemed to have a principal amount equal to the
     maximum potential reimbursement obligation of the Company or any such
     Subsidiary with respect thereto) not to exceed an amount equal to $550
     million, less the aggregate amount of all Net Proceeds of Asset Sales
     applied to permanently reduce the commitments with respect to such
     Indebtedness pursuant to Section 4.14 hereof after the Issue Date;

          (ii) the incurrence by the Foreign Companies of Senior Revolving Debt
     pursuant to the U.K. Credit Agreements in an aggregate principal amount at
     any time outstanding (with letters of credit being deemed to have a
     principal amount equal to the maximum potential reimbursement obligation of
     the Foreign Companies with respect thereto) not to exceed an amount equal
     to L75 million (or the equivalent amount thereof, at the time of
     incurrence, in other foreign currencies), less the aggregate amount of all
     Net Proceeds of Assets Sales applied to permanently reduce the commitments
     with respect to such Indebtedness pursuant to Section 4.14 hereof after the
     Issue Date;


                                       43

<PAGE>

          (iii)  the incurrence by the Company and the Guarantors of 
     Indebtedness represented by the Securities;

          (iv)   the incurrence by the Company or any of its Subsidiaries of
     Permitted Refinancing Indebtedness in exchange for, or the net proceeds of
     which are used to extend, refinance, renew, replace, defease or refund,
     Indebtedness that was permitted by this Indenture to be incurred
     (including, without limitation, Existing Indebtedness);

          (v)    the incurrence by the Company or any of its Subsidiaries of
     intercompany Indebtedness between or among the Company and/or any
     Subsidiaries; PROVIDED that in the case of such Indebtedness of the Company
     or the Guarantors, such obligations shall be unsecured and subordinated in
     all respects to the Company's and the Guarantors' obligations pursuant to
     the Securities and the Guarantees;

          (vi)   the incurrence by the Company or any of its Subsidiaries of
     Hedging Obligations that are incurred for the purpose of fixing or hedging
     interest rate or currency risk with respect to any fixed or floating rate
     Indebtedness that is permitted by this Indenture to be outstanding or any
     receivable or liability the payment of which is determined by reference to
     a foreign currency; PROVIDED that the notional principal amount of any such
     Hedging Obligation does not exceed the principal amount of the Indebtedness
     or the amount of such receivable or liability to which such Hedging
     Obligation relates;

          (vii)  the incurrence by the Company or any of its Subsidiaries of
     Indebtedness represented by performance bonds, warranty or contractual
     service obligations, standby letters of credit or appeal bonds, in each
     case to the extent incurred in the ordinary course of business of the
     Company or such Subsidiary in accordance with customary industry practices,
     in amounts and for the purposes customary in the Company's industry; and

          (viii) the incurrence by the Company or any of the Guarantors or
     the Foreign Companies of Indebtedness (in addition to Indebtedness
     permitted by any other clause of this paragraph) in an aggregate principal
     amount at any time outstanding (including any Indebtedness issued to
     refinance, replace or refund such Indebtedness) not to exceed $50 million
     (or the equivalent amount thereof, at the time of incurrence, in other
     foreign currencies).

          For purposes of determining any particular amount of Indebtedness 
under this covenant and so as to avoid duplication, guarantees, Liens or 
obligations with respect to letters of credit supporting Indebtedness 
otherwise included in the determination of such particular amount shall not 
be included. For purposes of determining compliance with this covenant, (i) 
in the event that an item of Indebtedness meets the criteria of more than one 
of the types of Indebtedness permitted by the second paragraph of this 
covenant, the Company, such Guarantor or such Subsidiary shall classify such 
item of Indebtedness and only be required to include the amount and type of 
such Indebtedness in one of the categories of permitted Indebtedness 
described above and (ii) the 


                                       44

<PAGE>

outstanding principal amount on any date of any Indebtedness issued with 
original issue discount is the face amount of such Indebtedness less the 
remaining unamortized portion of the original issue discount of such 
Indebtedness on such date.

          SECTION 12.  LIMITATIONS ON DIVIDENDS AND OTHER PAYMENT RESTRICTIONS 
AFFECTING SUBSIDIARIES.

          The Company shall not, and shall not permit any of its Subsidiaries 
to, directly or indirectly, create or otherwise cause or suffer to exist or 
become effective any consensual encumbrance or restriction on the ability of 
any Subsidiary to (i)(a) pay dividends or make any other distributions to the 
Company or any of its Subsidiaries (1) on its Capital Stock or (2) with 
respect to any other interest or participation in, or measured by, its 
profits, or (b) pay any Indebtedness owed to the Company or any of its 
Subsidiaries, (ii) make loans or advances to or on behalf of the Company or 
any of its Subsidiaries or (iii) transfer any of its properties or assets to 
or on behalf of the Company or any of its Subsidiaries, except for such 
encumbrances or restrictions existing under or by reason of (a) Existing 
Indebtedness as in effect on the date of this Indenture, (b) this Indenture, 
(c) applicable law, (d) any instrument governing Indebtedness or Capital 
Stock of a Person acquired by the Company or any of its Subsidiaries as in 
effect at the time of such acquisition (except to the extent incurred in 
connection with or in contemplation of such acquisition or in violation of 
Section 4.11, which encumbrance or restriction is not applicable to any 
Person, or the properties or assets of any Person, other than the Person, or 
the property or assets of the Person, so acquired, (e) customary 
non-assignment provisions in leases entered into in the ordinary course of 
business, (f) purchase money obligations for property acquired in the 
ordinary course of business that impose restrictions of the nature described 
in clause (iii) above solely on the property so acquired, (g) Permitted 
Refinancing Indebtedness, PROVIDED that the restrictions contained in the 
agreements governing such Permitted Refinancing Indebtedness are no more 
restrictive than those contained in and do not apply to any other assets or 
person than was covered by the agreements governing the Indebtedness being 
refinanced, or (h) the Credit Agreement, the U.K. Credit Agreements and 
future Foreign Company credit agreements, including related documentation as 
the same is in effect on the date of this Indenture and as amended or 
replaced from time to time, PROVIDED that no such future Foreign Company 
credit agreement and no such amendment or replacement is more restrictive as 
to the matters enumerated above than the Credit Agreement, the U.K. Credit 
Agreements (in the case of amendments or replacements thereof) and related 
documentation as in effect on the date of this Indenture.  Nothing contained 
in this Section 4.12 shall prevent the Company or any Subsidiary of the 
Company from creating, incurring, assuming or suffering to exist any 
Permitted Liens or entering into agreements in connection therewith that 
impose restrictions on the transfer or disposition of the property or assets 
subject to such Permitted Liens.

          SECTION 13.  LIMITATIONS ON LAYERING INDEBTEDNESS; REDEEMABLE STOCK; 
LIENS SECURING INDEBTEDNESS.

          The Company shall not, and shall not permit any of its Subsidiaries 
to, directly or indirectly, create, incur, assume or suffer to exist (a) any 
(i) Redeemable Stock, or (ii) Indebtedness that 


                                       45

<PAGE>

is subordinate in right of payment to any other Indebtedness of the Company 
or a Guarantor (other than Existing Indebtedness and Indebtedness incurred in 
compliance with clause (v) of Section 4.11) unless, by its terms, such 
Redeemable Stock or Indebtedness (A) has an original final stated maturity 
subsequent to the Maturity Date and a Weighted Average Life to Maturity 
longer than that of the Securities and (B) is subordinate in right of payment 
to, or ranks PARI PASSU with, the Securities or the Guarantee, as applicable, 
or (b) any Lien (except Permitted Liens) on any asset now owned or hereafter 
acquired, or on any income or profits therefrom or assign or convey any right 
to receive income therefrom securing any Indebtedness of the Company or any 
of its Subsidiaries unless all payments due under this Indenture, the 
Securities and the Guarantees (as applicable) are secured on an equal and 
ratable basis with the Obligations so secured (or, if the Obligations so 
secured constitute Subordinated Indebtedness, on a senior basis) until such 
time as such Obligations are no longer secured by a Lien.

          SECTION 14.  LIMITATION ON SALES OF ASSETS AND SUBSIDIARY STOCK.

          The Company shall not, and shall not permit any of its Subsidiaries 
to, in one or a series of related transactions, consummate an Asset Sale 
unless (i) the Company (or the Subsidiary, as the case may be) receives 
consideration at the time of such Asset Sale at least equal to the fair 
market value (as reasonably determined and evidenced by a resolution of the 
Board of Directors set forth in an Officers' Certificate delivered to the 
Trustee) of the assets or Equity Interests issued or sold or otherwise 
disposed of and (ii) at least 80% of the consideration therefor received by 
the Company or such Subsidiary is in the form of cash or Cash Equivalents, 
PROVIDED that for purposes of this provision, (x) the amount of (A) any 
liabilities (as shown on the most recent balance sheet of the Company or such 
Subsidiary or in the notes thereto) of the Company or such Subsidiary that 
are assumed by the transferee of any such assets (other than liabilities that 
are by their terms PARI PASSU with or subordinated to the Securities or the 
guarantee of the Guarantors, as applicable) and (B) any securities or other 
obligations received by the Company or any such Subsidiary from such 
transferee that are immediately converted by the Company or such Subsidiary 
into cash or Cash Equivalents (or as to which the Company or such Subsidiary 
has received at or prior to the consummation of the Asset Sale a commitment 
(which may be subject to customary conditions) from a nationally recognized 
investment, merchant or commercial bank to convert into cash or Cash 
Equivalents within 90 days of the consummation of such Asset Sale and which 
are thereafter actually converted into cash or Cash Equivalents within such 
90-day period) will be deemed to be cash or Cash Equivalents (and shall be 
deemed to be Net Proceeds for purposes of the following provisions as and 
when reduced to cash or Cash Equivalents) to the extent of the net cash or 
Cash Equivalents realized thereon and (y) the fair market value of any 
Non-Cash Consideration received by the Company or a Subsidiary in any 
Non-Qualified Asset Sale shall be deemed to be cash to the extent that the 
aggregate fair market value (as reasonably determined and evidenced by a 
resolution of the Board of Directors set forth in an Officers' Certificate 
delivered to the Trustee) of all Non-Cash Consideration (measured at the time 
received and without giving effect to any subsequent changes in value) 
received by the Company or any of its Subsidiaries since the date of this 
Indenture in all Non-Qualified Asset Sales does not exceed 5% of 
Stockholders' Equity as of the date of such consummation. Notwithstanding the 
foregoing, to the extent the Company or any of its Subsidiaries receives 
Non-Cash Consideration 


                                       46

<PAGE>

as proceeds of an Asset Sale, such Non-Cash Consideration shall be deemed to 
be Net Proceeds for purposes of (and shall be applied in accordance with) the 
following provisions when the Company or such Subsidiary receives cash or 
Cash Equivalents from a sale, repayment, exchange, redemption or retirement 
of or extraordinary dividend or return of capital on such Non-Cash 
Consideration.

          Within 365 days after the receipt of any Net Proceeds from an Asset 
Sale, the Company or such Subsidiary may apply such Net Proceeds (i) to 
purchase one or more Nursing Facilities or Related Businesses and/or a 
controlling interest in the Capital Stock of a Person owning one or more 
Nursing Facilities and/or one or more Related Businesses (and no other 
material assets), (ii) to make a capital expenditure or to acquire other 
tangible assets, in each case, that are used or useful in any business in 
which the Company is permitted to be engaged pursuant to Section 4.17 hereof 
or (iii) to permanently reduce Senior Debt (including, in the case of Senior 
Revolving Debt, to correspondingly reduce commitments with respect thereto).  
Pending the final application of any such Net Proceeds, the Company or such 
Subsidiary may temporarily reduce Senior Revolving Debt.  Any Net Proceeds 
from Asset Sales that are not applied or invested as provided in the first 
sentence of this paragraph will be deemed to constitute "Excess Proceeds." 
When the aggregate amount of Excess Proceeds exceeds $25 million, the Company 
shall make an offer to all Holders and holders of any other Indebtedness of 
the Company ranking senior to or on a parity with the Securities from time to 
time outstanding with similar provisions requiring the Company to make an 
offer to purchase or to redeem such Indebtedness with the proceeds from any 
Asset Sales, pro rata in proportion to the respective principal amounts of 
Securities and such other Indebtedness then outstanding (collectively, an 
"ASSET SALE OFFER") to purchase the maximum principal amount of the 
Securities and such other Indebtedness that may be purchased out of the 
Excess Proceeds, at an offer price in cash equal to 100% of the principal 
amount thereof plus accrued and unpaid interest thereon and Liquidated 
Damages, if any, to the date of purchase (the "ASSET SALE PAYMENT"), in 
accordance with the procedures set forth in Section 2.14.  To the extent that 
the aggregate amount of Securities and such other Indebtedness tendered 
pursuant to an Asset Sale Offer is less than the Excess Proceeds, the Company 
may use any remaining Excess Proceeds for general corporate purposes not 
prohibited at the time under this Indenture.  If the aggregate principal 
amount of Securities and such other Indebtedness surrendered by holders 
thereof exceeds the amount of Excess Proceeds, the Securities and such other 
Indebtedness will be purchased on a pro rata basis.  Upon completion of an 
Asset Sale Offer, the amount of Excess Proceeds shall be reset at zero.

          SECTION 15.  WAIVER OF STAY, EXTENSION OR USURY LAWS.

          Each of the Company and the Guarantors covenants (to the extent 
that it may lawfully do so) that it will not at any time insist upon, plead, 
or in any manner whatsoever claim or take the benefit or advantage of, any 
stay or extension law or any usury law or other law which would prohibit or 
forgive the Company or any Guarantor from paying all or any portion of the 
principal of, premium of, or interest on the Securities as contemplated 
herein, wherever enacted, now or at any time hereafter in force, or which may 
affect the covenants or the performance of this Indenture; and (to the extent 
that it may lawfully do so) each of the Company and the Guarantors hereby 
expressly waives all benefit or advantage of any such law, and covenants that 
it will not hinder, delay or impede the 


                                       47

<PAGE>

execution of any power herein granted to the Trustee, but will suffer and 
permit the execution of every such power as though no such law had been 
enacted.

          SECTION 16.  RULE 144A INFORMATION REQUIREMENT.

          The Company shall furnish to the Holders of the Securities, 
securities analysts, and prospective purchasers of Securities designated by 
the Holders of Transfer Restricted Securities, upon their request, the 
information required to be delivered pursuant to Rule 144A(d)(4) under the 
Securities Act until such time as either the Company has concluded an offer 
to exchange the Exchange Securities for the Initial Securities or a 
registration statement relating to resales of the Securities has become 
effective under the Securities Act.  The Company shall also furnish such 
information during the pendency of any suspension of effectiveness of such 
resale registration statement.

          SECTION 17.  LIMITATIONS ON LINES OF BUSINESS.

          The Company shall not, and shall not permit any of its Subsidiaries 
to, engage to any material extent in any business other than the ownership, 
operation and management of Nursing Facilities and Related Businesses.


                                    ARTICLE V

                              SUCCESSOR CORPORATION


          SECTION 1.  LIMITATION ON MERGER, SALE OR CONSOLIDATION.

          The Company shall not consolidate or merge with or into (whether or 
not the Company is the surviving corporation), or, directly or indirectly, 
sell, assign, transfer, lease, convey or otherwise dispose of all or 
substantially all of its properties or assets in one or more related 
transactions, to another Person or group of affiliated Persons or adopt a 
Plan of Liquidation unless (i) the Company is the surviving corporation or 
the entity or the Person formed by or surviving any such consolidation or 
merger (if other than the Company) or to which such sale, assignment, 
transfer, lease, conveyance or other disposition shall have been made or (in 
the case of a Plan of Liquidation) the Person which receives the greatest 
value from the Plan of Liquidation is a corporation organized or existing 
under the laws of the United States, any state thereof or the District of 
Columbia; (ii) the entity or Person formed by or surviving any such 
consolidation or merger (if other than the Company) or the entity or Person 
to which such sale, assignment, transfer, conveyance or other disposition 
shall have been made or (in the case of a Plan of Liquidation) the Person 
which receives the greatest value from the Plan of Liquidation assumes all 
the obligations of the Company under the Securities and this Indenture 
pursuant to a supplemental Indenture in form reasonably satisfactory to the 
Trustee; (iii) immediately after giving effect to such transaction on a pro 
forma basis, no Default or Event of Default exists; and (iv) the Company or 
the entity or Person formed by or surviving any such consolidation or merger 
(if other than the Company), or to which such sale, assignment, transfer, 
lease, conveyance or other disposition shall have been made or (in the case 
of a Plan of Liquidation)


                                       48

<PAGE>

the Person which receives the greatest value from the Plan of Liquidation (A) 
will have Consolidated Net Worth immediately after the transaction equal to 
or greater than the Consolidated Net Worth of the Company immediately 
preceding the transaction and (B) will, at the time of such transaction and 
after giving pro forma effect thereto as if such transaction had occurred at 
the beginning of the Reference Period, be permitted to incur at least $1.00 
of additional Indebtedness pursuant to the Fixed Charge Coverage Ratio test 
set forth in the first paragraph of Section 4.11.

          Upon any consolidation or merger or any such sale, assignment, 
transfer, conveyance or other disposition (but not lease) or consummation of 
a Plan of Liquidation in accordance with the foregoing, the successor 
corporation formed by such consolidation or into which the Company is merged 
or to which such transfer is made or, in the case or a Plan of Liquidation, 
the entity which receives the greatest value from such Plan of Liquidation 
shall succeed to, and be substituted for, and may exercise every right and 
power of, the Company under this Indenture with the same effect as if such 
successor corporation had been named therein as the Company, and the Company 
shall be released from the obligations under the Securities and this 
Indenture except with respect to any obligations that arise from, or are 
related to, such transaction.

          For purposes of the foregoing, the transfer (by lease, assignment, 
sale or otherwise) of all or substantially all of the properties and assets 
of one or more Subsidiaries, the Company's interest in which constitutes all 
or substantially all of the properties and assets of the Company, shall be 
deemed to be the transfer of all or substantially all of the properties and 
assets of the Company.


                                       49

<PAGE>

          SECTION 2. SUCCESSOR CORPORATION SUBSTITUTED.

          Upon any consolidation or merger or any transfer of all or
substantially all of the assets of the Company in accordance with Section 5.1
hereof, the successor corporation formed by such consolidation or into which the
Company is merged or to which such transfer is made, shall succeed to, and be
substituted for, and may exercise every right and power of, the Company under
this Indenture with the same effect as if such successor corporation had been
named herein as the Company, and when a successor corporation duly assumes all
of the obligations of the Company pursuant hereto and pursuant to the
Securities, the Company shall be released from such obligations (except with
respect to any obligations that arise from, or are related to, such
transaction).


                                   ARTICLE VI

                         EVENTS OF DEFAULT AND REMEDIES

          SECTION 1. EVENTS OF DEFAULT.

