MHM SERVICES INC
8-K, 1999-01-15
GENERAL MEDICAL & SURGICAL HOSPITALS, NEC
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                       SECURITIES AND EXCHANGE COMMISSION
                            Washington, D.C.  20549

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

                                    FORM 8-K
                                 CURRENT REPORT

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

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


      Date of Report (date of earliest event reported):  December 31, 1998


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


                               MHM SERVICES, INC.

             (Exact name of registrant as specified in its charter)


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


<TABLE>
<S>                                                      <C>                             <C>                                 
                   DELAWARE                                      1-12238                              52-1223048             
(State or other jurisdiction of incorporation)           (Commission File Number)        (I.R.S. Employer Identification No.)
</TABLE>

                           8000 TOWERS CRESCENT DRIVE
                                   SUITE 810
                            VIENNA, VIRGINIA  22182
                    (Address of principal executive offices)

      Registrant's telephone number, including area code:  (703) 749-4600

                                      N/A
         (Former name or former address, if changed since last report)

                        -------------------------------
<PAGE>   2
ITEM 2.          ACQUISITION OR DISPOSITION OF ASSETS.


        On December 31, 1998, MHM Services, Inc. through its wholly-owned
subsidiary, MHM Extended Care Services, Inc.(the "Extended Care Services
Division"), (collectively, the "Company"), completed a series of transactions
which resulted, with one exception, in the total divestiture of all the
business units in which the Extended Care Services Division has operated. These
transactions were undertaken to execute management's strategy to focus upon its
correctional services business and eliminate those business units which were
unprofitably operating. As a result of these transactions, the Company's sole
remaining operations in the Extended Care Services Division consist of a
capitated contract to provide services to Medicaid beneficiaries residing in
Georgia nursing homes.  The Company intends to retain this contract.   The
operations of the business units, which were divested accounted for
approximately $11.5 million in revenue for the fiscal year ended September 30,
1998.

        Effective December 16, 1998, the Extended Care Services Division
entered into an agreement with Paradigm Health Services, Inc.("Paradigm"),
whereby the Company agreed to transfer certain assets related to the delivery
of mental health services to patients of extended care facilities in the States
of Tennessee and Georgia, except those provided under the Company's capitated
Medicaid contract with the State of Georgia Department of Medical Assistance.
These assets primarily include contracts for the provision of health care
services and contracts with treating clinicians. The transfer of the assets is
to occur when Paradigm receives new certifications and provider numbers for
participation in the Medicare and Medicaid programs. Pending the transfer,
Paradigm is managing the business in which the assets it is purchasing are
employed under an Interim Management Agreement.  The financial risks associated
with the operations of the business have been assumed by Paradigm under this
management agreement.  Paradigm has not paid, nor will it pay, any
consideration of a material nature in connection with its acquisition from the
Company.  The Company, however, by virtue of this transaction was relieved of
its obligations to continue to manage and operate the business.

        On December 31, 1998, the Company executed and closed an agreement with
Arbour Elder Services, Inc. d/b/a Arbour Seniorcare to sell the operations
which the Extended Care Services Division maintained in the State of
Massachusetts. These assets included outpatient clinics, contracts to provide
behavioral health care services to extended care facilities such as nursing
homes and schools, equipment and agreements with treating clinicians. The
assets principally comprise those assets which the Company initially acquired
from National Mentor, Inc., Liberty Bay Colony Health Services, Inc. and
Liberty Management Group, Inc. related to the delivery of outpatient mental
health services and services to patients of extended care facilities in
Massachusetts.  These assets were sold for a current payment of $850,000 which
was paid at closing.

        Also on December 31, 1998, the Company closed an agreement with BHG of
Pennsylvania, LLC ("BHG") to sell certain assets related to the delivery of
mental health





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<PAGE>   3
services to patients of extended care facilities in the States of Pennsylvania
and New Jersey. These assets included contracts to provide mental health
services to nursing homes and other contractual rights and other intangible
assets used in the operations being sold. The total consideration for this
transaction was $170,000 of which $20,000 was paid at closing. The remaining
$150,000 is payable in accordance with a promissory note, payable in its
entirety, on March 30, 1999.  The assets purchased will not transfer until BHG
secures provider numbers to participate in the Medicare and Medicaid programs.
Until these numbers are obtained, BHG is operating the business in which the
assets being purchased are employed under an Interim Management Agreement. The
financial risks associated with the operations of the business have been
assumed by BHG under this management agreement. Integrated Health Options, LLC,
BHG, Inc. and Illiana Behavioral Management, Inc. have guaranteed BHG's
performance under the outstanding agreements including the note.  The guaranty
of Integrated Health Options, LLC is also secured under a Security Agreement.

        The description of this series of transactions contained herein is
qualified in its entirety by reference to the agreements relating thereto,
which are appended hereto as exhibits to this Form 8-K, and incorporated herein
by reference.


ITEM 7.  FINANCIAL STATEMENTS.

         (a)      Financial statements of business acquired.

         (b)      Not applicable.

         (b)      Pro forma financial information.

              As of date of this Form 8-K, it is impracticable for the
         Company to file the required pro forma financial information required
         by this item.  The Company intends to file such required information
         as soon as the pro forma financial information becomes available, but
         in any event not later than March 16, 1999.

         (c)      Exhibits:

      10.1    Asset Purchase Agreement by and between Paradigm Health Services,
              Inc. and MHM Extended Care Services, Inc. (filed herewith).

      10.2    Interim Management Agreement by and between Paradigm Health
              Services, Inc. and MHM Extended Care Services, Inc. (filed
              herewith).

      10.3    Asset Purchase Agreement by and among Arbour Elder Services,
              Inc., d/b/a Arbour Seniorcare and MHM Extended Care Services,
              Inc. and MHM Services, Inc. (filed herewith)







                                       3
<PAGE>   4
     10.4     Asset Purchase Agreement by and between BHG of Pennsylvania, LLC
              and MHM Extended Care Services, Inc. (filed herewith).

     10.5     Interim Management Agreement by and between BHG of Pennsylvania,
              LLC and MHM Extended Care Services, Inc. (filed herewith).

     10.6     Term Promissory Note of BHG of Pennsylvania, LLC, issued to MHM
              Extended Care Services, Inc. (filed herewith).

     10.7     Guaranty Agreement by and among Integrated Health Options, LLC,
              BHG, Inc., and Illiana Behavioral Management, Inc., for the
              benefit of MHM Extended Care Services, Inc. (filed herewith)

     10.8     Security Agreement by and between Integrated Health Options, LLC
              and MHM Extended Care Services, Inc. (filed herewith).

     99.1     Press Release of the Company dated January 11, 1999 (filed
              herewith).







                                       4
<PAGE>   5
                                   SIGNATURES

         Pursuant to the requirements of the Securities Exchange Act of 1934,
the Company has duly caused this report to be signed on its behalf by the
undersigned thereunto duly authorized.
                                   
                                      MHM SERVICES, INC.
                                      (Registrant)
                                   
Date:  January 15, 1999               By:      
                                            ------------------------------
                                            Cleveland E. Slade
                                            Chief Financial Officer
                                   






                                       5

<PAGE>   1
                                                                Exhibit No. 10-2

                              ACQUISITION AGREEMENT

PARADIGM HEALTH SERVICES, INC. ("Buyer") and MHM EXTENDED CARE SERVICES, INC.
("Seller") hereby agree as follows:

Buyer desires to purchase and Seller desires to sell to Buyer certain assets and
business related to Seller's delivery of mental health services to patients of
nursing homes within the States of Tennessee and Georgia, except those provided
under Seller's PASARR contract with the State of Georgia Department of Medical
Assistance (the "Operations"), all on the terms and subject to the conditions
set forth in this Agreement.

1.     ACQUIRED ASSETS. The assets to be conveyed shall include, to the
extent assignable, all contracts with nursing homes in the States of Tennessee
and Georgia (the "States") for provision of mental health services, all customer
lists of the Operations, all employment and independent contracts with
clinicians in the States providing such services, all rights under covenants not
to compete or similar agreements relating to the Operations, all Management
Agreements and other contractual rights Seller may have with professional
corporations in the States and related to the Operations, and all other
intangibles related to the Operations (collectively, the Acquired Assets").
Seller will transfer to Buyer at time of purchase all billing information and
other files (paper or software) having to do with the Company's Operations,
including correspondence and communications with regulatory agencies, except as
to billing records needed to collect accounts receivable retained by Seller (to
which records each party shall have full access). Subject to the terms and
conditions of this Agreement, Buyer agrees to purchase and Seller agrees to
sell, assign and deliver to Buyer as of Closing, as defined in Section 10.1 of
this Agreement, all of Seller's right, title and interest in, to and under the
Acquired Assets, free and clear of any mortgage, pledge, hypothecation, claim,
security interest, encumbrance, right or interest of others, lease, license,
easement, encroachment, covenant, title defect, lien, option or right of first
refusal (collectively, "Liens"). The Acquired Assets shall not include, and
Seller shall retain, all cash, cash equivalents, and accounts receivable arising
from the provision of services in the States prior to the Closing Date, all
assets of business operations similar to the Operations conducted by Seller in
States other than the States of Tennessee and Georgia, and all business
operations and assets related thereto, conducted by Seller under the Georgia
PASARR contract.

2.     CONSIDERATION.

       2.1   Consideration. The consideration for the Acquired Assets will be
payment to Seller by Buyer of the sum of ten dollars ($10.00) (the "Purchase
Price"). At Closing, Buyer will pay the Purchase Price to Seller in cash.


<PAGE>   2
       2.2   Commissions and Finders Fees. Buyer and Seller warrant and
represent to each other that no broker or finder has acted for it in connection
with this transaction and that no brokerage, commissions or similar fees will be
due to any person at Closing.

3.     ASSUMPTION OF LIABILITIES. At closing Buyer will not assume or become
responsible for any liabilities and obligations (including without limitation
any obligations to Apogee, Inc.) of Seller relating to the Operations prior to
Closing except: (a) Buyer will assume the Employment Agreement dated as of March
1, 1997, as amended between Seller, Psychiatric Specialty Group, P.C. and
Gilbert Katz, M.D., and thereafter will be responsible for all liabilities
thereunder; (b) all obligations arising after Closing under those contracts with
nursing homes being assumed by Buyer, provided, however, that nothing herein
shall be construed as an assumption by Buyer of any liabilities as to post
payment reviews, malpractice claims, payroll, personnel expenses, or earn-outs
arising from or related to services provided prior to closing.

4.     SUBLEASE. As of Closing, Buyer shall sublease from Seller on a
month-to-month basis one-half of the office space being leased by Seller at 1808
Westend Avenue, Suite 511, Nashville, Tennessee 37203. Rent under said sublease
shall be payable monthly in advance in an amount equal to one-half the rent paid
by Seller to its landlord, plus one-half the utility bills paid by Seller for
the space.

5.     REPRESENTATIONS AND WARRANTIES OF SELLER. Except as expressly set forth
to the contrary in a Schedule hereto, Seller represents and warrants to Buyer
as follows:

       5.1   Corporate Action. As of Closing, Seller and its Board of Directors
will have taken all action required by its Articles of incorporation, Bylaws,
and otherwise to authorize the execution and consummation of this Agreement.
This Agreement will constitute the valid and legally binding obligation of
Seller, enforceable in accordance with its terms, except that enforceability
may be limited by applicable equitable principles or bankruptcy, insolvency, or
similar laws affecting the enforcement of creditors' rights generally, or
hospital licensing requirements.

       5.2   No Conflict With Other Agreements or Laws. The execution and
consummation by Seller of this Agreement, and the other agreements and documents
contemplated hereby, will not (a) violate the terms of Seller's Articles of
Incorporation, Bylaws or any instrument, agreement, mortgage, judgment, decree,
commitment or understanding, written or oral, to which Seller is a party, or by
which Seller or any of its property is bound, (b) conflict with, result in a
breach of, constitute (with giving of notice or lapse of time or both) a default
under or give any person any right to terminate, modify, accelerate or otherwise
change the existing obligations of Seller under any such instrument, agreement,
mortgage, judgment, decree, commitment or


                                       -2-


<PAGE>   3

understanding, (c) result in the creation or imposition of any Lien upon Seller
or its property or assets, or (d) violate any applicable law.

       5.3   Organization and Qualification. Seller is organized, validly
existing and in good standing under the laws of Delaware. Seller has full power
and authority to carry on its business as it is now being conducted, to own and
lease the properties and assets which it now owns or leases and to consummate
the Seller's Agreements. Seller is not in violation of any of the provisions of
their Partnership Agreements.

       5.4   Taxes.

             (a)   With respect to all amounts in respect of taxes relating to
the Operations and imposed on the Seller for which the Seller is or could be
liable, whether to taxing authorities (as, for example, under tax allocation
agreements) or other persons or agencies, with respect to all taxable periods
or other portions of periods ending on or before the Closing Date (defined
below), all applicable tax laws and agreements have been or by Closing will
have been fully complied with, and all such amounts required to be paid by the
Seller to taxing authorities or others on or before the date hereof have been
or by Closing will have been paid.

       5.5   Personal Property. Schedule 5.5 hereto sets forth a true and
correct list of any items of furniture, fixtures, equipment and other personal
property included among the Acquired Assets, all of which are conveyed "as is"
with no warranties, express or implied, as to the condition of such assets.

       5.6   Title to Properties; Encumbrances. At Closing Seller will have
good and marketable title to all of the Acquired Assets, free and clear of any
Liens.

       5.7   Consents and Approvals. At Closing, no waiver, consent or
approval from or filing with any person or agency (governmental or otherwise)
will be required for Seller to consummate this Agreement, and the other
agreements contemplated hereby, without creating a default or liability.

       5.8   Disclosure. No representation or warranty by Sellers contained in
this Agreement, and no statement contained in any certificate, exhibit, list or
other instrument furnished by the Sellers to Buyer pursuant to the provisions
hereof contains or will contain any untrue statement of material fact or omits
or will omit to state a material fact necessary in order to make the statement
contained herein or therein not misleading.



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<PAGE>   4
                                  SCHEDULE 5.5


2-DESKS
2-SMALL UTILITY TABLES
1-PRINTER CART
1-BOOKCASE
6-TALL FILE CABINETS
2-SHORT FILE CABINETS
2-END TABLES
1-EXECUTIVE CHAIR
2-LARGE CHAIRS
2-DESK CHAIRS
2-LAMPS



<PAGE>   5




6.     REPRESENTATIONS AND WARRANTIES OF BUYER. Buyer represents and warrants
to Sellers as follows:

       6.1   Corporate Action. Buyer has taken all action required to authorize
the execution and consummation of this Agreement. This Agreement constitutes
the valid and legally binding obligations of Buyer enforceable in accordance
with its terms, except that enforceability may be limited by applicable
equitable principles or bankruptcy, insolvency, or similar laws affecting the
enforcement of creditors rights generally.

       6.2   No Conflict With Other Agreements or Laws. The execution and
consummation by Buyer of this Agreement, and the other agreements and documents
contemplated hereby, will not (a) violate the terms of any instrument,
agreement, judgment or decree to which Buyer is a party, or by which Buyer or
any of its properties is bound, (b) be in conflict with, result in a breach of
or constitute (with giving of notice or lapse of time or both) a default under
any such instrument, agreement, judgment or decree, (c) result in the creation
or imposition of any Lien upon Buyer or its properties or assets, or (d)
violate any applicable federal, state, local or foreign law, regulation or
order.

       6.3   Organization and Qualification. Buyer is duly organized, validly
existing and in good standing. Buyer has full power and authority to execute
and consummate the Agreements.

       6.4   Financial Standing. Buyer has the financial resources to
consummate the transaction contemplated in this Agreement.

7.     PRE-CLOSING COVENANTS. The parties covenant and agree as follows:

       7.1   Condition of Assets Prior to Closing. Until the Closing, and
unless Buyer otherwise consents in writing, Seller will operate the Acquired
Assets and the Operations substantially in their current condition.

       7.2   Notification of Material Adverse Changes. Sellers will promptly
notify Buyer in writing of the occurrence of any material adverse change to the
Acquired Assets or Operations occurring on or after the date of this Agreement
and on or prior to the Closing Date.

       7.3   Other Transactions. During the term of this Agreement, the parties
will deal exclusively and in good faith with each other regarding a sale of all
or a material portion of the Acquired Assets. Seller will not, and will direct
Sellers' officers, directors, financial advisors, accountants, agents and
counsel not to: (i) solicit submission of offers from any person relating to a
the Acquired Assets, (ii) participate in any

                                      -4-


<PAGE>   6




discussions or negotiations regarding, or furnish any nonpublic information to
any person regarding purchase of the Acquired Assets by any person other than
Buyer, or (iii) enter into any agreement or understanding, whether oral or
written, that would have the effect of preventing consummation of this
Agreement.

       7.4   Consents, Waivers and Approvals. Prior to Closing, Seller will
obtain all consents, waivers, approvals, and releases necessary for Seller to
effect the transactions contemplated herein, free and clear of any and all
liens. All such consents, waivers, releases and approvals will be in writing
and in form and substance satisfactory to Buyer in its discretion as reasonably
exercised by Buyer.

       7.5   Supplemental Disclosure. Seller will have the continuing
obligation up to and including the Closing Date to supplement promptly or amend
the Schedules hereto with respect to any matter subsequently arising or
discovered which, if existing or known at the date of this Agreement, would
have been required to be set forth or listed in the Schedules.

       7.6   Conditions Precedent. The parties will use their best efforts in
good faith to satisfy the conditions set forth in Sections 8 and 9 hereof.

       7.7   Consents, Regulatory Approvals and Licenses. Buyer acknowledges
that certain of Seller's contracts with nursing homes or clinicians may not be
assignable, may be terminable upon no or minimal notice, or may consist of
arrangements not embodied in binding contractual relationships. Buyer further
acknowledges that Seller makes no warranties or representations as to the
existence or availability of any assignments, consents, approvals, regulatory
licenses, or certifications, including as to nursing home contracts, as may be
necessary for any use of the Acquired Assets as Buyer may intend. Seller agrees
that it shall make such inquiry as to such matters during the Due Diligence
Period as it believes appropriate, and that thereafter consummation of the
transaction contemplated hereby shall not be contingent in any way upon the
existence of or Buyer obtaining any such assignments, consents or regulatory
approvals, licenses, or certifications.

       7.8   Unless approved in advance by the other party, neither Buyer nor
Seller shall not issue any press release or written statement for general or
public circulation relating to the transactions contemplated hereby, except as
required by law in the reasonable opinion of Buyer's counsel. Each party agrees
to use good faith efforts to



                                      -5-


<PAGE>   7




obtain the other's approval of the text of any public report, statement or
release prepared.

8.     CONDITIONS PRECEDENT TO OBLIGATIONS OF BUYER. The obligation
of Buyer to consummate this Agreement will be subject to the satisfaction, on or
before the Closing Date, or such other date as may be specified, of the
following conditions, any of which may be waived by Buyer in writing.

       8.1   Representations. The representations and warranties made by Seller
in Section 5 hereof will be true and correct on the Closing Date as though such
representations and warranties had been made on such date and Seller will
deliver to Buyer a certificate dated as of the Closing Date to the foregoing
effect.

       8.2   Covenants. Seller will have duly performed all of the covenants,
acts and undertakings to be performed by it on or prior to the Closing Date,
and Sellers will deliver to Buyer a certificate dated as of the Closing Date to
the foregoing effect.

       8.3   No Injunction, Etc. No proceeding, investigation, or legislation
will have been instituted, threatened or proposed before any court,
governmental agency or legislative body to enjoin, or prohibit, or to obtain
substantial damages in respect of this Agreement, or which materially affects
title to, or the existence or priority of liens on, the Acquired Assets.

       8.4   Incumbency. Seller will have delivered a certificate of incumbency
executed by the president and secretary of Seller listing each officer and
director of Seller and the persons authorized to execute this Agreement and the
other documents contemplated hereby.

       8.5   Material Adverse Change. No material adverse change to the
Acquired Assets shall have occurred on or after the date of this Agreement and
on or prior to the Closing Date.

9.     CONDITIONS PRECEDENT TO OBLIGATIONS OF SELLER. The obligation
of Seller to consummate this Agreement will be subject to the satisfaction, on
or before the Closing Date, of the following conditions, any of which may be
waived by Sellers in writing.

       9.1   Representations. The representations and warranties made by Buyer
in Section 6 hereof will be true and correct in all material respects on the
Closing Date with the same force and effect as though such representations and
warranties had been made on and as of such date and Buyer will deliver to
Seller a certificate dated as of the Closing Date to the foregoing effect for
Buyer.

                                      -6-
<PAGE>   8




       9.2   Covenants. Buyer will have duly performed all of the covenants,
acts or undertakings to be performed by it on or before the Closing Date, and
Buyer will deliver to Seller certificates dated as of the Closing Date to the
foregoing effect.

       9.3   Certified Resolutions. Buyer will have delivered to Sellers
certificates executed by duly authorized officers and containing true and
correct copy of resolutions duly adopted by Buyer's Board of Directors
approving and authorizing this Agreement and its consummation. Such officers
will also certify that such resolutions have not been revoked or modified and
remain in full force and effect.

       9.4   No Injunction, Etc. No proceeding, investigation or legislation
will have been instituted, threatened or proposed before any court, governmental
agency or legislative body to enjoin, or prohibit, or to obtain substantial
damages in respect of this Agreement.

       9.5   Incumbency. Buyer will have delivered a certificate of incumbency
executed by its president or a vice president and the secretary or an assistant
secretary listing the persons authorized to execute this Agreement, and the
other documents contemplated hereby.

10.    MUTUAL COVENANTS. Each of the parties hereto will refrain from taking
any action which would render any representation or warranty contained in
Sections 5 or 6 of this Agreement inaccurate as of the Closing Date. Each party
will promptly notify the other of any action or proceeding that is instituted or
threatened against such party to restrain, prohibit or otherwise challenge the
legality of any transaction contemplated by this Agreement. Each party will take
such further action as may reasonably be requested by another party to evidence
the consummation of this Agreement.

11. CLOSING.

       11.1  Time and Place. The closing ("Closing") will be held at the offices
of seller at 8000 Towers Crescent Drive, Vienna, Virginia on December 16, 1998.

       11.2  Transactions at the Closing. At Closing, each of the following
transactions will occur subject to paragraph 11.3:

             (a)   Sellers will deliver to Buyer the following:

                   (i)   such bills of sale, endorsements, assignments and
other instruments of transfer as are necessary to vest in Buyer all of Sellers'
right, title and interest in, to and under the Acquired Assets, free and clear
of all Liens other than Permitted Encumbrances;

                                      -7-


<PAGE>   9




                   (ii)  all such certificates, dated as of the Closing Date, as
Buyer may reasonably request to evidence the fulfillment by Seller, or other
satisfaction as of the Closing Date, of the terms and conditions of this
Agreement; and

                   (iii) an opinion of Seller's counsel, in form and substance
reasonably satisfactory to Buyer, that Seller is duly organized, validly
existing, and in good standing under the laws of the State of Delaware, that
Seller has full power and authority to own and convey the Acquired Assets, and
this Agreement constitutes the valid and binding obligation of Seller,
enforceable in accordance with its terms, except that enforceability may be
limited by applicable equitable principles of bankruptcy, insolvency or similar
laws affecting the enforcement of creditors' rights generally.

             (b)   Buyer will deliver to Seller the following:

                   (i)   the Purchase Price required under Section 2;

                   (ii)  a certificate of good standing of Buyer from the
Secretary of State of its state of incorporation as of the most recent
practicable date;

                   (iii) all such certificates, dated as of the Closing Date,
as Seller may reasonably request to evidence the fulfillment by Buyer, or other
satisfaction as of the Closing Date, of the terms and conditions of this
Agreement; and

                   (iv)  an opinion of Buyer's counsel in form and substance
reasonably satisfactory to Seller, that Buyer is a corporation duly organized,
validly existing, and in good standing under the laws of its State of Florida;
that Buyer has full power and authority to purchase and own the Acquired
Assets, that all action has been taken as required to authorize the execution
and consummation of this Agreement by Buyer, and this Agreement constitutes the
valid and binding obligation of Buyer, enforceable in accordance with its
terms, except that enforceability may be limited by applicable equitable
principles of bankruptcy, insolvency or similar laws affecting the enforcement
of creditors' rights generally.

       11.3  Optional Effective Date. It is acknowledged that it may take some
period of time for Buyer to obtain on behalf of the Operations new
certifications and provider numbers for participation in the Medicare ad
Medicaid programs. At the option of Buyer, the effective date of transfer to
Buyer of the Acquired Assets may be postponed after Closing to the earlier to
occur either of Buyer obtaining such certifications and provider numbers,
Buyer's cancellation of the Management Agreement described below, or six months
from the date of closing (hereafter the "Effective Date." At Closing Buyer shall



                                      -8-


<PAGE>   10




deliver the purchase price in full to Seller, the parties will execute the
Management Agreement attached hereto as Exhibit __ which shall appoint Buyer as
manager of the Operations on behalf of Seller on the terms and conditions set
forth and until the Effective Date, and Seller will deliver to the Escrow Agent
such documents transferring and conveying the Acquired Assets to Buyer as
otherwise would have been delivered to Buyer at Closing. Seller shall instruct
the Escrow Agent to deliver said documents to Buyer on the Effective Date.
Notwithstanding an election by Buyer of the Optional Effective Date provided in
this paragraph, Closing shall occur at the time and place otherwise provided,
and neither Closing nor the Effective Date shall in any way be postponed or
contingent for any reason, including obtaining certifications or provider
numbers.

12.    COVENANT NOT TO COMPETE. For a period of one year after Closing, without
the prior written consent of Buyer, Seller and its affiliates, and officers or
directors of Seller or its affiliates shall not: (a) engage in the
establishment or operation of any business for the delivery of mental health
services to patients at nursing homes within the States, other than pursuant to
the PASARR contract, (b) hire or solicit for hire any employee of the
Operations, or recommend, directly or indirectly to any such employee that he
or she obtain employment elsewhere. Without in any way limiting the foregoing,
it is acknowledged that this covenant does not extend to the provision of
mental health services at prisons, jails, or other correctional facilities or
under the Georgia PASARR contract. Buyer expressly acknowledges that Seller may
be continuing to provide services under the PASARR contracts to patients at
nursing homes at which Buyer will be providing services after Closing.

13.    ACCOUNTS RECEIVABLE AND PROVIDER NUMBERS. In order to assure collection
by Seller of accounts receivable arising from services provided prior to the
date of Closing (which accounts receivable are excluded from the Acquired
Assets (the "Excluded Receivables")), Buyer shall bill for services provided by
it after Closing under its own provider numbers or other appropriate billing
information, of Buyer. Seller shall retain the sole right to bill for and
collect the Excluded Receivables together with the sole right, subject to the
Interim Management Agreement, if any, to utilize the provider numbers and other
billing identification which Seller has utilized in connection with the
Operations. In the event proceeds of accounts receivable are collected by
either party which include proceeds of accounts due the other party, the party
collecting such receivables shall deliver to the other party within three (3)
days of receipt those proceeds to which such party is entitled together with a
copy of the Explanation of Benefits ("EOBs") to which such proceeds relate.

14.    SURVIVAL OF REPRESENTATIONS AND WARRANTIES. All statements contained in
this Agreement, and the documents contemplated hereby, will be deemed
representations and warranties hereunder by Seller or Buyer, as the case may
be. All

                                      -9-


<PAGE>   11




representations and warranties made by Seller or Buyer in this Agreement will
survive until the second (2nd) anniversary of the Closing Date. No claims for
breach of a representation or warranty (including an Indemnification Claim as
defined in Section 16) may be brought by any person unless written notice of
such claim will have been given on or prior to the end of such survival period
(in which event each representation and warranty with respect to any asserted
claim will survive until such claim is finally resolved and all obligations with
respect thereto are fully satisfied).

15.    TERMINATION. This Agreement may be terminated, and the transactions
contemplated herein abandoned: (a) by the mutual written consent of Seller and
Buyer; (b) by either Seller or Buyer upon the failure of the other to comply
substantially with its or their conditions precedent to Closing and other
obligations set forth herein on or before the Closing Date; (c) upon Seller's
failure to cure (or waiver of the opportunity to cure), any condition or defect
in the Acquired Assets disclosed to Buyer during the Due Diligence Period and
reasonably unacceptable to Buyer. Such cure or waiver thereof shall take place
within thirty (30) days of receipt by Seller of written notice of such condition
or defect from Buyer (such notice to be delivered prior to expiration of the Due
Diligence Period). Termination pursuant to this Section will relieve the parties
of their obligations hereunder with each party responsible for its own fees,
costs and expenses; provided, however, that if the Agreement is terminated
pursuant to (b) above because one party fails to use its reasonable best efforts
to fulfill its obligations hereunder, such party will remain liable to the other
party for all rights as to deposits, losses, costs, expenses (including
attorney's fees) and liabilities incurred by such other party as a result of
such failure.

16.    INDEMNIFICATION.

       16.1  Losses. For purposes of this Section 16, "Losses" will mean all
damages, losses, costs, expenses (including legal, accounting and other fees
and expenses), interest, penalties, charges and liabilities.

       16.2  Indemnification by Seller. Seller agrees to indemnify, defend and
hold harmless Buyer from and against any Loss incurred by Buyer related to or
arising out of (a) the breach of any of the warranties, representations,
covenants or agreements of Seller in this Agreement (a "Breach"), (b) any
liability arising from the ownership of use of the Acquired Assets by Seller
prior to the Closing Date, other than (i) Assumed Liabilities, and (ii) any
costs which may be associated with environmental liabilities relating to the
real property, or the condition of such real property on the Closing Date.

       16.3  Indemnification by Buyer. Buyer agrees to indemnify, defend and
hold harmless Sellers from and against any Loss incurred by Sellers related to
or arising out of (a) the breach of any of the warranties, representations or
agreements of Buyer in the Buyer's Agreements, (b) any Assumed Liability, or
(c) any liability associated with

                                      -10-


<PAGE>   12




Buyer's ownership or use of the Acquired Assets or conduct of the Operation on
or after the Closing Date.

       16.4  Procedures for Indemnification.

             (a)   An Indemnification Claim will be made by the Indemnitee by
delivery of a written declaration to Indemnitor requesting indemnification and
specifying the basis on which indemnification is sought and the amount of
asserted Losses and, in the case of a Third Party Claim, containing such other
relevant information as Indemnitee may have concerning such Third Party Claim.

             (b)   If the Indemnification Claim involves a Third Party Claim
the procedures set forth in Section 16.5 hereof will be observed by the
Indemnitee and Indemnitor.

             (c)   If the Indemnification Claim involves a matter other than a
Third Party Claim, the Indemnitor will have ten (10) days to object to such
Indemnification Claim by delivery of a written notice of such objection to
Indemnitee specifying to the extent reasonable given the information available
to Indemnitor the basis for such objection. Failure to timely so object will
constitute acceptance of the Indemnification Claim by the Indemnitor and the
Indemnification Claim will be paid in accordance with Section 16.4(d). If any
objection is timely interposed by the Indemnitor and the dispute is not
resolved within fifteen (15) days from the date Indemnitee receives such
objection, such dispute will be resolved by litigation, arbitration or
mediation, at the preference of the parties.

             (d)   Upon determination of the amount of an Indemnification Claim
(including a Third Party Claim), whether by agreement between Indemnitor and
Indemnitee, by an arbitration award or otherwise, Indemnitor will pay the
amount of such Indemnification Claim within ten (10) days of the date such
amount is determined.

       16.5  Defense of Third Party Claims.

             (a)   Should any Third Party Claim be made the obligations and
liabilities of the parties with respect to such Third Party Claim will be
subject to this Section 16.5.

             (b)   Within a reasonable time (i.e., such time as will not
prejudice the contest, defense, litigation, or settlement of a Third Party
Claim) following the receipt of notice of a Third Party Claim, the party
receiving the notice of the Third Party Claim will (i) notify the other party
of its existence setting forth in writing and with reasonable specificity the
facts and circumstances of which such party has received notice, and (ii) if
the party giving such notice is an Indemnitee, specify in writing the basis
hereunder


                                      -11-

<PAGE>   13




upon which the Indemnitee's claim for indemnification is asserted and tendering
defense of the Third Party Claim to Indemnitor.

             (c)   If the defense of a Third Party Claim is so tendered and
within ten (10) day thereafter such tender is accepted without qualification by
the Indemnitor as evidenced by written notice to Indemnitee, then, except as
provided below, the Indemnitee will not, and the Indemnitor will, have the
right to contest, defend, litigate and settle such Third Party Claim. The
Indemnitee will have the right to be represented by counsel of its own choice
and at Indemnitee's expense to participate in any contest, defense, litigation
or settlement conducted by the Indemnitor; provided that the Indemnitee will be
entitled to reimbursement therefor if the Indemnitor loses is right to contest,
defend, litigation and settle the Third Party Claim as provided below.
Notwithstanding the preceding provisions of this Section 16.5, if the Third
Party Claim is asserted against both of Indemnitor and Indemnitee and
representation of both of them by the same counsel would be inappropriate due
to actual or potentially differing interests between them, Indemnitee shall be
entitled to retain the right to contest, defend or litigate such Third Party
Claim as it relates to Indemnitee and will have the exclusive right, in its
discretion exercised in good faith, and with the advice of counsel, to settle
any such matter as it related to Indemnitee, either before or after the
initiation of litigation, at such time and upon such terms as it deems fair
and reasonable, provided that at least ten (10) days prior to any such
settlement, written notice of its intention to settle will be given to the
Indemnitee. If, pursuant to the preceding sentence, the Indemnitee so contests,
defends, litigates or settles a Third Party Claim, the Indemnitee will be
reimbursed by the Indemnitor for the reasonable attorneys' fees and other
expenses of defending, contesting, litigating and/or settling the Third Party
Claim which are incurred from time to time, promptly following the presentation
to the Indemnitor of itemized bills for such attorneys' fees and other
expenses.

             (d)   The Indemnitor will lose its right to contest, defend,
litigate and settle the Third Party Claim if it fails to diligently contest the
Third Party Claim (except in connection with a settlement thereof in accordance
with the terms hereof). So long as the Indemnitor has not lost its right to
defend, contest, litigate and settle as herein provided, the Indemnitor will
have the exclusive right to contest, defend and litigate the Third Party Claim
and will have the exclusive right, in its discretion exercised in good faith,
and with the advice of counsel, to settle any such matter, either before or
after the initiation of litigation, at such time and upon such terms as it
deems fair and reasonable, provided that at least ten (10) days prior to any
such settlement, written notice of its intention to settle will be given to the
Indemnitee.

             (e)   All expenses (including without limitation attorneys' fees
and expenses) incurred by the Indemnitor in connection with the foregoing will
be paid by the Indemnitor.

                                      -12-


<PAGE>   14




             (f)   No failure by an Indemnitor to acknowledge in writing its
indemnification obligations under this Section 16 will relieve it of such
obligations to the extent they exist. If an Indemnitee is entitled to
indemnification against a Third Party Claim, and the Indemnitor fails to accept
or assume the defense of a Third Party Claim pursuant to Section 16.5(c), or
if, in accordance with the foregoing, the Indemnitor loses its right to
contest, defend, litigate and settle such a Third Party Claim, the Indemnitee
will have the right, without prejudice to its right of indemnification
hereunder, in its discretion exercised in good faith, and upon the advice of
counsel, to contest, defend and litigate such Third Party Claim, and may, in
its discretion exercised in good faith, and with the advice of counsel, settle
such Third Party Claim, either before or after the initiation of litigation, at
such time and upon such terms as it deems fair and reasonable, provided that at
least ten (10) days prior to any such settlement, written notice of its
intention to settle is given to the Indemnitor. If, pursuant to this Section
16.5(f), the Indemnitor so contests, defends, litigates or settles a Third
Party Claim for which it is entitled to indemnification hereunder, the
Indemnitee will be reimbursed by the Indemnitor for the reasonable attorneys'
fees and other expenses of defending, contesting, litigating and/or settling
the Third Party Claim which are incurred from time to time, promptly following
the presentation to the Indemnitor of itemized bills for such attorneys' fees
and other expenses.

       16.6  Limitations.

             (a)   All notices of Loss must be delivered to the Indemnitor
prior to expiration of the two year period for the warranties and
representations as set forth in Section 14 hereof.

             (b)   The remedies provided in this Section 16 are in addition to,
and not in derogation of, any statutory, equitable, or common law remedy any
party may have for breach of any representation, warranty, covenant or
agreement set forth in this Agreement.

             (c)   Notwithstanding anything else to the contrary, Seller shall
be liable as an Indemnitee only if the aggregate Losses exceed $30,000.

17.    TRANSACTION EXPENSES.

       17.1  Except as provided in Section 17.2, all expenses incurred by the
parties in connection with or related to the authorization, preparation,
negotiation and consummation of this Agreement and the agreements, documents or
instruments contemplated hereby will be borne solely by the party which has
incurred the same.

       17.2  Buyer shall be responsible for any and all recordation charges,
transfer taxes, or other fees required for transfer of the Acquired Assets.

                                      -13-


<PAGE>   15



18.    MISCELLANEOUS.

       18.1  Notice. All notices, requests, demands and other communications
hereunder will be in writing and will be deemed given and received (a) on the
date of delivery when delivered by and or when transmitted by confirmed
simultaneous telecopy, (b) on the following business day when sent by receipted
overnight courier, or (c) five (5) business days after deposit in the United
States Mail when mailed by registered or certified mail, return receipt
requested, first class postage prepaid, when addressed as set forth below:

       Buyer:      Paradigm Health Services, Inc.
                   13575 58th St. N., Suite 152
                   Clearwater, Florida 33760


       Sellers:    MHM Extended Care Services, Inc.
                   8000 Towers Crescent Drive, Suite 810
                   Vienna, Virginia 22182

Any party may change the address to which notices are to be sent to it by giving
written notice of such change of address to the other party in the manner above
provided for giving notice.

       18.2  Assignment; Binding Effect. This Agreement may not be assigned by
any of the parties hereto without the prior written consent of the other
parties hereto, provided that Buyer may assign its rights hereunder to any
entity majority ownership of which is held by Buyer or the owners of Buyer, so
long as Buyer remains obligated for performance of Buyer's obligations
hereunder. This Agreement will be binding upon the parties hereto and their
respective heirs, successors and permitted assigns.

       18.3  Headings; Exhibits and Schedules. The Section, Subsection and
other headings in this Agreement are inserted solely as a matter of convenience
and for reference, and are not a part of this Agreement. The Exhibits and
Schedules attached hereto are a material part of this Agreement and are
incorporated herein by this reference.

       18.4  Counterparts. This Agreement may be executed in one or more
counterparts, all of which will be considered one and the same agreement and
will become effective when one counterpart has been signed by each party and
delivered to the other party hereto.

       18.5  Integration of Agreement. This Agreement supersedes all prior
agreements, oral and written, between the parties hereto with respect to the
subject

                                      -14-


<PAGE>   16
matter hereunder. Neither this Agreement, nor any provision hereof, may be
changed, waived, discharged, supplemented or terminated orally, but only by an
agreement in writing signed by the party against which the enforcement of such
change, waiver, discharge or termination is sought.

       18.6   Time of Essence. Time is of the essence in this Agreement.

       18.7   Governing Law. This Agreement will be governed by and construed 
and enforced in accordance with the laws of the State of Tennessee as applied to
contracts executed and performed wholly within that State.

       18.8   Partial Illegality or Unenforceability. Wherever possible, each
provision hereof will be interpreted in such manner as to be effective under
applicable law, but in case any one or more of the provisions contained herein
will, for any reason, be held to be illegal or unenforceable in any respect,
such illegality or Unenforceability will not affect any other provisions of this
Agreement, and this Agreement will be construed as if such illegal or
unenforceable provision or provisions had never been contained herein unless the
deletion or such provision or provisions would result in such a material change
as to cause completion of the transactions contemplated hereby to be
unreasonable.

       18.9   Singular or Plural. All defined terms used herein will have the 
same meaning, whether used in the singular or plural form, unless the context
clearly requires otherwise.

       18.10  "Person". The term "person" will be broadly interpreted to 
include, without limitation, any corporation, partnership, association, limited
liability company, other association, trust or individual.

       18.11  "Best Efforts". The use of the term "best efforts" herein will in
no event require any party to (a) expend funds which are not commercially
reasonably in relation to the transactions contemplated hereby or (b) take, or
cause to be taken, any action which would have a material adverse effect with
respect to it.

       18.12  "Including". Whenever the term "including" is used in this
Agreement, it will mean "including, without limitation," (whether or not such
language is specifically set forth) and will not be deemed to limit the range of
possibilities of those items specifically enumerated.


                                      -15-
<PAGE>   17

       18.13  No Third Party Beneficiaries. Nothing in this Agreement shall
confer any rights upon any person other than the parties and their respective
heirs, successors and permitted assigns.

The parties have executed this Agreement as of this 3 day of December, 1998.

                                       BUYER:

                                       Paradigm Health Services, Inc.

                                       By: [SIGNATURE]
                                          ---------------------

                                       Title: President
                                             --------------------




                                       SELLER:

                                       MHM Extended Care Services, Inc.


                                       By: [SIGNATURE]
                                          -------------------

                                       Title: Executive Vice President
                                             --------------------------



                                      -16-

<PAGE>   1
                                                               Exhibit No. 10-3


                          INTERIM MANAGEMENT AGREEMENT


       This Interim Management Agreement, made and entered into this 3rd day of
December, 1998, (the "Closing Date"), by and between Paradigm Health Services of
Ohio, Inc. ("Manager" or "Buyer"), and MHM Extended Care Services, Inc. ("ECS").

       WHEREAS, ECS provides mental health services to certain nursing home
patients in the States of Tennessee and Georgia under contracts with nursing
homes and otherwise; and

       WHEREAS, on the date of this Agreement, ECS and Manager have closed the
transaction contemplated by the Purchase Agreement between the parties dated as
of ______________,in which transaction Manager has purchased certain of the
assets and business of the Operations as defined therein, such purchase to be
effective as of the Effective Date;

       WHEREAS, during the period of time between the Closing Date and the
Effective Date the parties wish to provide for the management of the Operations
on the terms and conditions herein;

       NOW, THEREFORE, in consideration of the mutual promises set forth in this
Agreement, and for other good and valuable consideration, the receipt and
sufficiency of which are hereby acknowledged, it is agreed as follows:

       1.  Engagement. ECS hereby engages Manager to manage, administer and
operate the Operations, commencing on the Closing Date, and Manager hereby
accepts such engagement. As of the Closing Date and until the Effective Date,
ECS hereby authorizes Manager to supervise, manage and direct the day-to-day
operations of the Operations and to perform its duties and exercise its rights
under this Agreement. It is the intention of the parties that such management
and operation of the Operations by Manager shall be consistent with all
applicable standards, rules and regulations and of those federal, state and
local agencies having jurisdiction over or in connection with the Operations.
Manager acknowledges that the Operations do not include, and neither the
Purchase Agreement nor this Management Agreement extend to the operations
conducted by ECS in the State of Georgia pursuant to its PASARR contract with
the Georgia Department of Medical Assistance.

       2.  Relationship. It is expressly agreed by the parties hereto that
Manager is at all times hereunder acting and performing as an independent
contractor and that no act, commission or omission of either party hereto shall
be construed to make or render the other party its principal, agent, joint
venturer or associate, except to the extent specified herein. Wherever Manager
is required to seek the approval of ECS to


<PAGE>   2

perform any of the duties hereunder such approval shall not be unreasonably
withheld.

       3.  Responsibilities of Manager. For the term of this Agreement and 
except as otherwise provided herein, as manager of the Operations, Manager shall
have the responsibility to conduct, supervise and manage all aspects of the
operation of the Operations, and shall have responsibility and commensurate
authority for, but not limited to, the following:

           a. Charges. The establishment, maintenance, revision and
administration of the overall charge structure of the Operations.

           b. Personnel Administration. At manager's expense, the hiring or
engaging as employees, independent contractors or otherwise, and supervision of
all personnel needed for the Operations, including the clinical, administrative
and financial staff, the administration of wage scales, rates of compensation,
employee benefits, conditions of employment, in-service training, attendance a
seminars or conferences, staffing schedules and job and position descriptions
with respect to all employees of or contractors to, the Operations.

           c. Collection of Accounts. Subject to Section 6, the issuance of 
bills for services furnished by the Operations and the collection of accounts
and monies owed during the management period.

           d. Payment of Accounts and Indebtedness. The payment of payroll, 
trade accounts, taxes, rents and all other expenses of operation and obligations
of the Operations arising after Closing, together with the obligation to provide
funding for such payments excluding ECS's one half share of the rent and
utilities for the Nashville premises.

           e. Account and Financial Records. The establishment and 
administration of accounting procedures and controls, and systems for the
development, preparation and safekeeping of records and books of accounting
relating to the business and financial affairs of the Operations.

           f. Depositories for Funds. Maintenance of accounts in such banks,
savings and loan associations, and other financial institutions as Manager may
from time to time select, (including certificates of deposits) with such
balances therein (which may be interest-bearing or non-interest-bearing) as
Manager shall from time to time deem appropriate, taking into account the cash
needs of the Operations, and the disbursement from such accounts of such amounts
of the Operations' funds as Manager shall from time to time determine to be
appropriate in the discharge of the responsibilities of Manager under this
Agreement.


                                        2
<PAGE>   3

           g. Purchases. The purchase of drugs, supplies, and all other 
materials and services which Manager shall deem to be necessary for the
operations, subject to all provisions hereof.

           h. Administrative and Fiscal Services. Provision of all 
administrative and fiscal services to the Operations, including collections,
accounting, auditing (by a certified public accountant selected by Manager),
bookkeeping, budgeting, patient billings and record keeping, accounts receivable
and accounts payable processing, electronic data processing and such other
services, including marketing, recruiting and quality control, as may from time
to time be required.

           i. Patient Records. Supervision of maintenance of patient records and
record retrieval and provision of monitoring services to assist in quality
assurance reviews. After closing, ECS will provide manager with access to all
such records.

           j. Contracts for Services. Manager shall be empowered to negotiate,
enter into, and administer on behalf of the Operations all contracts for
services which Manager may determine are necessary for the Operations, such
contracts to be upon such terms and for such rates of compensation as Manager
shall determine. ECS hereby appoints Manager as its agent and attorney in fact
to act for ECS with respect to that certain Employment Agreement dated as of
March 1, 1997, as amended, between ECS, Psychiatric Speciality Group, P.C. and
Gilbert Katz, M.D., with all authority and power ECS would have acting on its
own behalf. This appointment and power includes, but is not limited to,
renegotiation of the Employment Agreement, exercise of the rights of termination
provided therein, and enforcement of any and all of the provisions of the
Employment Agreement including those as to non-competition and confidentiality.
Manager shall be responsible for all obligations payable to Dr. Katz after the
Closing Date. This appointment and power shall remain in effect until the
Effective Date, at which time it is acknowledged Manager will assume the
Employment Contract with Dr. Katz. Schedule 3(j) includes said contract and all
amendments thereto, together with all the agreements between ECS and Dr. Katz or
Psychiatric Speciality Group, P.C.

       4.  Covenants by ECS.

           a. Liabilities and Obligations. ECS shall not, during the term of 
this Agreement, without approval of Manager, incur any new liabilities or
obligations in relation to the Operations, including without limitation,
employment arrangements, debts, mortgages, liens, credit arrangements, loans or
leases.

           b. Prompt Consideration. In all matters requiring ECS's decision or
consent under the terms of this Agreement, ECS shall promptly consider such
matters and expeditiously advise Manager of its decision so as not to hinder,
damage or delay Manager in its management or direction of the Operations or its
accomplishment of its


                                        3
<PAGE>   4

duties and responsibilities under the terms of this Agreement.

       5.  Covenants by Manager.

           a. Compliance with Agreements and Contracts. Manager will not take 
any action that would cause Operations to default on any of its contracts and
agreements.

           b. Patient Confidentiality. With respect to patients who receive
treatment as part of the Operations, Manager shall assure compliance with all
statutes, regulations, and rules concerning patient confidentiality.

           c. Manager covenants and agrees to use its best reasonable efforts to
obtain at the earliest practical date the Provider Numbers necessary to permit
Buyer to bill Medicare and Medicaid programs for services rendered, and ECS and
Manager covenant and agree to use their best reasonable efforts to obtain all
necessary consents of third parties to the assignment of the contracts to
Purchaser or its designee. The Company covenants and agrees not to assign such
contracts to any party other than Manager or a designee of Manager.

        6. Collection of Accounts Receivable. Manager shall have the right to
collect and retain all accounts receivable arising with respect to the
Operations on and after the Closing Date, to the extent such accounts receivable
are assignable, and ECS hereby assigns to Manager all of its rights, title, and
interest in and to such accounts receivable. Promptly upon receipt of payment
for any accounts receivable arising with respect to the Operations on and after
the Closing Date that are not assignable, ECS shall forward such payment to
Manager. If Manager receives any payments of accounts receivable arising from
services rendered before the Closing Date, Manager will not negotiate payment of
the check, but shall instead promptly give ECS possession of the check. If such
check includes payment of an account or accounts receivable arising both from
the Operations before as well as after the Closing Date, the party receiving
such payment shall promptly forward to the other party such portion of the
payment to which that party is entitled.

        7. Amounts Paid. No amount paid or to be paid hereunder is intended to
be, nor shall it be construed to be, an inducement or payment for referral of
patients by ECS to Manager or any affiliate of Manager or by Manager or any
affiliate of Manager to ECS. In addition, no amount paid or advanced hereunder
includes any discount, rebate, kickback or other reduction in charge. The
parties shall comply in all respects with all applicable requirements of the
Medicare and Medicaid Fraud and Abuse "safe-harbor" regulations (the "Safe
Harbor Regulations") as they may exist from time to time, including, but not
limited to, the requirements of the Safe Harbor Regulations regarding management
agreements, and any amendment thereto, and shall comply with all


                                        4
<PAGE>   5

applicable directives, orders or other lawful pronouncements of any lawful
authority related to the Safe Harbor Regulations.

       8.  Limitation of Liability; Indemnifications.

           a. ECS shall indemnify Manager and any and all subsidiaries, parents 
and affiliates of Manager, and the officers, directors, stockholders and
employees of Manager and its subsidiaries, parents and affiliates, and shall
hold each of them harmless from and against, any and all liability, claims,
losses, costs, actions, judgment or damages, and any expenses relating thereto
(including reasonable attorneys' fees and expenses), arising (a) from the
ownership and/or operation of the Operations in respect of any and all periods
prior to the Closing under the Purchase Agreement and/or (b) as a result of the
acts or omissions (negligent or otherwise) of ECS's agents, officers or
employees prior to the Closing under the Purchase Agreement (including, without
limitation, any claims by, or liability to, third parties, any governmental
agency, or patients of the Operations. Provided, however, that this paragraph,
and the indemnification provided therein, shall not apply to the Assumed
Liabilities as defined in the Purchase Agreement and Manager shall remain fully
responsible for the Assumed Liabilities pursuant to the Purchase Agreement.

           b. Manager shall indemnify ECS and any and all subsidiaries, parents
and affiliates, and the officers, directors, stockholders and employees of ECS
and its subsidiaries, parents and affiliates, and shall hold each of them
harmless from and against, any and all liability, claims, losses, costs,
actions, judgments or damages, and any expenses relating thereto (including
reasonable attorneys' fees and expenses), arising from (a) the Operations during
the term of this Agreement (including, without limitation, all payroll, trade
accounts, short and long-term indebtedness, taxes, rents, and all other expenses
of operations and obligations of the Operations to the extent that such expenses
or obligations accrue on or after the Closing Date) and/or (b) Manager's
performance under this Agreement and/or (c) as a result of the acts or omissions
(negligent or otherwise) of Manager's agents, officers or employees (including,
without limitation, any claims by, or liability to, third parties, Manager and
its subsidiaries and affiliates, any governmental agency, or patients of the
Operations.

           c. Each party acknowledges that the other has made no representations
or warranties, express or implied, and assumes no financial or other
responsibilities or liabilities in connection with this Agreement except as
specifically provided herein and in the Purchase Agreement.

        9. Insurance. Manager shall maintain at all times during the term of 
this Agreement, at Manager's own expense, professional liability insurance
covering Manager and its employees, officers and directors with limits of one
million ($1,000,000) dollars per occurrence and three million ($3,000,000)
dollars in the aggregate.


                                        5
<PAGE>   6

Manager shall maintain at all times during the term of this Agreement, at
Manager's own expense, general comprehensive liability insurance in such
amounts, with such coverages and with such companies as may be commercially
reasonable. All of the insurance required to be maintained under this Section
shall contain an endorsement naming ECS as additional insured thereunder and
shall not be cancelable without ten (10) days prior written notice to Manager
and ECS.

       10. Term and Termination.

           a. Term. The term of this Agreement shall begin on the date of
Closing under the Purchase Agreement and shall terminate on the Effective Date.
The Effective Date shall be the earlier of: (i) Manager obtaining its own
Provider Numbers for use in the Operations; or (ii) termination by Manager
pursuant to Section 10(b); or (iii) or six months from the Closing Date under
the Purchase Agreement, whichever first occurs.

           b. Events of Default and Termination. Either party shall have the
right to terminate this Agreement prior to the Effective date: (i) on the
occurrence of a material breach hereof by the other party not cured within five
(5) business days of the giving of notice as to such breach; or (ii) if any
change in applicable law renders this Agreement, in whole or in material part,
illegal or unenforceable. Manager may terminate this Agreement at any time, with
or without cause, on three business days notice to ECS. Such termination shall
not effect transfer of the Acquired Assets under the Purchase Agreement and
Closing.

       11. Notice. Any notice or other communication by either party to
the other shall be in writing and shall be deemed to have been given, if either
delivered personally or mailed, postage prepaid, registered or certified mail
addressed as follows:

                To ECS:        MHM Extended Care Services, Inc.
                               8000 Towers Crescent Drive
                               Suite 810
                               Vienna, Virginia 22182

                To Manager:    Paradigm Health Services
                               13575 58th Street North, Suite 152
                               Clearwater, Florida 33760

or to such other address, and to the attention of such other person or officer
as either party may designate in writing.


                                        6
<PAGE>   7

       12. Modification and Changes. This Agreement cannot be changed or
modified except by another agreement in writing executed by both parties.

       13. Headings. The headings contained herein are for convenience of
reference only and are not intended to define, limit or describe the scope or
intent of any provisions of this Agreement.

       14. Confidentiality. The parties agree that the terms and conditions of
this Agreement shall remain confidential. No party shall distribute this
Agreement, or any part thereof, to an third parties unless required by law or by
contractual requirements.

       15. Governing Law. This Agreement shall be deemed to have been made and
shall be construed and interpreted in accordance with the laws of the State of
Tennessee.

       In witness whereof, the parties have executed this Agreement as of the
Effective Date.

                                          MHM EXTENDED CARE SERVICES, INC.


                                          By: [SIGNATURE]
                                             --------------------
                                          Its: Executive Vice President


                                          PARADIGM HEALTH SERVICES of Ohio, INC.


                                          By: [SIGNATURE]
                                             -------------------
                                          Its: President

The undersigned corporate partner of Paradigm Health Services, Inc. hereby
grantee's performance by Manager of its obligations hereunder, and agrees to
indemnify and hold ECS harmless as to any defaults by Manager or its obligations
hereunder.

                                          PARADIGM HEALTH SERVICES, INC.

                                          By: [SIGNATURE]
                                             -------------------
                                          Its: President

                                        7

<PAGE>   1
                                                                Exhibit No. 10-1

                            ASSET PURCHASE AGREEMENT

ARBOUR ELDER SERVICES, INC., d/b/a ARBOUR SENIORCARE ("Buyer") and MHM EXTENDED
CARE SERVICES, INC. and its corporate parent, MHM SERVICES, INC. (collectively
"seller") hereby agree as follows:

Buyer desires to purchase and Seller desires to sell to Buyer certain assets and
business related to Seller's delivery of mental health services within the State
of Massachusetts (the "Operations"), all on the terms and subject to the
conditions set forth in this Agreement. "The parties acknowledge that the
representations, warranties, covenants and agreements made by MHM Services,
Inc., are a material inducement to Buyer's decision to consummate this
transaction and shall be deemed material and relied upon by Buyer."

1.     ACQUIRED ASSETS. The assets to be conveyed shall consist of the
Operations as currently operated by Seller in Massachusetts (the "State")
including but not limited to outpatient clinics (including license); behavioral
health services principally to nursing homes and extended care facilities; all
property, policy and procedures manuals, office and other equipment in place on
this date; to the extent assignable, all contract rights, affiliation
agreements, and non-compete agreements relating to the Operations; together with
all other assets relating to the Operations in the State (collectively, the
Acquired Assets"). The Acquired Assets are set out in Schedule 1.2 attached
hereto. Subject to the terms and conditions of this Agreement, Buyer agrees to
purchase and Seller agrees to sell, assign and deliver to Buyer as of Closing,
as defined in Section 10.1 of this Agreement, all of Seller's right, title and
interest in, to and under the Acquired Assets, free and clear of any mortgage,
pledge, hypothecation, claim, security interest, encumbrance, right or interest
of others, lease, license, easement, encroachment, covenant, title defect, lien,
option or right of first refusal (collectively, "Liens"). The Acquired Assets
shall not include, and Seller shall retain, all cash, cash equivalents, and
accounts receivable arising from the provision of services in the State prior to
the Closing Date, all assets of business operations similar to the Operations
conducted by Seller in States other than the State, and such assets related to
the Operations which Buyer in its sole discretion determines not to purchase
(the "Excluded Assets"). The Excluded Assets are set forth in Schedule 1.1.

2.     CONSIDERATION. The consideration for the Acquired Assets will be payment
to Seller by Buyer of the sum of eight hundred fifty thousand dollars
($850,000.00) (the "Purchase Price"). At Closing, Buyer will pay the Purchase
Price to Seller by wire transfer of immediately available funds.


<PAGE>   2


       2.1    Allocation of Purchase Price. The Purchase Price shall be
allocated in the manner set forth in Schedule 2.1. Each of the parties agrees
that any tax returns or other tax information such party may file or cause to be
filed with any governmental agency shall be prepared and filed consistent with
such allocation of the Purchase Price, and any positions taken in connection
with an audit of any such tax return or in connection with any contest of any
adjustment of the Purchase Price likewise shall be consistent with such
position.

       2.2    Commissions and Finders Fees. Buyer and Seller warrant and
represent to each other that no broker or finder has acted for it in connection
with this transaction and that no brokerage, commissions or similar fees will be
due to any person at Closing.

       2.3    Deposits. On execution of this Agreement, Buyer will deposit in
escrow with Seller the sum of twenty thousand dollars ($20,000.00) as a an
earnest money deposit. This deposit shall be non-refundable and shall be
retained by Seller as liquidated damages as the sole remedy if the transaction
fails to close other than as a result of Seller's breach of this Agreement. At
Closing, the deposit shall be applied toward the purchase consideration.

3.     ASSUMPTION OF LIABILITIES. Buyer will not assume any liabilities of
Seller (including but not limited to malpractice claims, leases, contingent
liabilities, or environmental liabilities) which related to the activities of
Seller prior to the Closing Date, except that Buyer will assume and indemnify
seller for: (a) obligations, if any, for the provision of mental health services
of the Acquired Assets to patients in the State after Closing; and (b) all
liabilities arising from Buyer's conduct of the Operations after Closing. Seller
shall continue to be obligated to pay, perform and discharge such debts,
obligations and liabilities and hold Purchaser harmless from:

       (I)    any and all obligations for the payment of any long term
              indebtedness of Seller incurred prior to closing;

       (II)   any and all liabilities of the Seller relating to acts or
              omissions of Seller, including medical malpractice, occurring
              through the Closing Date;

       (Iii)  any and all claims against Seller of the United States Government
              under the Medicare program, or any state under Medicaid programs,
              or of any other third party payers, arising out of the activities
              of the Seller's business through the Closing Date;

       (Iv)   federal and state income taxes of Seller, if any, payable with
              respect to any activities of the Seller through the Closing Date;


                                       -2-


<PAGE>   3


       (V)    sales and other taxes (including, without limitation, use taxes)
              payable by Seller with respect to the business or operations of
              the Seller through the Closing Date or the transactions
              contemplated hereby;

       (Vi)   any other debt, obligation or liability of the Seller other than
              those debts, obligations and liabilities of the Seller
              specifically assumed by Purchaser pursuant to this Agreement,
              whether or not such debt, obligation or liability is disclosed on
              the financial statements as hereinafter defined;

       (Vii)  any liability or obligation of Seller to any employee or former
              employee of the Seller or to any third party, under any pension,
              insurance, bonus, profit-sharing or other employee benefit plan or
              arrangement or any obligation relating to salaries, bonuses,
              vacation or severance pay, including, without limitation, any
              liabilities relating to the activities and obligations of the
              Seller through the Closing Date;

       (Viii) the Seller's obligations and liabilities arising under this
              Agreement;

       (Ix)   any liabilities of the Seller to any of its shareholders arising
              out of any action by the Seller in connection with the transaction
              contemplated herein;

       (X)    any obligation or monies owed by Seller to the Commonwealth of
              Massachusetts regarding Medicaid billing for periods prior to the
              Closing Date,

       (Xi)   any accrued but unpaid payroll tax obligations of the Seller
              relating to the activities and operations of the Seller prior to
              the Closing Date.

4.     DUE DILIGENCE. Buyer has had ample opportunity to conduct and complete
its due diligence examinations and inspections of the Acquired Assets and has
completed such due diligence as it deems necessary and appropriate. During the
Due Diligence Period, Buyer has had full access during normal business hours to
the Acquired Assets including Seller's books, records and other information
concerning the Operations for the purpose of conducting such inspections and
tests as Buyer reasonably has requested.



5.     Representations and Warranties of the Seller. In order to induce the
Purchaser to enter into and perform this Agreement, the Seller represents,
warrants and agrees as set forth in this Section 5. The representations and
warranties as set forth in this


                                       -3-

<PAGE>   4


Section relate to the activities and operations of the Seller through the
Closing Date.

5.1    Organization. The Seller is a corporation duly organized, validly
existing and in good standing under the laws of the State of Delaware with all
the requisite power and authority to execute, deliver and perform this Agreement
and to hold the properties, rights and assets and to carry on the businesses now
conducted by it.

5.2    Ownership of Assets. On the Closing Date, except as set forth on Schedule
5.2 hereto, the Seller is the legal and beneficial owner of the Acquired Assets,
free and clear of any claims, charges, equities, liens (including tax lines),
security interests and encumbrances, and the Seller has full right, power and
authority to sell, transfer, assign, convey and deliver all of the Acquired
Assets.

5.3    The Seller's Authority and No Conflict. The Seller has the full right,
power and authority to execute, deliver and carry out the terms of this
Agreement and all documents and agreements necessary to give effect to the
provisions of this Agreement, and this Agreement has been duly authorized,
executed and delivered by the Seller. To the best of Seller's knowledge, the
consummation of the transactions contemplated hereby will not result in any
material conflict, breach or violation of, or default under, any applicable
statute, or any judgment. The consummation of this agreement will not violate
any order, decree, mortgage, agreement, deed of trust, indenture or other
instrument to which the Seller is a party or by which Seller is bound. All
action and other authorizations prerequisite to the execution of this Agreement
and the consummation of the transactions contemplated by this Agreement have
been or will be taken or obtained by the Seller as of the Closing Date. This is
a valid and binding agreement of the Seller enforceable in accordance with its
terms.

5.4    Compliance with Laws. To the best of Seller's knowledge, in connection
with the conduct of the operation and the conduct of its business, and in
connection with the lease of the Premises (as hereinafter defined) and ownership
of assets of the Seller, the Seller has complied with all applicable statutes
and regulations of all governmental authorities having jurisdiction over it
except where the failure to so comply would not have a material adverse effect
on the business or properties of the Seller. The Seller has not received any
notice of any violations of applicable laws.

5.5    Financial Statements Provided. Copies of the financial statements of the
Seller listed on and annexed to Schedule 5.5 hereto have been initialed for
identification and delivered to the Purchaser. The annual financial statements
have been prepared in accordance with the accrual basis method of accounting
throughout the periods indicated, and fairly present its financial position as
at the respective dates of the balance sheets included in the financial
statements and the results of its operations for the respective periods
indicated. The interim financial statements which are listed on Schedule 5.5
hereto, have been prepared in accordance with the accrual basis method


                                       -4-


<PAGE>   5


of accounting according to procedures consistently applied to such statements
from month to month since August 30, 1998, and subject to normal year end
adjustments, and fairly present its financial position as of the date thereof in
accordance with generally accepted accounting principles.

5.6    Absence of Changes. Except as disclosed on Schedule 5.6 hereto, since
August 30, 1998, there has not been any (a) transaction by the Seller with
respect to the Operations except in the ordinary course of business as conducted
during the twelve-month period ending on that date; (b) material adverse change
in the condition (financial or otherwise), business or liabilities or assets of
the Operations, other than disclosed in the financial information provided to
Purchaser through August 30, 1998 and Schedule 5.6; (c) destruction, damage to,
or loss of Acquired Assets (whether or not covered by insurance) that materially
and adversely affects the condition, financial or otherwise, or business of the
Operations, (d) labor disputes or other event or condition relating to
employment or labor matters of any character materially and adversely affecting
the condition, financial or otherwise, of the Acquired Assets or the Operations,
(e) change in accounting methods or practices (including, without limitation,
change in depreciation or amortization policies or rates) by the Seller, as to
the operations (f) revaluation of Acquired Assets; (g) sale or transfer of any
asset of the Operations except in the ordinary course of business;(h) amendment
or termination of any material contract, agreement, or license as to the
operations to which the Seller is a party (except such nursing home contracts as
may have been terminated in the ordinary course.

5.7    Absence of Undisclosed Liabilities. The Seller does not have any material
debt, liability or obligation of any nature relating to the operations, whether
accrued, absolute, contingent or otherwise, and whether due or to become due,
which is not reflected or reserved against in the financial statements of the
Seller except for: (a) those which are not required by generally accepted
accounting principles to be so reflected, (b) those which were incurred in the
ordinary course of business and are usual and normal in amount both individually
and in the aggregate, and (c) those disclosed on Schedule 5.7.

5.8    Tax Returns and Audits. Within the times and in the manner prescribed by
law, the Seller has filed all Federal, state and local tax returns required by
law and has paid all taxes, assessments, and penalties due and payable, except
Seller has not filed State income tax returns for its fiscal year 1997 as to
which no taxes are or will be due. There are no present disputes as to taxes of
any nature payable by the Seller. The Seller has not received notice of, nor is
it otherwise aware of, an audit or examination, nor is it a party to any action
or proceeding by any governmental authority for assessment or collection of
taxes, excise taxes, charges, penalties or interest; nor has any claim for
assessment and collection been asserted against it, except as set forth on
Schedule 5.8 hereto. The Seller has accrued or paid or will have caused to be
paid on or prior to the Closing date, all applicable unemployment taxes, payroll
taxes, social


                                       -5-
<PAGE>   6


security taxes, occupation taxes, property taxes, excise taxes, sales and use
taxes, and all other taxes of every kind, character or description required to
be paid, except for taxes which are not yet due and subject to proration.

5.9    (Intentionally Omitted)

5.10   Existing Employment and Other Contracts ERISA.

       (a)    Schedule 5.10 contains a list of all employment contracts
              consulting agreements and collective bargaining agreements as to
              the Operations which the Seller is a party or by which it is
              bound; all such contracts and arrangements are in full force and
              effect and the Seller is not in default under any of them.
              Notwithstanding anything to the contrary, Purchaser shall not be
              obligated in any way under such contracts and arrangements (except
              for those contracts being assumed by Purchaser pursuant to Section
              3). There is neither pending nor, to the best of the Seller's
              knowledge, any basis therefor or threat thereof with respect to
              any contract, agreement, covenant or obligation referred to in the
              preceding sentence, including, without limitation, any claim for
              money due for allegedly unpaid vacation time or sick pay. The
              Seller views its relationship with its employees as satisfactory,
              and there are no labor controversies pending or, to the best of
              the Seller's knowledge, threatened between the Seller and the
              employees of the Seller.

       (b)    Seller is in material compliance with all requirements, including
              reporting, filing and disclosure requirements, applicable under
              ERISA or otherwise to all employee welfare benefit and employee
              pension benefit plans including but not limited to deferred
              compensation plans, incentive plans, bonus plans or arrangements,
              stock option plans, stock purchase plans, golden parachute
              agreements, severance pay plans dependent care plans, cafeteria
              plans, employee assistance programs, scholarship programs
              employment contracts and other similar plans, agreements and
              arrangements that are currently in effect as of the Closing Date,
              for the benefit of directors, officers, employees, or former
              employees (or their beneficiaries) of the Seller.

       (c)    The Seller shall have paid all compensation owed to the employees
              of the Seller engaged in the Operations through the Closing Date
              other than as to compensation not yet due.

       (d)    All pension and benefit plans have been fully funded through the
              Closing.

       (e)    Seller represents and warrants that the non-competition agreements
              executed by the Clinicians affiliated with the Seller, and
              transferred to Buyer pursuant to this Agreement, represent the
              portion of the Seller's Massachusetts behavioral health business
              as set forth in Schedule 9 attached hereto.


                                       6
<PAGE>   7


5.11   Insurance Policies. Schedule 5.11 contains a description of all insurance
policies held by the Seller concerning its business and the premises. All such
policies have the respective limits set forth in Schedule 5.11. If not already
covered, Seller will arrange for Professional Liability Tail Coverage for no
less than one million (1,000,000) per incident and three million aggregated for
no less than four years after closing.

5.12   Litigation. Except as disclosed in Schedule 5.12, there is no suit,
action, arbitration, or legal administrative, or other proceeding, or
governmental investigation pending or the Seller's knowledge threatened against
or affecting the operations or the Acquired Assets, any of the business, assets,
or condition, financial or otherwise, of the Seller or any of the transactions
or decree of any Federal, state, local, or foreign court, department, agency or
instrumentality.

5.13   Medicare CHAMPUS and Medicaid. All Clinics and Programs are the subject
of an existing Medicare contract with the Federal Government with the fiscal
intermediary whose name is set forth on Schedule 5.13 hereto, are certified for
participation in the Medicare program, CHAMPUS program and Medicaid Program, and
are parties to such agreements with other third party payers as are set forth on
Schedule 5.13 hereto, all of which are in full force and effect and no default
or event has occurred thereunder which, with the giving of notice, the passage
of time, or both, would constitute a default thereunder.

5.14   Filing of Reports. Other than claims or reports pertaining to individual
patients, the Seller has timely filed or caused to be timely filed all reports
of every kind whatsoever required by law or by written or oral contract or
otherwise to be made with respect to the purchase of services by a third- party
payers, including but not limited to, Medicare, Medicaid and CHAMPUS programs
and other insurance carriers, and all such reports are, or will be if filed
after the Closing Date, complete and accurate in all material respects.

5.15   Licenses. The Clinics, Programs and other business units of the Seller
have all material contracts, licenses, permits, consents, franchises and
approvals required by law or governmental regulations or that are necessary from
all applicable Federal, state and local authorities and any other regulatory
agencies for the lawful conduct of its business, and it is not in default in any
material respect under such licenses, permits, consents and approvals.

5.16   No Broker. The Seller represents and warrants it has not dealt with any
broker or finder in connection with any of the transactions contemplated by this
Agreement and, insofar as it knows, no other broker or other person is entitled
to any commission or finder's fee in connection with any of such transactions.

5.17   No Misleading Statements. This Agreement and the information and
schedules


                                      -7-
<PAGE>   8


referred to herein do not include any untrue statement of a material fact and do
not omit to state any material fact necessary to make the statements contained
herein or therein, in light of the circumstances under which they were made, not
misleading.

5.18   Employee Matters. The Seller acknowledges that it has no information that
the Purchaser would or would not qualify for successor status under Rev. Proc.
84-77. Pursuant to that pronouncement, the parties agree the Purchaser shall
follow procedures consistent with successor status. In addition, both parties
shall file 941's for the quarter during which the sale takes place, reflecting
the wages and deposits made during its period of ownership.

6.     REPRESENTATIONS AND WARRANTIES OF BUYER. Buyer represents and warrants to
Sellers as follows:

6.1    Corporate Action. Buyer has taken all action required to authorize the
execution and consummation of this Agreement. This Agreement constitutes the
valid and legally binding obligations of Buyer enforceable in accordance with
its terms, except that enforce ability may be limited by applicable equitable
principles or bankruptcy, insolvency, or similar laws affecting the enforcement
of creditors rights generally.

6.2    No Conflict With Other Agreements or Laws. The execution and consummation
by Buyer of this Agreement, and the other agreements and documents contemplated
hereby, will not (a) violate the terms of any instrument, agreement, judgment or
decree to which Buyer is a party, or by which Buyer or any of its properties is
bound, (b) be in conflict with, result in a breach of or constitute (with giving
of notice or lapse of time or both) a default under any such instrument,
agreement, judgment or decree, (c) result in the creation or imposition of any
Lien upon Buyer or its properties or assets, or (d) violate any applicable
federal, state, local or foreign law, regulation or order.

6.3    Organization and Qualification. Buyer is duly organized, validly existing
and in good standing. Buyer has full power and authority to execute and
consummate this Agreement.

6.4    Financial Standing. Buyer has the financial resources to consummate the
transaction contemplated in this Agreement.