          "EVENT OF DEFAULT," wherever used herein, means any one of the
following events (whatever the reason for such Event of Default and whether it
shall be caused voluntarily or involuntarily or effected, without limitation, by
operation of law or pursuant to any judgment, decree or order of any court or
any order, rule or regulation of any administrative or governmental body):

               (i) failure by the Company to pay any installment of interest 
         upon the Securities as and when the same becomes due and payable, 
         and the continuance of any such failure for a period of 30 days 
         (whether or not such payment is prohibited by Article XII or 
         otherwise); 

               (ii) failure by the Company to pay all or any part of the 
         principal of or premium, if any, on the Securities when and as the 
         same becomes due and payable at maturity, upon redemption, by 
         acceleration, or otherwise, including, without limitation, default 
         in the payment of the Change of Control Payment in accordance with 
         Article XI or the Asset Sale Payment in accordance with Section 
         4.14 or otherwise;
         
               (iii) failure by the Company or any Guarantor for 30 days after 
         written notice to comply with the provisions of Section 4.3 or 4.11 
         hereof;
         
               (iv) failure by the Company or any Guarantor to observe or 
         perform any other covenant or agreement contained in the Securities 
         or this Indenture (other than as specifically dealt with in 
         paragraph (i), (ii) or (iii) of this Section 6.1) and the 
         continuance of such failure for a period of 60 days after written 
         notice is given to the Company by the Trustee or to the Company and 
         the Trustee by the Holders of at least 25% in aggregate 

                                      50

<PAGE>

         principal amount of the Securities outstanding, specifying such 
         default or breach, requiring it to be remedied and stating that 
         such notice is a "Notice of Default" hereunder;
         
               (v) any default occurs under any mortgage, indenture or 
         instrument under which there may be issued or by which there may be 
         secured or evidenced any Indebtedness for money borrowed by the 
         Company or any of its Subsidiaries (or the payment of which is 
         guaranteed by the Company or any of its Subsidiaries), whether such 
         Indebtedness or guarantee exists on the date of this Indenture or 
         is thereafter created, which default (a) constitutes a Payment 
         Default or (b) results in the acceleration of such Indebtedness 
         prior to its final stated maturity and, in each case, the principal 
         amount of any Indebtedness, together with the principal amount of 
         any other such Indebtedness under which there has been a Payment 
         Default or that has been so accelerated, aggregates in excess of 
         $20 million; 

               (vi) final unsatisfied judgments not covered by insurance for 
         the payment of money, or the issuance of any warrant of attachment 
         against any portion of the property or assets of the Company or any 
         of its Subsidiaries, aggregating in excess of $20 million, at any 
         one time shall be rendered against the Company or any of its 
         Subsidiaries and not be stayed, bonded or discharged for a period 
         (during which execution shall not be effectively stayed) of 60 days 
         (or, in the case of any such final judgment which provides for 
         payment over time, which shall so remain unstayed, unbonded or 
         undischarged beyond any applicable payment date provided therein); 
         
               (vii) any Guarantee by a Guarantor which is a Significant 
         Subsidiary shall cease for any reason not permitted by this 
         Indenture to be in full force and effect, or any such Guarantor, or 
         any person acting on behalf of any such Guarantor, shall deny or 
         disaffirm its obligations under its Guarantee; 
         
               (viii) a decree, judgment, or order by a court of competent 
         jurisdiction shall have been entered adjudicating the Company or 
         any of its Significant Subsidiaries as bankrupt or insolvent, or 
         approving as properly filed a petition seeking reorganization of 
         the Company or any of its Significant Subsidiaries under any 
         bankruptcy or similar law, and such decree or order shall have 
         continued undischarged and unstayed for a period of 60 days, 
         PROVIDED, HOWEVER, that if the entry of such order or decree is 
         appealed and dismissed on appeal then the Event of Default 
         hereunder by reason of the entry of such judgment or decree shall 
         be deemed to have been cured; or a decree, judgment or order of a 
         court of competent jurisdiction appointing a receiver, liquidator, 
         trustee, or assignee in bankruptcy or insolvency for the Company, 
         any of its Significant Subsidiaries, or any substantial part of the 
         property of any such Person, or for the winding up or liquidation 
         of the affairs of any such Person, shall have been entered, and 
         such decree, judgment, or order shall have remained in force 
         undischarged and unstayed for a period of 60 days; PROVIDED, 
         HOWEVER, that if the entry of such order or decree is appealed and 
         dismissed on appeal then the Event of Default hereunder by reason 
         of the entry of such judgment or decree shall be deemed to have 
         been cured; or

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<PAGE>

               (ix) the Company or any of its Significant Subsidiaries shall 
         institute proceedings to be adjudicated a voluntary bankrupt, or 
         shall consent to the filing of a bankruptcy proceeding against it, 
         or shall file a petition or answer or consent seeking 
         reorganization under any bankruptcy or similar law or similar 
         statute, or shall consent to the filing of any such petition, or 
         shall consent to the appointment of a Custodian, receiver, 
         liquidator, trustee, or assignee in bankruptcy or insolvency of it 
         or any substantial part of its assets or property, or shall make a 
         general assignment for the benefit of creditors, or shall admit in 
         writing its inability to pay its debts generally as they become 
         due, fail generally to pay its debts as they become due, or take 
         any corporate action in furtherance of any of the foregoing.

          If a Default occurs and is continuing, the Trustee must, within 90
days after the occurrence of such default, give to the Holders notice of such
default.

          SECTION 2. ACCELERATION OF MATURITY DATE; RESCISSION AND ANNULMENT.

          If an Event of Default (other than an Event of Default specified in 
Section 6.1(viii) or (ix) above relating to the Company or any of its 
Significant Subsidiaries) occurs and is continuing, then, and in every such 
case, unless the principal of all of the Securities shall have already become 
due and payable, either the Trustee or the Holders of at least 25% in 
aggregate principal amount of then outstanding Securities, by a notice in 
writing to the Company (and to the Trustee if given by Holders) (an 
"ACCELERATION NOTICE"), may declare all of the principal of the Securities, 
determined as set forth below, including in each case accrued interest 
thereon, to be due and payable immediately; PROVIDED that so long as at least 
$15 million of Senior Debt is outstanding under the Credit Agreement, no 
acceleration of the maturity of the Securities shall be effective until the 
earlier of (i) five days after notice of acceleration is received by the 
Representative under the Credit Agreement (unless such Event of Default is 
cured or waived prior thereto) and (ii) the date on which any Senior Debt 
under the Credit Agreement is accelerated.  In the event a declaration of 
acceleration resulting from an Event of Default described in Section 6.1(v) 
above has occurred and is continuing, such declaration of acceleration shall 
be automatically annulled if such default is cured or waived or the holders 
of the Indebtedness which is the subject of such default have rescinded their 
declaration of acceleration in respect of such Indebtedness within sixty days 
thereof and the Trustee has received written notice of such cure, waiver or 
rescission and no other Event of Default described in Section 6.1(v) above 
has occurred that has not been cured or waived, or as to which the 
declaration has not been rescinded, within sixty days of the declaration of 
such acceleration in respect of such Indebtedness.  If an Event of Default 
specified in Section 6.1(viii) or (ix) above relating to the Company or any 
Significant Subsidiary occurs, all principal and accrued interest thereon 
will be immediately due and payable on all outstanding Securities without any 
declaration or other act on the part of Trustee or the Holders.

          At any time after such a declaration of acceleration being made and 
before a judgment or decree for payment of the money due has been obtained by 
the Trustee as hereinafter provided in this Article VI, the Holders of not 
less than a majority in aggregate principal amount of then outstanding 
Securities, by written notice to the Company and the Trustee, may rescind, on 
behalf of all Holders, any such declaration of acceleration if: 

                                      52

<PAGE>

                    (1) the Company has paid or deposited with the Trustee cash
              sufficient to pay:

                         (A)  all overdue interest and Liquidated Damages, if 
                    any, on all Securities,

                         (B)  the principal of (and premium, if any, applicable
                    to) any Securities which would become due other than by 
                    reason of such declaration of acceleration, and interest 
                    thereon at the rate borne by the Securities,

                         (C)  to the extent that payment of such interest is 
                    lawful, interest upon overdue interest at the rate borne 
                    by the Securities,

                         (D)  all sums paid or advanced by the Trustee 
                    hereunder and the compensation, expenses, disbursements and
                    advances of the Trustee and its agents and counsel, and all
                    other amounts due the Trustee under Section 7.7 and

                    (2) all Events of Default, other than the non-payment of 
               the principal of, premium, if any, and interest on Securities 
               which have become due solely by such declaration of 
               acceleration, have been cured or waived as provided in Section
               6.12 hereof.

Notwithstanding the previous sentence of this Section 6.2, no waiver shall be 
effective against any Holder for any Event of Default or event which with 
notice or lapse of time or both would be an Event of Default with respect to 
(i) any covenant or provision which cannot be modified or amended without the 
consent of the Holder of each outstanding Security affected thereby, unless 
all such affected Holders agree, in writing, to waive such Event of Default 
or other event and (ii) any provision requiring supermajority approval to 
amend, unless such default has been waived by such a supermajority.  No such 
waiver shall cure or waive any subsequent default or impair any right 
consequent thereon.

          SECTION 3. COLLECTION OF INDEBTEDNESS AND SUITS FOR ENFORCEMENT BY 
                    TRUSTEE.

          The Company covenants that if an Event of Default in payment of 
principal, premium or interest specified in clause (i) or (ii) of Section 6.1 
hereof occurs and is continuing, the Company shall, upon demand of the 
Trustee, pay to it, for the benefit of the Holders of such Securities, the 
whole amount then due and payable on such Securities for principal, premium 
(if any), and interest, and, to the extent that payment of such interest 
shall be legally enforceable, interest on any overdue principal (and premium, 
if any), and on any overdue interest, at the rate borne by the Securities, 
and, in addition thereto, such further amount as shall be sufficient to cover 
the costs and expenses of collection, including compensation to, and 
expenses, disbursements and advances of the Trustee and its agents and 
counsel and all other amounts due the Trustee under Section 7.7.

          If the Company fails to pay such amounts forthwith upon such demand,
the Trustee, in its own name and as trustee of an express trust in favor of the
Holders, may institute a judicial 

                                      53

<PAGE>

proceeding for the collection of the sums so due and unpaid, may prosecute 
such proceeding to judgment or final decree and may enforce the same against 
the Company or any other obligor upon the Securities and collect the moneys 
adjudged or decreed to be payable in the manner provided by law out of the 
property of the Company or any other obligor upon the Securities, wherever 
situated.

          If an Event of Default occurs and is continuing, the Trustee may in
its discretion proceed to protect and enforce its rights and the rights of the
Holders by such appropriate judicial proceedings as the Trustee shall deem most
effective to protect and enforce any such rights, whether for the specific
enforcement of any covenant or agreement in this Indenture or in aid of the
exercise of any power granted herein, or to enforce any other proper remedy.

          SECTION 4. TRUSTEE MAY FILE PROOFS OF CLAIM.

          In case of the pendency of any receivership, insolvency, 
liquidation, bankruptcy, reorganization, arrangement, adjustment, composition 
or other judicial proceeding relative to the Company or any other obligor 
upon the Securities or the property of the Company or of such other obligor 
or their creditors, the Trustee (irrespective of whether the principal of the 
Securities shall then be due and payable as therein expressed or by 
declaration or otherwise and irrespective of whether the Trustee shall have 
made any demand on the Company for the payment of overdue principal, premium, 
if any (and Liquidated Damages, if any), or interest) shall be entitled and 
empowered, by intervention in such proceeding or otherwise to take any and 
all actions under the TIA, including

          (1)  to file and prove a claim for the whole amount of principal (and
     premium, if any) and interest owing and unpaid in respect of the Securities
     and to file such other papers or documents as may be necessary or advisable
     in order to have the claims of the Trustee (including any claim for the
     reasonable compensation, expenses, disbursements and advances of the
     Trustee and its agent and counsel and all other amounts due the Trustee
     under Section 7.7) and of the Holders allowed in such judicial proceeding,
     and

          (2)  to collect and receive any moneys or other property payable or
     deliverable on any such claims and to distribute the same;

and any custodian, receiver, assignee, trustee, liquidator, sequestrator or
other similar official in any such judicial proceeding is hereby authorized by
each Holder to make such payments to the Trustee and, in the event that the
Trustee shall consent to the making of such payments directly to the Holders, to
pay to the Trustee any amount due it for the reasonable compensation, expenses,
disbursements and advances of the Trustee and its agents and counsel, and any
other amounts due the Trustee under Section 7.7 hereof.

          Nothing herein contained shall be deemed to authorize the Trustee to
authorize or consent to or accept or adopt on behalf of any Holder any plan of
reorganization, arrangement, adjustment or composition affecting the Securities
or the rights of any Holder thereof or to authorize the Trustee to vote in
respect of the claim of any Holder in any such proceeding.

                                      54

<PAGE>

          SECTION 5. TRUSTEE MAY ENFORCE CLAIMS WITHOUT POSSESSION OF 
                     SECURITIES.

          All rights of action and claims under this Indenture or the Securities
may be prosecuted and enforced by the Trustee without the possession of any of
the Securities or the production thereof in any proceeding relating thereto, and
any such proceeding instituted by the Trustee shall be brought in its own name
as trustee of an express trust in favor of the Holders, and any recovery of
judgment shall, after provision for the payment of compensation to, and
expenses, disbursements and advances of the Trustee and its agents and counsel
and all other amounts due the Trustee under Section 7.7, be for the ratable
benefit of the Holders of the Securities in respect of which such judgment has
been recovered.

          SECTION 6. PRIORITIES.

          Any money collected by the Trustee pursuant to this Article VI shall
be applied in the following order, at the date or dates fixed by the Trustee
and, in case of the distribution of such money on account of principal, premium
(if any), or interest, upon presentation of the Securities and the notation
thereon of the payment if only partially paid and upon surrender thereof if
fully paid:

          FIRST:  To the Trustee in payment of all amounts due pursuant to
Section 7.7 hereof;

          SECOND:  To the Holders in payment of the amounts then due and unpaid
for principal of, premium (if any), and interest on, the Securities in respect
of which or for the benefit of which such money has been collected, ratably,
without preference or priority of any kind, according to the amounts due and
payable on such Securities for principal, premium (if any), and interest,
respectively; and

          THIRD:  To the Company, the Guarantors or such other Person as may be
lawfully entitled thereto, the remainder, if any, each as their respective
interests may appear.

          The Trustee may, but shall not be obligated to, fix a record date and
payment date for any payment to the Holders under this Section 6.6.

          SECTION 7. LIMITATION ON SUITS.

          No Holder of any Security shall have any right to order or direct the
Trustee to institute any proceeding, judicial or otherwise, with respect to this
Indenture, or for the appointment of a receiver or trustee, or for any other
remedy hereunder, unless

               (A)  such Holder has previously given written notice to the
     Trustee of a continuing Event of Default;

                                      55

<PAGE>

               (B)  the Holders of not less than 25% in aggregate principal
     amount of then outstanding Securities shall have made written request to
     the Trustee to institute proceedings in respect of such Event of Default in
     its own name as Trustee hereunder;

               (C)  such Holder or Holders have offered to the Trustee
     reasonable security or indemnity against the costs, expenses and
     liabilities to be incurred or reasonably probable to be incurred in
     compliance with such request;

               (D)  the Trustee for 60 days after its receipt of such notice,
     request and offer of indemnity has failed to institute any such proceeding;
     and

               (E)  no direction inconsistent with such written request has been
     given to the Trustee during such 60-day period by the Holders of a majority
     in aggregate principal amount of the outstanding Securities;

it being understood and intended that no one or more Holders shall have any
right in any manner whatsoever by virtue of, or by availing of, any provision of
this Indenture to affect, disturb or prejudice the rights of any other Holders,
or to obtain or to seek to obtain priority or preference over any other Holders
or to enforce any right under this Indenture, except in the manner herein
provided and for the equal and ratable benefit of all the Holders.

          SECTION 8. UNCONDITIONAL RIGHT OF HOLDERS TO RECEIVE PRINCIPAL, 
PREMIUM AND INTEREST.

          Notwithstanding any other provision of this Indenture, the Holder of
any Security shall have the right, which is absolute and unconditional, to
receive payment of the principal of, and premium (if any), and interest on, such
Security on the Maturity Dates of such payments as expressed in such Security
(in the case of redemption, the Redemption Price on the applicable Redemption
Date, in the case of the Change of Control Payment, on the applicable Change of
Control Payment Date, and in the case of the Asset Sale Payment, on the Purchase
Date) and to institute suit for the enforcement of any such payment after such
respective dates, and such rights shall not be impaired without the consent of
such Holder.

          SECTION 9. RIGHTS AND REMEDIES CUMULATIVE.

          Except as otherwise provided with respect to the replacement or
payment of mutilated, destroyed, lost or stolen Securities in Section 2.7
hereof, no right or remedy herein conferred upon or reserved to the Trustee or
to the Holders is intended to be exclusive of any other right or remedy, and
every right and remedy shall, to the extent permitted by law, be cumulative and
in addition to every other right and remedy given hereunder or now or hereafter
existing at law or in equity or otherwise.  The assertion or employment of any
right or remedy hereunder, or otherwise, shall not prevent the concurrent
assertion or employment of any other appropriate right or remedy.

                                      56
<PAGE>

          SECTION 10. DELAY OR OMISSION NOT WAIVER.

          No delay or omission by the Trustee or by any Holder of any 
Security to exercise any right or remedy arising upon any Event of Default 
shall impair the exercise of any such right or remedy or constitute a waiver 
of any such Event of Default.  Every right and remedy given by this Article 
VI or by law to the Trustee or to the Holders may be exercised from time to 
time, and as often as may be deemed expedient, by the Trustee or by the 
Holders, as the case may be.

          SECTION 11. CONTROL BY HOLDERS.

          The Holder or Holders of a majority in aggregate principal amount 
of then outstanding Securities shall have the right to direct the time, 
method and place of conducting any proceeding for any remedy available to the 
Trustee or exercising any trust or power conferred upon the Trustee, 
PROVIDED, that

               (1) such direction shall not be in conflict with any rule of 
     law or with this Indenture,

               (2) the Trustee shall not determine that the action so directed 
     would be unjustly prejudicial to the Holders not taking part in such 
     direction, and

               (3) the Trustee may take any other action deemed proper by the 
    Trustee which is not inconsistent with such direction.

          SECTION 12. WAIVER OF EXISTING OR PAST DEFAULT.

          Subject to Section 6.8 and 9.2 hereof, the Holder or Holders of not
less than a majority in aggregate principal amount of the outstanding Securities
may, on behalf of all Holders, waive any existing or past Default or Event of
Default hereunder and its consequences under this Indenture, except a default

               (A)  in the payment of the principal of, premium, if any, or
     interest on, any Security as specified in clauses (i) and (ii) of Section
     6.1 hereof and not yet cured, or

               (B)  in respect of a covenant or provision hereof which, under
     Article IX, cannot be modified or amended without the consent of the Holder
     of each outstanding Security affected.

          Upon any such waiver, such default shall cease to exist, and any Event
of Default arising therefrom shall be deemed to have been cured, for every
purpose of this Indenture; but no such waiver shall extend to any subsequent or
other default or impair the exercise of any right arising therefrom.

                                      57

<PAGE>

          SECTION 13. UNDERTAKING FOR COSTS.

          All parties to this Indenture agree, and each Holder of any 
Security by his acceptance thereof shall be deemed to have agreed, that in 
any suit for the enforcement of any right or remedy under this Indenture, or 
in any suit against the Trustee for any action taken, suffered or omitted to 
be taken by it as Trustee, any court may in its discretion require the filing 
by any party litigant in such suit of an undertaking to pay the costs of such 
suit, and that such court may in its discretion assess reasonable costs, 
including reasonable attorneys' fees and expenses, against any party litigant 
in such suit, having due regard to the merits and good faith of the claims or 
defenses made by such party litigant; but the provisions of this Section 6.13 
shall not apply to any suit instituted by the Company, to any suit instituted 
by the Trustee, to any suit instituted by any Holder, or group of Holders, 
holding in the aggregate more than 10% in aggregate principal amount of the 
outstanding Securities, or to any suit instituted by any Holder for 
enforcement of the payment of principal of, or premium (if any), or interest 
on, any Security on or after the respective Maturity Date expressed in such 
Security (including, in the case of redemption, on or after the Redemption 
Date).

          SECTION 14. RESTORATION OF RIGHTS AND REMEDIES.

          If the Trustee or any Holder has instituted any proceeding to 
enforce any right or remedy under this Indenture and such proceeding has been 
discontinued or abandoned for any reason, or has been determined adversely to 
the Trustee or to such Holder, then and in every case, subject to any 
determination in such proceeding, the Company, the Guarantors, the Trustee 
and the Holders shall be restored severally and respectively to their former 
positions hereunder and thereafter all rights and remedies of the Trustee and 
the Holders shall continue as though no such proceeding had been instituted.


                                    ARTICLE VII

                                      TRUSTEE

          The Trustee hereby accepts the trust imposed upon it by this Indenture
and covenants and agrees to perform the same, as herein expressed, subject to
the terms hereof.

          SECTION 1. DUTIES OF TRUSTEE.

               (a) If a Default or an Event of Default has occurred and is 
continuing, the Trustee shall exercise such of the rights and powers vested 
in it by this Indenture and use the same degree of care and skill in their 
exercise as a prudent Person would exercise or use under the circumstances in 
the conduct of his or her own affairs.

               (b) Except during the continuance of a Default or an Event of 
Default:

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<PAGE>

                    (1) The Trustee need perform only those duties as are 
          specifically set forth in this Indenture and no others, and no 
          covenants or obligations shall be implied in or read into this 
          Indenture which are adverse to the Trustee, and

                    (2) In the absence of bad faith on its part, the Trustee 
          may conclusively rely, as to the truth of the statements and the 
          correctness of the opinions expressed therein, upon certificates or 
          opinions furnished to the Trustee and conforming to the requirements 
          of this Indenture.  However, in the case of any such certificates or 
          opinions which by any provision hereof are specifically required to 
          be furnished to the Trustee, the Trustee shall examine the 
          certificates and opinions to determine whether or not they conform 
          to the requirements of this Indenture.

                         (c) The Trustee may not be relieved from liability 
     for its own negligent action, its own negligent failure to act, or its 
     own willful misconduct, except that:

                    (1) This paragraph does not limit the effect of paragraph 
          (b) of this Section 7.1,

                    (2) The Trustee shall not be liable for any error of 
          judgment made in good faith by a Trust Officer, unless it is proved 
          that the Trustee was negligent in ascertaining the pertinent facts, 
          and

                    (3) The Trustee shall not be liable with respect to any 
          action it takes or omits to take in good faith in accordance with a 
          direction received by it pursuant to Section 6.11 hereof.

                         (d) No provision of this Indenture shall require the 
     Trustee to expend or risk its own funds or otherwise incur any financial 
     liability in the performance of any of its duties hereunder or to take or 
     omit to take any action under this Indenture or at the request, order or 
     direction of the Holders or in the exercise of any of its rights or 
     powers if it shall have reasonable grounds for believing that repayment 
     of such funds or adequate indemnity against such risk or liability is not 
     reasonably assured to it.

                         (e) Every provision of this Indenture that in any way 
     relates to the Trustee is subject to paragraphs (a), (b), (c), (d) and 
     (f) of this Section 7.1.

                         (f) The Trustee shall not be liable for interest on 
     any assets received by it except as the Trustee may agree in writing with 
     the Company (including without limitation to the extent the Trustee 
     receives funds prior to the interest payment date in order to comply with 
     the provisions of Section 4.1).  Assets held in trust by the Trustee need 
     not be segregated from other assets except to the extent required by law.

          SECTION 2. RIGHTS OF TRUSTEE.

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<PAGE>

          Subject to Section 7.1 hereof:

                         (a) The Trustee may rely on any document believed by 
     it to be genuine and to have been signed or presented by the proper 
     Person.  The Trustee need not investigate any fact or matter stated in 
     such document.

                         (b) Before the Trustee acts or refrains from acting, 
     it may consult with counsel and may require an Officers' Certificate or 
     an Opinion of Counsel, which shall conform to Sections 14.4 and 14.5 
     hereof.  The Trustee shall not be liable for any action it takes or 
     omits to take in good faith in reliance on such certificate or advice of 
     counsel.

                         (c) The Trustee may act through its attorneys and 
     agents and shall not be responsible for the misconduct or negligence of 
     any agent appointed with due care.

                         (d) The Trustee shall not be liable for any action it 
     or its agent takes or omits to take in good faith which it believes to 
     be authorized or within its rights or powers conferred upon it by this 
     Indenture.

                         (e) The Trustee shall not be bound to make any 
     investigation into the facts or matters stated in any resolution, 
     certificate, statement, instrument, opinion, notice, request, direction, 
     consent, order, bond, debenture or other paper or document, but the 
     Trustee, in its discretion, may make such further inquiry or 
     investigation into such facts or matters as it may see fit.
     
                         (f) The Trustee shall be under no obligation to 
     exercise any of the rights or powers vested in it by this Indenture at 
     the request, order or direction of any of the Holders, pursuant to the 
     provisions of this Indenture, unless such Holders shall have offered to 
     the Trustee reasonable security or indemnity against the costs, expenses 
     and liabilities which may be incurred therein or thereby.
     
                         (g) Unless otherwise specifically provided for in 
     this Indenture, any demand, request, direction or notice from the 
     Company or any Guarantor shall be sufficient if signed by an Officer of 
     the Company or such Guarantor, as applicable.

                         (h) The Trustee shall have no duty to inquire as to 
     the performance of the Company's or any Guarantor's covenants in Article 
     IV hereof or as to the performance by any Agent of its duties hereunder. 
     In addition, the Trustee shall not be deemed to have knowledge of any 
     Default or Event of Default except (i) any Event of Default occurring 
     pursuant to Sections 6.1(i), 6.1(ii) and 4.1 hereof, or (ii) any Default 
     or Event of Default of which the Trustee shall have received written 
     notification or obtained actual knowledge.
     
                         (i) Whenever in the administration of this Indenture 
     the Trustee shall deem it desirable that a matter be proved or 
     established prior to taking, suffering or omitting any 
     
                                      60

<PAGE>

     action hereunder, the Trustee (unless other evidence be herein 
     specifically prescribed) may, in the absence of bad faith on its part, 
     rely upon an Officers' Certificate.

          SECTION 3. INDIVIDUAL RIGHTS OF TRUSTEE.

          The Trustee in its individual or any other capacity may become the 
owner or pledgee of Securities and may otherwise deal with the Company, any 
Guarantor, any of their Subsidiaries, or their respective Affiliates with the 
same rights it would have if it were not Trustee.  Any Agent may do the same 
with like rights.  However, the Trustee must comply with Sections 7.10 and 
7.11 hereof.

          SECTION 4. TRUSTEE'S DISCLAIMER.

          The Trustee makes no representation as to the validity or adequacy 
of this Indenture or the Securities and it shall not be accountable for the 
Company's use of the proceeds from the Securities, and it shall not be 
responsible for any statement in the Securities, other than the Trustee's 
certificate of authentication, or the use or application of any funds 
received by a Paying Agent other than the Trustee.

          SECTION 5. NOTICE OF DEFAULT.

          If a Default or an Event of Default occurs and is continuing and if 
it is known to the Trustee, the Trustee shall mail to each Securityholder 
notice of the uncured Default or Event of Default within 90 days after such 
Default or Event of Default occurs.  Except in the case of a Default or an 
Event of Default in payment of principal (or premium, if any), of, or 
interest on, any Security (including the payment of the Change of Control 
Purchase Price on the Change of Control Payment Date, the payment of the 
Redemption Price on the Redemption Date and the payment of the Offer Price on 
the Purchase Date), the Trustee may withhold the notice if and so long as a 
Trust Officer in good faith determines that withholding the notice is in the 
interest of the Securityholders.

          SECTION 6. REPORTS BY TRUSTEE TO HOLDERS.

          Within 60 days after each May 15 beginning with the May 15 following
the date of this Indenture, the Trustee shall, if required by law, mail to each
Securityholder a brief report dated as of such May 15 that complies with TIA
Section 313(a).  The Trustee also shall comply with TIA Sections 313(b) and
313(c).

          The Company shall promptly notify the Trustee in writing if the 
Securities become listed on any stock exchange or automatic quotation system.

          A copy of each report at the time of its mailing to Securityholders 
shall be mailed to the Company and filed with the SEC and each stock 
exchange, if any, on which the Securities are listed.

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<PAGE>

          SECTION 7. COMPENSATION AND INDEMNITY.

          The Company and the Guarantors jointly and severally agree to pay 
to the Trustee from time to time reasonable compensation for its services.  
The Trustee's compensation shall not be limited by any law on compensation of 
a trustee of an express trust.  The Company and the Guarantors shall 
reimburse the Trustee upon request for all reasonable disbursements, expenses 
and advances incurred or made by it in accordance with this Indenture.  Such 
expenses shall include the reasonable compensation, disbursements and 
expenses of the Trustee's agents, accountants, experts and counsel.

          The Company and the Guarantors jointly and severally agree to 
indemnify the Trustee (in its capacity as Trustee) and each of its officers, 
directors, attorneys-in-fact and agents for, and hold it harmless against, 
any claim, demand, expense (including but not limited to reasonable 
compensation, disbursements and expenses of the Trustee's agents and 
counsel), loss or liability incurred by it without negligence or bad faith on 
the part of the Trustee, arising out of or in connection with the 
administration of this trust and its rights or duties hereunder, including 
the reasonable costs and expenses of defending itself against any claim or 
liability in connection with the exercise or performance of any of its powers 
or duties hereunder.  The Trustee shall notify the Company promptly of any 
claim asserted against the Trustee for which it may seek indemnity.  The 
Company and the Guarantors shall defend the claim and the Trustee shall 
provide reasonable cooperation at the Company's and the Guarantors' expense 
in the defense.  The Trustee may have separate counsel and the Company and 
the Guarantors shall pay the reasonable fees and expenses of such counsel; 
PROVIDED, that the Company and the Guarantors will not be required to pay 
such fees and expenses if they assume the Trustee's defense and there is no 
conflict of interest between the Company and the Guarantors and the Trustee 
in connection with such defense.  The Company and the Guarantors need not pay 
for any settlement made without their written consent.  The Company and the 
Guarantors need not reimburse any expense or indemnify against any loss or 
liability to the extent incurred by the Trustee through its negligence, bad 
faith or willful misconduct.

          To secure the Company's and the Guarantors' payment obligations in 
this Section 7.7, the Trustee shall have a lien prior to the Securities on 
all assets held or collected by the Trustee, in its capacity as Trustee, 
except assets held in trust to pay principal and premium, if any, of or 
interest on particular Securities.

          When the Trustee incurs expenses or renders services after an Event 
of Default specified in Section 6.1(viii) or (ix) of this Indenture occurs, 
the expenses and the compensation for the services are intended to constitute 
expenses of administration under any Bankruptcy Law.

          The Company's and the Guarantors' obligations under this Section 
7.7 and any lien arising hereunder shall survive the resignation or removal 
of the Trustee, the discharge of the Company's and the Guarantors' 
obligations pursuant to Article VIII of this Indenture and any rejection or 
termination of this Indenture under any Bankruptcy Law.

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<PAGE>

          SECTION 8. REPLACEMENT OF TRUSTEE.

          The Trustee may resign by so notifying the Company in writing.  The 
Holder or Holders of a majority in aggregate principal amount of the 
outstanding Securities may remove the Trustee by so notifying the Company and 
the Trustee in writing and may appoint a successor trustee with the Company's 
consent.  The Company may remove the Trustee if:

               (a)  the Trustee fails to comply with Section 7.10 hereof;

               (b)  the Trustee is adjudged bankrupt or insolvent;

               (c)  a receiver, Custodian or other public officer takes charge
of the Trustee or its property; or

               (d)  the Trustee becomes incapable of acting.

          If the Trustee resigns or is removed or if a vacancy exists in the
office of Trustee for any reason, the Company shall promptly appoint a successor
Trustee.  Within one year after the successor Trustee takes office, the Holder
or Holders of a majority in principal amount of the Securities may appoint a
successor Trustee to replace the successor Trustee appointed by the Company.

          A successor Trustee shall deliver a written acceptance of its
appointment to the retiring Trustee and to the Company.  Immediately after that
and provided that all sums owing to the retiring Trustee provided for in Section
7.7 hereof have been paid, the retiring Trustee shall transfer all property held
by it as trustee to the successor Trustee, subject to the lien provided in
Section 7.7 hereof, the resignation or removal of the retiring Trustee shall
become effective, and the successor Trustee shall have all the rights, powers
and duties of the Trustee under this Indenture.  A successor Trustee shall mail
notice of its succession to each Holder.

          If a successor Trustee does not take office within 60 days after the
retiring Trustee resigns or is removed, the retiring Trustee, the Company or the
Holder or Holders of at least 10% in principal amount of the outstanding
Securities may petition any court of competent jurisdiction for the appointment
of a successor Trustee.

          If the Trustee fails to comply with Section 7.10 hereof, any
Securityholder may petition any court of competent jurisdiction for the removal
of the Trustee and the appointment of a successor Trustee.

          Notwithstanding replacement of the Trustee pursuant to this Section
7.8, the Company's and the Guarantors' obligations under Section 7.7 hereof
shall continue for the benefit of the retiring Trustee.

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<PAGE>

     SECTION 9. SUCCESSOR TRUSTEE BY MERGER, ETC.

    If the Trustee consolidates with, merges or converts into, or transfers 
all or substantially all of its corporate trust business to, another 
corporation, the resulting, surviving or transferee corporation without any 
further act shall, if such resulting, surviving or transferee corporation is 
otherwise eligible hereunder, be the successor Trustee.

    SECTION 10. ELIGIBILITY; DISQUALIFICATION.

    The Trustee shall at all times satisfy the requirements of TIA Section 
310(a)(1), (2) and (5).  The Trustee shall have a combined capital and 
surplus of at least $25,000,000 as set forth in its most recent published 
annual report of condition.  The Trustee shall comply with TIA Section 310(b).

    SECTION 11. PREFERENTIAL COLLECTION OF CLAIMS AGAINST COMPANY.

    The Trustee shall comply with TIA Section 311(a), excluding any creditor 
relationship listed in TIA Section 311(b).  A Trustee who has resigned or 
been removed shall be subject to TIA Section 311(a) to the extent indicated.


                             ARTICLE VIII

            DISCHARGE; LEGAL DEFEASANCE AND COVENANT DEFEASANCE

    SECTION 1. DISCHARGE; OPTION TO EFFECT LEGAL DEFEASANCE OR COVENANT 
DEFEASANCE.

    This Indenture shall cease to be of further effect (except that the 
Company's and the Guarantors' obligations under Section 7.7 and the Trustee's 
and the Paying Agent's obligations under Sections 8.6 and 8.7 shall survive) 
when all outstanding Securities theretofore authenticated and issued have 
been delivered (other than destroyed, lost or stolen Securities that have 
been replaced or paid) to the Trustee for cancellation and the Company or the 
Guarantors have paid all sums payable hereunder.  In addition, the Company 
may elect to have Section 8.2, at the Company's option and at any time within 
one year of the Maturity Date of the Securities, or Section 8.3, at the 
Company's option at any time, of this Indenture applied to all outstanding 
Securities upon compliance with the conditions set forth below in this 
Article VIII. 

    SECTION 2. LEGAL DEFEASANCE AND DISCHARGE.

    Upon the Company's exercise under Section 8.1 hereof of the option 
applicable to this Section 8.2, the Company and the Guarantors shall be 
deemed to have been discharged from their respective obligations with respect 
to all outstanding Securities on the date the conditions set forth below are 
satisfied (hereinafter, "LEGAL DEFEASANCE").  For this purpose, such Legal 
Defeasance means that the Company shall be deemed to have paid and discharged 
the entire indebtedness represented 

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<PAGE>

and this Indenture shall cease to be of further effect as to all outstanding 
Securities and Guarantees, except as to be deemed to be "outstanding" only 
for the purposes of Section 8.5 hereof and the other Sections of this 
Indenture referred to in (a) and (b) below, and the Company and the 
Guarantors shall be deemed to have satisfied all other of their respective 
obligations under such Securities and this Indenture (and the Trustee, on 
demand of and at the expense of the Company, shall execute proper instruments 
acknowledging the same), except for the following which shall survive until 
otherwise terminated or discharged hereunder: (a) the rights of Holders of 
outstanding Securities to receive payments in respect of the principal of, 
premium, if any, and interest on such Securities when such payments are due 
from the trust described in Section 8.5, (b) the Company's obligations with 
respect to such Securities under Sections 2.3, 2.4, 2.6, 2.7, 2.10, 5.2, 8.5, 
8.6 and 8.7 hereof and (c) the rights, powers, trusts, duties and immunities 
of the Trustee hereunder and the Company's and the Guarantors' obligations in 
connection therewith.  Subject to compliance with this Article VIII, the 
Company may exercise its option under this Section 8.2 notwithstanding the 
prior exercise of its option under Section 8.3 hereof with respect to the 
Securities.  

    SECTION 3. COVENANT DEFEASANCE.

    Upon the Company's exercise under Section 8.1 hereof of the option 
applicable to this Section 8.3, the Company and the Guarantors shall be 
released from their respective obligations under the covenants contained in 
Sections 4.3, 4.6, 4.7, 4.8, 4.10, 4.11, 4.12, 4.13, 4.14, 4.15, 4.16 and 
4.17, Article V and Article XI hereof with respect to the outstanding 
Securities on and after the date the conditions set forth below are satisfied 
(hereinafter, "COVENANT DEFEASANCE"), and the Securities shall thereafter be 
deemed not "outstanding" for the purposes of any direction, waiver, consent 
or declaration or act of Holders (and the consequences of any thereof) in 
connection with such covenants, but shall continue to be deemed "outstanding" 
for all other purposes hereunder. For this purpose, such Covenant Defeasance 
means that, with respect to the outstanding Securities, neither the Company 
nor any Guarantor need comply with and shall have any liability in respect of 
any term, condition or limitation set forth in any such covenant, whether 
directly or indirectly, by reason of any reference elsewhere herein to any 
such covenant or by reason of any reference in any such covenant to any other 
provision herein or in any other document (and Section 6.1(iii) hereof shall 
not apply to any such covenant), but, except as specified above, the 
remainder of this Indenture and such Securities shall be unaffected thereby.  
In addition, upon the Company's exercise under Section 8.1 hereof of the 
option applicable to this Section 8.3, Sections 6.1(v) and 6.1(vi) hereof 
shall not constitute Events of Default with respect to the Securities.