7.     PRE-CLOSING COVENANTS. The parties covenant and agree as follows:

7.1    Conduct of Business in Ordinary Course. The Seller agrees that from
execution of this Agreement until the Closing Date, the Seller will (i) not
increase any compensation payable to any employees or consultants of the
Operations, (ii) not create any material obligation or liability (absolute or
contingent) secured by the Acquired Assets; (iii) not enter into, amend or
terminate any material contract,


                                       -8-
<PAGE>   9


agreement, permit or lease pertaining to the Operations without the prior
written consent of the Purchaser, except in the ordinary course of conduct of
business or as contemplated hereunder, (iv) not cancel or decrease any insurance
policy relating to the Operations; (v) not interfere with any material
obligations under contracts, leases and documents relating to or affecting
conduct of The Operations; (vi) use its reasonable best efforts to maintain and
preserve the Operations and Acquired Assets intact, its good will and
relationship with its present officers, employees, suppliers, medical staff and
others having a business relationship with it relating to the Operations, all
material licenses and permits requisite to the conduct of the Operations now
conducted.

7.2    Notification of Material Adverse Changes. Sellers will promptly notify
Buyer in writing of the occurrence of any material adverse change to the
Acquired Assets or Operations occurring on or after the date of this Agreement
and on or prior to the Closing Date.

7.3    Other Transactions. During the term of this Agreement, the parties will
deal exclusively and in good faith with each other regarding a sale of all or a
material portion of the Acquired Assets. Seller will not, and will direct
Sellers' officers, directors, financial advisors, accountants, agents and
counsel not to: (i) solicit submission of offers from any person relating to a
the Acquired Assets, (ii) participate in any discussions or negotiations
regarding, or furnish any nonpublic information to any person regarding purchase
of the Acquired Assets by any person other than Buyer, or (iii) enter into any
agreement or understanding, whether oral or written, that would have the effect
of preventing consummation of this Agreement.

7.4    Consents, Waivers and Approvals. Prior to Closing, Seller will obtain all
consents, waivers, approvals, and releases necessary for Seller to effect the
transactions contemplated herein, free and clear of any and all liens. All such
consents, waivers, releases and approvals will be in writing and in form and
substance satisfactory to Buyer in its discretion as reasonably exercised by
Buyer.

7.5    Supplemental Disclosure. Seller will have the continuing obligation up to
and including the Closing Date to supplement promptly or amend the Schedules
hereto with respect to any matter subsequently arising or discovered which, if
existing or known at the date of this Agreement, would have been required to be
set forth or listed in the Schedules.

7.6    Conditions Precedent. The parties will use their best efforts in good
faith to satisfy the conditions set forth in Sections 8 and 9 hereof.

7.7    Consents, Regulatory Approvals and Licenses. Buyer acknowledges that
certain of Seller's contracts with nursing homes or clinicians may not be
assignable,


                                       -9-
<PAGE>   10


may be terminable upon no or minimal notice, or may consist of arrangements not
embodied in binding contractual relationships. Buyer further acknowledges that
Seller makes no warranties or representations as to the existence or
availability of any assignments, consents, approvals, regulatory licenses, or
certifications, including as to nursing home contracts, as may be necessary for
any use of the Acquired Assets as Buyer may intend. Seller agrees that it has
made such inquiry as to such matters during the Due Diligence Period as it
believes appropriate, and that consummation of the transaction contemplated
hereby shall not be contingent in any way upon the existence of or Buyer
obtaining any such assignments, consents or regulatory approvals, licenses, or
certifications. Seller agrees that to the extent any economic rights under such
contracts are assignable, it will assign such rights to Buyer. As to any assumed
contract the assignment of which by its terms requires the prior consent of a
third party thereto, if such consent is not obtained prior to the Closing Date,
the Seller shall deliver to the Buyer written documentation setting forth
arrangements for the transfer of the economic benefits of such assumed contracts
to Buyer as of the Closing Date under the terms and conditions acceptable to all
parties hereto. In any event, after Closing Seller shall forfeit and not seek to
perform under any non-assignable agreement or license in competition with Buyer.

7.8    Unless approved in advance by the other party, neither Buyer nor Seller
shall issue any press release or written statement for general or public
circulation relating to the transactions contemplated hereby, except as required
by law in the reasonable opinion of such party's counsel. Each party agrees to
use good faith efforts to obtain the other's approval of the text of any public
report, statement or release prepared.

8.     CONDITIONS PRECEDENT TO OBLIGATIONS OF BUYER. The obligation of Buyer to
consummate this Agreement will be subject to the satisfaction, on or before the
Closing Date, or such other date as may be specified, of the following
conditions, any of which may be waived by Buyer in writing.

8.1    Representations. The representations and warranties made by Seller in
Section 5 hereof will be true and correct on the Closing Date as though such
representations and warranties had been made on such date and Seller will
deliver to Buyer a certificate dated as of the Closing Date to the foregoing
effect.

8.2    Covenants. Seller will have duly performed all of the covenants, acts and
undertakings to be performed by it on or prior to the Closing Date, and Sellers
will deliver to Buyer a certificate dated as of the Closing Date to the
foregoing effect.

8.3    No Injunction, Etc. No proceeding, investigation, or legislation will
have been instituted, threatened or proposed before any court, governmental
agency or legislative body to enjoin, or prohibit, or to obtain substantial
damages in respect of this Agreement, or which materially affects title to, or
the existence or priority of liens on, the


                                      -10-
<PAGE>   11
Acquired Assets.

8.4    Incumbency. Seller will have delivered a certificate of incumbency
executed by the president and secretary of Seller listing each officer and
director of Seller and the persons authorized to execute this Agreement and the
other documents contemplated hereby.

8.5    Material Adverse Change. No material adverse change to the Acquired
Assets shall have occurred on or after the date of this Agreement and on or
prior to the Closing Date.

8.6    Non-Competition Covenants. Seller shall provide to Buyer covenants of
non-competition in the form of Schedule 8.6, fully executed by such of Seller's
employees or independent contractors utilized in the operations as are willing
to sign such covenants.

9.     (Intentionally Omitted)

10     CONDITIONS PRECEDENT TO OBLIGATIONS OF SELLER. The obligation of Seller
to consummate this Agreement will be subject to the satisfaction, on or before
the Closing Date, of the following conditions, any of which may be waived by
Sellers in writing.

10.1   Representations. The representations and warranties made by Buyer in
Section 6 hereof will be true and correct in all material respects on the
Closing Date with the same force and effect as though such representations and
warranties had been made on and as of such date and Buyer will deliver to Seller
a certificate dated as of the Closing Date to the foregoing effect for Buyer.

10.2   Covenants. Buyer will have duly performed all of the covenants, acts or
undertakings to be performed by it on or before the Closing Date, and Buyer will
deliver to Seller certificates dated as of the Closing Date to the foregoing
effect.

10.3   Certified Resolutions. Buyer will have delivered to Sellers certificates
executed by duly authorized officers and containing true and correct copy of
resolutions duly adopted by Buyer's Board of Directors approving and authorizing
this Agreement and its consummation. Such officers will also certify that such
resolutions have not been revoked or modified and remain in full force and
effect.

10.4   No Injunction, Etc. No proceeding, investigation or legislation will have
been instituted, threatened or proposed before any court, governmental agency or
legislative body to enjoin, or prohibit, or to obtain substantial damages in
respect of this Agreement.


                                      -11-
<PAGE>   12


10.5   Incumbency. Buyer will have delivered a certificate of incumbency
executed by its president or a vice president and the secretary or an assistant
secretary listing the persons authorized to execute this Agreement, and the
other documents contemplated hereby.

11.    MUTUAL COVENANTS. Each of the parties hereto will refrain from taking any
action which would render any representation or warranty contained in Sections 5
or 6 of this Agreement inaccurate as of the Closing Date. Each party will
promptly notify the other of any action or proceeding that is instituted or
threatened against such party to restrain, prohibit or otherwise challenge the
legality of any transaction contemplated by this Agreement. Each party will take
such further action as may reasonably be requested by another party to evidence
the consummation of this Agreement.

12.    CLOSING.

12.1   Time and Place. The closing ("Closing") will be held at the offices of
MHM Extended Care Services, 8000 Towers Crescent Drive, Suite 810, Vienna,
Virginia, on December 31, 1998.

12.2   Transactions at the Closing. At Closing, each of the following
transactions will occur:

              (a)    Sellers will deliver to Buyer the following:

              (i)    such bills of sale, endorsements, assignments and other
                     instruments of transfer as are necessary to vest in Buyer
                     all of Sellers' right, title and interest in, to and under
                     the Acquired Assets, free and clear of all Liens other than
                     Permitted Encumbrances;

              (ii)   all such certificates, dated as of the Closing Date, as
                     Buyer may reasonably request to evidence the fulfillment by
                     Seller, or other satisfaction as of the Closing Date, of
                     the terms and conditions of this Agreement; and

              (iii)  an opinion of Seller's counsel, in form and substance
                     reasonably satisfactory to Buyer, that Seller is duly
                     organized, validly existing, and in good standing under the
                     laws of the State of Delaware, that Seller has full power
                     and authority to own and convey the Acquired Assets, and
                     this Agreement constitutes the valid and binding obligation
                     of Seller, enforceable in accordance with its terms, except
                     that enforceability may be limited by applicable equitable
                     principles of bankruptcy, insolvency or similar laws
                     affecting the enforcement of creditors' rights generally.


                                      -12-
<PAGE>   13


              (b)    Buyer will deliver to Seller the following:

              (i)    the Purchase Price required under Section 2;

              (ii)   a certificate of good standing of Buyer from the Secretary
                     of State of its state of incorporation as of the most
                     recent practicable date;

              (iii)  all such certificates, dated as of the Closing Date, as
                     Seller may reasonably request to evidence the fulfillment
                     by Buyer, or other satisfaction as of the Closing Date, of
                     the terms and conditions of this Agreement; and

              (iv)   an opinion of Buyer's counsel in form and substance
                     reasonably satisfactory to Seller, that Buyer is a
                     corporation duly organized, validly existing, and in good
                     standing under the laws its State of incorporation; that
                     Buyer has full power and authority to purchase and own the
                     Acquired Assets; that all action has been taken as required
                     to authorize the execution and consummation of this
                     Agreement by Buyer; and this Agreement constitutes the
                     valid and binding obligation of Buyer, enforceable in
                     accordance with its terms, except that enforceability may
                     be limited by applicable equitable principles of
                     bankruptcy, insolvency or similar laws affecting the
                     enforcement of creditors' rights generally.

13.    COVENANT NOT TO COMPETE. For a period of five years (5) after Closing,
without the prior written consent of Buyer, Seller and any affiliates, and
officers or Directors of Seller or its affiliates shall not: (a) except as
provided below, engage in the establishment or operation of any business for the
delivery of mental health services to patients within the State or competitive
with the outpatient clinic currently operated in the State by Seller, or (b)
hire or solicit for hire any employee of the Operations, or recommend, directly
or indirectly to any such employee that he or she obtain employment elsewhere.
Without in any way limiting the foregoing, it is acknowledged that this covenant
does not extend to the provision of mental health services at prisons, jails, or
other correctional facilities. At Buyer's request, and at the Buyer's sole and
full expense, Seller will co-operate in the bringing of suit in Seller's name to
enforce against any third party any covenant against competition contained in an
agreement to which Seller is a party.

14.    ACCOUNTS RECEIVABLE AND PROVIDER NUMBERS. In order to assure collection
by Seller of accounts receivable arising from services provided prior to the
date of Closing (which accounts receivable are excluded from the Acquired Assets
(the "Excluded Receivables")), Buyer shall bill for services provided by it
after Closing under its own provider numbers or other appropriate billing
information of Buyer. Seller shall


                                      -13-
<PAGE>   14


retain the sole right to bill for and collect the Excluded Receivables together
with the sole right to utilize the provider numbers and other billing
identification which Seller has utilized in connection with the Operations. In
the event proceeds of accounts receivable are collected by Seller or Buyer after
Closing which include proceeds of accounts receivable to which the other party
is entitled, within one week of the receipt of such proceeds the receiving party
shall deliver such proceeds to the partied entitled thereto, together with a
copy of the Explanation of Benefits ("EOBs") relating to such proceeds.

15.    SURVIVAL OF REPRESENTATIONS AND WARRANTIES. All statements contained in
this Agreement, and the documents contemplated hereby, will be deemed
representations and warranties hereunder by Seller or Buyer, as the case may be.
All representations and warranties made by Seller or Buyer in this Agreement
will survive until the second (2nd) anniversary of the Closing Date, except that
warranties and representations as to taxes, environmental matters or ERISA
matters shall survive until six (6) months after expiration of the applicable
statute of limitations. No claims for breach of a representation or warranty
(including an Indemnification Claim as defined in Section 16) may be brought by
any person unless written notice of such claim will have been given on or prior
to the end of such survival period (in which event each representation and
warranty with respect to any asserted claim will survive until such claim is
finally resolved and all obligations with respect thereto are fully satisfied).
Provided this paragraph shall not apply to the breach of any obligations under
this agreement other than as to representation or warranties.

16.    TERMINATION. This Agreement may be terminated, and the transactions
contemplated herein abandoned: (a) by the mutual written consent of Seller and
Buyer; (b) by either Seller or Buyer upon the failure of the other to comply
substantially with its or their conditions precedent to Closing and other
obligations set forth herein on or before the Closing Date; (c) upon Seller's
failure to cure (or waiver of the opportunity to cure), any condition or defect
in the Acquired Assets disclosed to Buyer during the Due Diligence Period and
reasonably unacceptable to Buyer. Such cure or waiver thereof shall take place
within thirty (30) days of receipt by Seller of written notice of such condition
or defect from Buyer (such notice to be delivered prior to expiration of the Due
Diligence Period). Termination pursuant to this Section will relieve the parties
of their obligations hereunder with each party responsible for its own fees,
costs and expenses; provided, however, that if the Agreement is terminated
pursuant to (b) above because one party fails to use its reasonable best efforts
to fulfill its obligations hereunder, such party will remain liable to the other
party for all rights as to deposits, losses, costs, expenses (including
attorney's fees) and liabilities incurred by such other party as a result of
such failure.

17.    INDEMNIFICATION.


                                      -14-
<PAGE>   15


17.1   Losses. For purposes of this Section 17, "Losses" will mean all damages,
losses, costs, expenses (including legal, accounting and other fees and
expenses), interest, penalties, charges and liabilities.

17.2   Indemnification by Seller. Seller agrees to indemnify, defend and hold
harmless Buyer from and against any Loss incurred by Buyer related to or arising
out of (a) the breach of any of the warranties, representations, covenants or
agreements of Seller in this Agreement (a "Breach"), (b) any liability arising
from the from the activities of the Seller or use of the Acquired Assets by
Seller prior to the Closing Date, other than (i) Assumed Liabilities.

17.3   Indemnification by Buyer. Buyer agrees to indemnify, defend and hold
harmless Sellers from and against any Loss incurred by Sellers related to or
arising out of (a) the breach of any of the warranties, representations or
agreements of Buyer in the Buyer's Agreements, (b) any Assumed Liability, or (c)
any liability associated with Buyer's ownership or use of the Acquired Assets or
conduct of the Operation on or after the Closing Date.

17.4   Procedures for Indemnification.

              (a)    An Indemnification Claim will be made by the Indemnitee by
                     delivery of a written declaration to Indemnitor requesting
                     indemnification and specifying the basis on which
                     indemnification is sought and the amount of asserted Losses
                     and, in the case of a Third Party Claim, containing such
                     other relevant information as Indemnitee may have
                     concerning such Third Party Claim.

              (b)    If the Indemnification Claim involves a Third Party Claim
                     the procedures set forth in Section 16.5 hereof will be
                     observed by the Indemnitee and Indemnitor.

              (c)    If the Indemnification Claim involves a matter other than a
                     Third Party Claim, the Indemnitor will have ten (10) days
                     to object to such Indemnification Claim by delivery of a
                     written notice of such objection to Indemnitee specifying
                     to the extent reasonable given the information available to
                     Indemnitor the basis for such objection. Failure to timely
                     so object will constitute acceptance of the Indemnification
                     Claim by the Indemnitor and the Indemnification Claim will
                     be paid in accordance with Section 17.4(d). If any
                     objection is timely interposed by the Indemnitor and the
                     dispute is not resolved within fifteen (15) days from the
                     date Indemnitee receives such objection, such dispute will
                     be resolved by litigation, arbitration or mediation, at the
                     preference of the parties.


                                      -15-
<PAGE>   16
              (d)    Upon determination of the amount of an Indemnification
                     Claim (including a Third Party Claim), whether by agreement
                     between Indemnitor and Indemnitee, by an arbitration award
                     or otherwise, Indemnitor will pay the amount of such
                     Indemnification Claim within ten (10) days of the date such
                     amount is determined.

17.5   Defense of Third Party Claims.

              (a)    Should any Third Party Claim be made, the obligations and
                     liabilities of the parties with respect to such Third Party
                     Claim will be subject to this Section 17.5.

              (b)    Within a reasonable time (i.e., such time as will not
                     prejudice the contest, defense, litigation, or settlement
                     of a Third Party Claim) following the receipt of notice of
                     a Third Party Claim, the party receiving the notice of the
                     Third Party Claim will (i) notify the other party of its
                     existence setting forth in writing and with reasonable
                     specificity the facts and circumstances of which such party
                     has received notice, and (ii) if the party giving such
                     notice is an Indemnitee, specify in writing the basis
                     hereunder upon which the Indemnitee's claim for
                     indemnification is asserted and tendering defense of the
                     Third Party Claim to Indemnitor.

              (c)    If the defense of a Third Party Claim is so tendered and
                     within ten (10) day thereafter such tender is accepted
                     without qualification by the Indemnitor as evidenced by
                     written notice to Indemnitee, then, except as provided
                     below, the Indemnitee will not, and the Indemnitor will,
                     have the right to contest, defend, litigate and settle such
                     Third Party Claim. The Indemnitee will have the right to be
                     represented by counsel of its own choice and at
                     Indemnitee's expense to participate in any contest,
                     defense, litigation or settlement conducted by the
                     Indemnitor; provided that the Indemnitee will be entitled
                     to reimbursement therefor if the Indemnitor loses is right
                     to contest, defend, litigation and settle the Third Party
                     Claim as provided below. Notwithstanding the preceding
                     provisions of this Section 17.5, if the Third Party Claim
                     is asserted against both of Indemnitor and Indemnitee and
                     representation of both of them by the same counsel would be
                     inappropriate due to actual or potentially differing
                     interests between them, Indemnitee shall be entitled to
                     retain the right to contest, defend or litigate such Third
                     Party Claim as it relates to Indemnitee and will have the
                     exclusive right, in its discretion exercised in good faith,
                     and with the advice of counsel, to settle any such matter
                     as it


                                      -16-
<PAGE>   17


                     related to Indemnitee, either before or after the
                     initiation of litigation, at such time and upon such terms
                     as it deems fair and reasonable, provided that at least ten
                     (10) days prior to any such settlement, written notice of
                     its intention to settle will be given to the Indemnitee.
                     If, pursuant to the preceding sentence, the Indemnitee so
                     contests, defends, litigates or settles a Third Party
                     Claim, the Indemnitee will be reimbursed by the Indemnitor
                     for the reasonable attorneys' fees and other expenses of
                     defending, contesting, litigating and/or settling the Third
                     Party Claim which are incurred from time to time, promptly
                     following the presentation to the Indemnitor of itemized
                     bills for such attorneys' fees and other expenses.

              (d)    The Indemnitor will lose its right to contest, defend,
                     litigate and settle the Third Party Claim if it fails to
                     diligently contest the Third Party Claim (except in
                     connection with a settlement thereof in accordance with the
                     terms hereof). So long as the Indemnitor has not lost its
                     right to defend, contest, litigate and settle as herein
                     provided, the Indemnitor will have the exclusive right to
                     contest, defend and litigate the Third Party Claim and will
                     have the exclusive right, in its discretion exercised in
                     good faith, and with the advice of counsel, to settle any
                     such matter, either before or after the initiation of
                     litigation, at such time and upon such terms as it deems
                     fair and reasonable, provided that at least ten (10) days
                     prior to any such settlement, written notice of its
                     intention to settle will be given to the Indemnitee.

              (e)    All expenses (including without limitation attorneys' fees
                     and expenses) incurred by the Indemnitor in connection with
                     the foregoing will be paid by the Indemnitor.

              (f)    No failure by an Indemnitor to acknowledge in writing its
                     indemnification obligations under this Section 17 will
                     relieve it of such obligations to the extent they exist. If
                     an Indemnitee is entitled to indemnification against a
                     Third Party Claim, and the Indemnitor fails to accept or
                     assume the defense of a Third Party Claim pursuant to
                     Section 17.5(c), or if, in accordance with the foregoing,
                     the Indemnitor loses its right to contest, defend, litigate
                     and settle such a Third Party Claim, the Indemnitee will
                     have the right, without prejudice to its right of
                     indemnification hereunder, in its discretion exercised in
                     good faith, and upon the advice of counsel, to contest,
                     defend and litigate such Third Party Claim, and may, in its
                     discretion exercised in good faith, and with the advice of


                                      -17-
<PAGE>   18


                     counsel, settle such Third Party Claim, either before or
                     after the initiation of litigation, at such time and upon
                     such terms as it deems fair and reasonable, provided that
                     at least ten (10) days prior to any such settlement,
                     written notice of its intention to settle is given to the
                     Indemnitor. If, pursuant to this Section 17.5(f), the
                     Indemnitor so contests, defends, litigates or settles a
                     Third Party Claim for which it is entitled to
                     indemnification hereunder, the Indemnitee will be
                     reimbursed by the Indemnitor for the reasonable attorneys'
                     fees and other expenses of defending, contesting,
                     litigating and/or settling the Third Party Claim which are
                     incurred from time to time, promptly following the
                     presentation to the Indemnitor of itemized bills for such
                     attorneys' fees and other expenses.

17.6   Limitations.

              (a)    All notices of Loss must be delivered to the Indemnitor
                     prior to expiration of the two year period for the
                     warranties and representations as set forth in Section 15
                     hereof.

              (b)    The remedies provided in this Section 17 are in addition
                     to, and not in derogation of, any statutory, equitable, or
                     common law remedy any party may have for breach of any
                     representation, warranty, covenant or agreement set forth
                     in this Agreement.

              (c)    Notwithstanding anything else to the contrary, Seller shall
                     be liable as an Indemnitee only if the aggregate Losses
                     exceed $30,000.

18.    TRANSACTION EXPENSES.

18.1   Except as provided in Section 18.2, all expenses incurred by the parties
in connection with or related to the authorization, preparation, negotiation and
consummation of this Agreement and the agreements, documents or instruments
contemplated hereby will be borne solely by the party which has incurred the
same.

18.2   Buyer shall be responsible for any and all recordation charges, transfer
taxes, or other fees required for transfer of the Acquired Assets.

19.    MISCELLANEOUS.

19.1   Notice. All notices, requests, demands and other communications hereunder
will be in writing and will be deemed given and received (a) on the date of
delivery when delivered by and or when transmitted by confirmed simultaneous
telecopy, (b) on the following business day when sent by receipted overnight
courier, or (c) five (5) business


                                      -18-
<PAGE>   19


days after deposit in the United States Mail when mailed by registered or
certified mail, return receipt requested, first class postage prepaid, when
addressed as set forth below:

                                           Roy Ettlinger
                                Buyer:     Universal Health Services, Inc.
                                           49 Robinwood Avenue
                                           Boston, Massachusetts 02130-2156

                                Copy to:   Bruce Gilbert, ESQ.
                                           General Counsel
                                           Universal Health Services, Inc.
                                           367 South Gulph Road
                                           P.O. Box 61958
                                           King of Prussia, PA 19406-0958

                                Sellers:   MHM Extended Care Services, Inc.
                                           8000 Towers Crescent Drive, Suite 810
                                           Vienna, Virginia 22182

       Any party may change the address to which notices are to be sent to it by
giving written notice of such change of address to the other party in the manner
above provided for giving notice.

19.2   Assignment: Binding Effect. This Agreement may not be assigned by any of
the parties hereto without the prior written consent of the other parties
hereto, provided that Buyer may assign its rights hereunder to any entity
majority ownership of which is held by Buyer or the owners of Buyer, so long as
Buyer remains obligated for performance of Buyer's obligations hereunder. This
Agreement will be binding upon the parties hereto and their respective heirs,
successors and permitted assigns.

19.3   Headings: Exhibits and Schedules. The Section, Subsection and other
headings in this Agreement are inserted solely as a matter of convenience and
for reference, and are not a part of this Agreement. The Exhibits and Schedules
attached hereto are a material part of this Agreement and are incorporated
herein by this reference.

19.4   Counterparts. This Agreement may be executed in one or more counterparts,
all of which will be considered one and the same agreement and will become
effective when one counterpart has been signed by each party and delivered to
the other party hereto.

19.5   Integration of Agreement. This Agreement supersedes all prior agreements,
oral and written, between the parties hereto with respect to the subject matter
hereunder.


                                      -19-
<PAGE>   20


Neither this Agreement, nor any provision hereof, may be changed, waived,
discharged, supplemented or terminated orally, but only by an agreement in
writing signed by the party against which the enforcement of such change,
waiver, discharge or termination is sought.

19.6   Time of Essence. Time is of the essence in this Agreement.

19.7   Governing Law. This Agreement will be governed by and construed and
enforced in accordance with the laws of the State of Massachusetts as applied to
contracts executed and performed wholly within that State.

19.8   Partial Illegality or Unenforceability. Wherever possible, each provision
hereof will be interpreted in such manner as to be effective under applicable
law, but in case any one or more of the provisions contained herein will, for
any reason, be held to be illegal or unenforceable in any respect, such
illegality or Unenforceability will not affect any other provisions of this
Agreement, and this Agreement will be construed as if such illegal or
unenforceable provision or provisions had never been contained herein unless the
deletion or such provision or provisions would result in such a material change
as to cause completion of the transactions contemplated hereby to be
unreasonable.

19.9   Singular or Plural. All defined terms used herein will have the same
meaning, whether used in the singular or plural form, unless the context clearly
requires otherwise.

19.10  "Person". The term "person" will be broadly interpreted to include,
without limitation, any corporation, partnership, association, limited liability
company, other association, trust or individual.

19.11  "Best Efforts". The use of the term "best efforts" herein will in no
event require any party to (a) expend funds which are not commercially
reasonably in relation to the transactions contemplated hereby or (b) take, or
cause to be taken, any action which would have a material adverse effect with
respect to it.

19.12  "Including". Whenever the term "including" is used in this Agreement, it
will mean "including, without limitation," (whether or not such language is
specifically set forth) and will not be deemed to limit the range of
possibilities of those items specifically enumerated.

19.13  No Third Party Beneficiaries. Nothing in this Agreement shall confer any
rights upon any person other than the parties and their respective heirs,
successors and permitted assigns.

19.14  Post Closing Control and Rights. To the extent a claim or cause of action
arises


                                      -20-
<PAGE>   21


after the Closing Date relating to the contracts and agreements assumed by Buyer
pursuant to this Agreement, Seller shall upon request of Buyer and at Buyer's
sole cost and expense, exert all rights Seller may have pursuant to Seller's
contracts or agreements on behalf of and to the benefit of the Buyer".

The parties have executed this Agreement as of this 31 day of December, 1998.

                                             BUYER:

                                             ARBOUR ELDER SERVICES, INC.

                                             By: [SIG]
                                                --------------------------------

                                             Title: CEO
                                                   -----------------------------

                                             SELLERS:

                                             MHM EXTENDED CARE SERVICES, INC.

                                             By: [SIG]
                                                --------------------------------

                                             Title: President
                                                   -----------------------------


                                             MHM SERVICES, INC.

                                             By: [SIG]
                                                --------------------------------

                                             Title: President
                                                   -----------------------------


                                      -21-
<PAGE>   22


                            GUARANTEE OF PERFORMANCE

       Universal Health Services, Inc. ("Universal") joins in this Agreement for
       the sole purpose of guaranteeing the performance by its wholly-owned
       subsidiary, Arbour Elder Services, Inc., if all of Buyer's obligations
       hereunder. In consideration of Seller entering into this Agreement with
       Buyer, and acknowledging this Agreement with Buyer is of benefit to
       Universal, Universal hereby agrees to indemnify and hold harmless Seller
       from and against any damages, costs, and expenses (including legal fees)
       suffered or Incurred by Seller as a result of any breach or failure of
       performance by Buyer of any of Buyer's obligations under this Asset
       Purchase Agreement.





                                             UNIVERSAL HEALTH SERVICES, INC.

                                             By: [SIG]
                                                --------------------------------

                                             Title: V/P
                                                   -----------------------------








                                      -22-
<PAGE>   23


                         [MHM SERVICES, INC. LETTERHEAD]


                                List of Schedules
                              for Arbour Agreement

Schedule                                      Title
- --------                                      -----

1.1                                     Excluded Assets
1.2                                     Acquired Assets
2.2                                     Allocation of purchase price
5.2                                     Acquired assets not owned ("None")
5.5                                     Financial Statements provided (Arbour
                                        should identify)
5.6                                     After 8/30/98 Material changes,
                                        transactions not ordinary course, etc.
                                        (See para 5.6). (Response should list
                                        audits)
5.7                                     Debts or liabilities not disclosed in
                                        financial statements (None?)
5.8                                     Tax assessments, claims, audits,
                                        disputes (None?)
5.10                                    All employment contracts, consulting
                                        agreements, collective bargaining
                                        agreements (should include
                                        independent contractor agreements)
5.11                                    All insurance policies
5.12                                    Litigation, threatened claims,
                                        government investigations (include
                                        audits)
                                        Buyer not assuming there contractor
8.6 See 1.2                             Form of non-compete
8.6(a) See 1.2                          List of those who have signed
                                        Form 8.6
9.0                                     Clinicion agreements/
                                        Percentage of Business




                                      -23-

<PAGE>   24


                                  SCHEDULE 1.1
                                 EXCLUDED ASSETS



CASH
CASH EQUIVALENTS
ACCOUNTS RECEIVABLE
LEASES AND REAL PROPERTY
MCLEAN MANAGEMENT CONTRACT
MEDICARE/MEDICAID PROVIDER NUMBERS AND AGREEMENTS
MEDICAL RECORDS




<PAGE>   25


                                  SCHEDULE 1.2
                                 ACQUIRED ASSETS




(2) EQUIPMENT (SEE ATTACHED LIST)

(1) NURSING HOME CONTRACTS (SEE ATTACHED LIST)

(1) CLINICAL AGREEMENTS (SEE ATTACHED LIST)

(1) NON-COMPETE (SEE ATTACHED LIST)

(1) SCHOOL CONTRACTS (SEE ATTACHED LIST)

(1) CLINIC LICENSES


<PAGE>   26


                                  SCHEDULE 1.2
                                 ACQUIRED ASSETS
                       EQUIPMENT INVENTORY/TAUNTON OFFICE




DESK - 12
COMPUTERS - 1, 1 BROKEN
4 DRAWER FILING CABINET - 11
2 DRAWER FILING CABINET - 2
MOBILE FILE UNDER DESK DRAWERS - 2
UPHOLSTERED CHAIRS - 10
DESK CHAIRS - 9
STACKING CHAIRS (UPHOLSTERED) - 17
REFRIGERATOR - 1
CONFERENCE TABLE - 1
ROUND TABLE - 1
BOOK SHELVES - 2
FORM ORGANIZER - 1
COFFEE TABLE - 1
BULLETIN BOARDS - 6
LAMPS - 1
DRY - ERASE BOARDS - 2
COMPUTER WORKSTATION - 3
PRINTERS - 3, 2 ARE BROKEN
STORAGE CABINET - 1
FAX MACHINE - 1
COPIER - 1
TYPEWRITER - 1
PAPER SHREDDER - 1
MOBILE DROP-LEAF STAND - 1


<PAGE>   27


                                  SCHEDULE 1.2
                                 ACQUIRED ASSETS

                      EQUIPMENT INVENTORY/CAMBRIDGE OFFICE



<TABLE>
<S>                                                    <C>
Banquet Folding Table                                  1
Book case (2 shelves)                                  2
Bookshelves                                            11
Bulletin Board                                         8
Coat Rack (Metal)                                      1
Coffee Table                                           1
Computer (Monitor Only)                                2
Computers (Keyboard, Monitor, Tower Unit)              12
Conference Tables (Round and Oblong)                   2
Desk Chairs                                            24
Desks                                                  25
Display Booth                                          1
End Tables                                             3
Fax Machines                                           3
File Cabinet (2 drawers)                               23
File Cabinet on wheels(small)                          1
File Cabinets (4 drawer)                               49 (40 used for Medical Records)
Folding Chairs                                         3
Large Storage Units(5 shelves)(2 plastic, 1 metal)     3
Laser Printer (Large)                                  1
Laser Printer (Small)                                  1
Metal Stacking Chairs                                  32
Microwave Oven                                         1
Postage Meter                                          1
Printer Table                                          2
Printers (dot matrix)                                  3
Side Table                                             3
Storage Unit (4 drawers)                               4
Storage Unit (2 drawer)                                6
Upholstered chairs                                     23
Wooden Storage Unit                                    1
Work Station (2 shelves)                               6
Work Station (6 shelves)                               1
                                                       2        
</TABLE>


<PAGE>   28
                                  SCHEDULE 1.2
                                ACQUIRED ASSETS

<TABLE>
<CAPTION>

                                                                    OPENHOM                                             12/30/98
- ----------------------------------------------------------------------------------------------------------
Home                                                        Street                    City      Stat  Zip
- ----------------------------------------------------------------------------------------------------------
<S>                                            <C>                              <C>             <C>  <C>
Abbot House                                    28 Essex Street                  Lynn            MA   01902
- ----------------------------------------------------------------------------------------------------------
Aberjona Nursing Center                        184 Swanton Street               Winchester      MA   01890
- ----------------------------------------------------------------------------------------------------------
Acton Adult Day Care                                                            Concord         MA
- ----------------------------------------------------------------------------------------------------------
Ashmere Manor NH                               229 George Schnopp Road          Hinsdale        MA   01235
- ----------------------------------------------------------------------------------------------------------
Avery Manor                                    100 West Street                  Needham         MA   02194
- ----------------------------------------------------------------------------------------------------------
Bartlett Manor RH                              180 Summer Street                Malden          MA   02148
- ----------------------------------------------------------------------------------------------------------
Beaumont Rehabilitation                        3 Vision Drive                   Natick          MA   01760
- ----------------------------------------------------------------------------------------------------------
Blueberry Hill Healthcare                      75 Brimbal Avenue                Beverly         MA   01915
- ----------------------------------------------------------------------------------------------------------
Bolton Manor NH                                400 Bolton Street                Marlborough     MA   01752
- ----------------------------------------------------------------------------------------------------------
Bourne Manor                                   146 MacArthur Blvd               Bourne          MA   02532
- ----------------------------------------------------------------------------------------------------------
Brittany Conv. Home                            168 West Central Street          Natick          MA   01760
- ----------------------------------------------------------------------------------------------------------
Brookhaven at Lexington                        1010 Waltham Street              Lexington       MA   02173
- ----------------------------------------------------------------------------------------------------------
Buchanan Nursing Home                          190 Summer Street                Malden          MA   02148
- ----------------------------------------------------------------------------------------------------------
Cambridge Outpatient Clinic                    23 East Street                   Cambridge       MA   02141
- ----------------------------------------------------------------------------------------------------------
Cantabridgia Health Care                       195 Prospect Street              Cambridge       MA   02139
- ----------------------------------------------------------------------------------------------------------
Care Matrix of Dedham                          10 Care Matrix Drive             Dedham          MA   02026
- ----------------------------------------------------------------------------------------------------------
Carleton-Williard Village                      100 Old Billerica Road           Bedford         MA   01730
- ----------------------------------------------------------------------------------------------------------
Carlyle Nursing & Rehab. Ctr.                  342 Winter Street                Framingham      MA   01702
- ----------------------------------------------------------------------------------------------------------
Catholic Memorial Home                         2446 Highland Avenue             Fall River      MA   02720
- ----------------------------------------------------------------------------------------------------------
Charlesgate Manor Conv. Home                   590 Main Street                  Watertown       MA   02172
- ----------------------------------------------------------------------------------------------------------
Chelsea Jewish N H                             17 Lafayette Street              Chelsea         MA   02150
- ----------------------------------------------------------------------------------------------------------
Clark House Nursing Center                     30 Longwood Drive                Westwood        MA   02090
- ----------------------------------------------------------------------------------------------------------
COC - Bay View                                 26 Sturgis Street                Winthrop        MA   02152
- ----------------------------------------------------------------------------------------------------------
COC - Berkshire                                360 West Housatonic Street       Pittsfield      MA   01201
- ----------------------------------------------------------------------------------------------------------
COC - Westfield                                60 East Silver Street            Westfield       MA   01085
- ----------------------------------------------------------------------------------------------------------
Cohen, Florence, Levine Estates                201 Captain's Row                Chelsea         MA   02150
- ----------------------------------------------------------------------------------------------------------
Coolidge House                                 30 Webster Street                Brookline       MA   02146
- ----------------------------------------------------------------------------------------------------------
Cooperative Elder Services, Inc (Burlington)   37-B Street                      Burlington      MA   01803
- ----------------------------------------------------------------------------------------------------------
Courtyard Nursing Care Ctr                     200 Governor's Ave               Medford         MA   02155
- ----------------------------------------------------------------------------------------------------------
East Longmeadow NH                             305 Maple Street                 East Longmead   MA   01028
- ----------------------------------------------------------------------------------------------------------
Edgecombe Nursing Home                         40 Sunset Avenue                 Lenox           MA   02140
- ----------------------------------------------------------------------------------------------------------
Elder Services Plan PACE Program, (Brighton)   320 Washington Street            Brighton        MA   02135
- ----------------------------------------------------------------------------------------------------------
Elder Services Plan PACE Program, (Jamaica P   555 Amory Street                 Jamaica Plain   MA   02146
- ----------------------------------------------------------------------------------------------------------
Emerson Convalescent                           59 Coolidge Hill Road            Watertown       MA   02172
- ----------------------------------------------------------------------------------------------------------
FairHaven Nursing Home                         476 Varnum Avenue                Lowell          MA   01854
- ----------------------------------------------------------------------------------------------------------
German Home RH                                 374 Howard Street                Lawrence        MA   01841
- ----------------------------------------------------------------------------------------------------------
Glen Ridge NCC                                 Hospital Road                    Malden          MA   02148
- ----------------------------------------------------------------------------------------------------------
Goddard House                                  210-205 South Huntington Ave     Jamaica Plain   MA   02130
- ----------------------------------------------------------------------------------------------------------
Goddard House Asst. Living                     165 Chestnut street              Brookline       MA   02146
- ----------------------------------------------------------------------------------------------------------
</TABLE>