    SECTION 4. CONDITIONS TO LEGAL OR COVENANT DEFEASANCE.

    The following shall be the conditions to the application of either 
Section 8.2 or 8.3 hereof to the outstanding Securities:

         (a)(1) The Company shall irrevocably have deposited or caused to be 
deposited with the Trustee (or another trustee satisfying the requirements of 
Section 7.10 hereof who shall agree to comply with the provisions of this 
Article VIII applicable to it), in trust, for the benefit 

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<PAGE>

of the Holders of the Securities, cash, U.S. Government Obligations, or a 
combination thereof, in such amounts as will be sufficient, in the opinion of 
a nationally recognized firm of independent public accountants, to pay the 
principal of, premium, if any, and interest on such outstanding Securities on 
their Maturity Date; (ii) in the case of Legal Defeasance, the Company shall 
have delivered to the Trustee an opinion of counsel in the United States 
confirming that (A) the Company has received from, or there has been 
published by, the Internal Revenue Service a ruling or (B) since the date of 
this Indenture, there has been a change in the applicable Federal income tax 
law, in either case to the effect that, and based thereon such opinion of 
counsel shall confirm that, the Holders of such outstanding Securities will 
not recognize income, gain or loss for Federal income tax purposes as a 
result of such Legal Defeasance and will be subject to Federal income tax on 
the same amounts, in the same manner and at the same times as would have been 
the case if such Legal Defeasance had not occurred; (iii) in the case of 
Covenant Defeasance, the Company shall have delivered to the Trustee an 
opinion of counsel in the United States confirming that the Holders of such 
outstanding Securities will not recognize income, gain or loss for Federal 
income tax purposes as a result of such Covenant Defeasance and will be 
subject to Federal income tax on the same amounts, in the same manner and at 
the same times as would have been the case if such Covenant Defeasance had 
not occurred; (iv) no Default or Event of Default shall have occurred and be 
continuing on the date of such deposit (other than a Default or Event of 
Default resulting from the borrowing of funds to be applied to such deposit) 
or insofar as Events of Default from bankruptcy or insolvency events are 
concerned, at any time in the period ending on the 91st day after the date of 
deposit; (v) such Legal Defeasance or Covenant Defeasance will not result in 
a breach or violation of, or constitute a default under any material 
agreement or instrument (other than this Indenture) to which the Company or 
any of its Subsidiaries is a party or by which the Company or any of its 
Subsidiaries is bound (other than a breach, violation or default resulting 
from the borrowing of funds to be applied to such deposit); (vi) the Company 
must have delivered to the Trustee an opinion of counsel to the effect that 
after the 91st day following the deposit, the trust funds will not be subject 
to the effect of any applicable bankruptcy, insolvency, reorganization or 
similar laws affecting creditors' rights generally; (vii) the Company must 
deliver to the Trustee an Officers' Certificate stating that the deposit was 
not made by the Company with the intent of preferring the Holders of such 
Securities over the other creditors of the Company with the intent of 
defeating, hindering, delaying or defrauding other creditors of the Company; 
and (viii) the Company must deliver to the Trustee an Officers' Certificate 
and an opinion of counsel, each stating that the conditions precedent 
provided for in, in the case of the Officers' Certificate, (i) through (vi) 
and, in the case of the opinion of counsel, clauses (i), (with respect to the 
validity and perfection of the security interest) (ii), (iii) and (v) of this 
paragraph, have been complied with.

    If the funds deposited with the Trustee to effect Legal Defeasance or 
Covenant Defeasance are insufficient to pay the principal of premium, if any, 
and interest on the Securities when due, then the obligations of the Company 
and the Guarantors under this Indenture, the Securities and the Guarantees 
will be revived and no such defeasance will be deemed to have occurred.

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<PAGE>


    SECTION 5. DEPOSITED CASH AND U.S. GOVERNMENT OBLIGATIONS TO BE HELD IN 
TRUST; OTHER MISCELLANEOUS PROVISIONS.

    Subject to Section 8.6 hereof, all cash and U.S. Government Obligations 
(including the proceeds thereof) deposited with the Trustee (or other 
qualifying trustee, collectively for purposes of this Section 8.5, the 
"PAYING AGENT") pursuant to Section 8.4 hereof in respect of the outstanding 
Securities shall be held in trust and applied by the Paying Agent, in 
accordance with the provisions of such Securities and this Indenture, to the 
payment, either directly or through any other Paying Agent as the Trustee may 
determine, to the Holders of such Securities of all sums due and to become 
due thereon in respect of principal, premium, if any, and interest, but such 
money need not be segregated from other funds except to the extent required 
by law.

    The Company shall pay and indemnify the Trustee against any tax, fee or 
other charge imposed on or assessed against the U.S. Government Obligations 
deposited pursuant to Section 8.4 or the principal and interest received in 
respect thereof other than any such tax, fee or other charge which by law is 
for the account of the Holders of Outstanding Securities.

    SECTION 6. REPAYMENT TO THE COMPANY.

         (a) Anything in this Article VIII to the contrary notwithstanding, 
the Trustee or the Paying Agent shall deliver or pay to the Company from time 
to time upon the request of the Company any cash or U.S. Government 
Obligations held by it as provided in Section 8.4 hereof which in the opinion 
of a nationally recognized firm of independent public accountants expressed 
in a written certification thereof delivered to the Trustee (which may be the 
opinion delivered under Section 8.4(a) hereof), are in excess of the amount 
thereof that would then be required to be deposited to effect an equivalent 
Legal Defeasance or Covenant Defeasance.

         (b) Any cash and U.S. Government Obligations (including the proceeds 
thereof) deposited with the Trustee or any Paying Agent, or then held by the 
Company, in trust for the payment of the principal of, premium, if any, or 
interest on any Security and remaining unclaimed for two years after such 
principal, and premium, if any, or interest has become due and payable shall 
be paid to the Company on its request; and the Holder of such Security shall 
thereafter look only to the Company for payment thereof, and all liability of 
the Trustee or such Paying Agent with respect to such trust money shall 
thereupon cease; PROVIDED, HOWEVER, that the Trustee or such Paying Agent, 
before being required to make any such repayment, may at the expense of the 
Company cause to be published once, in the NEW YORK TIMES and THE WALL STREET 
JOURNAL (national edition), notice that such money remains unclaimed and 
that, after a date specified therein, which shall not be less than 30 days 
from the date of such notification or publication, any unclaimed balance of 
such money then remaining will be repaid to the Company.

    SECTION 7. REINSTATEMENT.

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<PAGE>

    If the Trustee or Paying Agent is unable to apply any cash or U.S. 
Government Obligations in accordance with Section 8.2 or 8.3 hereof, as the 
case may be, of this Indenture by reason of any order or judgment of any 
court or governmental authority enjoining, restraining or otherwise 
prohibiting such application, then the Company's and the Guarantors' 
obligations under this Indenture and the Securities shall be revived and 
reinstated as though no deposit had occurred pursuant to Section 8.2 or 8.3 
hereof until such time as the Trustee or Paying Agent is permitted to apply 
such money in accordance with Sections 8.2 and 8.3 hereof, as the case may 
be; PROVIDED, HOWEVER, that, if the Company makes any payment of principal 
of, premium, if any, or interest on any Security following the reinstatement 
of its obligations, the Company shall be subrogated to the rights of the 
Holders of such Securities to receive such payment from the cash or U.S. 
Government Obligations held by the Trustee or Paying Agent.


                              ARTICLE IX

                  AMENDMENTS, SUPPLEMENTS AND WAIVERS

    SECTION 1. SUPPLEMENTAL INDENTURES WITHOUT CONSENT OF HOLDERS.

    Without the consent of any Holder, the Company or any Guarantor, when 
authorized by Board Resolutions, and the Trustee, at any time and from time 
to time, may enter into one or more indentures supplemental hereto, in form 
satisfactory to the Trustee, for any of the following purposes:

         (1)  to cure any ambiguity, defect, or inconsistency, or make any 
other provisions with respect to matters or questions arising under this 
Indenture which shall not be inconsistent with the provisions of this 
Indenture, provided such action pursuant to this clause (1) shall not 
adversely affect the interests of any Holder in any respect;

         (2)  to provide for uncertificated Securities in addition to or in 
place of certificated Securities;

         (3)  to add to the covenants of the Company or the Guarantors for 
the benefit of the Holders, or to surrender any right or power herein 
conferred upon the Company or the Guarantors; 

         (4)  to provide for collateral for or additional Guarantors of the 
Securities;

         (5)  to evidence the succession of another Person to the Company, 
and the assumption by any such successor of the obligations of the Company, 
herein and in the Securities in accordance with Article V; 

         (6)  to comply with the TIA; 

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<PAGE>

         (7)  to evidence the succession of another corporation to any 
Guarantor and assumption by any such successor of the Guarantee of such 
Guarantor (as set forth in Section 12.4) in accordance with Article XII; 

         (8)  to evidence the release of any Guarantor in accordance with 
Article XII; 

         (9)  to evidence and provide for the acceptance of appointment 
hereunder by a successor Trustee with respect to the Securities; 

         (10) in any other case where a supplemental indenture is required or 
permitted to be entered into pursuant to the provisions of this Indenture 
without the consent of any Holder; or

         (11) to provide for the issuance and authorization of the Exchange 
Securities.

    SECTION 2. AMENDMENTS, SUPPLEMENTAL INDENTURES AND WAIVERS WITH CONSENT 
OF HOLDERS.

    Subject to Section 6.8 hereof, with the consent of the Holders of at 
least a majority in principal amount of the Securities then outstanding 
(including consents obtained in connection with a tender offer or exchange 
offer for such Securities), by written act of said Holders delivered to the 
Company and the Trustee, the Company or any Guarantor, when authorized by 
Board Resolutions, and the Trustee may amend or supplement this Indenture or 
the Securities or enter into an indenture or indentures supplemental hereto 
for the purpose of adding any provisions to or changing in any manner or 
eliminating any of the provisions of this Indenture or the Securities or of 
modifying in any manner the rights of the Holders under this Indenture or the 
Securities. Subject to Section 6.8, the Holder or Holders of not less than a 
majority in aggregate principal amount of then outstanding Securities may 
waive compliance by the Company or any Guarantor with any provision of this 
Indenture or the Securities.  Notwithstanding any of the above, however, no 
such amendment, supplemental indenture or waiver shall, without the consent 
of the Holder of each outstanding Security affected thereby:

    (1)  change the Maturity Date on any Security, or reduce the principal 
amount thereof or the rate (or extend the time for payment) of interest 
thereon or any premium payable upon the redemption thereof, or change the 
place of payment where, or the coin or currency in which, any Security or any 
premium or the interest thereon is payable, or impair the right to institute 
suit for the enforcement of any such payment on or after the Maturity Date 
thereof (or in the case of redemption, on or after the Redemption Date), or 
reduce the Change of Control Purchase Price or the Asset Sale Offer Price or 
alter the provisions (including the defined terms used herein) regarding the 
right of the Company to redeem the Securities in a manner adverse the 
Holders; or

                                69

<PAGE>

    (2)  reduce the percentage in principal amount of the outstanding 
Securities, the consent of whose Holders is required for any such amendment, 
supplemental indenture or wavier provided for in this Indenture; 

    (3)  modify any of the waiver provisions, except to increase any required 
percentage or to provide that certain other provision of this Indenture 
cannot be modified or waived without the consent of the Holder of each 
outstanding Note affected thereby; or

    (4)  make the Securities subordinated in right of payment to any extent 
or under any circumstances to any other indebtedness, except to the extent no 
less favorable to the Holders than would be consistent with Article XII 
hereof as in effect on the Issue Date.

    It shall not be necessary for the consent of the Holders under this 
Section 9.2 to approve the particular form of any proposed amendment, 
supplement or waiver, but it shall be sufficient if such consent approves the 
substance thereof.

    After an amendment, supplement or waiver under this Section becomes 
effective, the Company shall mail to the Holders affected thereby a notice 
briefly describing the amendment, supplement or waiver.  Any failure of the 
Company to mail such notice, or any defect therein, shall not, however, in 
any way impair or affect the validity of any such supplemental indenture or 
waiver.

    After an amendment, supplement or waiver under this Section 9.2 or under 
Section 9.4 hereof becomes effective, it shall bind each Holder.

    In connection with any amendment, supplement or waiver under this Article 
IX, the Company may, but shall not be obligated to, offer to any Holder who 
consents to such amendment, supplement or waiver, or to all Holders, 
consideration for such Holder's consent to such amendment, supplement or 
waiver.

    SECTION 3. COMPLIANCE WITH TIA.

    Every amendment, waiver or supplement of this Indenture or the Securities 
shall comply with the TIA as then in effect.

    SECTION 4. REVOCATION AND EFFECT OF CONSENTS.

    Until an amendment, waiver or supplement becomes effective, a consent to 
it by a Holder is a continuing consent by the Holder and every subsequent 
Holder of a Security or portion of a Security that evidences the same debt as 
the consenting Holder's Security, even if notation of the consent is not made 
on any Security.  However, any such Holder or subsequent Holder may revoke 
the consent as to his Security or portion of his Security by written notice 
to the Company or the Person designated by the Company as the Person to whom 
consents should be sent if such revocation is received by the Company or such 
Person before the date on which the Trustee receives an Officers'

                                  70

<PAGE>

Certificate certifying that the Holders of the requisite principal amount of 
Securities have consented (and not theretofore revoked such consent) to the 
amendment, supplement or waiver.

    The Company may, but shall not be obligated to, fix a record date for the 
purpose of determining the Holders entitled to consent to any amendment, 
supplement or waiver, which record date shall be the date so fixed by the 
Company notwithstanding the provisions of the TIA.  If a record date is 
fixed, then notwithstanding the last sentence of the immediately preceding 
paragraph, those Persons who were Holders at such record date, and only those 
Persons (or their duly designated proxies), shall be entitled to revoke any 
consent previously given, whether or not such Persons continue to be Holders 
after such record date.  No such consent shall be valid or effective for more 
than ninety days after such record date.

    After an amendment, supplement or waiver becomes effective, it shall bind 
every Securityholder, unless it makes a change described in any of clauses 
(1) through (4) of Section 9.2 hereof, in which case, the amendment, 
supplement or waiver shall bind only each Holder of a Security who has 
consented to it and every subsequent Holder of a Security or portion of a 
Security that evidences the same debt as the consenting Holder's Security; 
PROVIDED, that any such waiver shall not impair or affect the right of any 
Holder to receive payment of principal and premium of and interest on a 
Security, on or after the respective dates set for such amounts to become due 
and payable expressed in such Security, or to bring suit for the enforcement 
of any such payment on or after such respective dates.

    SECTION 5. NOTATION ON OR EXCHANGE OF SECURITIES.

    If an amendment, supplement or waiver changes the terms of a Security, 
the Trustee may require the Holder of the Security to deliver it to the 
Trustee or require the Holder to put an appropriate notation on the Security. 
 The Trustee may place an appropriate notation on the Security about the 
changed terms and return it to the Holder.  Alternatively, if the Company or 
the Trustee so determines, the Company in exchange for the Security shall 
issue and the Trustee shall authenticate a new Security that reflects the 
changed terms.  Any failure to make the appropriate notation or to issue a 
new Security shall not affect the validity of such amendment, supplement or 
waiver.

    SECTION 6. TRUSTEE TO SIGN AMENDMENTS, ETC.

    The Trustee shall execute any amendment, supplement or waiver authorized 
pursuant to this Article IX; PROVIDED, that the Trustee may, but shall not be 
obligated to, execute any such amendment, supplement or waiver which affects 
the Trustee's own rights, duties or immunities under this Indenture.  The 
Trustee shall be entitled to receive, and shall be fully protected in relying 
upon, an Opinion of Counsel stating that the execution of any amendment, 
supplement or waiver authorized pursuant to this Article IX is authorized or 
permitted by this Indenture.

    SECTION 7. AGREEMENT BY REPRESENTATIVE UNDER THE CREDIT AGREEMENT.

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<PAGE>


          Notwithstanding any of the above, however, so long as any Senior Debt
is outstanding under the Credit Agreement, no such modification, supplement or
waiver of any of the terms or provisions of Article XIII shall be effective
unless expressly agreed to in writing by the Representative under the Credit
Agreement.  So long as any Senior Debt is outstanding under the Credit
Agreement, the Trustee shall deliver written notice of any modification or
supplement to the Securities or this Indenture to the Representative under the
Credit Agreement no less than five business days before the effective date of
any such modification or supplement.

                                    ARTICLE X

                                    RESERVED

                                    ARTICLE XI

                           RIGHT TO REQUIRE REPURCHASE

      SECTION 1. REPURCHASE OF SECURITIES AT OPTION OF THE HOLDER UPON A CHANGE 
OF CONTROL.

                 (a) In the event that a Change of Control occurs, each 
Holder shall have the right, at such Holder's option, subject to the terms 
and conditions of this Indenture, to require the Company to repurchase all or 
any part (equal to $1,000 or an integral multiple thereof) of such Holder's 
Securities pursuant to an irrevocable and unconditional offer, as described 
below (the "CHANGE OF CONTROL OFFER"), at an offer price in cash (the "CHANGE 
OF CONTROL PURCHASE PRICE") equal to 101% of the aggregate principal amount 
thereof plus accrued and unpaid interest and Liquidated Damages, if any, 
thereon to and including the date of purchase (the "CHANGE OF CONTROL 
PAYMENT") on a date that is not more than 90 days after the occurrence of 
such Change of Control (the "CHANGE OF CONTROL PAYMENT DATE").  

                 (b) In the event of a Change of Control, the Company shall 
follow the procedures set forth in this Section 11.1 as follows:

                 (i) the Change of Control Offer shall commence within 45 
      days following the occurrence of a Change of Control; 

                 (ii) the Change of Control Offer shall remain open for at 
      least 20 Business Days following its commencement except to the extent 
      that a longer period is required by applicable law (but in any case not 
      more than 40 Business Days following its commencement);

                 (iii) within three Business Days following the expiration of 
      a Change of Control Offer, the Company shall purchase all of the tendered
      Securities at the Change of Control Purchase Price;

                                        72
<PAGE>



                 (iv) if the Change of Control is on or after an interest 
      payment record date and on or before the related interest payment date, 
      any accrued interest (and Liquidated Damages, if any) will be paid to the 
      Person in whose name a Security is registered at the close of business on
      such record date, and no additional interest will be payable to 
      Securityholders who tender Securities pursuant to the Change of Control 
      Offer;

                 (v) the Company shall provide the Trustee and the Paying 
      Agent with written notice of the Change of Control Offer at least three 
      Business Days before the commencement of any Change of Control Offer; and

                 (vi) on or before the commencement of any Change of Control 
      Offer, the Company or the Trustee (upon the request and at the expense of
      the Company) shall send, by first-class mail, a notice to each of the 
      Securityholders, which (to the extent consistent with this Indenture) 
      shall govern the terms of the Change of Control Offer and shall state:

                       (A) that the Change of Control Offer is being 
          made pursuant to this Section 11.1 and that all Securities, 
          or portions thereof, tendered will be accepted for payment;

                       (B) the Change of Control Purchase Price (including 
          the amount of accrued but unpaid interest (and Liquidated Damages, 
          if any)) and the Change of Control Payment Date;

                       (C) that any Security, or portion thereof, not 
          tendered or accepted for payment will continue to accrue interest; 

                       (D) that, unless the Company defaults in depositing 
          cash with the Paying Agent in accordance with the last paragraph 
          of this subsection (b), or such payment is prevented for any reason, 
          any Security, or portion thereof, accepted for payment pursuant 
          to the Change of Control Offer shall cease to accrue interest 
          after the Change of Control Purchase Date;

                       (E) that Holders electing to have a Security, or portion
          thereof, purchased pursuant to a Change of Control Offer will be 
          required to surrender the Security, with the form entitled "Option 
          of Holder to Elect Purchase" on the reverse of the Security completed,
          to the Paying Agent (which may not for purposes of this Section 11.1,
          notwithstanding anything in this Indenture to the contrary, be the
          Company or any Affiliate of the Company) at the 


                                             73
<PAGE>



          address specified in the notice prior to the expiration of the Change
          of Control Offer;

                       (F) that Holders will be entitled to withdraw their 
          election, in whole or in part, if the Paying Agent receives, prior 
          to the expiration of the Change of Control Offer, a facsimile 
          transmission or letter setting forth the name of the Holder,
          the principal amount of the Securities the Holder is withdrawing 
          and a statement containing a facsimile signature and stating that
          such Holder is withdrawing his election to have such principal 
          amount of Securities purchased; 

                       (G) that Holders whose Securities are purchased only 
          in part will be issued new Securities equal in principal amount to 
          the unpurchased portion of the Securities surrendered; and

                       (H) a brief description of the events resulting in 
          such Change of Control.