                                     Page 1

<PAGE>   29

                                  SCHEDULE 1.2
                                ACQUIRED ASSETS

<TABLE>
<CAPTION>

                                                                    OPENHOM                                             12/30/98
- ----------------------------------------------------------------------------------------------------------
Home                                                        Street                    City      Stat  Zip
- ----------------------------------------------------------------------------------------------------------
<S>                                            <C>                              <C>             <C>  <C>
Great Barrington Rehab                         148 Maple Avenue                 Great Barringto MA   01230
- ----------------------------------------------------------------------------------------------------------
Greenwood Nursing Home                         90 Greenwood Street              Wakefield       MA   01880
- ----------------------------------------------------------------------------------------------------------
Hale House RH                                  273 Clarendon Street             Boston          MA   02116
- ----------------------------------------------------------------------------------------------------------
Hallmark Nursing Home                          1123 Rockdale Ave                New Bedford     MA   02740
- ----------------------------------------------------------------------------------------------------------
Hammersmith House NCC                          73 Chestnut Street               Saugus          MA   01906
- ----------------------------------------------------------------------------------------------------------
Harrington House                               160 Main Street                  Walpole         MA   02081
- ----------------------------------------------------------------------------------------------------------
Hathaway Manor                                 863 Hathaway Road                New Bedford     MA   02740
- ----------------------------------------------------------------------------------------------------------
Holyoke Nursing Home                           1913 Northampton Street          Holyoke         MA   01040
- ----------------------------------------------------------------------------------------------------------
Island Terrace NH                              57 Long Point Road               Lakeville       MA   02347
- ----------------------------------------------------------------------------------------------------------
Jesmond Nursing Home                           271 Nahant Road                  Nahant          MA   01908
- ----------------------------------------------------------------------------------------------------------
Jewish Rehab Center                            300 Paradise Road                Swampscott      MA   01907
- ----------------------------------------------------------------------------------------------------------
Kimwell Nursing                                495 New Boston Road              Fall River      MA   02720
- ----------------------------------------------------------------------------------------------------------
Life Care Center                               80 Boston Road                   N. Billerica    MA   01862
- ----------------------------------------------------------------------------------------------------------
Lynn Convalescent Home                         655 Boston Street                Lynn            MA   01905
- ----------------------------------------------------------------------------------------------------------
Lynn Public Medical Institute                  179 Holyoke Street               Lynn            MA   01905
- ----------------------------------------------------------------------------------------------------------
Mary Immaculate Nursing                        172 Lawrence Street              Lawrence        MA   01841
- ----------------------------------------------------------------------------------------------------------
Meadow Green NH                                45 Woburn Street                 Waltham         MA   02154
- ----------------------------------------------------------------------------------------------------------
Meadowood Nursing Home                         573 Granby Road                  South Hadley    MA   01075
- ----------------------------------------------------------------------------------------------------------
Milton Healthcare Facility                     1200 Brush Hill Road             Milton          MA   02186
- ----------------------------------------------------------------------------------------------------------
Mt. Pleasant Rest Home                         301 South Huntington Avenue      Jamaica Plain   MA   02130
- ----------------------------------------------------------------------------------------------------------
Neponset Circle                                35-45 Coffey Street              Dorchester      MA   02122
- ----------------------------------------------------------------------------------------------------------
Newton-Wellesley                               694 Worcester Street             Wellesley       MA   02181
- ----------------------------------------------------------------------------------------------------------
Nichols House Nursing Home                     184 Main Street                  Fairhaven       MA   02719
- ----------------------------------------------------------------------------------------------------------
Northampton Nursing Home                       737 Bridge Road                  Northampton     MA   01060
- ----------------------------------------------------------------------------------------------------------
Olympus Healthcare Ctr                         1350 Main Street                 Worcester       MA   01603
- ----------------------------------------------------------------------------------------------------------
Olympus Specialty                              1400 State Street                Springfield     MA   01109
- ----------------------------------------------------------------------------------------------------------
Our Ladys Haven                                71 Centre Street                 Fairhaven       MA   02719
- ----------------------------------------------------------------------------------------------------------
Park Avenue Nursing Home                       146 Park Avenue                  Arlington       MA   02174
- ----------------------------------------------------------------------------------------------------------
Pilgrim Rehabilitation                         95 Forest Street                 Peabody         MA   01960
- ----------------------------------------------------------------------------------------------------------
Providence House NH                            84 Chapin Street                 Southbridge     MA   01550
- ----------------------------------------------------------------------------------------------------------
Quaboag on the Common                          47 East Main Street              West Brookfiel  MA   01585
- ----------------------------------------------------------------------------------------------------------
Rainbow Nursing Home                           210 Lowell Street                Peabody         MA   01960
- ----------------------------------------------------------------------------------------------------------
Rogerson Communities                           434 Jamaicaway                   Boston          MA   02130
- ----------------------------------------------------------------------------------------------------------
Sacred Heart Nursing Home                      359 Summer Street                New Bedford     MA   02740
- ----------------------------------------------------------------------------------------------------------
Sancta Maria Nursing Facility                  799 Concord Ave                  Cambridge       MA   02138
- ----------------------------------------------------------------------------------------------------------
Sherrill House                                 135 Huntington Avenue            Jamaica Plain   MA   02130
- ----------------------------------------------------------------------------------------------------------
Southpoint Rehabilitation                      100 Amity Street                 Fall River      MA   02721
- ----------------------------------------------------------------------------------------------------------
Springside of Pittsfield                       255 Lebanon Ave                  Pittsfield      MA   01201
- ----------------------------------------------------------------------------------------------------------
Stephen Caldwell Memorial                      16 Green Street                  Ipswich         MA   01938
- ----------------------------------------------------------------------------------------------------------
</TABLE>

                                     Page 2

<PAGE>   30

                                  SCHEDULE 1.2
                                ACQUIRED ASSETS

<TABLE>
<CAPTION>

                                                                    OPENHOM                                             12/30/98
- ----------------------------------------------------------------------------------------------------------
Home                                                        Street                    City      Stat  Zip
- ----------------------------------------------------------------------------------------------------------
<S>                                            <C>                              <C>             <C>  <C>
Sunny Acres Nursing Home                       254 Billerica Road               Chelmsford      MA   01824
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Beverly                         265 Essex Street                 Beverly         MA   01915
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Brighton                        142 Bigelow Street               Brighton        MA   02135
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Broadway                        281 Broadway                     Methuen         MA   01844
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Brookline                       99 Park Street                   Brookline       MA   02146
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Colonial Heights                555 South Union Street           Lawrence        MA   01843
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Concord                         578 Old Rd. to Nine Acre Corner  Concord         MA   01742
- ----------------------------------------------------------------------------------------------------------
SunRise Care - East Longmeadow                 135 Benton Drive                 East Longmead   MA   01028
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Fall River                      170 Oak Grove                    Fall River      MA   02723
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Glenwood                        557 Varnum Avenue                Lowell          MA   01854
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Holyoke                         260 East Hampton Road            Holyoke         MA   01040
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Lexington                       178 Lowell Street                Lexington       MA   02173
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Lowell                          19 Varnum Street                 Lowell          MA   01850
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Milford                         10 Veterans Memorial Drive       Milford         MA   01757
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Millbury                        81 Chatham Street                Worcester       MA   01609
- ----------------------------------------------------------------------------------------------------------
SunRise Care - New Bedford                     221 Fitzgerald Drive             New Bedford     MA   02745
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Newton                          2101 Washington Street           Newton          MA   02162
- ----------------------------------------------------------------------------------------------------------
SunRise Care - North Reading                   134 North Street                 North Reading   MA   01864
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Northampton                     548 Elm Street                   Northampton     MA   01060
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Northshore                      70 Granite Street                Lynn            MA   01901
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Peabody Glen                    199 Andover Street               Peabody         MA   01960
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Randolph                        49 Thomas Patten Drive           Randolph        MA   02368
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Town Manor                      55 Lowell Street                 Lawrence        MA   01841
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Weymouth                        64 Performance Drive             Weymouth        MA   02189
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Wilmington                      750 Woburn Street                Wilmington      MA   01887
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Wood Mill                       800 Essex Street                 Lawrence        MA   01841
- ----------------------------------------------------------------------------------------------------------
Taunton Outpatient Clinic                      30 Taunton Green Street          Taunton         MA   02780
- ----------------------------------------------------------------------------------------------------------
Waban Health & Rehab. Inc.                     22 Kinmonth Road                 Newton          MA   02468
- ----------------------------------------------------------------------------------------------------------
Walden House                                   785 Main Street                  Concord         MA   01742
- ----------------------------------------------------------------------------------------------------------
Wellesley Health & Rehab                       678 Worcester Road               Wellesley       MA   02181
- ----------------------------------------------------------------------------------------------------------
Wentworth Nursing Care Center                  500 Wentworth Avenue             Lowell          MA   01852
- ----------------------------------------------------------------------------------------------------------
Whitney Place                                  3 Vision Drive                   Natick          MA   01760
- ----------------------------------------------------------------------------------------------------------
Willowood of Great Barrington                  151 Christian Hill Road          Great Barringto MA   01230
- ----------------------------------------------------------------------------------------------------------
Willowood of Pittsfield                        169 Valentine Road               Pittsfield      MA   01201
- ----------------------------------------------------------------------------------------------------------
Winchester Nursing Center                      223 Swanton Street               Winchester      MA   01890
- ----------------------------------------------------------------------------------------------------------
Wingate at Brighton                            100 N. Beacon Street             Brighton        MA   02134
- ----------------------------------------------------------------------------------------------------------
Wingate at Sudbury                             136 Boston Post Road             Sudbury         MA   01776
- ----------------------------------------------------------------------------------------------------------
Woburn Nursing Home                            18 Frances Street                Woburn          MA   01801
- ----------------------------------------------------------------------------------------------------------
</TABLE>

                                     Page 3
<PAGE>   31
                                  Schedule 1.2
                                 Acquired Assets
                  Clinical Agreements and non-compete agreements
                            List of Signed Agreements


Ackerman, Ted                  Melnick, Barry
Barsky, Susan                  Merl, Lynne M.
Belozersky, Irene              Minalga, Mary
Benner, Sharon                 Mondale, Jason
Berkshire Medical Center       Moore, Nancy
Berlin, Joan                   Needles, Douglas
Brown, Alan                    Nestelbaum, Zamir
Cabezas, Thomas                Noah, Deborah Lee
Camerlengo, Susan              Owens, Honora E.
Carlson, Christie M.           Piafsky, Lynne
Cohen, Lewis                   Postlethwaite, Joan
Crenshaw, Bradley              Reich, Faye
Cutler, Mark                   Richter, Cwira
Donahue, Jacqueline            Riley, Douglas C.
Farrington, Lee                Roos, Patricia E.
Fraser-Dexter, Linda           Rusnak, Stanley
Fink, Carla                    Ruyle, Jeanette
Fishbein, Leslie               Saba, Marie L
Gerhard, Frederick             Scheinan, Wendy
Graesser, Susan                Schwarz, Rachel
Hass, Howard                   Scorzelli, James
Hammond, David                 Seppelin, Martetta
Hardney, Sylvia                Spadola, Madeline
Hill, Phillip                  Tarquino, Ernest
Hynick, Timothy                Trikha, Anjana
Ingraham, Merle                Van Zoeren, Barbara
Israel, Joshua                 Vernick, Shelia
Janney, Peter                  Wallace, Mary
Jones, David                   Wasserman, Charles
Kalina, Lizabeth               Weisberger, Charles
Katis, Mary                    Weiner, Rhonda
Knight, William                Wilson-Everett, Andrea
Laferney, Michael              Yaloff, Beverly
LeBar, Jill                    Young, Ruth C.
Longo, Richard                 Zieff, Eric
Looper, John
Maiman, Ellen
Martin, Luz M.
McMurtry, Douglas
<PAGE>   32
                                  Schedule 1.2
                                   Non-compete
                            List of Signed Agreements


Abrahamson, Erika
Benner, Sharon
Brykman, Gail
Chow, Michael
Creditor, Susan
Cuasay, Catherine
Fagan, Susan
Fessler, Susan
Hynick, Timothy
Janney, Peter
Machell, Stephanie
Peach, Kimberly
Piafsky, Lynn
Ralph, Jennifer
Reich, Faye 
St. George, Genevieve
Tamulevich, Jane
Tarquino, Ernest
Van Zoeren, Barbara
Von Wittenbergh, Ron
Wallace, Mary Ann
Wintle, Carol

also being assigned herein are all non-compete agreements and/or covenents
related to all clinical services in Massachusetts.
<PAGE>   33
    School Based Activity Referral Sources - Kim Tamaren           12/30/98

<TABLE>
<CAPTION>

- ------------------------------ -------------------- ------------ ---- ------ --------------- ----------------------  ---------------
        Organization Name           Address               City      Stat Postal     Work #            Contact            Clinician  
<S>                            <C>                  <C>             <C>  <C>    <C>             <C>                    <C>          
- ------------------------------ -------------------- ------------ ---- ------ --------------- ----------------------  ---------------
Bates Elementary               426 Beech St.        Roslindale    MA   02131  (617) 635-8064  Sylvia Pittman         K-Payne, C.    
- ------------------------------ -------------------- ------------- ---- ------ --------------- ---------------------- ---------------
Bradley Elementary             110 Beachview Rd.    E. Boston     MA   02128  (617) 635-8422  Catherine O'Brien      Wintle, C      
- ------------------------------ -------------------- ------------- ---- ------ --------------- ---------------------- ---------------
Conley Elementary              450 Poplar St.       Roslindale    MA   02131  (617) 635-8099  Leah Sharkley                         
- ------------------------------ -------------------- ------------- ---- ------ --------------- ---------------------- ---------------
Dever Elementary               325 Mount Vernon St. Dorchester    MA   02125  (617) 635-8694  Peg Handraham          Falkoff & K-Pay
- ------------------------------ -------------------- ------------- ---- ------ --------------- ---------------------- ---------------
Guild Elementary               195 Leydon St.       E. Boston     MA   02128  (617) 635-8523  Simon Ho               Wintle, C
- ------------------------------ -------------------- ------------- ---- ------ --------------- ---------------------- ---------------
Manning Elementary             130 Louders Lane     Jamaica Plain MA   02130  (617) 635-8102  Mrs. Walker            Wintle, C      
- ------------------------------ -------------------- ------------- ---- ------ --------------- ---------------------- ---------------
McCormack Middle               315 Mount Vernon     Dorchester    MA   02125  (617) 635-8657  Karen Mallory          Chow & Cuasa  
- ------------------------------ -------------------- ------------- ---- ------ --------------- ---------------------- ---------------
Roosevelt Elementary *on hold  95 Needham St.       Hyde Park     MA   02136  (617) 635-8676  Mr. McLean                            
- ------------------------------ -------------------- ------------- ---- ------ --------------- ---------------------- ---------------
Shaw Middle                    20 Mt. Vernon St.    West Roxbury  MA   02132  (617) 635-8050  Mrs. Camerson                         
- ------------------------------ -------------------- ------------- ---- ------ --------------- ---------------------- ---------------
Sumner Elementary              15 Basile St.        Roslindale    MA   02131  (617) 635-8131  Mr. Shay - Principal   K-Payne + Abr  
- ------------------------------ -------------------- ------------- ---- ------ --------------- ---------------------- ---------------
Warren-Prescott Elementary     50 School St.        Charlestown   MA   02129  (617) 635-8346  Dr. Amara - Principal  Machell, S     
- ------------------------------ -------------------- ------------- ---- ------ --------------- ---------------------- ---------------
Washington Irving Middle       114 Cummins Hwy      Roslindale    MA   02131  (617) 635-8072  Nancy Lee              Herber + Cuas  
- ------------------------------ -------------------- ------------- ---- ------ --------------- ---------------------- ---------------
Wheatley Middle                20 Kearsarge Ave.    Roxbury       MA   02121  (617) 635-8165  Gloria Di Angelis      K-Payne, C.    
- ------------------------------ -------------------- ------------- ---- ------ --------------- ---------------------- ---------------
Mayflower                      Mayflower Ave.       Middleboro    MA   02346  (508) 946-2033  Bob Brown              Creditor, S    
- ------------------------------ -------------------- ------------- ---- ------ --------------- ---------------------- ---------------
Memorial Jr. High              Main Street          Middleboro    MA   02346  (508) 946-2020  Dina Medeiros          Creditor, S    
- ------------------------------ -------------------- ------------- ---- ------ --------------- ---------------------- ---------------
Edwards Middle                 28 Walker Street     Charlestown   MA   02129  (617) 635-8516  Maureen McGoldrick     Gerhard, F     
- ------------------------------ -------------------- ------------- ---- ------ --------------- ---------------------- ---------------
</TABLE>

                                  Scheduled 1.2

                                 Acquired Assets

                                School Contracts




                                     Page 1




<PAGE>   34
                                  SCHEDULE 2.2



                          ALLOCATION OF PURCHASE PRICE





CONTRACTS AND GENERAL INTANGIBLES                                  $850,000
                                                                   ========

<PAGE>   35


                                  SCHEDULE 5.2

                               ENCUMBERED ASSETS



                                      NONE





<PAGE>   36




                                  SCHEDULE 5.5
                               FINANCIAL STATEMENTS

12/17/98                               Extended Care Services, Inc.
4:43PM                                 Extended Care Massachusetts
                                  For the Month Ending October 31, 1998


                                      TREND
                                          OCTOBER                 TOTAL
                                      -------------           -------------

NET REVENUE                             $485,046.09             $485,046.09

COST OF SERVICES
 SALARIED CLINICIAN PAY                  257,074.43              257,074.43
 CLINICIAN BENEFITS
 CONTRACTOR CLINICAL P
 COLLECTION FEES                          31,012.63               31,012.63
 INSURANCE-MALPRACTICE                     1,949.02                1,949.02
                                      -------------           -------------
  TOTAL COST OF SERVICES                 290,036.08              290,036.08

GROSS PROFIT                             195,010.01              195,010.01

GENERAL & ADMINSTRATIVE
 ADMINISTRATIVE PAYROL                    51,355.92               51,355.92
 ADMINISTRATIVE BENEFIT                    8,429.72                8,429.72
 RENT & FACILITY EXPENSE                  21,925.17               21,925.17
 FREIGHT & DELIVERY                        1,500.85                1,500.85
 OFFICE SUPPLIES                           5,670.67                5,670.67
 TRAVEL EXPENSE                            3,025.19                3,025.19
 MARKETING EXPENSE                           750.00                  750.00
 PROFESSIONAL SERVICES                     9,984.42                9,984.42
 BAD DEBT/CONTRACT ALL                   153,599.17              153,599.17
 OTHER G&A EXPENSES                        4,739.38                4,739.38
                                      -------------           -------------
  TOTAL G&A EXPENSES                     260,980.49              260,980.49

 DEPRECIATION & AMORTI                    17,947.66               17,947.66

OTHER INCOME/EXPENSE
  INTEREST INCOME
INTEREST EXPENSE                           1,162.49                1,162.49
OTHER EXPENSE                              2,390.95                2,390.95
                                      -------------           -------------
  TOTAL OTHER INCOME/E                     3,553.44                3,553.44

                                      -------------           -------------
   TOTAL ALL EXPENSES                    282,481.59              282,481.59
                                      -------------           -------------

NET INCOME/(LOSS)                        (87,471.58)             (87,471.58)
                                      =============          ==============





<PAGE>   37
                                  Schedule 5.5
                              Financial Statements


                       Extended Care ______ Massachusetts
                                   Grand Total
                 For the Twelve Months Ending September 30, 1998
<TABLE>
<CAPTION>


                              OCTOBER         NOVEMBER         DECEMBER         JANUARY         FEBRUARY
                           -------------   -------------    -------------   -------------    -------------
<S>                           <C>             <C>              <C>             <C>              <C>
PSYCHOLOGY DO NOT USE     
EXTENDED CARE REVENUE     
EC REVENUE-PSYCHOLOGI         102,772.69      104,917.73       105,025.00       65,856.24       434,893.26
EC REVENUE-LICSW's            172,391.98      171,680.17       171,662.00       40,238.03
EC REVENUE-NURSES              45,699.10       44,126.50        44,142.00       38,487.64
EC REVENUE-COUNSELORS          37,572.53       37,199.82        37,282.00      139,541.58
EC REVENUE-PSYCHIATRIS        128,980.68      125,134.34       125,214.00       67,274.89
                           -------------   -------------    -------------   -------------    -------------
  TOTAL EXTENDED CARE         487,416.98      483,058.56       483,325.00      351,398.38       434,893.26
                          
OP NET REVENUE-PSYCHOL          7,554.39        4,946.50         4,950.00       11,621.69
OP NET REVENUE-LICSW's         38,941.92       45,242.57        45,450.00        7,100.83
OP NET REVENUE-NURSES                                                            6,791.94
OP NET REVENUE-COUNSE          45,490.46       34,418.48        34,525,00       24,624.98
OP NET REVENUE-PSYCHIA          2,765.01        1,721.77         1,750.00       11,872.04
School Revenue            
Rehab Revenue             
Mental Retardation Revenue
General Revenue           
                           -------------   -------------    -------------   -------------    -------------
TOTAL OUT-PATIENT RE           94,751.78       86,329.32        86,675.00       62,011.48
                          
TOTAL REVENUE                 582,168.76      569,387.88       570,000.00      413,409.86       434,893.26
                          
                          
Contractual Allowances    
ALLOWANCES-PSYCHOLOG      
ALLOWANCES-LICSW's        
ALLOWANCES-NURSES         
ALLOWANCES-COUNSELO       
ALLOWANCES-PSYCHIATRI     
                           -------------   -------------    -------------   -------------    -------------
  TOTAL CONTRACTUAL       
                          
    % of Gross Revenue    
                          
NET REVENUE                   582,168.76      569,387.88       570,000.00      413,409.86       434,893.26
                          
PROGRAM MANAGER                11,452.83       13,649.31        14,931.92       14,307.35        11,113.72
PSYCHOLOGISTS                  42,670.84       39,900.86        36,190.47       40,523.74        53,370.50
LICSW's                        81,038.58       86,491.48        82,737.44       79,834.38       106,281.24
CLINICAL NURSE SPECIALI        17,830.50       16,893.40        13,808.60       19,435.00        24,872.10
COUNSELORS                     15,321.96        9,362.43         9,490.20        7,959.15       (18,768.00)
PSYCHIATRISTS             
EDUCATION DIRECTOR        
CLINICAL ADMINISTRATIV    
EDUCATION SPECIALISTS     
OTHER PATIENT CARE        
SALARIES                  
ADMINISTRATOR             
ASST. ADMINISTRATOR       
CO DIRECTORS                   10,724.89        6,915.95         5,224.78        5,452.45         3,721.68
MEDICAL RECORD                  3,420.39        7,046.50         6,359.55        5,885.52         4,974.60
SECRETARIAL & RECEPTIO          7,711.98        5,996.90         6,560.35        5,753.26         5,585.70
CUSTOMER SERVICE          
ACCT/FINANCE              
MARKETING/DEVELOP              16,563.30       15,866.91        16,725.38       12,463.33        11,552.50
BILLING & COLLECTION           20,760.44       16,532.90        15,821.02        6,336.61         6,471.48
                           -------------   -------------    -------------   -------------    -------------
Total Salaries and Wages      227,495.71      218,656.64       207,849.71      197,950.79       209,175.52
                          
PAYROLL TAXES-FICA                                                                               20,195.64
PAYROLL TAXES-FUTA        
PAYROLL TAXES-SUTA        
INSURANCE-WORKER'S CO      
INSURANCE-HEALTH                                                                                  3,868.68
INSURANCE-LIFE             
INSURANCE-LTD              
NON CLINICAL BOUNUSES     
401K EXPENSE                    1,379.97        1,565.44         _,309.02        1,372.69         1,427.12
ACCRUED VACATION                                                 1,029.52      (10,657.69)
OTHER BENEFITS                 40,056.20       31,404.17        38,709.32       27,426.98         1,108.44
                           -------------   -------------    -------------   -------------    -------------
  Total Benefits               41,436.17       32,969.61        42,047.86       18,141.98        26,599.88
    % of Total Salaries             0.18            0.15             0.20            0.09             0.13
                          
TOTAL SALARIES AND BEN        268,931.88      251,626.25       249,897.57      216,092.40       235,775.40
    % of Net Revenue                0.46            0.44             0.44            0.52             0.54
                          
Other Clinical Services   
OTHER CLINICAL SERVICES   
MAINTENANCE & REPAIRS     
HOUSEKEEPING              
CONTRACTED CLINICAL SE    
CLINICIAN ADMINISTRATIO   
PSYCHOLOGISTS-1099              8,697.50        9,270.99         9,332.50       15,601.50        17,075.50
LICSW's-1099                   11,939.50       12,682.50        13,742.00       15,159.00        15,946.50
CLINICAL NURSE SPECIALIS       10,116.00        9,104.00        17,525.10       10,023.00         1,314.50
COUNSELORS-1099                16,534.50       14,239.00        19,005.25       15,578.00        11,395.00
PSYCHIATRISTS-1099             92,175.00       83,294.00       100,786.00       74,090.00        44,764.00
                           -------------   -------------    -------------   -------------    -------------
Total Billable            
  Clinical Services           139,462.50      128,590.49       160,390.85      130,451.50        90,495.50
    Contracted Clin                 0.24            0.23             0.28            0.32             0.21
                          
ADMIN. - 1099                  22,116.50       20,761.50        20,595.00       16,146.62        15,158.25
    % of Net Revenue                0.04            0.04             0.04            0.04             0.03
                           -------------   -------------    -------------   -------------    -------------
Total Other Clinical      
  Services                    161,579.00      149,351.99       180,985.85      146,598.12       105,653.75
                          
TOTAL COMPENSATION            430,510.88      400,978.24       430,883.42      362,690.89       341,429.15
    % of Net Revenue                0.74            0.70             0.76            0.88             0.79
</TABLE>





<TABLE>
<CAPTION>

                                  TREND
                               MARCH            APRIL             MAY             JUNE
                           -------------    -------------    -------------   -------------
<S>                           <C>              <C>              <C>             <C>
PSYCHOLOGY DO NOT USE     
EXTENDED CARE REVENUE     
EC REVENUE-PSYCHOLOGI         592,287.48       689,494.81       655,571.94      581,584.73
EC REVENUE-LICSW's        
EC REVENUE-NURSES         
EC REVENUE-COUNSELORS     
EC REVENUE-PSYCHIATRIS    
                           -------------    -------------    -------------   -------------
  TOTAL EXTENDED CARE         592,287.48       689,494.81       655,571.94      581,584.73
                          
OP NET REVENUE-PSYCHOL    
OP NET REVENUE-LICSW's    
OP NET REVENUE-NURSES     
OP NET REVENUE-COUNSE     
OP NET REVENUE-PSYCHIA    
School Revenue            
Rehab Revenue             
Mental Retardation Revenue
General Revenue           
                           -------------    -------------    -------------   -------------
TOTAL OUT-PATIENT RE      
                          
TOTAL REVENUE                 592,287.48       689,494.81       655,571.94      581,584.73
                          
                          
Contractual Allowances    
ALLOWANCES-PSYCHOLOG      
ALLOWANCES-LICSW's        
ALLOWANCES-NURSES         
ALLOWANCES-COUNSELO       
ALLOWANCES-PSYCHIATRI     
                           -------------    -------------    -------------   -------------
  TOTAL CONTRACTUAL       
                          
    % of Gross Revenue    
                          
NET REVENUE                   592,287.48       689,494.81       655,571.94      581,584.73
                          
PROGRAM MANAGER           
PSYCHOLOGISTS                 273,912.36       339,578.32       319,453.12      294,429.53
LICSW's                   
CLINICAL NURSE SPECIALI   
COUNSELORS                
PSYCHIATRISTS             
EDUCATION DIRECTOR        
CLINICAL ADMINISTRATIV    
EDUCATION SPECIALISTS     
OTHER PATIENT CARE        
SALARIES                       52,276.75        51,145.00        49,834.19       50,669.26
ADMINISTRATOR             
ASST. ADMINISTRATOR       
CO DIRECTORS              
MEDICAL RECORD            
SECRETARIAL & RECEPTIO    
CUSTOMER SERVICE          
ACCT/FINANCE              
MARKETING/DEVELOP         
BILLING & COLLECTION      
                           -------------    -------------    -------------   -------------
Total Salaries and Wages      326,189.11       390,723.32       369,297.31      345,098.79
                          
PAYROLL TAXES-FICA             14,195.57        19,524.67        18,677.84       27,201.72
PAYROLL TAXES-FUTA        
PAYROLL TAXES-SUTA        
INSURANCE-WORKER'S CO                           2,160.00
INSURANCE-HEALTH          
INSURANCE-LIFE            
INSURANCE-LTD             
NON CLINICAL BOUNUSES     
401K EXPENSE              
ACCRUED VACATION                1,375.75        (1,547.76)          904.71          789.26
OTHER BENEFITS                                                                    3,780.80
                                3,173.68         3,049.68         3,458.34       11,170.18
  Total Benefits           -------------    -------------    -------------   -------------
    % of Total Salaries        18,745.00        23,186.59        23,040.89       42,941.96
                                    0.06             0.06             0.06            0.12
TOTAL SALARIES AND BEN    
    % of Net Revenue          344,934.11       413,909.91       392,328.20      388,040.75
                                    0.58             0.60             0.60            0.67
Other Clinical Services   
OTHER CLINICAL SERVICES   
MAINTENANCE & REPAIRS     
HOUSEKEEPING              
CONTRACTED CLINICAL SE    
CLINICIAN ADMINISTRATIO   
PSYCHOLOGISTS-1099        
LICSW's-1099              
CLINICAL NURSE SPECIALIS           (1.00)
COUNSELORS-1099           
PSYCHIATRISTS-1099        
                          
Total Billable             -------------    -------------    -------------   -------------
  Clinical Services       
    Contracted Clin       
                                   (1.00)
ADMIN. - 1099             
    % of Net Revenue      
                          
Total Other Clinical       -------------    -------------    -------------   -------------
  Services                
                                   (1.00)
TOTAL COMPENSATION        
    % of Net Revenue          344,933.11       413,909.91       392,328.20      388,040.75
    % of Net Revenue                0.58             0.60             0.60            0.67
</TABLE>





<TABLE>
<CAPTION>


                               JULY            AUGUST          SEPTEMBER        TOTAL
                           -------------   -------------    -------------   -------------
<S>                           <C>             <C>              <C>           <C>
PSYCHOLOGY DO NOT USE     
EXTENDED CARE REVENUE     
EC REVENUE-PSYCHOLOGI         616,259.13      596,699.52       453,205.95    4,998,568.48
EC REVENUE-LICSW's                                                             555,972.18
EC REVENUE-NURSES                                                              172,455.24
EC REVENUE-COUNSELORS                                                          251,595.93
EC REVENUE-PSYCHIATRIS                                                         446,603.91
                           -------------   -------------    -------------   -------------
  TOTAL EXTENDED CARE         616,259.13      596,699.52       453,205.95    6,425,195.74
                          
OP NET REVENUE-PSYCHOL                                                          29,072.58
OP NET REVENUE-LICSW's                                                         136,735.32
OP NET REVENUE-NURSES                                                            6,791.94
OP NET REVENUE-COUNSE                                                          139,058.92
OP NET REVENUE-PSYCHIA                                                          18,108.82
School Revenue            
Rehab Revenue             
Mental Retardation Revenue
General Revenue           
                           -------------   -------------    -------------   -------------
TOTAL OUT-PATIENT RE                                                           329,767.58
                          
TOTAL REVENUE                 616,259.13      596,699.52       453,205.95    6,754,963.32
                          
                          
Contractual Allowances    
ALLOWANCES-PSYCHOLOG      
ALLOWANCES-LICSW's        
ALLOWANCES-NURSES         
ALLOWANCES-COUNSELO       
ALLOWANCES-PSYCHIATRI     
                           -------------   -------------    -------------   -------------
  TOTAL CONTRACTUAL       
                          
    % of Gross Revenue    
                          
NET REVENUE                   616,259.13      596,699.52       453,205.95    6,754,963.32
                          
PROGRAM MANAGER                                                                 65,455.13
PSYCHOLOGISTS                 326,617.33      317,840.74       240,199.15      436,383.12
LICSW's                                                                         92,839.60
CLINICAL NURSE SPECIALI                                                         23,365.74
COUNSELORS                
PSYCHIATRISTS             
EDUCATION DIRECTOR        
CLINICAL ADMINISTRATIV    
EDUCATION SPECIALISTS     
OTHER PATIENT CARE        
SALARIES                       56,199.26       52,825.94        53,787.61      366,738.01
ADMINISTRATOR             
ASST. ADMINISTRATOR       
CO DIRECTORS                                                                    32,039.75
MEDICAL RECORD                                                                  27,686.56
SECRETARIAL & RECEPTIO                                                          31,608.19
CUSTOMER SERVICE          
ACCT/FINANCE              
MARKETING/DEVELOP                                                               73,171.42
BILLING & COLLECTION                                                            65,922.45
                           -------------   -------------    -------------   -------------
Total Salaries and Wages      382,816.59      370,666.68       293,986.76    3,539,896.93
                          
PAYROLL TAXES-FICA             33,815.97       16,932.46        13,958.57      162,504.44
PAYROLL TAXES-FUTA        
PAYROLL TAXES-SUTA        
INSURANCE-WORKER'S CO                                                           2,160.00
INSURANCE-HEALTH                                                                3,868.68
INSURANCE-LIFE            
INSURANCE-LTD             
NON CLINICAL BOUNUSES     
401K EXPENSE              
ACCRUED VACATION                1,116.39          966.16           930.00       12,588.75
OTHER BENEFITS                                                                  (5,847.37)
                                9,133.25        6,060.35         2,865.20      177,615.79
  Total Benefits           -------------   -------------    -------------   -------------
    % of Total Salaries        44,065.61       23,958.97        17,753.77      354,888.29
                                    0.12            0.06             0.06            0.10
TOTAL SALARIES AND BEN    
    % of Net Revenue          426,882.20      394,625.65       311,740.53    3,894,785.22
                                    0.69            0.66             0.69            0.58
Other Clinical Services   
OTHER CLINICAL SERVICES   
MAINTENANCE & REPAIRS     
HOUSEKEEPING              
CONTRACTED CLINICAL SE    
CLINICIAN ADMINISTRATIO   
PSYCHOLOGISTS-1099        
LICSW's-1099                                                                    59,977.99
CLINICAL NURSE SPECIALIS                                                        69,468.50
COUNSELORS-1099                                                                 48,082.60
PSYCHIATRISTS-1099                                                              76,751.75
                                                                               395,109.00
Total Billable             -------------   -------------    -------------   -------------
  Clinical Services       
    Contracted Clin                                                            649,389.84
                                                                                     0.10
ADMIN. - 1099             
    % of Net Revenue                                                            94,777.87
                                                                                     0.01
Total Other Clinical       -------------   -------------    -------------   -------------
  Services                
                                                                               744,167.71
TOTAL COMPENSATION        
    % of Net Revenue          426,882.20      394,625.65       311,740.53    4,638,952.93
    % of Net Revenue                0.69            0.66             0.69            0.69
</TABLE>