          On or before the Change of Control Payment Date, the Company shall, 
to the extent lawful, (1) accept for payment all Securities or portions 
thereof properly tendered and not withdrawn pursuant to the Change of Control 
Offer, (2) deposit with the Paying Agent an amount in cash equal to the 
Change of Control Payment in respect of all Securities or portions thereof so 
tendered and (3) deliver or cause to be delivered to the Trustee the 
Securities so accepted together with an Officers' Certificate listing the 
Securities or portions thereof being purchased by the Company. The Paying 
Agent shall promptly mail to each Holder so tendered the Change of Control 
Payment for such Securities, and the Trustee will promptly authenticate and 
mail (or cause to be transferred by book entry) to each Holder a new Security 
equal in principal amount to any unpurchased portion of the Securities 
surrendered, if any, PROVIDED that each such new Security will be in a 
principal amount of $1,000 or an integral multiple thereof.  Any Securities 
improperly tendered or withdrawn will be delivered promptly by the Company to 
the Holder thereof.  The Company shall publicly announce the results of the 
Change of Control Offer on or as soon as practicable after the Change of 
Control Payment Date.

          Any such Change of Control Offer shall comply with the requirements of
Rule 14e-1 under the Exchange Act and any other securities laws and regulations
thereunder to the extent such laws and regulations are applicable in connection
with the repurchase of the Securities as a result of a Change of Control.


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<PAGE>

                                   ARTICLE XII

                                    GUARANTEE

SECTION 1. GUARANTEE.

           (a) In consideration of good and valuable consideration, the 
receipt and sufficiency of which is hereby acknowledged, to the fullest 
extent permitted by applicable law, each of the Guarantors hereby irrevocably 
and unconditionally guarantees (the "GUARANTEE") to the Trustee and its 
successors and assigns, irrespective of the validity and enforceability 
against the Company and the other Guarantors of this Indenture, the 
Securities or the obligations of the Company under this Indenture or the 
Securities, that:  (x) the principal of and premium (if any), and interest on 
the Securities will be paid in full when due, whether at the Maturity Date or 
Interest Payment Date, by acceleration, call for redemption, upon a Change of 
Control, an Asset Sale Offer or otherwise; (y) all other obligations of the 
Company to the Holders or the Trustee under this Indenture or the Securities 
will be promptly paid in full or performed, all in accordance with the terms 
of this Indenture and the Securities; and (z) in case of any extension of 
time of payment or renewal of any Securities or any of such other 
obligations, they will be paid in full when due or performed in accordance 
with the terms of the extension or renewal, whether at maturity, by 
acceleration, call for redemption, upon a Change of Control, an Offer to 
Purchase or otherwise.  Failing payment when due of any amount so guaranteed 
for whatever reason, each Guarantor shall be obligated to pay the same before 
failure so to pay becomes an Event of Default.  

          If the Company or a Guarantor defaults in the payment of the principal
of, premium, if any, or interest on, the Securities when and as the same shall
become due, whether upon maturity, acceleration, call for redemption, upon a
Change of Control Offer, upon an Asset Sale Offer or otherwise, without the
necessity of action by the Trustee or any Holder, each Guarantor shall be
required, jointly and severally, to promptly make such payment in full.

           (b) Each Guarantor hereby agrees to the fullest extent permitted 
by applicable law, that its obligations with regard to this Guarantee shall 
be unconditional, irrespective of the validity, regularity or enforceability 
of the Securities or this Indenture, the absence of any action to enforce the 
same, any delays in obtaining or realizing upon or failures to obtain or 
realize upon collateral, the recovery of any judgment against the Company, 
any action to enforce the same or any other circumstances that might 
otherwise constitute a legal or equitable discharge or defense of a 
Guarantor.  Each Guarantor hereby waives diligence, presentment, demand of 
payment, filing of claims with a court in the event of insolvency or 
bankruptcy of the Company, any right to require a proceeding first against 
the Company or right to require the prior disposition of the assets of the 
Company to meet its obligations, protest, notice and all demands whatsoever 
and covenants that this Guarantee will not be discharged except by complete 
performance of the obligations contained in the Securities and this 
Indenture.  

           (c) If any Holder or the Trustee is required by any court or 
otherwise to return to either the Company or any Guarantor, or any Custodian 
or similar official acting in 


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<PAGE>


relation to either the Company or such Guarantor, any amount paid by either 
the Company or such Guarantor to the Trustee or such Holder, this Guarantee, 
to the extent theretofore discharged, shall be reinstated in full force and 
effect. Each Guarantor agrees that it will not be entitled to any right of 
subrogation in relation to the Holders in respect of any obligations 
guaranteed hereby until payment in full of all obligations guaranteed hereby. 
 Each Guarantor further agrees that, as between such Guarantor, on the one 
hand, and the Holders and the Trustee, on the other hand, (i) the maturity of 
the obligations guaranteed hereby may be accelerated as provided in Section 
6.2 hereof for the purposes of this Guarantee, notwithstanding any stay, 
injunction or other prohibition preventing such acceleration as to the 
Company of the obligations guaranteed hereby, and (ii) in the event of any 
declaration of acceleration of those obligations as provided in Section 6.2 
hereof, those obligations (whether or not due and payable) will forthwith 
become due and payable by each of the Guarantors for the purpose of this 
Guarantee.


           (d) It is the intention of each Guarantor and the Company that the 
obligations of each Guarantor hereunder shall be in, but not in excess of, 
the maximum amount permitted by applicable law.  Accordingly, if the 
obligations in respect of the Guarantee would be annulled, avoided or 
subordinated to the creditors of any Guarantor by a court of competent 
jurisdiction in a proceeding actually pending before such court as a result 
of a determination both that such Guarantee was made by such Guarantor 
without fair consideration and, immediately after giving effect thereto, such 
Guarantor was insolvent or unable to pay its debts as they mature or left 
with an unreasonably small capital, then the obligations of such Guarantor 
under such Guarantee shall be reduced by such court if and to the extent such 
reduction would result in the avoidance of such annulment, avoidance or 
subordination; PROVIDED, HOWEVER, that any reduction pursuant to this 
paragraph shall be made in the smallest amount as is strictly necessary to 
reach such result.  For purposes of this paragraph, "fair consideration", 
"insolvency", "unable to pay its debts as they mature", "unreasonably small 
capital" and the effective times of reductions, if any, required by this 
paragraph shall be determined in accordance with applicable law.

          SECTION 2. EXECUTION AND DELIVERY OF GUARANTEE.

          Each Guarantor shall, by virtue of such Guarantor's execution and
delivery of this Indenture or such Guarantor's execution and delivery of an
indenture supplement pursuant to Section 12.3 hereof, be deemed to have signed
on each Security issued hereunder the notation of guarantee set forth on the
form of the Securities attached hereto as Exhibit A to the same extent as if the
signature of such Guarantor appeared on such Security.

          The delivery of any Security by the Trustee, after the authentication
thereof hereunder, shall constitute due delivery of the guarantee set forth in
Section 12.1 on behalf of each Guarantor.  The notation of a guarantee set forth
on any Security shall be null and void and of no further effect with respect to
the guarantee of any Guarantor which, pursuant to Section 12.4 or Section 12.5,
is released from such Guarantee.

          SECTION 3. CERTAIN BANKRUPTCY EVENTS.


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<PAGE>

          Each Guarantor hereby covenants and agrees, to the fullest extent that
it may do so under applicable law, that in the event of the insolvency,
bankruptcy, dissolution, liquidation or reorganization of the Company, such
Guarantor shall not file (or join in any filing of), or otherwise seek to
participate in the filing of, any motion or request seeking to stay or to
prohibit (even temporarily) execution on the Guarantee and hereby waives and
agrees not to take the benefit of any such stay of execution, whether under
Section 362 or 105 of the United States Bankruptcy Code or otherwise.

          SECTION 4. LIMITATION ON MERGER, CONSOLIDATION, ETC. OF GUARANTORS; 
RELEASE OF CERTAIN GUARANTORS.

          No Guarantor shall consolidate or merge with or into (whether or not
such Guarantor is the surviving person) another person unless (i) subject to the
provisions of the following paragraph, the person formed by or surviving any
such consolidation or merger (if other than such Guarantor) assumes all the
obligations of such Guarantor pursuant to a supplemental indenture in form
reasonably satisfactory to the Trustee, pursuant to which such person shall
unconditionally guarantee, on a senior subordinated basis, all of such
Guarantor's obligations under such Guarantor's Guarantee and the Indenture on
the terms set forth in the Indenture; and (ii) immediately before and
immediately after giving effect to such transaction on a PRO FORMA basis, no
Default or Event of Default shall have occurred or be continuing.

          Notwithstanding the foregoing, upon the (i) sale or disposition
(whether by merger, stock purchase, asset sale or otherwise) of a Guarantor (or
all of its assets) to an entity which is not a Subsidiary of the Company or upon
the dissolution of any Guarantors which sale, disposition or dissolution is
otherwise in compliance with this Indenture, or (ii) the release of any
Guarantor from its obligations as a guarantor under the Credit Agreement, so
long as (a) no Default or Event of Default shall have occurred and be continuing
at the time of, or would occur after giving effect in a PRO FORMA basis to, such
release, (b) the Company is permitted to incur at least $1.00 of additional
Indebtedness pursuant to the Fixed Charge Coverage Ratio Test set forth in
Section 4.11 on the date when such release occurs, and (c) the amount of
Indebtedness outstanding under the Credit Agreement for at least 30 days prior
to the time of such release is at least $250 million, such Guarantor will be
deemed released from its obligations under its Guarantee of the Securities;
PROVIDED, HOWEVER, that any such termination shall occur only to the extent that
all obligations of such Guarantor under all of its guarantees of, and under all
of its pledges of assets or other security interests which secure, any
Indebtedness of the Company shall also terminate upon such sale, disposition or
dissolution.

          SECTION 5. FUTURE GUARANTORS.

          Upon (i) the acquisition by the Company or Guarantor of the Capital
Stock of any Person, if, as a result of such acquisition, such Person becomes a
Subsidiary of the Company or any Guarantor or (ii) the last day of any fiscal
quarter during which any Subsidiary of the Company that 


                                        77
<PAGE>


is not a Guarantor as of such date and has not previously been released as a 
Guarantor pursuant to Section 12.4 hereof becomes a Subsidiary, such 
Subsidiary any such Subsidiary, except any Excluded Guarantee Subsidiary (as 
defined below), (hereinafter being called a "FUTURE SUBSIDIARY GUARANTOR") 
shall unconditionally guarantee the obligations of the Company with respect 
to payment and performance of the Securities and the other obligations of the 
Company under this Indenture to the same extent that such obligations are 
guaranteed by the other Guarantors pursuant to Section 12.1 hereof; and, 
within ten Business Days of the date of such occurrence, such Future 
Subsidiary Guarantor shall execute and deliver to the Trustee a supplemental 
indenture, which shall be in a form satisfactory to the Trustee, making such 
Future Subsidiary Guarantor a party to this Indenture; PROVIDED, HOWEVER, 
that the foregoing provisions of this Section 12.5 shall not apply to (A) 
Subsidiaries of the Company or any Guarantor having total assets with a book 
value of less than $500,000 and that do not guarantee any Senior Debt and (B) 
Sun Systems, Inc. and each CareerStaff Company and Foreign Company, if such 
person does not (i) guarantee or otherwise becomes liable for Indebtedness of 
the Company or any Guarantor (other than, in the case of CareerStaff 
Companies, Indebtedness under the Credit Agreement), and (ii) does not cause 
more than two-thirds of its Equity Interests to be pledged to secure 
Indebtedness of the Company or any Guarantor (other than, in the case of 
CareerStaff Companies, Indebtedness under the Credit Agreement).

                                  ARTICLE XIII

                                  SUBORDINATION

          SECTION 1. SECURITIES SUBORDINATED TO SENIOR DEBT.

          The Company and the Guarantors and each Holder, by its acceptance of
Securities, agree that (a) the payment of the principal of and interest on the
Securities and (b) any other payment in respect of the Securities, including on
account of the acquisition or redemption of the Securities by the Company and
the Guarantors (including, without limitation, pursuant to Section 4.14, 11.1,
or Article XII) is subordinated, to the extent and in the manner provided in
this Article XIII, to the prior payment in full in cash or Cash Equivalents of
all Senior Debt of the Company and the Guarantors and that these subordination
provisions are for the benefit of the holders of Senior Debt.

          This Article XIII shall constitute a continuing offer to all Persons
who, in reliance upon such provisions, become holders of, or continue to hold,
Senior Debt, and such provisions are made for the benefit of the holders of
Senior Debts and such holders are made obligees hereunder and any one or more of
them may enforce such provisions.

          SECTION 2. NO PAYMENT ON SECURITIES IN CERTAIN CIRCUMSTANCES.

           (a) No payment (by set-off or otherwise) shall be made by or on 
behalf of the Company or a Guarantor, as applicable, on account of the 
principal of, premium, if any, or interest on the Securities (including any 
repurchases of Securities), or on account of the redemption provisions of the 
Securities, for cash or property (other than Junior Securities), (i) upon the 
maturity 


                                        78
<PAGE>



of any Senior Debt of the Company or such Guarantor, as applicable, 
by lapse of time, acceleration (unless waived) or otherwise, unless and until 
all principal of, premium, if any, and the interest on such Senior Debt are 
first paid in full in cash or Cash Equivalents (or such payment is duly 
provided for) or otherwise to the extent holders accept satisfaction of 
amounts due by settlement in other than cash or Cash Equivalents, or (ii) in 
the event of default in the payment of any principal of, premium, if any, or 
interest on Senior Debt of the Company or such Guarantor when it becomes due 
and payable, whether at maturity or at a date fixed for prepayment or by 
declaration or otherwise (a "PAYMENT DEFAULT"), unless and until such Payment 
Default has been cured or waived or otherwise has ceased to exist. 

           (b) Upon (i) the happening of an event of default (other than a 
Payment Default) that permits the holder of Senior Debt to declare such 
Senior Debt to be due and payable and (ii) written notice of such event of 
default given to the Company and the Trustee by the Representative under the 
Credit Agreement or the holders of an aggregate of at least $50 million 
principal amount outstanding of any other Senior Debt or their representative 
(a "PAYMENT NOTICE"), then, unless and until such event of default has been 
cured or waived or otherwise has ceased to exist, no payment (by set-off or 
otherwise) may be made by or on behalf of the Company or any Guarantor which 
is an obligor under such Senior Debt on account of the principal of, premium, 
if any, or interest on the Securities (including any repurchases of any of 
the Securities), or on account of the redemption provisions of the 
Securities, in any such case, other than payments made with Junior 
Securities.  Notwithstanding the foregoing, unless the Senior Debt in respect 
of which such event of default exists has been declared due and payable in 
its entirety within 179 days after the Payment Notice is delivered as set 
forth above (the "PAYMENT BLOCKAGE PERIOD") (and such declaration has not 
been rescinded or waived), at the end of the Payment Blockage Period, the 
Company and the Guarantors shall be required to pay all sums not paid to the 
Holders of the Securities during the Payment Blockage Period due to the 
foregoing prohibitions and to resume all other payments as and when due on 
the Securities.  Any number of Payment Notices may be given; PROVIDED that 
(i) not more than one Payment Notice shall be given within a period of any 
360 consecutive days, and (ii) no default that existed upon the date of such 
Payment Notice or the commencement of such Payment Blockage Period (whether 
or not such event of default is on the same issue of Senior Debt) shall be 
made the basis for the commencement of any other Payment Blockage Period 
unless such other Payment Blockage Period is commenced by a Payment Notice 
from the Representative under the Credit Agreement and such event of default 
shall have been cured or waived for a period of at least 90 consecutive days. 

           (c)  Upon any distribution of assets of the Company or any
Guarantor upon any dissolution, winding up, total or partial liquidation or
reorganization of the Company or a Guarantor, whether voluntary or involuntary,
in bankruptcy, insolvency, receivership or a similar proceeding or upon
assignment for the benefit of creditors or any marshalling of assets or
liabilities, (i) the holders of all Senior Debt of the Company or such
Guarantor, as applicable, will first be entitled to receive payment in full in
cash or Cash Equivalents (or have such payment duly provided for to the
satisfaction of such holders) or otherwise to the extent holders accept
satisfaction of amounts due by settlement in other than cash or Cash Equivalents
before the Holders are entitled to receive any payment on account of principal
of, premium, if any, and interest on the Securities (other 


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<PAGE>



than Junior Securities) and (ii) any payment or distribution of assets of the 
Company or such Guarantor of any kind or character from any source, whether 
in cash, property or securities (other than Junior Securities) to which the 
Holders or the Trustee on behalf of the Holders would be entitled (by set-off 
or otherwise), except for the subordination provisions contained in this 
Indenture, will be paid by the liquidating trustee or agent or other person 
making such a payment or distribution directly to the holders of such Senior 
Debt or their representative to the extent necessary to make payment in full 
(or have such payment duly provided for) on all such Senior Debt remaining 
unpaid, after giving effect to any concurrent payment or distribution to the 
holders of such Senior Debt. 

           (d) In furtherance of the provisions of Section 13.1, in the
event that, notwithstanding the foregoing provisions of this Section 13.2, any
payment or distribution of assets of the Company or any Guarantor (other than
Junior Securities) shall be received by the Trustee or the Holders at a time
when such payment or distribution is prohibited by the provisions of this
Section 13.2, such payment or distribution shall be held in trust for the
benefit of the holders of such Senior Debt, and shall be paid or delivered by
the Trustee or such Holders, as the case may be, to the holders of such Senior
Debt remaining unpaid or unprovided for or to their representative or
representatives, or to the trustee or trustees under any indenture pursuant to
which any instruments evidencing any of such Senior Debt may have been issued,
ratably according to the aggregate principal amounts remaining unpaid on account
of such Senior Debt held or represented by each, for application to the payment
of all such Senior Debt remaining unpaid, to the extent necessary to pay or to
provide for the payment of all such Senior Debt in full in cash or Cash
Equivalents or otherwise to the extent holders accept satisfaction of amounts
due by settlement in other than cash or Cash Equivalents after giving effect to
any concurrent payment or distribution to the holders of such Senior Debt. 

          The subordination provisions hereof shall continue to be effective or
be reinstated, as the case may be, if at any time any payment of any Senior Debt
is rescinded or must otherwise be returned by any holder of such Senior Debt
upon the insolvency, bankruptcy or reorganization of the Company, any Guarantor
or otherwise, all as though such payment has not been made.

          SECTION 3. SECURITIES SUBORDINATED TO PRIOR PAYMENT OF ALL SENIOR 
DEBT ON DISSOLUTION, LIQUIDATION OR REORGANIZATION.

          Upon any distribution of assets of the Company or any Guarantor or
upon any dissolution, winding up, total or partial liquidation or reorganization
of the Company or a Guarantor, whether voluntary or involuntary, in bankruptcy,
insolvency, receivership or a similar proceeding or upon assignment for the
benefit of creditors or any marshalling of assets or liabilities:

           (a) the holders of all Senior Debt of the Company or such 
Guarantor, as applicable, will first be entitled to receive payment in full 
in cash or Cash Equivalents before the Holders are entitled to receive any 
payment on account of the principal of, premium, if any, and interest on the 
Securities or any Obligation in respect of the Securities (other than Junior 
Securities);

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<PAGE>

         (b) any payment or distribution of assets of the Company or such 
Guarantor of any kind or character from any source, whether in cash, property 
or securities (other than Junior Securities) to which the Holders or the 
Trustee on behalf of the Holders would be entitled (by set-off or otherwise), 
except for the provisions of this Article XIII, shall be paid by the 
liquidating trustee or agent or other person making such a payment or 
distribution directly to the holders of such Senior Debt or their 
representative to the extent necessary to make payment in full on all such 
Senior Debt remaining unpaid, after giving effect to any concurrent payment 
or distribution to the holders of such Senior Debt; and

         (c) in the event that, notwithstanding the foregoing, any payment or 
distribution of assets of the Company or any Guarantor (other than Junior 
Securities) shall be received by the Trustee or the Holders at a time when 
such payment or distribution is prohibited by the foregoing provisions, such 
payment or distribution shall be held in trust for the benefit of the holders 
of such Senior Debt, and shall be paid or delivered by the Trustee or such 
Holders, as the case may be, to the holders of such Senior Debt remaining 
unpaid to their representative or representatives, or to the trustee or 
trustees under any indenture pursuant to which any instruments evidencing any 
of such Senior Debt may have been issued, ratably according to the aggregate 
principal amounts remaining unpaid on account of such Senior Debt held or 
represented by each, for application to the payment of all such Senior Debt 
remaining unpaid, to the extent necessary to pay all such Senior Debt in full 
in cash or Cash Equivalents after giving effect to any concurrent payment or 
distribution to the holders of such Senior Debt.

    SECTION 4. SECURITYHOLDERS TO BE SUBROGATED TO RIGHTS OF HOLDERS OF SENIOR
DEBT.

    Subject to the payment in full in cash or Cash Equivalents of all Senior 
Debt of the Company or any Guarantor as provided herein, the Holders of 
Securities shall be subrogated to the rights of the holders of such Senior 
Debt to receive payments or distributions of assets of the Company applicable 
to the Senior Debt until all amounts owing on the Securities shall be paid in 
full, and for the purpose of such subrogation no such payments or 
distributions to the holders of such Senior Debt by or on behalf of the 
Company or any Guarantor, or by or on behalf of the Holders by virtue of this 
Article XIII, which otherwise would have been made to the Holders shall, as 
between the Company or any Guarantor and the Holders, be deemed to be payment 
by the Company or any Guarantor or on account of such Senior Debt, it being 
understood that the provisions of this Article XIII are and are intended 
solely for the purpose of defining the relative rights of the Holders, on the 
one hand, and the holders of such Senior Debt, on the other hand.

    If any payment or distribution to which the Holders would otherwise have 
been entitled but for the provisions of this Article XIII shall have been 
applied, pursuant to the provisions of this Article XIII, to the payment of 
amounts payable under Senior Debt of the Company or any Guarantor, then the 
Holders shall be entitled to receive from the holders of such Senior Debt any 
payments or distributions received by such holders of Senior Debt in excess 
of the amount sufficient to pay all amounts payable under or in respect of 
such Senior Debt in full in cash or Cash Equivalents.

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<PAGE>

    SECTION 5. OBLIGATIONS OF THE COMPANY AND THE GUARANTORS UNCONDITIONAL.

    Nothing contained in this Article XIII or elsewhere in this Indenture or 
in the Securities is intended to or shall impair, as between the Company and 
any Guarantors and the Holders, the obligation of each such Person, which is 
absolute and unconditional, to pay to the Holders the principal of, premium, 
if any, and interest on the Securities as and when the same shall become due 
and payable in accordance with their terms, or is intended to or shall affect 
the relative rights of the Holders and creditors of the Company and the 
Guarantors other than the holders of the Senior Debt, nor shall anything 
herein or therein prevent the Trustee or any Holder from exercising all 
remedies otherwise permitted by applicable law upon default under this 
Indenture, subject to the rights, if any, under this Article XIII, of the 
holders of Senior Debt in respect of cash, property or securities of the 
Company and the Guarantors received upon the exercise of any such remedy.  
Notwithstanding anything to the contrary in this Article XIII or elsewhere in 
this Indenture or in the Securities, upon any distribution of assets of the 
Company and the Guarantors referred to in this Article XIII, the Trustee, 
subject to the provisions of Sections 7.1 and 7.2, and the Holders shall be 
entitled to rely upon any order or decree made by any court of competent 
jurisdiction in which such dissolution, winding up, liquidation or 
reorganization proceedings are pending, or a certificate of the liquidating 
Trustee or agent or other Person making any distribution to the Trustee or to 
the Holders for the purpose of ascertaining the Persons entitled to 
participate in such distribution, the holders of the Senior Debt and other 
Indebtedness of the Company or any Guarantor, the amount thereof or payable 
thereon, the amount or amounts paid or distributed thereon and all other 
facts pertinent thereto or to this Article XIII so long as such court has 
been apprised of the provisions of, or the order, decree or certificate makes 
reference to, the provisions of this Article XIII.  Nothing in this Section 
13.5 shall apply to the claims of, or payments to, the Trustee under or 
pursuant to Section 7.7.

    SECTION 6. TRUSTEE ENTITLED TO ASSUME PAYMENTS NOT PROHIBITED IN ABSENCE OF
NOTICE.

    The Trustee shall not at any time be charged with knowledge of the 
existence of any facts which would prohibit the making of any payment to or 
by the Trustee unless and until a Trust Officer of the Trustee or any Paying 
Agent shall have received, no later than one Business Day prior to such 
payment written notice thereof from the Company or from one or more holders 
of Senior Debt or from any representative therefor and, prior to the receipt 
of any such written notice, the Trustee, subject to the provisions of 
Sections 7.1 and 7.2, shall be entitled in all respects conclusively to 
assume that no such fact exists.

    SECTION 7. APPLICATION BY TRUSTEE OF ASSETS DEPOSITED WITH IT.

    Amounts deposited in trust with the Trustee pursuant to and in accordance 
with Article VIII shall be for the sole benefit of Securityholders and, to 
the extent (i) the making of such deposit by the Company shall not be in 
contravention of any term or provision of the Credit Agreement and (ii) 
allocated for the payment of Securities, shall not be subject to the 
subordination 

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<PAGE>

provisions of this Article XIII.  Otherwise, any deposit of assets with the 
Trustee or the Agent (whether or not in trust) for the payment of principal 
of or interest on any Securities shall be subject to the provisions of 
Sections 13.1, 13.2, 13.3 and 13.4; PROVIDED that, if prior to one Business 
Day preceding the date on which by the terms of this Indenture any such 
assets may become distributable for any purpose (including without 
limitation, the payment of either principal of or interest on any Security) 
the Trustee or such Paying Agent shall not have received with respect to such 
assets the written notice provided for in Section 13.6, then the Trustee or 
such Paying Agent shall have full power and authority to receive such assets 
and to apply the same to the purpose for which they were received, and shall 
not be affected by any notice to the contrary which may be received by it on 
or after such date.

    SECTION 8. SUBORDINATION RIGHTS NOT IMPAIRED BY ACTS OR OMISSIONS OF THE 
COMPANY, THE GUARANTORS OR HOLDERS OF SENIOR DEBT.

    No right of any present or future holders of any Senior Debt to enforce 
subordination provisions contained in this Article XIII shall at any time in 
any way be prejudiced or impaired by any act or failure to act on the part of 
the Company or any Guarantor or by any act or failure to act, in good faith, 
by any such holder, or by any noncompliance by the Company or any Guarantor 
with the terms of this Indenture, regardless of any knowledge thereof which 
any such holder may have or be otherwise charged with.  The holders of Senior 
Debt may extend, renew, modify or amend the terms of the Senior Debt or any 
security therefor and release, sell or exchange such security and otherwise 
deal freely with the Company and the Guarantors, all without affecting the 
liabilities and obligations of the parties to this Indenture or the Holders.

    SECTION 9. SECURITYHOLDERS AUTHORIZE TRUSTEE TO EFFECTUATE SUBORDINATION 
OF SECURITIES.

    Each Holder of the Securities by his acceptance thereof authorizes and 
expressly directs the Trustee on his behalf to take such action as may be 
necessary or appropriate to effectuate the subordination provisions contained 
in this Article XIII and to protect the rights of the Holders pursuant to 
this Indenture, and appoints the Trustee his attorney-in-fact for such 
purpose, including, in the event of any dissolution, winding up, liquidation 
or reorganization of the Company or any Guarantor (whether in bankruptcy, 
insolvency or receivership proceedings or upon an assignment for the benefit 
of creditors or any other marshalling of assets and liabilities of the 
Company or any Guarantor), the immediate filing of a claim for the unpaid 
balance of his Securities in the form required in said proceedings and cause 
said claim to be approved.  If the Trustee does not file a proper claim or 
proof of debt in the form required in such proceeding prior to 30 days before 
the expiration of the time to file such claim or claims, then the holders of 
the Senior Debt or their representative are or is hereby authorized to have 
the right to file and are or is hereby authorized to file an appropriate 
claim for and on behalf of the Holders of said Securities.  Nothing herein 
contained shall be deemed to authorize the Trustee or the holders of Senior 
Debt or their representative to authorize or consent to or accept or adopt on 
behalf of any Securityholder any plan of reorganization, arrangement, 
adjustment or composition affecting the Securities or the rights of any 
Holder thereof, 

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<PAGE>

or to authorize the Trustee or the holders of Senior Debt or their 
representative to vote in respect of the claim of any Securityholder in any 
such proceeding.

    SECTION 10. RIGHT OF TRUSTEE TO HOLD SENIOR DEBT.

    The Trustee shall be entitled to all of the rights set forth in this 
Article XIII in respect of any Senior Debt at any time held by it to the same 
extent as any other holder of Senior Debt, and nothing in this Indenture 
shall be construed to deprive the Trustee of any of its rights as such holder.

    SECTION 11. ARTICLE XIII NOT TO PREVENT EVENTS OF DEFAULT.

    The failure to make a payment on account of principal of, premium, if 
any, or interest on the Securities by reason of any provision of this Article 
XIII shall not be construed as preventing the occurrence of a Default or an 
Event of Default under Section 6.1 or in any way limit the rights of the 
Trustee or any Holder to pursue any other rights or remedies with respect to 
the Securities.

    SECTION 12. NO FIDUCIARY DUTY OF TRUSTEE TO HOLDERS OF SENIOR DEBT.

    The Trustee shall not be deemed to owe any fiduciary duty to the holders 
of Senior Debt, and shall not be liable to any such holders (other than for 
its willful misconduct or negligence) if it shall in good faith mistakenly 
pay over or distribute to the Holders of Securities or the Company, any 
Guarantor or any other Person, cash, property or securities to which any 
holders of Senior Debt shall be entitled by virtue of this Article XIII or 
otherwise. Nothing in this Section 13.12 shall affect the obligation of any 
other such Person to hold such payment for the benefit of, and to pay such 
payment over to, the holders of Senior Debt or their representative.  In the 
event of any conflict between the fiduciary duty of the Trustee to the 
Holders of Securities and to the holders of Senior Debt, the Trustee is 
expressly authorized to resolve such conflict in favor of the Holders.

                                   ARTICLE XIV

                                  MISCELLANEOUS

    SECTION 1. TIA CONTROLS.

    If any provision of this Indenture limits, qualifies, or conflicts with 
the duties imposed by operation of the TIA, the imposed duties, upon 
qualification of this Indenture under the TIA, shall control.

    SECTION 2. NOTICES.

    Any notices or other communications to the Company or any Guarantor or 
the Trustee required or permitted hereunder shall be in writing, and shall be 
sufficiently given if made by hand 

                                     84

<PAGE>

delivery, by telex, by telecopier or registered or certified mail, postage 
prepaid, return receipt requested, addressed as follows:

    if to the Company or any Guarantor:

         Sun Healthcare Group, Inc.
         101 Sun Lane NE
         Albuquerque, New Mexico 87109
         Attention:  Chief Financial Officer
         Telecopy:  (505) 821-9532

    with a copy to:

         Shearman & Sterling
         555 California, Suite 2000
         San Francisco, California  94123
         Attention:  William Hinman
         Telecopy:  (415) 616-1199

    if to the Trustee:

         First Trust National Association
         First Trust Center
         180 East Fifth Street, Suite 200
         St. Paul, Minnesota 55101
         Attention:  Corporate Trust Department
         Telecopy:  (612) 244-0711

    Any party by notice to each other party may designate additional or 
different addresses as shall be furnished in writing by such party.  Any 
notice or communication to any party shall be deemed to have been given or 
made as of the date so delivered, if personally delivered; when answered 
back, if telexed; when receipt is acknowledged, if telecopied; and five 
Business Days after mailing if sent by registered or certified mail, postage 
prepaid (except that a notice of change of address shall not be deemed to 
have been given until actually received by the addressee).

    Any notice or communication mailed to a Securityholder shall be mailed to 
him by first class mail or other equivalent means at his address as it 
appears on the registration books of the Registrar and shall be sufficiently 
given to him if so mailed within the time prescribed.

    Failure to mail a notice or communication to a Securityholder or any 
defect in it shall not affect its sufficiency with respect to other 
Securityholders.  If a notice or communication is mailed in the manner 
provided above, it is duly given, whether or not the addressee receives it.

                                     85

<PAGE>

    SECTION 3. COMMUNICATIONS BY HOLDERS WITH OTHER HOLDERS.

    Securityholders may communicate pursuant to TIA Section 312(b) with other 
Securityholders with respect to their rights under this Indenture or the 
Securities.  The Company, the Trustee, the Registrar and any other Person 
shall have the protection of TIA Section 312(c).

    SECTION 4. CERTIFICATE AND OPINION AS TO CONDITIONS PRECEDENT.

    Upon any request or application by the Company or any Guarantor to the 
Trustee to take any action under this Indenture, such Person shall furnish to 
the Trustee:

         (1) an Officers' Certificate (in form and substance reasonably 
  satisfactory to the Trustee) stating that, in the opinion of the signers, all
  conditions precedent, if any, provided for in this Indenture relating to the
  proposed action have been met; and

         (2) an Opinion of Counsel (in form and substance reasonably 
  satisfactory to the Trustee) stating that, in the opinion of such counsel,
  all such conditions precedent have been met.

    SECTION 5. STATEMENTS REQUIRED IN CERTIFICATE OR OPINION.

    Each certificate or opinion with respect to compliance with a condition 
or covenant provided for in this Indenture shall include:

         (1) a statement that the Person making such certificate or opinion 
  has read such covenant or condition;

         (2) a brief statement as to the nature and scope of the examination 
  or investigation upon which the statements or opinions contained in such 
  certificate or opinion are based;

         (3) a statement that, in the opinion of such Person, he has made 
  such examination or investigation as is necessary to enable him to express an
  informed opinion as to whether or not such covenant or condition has been met;
  and

    (4) a statement as to whether or not, in the opinion of each such Person, 
  such condition or covenant has been met; PROVIDED, HOWEVER, that with respect
  to matters of fact an Opinion of Counsel may rely on an Officers' Certificate
  or certificates of public officials.

    SECTION 6. RULES BY TRUSTEE, PAYING AGENT, REGISTRAR.

                                     86

<PAGE>

    The Trustee may make reasonable rules for action by or at a meeting of 
Securityholders.  The Paying Agent or Registrar may make reasonable rules for 
its functions.

    SECTION 7. LEGAL HOLIDAYS.

    A "LEGAL HOLIDAY" is a Saturday, a Sunday or a day on which banking 
institutions in New York, New York are authorized or obligated by law or 
executive order to close.  If a payment date is a Legal Holiday at such 
place, payment may be made at such place on the next succeeding day that is 
not a Legal Holiday, and no interest shall accrue for the intervening period.

    SECTION 8. GOVERNING LAW.

    THIS INDENTURE, THE GUARANTEES AND THE SECURITIES SHALL BE GOVERNED BY 
AND CONSTRUED IN ACCORDANCE WITH THE LAWS OF THE STATE OF NEW YORK, AS 
APPLIED TO CONTRACTS MADE AND PERFORMED WITHIN THE STATE OF NEW YORK.  EACH 
OF THE COMPANY AND THE GUARANTORS HEREBY IRREVOCABLY SUBMITS TO THE 
JURISDICTION OF ANY NEW YORK STATE COURT SITTING IN THE BOROUGH OF MANHATTAN 
IN THE CITY OF NEW YORK OR ANY FEDERAL COURT SITTING IN THE BOROUGH OF 
MANHATTAN IN THE CITY OF NEW YORK IN RESPECT OF ANY SUIT, ACTION OR 
PROCEEDING ARISING OUT OF OR RELATING TO THIS INDENTURE AND THE SECURITIES, 
AND IRREVOCABLY ACCEPTS FOR ITSELF AND IN RESPECT OF ITS PROPERTY, GENERALLY 
AND UNCONDITIONALLY, JURISDICTION OF THE AFORESAID COURTS.  EACH OF THE 
COMPANY AND THE GUARANTORS IRREVOCABLY WAIVES, TO THE FULLEST EXTENT IT MAY 
EFFECTIVELY DO SO UNDER APPLICABLE LAW, ANY OBJECTION WHICH IT MAY NOW OR 
HEREAFTER HAVE TO THE LAYING OF THE VENUE OF ANY SUCH SUIT, ACTION OR 
PROCEEDING BROUGHT IN ANY SUCH COURT AND ANY CLAIM THAT ANY SUCH SUIT, ACTION 
OR PROCEEDING BROUGHT IN ANY SUCH COURT HAS BEEN BROUGHT IN AN INCONVENIENT 
FORUM.  NOTHING HEREIN SHALL AFFECT THE RIGHT OF THE TRUSTEE OR ANY 
SECURITYHOLDER TO SERVE PROCESS IN ANY OTHER MANNER PERMITTED BY LAW OR TO 
COMMENCE LEGAL PROCEEDINGS OR OTHERWISE PROCEED AGAINST THE COMPANY AND THE 
GUARANTORS IN ANY OTHER JURISDICTION.