<PAGE>   38
                                  SCHEDULE 5.5
                              FINANCIAL STATEMENTS

                  Extended Care Services, Inc. - Massachusetts
                                  Grand Total
                 For the Twelve Months Ended September 30, 1998

<TABLE>
<CAPTION>
                                                                            TREND
                                 OCTOBER           NOVEMBER          DECEMBER           JANUARY          FEBRUARY          MARCH
                           -------------      -------------     -------------     -------------     -------------     -------------
<S>                          <C>                <C>               <C>               <C>               <C>               <C>
Facility Expenses
RENT                          $15,611.61         $15,611.61        $15,364.11        $15,364.11        $15,611.61        $11,134.55
TAXES-PERSONAL PROPER              52.93              52.93             52.83
ELECTRICITY                     1,766.18             460.26            774.79          1,405.30          1,668.41          2,749.35
TELEPHONE                       5,332.31           4,252.53          1,987.74          5,840.11          5,106.11          4,069.24
ALARM & PROTECTION SER
OFFICE EQUIPMENT RENTA          1,667.20           2,099.50          1,889.05          2,076.20          1,485.10          1,879.38
TRANSPORTATION-RENT/LE
FURNITURE & EQUIP EXPE
MOVING EXPENSE
REPAIRS & MAINTENANCE             891.81             761.06            461.06            766.06            702.13            527.37
                           -------------      -------------     -------------     -------------     -------------     -------------
  Total Facility Expense       25,322.04          23,237.89         20,529.58         25,451.78         24,573.36         20,359.89

Amort. & Depreciation
AMORTIZATION-DEFERRED           7,934.92           7,934.92          7,934.92          7,934.92          7,934.92          7,934.92
AMORTIZATION - GOODWI           1,479.17           1,479.17          1,479.17          1,479.17          1,479.17          1,479.17
DEPRECIATION                    1,614.31           1,614.31          1,614.43          1,614.43          1,614.43          1,614.41
                           -------------      -------------     -------------     -------------     -------------     -------------
  Total Amort./Deprec.         11,028.40          11,028.40         11,028.52         11,028.52         11,028.52         11,028.50

Non-Clinical Supplies
FREIGHT & DELIVERY              1,119.39           3,490.65          2,283.98          1,688.92          3,285.20          3,021.14
OFFICE SUPPLY                   4,369.01           3,058.65          2,567.30          2,812.11            555.57          2,779.17
OUTSIDE PRINTING & DUPL         4,718.55           2,586.81            475.40                              956.03          5,050.46
OTHER NON-CLINICAL SUP
                           -------------      -------------     -------------     -------------     -------------     -------------
Total Non-Clinical 
Supplies                       10,206.95           9,136.11          5,326.68          4,501.03          4,796.80         10,850.77


Travel Expense
TRAVEL-AIR                      3,568.49           1,167.98            388.50                            1,500.00            305.20
TRAVEL-AUTO                                          138.55                                                                   30.50
TRAVEL-MILEAGE REIMBU           1,929.10           2,010.70          1,925.90          2,697.26          1,550.00          1,974.55
TRAVEL-LODGING                                       188.39
TRAVEL-MEALS                                          52.98                              109.29                               50.88
TRAVEL-OTHER                       37.89             106.45              6.80                  
ENTERTAINMENT METS                                                                                        (170.00)
TRANSPORTATION LEASIN              80.00              80.00             80.00
                           -------------      -------------     -------------     -------------     -------------     -------------
Total Travel Expenses           5,615.48           3,745.05          2,401.20          2,806.55          2,880.00          2,361.13


Marketing Expenses
MARKETING-PRINT
MARKETING-OTHER                                      130.00                                                                   80.00
                           -------------      -------------     -------------     -------------     -------------     -------------
Total Marketing Expenses                             130.00                                                                   80.00
        

Conv/Education/Refr/Dues
CONVENTIONS
TRAINING & EDUCATION              207.40              96.60                              190.00
REFERENCE MATERIALS                                   21.46
BROCHURES & HANDBOOK
DUES & FEES                        41.67             842.67             41.63                                                100.00
                           -------------      -------------     -------------     -------------     -------------     -------------
Total Conv/Education
/Refr/Dues                        249.07             960.73             41.63            190.00                              100.00


Professional Services
TEMPORARY HELP                    252.00           1,333.60                                                                3,877.00
AUDITING                          750.00             750.00            750.00            750.00            750.00            750.00
OUTSIDE DATA PROCESSIN            418.87           2,264.48          2,497.61            810.62            (97.18)        11,635.65
COLLECTION FEES                                                                                         33,401.45         37,869.38
LEGAL
MISC CONSULTING                 3,000.00           3,000.00          3,000.00          3,000.00          3,000.00          3,000.00 
                           -------------      -------------     -------------     -------------     -------------     -------------
Total Professional              
Services                        4,420.87           7,348.08          6,247.61          4,560.62         37,054.27         57.132.03


Other Operating Expense
EMPLOYEE FUNCTIONS                                   223.91            392.53             75.29
FOOD FOR OFFICE                   249.01             376.10             46.78             67.65            155.40            140.76
PROVISION FOR BAD DEBT         72,771.08          71,173.49        165,250.01         82,681.98         86,978.65         92,777.08
INSURANCE-MALPRACTICE           5,821.68           5,693.89          5,700.00          4,134.09          4,348.93          5,922.87
INSURANCE-BLDG & EQUIP
INSURANCE-OTHERS                                                                                           515.53            962.33
RECRUITMENT                       595.50             859.64            237.30            949.20            359.73            760.10
TAXES & LICENSES                                                                                                             178.40
BANK SERVICE CHARGES              524.67             735.11            766.03            862.97          1,247.49          1,151.16
OTHER GENERAL & ADMIN                                194.68            760.06
                           -------------      -------------     -------------     -------------     -------------     -------------
Total Other 
Operating Expense              79,961.94          79,256.82        173,152.71         88,771.18         93,605.73        101.892.70

  TOTAL OPERATING EXP         567,315.63         535,821.32        649,611.35        500,000.57        515,367.83        548,738.13

                           -------------      -------------     -------------     -------------     -------------     -------------
NET INCOME FROM OPERA          14,853.13          33,566.56        (79,611.35)       (86,590.71)       (80,474.57)        43,549.35

INTEREST EXPENSE OTHER          1,162.49           1,124.99          1,162.49          1,162.49          1,080.00          1,162.49
INTEREST EXPENSE-MHM
                           -------------      -------------     -------------     -------------     -------------     -------------
  Total Interest Expense        1,162.49           1,124.99          1,162.49          1,162.49          1,080.00          1,162.49

MHM BILLED DIRECT EXP
                           -------------      -------------     -------------     -------------     -------------     -------------
Total Other Expense             1,162.49           1,124.99          1,162.49          1,162.49          1,080.00          1,162.49


Net Income                     13,690.64          32,441.57        (80,773.84)       (87,753.20)       (81,554.57)        42,386.86


<CAPTION>
                                                                              TREND                                      
                               APRIL               MAY              JUNE               JULY             AUGUST            SEPTEMBER
                           -------------      -------------     -------------     -------------     -------------     -------------
<S>                          <C>                <C>               <C>               <C>               <C>               <C>
Facility Expenses
RENT                          $16,299.53         $15,804.53        $15,893.03        $15,817.43        $15,562.00        $15,804.53
TAXES-PERSONAL PROPER        
ELECTRICITY                       866.37            (762.88)           805.61            792.74            778.23            977.46
TELEPHONE                       4,165.23           3,852.18          3,927.79          4,673.60          4,082.83          4,059.20
ALARM & PROTECTION SER
OFFICE EQUIPMENT RENTA          2,665.67           1,868.81          1,778.57          1,804.76          1,874.66          2,072.93
TRANSPORTATION-RENT/LE
FURNITURE & EQUIP EXPE
MOVING EXPENSE
REPAIRS & MAINTENANCE           1,053.05             867.34            215.00            947.24            760.54            230.00
                           -------------      -------------     -------------     -------------     -------------     -------------
  Total Facility Expense       25,049.85          21,629.98         22,620.00         24,035.77         23,058.26         23,144.12

Amort. & Depreciation
AMORTIZATION-DEFERRED           7,934.92           7,934.92          7,934.92          7,934.92          7,934.92          7,934.92
AMORTIZATION - GOODWI           1,479.17           1,479.17          1,479.17          1,479.17          1,479.17          1,479.17
DEPRECIATION                    1,614.41           1,626.11          1,626.11          1,626.11          1,626.11          1,626.11
                           -------------      -------------     -------------     -------------     -------------     -------------
  Total Amort./Deprec.         11,028.50          11,040.20         11,040.20         11,040.20         11,040.20         11,040.20

Non-Clinical Supplies                             
FREIGHT & DELIVERY                                                                                                               
OFFICE SUPPLY                   1,911.16           1,916.82          1,944.05          2,512.56          2,513.84          4,540.10
OUTSIDE PRINTING & DUPL         1,093.59           1,475.91            967.64            423.45          3,556.55          2,353.20
OTHER NON-CLINICAL SUP          2,960.65           2,277.60          1,836.20          2,646.88          2,090.01          1,466.95
                           -------------      -------------     -------------     -------------     -------------     -------------
Total Non-Clinical
Supplies                        5,965.40           5,670.33          4,747.89          5,582.89          8,160.40          8,360.25


Travel Expense
TRAVEL-AIR                      1,106.81             976.77          2,203.02                              370.50          3,375.48
TRAVEL-AUTO                       150.00                               109.28                               81.96            282.99
TRAVEL-MILEAGE REIMBU           1,462.10           1,877.30          1,443.95            890.80          1,384.53          2,615.07
TRAVEL-LODGING                                                                                                               178.93
TRAVEL-MEALS                                          10.27            150.05             36.79             93.05             24.57
TRAVEL-OTHER                                                            25.00                              226.60             95.00
ENTERTAINMENT METS                                                                                                           213.56
TRANSPORTATION LEASIN                                                                                                        170.09
                           -------------      -------------     -------------     -------------     -------------     -------------
Total Travel Expenses           2,718.91           2,864.34          3,931.30            927.59          2,156.64          6,955.69


Marketing Expenses
MARKETING-PRINT
MARKETING-OTHER
                           -------------      -------------     -------------     -------------     -------------     -------------
Total Marketing Expenses


Conv/Education/Refr/Dues
CONVENTIONS
TRAINING & EDUCATION                                 255.00                                                                  500.00
REFERENCE MATERIALS                                                                                                           58.70
BROCHURES & HANDBOOK
DUES & FEES                       500.00                               235.00                            9,278.00
                           -------------      -------------     -------------     -------------     -------------     -------------
Total Conv/Education
/Refr/Dues                        500.00             255.00            235.00                            9,278.00            558.70


Professional Services
TEMPORARY HELP                  2,857.10           9,711.40                                                                1,233.00
AUDITING                          750.00             750.00            750.00            750.00            750.00            750.00
OUTSIDE DATA PROCESSIN            479.55             277.29            402.19            508.98            612.46           (237.67)
COLLECTION FEES                54,085.00          42,555.00         32,261.93         39,402.06         38,151.47         28,976.86
LEGAL
MISC CONSULTING                 3,000.00           3,000.00          3,000.00          3,000.00          3,000.00          3,000.00
                           -------------      -------------     -------------     -------------     -------------     -------------
Total Professional 
Services                       61,171.65          56,293.69         39,414.12         43,661.04         42,513.93         33,722.19


Other Operating Expense
EMPLOYEE FUNCTIONS
FOOD FOR OFFICE                   302.40              32.55             14.70             14.70            365.63             42.55
PROVISION FOR BAD DEBT        120,661.59         316,475.08         96,513.59        107,845.34        104,422.41        417,688.66
INSURANCE-MALPRACTICE           6,894.94           6,655.71          5,515.06          6,162.59          5,966.99
INSURANCE-BLDG & EQUIP
INSURANCE-OTHERS                  962.33           2,934.21          2,774.97          1,394.33            962.33            962.33
RECRUITMENT                       508.50           1,139.20          1,706.24            329.12          1,219.42            544.81
TAXES & LICENSES
BANK SERVICE CHARGES            1,156.71           1,111.35            737.78          1,462.76          2,486.31          1,404.91
OTHER GENERAL & ADMIN             483.10
                           -------------      -------------     -------------     -------------     -------------     -------------
Total Other 
Operating Expense             130,969.57         328,348.10        107.262.34        117,208.84        115,423.09        420,643.26

  TOTAL OPERATING EXP         651,313.79         818,429.84        577,291.60        629,338.53        606,256.17        816,164.94

                           -------------      -------------     -------------     -------------     -------------     -------------
NET INCOME FROM OPERA          38,181.02        (162,857.90)         4,293.13        (13,079.40)        (9,556.65)      (362,958.99)

INTEREST EXPENSE OTHER          1,124.99           1,162.49          1,124.99          1,162.49          1,162.49          1,124.99
INTEREST EXPENSE-MHM
                           -------------      -------------     -------------     -------------     -------------     -------------
  Total Interest Expense        1,124.99           1,162.49          1,124.99          1,162.49          1,162.49          1,124.99

MHM BILLED DIRECT EXP
                           -------------      -------------     -------------     -------------     -------------     -------------
Total Other Expense             1,124.99           1,162.49          1,124.99          1,162.49          1,162.49          1,124.99


Net Income                     37,056.03        (164,020.39)         3,168.14        (14,241.89)       (10,719.14)      (364,083.98)

<CAPTION>
                TREND
                 
                               TOTAL
                           ------------- 
<S>                         <C>          
Facility Expenses
RENT                         $183,878.65
TAXES-PERSONAL PROPER             158.69
ELECTRICITY                    12,281.82
TELEPHONE                      51,348.87
ALARM & PROTECTION SER
OFFICE EQUIPMENT RENTA         23,161.83
TRANSPORTATION-RENT/LE
FURNITURE & EQUIP EXPE
MOVING EXPENSE
REPAIRS & MAINTENANCE           8,182.66
                           -------------
  Total Facility Expense      279,012.52

Amort. & Depreciation
AMORTIZATION-DEFERRED          95,219.04
AMORTIZATION - GOODWI          17,750.04
DEPRECIATION                   19,431.28
                           -------------
  Total Amort./Deprec.        132,400.36

Non-Clinical Supplies
FREIGHT & DELIVERY             30,227.81
OFFICE SUPPLY                  26,012.15
OUTSIDE PRINTING & DUPL        27,065.54
OTHER NON-CLINICAL SUP
                           -------------
Total Non-Clinical 
Supplies                       83,305.50


Travel Expense
TRAVEL-AIR                     14,962.75
TRAVEL-AUTO                       793.28
TRAVEL-MILEAGE REIMBU          21,761.26
TRAVEL-LODGING                    367.32
TRAVEL-MEALS                      527.88
TRAVEL-OTHER                      497.74
ENTERTAINMENT METS                 43.56
TRANSPORTATION LEASIN             410.09
                           -------------
Total Travel Expenses          39,363.88


Marketing Expenses
MARKETING-PRINT
MARKETING-OTHER                   210.00
                           -------------
Total Marketing Expenses          210.00


Conv/Education/Refr/Dues
CONVENTIONS
TRAINING & EDUCATION            1,249.00
REFERENCE MATERIALS                80.16
BROCHURES & HANDBOOK
DUES & FEES                    11,038.97
                           -------------
Total Conv/Education
/Refr/Dues                     12,368.13


Professional Services
TEMPORARY HELP                 19,264.10
AUDITING                        9,000.00
OUTSIDE DATA PROCESSIN         19,572.85
COLLECTION FEES               309,703.15
LEGAL
MISC CONSULTING                36,000.00
                           -------------
Total Professional 
Services                      393,540.10


Other Operating Expense
EMPLOYEE FUNCTIONS                691.73
FOOD FOR OFFICE                 1,808.23
PROVISION FOR BAD DEBT      1,735,238.96
INSURANCE-MALPRACTICE          62,816.75
INSURANCE-BLDG & EQUIP
INSURANCE-OTHERS               11,468.36
RECRUITMENT                     9,208.76
TAXES & LICENSES                  178.40
BANK SERVICE CHARGES           13,647.25
OTHER GENERAL & ADMIN           1,437.84
                           -------------
Total Other 
Operating Expense           1,836,496.28

  TOTAL OPERATING EXP       7,415,649.70      

                           -------------      
NET INCOME FROM OPERA        (660,686.38)     

INTEREST EXPENSE OTHER         13,717.39      
INTEREST EXPENSE-MHM
                           -------------      
  Total Interest Expense       13,717.39      

MHM BILLED DIRECT EXP
                           -------------      
Total Other Expense            13,717.39      


Net Income                   (674,403.77)     

</TABLE>
<PAGE>   39
                                  SCHEDULE 5.5
                              FINANCIAL STATEMENTS

                          Extended Care Services, Inc.
                          Extended Care Massachusetts
                     For the Month Ending October 31, 1998


<TABLE>
<CAPTION>
                            TREND
                                OCTOBER         TOTAL
                           -------------   -------------
<S>                         <C>             <C>
NET REVENUE                 $ 485,046.09    $485,046.09

COST OF SERVICES
 SALARIED CLINICIAN PAY       257,074.43     257,074.43
 CLINICIAN BENEFITS
 CONTRACTOR CLINICAL P
 COLLECTION FEES               31,012.63      31,012.63
 INSURANCE-MALPRACTICE          1,949.02       1,949.02
                           -------------   -------------
  TOTAL COST OF SERVICES      290,036.08     290,036.08

GROSS PROFIT                  195,010.01     195,010.01

GENERAL & ADMINISTRATIVE
 ADMINISTRATIVE PAYROLL        51,355.92      51,355.92
 ADMINISTRATIVE BENEFIT         8,429.72       8,429.72
 RENT & FACILITY EXPENSE       21,925.17      21,925.17
 FREIGHT & DELIVERY             1,500.85       1,500.85
 OFFICE SUPPLIES                3,670.67       3,670.67
 TRAVEL EXPENSE                 3,025.19       3,025.19
 MARKETING EXPENSE                750.00         750.00
 PROFESSIONAL SERVICES          9,984.42       9,984.42
 BAD DEBT/CONTRACT ALL        153,599.17     153,599.17
 OTHER G&A EXPENSES             4,739.38       4,739.38
                           -------------   -------------
  TOTAL  G&A EXPENSES         260,980.49     260,980.49

 DEPRECIATION & AMORTI         17,947.66      17,947.66

OTHER INCOME/EXPENSE
  INTEREST INCOME
INTEREST EXPENSE                1,162.49       1,162.49
OTHER EXPENSE                   2,390.95       2,390.95
                           -------------   -------------
  TOTAL OTHER INCOME/E          3,553.44       3,553.44

                           -------------   -------------
   TOTAL ALL EXPENSES         282,481.59     282,481.59
                           -------------   -------------
NET INCOME/(LOSS)             (87,471.58)    (87,471.58) 
                           =============   =============
</TABLE>

<PAGE>   40

ECS MASS

Charges                                        595,722.00

Adjustment                                    (111,587.32)
                                              ------------

Net Revenue                                    484,134.68

Adjustment                                        (444.90)

Credit Balance                                   1,355.31
                                              ------------

Net Revenue per P&L                            485,045.09
                                              ============





<PAGE>   41
                                  SCHEDULE 5.6


                               ABSENCE OF CHANGE



                                      NONE





<PAGE>   42




                                  SCHEDULE 5.7


                       ABSENCE OF UNDISCLOSED LIABILITIES




                                      NONE





<PAGE>   43





                                  SCHEDULE 5.8

                            TAX RETURNS AND CREDITS



                                      NONE





<PAGE>   44


                                 SCHEDULE 5.10

                           LIST OF SIGNED AGREEMENTS


ACKERMAN, TED                           MELNICK, BARRY
BARSKY, SUSAN                           MERL, LYNNE M.
BELOZERSKY, IRENE                       MINALGA, MARY
BENNER, SHARON                          MONDALE, JASON
BERKSHIRE MEDICAL CENTER                MOORE, NANCY
BERLIN, JOAN                            NEEDLES, DOUGLAS
BROWN, ALAN                             NESTELBAUM, ZAMIR
CABEZAS, THOMAS                         NOAH, DEBORAH LEE
CAMERLENGO, SUSAN                       OWENS, HONORA E.
CARLSON, CHRISTIE M.                    PIAFSKY, LYNNE
COHEN, LEWIS                            POSTLETHWAITE, JOAN
CRENSHAW, BRADLEY                       REICH, FAYE
CUTLER, MARK                            RICHTER, CWIRA
DONAHUE, JACQUELINE                     RILEY, DOUGLAS C.
FARRINGTON, LEE                         ROOS, PATRICIA E.
FRASER-DEXTER LINDA                     RUSNAK, STANLEY
FINK, CARLA                             RUYLE, JEANETTE
FISHBEIN, LESLIE                        SABA, MARIE L.
GERHARD, FREDERICK                      SCHEINAN, WENDY
GRAESSER, SUSAN                         SCHWARZ, RACHEL
HAAS, HOWARD                            SCORZELLI, JAMES
HAMMOND, DAVID                          SEPPELIN, MARTETTA
HARDNEY, SYLVIA                         SPADOLA, MADELINE
HILL, PHILLIP                           TARQUINO, ERNEST
HYNICK, TIMOTHY                         TRIKHA, ANJANA
INGRAHAM, MERLE                         VAN ZOEREN, BARBARA
ISRAEL, JOSHUA                          VERNICK, SHELIA
JANNEY, PETER                           WALLACE, MARY
JONES, DAVID                            WASSERMAN, CHARLES
KALLNA, LIZABETH                        WEISBERGER, CHARLES
KATIS, MARY                             WEINER, RHONDA
KNIGHT, WILLIAM                         WILSON-EVERETT. ANDREA
LAFERNEY, MICHAEL                       YALOFF, BEVERLY
LEBAR, JILL                             YOUNG, RUTH C.
LONGO, RICHARD                          ZIEFF, ERIC
LOOPER, JOHN
MAIMAN, ELLEN
MARTIN, LUZ M.
MCMURTRY, DOUGLAS





<PAGE>   45





                                 SCHEDULE 5.11
                               INSURANCE POLICIES
                                                                POLICY NUMBER
                                                                98CGIC22000

Credit General Insurance Corporation
c/o Campania Management Company
111 Berry Street, S.E.
Post Office Box 2314
Vienna, Virginia 22183

In consideration of the premium and stipulations hereinafter mentioned, Credit
General Insurance Company. (hereinafter called the Company),


Does Insure:        MHM Services, Inc.
                    ----------------------------------------------------
                    8000 Towers Crescent Drive
                    ----------------------------------------------------
                    Vienna, Virginia 22102-2812
                    ----------------------------------------------------

(hereinafter called Insured),

Term:               October 1, 1998, at 12:01 a.m., Eastern standard time
                    -----------------------------------------------------
                    October 1, 1999, at 12:01 a.m., Eastern standard time
                    -----------------------------------------------------

Coverage:           Hospital Professional Liability Including General Liability

Conditions:         As per policy and attachments hereto.

THIS POLICY SHALL NOT BE VALID UNLESS ENDORSEMENT ISSUED BY THIS COMPANY IS
ATTACHED HERETO, together with such other provisions, agreements or conditions
as may be endorsed hereon or added hereto; and no officer, agent or other
representative of the Company shall have the power to waive or be deemed to
have waived any provision or condition of this Policy unless such waiver, if
any, shall be written upon or attached hereto; nor shall any privilege or
permission affecting the insurance under this Policy exist or be claimed by the
Insured unless so written or attached.

IN WITNESS WHEREOF, this Company has executed these presents, but this Policy
shall not be valid unless countersigned by a duly authorized representative of
the Company



/s/ DENNIS R. SANTOLI
- --------------------------------
Attorney In Fact
Credit General Insurance Company


                   **THIS IS A MODIFIED CLAIMS MADE POLICY**
                      W/A 5 YEAR EXTENDED REPORTING PERIOD





<PAGE>   46




                     HOSPITAL PROFESSIONAL LIABILITY POLICY


                            SECTION I: DECLARATIONS

Policy Number       98CGIC22000

Item 1.             Named Insured and Address:
                    MHM Services, Inc.
                    8000 Towers Crescent Drive
                    Vienna, Virginia 22182

Item 2.             Each additional person or organization
                    "insured" added to this policy by endorsement
                    is a "Named Insured" under this policy.

Item 3.             Policy Period:
                    From: October 1,1998 at 12:01 a.m., Eastern standard time
                    To:   October 1,1999 at 12:01 a.m., Eastern standard time

Item 4.             Premium: Per attached invoice

Item 5.             This Hospital Professional Liability Policy
                    provides coverage by reason of "bodily
                    injury" or "property damage", to which this
                    insurance applies, caused by an "occurrence",
                    pursuant to the terms and conditions of this
                    policy.

Item 6.             The limit of liability under this Policy
                    during a "policy period" is a maximum per
                    "occurrence" for any "insured". Irrespective
                    of the number of "insureds" who are provided
                    coverage by endorsement in addition to the
                    "Named Insured" identified in Item 2 of the
                    Declarations and the number of "occurrences",
                    the aggregate liability during the "policy
                    period" is $3,000,000.

<TABLE>
<CAPTION>
                               (a) Per Occurrence                            (b) Policy
Coverage                          Limit                                          Aggregate
<S>                             <C>                                           <C>
- ------------------------------------------------------------------------------------------------------
Hospital Professional            $1,000,000, with                              $3,000,000
Services, Bodily Injury,
Personal Injury and              $10,000 Deductible Applies Each and Every
Property Damage Liability

</TABLE>

Item 7.             Employees of the "Named Insured" are covered by this policy.


<PAGE>   47



Item 8.              The following endorsements form a part of
                     this policy and are incorporated herein by
                     reference as of the effective date set out in
                     Item 3 of the Declarations:

                     Endorsement No. 1 - Nuclear Energy Exclusion Endorsement
                     (Broad Form)

                     Endorsement No. 2 - Good Samaritan Endorsement

                     Endorsement No. 3 - Punitive Damages Exclusion
                     Endorsement

                     Endorsement No. 4 - Service of Suit Endorsement

                     Endorsement No. 5 - Additional Named Insured Endorsement

                     Endorsement No. 6 - Host Liquor Liability Endorsement





<PAGE>   48

Endorsement #5
Policy 98CGIC22000
Effective October 1,1998


                     ADDITIONAL NAMED INSURANCE ENDORSEMENT


Schedule of Named Insureds

It is understood and agreed that the following entities shall be attached and
form the Schedule of Named Insureds Endorsement under this Policy.



Named Insured                              Additional Insured

MHM Services, Inc.                         401 Bingham Street
8000 Towers Crescent Drive                 Suite 301
Vienna, Virginia 22182                     Pittsburgh, PA 15203

                                           3200 Pointe Parkway, #100
                                           Norcross, GA 30092

                                           1808 West End Avenue
                                           Suite 511
                                           Nashville, TN 37203

                                           4515 Poplar Avenue
                                           Suite 332
                                           Memphis, TN 38117

                                           30 Taunton Green, Suite #4/5
                                           Taunton, MA 20780

                                           23 East Street, 3rd Floor
                                           Cambridge, MA 02141

<PAGE>   49
                             CAMPANIA [LETTERHEAD]





111 Berry Street, S.E.

Vienna, Virginia 22180         December 31, 1998

(703)242-9224

(703)242-3815 Fax              To:   Mickey Slade

(800)831-9506                  From: Cynthia Booth

          *                    Re:   Extended Reporting

7601 First Place Drive, #A-9
                               MHM' General and Professional Liability policy
Oakwood Village, Ohio 44146    has a five year extended reporting period 
                               included.  This means coverage is extended for
(216)232-1585                  events reported sixty months after the policy 
                               ends, as long as the event occurred during the 
(216)232-3975 Fax              policy period.
             
(800)299-5401                  Please call me if you need further clarification.

          *

2001 9th Avenue, Suite 307D

Vero Beach, Florida 32960

(561)564-9222

(561)564-3430 Fax

(800)664-6036

          *
<PAGE>   50
                                 SCHEDULE 5.12


                         LITIGATION, THREATENED CLAIMS,


                            GOVERNMENT INVESTIGATION


CONTINGENCIES

On November 23, 1998, the Company received a notice from the Massachusetts Peer
Review Organization, Inc. (MassPro), that the Company's counseling clinic
located in Taunton, Massachusetts had failed to comply with certain
regulations, rules, standards and statutes applicable to providers
participating in the Massachusetts Medical Assistance Program. As a result of
MassPro's audit, the Company was requested to repay the Massachusetts Medical
Assistance Program $215, 000. The Company has thirty days to appeal this
determination. Although the Company believes it will prevail in reducing the
amount of repayment requested, the full amount of this potential liability has
been recorded in the consolidated financial statements at September 30, 1998.

MassPro performed a similar audit on the Company's clinic located in Cambridge,
Massachusetts. The Company has not received any correspondence from MassPro on
the results of this audit. The Company does not believe the results of this
audit will have a material financial impact on the Company's operation.

In December 1998, a lawyer for Dr. Anita Meyer wrote complaining of her
discharge from employment which took place in October 1998.  No specific demand
was made.

In March 1998, an EEOC discrimination claim was filed on behalf of former
employee, Tracey Penn regarding her discharge. The Cambridge Human Rights
Commission found in Ms. Penn's favor. That determination is being appealed, and
a settlement conference is scheduled for January 1999.





<PAGE>   51
                                                                 SCHEDULE 9.0

                                      MEMO



MEL CARVALHO
MHM REGIONAL DIRECTOR
MASSACHUSETTS DIVISION

TO:             ROY ETTLINGER
                STEVE WHEELER
                MICKEY SLADE

DATE:           DECEMBER 31,1998

RE:             CLINICIAN AGREEMENTS/PERCENTAGE OF BUSINESS

ENCLOSED IS THE PERCENTAGE OF REVENUE FOR THE EXTENDED CARE PROGRAM FOR THE
FOLLOWING CATEGORIES:


        1.      SUN HOMES
        2.      MCLEAN HOMES
        3.      HOMES COVERED BY THE APPROVED CLINICIAN AGREEMENT. THESE
                NUMBERS ARE NOT INCLUDED IN THE SUN OR MCLEAN NUMBERS.
        4.      HOMES NOT COVERED BY THE APPROVED CLINICIAN AGREEMENT. THESE
                NUMBERS ARE NOT INCLUDED IN THE SUN MCLEAN NUMBERS.

ALL EXTENDED CARE FACILITIES ARE LISTED WITH THE FOLLOWING CATEGORIES:

        1.      FACILITY NAME
        2..     MHM HOME OR MCLEAN HOME
        3.      SIGNED AGREEMENT
        4.      NAME OF CLINICIAN IN THE FACILITY WHO HAS SIGNED

THE DECREASE IN THE NUMBER OF MCLEAN HOMES REFLECT A MORE ACCURATE COUNT OF THE
HOMES THAT WE ACTUALLY BILL FOR SERVICES. SEVERAL HOMES LISTED PREVIOUSLY HAD
NO CLINICIAN OR MD PERFORMING SERVICES.

ALSO, THE SLIGHT DECREASE NOTED IN THE NUMBER OF COVERED HOMES AND THE SLIGHT
INCREASE IN THE NUMBER OF NON-COVERED HOMES REFLECT MY UNDERSTANDING THAT I AM
TO COUNT ONLY THOSE HOMES WHERE A SIGNED APPROVED CLINICIAN AGREEMENT EXISTS. 
(COPIES OF ADDITIONAL SIGNED AGREEMENTS ATTACHED)

THE REVENUE IS BASED ON THE OCTOBER 1998 MONTHLY REPORT OF CHARGES PER
FACILITY.





<PAGE>   52





                    Percentage of MHM Extended Care Business
                        Covered by Clinicians Agreements
                         Based on October 1998 Revenue



28 SUN FACILITIES=====35% OF EXTENDED CARE BUSINESS
       21 FACILITIES (74%) COVERED BY UNIVERSAL APPROVED
       AGREEMENTS=========REVENUE OF $86,996.00

       7 FACILITIES (26%) NOT COVERED BY UNIVERSAL APPROVED
       AGREEMENTS=======REVENUE OF $30,114.00


21 MCLEAN FACILITIES======10% OF BUSINESS
       10 FACILITIES (60%)COVERED BY UNIVERSAL APPROVED
       AGREEMENTS=========REVENUE OF $20,076.00

       11 FACILITIES (40%) NOT COVERED BY UNIVERSAL APPROVED
       AGREEMENTS=======REVENUE OF $13,384.00


36 FACILITIES COVERED BY UNIVERSAL APPROVED AGREEMENTS===========33% OF
       BUSINESS=======REVENUE OF $110,418.00


28 FACILITIES NOT COVERED BY UNIVERSAL APPROVED AGREEMENTS=========22% OF
       BUSINESS=======REVENUE OF $73,612.00


       CLINICIANS THAT WORK IN 12 OF THE NON-COVERED FACILITIES HAVE INDICATED
       THAT THEY ARE PLANNING TO WORK WITH ARBOUR.





<PAGE>   53





                                 NURSING HOMES



<TABLE>
<CAPTION>
- ----------------------------------------------------------------------------------------------------------
NURSING HOME            TYPE                 AGREEMENT           CLINICIAN IN HOME HAS SIGNED
- ----------------------------------------------------------------------------------------------------------
<S>                      <C>               <C>                       <C>
ABBOT HOUSE              MC                NO CLINICIAN
- ----------------------------------------------------------------------------------------------------------
ABERJONA                 NH                YES                       SCHWARZ
- ----------------------------------------------------------------------------------------------------------
ACTON ADULT DAY          NH                NO CLINICIAN
- ----------------------------------------------------------------------------------------------------------
ASHMERE MANOR            NH                NO                        FESSLER, COMING TO ARBOUR
- ----------------------------------------------------------------------------------------------------------
AVERY MANOR              NH                YES                       TRIKHA
- ----------------------------------------------------------------------------------------------------------
BARLETT                  NH                YES                       FARRINGTON
- ----------------------------------------------------------------------------------------------------------
BEAUMONT                 NH                YES                       RUYLE
- ----------------------------------------------------------------------------------------------------------
BLUEBERRY HILL           NH                YES                       NEEDLES
- ----------------------------------------------------------------------------------------------------------
BOLTON MANOR             NH                YES                       BROWN
- ----------------------------------------------------------------------------------------------------------
BOURNE MANOR             NH                NO
- ----------------------------------------------------------------------------------------------------------
BRITTANY                 MC                YES                       SPADOLA
- ----------------------------------------------------------------------------------------------------------
BROOKHAVEN               MC                NO
- ----------------------------------------------------------------------------------------------------------
BUCHANAN                 NH                YES                       FARRINGTON
- ----------------------------------------------------------------------------------------------------------
CANTABRIDGIA             NH                YES                       HARDNEY/NEEDLES
- ----------------------------------------------------------------------------------------------------------
CARE MATRIX              NH                YES                       FINK
- ----------------------------------------------------------------------------------------------------------
CARLETON-WILLARD         NH                NO
- ----------------------------------------------------------------------------------------------------------
CARYLE NURSING           NH                YES                       BROWN
- ----------------------------------------------------------------------------------------------------------
CATHOLIC MEMORIAL        NH                YES                       SUTTON MD
- ----------------------------------------------------------------------------------------------------------
CHARLESGATE              MC                YES                       FINK, ISRAEL
- ----------------------------------------------------------------------------------------------------------
CHELSEA JEWISH           MC                YES                       SPADOLA
- ----------------------------------------------------------------------------------------------------------
CLARK HOUSE              MC                YES                       YOUNG
- ----------------------------------------------------------------------------------------------------------
COC BAYVIEW              NH                NO                        CLINICIAN IS COMING TO ARBOUR
- ----------------------------------------------------------------------------------------------------------
COC BERKSHIRE            NH                NO                        CLINICIAN IS COMING TO ARBOUR
- ----------------------------------------------------------------------------------------------------------
COC WESTFIELD            NH                YES                       HAMMOND. MD
- ----------------------------------------------------------------------------------------------------------
COHEN, FLORENCE          MC                NO CLINICIAN
- ----------------------------------------------------------------------------------------------------------
COOLIDGE HOUSE           MC                NO CASES
- ----------------------------------------------------------------------------------------------------------
COOPERATIVE ELDER         NH                NO CASES
- ----------------------------------------------------------------------------------------------------------
COURTYARD                NH                NO                        CLINICIAN IS COMING TO ARBOUR
- ----------------------------------------------------------------------------------------------------------
EAST LONGMEADOW          NH                YES                       MIMNO, AN ARBOUR CLINICIAN
- ----------------------------------------------------------------------------------------------------------
EDGECOMB                 NH                NO
- ----------------------------------------------------------------------------------------------------------
PACE PROGRAM             MC                YES                       YOUNG
- ----------------------------------------------------------------------------------------------------------
EMERSON                  MC                YES                       SPADOLA
- ----------------------------------------------------------------------------------------------------------
FAIRHAVEN                NH                NO
- ----------------------------------------------------------------------------------------------------------
GERMAN HOME              NH                YES                       ARBOUR HOME ALREADY
- ----------------------------------------------------------------------------------------------------------
GLEN RIDGE               NH                YES                       HARDNEY
- ----------------------------------------------------------------------------------------------------------
GODDARD HOUSE            MC                NO
- ----------------------------------------------------------------------------------------------------------
GODDARD HOUSE AL         MC                NO
- ----------------------------------------------------------------------------------------------------------
GREENWOOD                NH                NO
- ----------------------------------------------------------------------------------------------------------
HALE HOUSE               NH                NO
- ----------------------------------------------------------------------------------------------------------
HALLMARK                 NH                YES                       CABEZAS
- ----------------------------------------------------------------------------------------------------------
HAMMERSMITH              MC                NO
- ----------------------------------------------------------------------------------------------------------
HARRINGTON HOUSE         NH                YES                       MELNICK/FRUMIN
- ----------------------------------------------------------------------------------------------------------
HATHAWAY                 NH                YES                       MELNICK
- ----------------------------------------------------------------------------------------------------------
HOLYOKE NURSING          NH                YES                       OWENS
- ----------------------------------------------------------------------------------------------------------
ISLAND TERRACE           NH                NO                        CLINICIAN IS COMING TO ARBOUR
- ----------------------------------------------------------------------------------------------------------
JESMOND                  MC                YES                       ZIEFF
- ----------------------------------------------------------------------------------------------------------
JEWISH REHAB             NH                NO
- ----------------------------------------------------------------------------------------------------------
KIMWELL                  NH                YES                       MELNICK/SUTTON
- ----------------------------------------------------------------------------------------------------------
LIFE CARE CENTER         NH                YES                       GERHARD
- ----------------------------------------------------------------------------------------------------------
LYNN CONVALESCENT        MC                NO
- ----------------------------------------------------------------------------------------------------------
</TABLE>



<PAGE>   54



                                 NURSING HOMES





<TABLE>
<S>                     <C>        <C>                <C>
- ----------------------------------------------------------------------------------------------------------
LYNN PUBLIC              NH         NO                   ARBOUR ALREADY SERVICING
- ----------------------------------------------------------------------------------------------------------
MARY IMMACULATE          NH         NO                   CLINICIAN IS COMING TO ARBOUR
- ----------------------------------------------------------------------------------------------------------
MEADOWGREEN              MC         YES                  NEEDLES
- ----------------------------------------------------------------------------------------------------------
MEADOWOOD                NH         NO                   CLINICIAN IS COMING TO ARBOUR
- ----------------------------------------------------------------------------------------------------------
MILTON HEALTHCARE        NH         NO
- ----------------------------------------------------------------------------------------------------------
MT. PLEASANT             NH         NO
- ----------------------------------------------------------------------------------------------------------
NEPONSET CIRCLE          MC         YES                  LOOPER
- ----------------------------------------------------------------------------------------------------------
NEVINS ADULT DAY         NH         YES                  MAIMAN
- ----------------------------------------------------------------------------------------------------------
NEWTON-WELLESLEY         NH         YES                  WHITTEMORE
- ----------------------------------------------------------------------------------------------------------
NICHOLS HOUSE            NH         NO
- ----------------------------------------------------------------------------------------------------------
NORTHAMPTON              NH         YES                  OWENS
- ----------------------------------------------------------------------------------------------------------
OLYMPUS HEALTHCARE       NH         YES                  BROWN
- ----------------------------------------------------------------------------------------------------------
OLYMPUS SPECIALTY        NH         YES                  HAMMOND
- ----------------------------------------------------------------------------------------------------------
OUR LADY'S HAVEN         NH         NO
- ----------------------------------------------------------------------------------------------------------
PARK AVENUE              MC         NO
- ----------------------------------------------------------------------------------------------------------
PILGRIM REHAB            NH         NO                   ARBOUR ALREADY
- ----------------------------------------------------------------------------------------------------------
PROVIDENCE HOUSE         NH         YES                  WHITTEMORE
- ----------------------------------------------------------------------------------------------------------
QUABOAG                  NH         YES                  WHITTEMORE
- ----------------------------------------------------------------------------------------------------------
RAINBOW                  NH         YES                  FARRINGTON
- ----------------------------------------------------------------------------------------------------------
ROGERSON COMM            NH         NO                   CLINICIAN IS COMING TO ARBOUR
- ----------------------------------------------------------------------------------------------------------
SACRED HEART             NH         NO
- ----------------------------------------------------------------------------------------------------------
SANCTA MARIA             NH         YES                  NEEDLES
- ----------------------------------------------------------------------------------------------------------
SHERRILL HOUSE           MC         NO CLINICIAN
- ----------------------------------------------------------------------------------------------------------
SOUTHPOINT               NH         YES                  MELNICK
- ----------------------------------------------------------------------------------------------------------
SPRINGSIDE               NH         YES                  NUESSLE
- ----------------------------------------------------------------------------------------------------------
STEPHEN CALDWELL         NH         NO                   CLINICIAN IS COMING TO ARBOUR
- ----------------------------------------------------------------------------------------------------------
SUNNY ACRES              MC         YES                  SCORZELLI
- ----------------------------------------------------------------------------------------------------------
SUN-BEVERLY              NH         YES                  TRANFLAFIA ALREADY ARBOUR
- ----------------------------------------------------------------------------------------------------------
SUN-BRIGHTON             NH         YES                  SPADOLA
- ----------------------------------------------------------------------------------------------------------
SUN-BROADWAY             NH         YES                  GERHARD
- ----------------------------------------------------------------------------------------------------------
SUN-BROOKLINE            NH         YES                  BELEROSKY
- ----------------------------------------------------------------------------------------------------------
SUN-COLONIAL HGTS        NH         NO
- ----------------------------------------------------------------------------------------------------------
SUN-CONCORD              NH         YES                  MAIMAN
- ----------------------------------------------------------------------------------------------------------
SUN-E.LONGMEADOW         NH         NO
- ----------------------------------------------------------------------------------------------------------
SUN-FALLRIVER            NH         YES                  CABEZAS
- ----------------------------------------------------------------------------------------------------------
SUN-GLENWOOD             NH         YES                  ROOS
- ----------------------------------------------------------------------------------------------------------
SUN-HOLYOKE              NH         YES                  ACKERMAN
- ----------------------------------------------------------------------------------------------------------
SUN-LEXINGTON            NH         YES                  FARRINGTON
- ----------------------------------------------------------------------------------------------------------
SUN-LOWELL               NH         YES                  GERHARD
- ----------------------------------------------------------------------------------------------------------
SUN-MILFORD              NH         YES                  RUYLE
- ----------------------------------------------------------------------------------------------------------
SUN-MILLBURY             NH         YES                  WHITTEMORE
- ----------------------------------------------------------------------------------------------------------
SUN-NEW BEDFORD          NH         NO
- ----------------------------------------------------------------------------------------------------------
SUN-NEWTON               NH         YES                  MELNICK
- ----------------------------------------------------------------------------------------------------------
SUN N.READING            NH         NO
- ----------------------------------------------------------------------------------------------------------
SUN-NORTHAMPTON          NH         YES                  OWENS
- ----------------------------------------------------------------------------------------------------------
SUN-NORTHSHORE           NH         NO
- ----------------------------------------------------------------------------------------------------------
SUN-PEABODY GLEN         NH         NO                   CLINICIAN IS COMING TO ARBOUR
- ----------------------------------------------------------------------------------------------------------
SUN-RANDOLPH             NH         YES                  ROOS
- ----------------------------------------------------------------------------------------------------------
SUN-TOWN MANOR           NH         NO                   CLINICIAN IS COMING TO ARBOUR
- ----------------------------------------------------------------------------------------------------------
SUN-WEYMOUTH NH          NH         NO
- ----------------------------------------------------------------------------------------------------------
SUN-WOODMILL             NH         NO                   CLINICIAN IS COMING TO ARBOUR
- ----------------------------------------------------------------------------------------------------------
</TABLE>

<PAGE>   55





                                 NURSING HOMES




<TABLE>
<S>                      <C>       <C>                  <C>
- ----------------------------------------------------------------------------------------------------------
WABAN HEALTH             NH        YES                  GRASSER
- ----------------------------------------------------------------------------------------------------------
WALDEN HOUSE             MC        NO CLINICIAN
- ----------------------------------------------------------------------------------------------------------
WELLESLEY                MC        YES                  VERNICK
- ----------------------------------------------------------------------------------------------------------
WENTWORTH                NH        NO
- ----------------------------------------------------------------------------------------------------------
WHITNEY PLACE            NH        YES                  RUYLE
- ----------------------------------------------------------------------------------------------------------
WILLOWOOD GR. BAR        NH        NO
- ----------------------------------------------------------------------------------------------------------
WILLOWOOD PITTS          NH        YES                  NUESSLE 
- ----------------------------------------------------------------------------------------------------------
WINCHESTER               NH        YES                  SCHWARZ
- ----------------------------------------------------------------------------------------------------------
WINGATE BRIGHTON         MC        NO
- ----------------------------------------------------------------------------------------------------------
WINGATE SUDBURY          NH        YES                  WHITTEMORE
- ----------------------------------------------------------------------------------------------------------
WOBURN                   NH        YES                  MERL
- ----------------------------------------------------------------------------------------------------------
</TABLE>

<PAGE>   56



                              GENERAL BILL OF SALE



        Reference is made to the Asset Purchase Agreement dated December 21,
1998 (the "Agreement"), by and between MHM Extended Care Services, Inc.
("Seller") and Arbour Elder Services, Inc. ("Buyer"). Capitalized terms not
otherwise defined herein shall have the meanings given to them in the
Agreement.

        FOR VALUE RECEIVED pursuant to the Agreement, Seller, for itself and
its successors and assigns, does hereby sell, convey, assign, transfer and
deliver to and vest in Buyer and its successors and assigns all right, title
and interest in and to the following assets and properties of Seller, wherever
located (collectively, the "Assets"):

                (a)       All equipment, machinery, fixed and movable
equipment, furniture, furnishings, fixtures, vehicles, supplies and all other
tangible and intangible personal property, including computers and billing
services, owned by Seller and used in the operation of the Seller's
Massachusetts business; including but not limited to the property listed on
Exhibit A attached hereto.

                (b)       Seller's charts, files, and other proprietary
information of the Seller, to the extent transferable to Buyer;

                (d)       All Clinic licenses of the Seller;

        Seller warrants that it hereby transfers to Buyer good, valid and
transferable title to all of the Assets, free and clear of all liens,
encumbrances, restrictions, agreements and adverse claims of every kind, nature
and description, and agrees to defend such title.

<PAGE>   57

        Seller further covenants and agrees that, from time to time after the
delivery of this instrument, at Buyer's request and without further
consideration, Seller will do, execute, acknowledge and deliver, or cause to be
done, executed, acknowledged and delivered, all such further acts, conveyances,
transfers, assignments, documents and assurances as reasonably may be requested
by Buyer more effectively to convey to, transfer to and vest in Buyer all
right, title and interest in and to any of the Assets transferred or assigned
hereunder.

                In WITNESS WHEREOF, Seller has executed this General Bill of
Sale as an instrument under seal as of this 31st day of December, 1998.





<TABLE>
<S>                                                     <C>
SELLER:                                                 BUYER:

MHM EXTENDED CARE SERVICES INC.                              ARBOUR ELDER SERVICES, INC.

/s/ M.S. PINKERT     1/4/99
- ---------------------------                             /s/ ROY ETTLINGER   12/31/98
Signature             Date                              ---------------------------
                                                        Signature             Date

Name:  M. S. PINKERT                                    Name:  ROY ETTLINGER
       ---------------------                                   ---------------------

Title: PRESIDENT                                        Title: CEO
       ---------------------                                   ---------------------


</TABLE>




                                      -2-





<PAGE>   58





                                     ATT. A
                                ACQUIRED ASSETS

                       EQUIPMENT INVENTORY/TAUNTON OFFICE

DESK - 12
COMPUTERS - 1, 1 BROKEN
4 DRAWER FILING CABINET - 11
2 DRAWER FILING CABINET - 2
MOBILE FILE UNDER DESK DRAWERS - 2
UPHOLSTERED CHAIRS - 10
DESK CHAIRS - 9
STACKING CHAIRS (UPHOLSTERED) - 17
REFRIGERATOR - 1
CONFERENCE TABLE - 1
ROUND TABLE - 1
BOOK SHELVES - 2
FORM ORGANIZER - 1
COFFEE TABLE - 1
BULLETIN BOARDS - 6
LAMP- 1
DRY - ERASE BOARDS - 2
COMPUTER WORKSTATION - 3
PRINTERS - 3,2 ARE BROKEN
STORAGE CABINET - 1
FAX MACHINE - 1
COPIER - 1
TYPEWRITER - 1
PAPER SHREDDER - 1
MOBILE DROP-LEAF STAND - 1





<PAGE>   59




                                     ATT. A
                                ACQUIRED ASSETS

                      Equipment Inventory/Cambridge Office

<TABLE>

<S>                                                                   <C>
Banquet Folding Table                                                 1
Book case (2 shelves)                                                 2
Bookshelves                                                           11
Bulletin Board                                                        8
Coat Rack (Metal)                                                     1
Coffee Table                                                          1
Computer (Monitor Only)                                               2
Computers (Keyboard, Monitor, Tower Unit)                             12
Conference Tables (Round and Oblong)                                  2
Desk Chairs                                                           24
Desks                                                                 25
Display Booth                                                         1
End Tables                                                            3
Fax Machines                                                          3
File Cabinet (2 drawers)                                              23
File Cabinet on wheels(small)                                         1
File Cabinets (4 drawer)                                              49 (40 used for Medical Records)
Folding Chairs                                                        3
Large Storage Units(5 shelves) (2 plastic, 1 metal)                   3
Laser Printer (Large)                                                 1
Laser Printer (Small)                                                 1
Metal Stacking Chairs                                                 32
Microwave Oven                                                        1
Postage Meter                                                         1
Printer Table                                                         2
Printers (dot matrix)                                                 3
Side Table                                                            3
Storage Unit (4 drawers)                                              4
Storage Unit (2 drawer)                                               6
Upholstered chairs                                                    23
Wooden Storage Unit                                                   1
Work Station (2 shelves)                                              6
Work Station (6 shelves)                                              1
                                                                      2
</TABLE>

<PAGE>   60



                    ASSIGNMENT AND ASSUMPTION OF AGREEMENTS



        WHEREAS, MHM Extended Care Services, Inc. (hereinafter called
"Assignor") intends to transfer to Arbour Elder Services, Inc.  (hereinafter
called "Assignee") certain assets pursuant to a certain Asset Purchase
Agreement by and between Assignor and Assignee, dated December 21, 1998 (the
"Purchase Agreement"). The Closing Date shall have the same meaning as set
forth in the Purchase Agreement.

        WHEREAS, this Agreement shall be effective as of the Closing Date.

        NOW, THEREFORE, the parties hereby act and agree as follows:

                1.  Assignor hereby assigns to Assignee all of its rights,
title and interest in those Agreements in Exhibit A hereto listed (the
"Assigned Agreements").

                2.  Assignee hereby assumes and agrees to perform, fulfill and
observe all of the covenants, agreements, warranties, obligations and
liabilities of the Assignor accruing or arising under the Assigned Agreements
out of actual facts or situations occurring after the Closing Date.

                3.  Assignor hereby agrees to perform, fulfill and observe all
of the covenants, agreements, warranties, obligations and liabilities of the
Assignor occurring or arising (i) under the Assigned Agreements arising out of
actual facts or situations occurring prior to the Closing Date and (ii) under
those contracts and agreements of the Assignor not assigned to the Assignee
pursuant to this Agreement.

                4.  Notwithstanding anything herein to the contrary, the
provisions of this Agreement shall be subject to the provisions of the Purchase
Agreement, and if to the extent they are inconsistent, the provisions of the
Purchase Agreement shall be controlling.

        WITNESS the execution hereof on the 31 day of December, 1998.


<TABLE>
<S>                                                     <C>
ASSIGNOR:                                               ASSIGNEE:

MHM EXTENDED CARE SERVICES INC.                         ARBOUR ELDER SERVICES, INC.

M.S. PINKERT        1/4/99
- ---------------------------                             ROY ETTLINGER      12/31/98
Signature             Date                              ---------------------------
                                                        Signature             Date

Name:  MICHAEL PINKERT                                  Name:  ROY ETTLINGER
       ---------------------                                   ---------------------

Title: PRESIDENT                                        Title: CEO
       ---------------------                                   ---------------------
</TABLE>

<PAGE>   61
                                                                        12/30/98

                                     ATT. A
                                Acquired Assets

                                    OPENHOM
<TABLE>
<CAPTION>
- ----------------------------------------------------------------------------------------------
         Home                        Street                       City          State     Zip
- ----------------------------------------------------------------------------------------------
<S>                              <C>                            <C>             <C>      <C>                 
Abbot House                      28 Essex Street                Lynn            MA       01902
- ----------------------------------------------------------------------------------------------
Aberjona Nursing Center          184 Swanton Street             Winchester      MA       01890
- ----------------------------------------------------------------------------------------------
Acton Adult Day Care                                            Concord         MA
- ----------------------------------------------------------------------------------------------
Ashmere Manor NH                 229 George Schnopp Road        Hinsdale        MA       01235 
- ----------------------------------------------------------------------------------------------
Avery Manor                      100 West Street                Needham         MA       02194 
- ----------------------------------------------------------------------------------------------
Bartlett Manor RH                180 Summer Street              Malden          MA       02148
- ----------------------------------------------------------------------------------------------
Beaumont Rehabilitation          3 Vision Drive                 Natick          MA       01760 
- ----------------------------------------------------------------------------------------------
Blueberry Hill Healthcare        75 Brimbal Avenue              Beverly         MA       01915 
- ----------------------------------------------------------------------------------------------
Bolton Manor NH                  400 Bolton Street              Marlborough     MA       01752 
- ----------------------------------------------------------------------------------------------
Bourne Manor                     146 MacArthur Blvd             Bourne          MA       02532 
- ----------------------------------------------------------------------------------------------
Brittany Conv. Home              168 West Central Street        Natick          MA       01760 
- ----------------------------------------------------------------------------------------------
Brookhaven at Lexington          1010 Waltham Street            Lexington       MA       02173
- ----------------------------------------------------------------------------------------------
Buchanan Nursing Home            190 Summer Street              Malden          MA       02148 
- ----------------------------------------------------------------------------------------------
Cambridge Outpatient Clinic      23 East Street                 Cambridge       MA       02141 
- ----------------------------------------------------------------------------------------------
Cantabridgia Health Care         195 Prospect Street            Cambridge       MA       02139 
- ----------------------------------------------------------------------------------------------
Care Matrix of Dedham            10 Care Matrix Drive           Dedham          MA       02026 
- ----------------------------------------------------------------------------------------------
Carleton-Willard Village         100 Old Billerica Road         Bedford         MA       01730
- ----------------------------------------------------------------------------------------------
Carlyle Nursing & Rehab. Ctr.    342 Winter Street              Framingham      MA       01702 
- ----------------------------------------------------------------------------------------------
Catholic Memorial Home           2446 Highland Avenue           Fall River      MA       02720 
- ----------------------------------------------------------------------------------------------
Charlesgate Manor Conv. Home     590 Main Street                Watertown       MA       02172 
- ----------------------------------------------------------------------------------------------
Chelsea Jewish NH                17 Lafayette Street            Chelsea         MA       02150 
- ----------------------------------------------------------------------------------------------
Clark House Nursing Center       30 Longwood Drive              Westwood        MA       02090 
- ----------------------------------------------------------------------------------------------
COC - Bay View                   26 Sturgis Street              Winthrop        MA       02152 
- ----------------------------------------------------------------------------------------------
COC - Berkshire                  360 West Housatonic Street     Pittsfield      MA       01201 
- ----------------------------------------------------------------------------------------------
COC - Westfield                  60 East Silver Street          Westfield       MA       01085 
- ----------------------------------------------------------------------------------------------
Cohen, Florence, Levine Estates  201 Captain's Row              Chelsea         MA       02150
- ----------------------------------------------------------------------------------------------
Coolidge House                   30 Webster Street              Brookline       MA       02146 
- ----------------------------------------------------------------------------------------------
Cooperative Elder Services, Inc  37-B Street                    Burlington      MA       01803
(Burlington)                                                                                   
- ----------------------------------------------------------------------------------------------
Courtyard Nursing Care Ctr       200 Governor's Ave             Medford         MA       02155 
- ----------------------------------------------------------------------------------------------
East Longmeadow NH               305 Maple Street               East Longmead   MA       01028 
- ----------------------------------------------------------------------------------------------
Edgecombe Nursing Home           40 Sunset Avenue               Lenox           MA       02140 
- ----------------------------------------------------------------------------------------------
Elder Services Plan PACE         320 Washington Street          Brighton        MA       02135
Program, (Brighton)                                                                            
- ----------------------------------------------------------------------------------------------
Elder Services Plan              555 Amory Street               Jamaica Plain   MA       02146
PACE Program, (Jamaica P                                                                       
- ----------------------------------------------------------------------------------------------
Emerson Convalescent             59 Coolidge Hill Road          Watertown       MA       02172 
- ----------------------------------------------------------------------------------------------
FairHaven Nursing Home           476 Varnum Avenue              Lowell          MA       01854 
- ----------------------------------------------------------------------------------------------
German Home RH                   374 Howard Street              Lawrence        MA       01841 
- ----------------------------------------------------------------------------------------------
Glen Ridge NCC                   Hospital Road                  Malden          MA       02148 
- ----------------------------------------------------------------------------------------------
Goddard House                    210-205 South Huntington Ave   Jamaica Plain   MA       02130 
- ----------------------------------------------------------------------------------------------
Goddard House Asst. Living       165 Chestnut street            Brookline       MA       02146
- ----------------------------------------------------------------------------------------------
</TABLE>


                                     Page 1




<PAGE>   62


                                     ATT. A
                                ACQUIRED ASSETS

                                   OPENHOM                             12/30/98 

<TABLE>
<CAPTION>
- ----------------------------------------------------------------------------------------------------------
          Home                              Street                         City           State      Zip
- ----------------------------------------------------------------------------------------------------------
<S>                               <C>                                <C>                  <C>       <C>
Great Barrington Rehab            148 Maple Avenue                   Great Barringto      MA        01230
- ----------------------------------------------------------------------------------------------------------
Greenwood Nursing Home            80 Greenwood Street                Wakefield            MA        01880
- ----------------------------------------------------------------------------------------------------------
Hale House RH                     273 Clarendon Street               Boston               MA        02116
- ----------------------------------------------------------------------------------------------------------
Hallmark Nursing Home             1123 Rockdale Ave                  New Bedford          MA        02740
- ----------------------------------------------------------------------------------------------------------
Hammersmith House NCC             73 Chestnut Street                 Saugus               MA        01906
- ----------------------------------------------------------------------------------------------------------
Harrington House                  160 Main Street                    Walpole              MA        02081
- ----------------------------------------------------------------------------------------------------------
Hathaway Manor                    863 Hathaway Road                  New Bedford          MA        02740
- ----------------------------------------------------------------------------------------------------------
Holyoke Nursing Home              1913 Northampton Street            Holyoke              MA        01040
- ----------------------------------------------------------------------------------------------------------
Island Terrace NH                 57 Long Point Road                 Lakeville            MA        02347
- ----------------------------------------------------------------------------------------------------------
Jesmond Nursing Home              271 Nahant Road                    Nahant               MA        01908
- ----------------------------------------------------------------------------------------------------------
Jewish Rehab Center               300 Paradise Road                  Swampscott           MA        01907
- ----------------------------------------------------------------------------------------------------------
Kimwell Nursing                   495 New Boston Road                Fall River           MA        02720
- ----------------------------------------------------------------------------------------------------------
Life Care Center                  80 Boston Road                     N. Billerica         MA        01862
- ----------------------------------------------------------------------------------------------------------
Lynn Convalescent Home            655 Boston Street                  Lynn                 MA        01905
- ----------------------------------------------------------------------------------------------------------
Lynn Public Medical Institute     179 Holyoke Street                 Lynn                 MA        01905
- ----------------------------------------------------------------------------------------------------------
Mary Immaculate Nursing           172 Lawrence Street                Lawrence             MA        01841
- ----------------------------------------------------------------------------------------------------------
Meadow Green NH                   45 Woburn Street                   Waltham              MA        02154
- ----------------------------------------------------------------------------------------------------------
Meadowood Nursing Home            573 Granby Road                    South Hadley         MA        01075
- ----------------------------------------------------------------------------------------------------------
Milton Healthcare Facility        1200 Brush Hill Road               Milton               MA        02186
- ----------------------------------------------------------------------------------------------------------
Mt. Pleasant Rest Home            301 South Huntington Avenue        Jamaica Plain        MA        02130
- ----------------------------------------------------------------------------------------------------------
Neponset Circle                   35-45 Coffey Street                Dorchester           MA        02122
- ----------------------------------------------------------------------------------------------------------
Newton-Wellesley                  694 Worcester Street               Wellesley            MA        02181
- ----------------------------------------------------------------------------------------------------------
Nichols House Nursing Home        184 Main Street                    Fairhaven            MA        02719
- ----------------------------------------------------------------------------------------------------------
Northampton Nursing Home          737 Bridge Road                    Northampton          MA        01060
- ----------------------------------------------------------------------------------------------------------
Olympus Healthcare Ctr            1350 Main Street                   Worcester            MA        01603
- ----------------------------------------------------------------------------------------------------------
Olympus Specialty                 1400 State Street                  Springfield          MA        01109
- ----------------------------------------------------------------------------------------------------------
Our Ladys Haven                   71 Centre Street                   Fairhaven            MA        02719
- ----------------------------------------------------------------------------------------------------------
Park Avenue Nursing Home          146 Park Avenue                    Arlington            MA        02174
- ----------------------------------------------------------------------------------------------------------
Pilgrim Rehabilitation            95 Forest Street                   Peabody              MA        01960
- ----------------------------------------------------------------------------------------------------------
Providence House NH               84 Chapin Street                   Southbridge          MA        01550
- ----------------------------------------------------------------------------------------------------------
Quaboag on the Common             47 East Main Street                West Brookfield      MA        01585
- ----------------------------------------------------------------------------------------------------------
Rainbow Nursing Home              210 Lowell Street                  Peabody              MA        01960
- ----------------------------------------------------------------------------------------------------------
Rogerson Communities              434 Jamaicaway                     Boston               MA        02130
- ----------------------------------------------------------------------------------------------------------
Sacred Heart Nursing Home         359 Summer Street                  New Bedford          MA        02740
- ----------------------------------------------------------------------------------------------------------
Sancta Maria Nursing Facility     799 Concord Ave                    Cambridge            MA        02138
- ----------------------------------------------------------------------------------------------------------
Sherrill House                    135 Huntington Avenue              Jamaica Plain        MA        02130
- ----------------------------------------------------------------------------------------------------------
Southpoint Rehabilitation         100 Amity Street                   Fall River           MA        02721
- ----------------------------------------------------------------------------------------------------------
Springside of Pittsfield          255 Lebanon Ave                    Pittsfield           MA        01201
- ----------------------------------------------------------------------------------------------------------
Stephen Caldwell Memorial         16 Green Street                    Ipswich              MA        01938
- ----------------------------------------------------------------------------------------------------------
</TABLE>


                                     Page 2

<PAGE>   63

                                     ATT. A
                                ACQUIRED ASSETS

                                   OPENHOM                             12/30/98

<TABLE>
<CAPTION>
- ----------------------------------------------------------------------------------------------------------
          Home                              Street                         City           State      Zip
- ----------------------------------------------------------------------------------------------------------
<S>                               <C>                                <C>                  <C>       <C>
Sunny Acres Nursing Home          254 Billerica Road                 Chelmsford           MA        01824
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Beverly            265 Essex Street                   Beverly              MA        01915
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Brighton           142 Bigelow Street                 Brighton             MA        02135
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Broadway           281 Broadway                       Methuen              MA        01844
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Brookline          99 Park Street                     Brookline            MA        02146
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Colonial Heights   555 South Union Street             Lawrence             MA        01843
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Concord            578 Old Rd. to Nine Acre Corner    Concord              MA        01742
- ----------------------------------------------------------------------------------------------------------
SunRise Care - East Longmeadow    135 Benton Drive                   East Longmead        MA        01028
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Fall River         170 Oak Grove                      Fall River           MA        02723
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Glenwood           557 Varnum Avenue                  Lowell               MA        01854
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Holyoke            260 East Hampton Road              Holyoke              MA        01040
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Lexington          178 Lowell Street                  Lexington            MA        02173
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Lowell             19 Varnum Street                   Lowell               MA        01850
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Milford            10 Veterans Memorial Drive         Milford              MA        01757
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Millbury           81 Chatham Street                  Worcester            MA        01609
- ----------------------------------------------------------------------------------------------------------
SunRise Care - New Bedford        221 Fitzgerald Drive               New Bedford          MA        02745
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Newton             2101 Washington Street             Newton               MA        02162
- ----------------------------------------------------------------------------------------------------------
SunRise Care - North Reading      134 North Street                   North Reading        MA        01864
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Northampton        548 Elm Street                     Northampton          MA        01060
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Northshore         70 Granite Street                  Lynn                 MA        01901
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Peabody Glen       199 Andover Street                 Peabody              MA        01960
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Randolph           49 Thomas Patten Drive             Randolph             MA        02368
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Town Manor         55 Lowell Street                   Lawrence             MA        01841
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Weymouth           64 Performance Drive               Weymouth             MA        02189
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Wilmington         750 Woburn Street                  Wilmington           MA        01887
- ----------------------------------------------------------------------------------------------------------
SunRise Care - Wood Mill          800 Essex Street                   Lawrence             MA        01841
- ----------------------------------------------------------------------------------------------------------
Taunton Outpatient Clinic         30 Taunton Green Street            Taunton              MA        02780
- ----------------------------------------------------------------------------------------------------------
Waban Health & Rehab. Inc.        22 Kinmonth Road                   Newton               MA        02468
- ----------------------------------------------------------------------------------------------------------
Walden House                      785 Main Street                    Concord              MA        01742
- ----------------------------------------------------------------------------------------------------------
Wellesley Health & Rehab          878 Worcester Road                 Wellesley            MA        02181
- ----------------------------------------------------------------------------------------------------------
Wentworth Nursing Care Center     500 Wensworth Avenue               Lowell               MA        01852
- ----------------------------------------------------------------------------------------------------------
Whitney Place                     3 Vision Drive                     Natick               MA        01760
- ----------------------------------------------------------------------------------------------------------
Willowood of Great Barrington     151 Christian Hill Road            Great Barrington     MA        01230
- ----------------------------------------------------------------------------------------------------------
Willowood of Pittsfield           169 Valentine Road                 Pittsfield           MA        01201
- ----------------------------------------------------------------------------------------------------------
Winchester Nursing Center         223 Swanton Street                 Winchester           MA        01890
- ----------------------------------------------------------------------------------------------------------
Wingate at Brighton               100 N. Beacon Street               Brighton             MA        02134
- ----------------------------------------------------------------------------------------------------------
Wingate at Sudbury                136 Boston Post Road               Sudbury              MA        01776
- ----------------------------------------------------------------------------------------------------------
Woburn Nursing Home               18 Frances Street                  Woburn               MA        01801
- ----------------------------------------------------------------------------------------------------------
</TABLE>


                                     Page 3
<PAGE>   64
                                     ATT.A
                                ACQUIRED ASSETS
                CLINICAL AGREEMENTS AND NON-COMPETE AGREEMENTS
                           LIST OF SIGNED AGREEMENTS


ACKERMAN, TED                               MELNICK, BARRY
BARSKY, SUSAN                               MERL, LYNNE M.
BELOZERSKY, IRENE                           MINALGA, MARY
BENNER, SHARON                              MONDALE, JASON
BERKSHIRE MEDICAL CENTER                    MOORE, NANCY
BERLIN, JOAN                                NEEDLES, DOUGLAS
BROWN, ALAN                                 NESTELBAUM, ZAMIR
CABEZAS, THOMAS                             NOAH, DEBORAH LEE
CAMERLENGO, SUSAN                           OWENS, HONORA E.
CARLSON, CHRISTIE M.                        PIAFSKY, LYNNE
COHEN, LEWIS                                POSTLETHWAITE, JOAN
CRENSHAW, BRADLEY                           REICH, FAYE      
CUTLER, MARK                                RICHTER, CWIRA   
DONAHUE, JACQUELINE                         RILEY, DOUGLAS C.
FARRINGTON, LEE                             ROOS, PATRICIA E.
FRASER-DEXTER LINDA                         RUSNAK, STANLEY
FINK, CARLA                                 RUYLE, JEANETTE
FISHBEIN, LESLIE                            SABA, MARIE L.
GERHARD, FREDERICK                          SCHEINAN, WENDY
GRAESSER, SUSAN                             SCHWARZ, RACHEL
HAAS, HOWARD                                SCORZELLI, JAMES
HAMMOND, DAVID                              SEPPELIN, MARTETTA
HARDNEY, SYLVIA                             SPADOLA, MADELINE
HILL, PHILLIP                               TARQUINO, ERNEST
HYNICK, TIMOTHY                             TRIKHA, ANJANA
INGRAHAM, MERLE                             VAN ZOEREN, BARBARA
ISRAEL, JOSHUA                              VERNICK, SHELIA
JANNEY, PETER                               WALLACE, MARY
JONES, DAVID                                WASSERMAN, CHARLES
KALINA, LIZABETH                            WEISBERGER, CHARLES
KATIS, MARY                                 WEINER, RHONDA
KNIGHT, WILLIAM                             WILSON-EVERETT. ANDREA
LAFERNEY, MICHAEL                           YALOFF, BEVERLY
LEBAR, JILL                                 YOUNG, RUTH C.
LONGO, RICHARD                              ZIEFF, ERIC
LOOPER, JOHN
MAIMAN, ELLEN
MARTIN, LUZ M.
MCMURTRY, DOUGLAS

<PAGE>   65



                                     ATT.A
                                  NON-COMPETE
                           LIST OF SIGNED AGREEMENTS


ABRAHAMSON, ERIKA
BENNER, SHARON
BRYKMAN, GAIL
CHOW, MICHAEL
CREDITOR, SUSAN
CUASAY, CATHERINE
FAGAN, SUSAN
FESSLER, SUSAN
HYNICK, TIMOTHY
JANNEY, PETER
MACHELL, STEPHANIE
PEACH, KIMBERLY
PIAFSKY, LYNN
RALPH JENNIFER
REICH, FAYE
ST. GEORGE, GENEVIEVE
TAMULEVICH, JANE
TARQUINO, ERNEST
VAN ZOEREN, BARBARA
VON WITTENBERGH, RON
WALLACE, MARY ANN
WINTLE, CAROL
<PAGE>   66

                                      ATT. A
                                ACQUIRED ASSETS
                                SCHOOL CONTRACTS

              School Based Active Referral Sources - Kim Tamaren        12/30/98
<TABLE>
<CAPTION>
                                                                                                                
- -----------------------------------------------------------------------------------------------------------------------------------
  Organization Name            Address             City       State  Postal        Work #         Contact             Clinician
- -----------------------------------------------------------------------------------------------------------------------------------
<S>                    <C>                    <C>             <C>    <C>     <C>             <C>                 <C>
Bates Elementary       426 Beech St.          Roslindale      MA     02131   (617) 635-8064  Sylvia Pittman      K-Payne, C
- -----------------------------------------------------------------------------------------------------------------------------------
Bradley Elementary     110 Beachview Rd.      E. Boston       MA     02128   (617) 635-8422  Catherine O'Brien   Wintel, C
- -----------------------------------------------------------------------------------------------------------------------------------
Conley Elementary      450 Poplar St.         Roslindale      MA     02131   (617) 635-8099  Leah Sharkley
- -----------------------------------------------------------------------------------------------------------------------------------
Dever Elementary       325 Mount Vernon St.   Dorchester      MA     02125   (617) 635-8694  Peg Handraham       Falkoff and K-Pay
- -----------------------------------------------------------------------------------------------------------------------------------
Guild Elemenatry       195 Leydon St.         E. Boston       MA     02128   (617) 635-8523  Simon Ho            Wintel, C
- -----------------------------------------------------------------------------------------------------------------------------------
Manning Elementary     130 Louders Lane       Jamaica Plain   MA     02130   (617) 635-8102  Mrs. Walker         Winkle, C
- -----------------------------------------------------------------------------------------------------------------------------------
McCormack Middle       315 Mount Vernon St.   Dorchester      MA     02125   (617) 635-8657  Karen Mallory       Chow + Cuasa
- -----------------------------------------------------------------------------------------------------------------------------------
Roosevelt Elementary  95 Needham St.         Hyde Park       MA     02136   (617) 635-8676  Mr. McLean
  * on hold
- -----------------------------------------------------------------------------------------------------------------------------------
Shaw Middle            20 Mt. Vernon St.      West Roxbury    MA     02132   (617)635-8050   Mrs. Camerson
- -----------------------------------------------------------------------------------------------------------------------------------
Sumner Elementary      15 Basile St.          Roslindale      MA     02131   (617)635-8131   Mr. Shay -          K-Payne + Abr
                                                                                             Principal
- -----------------------------------------------------------------------------------------------------------------------------------
Warren-Prescott        50 School St.          Charlestown     MA     02129   (617)635-8346   Dr. Amara -         Machell, S
  Elementary                                                                                   Principal
- -----------------------------------------------------------------------------------------------------------------------------------
Washington Irving      114 Cummins Hwy        Roslindale      MA     02131   (617)635-8072   Nancy Lee           Herber + Cuasa
  Middle
- -----------------------------------------------------------------------------------------------------------------------------------
Wheatley Middle        20 Kearsarge Ave.      Roxbury         MA     02121   (617)635-8165   Gloria Di Angelis   K-Payne, C
- -----------------------------------------------------------------------------------------------------------------------------------
Mayflower              Mayflower Ave.         Middleboro      MA     02346   (508)946-2033   Bob Brown           Creditor, S
- -----------------------------------------------------------------------------------------------------------------------------------
Memorial Jr. High      Main Street            Middleboro      MA     02346   (508)946-2020   Dina Medeiros       Creditor, S
- -----------------------------------------------------------------------------------------------------------------------------------
Edwards Middle         28 Walker Street       Charlestown     MA     02129   (617)635-8516   Maureen McGoldrick  Gerhard, F
- -----------------------------------------------------------------------------------------------------------------------------------
</TABLE>


                                     Page 1
<PAGE>   67
                          ARBOUR ELDER SERVICES, INC.