    SECTION 9. NO ADVERSE INTERPRETATION OF OTHER AGREEMENTS.

    This Indenture may not be used to interpret another indenture, loan or 
debt agreement of the Company or any Guarantor or any of their respective 
Subsidiaries.  Any such indenture, loan or debt agreement may not be used to 
interpret this Indenture.

                                     87
<PAGE>

          SECTION 10. NO RECOURSE AGAINST OTHERS.

          No partner, incorporator, direct or indirect stockholder, director, 
officer or employee, as such, past, present or future, of the Company or any 
Guarantor, or any successor entity, shall have any personal liability in 
respect of the obligations of the Company and the Guarantors under the 
Securities, this Indenture or for any claim based on, in respect of, or by 
reason of such obligations or their creation by reason of his, her or its 
status as such partner, incorporator, stockholder, director, officer or 
employee. Each Securityholder by accepting a Security waives and releases all 
such liability. The waiver and release are part of the consideration for the 
issuance of the Securities.  

          SECTION 11. SUCCESSORS.

          All agreements of the Company and the Guarantors in this Indenture 
and the Securities shall bind its successor.  All agreements of the Trustee 
in this Indenture shall bind its successor.

          SECTION 12. DUPLICATE ORIGINALS.

          All parties may sign any number of copies or counterparts of this 
Indenture.  Each signed copy or counterpart shall be an original, but all of 
them together shall represent the same agreement.

          SECTION 13. SEVERABILITY.

          In case any one or more of the provisions in this Indenture or in 
the Securities or in the Guarantees shall be held invalid, illegal or 
unenforceable, in any respect for any reason, the validity, legality and 
enforceability of any such provision in every other respect and of the 
remaining provisions shall not in any way be affected or impaired thereby, it 
being intended that all of the provisions hereof shall be enforceable to the 
full extent permitted by law.

          SECTION 14. TABLE OF CONTENTS, HEADINGS, ETC.

          The Table of Contents, Cross-Reference Table and headings of the 
Articles and the Sections of this Indenture have been inserted for 
convenience of reference only, are not to be considered a part hereof and 
shall in no way modify or restrict any of the terms or provisions hereof.

          SECTION 15. QUALIFICATION OF INDENTURE.

          The Company shall qualify this Indenture under the TIA in 
accordance with the terms and conditions of the Registration Rights Agreement 
and shall pay all costs and expenses (including attorneys' fees for the 
Company and the Trustee) incurred in connection therewith, including, but not 
limited to, costs and expenses of qualification of this Indenture and the 
Securities and printing this Indenture and the Securities.  The Trustee shall 
be entitled to receive from the Company any such


                                       88

<PAGE>

Officers' Certificates, Opinions of Counsel or other documentation as it may 
reasonably request in connection with any such qualification of this 
Indenture under the TIA.

          SECTION 16. REGISTRATION RIGHTS.

          Certain Holders of the Securities may be entitled to certain 
registration rights with respect to such Securities pursuant to, and subject 
to the terms of, the Registration Rights Agreement.


                                       89

<PAGE>

                                   SIGNATURES

          IN WITNESS WHEREOF, the parties hereto have caused this Indenture 
to be duly executed as of the date first written above.

                                   SUN HEALTHCARE GROUP, INC.,
                                   a Delaware corporation



                                   By:
                                       ---------------------------------------
                                       Name:  Robert D. Woltil
                                       Title: Senior Vice President,
                                              Financial Services and Chief
                                              Financial Officer


                                   FIRST TRUST NATIONAL
                                   ASSOCIATION,
                                   as Trustee



                                   By:
                                       ---------------------------------------
                                       Name:  Richard H. Prokosch
                                       Title: Trust Officer


                                   GUARANTORS, as listed on Schedule A
                                   to the Purchase Agreement



                                   By:
                                       ---------------------------------------
                                       Name:  Robert D. Woltil
                                       Title: Senior Vice President and 
                                              Chief Financial Officer of the 
                                              Guarantors except for Accel-

<PAGE>

                                              erated Care Plus, LLC of 
                                              which he is Senior Vice Presi-
                                              dent and Chief Executive Offi-
                                              cer of its members HC, Inc. 
                                              and Cal-Med, Inc.


                                       91


<PAGE>
                                                                       EXHIBIT A
                               [FORM OF SECURITY]

                           SUN HEALTHCARE GROUP, INC.

            9 1/2% SERIES A (1) SENIOR SUBORDINATED NOTE DUE 2007

                                                        CUSIP No. ______________
No.                                                     $


          Sun Healthcare Group, Inc., a Delaware corporation (hereinafter 
called the "COMPANY", which term includes any successors under the Indenture 
hereinafter referred to), for value received, hereby promises to pay to 
_____, or registered assigns, the principal sum of _____ Dollars, on July 1, 
2007.

          Interest Payment Dates:  July 1 and January 1,  commencing January 
1, 1998.

          Record Dates:  June 15 and December 15.

          Reference is made to the further provisions of this Security on the 
reverse side, which will, for all purposes, have the same effect as if set 
forth at this place.

          IN WITNESS WHEREOF, the Company has caused this Instrument to be duly
executed under its corporate seal.

Dated:     

                              SUN HEALTHCARE GROUP, INC.,
                              a Delaware corporation



                              By:                                               
                                   ---------------------------------------
                                   Name:     
                                   Title:    


- ------------------------
     (1) Series A should be replaced with Series B in the Exchange Securities.
                                             

                                      A-1

<PAGE>

Attest:                            
       ----------------------------
       Name:
       Title:
       
                                      A-2

<PAGE>

                [FORM OF TRUSTEE'S CERTIFICATE OF AUTHENTICATION]

          This is one of the Securities described in the within-mentioned
Indenture.

                                  FIRST TRUST NATIONAL ASSOCIATION,
                                  as Trustee



                                  By
                                    ---------------------------------
                                     Authorized Signatory


Dated: 

                                      A-3

<PAGE>
                           SUN HEALTHCARE GROUP, INC.


              91/2% SERIES A (2) SENIOR SUBORDINATED NOTE DUE 2007

          Unless and until it is exchanged in whole or in part for Securities in
definitive form, this Security may not be transferred except as a whole by the
Depositary to a nominee of the Depositary or by a nominee of the Depositary to
the Depositary or another nominee of the Depositary or by the Depositary or any
such nominee to a successor Depositary or a nominee of such successor
Depositary.  Unless this certificate is presented by an authorized
representative of The Depositary Trust Company (55 Water Street, New York, New
York) ("DTC"), to the Company or its agent for registration of transfer,
exchange or payment, and any certificate issued is registered in the name of
Cede & Co. or such other name as requested by an authorized representative of
DTC (and any payment is made to Cede & Co. or such other entity as is requested
by an authorized representative of DTC), ANY TRANSFER, PLEDGE OR OTHER USE
HEREOF FOR VALUE OR OTHERWISE BY OR TO ANY PERSON IS WRONGFUL inasmuch as the
registered owner hereof, Cede & Co., has an interest herein.(3)

          THIS NOTE (OR ITS PREDECESSOR) HAS NOT BEEN REGISTERED UNDER THE U.S.
     SECURITIES ACT OF 1933, AS AMENDED (THE "SECURITIES ACT") AND, ACCORDINGLY,
     MAY NOT BE OFFERED, SOLD, PLEDGED OR OTHERWISE TRANSFERRED WITHIN THE
     UNITED STATES OR TO, OR FOR THE ACCOUNT OR BENEFIT OF, U.S. PERSONS, EXCEPT
     AS SET FORTH IN THE FOLLOWING SENTENCE.  BY ITS ACQUISITION HEREOF OR OF A
     BENEFICIAL INTEREST HEREIN, THE HOLDER (1) REPRESENTS THAT (A) IT IS A
     "QUALIFIED INSTITUTIONAL BUYER" (AS DEFINED IN RULE 144A UNDER THE
     SECURITIES ACT)(A "QIB"), OR (B) IT IS NOT A U.S. PERSON, IS NOT ACQUIRING
     THIS NOTE FOR THE ACCOUNT OR BENEFIT OF A U.S. PERSON AND IS ACQUIRING THIS
     NOTE IN AN OFFSHORE TRANSACTION IN COMPLIANCE WITH REGULATION S UNDER THE
     SECURITIES ACT, (2) AGREES THAT IT WILL NOT, WITHIN THE TIME PERIOD
     REFERRED TO UNDER RULE 144(k) (TAKING INTO ACCOUNT THE PROVISIONS OF RULE
     144(d) UNDER THE SECURITIES ACT, IF APPLICABLE) UNDER THE SECURITIES ACT AS
     IN EFFECT ON THE DATE OF THE TRANSFER OF THIS NOTE, RESELL OR OTHERWISE
     TRANSFER THIS NOTE EXCEPT (A) TO THE COMPANY OR ANY SUBSIDIARY THEREOF, (B)
     TO A PERSON WHOM THE HOLDER REASONABLY BELIEVES IS A QIB PURCHASING FOR ITS
     OWN ACCOUNT OR FOR THE 

- --------------
     (2) Series A should be replaced with Series B in the Exchange Security.

     (3) This paragraph should only be added if the Security is issued in 
         global form.

                                      A-4

<PAGE>

     ACCOUNT OF A QIB IN COMPLIANCE WITH RULE 144A UNDER THE SECURITIES ACT, 
     (C) OUTSIDE THE UNITED STATES IN AN OFFSHORE TRANSACTION IN COMPLIANCE 
     WITH RULE 904 UNDER THE SECURITIES ACT, (D) PURSUANT TO THE EXEMPTION 
     FROM REGISTRATION PROVIDED BY RULE 144 UNDER THE SECURITIES ACT (IF 
     AVAILABLE), (E) PURSUANT TO AN EFFECTIVE REGISTRATION STATEMENT UNDER 
     THE SECURITIES ACT AND, IN EACH CASE, IN ACCORDANCE WITH THE APPLICABLE 
     STATE SECURITIES LAWS OR (F) IN ACCORDANCE WITH ANOTHER EXEMPTION FROM 
     THE REGISTRATION REQUIREMENTS OF THE SECURITIES ACT (AND BASED UPON AN 
     OPINION OF COUNSEL ACCEPTABLE TO THE COMPANY) AND, IN EACH CASE, IN 
     ACCORDANCE WITH APPLICABLE STATE SECURITIES LAWS AND (3) AGREES THAT IT 
     WILL DELIVER TO EACH PERSON TO WHOM THIS NOTE OR AN INTEREST HEREIN IS 
     TRANSFERRED A NOTICE SUBSTANTIALLY TO THE EFFECT OF THIS LEGEND.  AS 
     USED HEREIN, THE TERMS "OFFSHORE TRANSACTION", "UNITED STATES" AND "U.S. 
     PERSON" HAVE THE MEANINGS GIVEN TO THEM BY RULE 902 OF REGULATION S 
     UNDER THE SECURITIES ACT.  THE INDENTURE CONTAINS A PROVISION REQUIRING 
     THE TRUSTEE TO REFUSE TO REGISTER ANY TRANSFER OF THIS NOTE IN VIOLATION 
     OF THE FOREGOING RESTRICTIONS.(4)


1.   INTEREST.

          Sun Healthcare Group, Inc., a Delaware corporation (hereinafter 
called the "COMPANY," which term includes any successors under the Indenture 
hereinafter referred to), promises to pay interest on the principal amount of 
this Security at the rate of 91/2% per annum.  To the extent it is lawful, 
the Company promises to pay interest on any interest payment due but unpaid 
on such principal amount at a rate of 91/2% per annum compounded 
semi-annually.

          The Company will pay interest semi-annually on July 1 and January 1 
of each year (each, an "INTEREST PAYMENT DATE"), commencing January 1, 1998. 
Interest on the Securities will accrue from the most recent date to which 
interest has been paid or, if no interest has been paid on the Securities, 
from the date of the original issuance.  Interest will be computed on the 
basis of a 360-day year consisting of twelve 30-day months. 

2.   METHOD OF PAYMENT.

          The Company shall pay interest on the Securities (except defaulted 
interest) to the Persons who are the registered Holders at the close of 
business on the Record Date immediately preceding the Interest Payment Date.  
Holders must surrender Securities to a 

- --------------
     (4) This paragraph should be included only for the Initial Securities.

                                      A-5

<PAGE>

Paying Agent to collect principal payments. Except as provided below, the 
Company shall pay principal and interest in such coin or currency of the 
United States of America as at the time of payment shall be legal tender for 
payment of public and private debts ("CASH").  The Securities will be payable 
as to principal, premium and interest at the office or agency of the Company 
maintained for such purpose within the Borough of Manhattan, the City and 
State of New York or, at the option of the Company, payment of principal, 
premium and interest may be made by check mailed to the Holders at their 
addresses set forth in the register of Holders, and PROVIDED that payment by 
wire transfer of immediately available funds will be required with respect to 
principal of and interest and premium on all Global Securities and all other 
Securities the Holders of which shall have provided wire transfer 
instructions to the Company or the Paying Agent at least 5 Business Days 
prior to the relevant record date.

3.   PAYING AGENT AND REGISTRAR.

          Initially, First Trust National Association (the "TRUSTEE"), will 
act as Paying Agent and Registrar.  The Company may change any Paying Agent, 
Registrar or co-Registrar without notice to the Holders.  The Company or any 
of its Subsidiaries may, subject to certain exceptions, act as Paying Agent, 
Registrar or co-Registrar.

4.   INDENTURE.

          The Company issued the Securities under an Indenture, dated as of 
July 8, 1997 (the "INDENTURE"), among the Company, the Guarantors named 
therein and the Trustee.  Capitalized terms herein are used as defined in the 
Indenture unless otherwise defined herein.  The terms of the Securities 
include those stated in the Indenture and those made part of the Indenture by 
reference to the Trust Indenture Act, as in effect on the date of the 
Indenture.  The Securities are subject to all such terms, and Holders of 
Securities are referred to the Indenture and said Act for a statement of 
them.  The Securities are senior subordinated obligations of the Company 
limited in aggregate principal amount to $250,000,000.  The Securities are, 
to the extent and in the manner provided in the Indenture, subordinate and 
subject in right of payment to the prior payment in full of all Senior Debt 
of the Company, whether outstanding on the date of the Indenture or 
thereafter created, incurred, assumed or guaranteed.  Each Holder of this 
Security, by accepting the same, (a) agrees to and shall be bound by such 
provisions, (b) authorizes and directs the Trustee on his behalf to take such 
action as may be provided in the Indenture and (c) appoints the Trustee his 
attorney-in-fact for such purpose.  The Securities are guaranteed on a senior 
subordinated basis by the Guarantors.

5.   REDEMPTION.

          The Securities may be redeemed in whole or from time to time in 
part at any time on and after July 1, 2002, at the option of the Company, at 
the Redemption Price (expressed as a percentage of principal amount) set 
forth below with respect to the indicated 

                                      A-6

<PAGE>

Redemption Date, in each case (subject to the right of Holders of record on a 
Record Date that is on or prior to such Redemption Date to receive interest 
due on the Interest Payment Date to which such Record Date relates), plus any 
accrued but unpaid interest to the Redemption Date.  The Securities may not 
be so redeemed prior to July 1, 2002. 

          If redeemed during
          the 12-month period
          Commencing July                         Redemption Price
          ----------------------                  ----------------
          2002 . . . . . . . . .                       104.7500%
          2003 . . . . . . . . .                       103.1667%
          2004 . . . . . . . . .                       101.5833%
          2005 and thereafter. .                       100.0000%

          Any such redemption will comply with Article III of the Indenture.

6.   NOTICE OF REDEMPTION.

          Notice of redemption will be sent by first class mail, at least 30 
days and not more than 60 days prior to the Redemption Date to the Holder of 
each Security to be redeemed at such Holder's last address as then shown upon 
the registry books of the Registrar.  Securities may be redeemed in part in 
multiples of $1,000 only.

          Except as set forth in the Indenture, from and after any Redemption 
Date, if monies for the redemption of the Securities called for redemption 
shall have been deposited with the Paying Agent on such Redemption Date, the 
Securities called for redemption will cease to bear interest and the only 
right of the Holders of such Securities will be to receive payment of the 
Redemption Price, plus any accrued and unpaid interest to the Redemption Date.

7.   DENOMINATIONS; TRANSFER; EXCHANGE.

          The Securities are in registered form, without coupons, in 
denominations of $1,000 and integral multiples of $1,000.  A Holder may 
register the transfer of, or exchange Securities in accordance with, the 
Indenture.  The Registrar may require a Holder, among other things, to 
furnish appropriate endorsements and transfer documents and to pay any taxes 
and fees required by law or permitted by the Indenture.  The Registrar need 
not register the transfer of or exchange any Securities (a) selected for 
redemption except the unredeemed portion of any Security being redeemed in 
part or (b) for a period beginning 15 Business Days before the mailing of a 
notice of an offer to repurchase or redemption and ending at the close of 
business on the day of such mailing.

                                      A-7

<PAGE>

8.   PERSONS DEEMED OWNERS.

          The registered Holder of a Security may be treated as the owner of 
it for all purposes.

9.   UNCLAIMED MONEY.

          If money for the payment of principal or interest remains unclaimed 
for two years, the Trustee and the Paying Agent(s) will pay the money back to 
the Company at its written request.  After that, all liability of the Trustee 
and such Paying Agent(s) with respect to such money shall cease.

10.  DISCHARGE PRIOR TO REDEMPTION OR MATURITY.

          Except as set forth in the Indenture, if the Company irrevocably 
deposits with the Trustee, in trust, for the benefit of the Holders, cash, 
U.S. Government Obligations or a combination thereof, in such amounts as will 
be sufficient in the opinion of a nationally recognized firm of independent 
public accountants selected by the Trustee, to pay the principal of, premium, 
if any, and interest on the Securities to redemption or maturity and complies 
with the other provisions of the Indenture relating thereto, the Company will 
be discharged from certain provisions of the Indenture and the Securities 
(including the financial covenants, but excluding their obligation to pay the 
principal of, premium, if any, and interest on the Securities).  Upon 
satisfaction of certain additional conditions set forth in the Indenture, the 
Company may elect to have its obligations discharged with respect to 
outstanding Securities.

11.  AMENDMENT; SUPPLEMENT; WAIVER.

          Subject to certain exceptions, the Indenture or the Securities may 
be amended or supplemented with the written consent of the Holders of at 
least a majority in aggregate principal amount of the Securities then 
outstanding, and any existing Default or Event of Default or compliance with 
any provision may be waived with the consent of the Holders of a majority in 
aggregate principal amount of the Securities then outstanding.  Without 
notice to or consent of any Holder, the parties thereto may under certain 
circumstances amend or supplement the Indenture or the Securities to, among 
other things, cure any ambiguity, defect or inconsistency, or make any other 
change that does not adversely affect the rights of any Holder of a Security.