                              CLOSING CERTIFICATE



    I, Thomas J. Bender, the Vice President of Arbour Elder Services, Inc., a
Massachusetts corporation, (the "Corporation"), do hereby certify, pursuant to
the Asset Purchase Agreement by and between the Corporation and MHM Extended
Care Services, Inc., dated December 21, 1998 (the "Agreement"), to the best of
my knowledge, as follows:

    1.  That each of the representations and warranties of the Corporation set
forth in Section 6 of the Asset Purchase Agreement are true and correct as of
the date of closing.


    IN WITNESS WHEREOF, the undersigned has executed this Certificate as of the
31st day of December 1998.



                                  Arbour Elder Services, Inc.



                                  By:    /s/ THOMAS J. BENDER
                                     ---------------------------------
                                         Thomas J. Bender
                                         Vice President





<PAGE>   68



                            SECRETARY'S CERTIFICATE


    I, Bruce R. Gilbert, Secretary of Arbour Elder Services, Inc. (the
"Corporation"), do hereby certify that the following is a true and correct copy
of the resolution adopted by the Board of Directors of said Corporation on
December 1, 1998.

    RESOLVED, that the Board of Directors of the Corporation does hereby
authorize the Corporation to enter into an Asset Purchase Agreement (the
"Agreement") by and between the Corporation and MHM Extended Care, Inc.
("Seller") whereby the Corporation shall purchase certain assets of the Seller
related to the Seller's Massachusetts behavioral health care business, for a
purchase price of $850,000, as more particularly set forth in the Purchase
Agreement; and further

    RESOLVED, that Roy Ettlinger, CEO of Arbour Health Systems be authorized
and directed to take such actions and to execute and deliver, on behalf of the
Corporation, the Agreement and any and all other documents related to the
transaction as Mr Ettlinger deems necessary and desirable, with the advice of
counsel, to carry out the intent and purposes set forth in the preceding
resolution.

    WITNESS, my hand and seal of the Corporation this 31st day of December
1998.





                                  /s/ BRUCE R. GILBERT
                                  ----------------------------------
                                  BRUCE R. GILBERT
                                  SECRETARY





<PAGE>   69




                        UNIVERSAL HEALTH SERVICES, INC.

                     CERTIFICATE OF THE ASSISTANT SECRETARY



    I, Bruce R. Gilbert, Assistant Secretary of Universal Health Services, Inc.,
a Delaware corporation (the "Corporation"), DO HEREBY CERTIFY as follows:

    A.  That the following officer of the Corporation has been duly elected,
        and as of the date hereof, holds the offices of the Corporation
        specified beside his name, and that the signature set forth beside his
        name is his true signature

        Title             Typed Name              Signature
        -----             ----------              ---------

        Vice President    Thomas J. Bender        /s/ THOMAS J. BENDER
                                                  ---------------------------

    B.  That Thomas J. Bender is authorized to execute and deliver on behalf of
        the Corporation, that certain Asset Purchase Agreement by and between
        Arbour Elder Services, Inc. (a wholly owned subsidiary of the
        Corporation) and MHM Extended Care Services, Inc. dated December 21,
        1998

        IN WITNESS WHEREOF, I have hereunto set my hand as of the 21st day of
December, 1998.





                                  /s/ BRUCE R. GILBERT
                                  ------------------------------
                                  Bruce R. Gilbert
                                  Assistant Secretary





<PAGE>   70




[UHS LETTERHEAD]



MHM Extended Care Services, Inc.
c/o MHM Services, Inc.
8000 Towers Cresent Drive
Suite 810
Vienna, VA 22182
Attn:  Lee Calligaro, Esq.

Ladies and Gentlemen:

    Reference is made to the Asset Purchase Agreement dated as of December 21,
1998 (the "Purchase Agreement"), between Arbour Elder Services, Inc., a
Massachusetts company ("Buyer") and MHM Extended Care Services, Inc., a
Delaware corporation ("Seller").

    I have acted as counsel for Buyer and Universal Health Services, Inc. (as
Guarantor of the obligations of the Buyer) ("UHS") in connection with the
preparation of the Purchase Agreement, and the Exhibits thereto. In connection
therewith, I have examined such documents and other records and questions of
law, and made such inquiries as I have deemed necessary for the purposes of
this opinion.

    On the basis of the foregoing, I advise you that in my opinion:

    1.  Buyer is a corporation duly organized and existing under, and by virtue
of, the laws of the Commonwealth of Massachusetts, is in good standing under
such laws. Buyer has the requisite corporation power to own and operate its
respective properties and assets.

    2.  Buyer and UHS have all requisite power to enter into and to carry out
and perform their obligations under the Purchase Agreement.

    3.  All action on the part of the Buyer and UHS necessary for the
authorization, execution, delivery and performance by Buyer and UHS of the
Purchase Agreement and the consummation of the transactions contemplated
therein has been taken. The Purchase Agreement is a valid and binding
obligation of the Buyer and UHS, enforceable in accordance with its terms,
except as enforcement may be limited by applicable bankruptcy, insolvency,
reorganization, moratorium or other similar laws, from time to time in effect,
affecting the enforcement of creditors' rights generally (no opinion being
expressed herein with respect to the availability of specific performance and
other equitable remedies).


                         [CELEBRATING 20 EXCELLENCE LOGO]


<PAGE>   71



December 31, 1998
MHM Extended Care Services, Inc.
Page 2



    4.  The execution, delivery and performance of and compliance with the
Purchase Agreement will not result to any violation of, be in conflict with or
result in a breach of the terms, conditions or provisions of, or constitute a
default under, any term of Buyer's or UHS's Articles of Incorporation or
Bylaws. The execution, delivery performance of and compliance with the Purchase
Agreement will not, to the best of my knowledge, result in any violation of, or
be in conflict with, or constitute a default under, any (i) term of any
mortgage, indenture, contract, agreement, instrument, judgment, decree or other
applicable to Buyer, or result in the creation of any mortgage, pledge, lien,
encumbrance or charge upon any of the properties or assets of Buyer pursuant to
any such term, (ii) outstanding judgment, decree or order of any court binding
on Buyer or UHS, or (iii) provision of state of Federal law, or any rule or
regulation thereunder, to which Buyer is subject.

    When a matter is stated herein as being "to the best of my knowledge," I
have not conducted an independent investigation into such matter and am
intending to advise you that in the course of my representation of Buyer,
nothing has come to my attention that leads me to believe, and I do not
believe, that the matter is other than as stated herein.

    This letter and the opinions referred to herein are effective only as to
the Closing as that term is defined in the Purchase Agreement. The opinions
expressed herein are rendered only to you and are solely for your benefit in
connection with the consummation of the transactions contemplated by the
Purchase Agreement. Such opinions may not be relied upon by you for any other
purpose, or furnished to, quoted to or relied by any other person, firm, or
entity for any purpose, without the express written consent of the undersigned.


                                  Very truly yours,



                                  /s/ GEORGE H. BRUNNER, JR.
                                  -----------------------------------
                                  George H. Brunner, Jr.
                                  Assistant General Counsel
                                  UHS of Delaware, Inc.






<PAGE>   72





                   [HEALTHCARE FINANCIAL PARTNERS LETTERHEAD]




                               December 30, 1998


MHM Extended Care Services, Inc.
8000 Towers Crescent Drive
Suite 810
Vienna, Virginia 22182
Attention: Mr. Michael S. Pinkert

    RE:    ARBOUR HEALTH SYSTEMS

Dear Mr. Pinkert:

    HCFP Funding, Inc. ("HCFP") understands that Arbour Health Systems
("Arbour") is purchasing from MHM Extended Care Services, Inc. ("MHM")
substantially all of MHM's assets related to MHM's Massachusetts operations
(which assets expressly exclude cash and accounts receivable of MHM) pursuant
to that certain Asset Purchase Agreement dated December 21, 1998 (the "Asset
Agreement").  Pursuant to a Loan and Security Agreement by and among HCFP and
MHM and certain of its affiliates (collectively, "Borrower"), dated as of March
11, 1997, as amended on September 24, 1997 (the "Loan Agreement"), HCFP is
making, and may in the future make, loans to Borrower, which loans are secured
by, among other things, the accounts receivable of MHM (the "Accounts
Receivable"). In connection with said financing arrangement, HCFP has required
that all remittances made by Account Debtors in payment of the Accounts
Receivable be made to the Lockbox Account specified in the Loan Agreement (the
"Lockbox Account") and described on Exhibit A to this Letter Agreement.

    1.  As provided in Section One (1) of the Asset Agreement, the Accounts
Receivable attributable to services rendered prior to the closing date of the
transactions contemplated by the Asset Agreement (the "pre-Closing Date
Accounts Receivable") are not included in the assets being sold and MHM shall
be responsible for collecting such pre-Closing Date Accounts Receivable. MHM
hereby confirms to HCFP that the proceeds of any and all of the pre-Closing
Date Accounts Receivable collected by MHM shall be immediately forwarded to the
Lockbox Account.

    2.  Until notified that all balances due to HCFP under the Loan Agreement
and that certain Secured Bridge Note made by MHM and certain affiliates in
favor of HCFP Funding II, Inc., an affiliate of Lender ("Funding II"), dated as
of July 15, 1998 (which Note has a Maturity Date of January 15, 1999 but which
may be extended upon the mutual agreement of MHM and Funding II). Arbour hereby
agrees to take all necessary steps to process any remittances, checks

or other cash items that are identified as the proceeds of pre-Closing Date
Accounts Receivable

<PAGE>   73





                   [HEALTHCARE FINANCIAL PARTNER LETTERHEAD]

MHM Extended Care Services, Inc.
December 30, 1998
Page Two



and to promptly remit such items (no more than three (3) business days after
receipt of such items) to the Lockbox Account at the address specified on
Exhibit A to this Letter Agreement. Arbour hereby waives any right of setoff or
claim against pre-Closing Date Accounts Receivable and the proceeds therefrom
until MHM'S debt to HCFP has been extinguished.

    If the foregoing is acceptable, please sign below where indicated and
return this Letter Agreement to the undersigned

                                       Very truly yours,


                                       HCFP FUNDING, INC.


                                       By:  /s/ JEFFREY P. HOFFMAN
                                          ------------------------------
                                           Jeffrey P. Hoffman
                                           Vice President





ACCEPTED AND AGREED TO:

MHM EXTENDED CARE SERVICES, INC.



By: /s/      [sig]
   ------------------------
Name: /s/    [sig]
     ----------------------
Title:    President
       --------------------


ACCEPTED AND AGREED TO AS TO PARAGRAPH 2 ONLY:

ARBOUR HEALTH SYSTEMS



By:   /s/ ROY ETTLINGER
    -----------------------
Name:  Roy Ettlinger
     ----------------------
Title:  CEO
      ---------------------






<PAGE>   1
                                                               Exhibit No. 10-4


                           ASSET ACQUISITION AGREEMENT

       This Asset Acquisition Agreement ("AGREEMENT") is entered into as of the
22nd day of December, 1998 by and between BHG of Pennsylvania, LLC, a
Pennsylvania limited liability company ("BUYER") and MHM EXTENDED CARE SERVICES,
INC., a Delaware corporation ("SELLER").

                                    RECITALS

       Buyer desires to purchase and Seller desires to sell to Buyer certain
assets and business related to Seller's operation within the State of
Pennsylvania (the "STATE") related to arranging for the delivery of mental
health services to patients of nursing homes located in the State and any
nursing homes located in New Jersey (the "OPERATIONS") which exist as of the
date of this Agreement, all on the terms and subject to the conditions set forth
in this Agreement.

       NOW, THEREFORE, in consideration of the mutual covenants and agreements
set forth in this Agreement and for good and valuable consideration, the receipt
and sufficiency of which are hereby acknowledged, Buyer and Seller agrees as
follows:

1.     ACQUIRED ASSETS. SCHEDULE 1.1 lists the assets to be conveyed which 
include, to the extent assignable, all contracts with nursing homes related to
the Operations for provision of mental health services, all patient and employee
records and databases, all customer lists of the Operations, all rights under
covenants not to compete or similar agreements related to the Operations, all
management agreements and other contractual rights Seller may have related to
the Operations, and all other tangible and intangible property related to the
Operations (collectively, the "ACQUIRED ASSETS"). Seller will transfer to Buyer
at Closing all billing information and other files (whether in paper or
digitized form) related to the Operations, including correspondence and
communications with regulatory agencies, except as to billing records needed to
collect accounts receivable retained by Seller (to which records each party
shall have full access). Subject to the terms and conditions of this Agreement,
Buyer agrees to purchase and Seller agrees to sell, assign and deliver to Buyer,
all of Seller's right, title and interest in, to and under the Acquired Assets,
free and clear of any mortgage, pledge, hypothecation, claim, security interest,
encumbrance, right or interest of others, lease, license, easement,
encroachment, covenant, title defect, lien, option or right of first refusal
(collectively, "LIENS"). The Acquired Assets shall not include, and Seller shall
retain, all cash, cash equivalents, and accounts receivable related to the
Operations prior to Closing, and all assets of business operations similar to
the Operations conducted by Seller in states other than the State (collectively
the "EXCLUDED ASSETS").

2.     ASSUMPTION OF LIABILITIES. Buyer will not assume or become responsible 
for any liabilities or obligations of Seller. Buyer acknowledges that Buyer is
responsible for its liabilities arising after the Closing resulting from the
Acquired Assets.
<PAGE>   2

3.     PURCHASE PRICE.

       3.1.  Purchase Price. The aggregate purchase price for the Acquired 
Assets (the "PURCHASE PRICE") is $170,000. The Purchase Price shall be comprised
of (1) a demand promissory note substantially in the form attached as EXHIBIT A,
in the amount of $20,000 payable to Seller (the "DEMAND NOTE"), and (2) a term
promissory note substantially in the form attached as EXHIBIT B, in the amount
of $150,000 payable to Seller (the "TERM NOTE"). Buyer shall pay the Purchase
Price to Seller by: (i) executing and delivering the Demand Note upon execution
of this Agreement, and (ii) executing and delivering the Term Note at Closing.

       3.2.  Payment of the Demand Note and the Term Note. The Demand Note shall
be in the principal amount of $20,000 which is due, in its entirety, at Closing
and if Closing does not occur by December 31, 1998, other than as a result of
the non-satisfaction of the conditions described in SECTION 7, then upon
Seller's written demand, without interest. The Term Note shall be in the
principal amount of $150,000 which is due, in its entirety, on the 90th day
after the Closing without interest.

       3.3.  Purchase Price Allocation. The Purchase Price will be allocated
among the Acquired Assets as follows: (1) fixtures, furniture and equipment:
$9,501 and (2) the balance to the Contracts.

4.     REPRESENTATIONS AND WARRANTIES OF SELLER. Except as expressly set forth 
to the contrary in a schedule hereto, Seller represents and warrants to Buyer as
follows:

       4.1.  Seller and its Board of Directors and stockholders have taken all
action required by its articles of incorporation, bylaws, and otherwise to
authorize the execution and, as of Closing will have taken all action to
consummate, this Agreement. This Agreement constitutes the valid and legally
binding obligation of Seller, enforceable in accordance with its terms, except
that enforceability may be limited by applicable equitable principles or
bankruptcy, insolvency, or similar laws affecting the enforcement of creditors'
rights generally.

       4.2.  The execution and consummation by Seller of this Agreement, and the
other agreements and documents contemplated hereby, will not (a) violate the
terms of Seller's articles of incorporation, bylaws or any instrument,
agreement, mortgage, judgment, decree, commitment or understanding, written or
oral, to which Seller is a party, or by which Seller or any of its property is
bound, (b) conflict with, result in a breach of, constitute (with giving of
notice or lapse of time or both) a default under or give any person any right to
terminate, modify, accelerate or otherwise change the existing obligations of
Seller under any such instrument, agreement, mortgage, judgment, decree,
commitment or understanding, (c) result in the creation or imposition of any
Lien upon the Acquired Assets, or (d) violate any applicable law.

       4.3.  Seller is duly organized, validly existing and in good standing
under the laws of Delaware. Seller has full power and authority to carry on its
business as it is now being conducted, to own and lease the properties and
assets which it now owns or leases and to


                                       2
<PAGE>   3

consummate Seller's obligations under this Agreement. Seller is duly qualified
to do business and is in good standing as a foreign corporation in Pennsylvania
and Virginia.

       4.4.  Seller has (a) timely filed in accordance with applicable laws, all
Tax Returns (as defined below) with respect to Taxes, except as to certain state
income Tax Returns as to which no Taxes are, or will be, due, (b) paid all Taxes
(as defined below) shown to have become due pursuant to such Tax Returns, and
(c) paid all Taxes for which a notice of, or assessment or demand for, payment
has been received or which are otherwise due or payable. In respect of Seller
(i) there is no action, suit, proceeding, investigation, audit, claim or
assessment pending or proposed with respect to Taxes or with respect to any Tax
Return, (ii) all amounts required to be collected or withheld by Seller with
respect to Taxes have been duly collected or withheld and any such amounts that
are required to be remitted to any taxing authority have been duly remitted,
(iii) no extension of time within which to file any Tax Return has been
requested which Tax Return has not since been filed, (iv) there are no security
interests for Taxes upon the Acquired Assets, and (v) there are no waivers or
extensions of any applicable statute of limitations for the assessment or
collection of Taxes with respect to any Tax Return which remain in effect. The
term "TAX(ES)" shall mean any federal, state, local or foreign income, gross
receipts, franchise, estimated, alternative minimum, add-on minimum, sales, use,
transfer, registration, value added, excise, natural resources, severance,
stamp, occupation, premium, windfall profit, environmental, customs, duties,
real property, personal property, capital stock, social security, unemployment,
disability, payroll, license, employee or other withholding, or other tax, of
any kind whatsoever, including any interest, penalties or additions to tax or
additional amounts in respect to the foregoing. The term "TAX RETURN(S)" shall
mean returns, declarations, reports, claims for refund, information returns or
other documents (including any related or supporting schedules, statements or
information) filed or required to be filed in connection with the determination,
assessment or collection of any Taxes or the administration of any laws,
regulations or administrative requirements relating to any Taxes.

       4.5.  SCHEDULE 4.5 hereto sets forth a true and correct list of any items
of furniture, fixtures, equipment and other personal property included among the
Acquired Assets, all of which are conveyed "AS IS" with no warranties, express
or implied, as to the condition of such assets.

       4.6.  Seller has good and marketable title to all of the Acquired Assets,
free and clear of any Liens. Upon consummation of the transactions provided in
this Agreement, Buyer will be vested with good and marketable title to all of
the Acquired Assets, free and clear of all Liens.

       4.7.  No waiver, consent or approval from or filing with any person will
be required for Seller to consummate this Agreement, and the other agreements
contemplated hereby, without creating a default or liability.

       4.8.  Seller has not incurred any liability to any broker, finder or 
agent and there are no claims for any brokerage fees, finder's fees or
commissions in connection with the transactions contemplated by this Agreement.


                                       3
<PAGE>   4

       4.9.  All balance sheets, income statements and other financial
information furnished by Seller to Buyer fairly represent the financial
condition of the Operation as of the date and for the period shown thereon. All
other information, reports, documents, papers and data furnished by Seller to
Buyer are accurate and correct in all material respects and complete insofar as
completeness may be necessary to give Buyer a true and accurate knowledge of the
subject matter thereof. Since September 30, 1998:

             (i) there has been no material adverse change in the Acquired
Assets, the Operations, liabilities, profits, prospects or conditions (financial
or otherwise) of the Operations, and, to Seller's Best Knowledge, no fact or
condition exists or is contemplated or threatened which might reasonably be
expected to cause such a change in the future;

             (ii) there has been no damage, destruction, loss or claim, whether
or not covered by insurance, or condemnation or other taking adversely affecting
in any material respect any of the Acquire Assets or the Operation; and

             (iii) Seller has conducted the Business only in the ordinary course
and in conformity with past practice.

       4.10. Seller does not have any unpaid and past due debts, claims or
liabilities relating to the Purchased Assets; Seller's assets exceed its
liabilities; and Seller is paying its liabilities as they arise in the ordinary
course of business.

       4.11. There are no lawsuits, claims, proceedings or investigations
pending or threatened against or affecting Seller in respect of the Acquired
Assets or the Operations nor is there any basis for any of the same, and there
is no lawsuit, claim or proceeding pending in which Seller is the plaintiff or
claimant which relates to the Acquired Assets or the Operations. To Seller's
Best Knowledge, the Acquired Assets and the Operations comply in all material
respects with all applicable federal, state and local laws affecting them and
the Operations. To Seller's Best Knowledge, Seller has complied in all material
respects with all federal, state and local laws which are applicable to the
Purchased Assets or the Operation.

       4.12. Complete and correct copies of each contract, lease, license, or
any other agreement (written or verbal) (collectively "CONTRACTS") to which
Seller is a party and which relate to the Operations have been delivered to
Buyer by Seller. All such Contracts are legal, valid, binding, enforceable, in
full force and effect, and, except as provided in SECTION 6.7 and subject to any
required consent of the other parties thereto, are fully transferable to Buyer.
No party is in breach or default, and no event has occurred which with notice or
lapse of time would constitute a breach or default, or permit termination,
modification or acceleration, under said Contracts. No party has repudiated any
provision of any Contract. Seller has not received any notice or information
from any client indicating an intention to decrease the quantity of services
Seller provides to any such client, or to reduce the rates at which Seller is
being compensated for any and all services provided by Seller under any
Contract.


                                       4
<PAGE>   5

       4.13. To Seller's Best Knowledge, all health care professionals under
contract, directly or indirectly, with Seller are duly licensed and/or
certified, as appropriate and in good standing in their areas of practice. To
Seller's Best Knowledge, all such providers are qualified to render the services
which they have contracted to render. Seller has been assigned the authority to
bill the Medicare and Medicaid programs on behalf of health care professionals
who provide services pursuant to their contracts with Seller.

       4.14. Seller is not a party to any collective bargaining or labor
agreement and there is not now any strike, slow-down, work stoppage, lockout,
organizational campaign or other labor controversy or dispute pending or
threatened. Seller is not liable for any unpaid wages, bonuses or commissions,
or for any tax penalty, assessment or forfeiture for failure to comply with any
employer/employee matter.

       4.15. Seller has obtained and maintained in full force and effect
commercially reasonable amounts of insurance to protect itself and the Acquired
Assets and Operations against the types of liabilities, including medical
malpractice, customarily insured against by such entities in connection with the
operation of similar practices, and all premiums due on such policies have been
paid. Such insureds have complied in all material respects with the provisions
of all such policies.

       4.16. Seller owns or has the perpetual royalty-free right to use all
patents, trademarks, service marks, copyrights, trade names, inventions,
improvements, processes, formulae, trade secrets, mailing lists, know-how and
proprietary or confidential information used in conducting the Operations. No
infringement of any patent, patent right, trademark, service mark, trade name or
copyright or registration thereof has occurred or results in any way from the
operation or business of the Business.

       4.17. None of the representations or warranties of Seller contained
herein, and none of the information referred to, and none of the other
information or documents furnished or to be furnished to Buyer by Seller
pursuant to the terms of this Agreement, is false or misleading in any material
respect or omits to state a fact necessary to make the statements herein or
therein not misleading in any material respect. There is no fact which adversely
affects or in the future is likely to adversely affect the Acquired Assets or
the Operations in any material respect which has not been set forth or referred
to in this Agreement.

5.     REPRESENTATIONS AND WARRANTIES OF BUYER. Buyer represents and warrants to
Seller as follows:

       5.1.  Buyer has taken all action required to authorize the execution and
consummation of this Agreement. This Agreement constitutes the valid and legally
binding obligations of Buyer, enforceable in accordance with its terms, except
that enforceability may be limited by applicable equitable principles or
bankruptcy, insolvency, or similar laws affecting the enforcement of creditors'
rights generally.


                                       5
<PAGE>   6

       5.2.  The execution and consummation by Buyer of this Agreement, and the
other agreements and documents contemplated hereby, will not (a) violate the
terms of any instrument, agreement, mortgage, judgment, decree, commitment or
understanding, written or oral, to which Buyer is a party, or by which Buyer or
any of its property is bound, (b) conflict with, result in a breach of, or
constitute (with giving of notice or lapse of time or both) a default under or
give any person any right to terminate, modify, accelerate or otherwise change
the existing obligations of Buyer under any such instrument, agreement,
mortgage, judgment, decree, commitment or understanding, (c) result in the
creation or imposition of any Lien upon Buyer or its properties or assets, or
(d) violate any applicable law.

       5.3.  Buyer is duly organized, validly existing and in good standing 
under the laws of Pennsylvania. Buyer has full power and authority to execute
and consummate Buyer's obligations under this Agreement.

       5.4.  Other than Cain Bros., whose fees and expenses will be paid by
Buyer, Buyer has not incurred any liability to any broker, finder or agent for
any brokerage fees, finder's fees or commissions with respect to the
transactions contemplated by this Agreement.

       5.5.  None of the representations or warranties of Buyer contained
herein, and none of the information referred to, is false or misleading in any
material respect or omits to state a fact necessary to make the statements
herein or therein not misleading in any material respect.

6.     PRE-CLOSING COVENANTS. The parties covenant and agree as follows:

       6.1.  Condition of Assets Prior to Closing. Without the prior written
consent of Buyer, Seller will operate the Acquired Assets and the Operations in
the ordinary and usual course and substantially in the same manner as they are
presently operated.

       6.2.  Notification of Material Adverse Changes. Seller will promptly
notify Buyer in writing of the occurrence of any material adverse change to the
Acquired Assets or Operations occurring on or after the date of this Agreement
and on or prior to the Closing Date.

       6.3.  Other Transactions. The parties will deal exclusively and in good
faith with each other regarding a sale of all or a material portion of the
Acquired Assets. Seller will not, and will direct Seller's officers, directors,
financial advisors, accountants, agents and counsel not to: (i) solicit
submission of offers from any person relating to a the Acquired Assets, (ii)
participate in any discussions or negotiations regarding, or furnish any
nonpublic information to any person regarding purchase of the Acquired Assets by
any person other than Buyer, or (iii) enter into any agreement or understanding,
whether oral or written, that would have the effect of preventing consummation
of this Agreement. Seller will promptly notify Buyer of the terms of any
communication Seller may receive or become aware of relating to such activities.

       6.4.  Consents, Waivers and Approvals. Except as provided in SECTION 6.7,
Seller will obtain all consents, waivers, approvals, and releases necessary for
Seller to effect the transactions contemplated herein, free and clear of any and
all Liens, but shall not be required to obtain any


                                       6
<PAGE>   7

consents, waivers, approvals or releases (governmental or otherwise) necessary
to permit or to enable Buyer to conduct the Operations. All consents, waivers,
releases and approvals will be in writing and in form and substance satisfactory
to Buyer, in its discretion as reasonably exercised by Buyer. Notwithstanding
any of the above, Seller will cooperate with the reasonable requests of Buyer to
effect the transfer of assignable Contracts (governmental or otherwise).

       6.5.  Supplemental Disclosure. Seller will have the continuing obligation
up to and including the Closing to supplement promptly or amend the Schedules
hereto with respect to any matter subsequently arising or discovered which, if
existing or known at the date of this Agreement, would have been required to be
set forth or listed in the Schedules.

       6.6.  Conditions Precedent. The parties will use commercially reasonable
efforts to satisfy the conditions set forth in SECTIONS 7 AND 8 hereof.

       6.7.  Consents, Regulatory Approvals and Licenses. Buyer acknowledges 
that certain of Seller's Contracts with nursing homes or clinicians may not be
assignable, may be terminable upon no or minimal notice, or may consist of
arrangements not embodied in binding contractual relationships. Buyer further
acknowledges that Seller makes no warranties or representations as to the
existence or availability of any assignments, consents, approvals, regulatory
licenses, or certifications, including as to nursing home Contracts, as may be
necessary for any use of the Acquired Assets as Buyer may intend. Buyer has made
such inquiry as to such matters as it believes appropriate, and that
consummation of the transaction contemplated hereby shall not be contingent upon
the existence of, or Buyer obtaining, any such assignments, consents, approvals,
regulatory licenses, or certifications.

       6.8.  Press Releases. Unless approved in writing and in advance by the
other party, neither Buyer nor Seller shall issue any press release or written
statement for general or public circulation relating to the transactions
contemplated hereby, except as required by law in the reasonable opinion of
Buyer's counsel. Each party agrees to use commercially reasonable efforts to
obtain the other's approval of the text of any public report, statement or
release prepared.

       6.9.  Representations and Warranties. Each of the parties hereto will
refrain from taking any action which would render any representation or warranty
contained in SECTIONS 4 or 5 of this Agreement inaccurate as of the Closing.
Each party will promptly notify the other of any action or proceeding that is
instituted or threatened against such party to restrain, prohibit or otherwise
challenge the legality of any transaction contemplated by this Agreement. Each
party will take such further action as may reasonably be requested by another
party to evidence the consummation of this Agreement.

       6.10. Employees and Independent Contractors. Buyer will use commercially
reasonable efforts to make offers of comparable employment and of comparable
contractual arrangements to all employees and independent contractors of Seller
whose duties directly relate to the Operations.


                                       7
<PAGE>   8

7.     CONDITIONS PRECEDENT TO OBLIGATIONS OF BUYER. The obligation of Buyer to
consummate this Agreement will be subject to the satisfaction, on or before the
Closing, or such other date as may be specified, of the following conditions,
any of which may be waived by Buyer in writing.

       7.1.  Representations. The representations and warranties made by Seller
in SECTION 4 will be true and correct on the Closing as though such
representations and warranties had been made on such date and Seller will
deliver to Buyer a certificate dated as of the Closing to the foregoing effect.

       7.2.  Covenants. Seller will have duly performed all of the covenants,
acts and undertakings to be performed by it on or prior to the Closing, and
Seller will deliver to Buyer a certificate dated as of the Closing to the
foregoing effect.

       7.3.  Certified Resolutions. Seller will have delivered to Buyer a
certificate executed by a duly authorized person evidencing Seller's authority
to enter into this Agreement. Such person will also certify that such authority
has not been revoked or modified and remains in full force and effect.

       7.4.  No Injunction, Etc. No proceeding, investigation, or legislation
will have been instituted, threatened or proposed before any court, governmental
agency or legislative body to enjoin, or prohibit, or to obtain substantial
damages in respect of this Agreement, or which materially affects title to, or
the existence or priority of Liens on, the Acquired Assets, and Seller will
deliver to Buyer a certificate dated as of the Closing to the foregoing effect.

       7.5.  Incumbency. Seller will have delivered a certificate of incumbency
executed by the president and secretary of Seller listing each officer and
director of Seller and the persons authorized to execute this Agreement and the
other documents contemplated hereby.

       7.6.  Material Adverse Change. No material adverse change to the Acquired
Assets or the Operations shall have occurred on or after the date of this
Agreement and on or prior to the Closing, and Seller will deliver to Buyer a
certificate dated as of the Closing to the foregoing effect.

       7.7.  Deliverables. Buyer has received all documents and other items to 
be delivered under SECTION 9.3(a).

8.     CONDITIONS PRECEDENT TO OBLIGATIONS OF SELLER. The obligation of Seller 
to consummate this Agreement will be subject to the satisfaction, on or before
the Closing, of the following conditions, any of which may be waived by Seller
in writing.

       8.1.  Representations. The representations and warranties made by Buyer 
in SECTION 5 will be true and correct on the Closing as though such
representations and warranties had been made on such date and Buyer will deliver
to Seller a certificate dated as of the Closing to the foregoing effect.

                                       8
<PAGE>   9

       8.2.  Covenants. Buyer will have duly performed all of the covenants, 
acts or undertakings to be performed by it on or before the Closing, and Buyer
will deliver to Seller a certificate dated as of the Closing to the foregoing
effect.

       8.3.  Certified Resolutions. Buyer will have delivered to Seller a
certificate executed by a duly authorized person evidencing Buyer's authority to
enter into this Agreement. Such person will also certify that such authority has
not been revoked or modified and remains in full force and effect.

       8.4.  No Injunction, Etc. No proceeding, investigation or legislation 
will have been instituted, threatened or proposed before any court, governmental
agency or legislative body to enjoin, or prohibit, or to obtain substantial
damages in respect of this Agreement, and Buyer will deliver to Seller a
certificate dated as of the Closing to the foregoing effect.

       8.5.  Incumbency. Buyer will have delivered a certificate of incumbency
executed by its manager listing the persons authorized to execute this
Agreement, and the other documents contemplated hereby.

       8.6.  Guaranty. Buyer will cause Integrated Health Options, LLC ("IHO"),
BHG, Inc., and Illiana Behavioral Management, Inc. to deliver their guarantees
substantially in the form attached as EXHIBIT C (the "GUARANTY AGREEMENT")
together with the security agreement to be executed by IHO substantially in the
form attached as EXHIBIT D (the "SECURITY AGREEMENT"). 

       8.7.  Deliverables. Seller has received all documents and other items to
be delivered under SECTION 9.3(b).

9.     CLOSING.

       9.1.  Time and Place. The closing will be held on December 31, 1998 at
9:00 a.m., eastern standard time, at the offices of Seller, or at such other
place and time as shall be agreed upon by Buyer and Seller (the "CLOSING").

       9.2.  Effective Date. Seller acknowledges it will take some period of 
time for Buyer to obtain, on behalf of the Operations, Medicare and Medicaid
Provider Numbers ("PROVIDER NUMBERS") for participation in the Medicare and
Medicaid programs. Accordingly, the effective date of transfer to Buyer of the
Acquired Assets will be postponed after Closing to the earliest to occur of: (i)
Buyer's obtaining such Provider Numbers, (ii) Buyer's cancellation of the
Interim Management Agreement, or (iii) the 90th day following Closing (the
"EFFECTIVE DATE").


                                       9
<PAGE>   10

       9.3.  Transactions at the Closing. At Closing, each of the following
transactions will occur:

             (a) Seller will deliver to Buyer the following:

                 (i) a certificate of good standing of Seller, dated not more
than five business days prior to the Closing, from the offices of the
Secretaries of State of Delaware, Pennsylvania and Virginia;

                 (ii) all other such certificates, dated as of the Closing, as
Buyer may reasonably request to evidence the fulfillment by Seller, or other
satisfaction as of the Closing, of the terms and conditions of this Agreement
including, but not limited to, the certifications required under SECTION 7.1,
7.2, 7.3, 7.4, 7.5, AND 7.6;

                 (iii) an opinion of Seller's counsel, substantially in the form
attached as EXHIBIT E, that Seller is a corporation duly organized, validly
existing, and in good standing under the laws of the States of Delaware,
Pennsylvania and Virginia, that Seller has full power and authority to perform
its obligations under this Agreement, that all action has been taken as required
to authorize the execution and consummation of this Agreement by Seller, and
this Agreement constitutes the valid and binding obligation of Seller,
enforceable in accordance with its terms, except that enforceability may be
limited by applicable equitable principles of bankruptcy, insolvency or similar
laws affecting the enforcement of creditors' rights generally;

                 (iv) the Interim Management Agreement; and

                 (v) SCHEDULES 1.1 and 4.5.