12.  RESTRICTIVE COVENANTS.

          The Indenture imposes certain limitations on the ability of the 
Company and the Guarantors to, among other things, Incur additional 
Indebtedness and issue Preferred Stock, pay dividends or make certain other 
Restricted Payments, enter into certain transactions with Affiliates, incur 
Liens, sell assets and subsidiary stock, merge or consolidate with any other 

                                      A-8

<PAGE>

Person or transfer (by lease, assignment or otherwise) substantially all of 
the properties and assets of the Company.  The limitations are subject to a 
number of important qualifications and exceptions.  The Company must 
periodically report to the Trustee on compliance with such limitations.

13.  RANKING.

          Payment of principal, premium, if any, and interest on the 
Securities is subordinated, in the manner and to the extent set forth in the 
Indenture, to the prior payment in full of all Senior Debt.

14.  REPURCHASE AT OPTION OF HOLDER.

          (a)  If there is a Change of Control, the Company shall be required 
to offer to purchase on the Change of Control Payment Date all outstanding 
Securities at a purchase price equal to 101% of the principal amount thereof, 
plus accrued and unpaid interest, if any, to the Change of Control Payment 
Date. Holders of Securities will receive a Change of Control Offer from the 
Company prior to any related Change of Control Payment Date and may elect to 
have such Securities purchased by completing the form entitled "Option of 
Holder to Elect Purchase" appearing below.

          (b)  The Indenture imposes certain limitations on the ability of 
the Company, the Guarantors or any of their respective Subsidiaries to sell 
assets and subsidiary stock.  In the event the proceeds from a permitted 
Asset Sale exceed certain amounts, as specified in the Indenture, the Company 
will be required either to reinvest the proceeds of such Asset Sale in a 
Related Business, repay certain Indebtedness or to make an offer to purchase 
each Holder's Securities at 100% of the principal amount thereof, plus 
accrued interest, if any, to the purchase date.

15.  NOTATION OF GUARANTEE.

          As set forth more fully in the Indenture, the Persons constituting 
Guarantors from time to time, in accordance with the provisions of the 
Indenture, unconditionally and jointly and severally guarantee, in accordance 
with Section 12.1 of the Indenture, to the Holder and to the Trustee and its 
successors and assigns, that (i) the principal of and interest on the 
Security will be paid, whether at the Maturity Date or Interest Payment 
Dates, by acceleration, call for redemption upon a Change of Control Offer, 
upon an Asset Sale Offer or otherwise, and all other obligations of the 
Company to the Holder or the Trustee under the Indenture or this Security 
will be promptly paid in full or performed, all in accordance with the terms 
of the Indenture and this Security, and (ii) in the case of any extension of 
payment or renewal of this Security or any of such other obligations, they 
will be paid in full when due or performed in accordance with the terms of 
such extension or renewal, whether at the Maturity Date, as so extended, by 
acceleration, call for redemption, upon a Change of Control Offer, upon an 
Asset 

                                      A-9

<PAGE>

Sale Offer or otherwise.  Such guarantees shall cease to apply, and shall be 
null and void, with respect to any Guarantor who, pursuant to Article XII of 
the Indenture, is released from its guarantees, or whose guarantees otherwise 
cease to be applicable pursuant to the terms of the Indenture.

          When a successor assumes all the obligations of its predecessor 
under the Securities and the Indenture, the predecessor will be released from 
those obligations.

16.  DEFAULTS AND REMEDIES.

          If any Event of Default occurs and is continuing, the Trustee or 
the Holders of at least 25% in aggregate principal amount of the then 
outstanding Securities may declare all the Securities to be due and payable 
immediately; PROVIDED that so long as at least $15 million of Senior Debt is 
outstanding under the Credit Agreement, no acceleration of the maturity of 
the Securities shall be effective until the earlier of (i) five days after 
notice of acceleration is received by the Representative under the Credit 
Agreement (unless such Event of Default is cured or waived prior thereto) and 
(ii) the date on which any Senior Debt under the Credit Agreement is 
accelerated. Notwithstanding the foregoing, in the case of an Event of 
Default arising from certain events of bankruptcy or insolvency with respect 
to the Company or any of its Significant Subsidiaries, all outstanding 
Securities will become due and payable without further action or notice.  
Securityholders may not enforce the Indenture, the Securities or the 
Guarantees except as provided in the Indenture. Subject to certain 
limitations, Holders of a majority in aggregate principal amount of the then 
outstanding Securities may direct the Trustee in its exercise of any trust or 
power.  The Trustee may withhold from Securityholders notice of any 
continuing Default or Event of Default (except a Default or Event of Default 
relating to the payment of principal or interest) if it determines that 
withholding notice is in their interest.

17.  TRUSTEE DEALINGS WITH COMPANY.

          The Trustee under the Indenture, in its individual or any other 
capacity, may make loans to, accept deposits from, and perform services for 
the Company any Guarantor, any of their Subsidiaries or any of their 
respective Affiliates, and may otherwise deal with such Persons as if it were 
not the Trustee.

                                     A-10
<PAGE>

18.  NO RECOURSE AGAINST OTHERS.

          No partner, incorporator, direct or indirect stockholder, partner, 
director, officer or employee, as such, past, present or future, of the 
Company or any Guarantor, or any successor entity, shall have any personal 
liability in respect of the obligations of the Company and the Guarantors 
under the Securities or the Indenture by reason of his, her or its status as 
such partner, incorporator, stockholder, director, officer or employee.  Each 
Holder of a Security by accepting a Security waives and releases all such 
liability.  The waiver and release are part of the consideration for the 
issuance of the Securities.

19.  AUTHENTICATION.

          This Security shall not be valid until the Trustee or 
authenticating agent signs the certificate of authentication on the other 
side of this Security.

20.  ABBREVIATIONS AND DEFINED TERMS.

          Customary abbreviations may be used in the name of a Holder of a 
Security or an assignee, such as: TEN COM (= tenants in common), TEN ENT (= 
tenants by the entireties), JT TEN (= joint tenants with right of 
survivorship and not as tenants in common), CUST (= Custodian), and U/G/M/A 
(= Uniform Gifts to Minors Act).

21.  CUSIP NUMBERS.

          Pursuant to a recommendation promulgated by the Committee on 
Uniform Security Identification Procedures, the Company will cause CUSIP 
numbers to be printed on the Securities as a convenience to the Holders of 
the Securities.  No representation is made as to the accuracy of such numbers 
as printed on the Securities and reliance may be placed only on the other 
identification numbers printed hereon.

22.  ADDITIONAL RIGHTS OF HOLDERS OF TRANSFER RESTRICTED
     SECURITIES.(5)

          In addition to the rights provided to Holders of Securities under 
the Indenture, Holders of Securities shall have all the rights set forth in 
the Registration Rights Agreement.

23.  GOVERNING LAW.

          The Indenture and the Securities shall be governed by and construed 
in accordance with the internal laws of the State of New York.


- ------------------
5  This paragraph should be included only for the Initial Securities.



                                      A-11

<PAGE>

                              [FORM OF ASSIGNMENT]


          I or we assign this Security to

______________________________________________________________________________
______________________________________________________________________________

______________________________________________________________________________
(Print or type name, address and zip code of assignee)


          Please insert Social Security or other identifying number of assignee

_______________________________


and irrevocably appoint __________ agent to transfer this Security on the 
books of the Company.  The agent may substitute another to act for him.

          In connection with any transfer of this Security occurring prior to 
the date which is the earlier of (i) the date of the declaration by the 
Securities and Exchange Commission of the effectiveness of a registration 
statement under the Securities act of 1933, as amended (the "Securities Act") 
covering resales of this Security (which effectiveness shall not have been 
suspended or terminated at the date of the transfer) and (ii) July 1, 1999, 
the undersigned confirms that it has not utilized any general solicitation or 
general advertising in connection with the transfer and that:

                                   [Check One]
                                        
    / /    (a)  this Security is being transferred in compliance with the 
exemption from registration under the Securities Act provided by Rule 144A 
thereunder.

   / /     (b)  this Security is being transferred other than in accordance 
with (a) above and documents are being furnished which comply with the 
conditions of transfer set forth in this Security and the Indenture.

If none of the foregoing boxes is checked, the Trustee or Registrar shall not 
be obligated to register this Security in the name of any person other than 
the Holder hereof unless and


                                      A-12

<PAGE>

until the conditions to any such transfer or registration set forth herein 
and in Section 2.6 of the Indenture shall have been satisfied.(6)

Dated: _______________ Signed: _______________________________________________


______________________________________________________________________________
                        (Sign exactly as name appears on
                        the other side of this Security)

                      Signature Guarantee (*)

The undersigned represents and warrants that it is purchasing this Security 
for its own account or an account with respect to which it exercises sole 
investment discretion and that it and any such account is a "qualified 
institutional buyer" within the meaning of Rule 144A under the Securities Act 
and is aware that the sale to it is being made in reliance on Rule 144A and 
acknowledges that it has received such information regarding the company as 
the undersigned has requested pursuant to Rule 144A or has determined not to 
request such information and that it is aware that the transferor is relying 
upon the undersigned's foregoing representations in order to claim the 
exemption from registration provided by Rule 144A.(7)

Dated: __________________     _______________________________________________
                              NOTICE: To be executed
                              by an executive officer


- ------------------
6  This paragraph should be included only for the Initial Securities.

*  NOTICE:  The Signature must be guaranteed by an Institution which is 
   a member of one of the following recognized signature Guarantee Programs:
   (I) The Securities Transfer Agent Medallion Program (STAMP); (ii) The 
   New York Stock Exchange Medallion Program (MNSP); (iii) The Stock 
   Exchange Medallion Program (SEMP) or (iv) in such other guarantee 
   program acceptable to the Trustee.

7  This paragraph should be included only for the Initial Securities.

                                      A-13

<PAGE>

                       OPTION OF HOLDER TO ELECT PURCHASE

          If you want to elect to have this Security purchased by the Company 
pursuant to Section 4.14 or Article XI of the Indenture, check the 
appropriate box:  / / Section 4.14   / / Article XI.

          If you want to elect to have only part of this Security purchased 
by the Company pursuant to Section 4.14 or Article XI of the Indenture, as 
the case may be, state the amount you want to be purchased: $________.

Date: ________________  Signature: ___________________________________________
                                      (Sign exactly as your name appears
                                       on the other side of this Security)


                               Signature Guarantee**









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

**  NOTICE: The Signature must be guaranteed by an Insti-tution which is a 
    member of one of the following recognized signature Guarantee Programs:
    (I) The Securities Transfer Agent Medallion Program (STAMP); (ii) The 
    New York Stock Exchange Medallion Program (MNSP); (iii) The Stock Exchange 
    Medallion Program (SEMP) or (iv) in such other guarantee program acceptable
    to the Trustee.



                                      A-14

<PAGE>

                   SCHEDULE OF EXCHANGES OF DEFINITIVE SECURITIES(8)

          The following exchanges of a part of this Global Security for
Definitive Securities have been made:

               Amount of       Amount of     Principal Amount   Signature of
               decrease in     increase in   of this Global     authorized
               Principal       Principal     Security           officer of
               Amount of       Amount of     following          Trustee or 
Date of        this Global     this Global   such decrease      (or Securities
Exchange       Security        Security      increase)          Custodian
- ------------------------------------------------------------------------------





- -----------------------
(8)  This schedule should only be added if the Security is issued in global 
     form.

                                       A-15

<PAGE>

CERTIFICATE TO BE DELIVERED UPON EXCHANGE OR REGISTRATION OF TRANSFER OF 
TRANSFER RESTRICTED SECURITIES (9)

Re:  ___% SERIES A SENIOR SUBORDINATED NOTES DUE 2007 OF SUN HEALTHCARE 
     GROUP, INC.

     This Certificate relates to $______ principal amount of Securities held 
in (check applicable space) _____ book-entry or ______ definitive form by 
_________________ (the "TRANSFEROR").

The Transferor (check applicable box):

    / /    has requested the Trustee by written order to deliver in exchange 
for its beneficial interest in the Global Security held by the Depository a 
Security or Securities in definitive, registered form of authorized 
denominations and an aggregate principal amount equal to its beneficial 
interest in such Global Security (or the portion thereof indicated above); or

    / /    has requested the Trustee by written order to exchange or register 
the transfer of a Security or Securities.

           In connection with such request and in respect of each such 
Security, the Transferor does hereby certify that Transferor is familiar with 
the Indenture relating to the above-captioned Securities and as provided in 
Section 2.6 of such Indenture, the transfer of this Security does not require 
registration under the Securities Act (as defined below) because:

    / /    Such Security is being acquired for the Transferor's own account, 
without transfer (in satisfaction of Section 2.6(a)(ii)(A) or Section 
2.6(d)(i)(A) of the Indenture).

    / /    Such Security is being transferred to a "qualified institutional 
buyer" (within the meaning of Rule 144A promulgated under the Securities 
Act), that is aware that any sale of Securities to it will be made in 
reliance on Rule 144A under the Securities Act and that is acquiring such 
Transfer Restricted Security for its own account, or for the account of  
another such "qualified institutional buyer" (in satisfaction of Section 
2.06(a)(ii)(B) or Section 2.06 (d)(i)(B) of the Indenture).

    / /    Such Security is being transferred pursuant to an exemption from
registration in accordance with Rule 144, or outside the United States in an
Offshore Transaction in compliance with Rule 904 under the Securities Act, or
pursuant to an effective reg-


- ------------------
9  This Certificate shall be included only for Initial Securities.


                                       A-16

<PAGE>

istration statement under the Securities Act (in satisfaction of Section 
2.6(a)(ii)(C) or Section 2.6(d)(i)(C) of the Indenture).

    / /    Such Security is being transferred in reliance on and in 
compliance with an exemption from the registration requirements of the 
Securities Act and in accordance with applicable securities laws of the 
states of the United States, other than as provided in the immediately 
preceding paragraph.  An Opinion of Counsel to the effect that such transfer 
does not require registration under the Securities Act accompanies this 
Certificate (in satisfaction of Section 2.6(a)(ii)(D) or Section 2.6(d)(i)(D) 
of the Indenture).


                                          ____________________________________
                                          [INSERT NAME OF TRANSFEROR]


                                          By: ________________________________

Date: _____________________________


                                       A-17

<PAGE>

CERTIFICATE TO BE DELIVERED UPON EXCHANGE OR REGISTRATION OF TRANSFER OF
SECURITIES(10)

Re:  ___% SERIES B SENIOR SUBORDINATED NOTES DUE 2007 OF SUN HEALTHCARE 
     GROUP, INC.

     This Certificate relates to $______ principal amount of Securities held 
in (check applicable box) _____ book-entry or  ______ definitive form by 
_____ (the "TRANSFEROR").

The Transferor (check applicable box):

    / /    has requested the Trustee by written order to deliver in exchange 
for its beneficial interest in the Global Security held by the Depositary a 
Security or Securities in definitive, registered form of authorized 
denominations and an aggregate principal amount equal to its beneficial 
interest in such Global Security (or the portion thereof indicated above); or

    / /    has requested the Registrar by written order to exchange or 
register the transfer of a Security or Securities.


- -------------------
10  This certificate shall be included only for the Exchange Securities.



                                       A-18


<PAGE>

                                                                    Exhibit 11.1


                SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

                    COMPUTATION OF EARNINGS PER SHARE


<TABLE>
<CAPTION>
                                                               THREE MONTHS ENDED                     SIX MONTHS ENDED
                                                                     June 30,                             June 30,
                                                               1997           1996                 1997            1996
                                                              -------        -------              -------         -------
                                                        (In thousands, except share data)    (In thousands, except share data)
                                                             
<S>                                                          <C>            <C>                  <C>             <C>
PRIMARY:

Shares outstanding at beginning of period                     46,121         45,987               46,093          47,916

Weighted average shares issued pursuant to:
 Acquisition agreements                                           --             --                   --              59
 Employee benefit plans                                           34             32                   50              38
 Weighted average shares repurchased                              --             --                   --          (1,371)
Dilutive effect of outstanding stock options and warrants        784            599                  719             545
                                                             -------        -------              -------         -------
Weighted average number of common and
 common equivalent shares outstanding                         46,939         46,618               46,862          47,187
                                                             -------        -------              -------         -------
                                                             -------        -------              -------         -------
Net earnings                                                 $17,821        $16,366              $33,759         $31,705
                                                             -------        -------              -------         -------
                                                             -------        -------              -------         -------
Net earnings per common and common equivalent share            $0.38          $0.35                $0.72           $0.67
                                                             -------        -------              -------         -------
                                                             -------        -------              -------         -------
FULLY DILUTED:

Weighted average number of common and common
 equivalent shares used in primary calculation                46,939         46,618               46,862          47,187
Additional dilutive effect of stock options and warrants         399             --                  444              53
Assumed conversion of dilutive convertible debentures          4,713          4,714                4,713           4,714
                                                             -------        -------              -------         -------
Fully diluted weighted average number of common
 and common equivalent shares outstanding                     52,051         51,332               52,019          51,954
                                                             -------        -------              -------         -------
                                                             -------        -------              -------         -------
Net earnings used in primary calculation                     $17,821        $16,366              $33,759         $31,705
                                                        
Adjustment for reduced interest expense, net of interest
 expense related to additional borrowings to fund the   
 cash portion of the merger consideration assumed paid  
 on conversion of dilutive convertible debentures and   
 net of related income tax benefits                              855            855                1,710           1,710
                                                             -------        -------              -------         -------
Net earnings                                                 $18,676        $17,221              $35,469         $33,415
                                                             -------        -------              -------         -------
                                                             -------        -------              -------         -------
Fully diluted net earnings per common and common
 equivalent share                                              $0.36          $0.34                $0.68           $0.64
                                                             -------        -------              -------         -------
                                                             -------        -------              -------         -------

</TABLE>



<TABLE> <S> <C>

<PAGE>
<ARTICLE> 5
<LEGEND>
THIS SCHEDULE CONTAINS SUMMARY FINANCIAL INFORMATION EXTRACTED FROM THE SUN
HEALTHCARE GROUP, INC. JUNE 30, 1997 FORM 10-Q 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-31-1997
<PERIOD-START>                             JAN-01-1997
<PERIOD-END>                               JUN-30-1997
<CASH>                                           8,045
<SECURITIES>                                         0
<RECEIVABLES>                                  348,086
<ALLOWANCES>                                    19,509
<INVENTORY>                                          0
<CURRENT-ASSETS>                               406,743
<PP&E>                                         544,211
<DEPRECIATION>                                       0
<TOTAL-ASSETS>                               1,604,187
<CURRENT-LIABILITIES>                          195,693
<BONDS>                                        772,021
                                0
                                          0
<COMMON>                                           513
<OTHER-SE>                                     607,863
<TOTAL-LIABILITY-AND-EQUITY>                 1,604,187
<SALES>                                              0
<TOTAL-REVENUES>                               846,181
<CGS>                                                0
<TOTAL-COSTS>                                  790,839
<OTHER-EXPENSES>                                     0
<LOSS-PROVISION>                                 6,773
<INTEREST-EXPENSE>                              25,486
<INCOME-PRETAX>                                 55,342
<INCOME-TAX>                                    21,583
<INCOME-CONTINUING>                             33,759
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                      0
<CHANGES>                                            0
<NET-INCOME>                                    33,759
<EPS-PRIMARY>                                     0.72
<EPS-DILUTED>                                     0.68
        

</TABLE>


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