             (b) Buyer will deliver to Seller the following:

                 (i) payment on the Demand Note by wire transfer of immediately
                 available funds to an account of Seller at a bank specified by
                 Seller in writing at least one business day prior to Closing;

                 (ii) the Term Note;

                 (iii) a certificate of good standing of Buyer, dated not more
than five business days prior to the Closing, from the Secretary of State of
Pennsylvania;

                 (iv) all other such certificates, dated as of the Closing, as
Seller may reasonably request to evidence the fulfillment by Buyer, or other
satisfaction as of the Closing Date, of the terms and conditions of this
Agreement, including, but not limited to the certifications required under
SECTIONS 8.1, 8.2, 8.3, 8.4 AND 8.5;

                 (v) an opinion of Buyer's counsel, substantially in the form
attached as EXHIBIT E, that Buyer is a limited liability company duly organized,
validly existing, and in good


                                       10
<PAGE>   11

standing under the laws of the State of Pennsylvania; that Buyer has full power
and authority to perform its obligations under this Agreement, that all action
has been taken as required to authorize the execution and consummation of this
Agreement by Buyer, and this Agreement constitutes the valid and binding
obligation of Buyer, enforceable in accordance with its terms, except that
enforceability may be limited by applicable equitable principles of bankruptcy,
insolvency or similar laws affecting the enforcement of creditors' rights
generally;

                 (vi) the Guaranty Agreement;

                 (vii) the Security Agreement; and

                 (viii) the Interim Management Agreement.

                 9.4.   Transaction on the Effective Date. On the Effective 
Date, Seller will deliver to Buyer the assignment and bill of sale substantially
in the form attached as EXHIBIT F;

10.    POST-CLOSING COVENANTS.

       10.1. Covenants of Seller. For a period of five years after Closing,
without the prior written consent of Buyer, Seller and its affiliates, and
officers or directors of Seller or its affiliates shall not: (a) engage in the
establishment or operation of any business related to the provision or delivery
of mental health services to patients at nursing homes within the State, or (b)
hire or solicit for hire any employee of the Operations, or recommend, directly
or indirectly to any such employee that he or she obtain employment elsewhere.
Without in any way limiting the foregoing, it is acknowledged that this covenant
does not extend to the provision or delivery of mental health services at
prisons, jails or other correctional facilities. Buyer expressly acknowledges
that Seller may be continuing to provide or deliver mental health services to
patients at nursing homes in states other than the State after Closing. Seller
shall not, without Buyer's prior written consent, make any press release or
other public announcement concerning the transactions contemplated by this
Agreement. Seller understands that Buyer will not have an adequate remedy at law
for the breach or threatened breach by Seller of covenants and agree that Buyer,
in the case of any such breach, in addition to any other remedies which may be
available to Buyer hereunder or under any other agreement entered into with
Seller, or by virtue of any provision of law, may file suit in equity to enjoin
Seller from such breach or threatened breach.

       10.2. Accounts Receivable and Provider Numbers. In order to assure
collection by Seller of accounts receivable arising from services provided prior
to the date of Closing (which accounts receivable are excluded from the Acquired
Assets (the "EXCLUDED RECEIVABLES")), except as otherwise provided in the
Interim Management Agreement, Buyer shall bill after the Closing, in its own
name, for services provided by it. Seller shall retain the sole right to bill
for and collect the Excluded Receivables together with the sole right, subject
to the Interim Management Agreement, to utilize the Medicare and Medicaid
provider numbers and other billing identification which Seller has historically
utilized in connection with the Operations. In the event proceeds of accounts
receivable are collected by either party which include both


                                       11
<PAGE>   12

proceeds of Excluded Receivables and proceeds of accounts receivable to which
Buyer is entitled either under the Interim Management Agreement or otherwise,
the party collecting such receivables as soon as reasonably practical shall
deliver to the other party those proceeds to which such party is entitled
together with a copy of the Explanation of Benefits to which such proceeds
relate.

       10.3. Survival of Representations and Warranties. All statements
contained in this Agreement, and the documents contemplated hereby, will be
deemed representations and warranties hereunder by Seller or Buyer, as the case
may be. All representations and warranties made by Seller or Buyer in this
Agreement will survive until the second anniversary of the Closing Date;
provided, however, that representations and warranties made under (a) SECTION
4.1 will have no limitation period, and (b) SECTION 4.4 shall survive for the
period of the relevant statute of limitations. No claims for breach of a
representation or warranty (including an Indemnification Claim as defined in
SECTION 12) may be brought by any person unless written notice of such claim
will have been given on or prior to the end of such survival period (in which
event each representation and warranty with respect to any asserted claim will
survive until such claim is finally resolved and all obligations with respect
thereto are fully satisfied).

       10.4. Interim Management Agreement. Buyer and Seller will enter into an
interim management agreement related to the Operations pursuant to an agreement
substantially in the form attached as EXHIBIT G (the "INTERIM MANAGEMENT
AGREEMENT"). The Interim Management Agreement appoints Buyer as manager of the
Operations on behalf of Seller on the terms and conditions set forth and until
the Effective Date.

       10.5. Provider Numbers. Buyer will use commercially reasonable efforts to
obtain, at the earliest practical date, the Provider Numbers necessary to permit
Buyer to participate in the Medicare and Medicaid programs.

       10.6. Regulatory Compliance. The parties agree that nothing contained in
this Agreement shall require either party or its contracted health care
professionals to refer patients to, or order any goods or services from the
other party. Notwithstanding any unanticipated effect of any provision of this
Agreement, neither party will knowingly or intentionally conduct its behavior in
such a manner as to violate the prohibition against fraud and abuse in
connection with the Medicare and Medicaid programs.

       10.7 Access to Patient Records. Buyer will provide access, pursuant to
Seller's reasonable request for access, to patient records acquired by Buyer
from Seller, provided the patient consents to such access and Seller agrees to
maintain the confidentiality of information included in such patient's records.

11.    TERMINATION. This Agreement may be terminated, and the transactions
contemplated herein abandoned: (i) by the mutual written consent of Seller and
Buyer; or (ii) by either Seller or Buyer upon the failure of the other party to
use its commercially reasonable efforts to fulfill its obligations set forth in
this Agreement on or before the Closing.


                                       12
<PAGE>   13

12.    INDEMNIFICATION.

        12.1. Losses. For purposes of this SECTION 12, "LOSSES" will mean all
damages, losses, costs, expenses (including legal, accounting and other fees and
expenses), interest, penalties, charges and liabilities.

       12.2. Indemnification by Seller. Seller agrees to indemnify, defend and
hold harmless Buyer from and against any Loss incurred by Buyer related to or
arising out of (a) the breach of any of the warranties, representations,
covenants or agreements of Seller in this Agreement (a "BREACH"), or (b) any
liability arising from the ownership or use of the Acquired Assets or the
conduct of the Operations by Seller prior to the Closing.

       12.3. Indemnification by Buyer. Buyer agrees to indemnify, defend and
hold harmless Seller from and against any Loss incurred by Seller related to or
arising out of (a) the breach of any of the warranties, representations,
covenants or agreements of Buyer in this Agreements, or (b) any liability
associated with Buyer's ownership or use of the Acquired Assets or the conduct
of the Operations on or after the Closing.

       12.4. Procedures for Indemnification.

             (a) An indemnification claim (an "INDEMNIFICATION CLAIM") will be
made by the party to be indemnified (the "IDEMNITEE") by delivery of a written
declaration to the party to indemnify (the "INDEMNITOR") requesting
indemnification and specifying the basis on which indemnification is sought and
the amount of asserted Losses and, in the case of a claim from a person not a
party to this Agreement or an affiliate thereof (a "THIRD PARTY CLAIM"),
containing such other relevant information as Indemnitee may have concerning
such Third Party Claim.

             (b) If the Indemnification Claim involves a Third Party Claim the
procedures set forth in SECTION 12.5 hereof will be observed by the Indemnitee
and Indemnitor.

             (c) If the Indemnification Claim involves a matter other than a
Third Party Claim, the Indemnitor will have 10 days to object to such
Indemnification Claim by delivery of a written notice of such objection to
Indemnitee specifying to the extent reasonable given the information available
to Indemnitor the basis for such objection. Failure to timely so object will
constitute acceptance of the Indemnification Claim by the Indemnitor and the
Indemnification Claim will be paid in accordance with SECTION 12.4(d). If any
objection is timely interposed by the Indemnitor and the dispute is not resolved
within 15 days from the delivery of such objection, such dispute will be
resolved by litigation, or, if mutually agreeable by Indemnitor and Indemnitee,
by arbitration or mediation.

             (d) Upon determination of the amount of an Indemnification Claim
(including a Third Party Claim), whether by agreement between Indemnitor and
Indemnitee, by an arbitration award or otherwise, Indemnitor will pay the amount
of such Indemnification Claim within 10 days of the date such amount is
determined in writing.


                                       13
<PAGE>   14

       12.5. Defense of Third Party Claims.

             (a) Should any Third Party Claim be made, the obligations and
liabilities of the parties with respect to such Third Party Claim will be
subject to this SECTION 12.5.

             (b) Within a reasonable time (i.e., such time as will not prejudice
the contest, defense, litigation, or settlement of a Third Party Claim)
following the receipt of notice of a Third Party Claim, the party receiving the
notice of the Third Party Claim will (i) promptly notify the other party of its
existence setting forth in writing and with reasonable specificity the facts and
circumstances of which such party has received notice, and (ii) if the party
giving such notice is an Indemnitee, specify in writing the basis hereunder upon
which the Indemnitee's claim for indemnification is asserted and tendering
defense of the Third Party Claim to Indemnitor.

             (c) If the defense of a Third Party Claim is so tendered and within
10 days thereafter such tender is accepted without qualification by the
Indemnitor as evidenced by written notice to Indemnitee, then, except as
provided below, the Indemnitee will not, and the Indemnitor will, have the right
to contest, defend, litigate and settle such Third Party Claim. The Indemnitee
will have the right to be represented by counsel of its own choice and at
Indemnitee's  expense to participate in any contest, defense, litigation or
settlement conducted by the Indemnitor; provided that the Indemnitee will be
entitled to reimbursement by the Indemnitor therefor if the Indemnitor loses is
right to contest, defend, litigation and settle the Third Party Claim as
provided below. Notwithstanding the preceding provisions of this SECTION 12.5,
if the Third Party Claim is asserted against both of Indemnitor and Indemnitee
and representation of both of them by the same counsel would be inappropriate
due to actual or potentially differing interests between them, Indemnitee shall
be entitled to retain the right to contest, defend or litigate such Third Party
Claim as it relates to Indemnitee and will have the exclusive right, in its
discretion exercised in good faith, and with the advice of counsel, to settle
any such matter as it is related to Indemnitee, either before or after the
initiation of litigation, at such time and upon such terms as it deems fair and
reasonable, provided that at least 10 days prior to any such settlement, written
notice of its intention to settle will be given to the Indemnitee. If, pursuant
to the preceding sentence, the Indemnitee so contests, defends, litigates or
settles a Third Party Claim, the Indemnitee will be reimbursed by the Indemnitor
for the reasonable attorneys' fees and other expenses of defending, contesting,
litigating and/or settling the Third Party Claim which are incurred from time to
time, promptly following the presentation to the Indemnitor of itemized bills
for such attorneys' fees and other expenses.

             (d) The Indemnitor will lose its right to contest, defend, litigate
and settle the Third Party Claim if it fails to diligently contest the Third
Party Claim (except in connection with a settlement thereof in accordance with
the terms hereof). So long as the Indemnitor has not lost its right to defend,
contest, litigate and settle as herein provided, the Indemnitor will have the
exclusive right to contest, defend and litigate the Third Party Claim and will
have the exclusive right, in its discretion exercised in good faith, and with
the advice of counsel, to settle any such matter, either before or after the
initiation of litigation, at such time and upon such terms as it


                                       14
<PAGE>   15

deems fair and reasonable, provided that at least 10 days prior to any such
settlement, written notice of its intention to settle will be given to the
Indemnitee.

             (e) All expenses (including without limitation attorneys' fees and
expenses) incurred by the Indemnitor in connection with the foregoing will be
paid by the Indemnitor.

             (f) No failure by an Indemnitor to acknowledge in writing its
indemnification obligations under this SECTION 12 will relieve it of such
obligations to the extent they exist. If an Indemnitee is entitled to
indemnification against a Third Party Claim, and the Indemnitor fails to accept
or assume the defense of a Third Party Claim, or if, in accordance with the
foregoing, the Indemnitor loses its right to contest, defend, litigate and
settle such a Third Party Claim, the Indemnitee will have the right, without
prejudice to its right of indemnification hereunder, in its discretion exercised
in good faith, and upon the advice of counsel, to contest, defend and litigate
such Third Party Claim, and may, in its discretion exercised in good faith, and
with the advice of counsel, settle such Third Party Claim, either before or
after the initiation of litigation, at such time and upon such terms as it deems
fair and reasonable, provided that at least 10 days prior to any such
settlement, written notice of its intention to settle is given to the
Indemnitor. If, pursuant to this SECTION 12.5(f), the Indemnitor so contests,
defends, litigates or settles a Third Party Claim for which it is entitled to
indemnification hereunder, the Indemnitee will be reimbursed by the Indemnitor
for the reasonable attorneys' fees and other expenses of defending, contesting,
litigating and/or settling the Third Party Claim which are incurred from time to
time, promptly following the presentation to the Indemnitor of itemized bills
for such attorneys' fees and other expenses.

       12.6. Limitations.

             (a) All notices of Loss must be delivered to the Indemnitor prior
to expiration of the period for the warranties and representations as set forth
in SECTION 10.3 hereof.

             (b) Notwithstanding anything else to the contrary, Indemnitor shall
be liable only to the extent that: (i) any Loss arising from a Breach, on a per
occurrence basis, exceeds $1,000 (a "RELEVANT CLAIM"), and (ii) then only to the
extent that aggregate Relevant Claims exceed $17,000.

13.    TRANSACTION EXPENSES.

       13.1. Except as provided in SECTION 13.2, all expenses incurred by the
parties in connection with or related to the authorization, preparation,
negotiation and consummation of this Agreement and the agreements, documents or
instruments contemplated hereby will be borne solely by the party which has
incurred the same. Termination of this Agreement pursuant to SECTION 11 will
relieve the parties of their obligations hereunder with each party responsible
for its own fees, costs and expenses; provided, however, that if the Agreement
is terminated pursuant to Section 11, clause (ii) because one party fails to use
commercially reasonable efforts to fulfill its obligations hereunder, such party
will remain liable to the other party for all rights as


                                       15
<PAGE>   16

to deposits, losses, costs, expenses (including attorney's fees) and liabilities
incurred by such other party as a result of such failure.

       13.2. Buyer shall be responsible for any and all recordation charges,
transfer taxes, or other fees required for transfer of the Acquired Assets.

14.    MISCELLANEOUS.

       14.1. Notice All notices, requests, demands and other communications
hereunder must be in writing and will be deemed delivered (a) on the following
business day when sent by receipted overnight courier, or (b) five business days
after deposit in the United States Mail when mailed by registered or certified
mail, return receipt requested, first class postage prepaid, when addressed as
set forth below:

                         Buyer:    BHG of Pennsylvania, LLC
                                   c/o Integrated Health Options, LLC.
                                   10500 Lunt Avenue, Suite 106
                                   Rosemont, IL 60018
                                   Attn: Frank M. Rosenbaum

                                   with a copy to:

                                   Ungaretti & Harris
                                   3500 Three First National Plaza
                                   Chicago, IL 60602-4283
                                   Attn: Craig E. Nelson, Esq.

                         Seller:   MHM Extended Care Services, Inc.
                                   8000 Towers Crescent Drive, Suite 810
                                   Vienna, Virginia 22182
                                   Attn: President

Any party may change the address to which notices are to be sent to it by giving
written notice of such change of address to the other party in the manner above
provided for giving notice.

       14.2. Assignment; Binding Effect. This Agreement may not be assigned by
any of the parties hereto without the prior written consent of the other parties
hereto, provided that Buyer may assign its rights hereunder to any entity the
majority ownership of which is held by Buyer or the owners of Buyer. This
Agreement will be binding upon the parties hereto and their respective heirs,
successors and permitted assigns.

       14.3. Headings; Exhibits and Schedules. The Section, Subsection and other
headings in this Agreement are inserted solely as a matter of convenience and
for reference, and are not a part of this Agreement. The Exhibits and Schedules
attached hereto are a material part of this Agreement and are incorporated
herein by this reference.


                                       16
<PAGE>   17

       14.4. Counterparts. This Agreement may be executed in one or more
counterparts, all of which will be considered one and the same agreement and
will become effective when one counterpart has been signed by each party and
delivered to the other party hereto.

       14.5. Integration of Agreement. This Agreement supersedes all prior
agreements, oral and written, between the parties hereto with respect to the
subject matter hereunder. Neither this Agreement, nor any provision hereof, may
be changed, waived, discharged, supplemented or terminated orally, but only by
an agreement in writing signed by the party against which the enforcement of
such change, waiver, discharge or termination is sought.

       14.6. Time of Essence. Time is of the essence in this Agreement.

       14.7. Governing Law. This Agreement will be governed by and construed and
enforced in accordance with the internal laws of the State of Delaware.

       14.8. Partial Illegality or Unenforceability. Wherever possible, each
provision hereof will be interpreted in such manner as to be effective under
applicable law, but in case any one or more of the provisions contained herein
will, for any reason, be held to be illegal or unenforceable in any respect,
such illegality or unenforceability will not affect any other provisions of this
Agreement, and this Agreement will be construed as if such illegal or
unenforceable provision or provisions had never been contained herein unless the
deletion or such provision or provisions would result in such a material change
as to cause completion of the transactions contemplated hereby to be
unreasonable.

       14.9. Singular or Plural. All defined terms used herein will have the
same meaning, whether used in the singular or plural form, unless the context
clearly requires otherwise.

       14.10. "Person". The term "PERSON" will be broadly interpreted to
include, without limitation, any corporation, partnership, association, limited
liability company, other association, trust or individual.

       14.11. "Best Efforts". The use of the term "BEST EFFORTS" herein will in
no event require any party to (a) expend funds which are not commercially
reasonably in relation to the transactions contemplated hereby or (b) take, or
cause to be taken, any action which would have a material adverse effect with
respect to it.

       14.12. "Including". Whenever the term "INCLUDING" is used in this
Agreement, it will mean "INCLUDING, WITHOUT LIMITATION," (whether or not such
language is specifically set forth) and will not be deemed to limit the range of
possibilities of those items specifically enumerated.

       14.13. "Seller's Best Knowledge". Whenever the term "SELLER'S BEST
KNOWLEDGE" is used in this Agreement, it will mean knowledge possessed, or which
should have been possessed after due internal inquiry, by Seller's officers and
other personnel whose responsibilities include management of the Operations.


                                       17
<PAGE>   18

       14.14. No Third Party Beneficiaries. Nothing in this Agreement shall
confer any rights upon any person other than the parties and their respective
successors and permitted assigns.

       14.15. Waivers. Any term or provision of this Agreement may be waived, or
the time for its performance may be extended, by the party or parties entitled
to the benefit thereof. Any such waiver shall be validly and sufficiently
authorized for the purposes of this Agreement if, as to any party, it is
authorized in writing by an authorized representative of such party. The failure
of any party hereto to enforce at any time any provision of this Agreement shall
not be construed to be a waiver of such provision, nor in any way to affect the
validity of this Agreement or any part hereof or the right of any party
thereafter to enforce each and every such provision. No waiver of any breach of
this Agreement shall be held to constitute a waiver of any other or subsequent
breach. 

                                   *   *   *



                                       18
<PAGE>   19

       The parties have caused this Agreement to be duly executed and delivered
as of the day and year first above written.

                                   BUYER:

                                   BHG of Pennsylvania, LLC

                                   By: Integrated Health Options, LLC
                                       Its: Manager

                                   By: /s/ FRANK M. ROSENBAUM
                                      --------------------------------
                                      Printed Name: Frank M. Rosenbaum
                                      Title: Manager



                                   SELLER:

                                   MHM Extended Care Services, Inc.

                                   By: /s/ STEVEN H. WHEELER
                                      ------------------------------
                                      Printed Name: Steven H. Wheeler
                                                   -------------------
                                      Title: Executive Vice President
                                            -------------------------




                                       19
<PAGE>   20

                         LIST OF EXHIBITS AND SCHEDULES



EXHIBITS

A - Demand Note
B - Term Note
C - Guaranty Agreement
D - Security Agreement
E - Opinion of Counsel
F - Assignment and Bill of Sale
G - Interim Management Agreement


SCHEDULES
   1.1 - Acquired Assets
   4.5 - Furniture, Fixtures & Equipment





                                       20

<PAGE>   1
                                                                Exhibit No. 10-5

                          INTERIM MANAGEMENT AGREEMENT

       THIS Interim Management Agreement (this "MANAGEMENT AGREEMENT"), is made
and entered into this 31st day of December, 1998, (the "CLOSING DATE"), by and
between BHG of Pennsylvania, LLC, a Pennsylvania limited liability company
("MANAGER"), and MHM Extended Care Services, Inc., a Delaware corporation
("ECS").

       WHEREAS, ECS arranges for the provision of mental health services to
certain nursing home patients in the State of Pennsylvania under contracts with
nursing homes and otherwise;

       WHEREAS, on the date of this Management Agreement, ECS and Manager have
closed the transaction contemplated by the Asset Acquisition Agreement between
the parties dated as of December 22, 1998 (the "ASSET ACQUISITION AGREEMENT"),
in which transaction Manager has purchased certain of the assets and business of
the Operations as defined therein, and where such purchase is to be effective as
of the Effective Date;

       WHEREAS, any capitalized terms used herein and not otherwise defined
shall have the meanings ascribed to them in the Asset Acquisition Agreement; and

       WHEREAS, during the period of time between the Closing and the Effective
Date the parties wish to provide for the management of the Operations on the
terms and conditions herein.

       NOW, THEREFORE, in consideration of the mutual promises set forth in this
Agreement, and for good and valuable consideration, the receipt and sufficiency
of which are hereby acknowledged, it is agreed as follows:

       1.     Engagement. ECS hereby engages Manager to manage, administer and
operate, at Manager's sole expense, the Acquired Assets and the Operations,
commencing on the Closing, and Manager hereby accepts such engagement. As of the
Closing and until the Effective Date, ECS hereby authorizes Manager to
supervise, manage and direct the day-to-day operations of the Operations and to
perform its duties and exercise its rights under this Management Agreement.
Management and operation of the Operations by Manager shall be consistent with
all applicable standards, rules and regulations and of those federal, state and
local agencies having jurisdiction over or in connection with the Operations.
Manager acknowledges that the Operations do not include, and neither the Asset
Acquisition Agreement nor this Management Agreement extend to the operations
conducted by ECS in any state other than the State and New Jersey.

       2.     Relationship. Manager is at all times hereunder acting and
performing as an independent contractor and that no act, commission or omission
of either party hereto shall be construed to make or render the other party its
principal, agent, joint venturer or associate, except to the extent specified
herein. Wherever Manager is required to seek the approval of ECS to perform any
of the duties hereunder such approval shall not be unreasonably withheld.
<PAGE>   2
       3.     Responsibilities of Manager. For the term of this Management 
Agreement and except as otherwise provided herein, as manager of the Operations,
Manager shall have the responsibility to conduct, supervise and manage all
aspects of the Operations, including the obligation to fund all costs and
expenses of the Operations after Closing, and shall have responsibility and
commensurate authority for, but not limited to, the following:

              a.     Charges. The establishment, maintenance, revision and
administration of the overall charge structure of the Operations.

              b.     Personnel Administration. At Manager's expense, the hiring
or engaging of employees, independent contractors or otherwise, and supervision
of all personnel needed for the Operations, including the clinical,
administrative and financial staff, the administration of wage scales, rates of
compensation, employee benefits, conditions of employment, in-service training,
attendance a seminars or conferences, staffing schedules and job and position
descriptions with respect to all employees of or contractors to, the Operations.

              c.     Collection of Accounts. Subject to SECTION 6, the issuance
of bills for services furnished by the Operations and the collection of accounts
and monies owed during the management period.

              d.     Payment of Accounts and Indebtedness. The payment of
payroll, trade accounts, taxes, rents and all other expenses of operation and
obligations of the Operations arising after Closing.

              e.     Account and Financial Records. The establishment and
administration of accounting procedures and controls, and systems for the
development, preparation and safekeeping of records and books of accounting
relating to the business and financial affairs of the Operations.

              f.     Depositories for Funds. Maintenance of accounts in such
banks, savings and loan associations, and other financial institutions as
Manager may from time to time select, (including certificates of deposits) with
such balances therein (which may be interest-bearing or non-interest-bearing) as
Manager shall from time to time deem appropriate, taking into account the cash
needs of the Operations, and the disbursement from such accounts of such amounts
of the Operations' funds as Manager shall from time to time determine to be
appropriate in the discharge of the responsibilities of Manager under this
Agreement.

              g.     Purchases. The purchase of supplies, and all other
materials and services which Manager shall deem to be necessary for the
operations, subject to all provisions hereof.

              h.     Administrative and Fiscal Services. Provision of all
administrative and fiscal services to the Operations, including collections,
accounting, auditing (by a certified public accountant selected by Manager),
bookkeeping, budgeting, patient billings and record keeping,

                                       2
<PAGE>   3
accounts receivable and accounts payable processing, electronic data processing
and such other services, including marketing, recruiting and quality control, as
may from time to time be required.

              i.     Patient Records. Supervision of maintenance of patient
records and record retrieval and provision of monitoring services to assist in
quality assurance reviews. After Closing, ECS will provide Manager with access
to all such records.

              j.     Contracts for Services. Manager shall be empowered to
negotiate, enter into, and administer on behalf of the Operations all contracts
for services which Manager may determine are necessary for the Operations, such
contracts to be upon such terms and for such rates of compensation as Manager
shall determine.

       4.     Covenants by ECS.

              a.     Liabilities and Obligations. ECS shall not, during the term
of this Management Agreement, without approval of Manager, incur any new
liabilities or obligations in relation to the Operations, including without
limitation, employment arrangements, debts, mortgages, liens, credit
arrangements, loans or leases.

              b.     Prompt Consideration. In all matters requiring ECS's
decision or consent under the terms of this Management Agreement, ECS shall
promptly consider such matters and expeditiously advise Manager of its decision
so as not to hinder, damage or delay Manager in its management or direction of
the Operations or its accomplishment of its duties and responsibilities under
the terms of this Management Agreement.

       5.     Covenants by Manager.

              a.     Compliance with Agreements and Contracts. Manager will not
take any action that would cause Operations to default on any of its contracts
and agreements.
              
              b.     Patient Confidentiality. With respect to patients who
receive treatment as part of the Operations, Manager shall assure compliance
with all statutes, regulations, and rules concerning patient confidentiality.

       6.     Collection of Accounts Receivable. In consideration of its
services rendered under this Management Agreement, Manager shall have the right
to collect and retain all accounts receivable arising with respect to the
Operations on and after the Closing, to the extent such accounts receivable are
assignable, and ECS hereby assigns to Manager all of its rights, title, and
interest in and to such accounts receivable. Promptly upon receipt of payment
for any accounts receivable arising with respect to the Operations on and after
the Closing that are not assignable, ECS shall promptly forward such payment to
Manager. If Manager receives any payments of accounts receivable arising from
services rendered before the Closing, Manager will

                                       3
<PAGE>   4
not negotiate payment of the check, but will instead promptly give ECS
possession of the check duly endorsed, if necessary, to ECS. If ECS receives any
payments of accounts receivable arising from services rendered on and after the
Closing, ECS will not negotiate payment of the check, but will instead promptly
give Manager possession of the check duly endorsed, if necessary, to Manager. If
such check includes payment of an account or accounts receivable arising both
from the Operations before as well as after the Closing Date, the party
receiving such payment shall promptly forward to the other party such portion of
the payment to which that party is entitled.

       7.     Regulatory Compliance. The parties shall comply in all respects
with all applicable requirements of the Medicare and Medicaid programs as they
may exist from time to time.

       8.     Limitation of Liability; Indemnifications.

              a.     ECS shall indemnify Manager and any and all subsidiaries,
parents and affiliates of Manager, and the officers, directors, stockholders,
members and employees of Manager and its subsidiaries, parents and affiliates,
and shall hold each of them harmless from and against, any and all liability,
claims, losses, costs, actions, judgment or damages, and any expenses relating
thereto (including reasonable attorneys' fees and expenses), arising (a) from
the ownership and/or operation of the Operations in respect of any and all
periods prior to the Closing under the Asset Acquisition Agreement and/or (b) as
a result of the acts or omissions (negligent or otherwise) of ECS's agents,
officers or employees prior to the Closing under the Asset Acquisition Agreement
(including, without limitation, any claims by, or liability to, third parties,
any governmental agency, or patients of the Operations).

              b.     Manager shall indemnify ECS and any and all subsidiaries,
parents and affiliates, and the officers, directors, stockholders and employees
of ECS and its subsidiaries, parents and affiliates, and shall hold each of them
harmless from and against, any and all liability, claims, losses, costs,
actions, judgments or damages, and any expenses relating thereto (including
reasonable attorneys' fees and expenses), arising from (a) the Operations during
the term of this Agreement (including, without limitation, all payroll, trade
accounts, short and long-term indebtedness, taxes, rents, and all other expenses
of operations and obligations of the Operations to the extent that such expenses
or obligations accrue on or after the Closing) and/or (b) Manager's performance
under this Management Agreement and/or (c) as a result of the acts or omissions
(negligent or otherwise) of Manager's agents, officers or employees (including,
without limitation, any claims by, or liability to, third parties, Manager and
its subsidiaries and affiliates, any governmental agency, or patients of the
Operations).

              c.     Each party acknowledges that the other has made no
representations or warranties, express or implied, and assumes no financial or
other responsibilities or liabilities in connection with this Management
Agreement except as specifically provided herein and in the Asset Acquisition
Agreement.

                                       4
<PAGE>   5
       9.     Insurance. Manager shall maintain at all times during the term of
this Agreement, at Manager's own expense, professional liability insurance
covering Manager and its employees, officers and directors with limits of one
million ($1,000,000) dollars per occurrence and three million ($3,000,000)
dollars in the aggregate. Manager shall maintain at all times during the term of
this Agreement, at Manager's own expense, general comprehensive liability
insurance in such amounts, with such coverages and with such companies as may be
commercially reasonable. All of the insurance required to be maintained under
this SECTION 9 shall contain an endorsement naming ECS as additional insured
thereunder and shall not be cancelable without 10 days prior written notice to
Manager and ECS.

       10.    Term and Termination.

              a.     Term. The term of this Agreement shall begin on the date of
the Closing under the Asset Acquisition Agreement and shall terminate on the
Effective Date, as defined in SECTION 9.2 of the Asset Acquisition Agreement.

              b.     Events of Default and Termination. Either party shall have
the right to terminate this Agreement prior to the Effective Date: (i) on the
occurrence of a material breach hereof by the other party not cured within five
business days of the delivery of notice as to such breach; or (ii) if any change
in applicable law renders this Agreement, in whole or in material part, illegal
or unenforceable. Manager may terminate this Agreement at any time, with or
without cause, on three business days notice to ECS. Such termination shall not
effect transfer of the Acquired Assets under the Asset Acquisition Agreement and
Closing.

       11.    Notice. Any notice or other communication by either party to the
other shall be in writing and shall be deemed to have been delivered if
delivered personally or mailed, postage prepaid, registered or certified mail
addressed as follows:

              To ECS:         MHM Extended Care Services, Inc.
                              8000 Towers Crescent Drive
                              Suite 810
                              Vienna, Virginia 22182
                              Attn: President

              To Manager:     BHG of Pennsylvania, LLC
                              10500 Lunt Street, Suite 102
                              Rosemont, IL 60018
                              Attn: Frank M. Rosenbaum

                                       5
<PAGE>   6
                              with a copy to:

                              Ungaretti & Harris
                              3500 Three First National Plaza
                              Chicago, IL 60602
                              Attn: Craig E. Nelson, Esq.

or to such other address, and to the attention of such other person or officer
as either party may designate in writing.

       12.    Modification and Changes. This Agreement cannot be changed or
modified except by another agreement in writing executed by both parties.

       13.    Headings. The headings contained herein are for convenience of
reference only and are not intended to define, limit or describe the scope or
intent of any provisions of this Agreement.

       14.    Confidentiality. The parties agree that the terms and conditions
of this Agreement shall remain confidential. No party shall distribute this
Agreement, or any part thereof, to an third parties unless required by law or by
contractual requirements.

       15.    Governing Law. This Agreement shall be deemed to have been made
and shall be construed and interpreted in accordance with the laws of the State
of Delaware.

       In witness whereof, the parties have executed this Management Agreement
as of the date first above written.

                              MHM EXTENDED CARE SERVICES, INC.

                              By: /s/ STEVEN H. WHEELER
                                 --------------------------------
                              Its: Executive Vice President
                                 --------------------------------
                              Printed Name: Steven H. Wheeler
                                           ----------------------


                              BHG OF PENNSYLVANIA, LLC

                              By: Integrated Health Options, LLC
                              Its: Manager

                              By: /s/ FRANK M. ROSENBAUM
                                 --------------------------------
                              Its: Manager
                              Printed Name: Frank M. Rosenbaum


                                       6

<PAGE>   1
                                                                Exhibit No. 10-6

                                    EXHIBIT B

                              TERM PROMISSORY NOTE

$ 150,000.00                                            Dated: December 31, 1998

       FOR VALUE RECEIVED, the undersigned, BHG of Pennsylvania, LLC, a
Pennsylvania limited liability company ("BHG"), promises to pay to the order of
MHM Extended Care Services, Inc., a Delaware corporation ("ECS"), the principal
sum of ONE HUNDRED FIFTY THOUSAND and 00/100 CENTS ($150,000.00). (Any
capitalized terms used herein and not otherwise defined shall have the meanings
ascribed to them in that certain Asset Acquisition Agreement by and between BHG
and ECS dated of December 22, 1998, which is incorporated herein by reference.)

       This Promissory Note ("NOTE") shall not bear any interest on any
principal amount outstanding.

       Payments of indebtedness evidenced hereby shall be payable on or before
the 90th day following the Closing.

       Upon the occurrence of an Event of Default, ECS may, by written notice to
BHG, declare the entire unpaid principal amount hereunder to be immediately due
and payable, whereupon the same shall become immediately due and payable, and
proceed to exercise any and all rights and remedies that ECS may have at law or
in equity. For purposes hereof, an "EVENT OF DEFAULT" shall be deemed to have
occurred if BHG admits in writing of its inability to pay its debts as they
mature. The successful party involved in any action related to this Note shall
be reimbursed by the other party for reasonable attorneys fees incurred
contesting such action.

       This Note may not be changed or amended orally, but only by an instrument
in writing signed by the party against whom enforcement of the change or
amendment is sought.

       This Note is binding upon BHG and its successors and assigns, and shall
inure to the benefit of ECS.

       This Note is made under and governed by the internal laws and decisions
of the State of Delaware, without regard to conflict of laws principles.

       All notices, demands and other communications given hereunder shall be
given as provided in the Asset Acquisition Agreement.
<PAGE>   2

       IN WITNESS WHEREOF, BHG has made and delivered this Note as of the date
first written above.

                                   BHG OF PENNSYLVANIA, LLC


                                   By: Integrated Health Options, LLC
                                          Its: Manager

                                   By:  /s/ FRANK M. ROSENBAUM
                                      ------------------------------------------
                                          Its: Manager
                                          Printed Name: Frank M. Rosenbaum


                                   MHM EXTENDED CARE SERVICES, INC.


                                   By:  /s/ STEVEN H. WHEELER
                                      ------------------------------------------
                                          Printed Name: Steven H. Wheeler
                                                       -------------------------
                                          Its: Executive Vice President
                                              ----------------------------------

                                      2

<PAGE>   1


                                                                Exhibit No. 10-7

                                   EXHIBIT C

                               GUARANTY AGREEMENT

         This Guaranty Agreement (this "Guaranty") is made and entered into as
of the 31st day of December, 1998, by Integrated Health Options, LLC, a
Michigan limited liability company ("IHO"), BHG, Inc., a Michigan corporation
and Illiana Behavioral Management, Inc., a Michigan corporation (collectively
the "Guarantors"), for the benefit of MHM Extended Care Services, Inc., a
Delaware corporation ("ECS").

         BHG of Pennsylvania, LLC, a Pennsylvania limited liability company
("BHG"), of which IHO is the sole member and manager, and ECS are entering into
an Asset Acquisition Agreement, dated December 22, 1998 (the "Acquisition
Agreement") and pursuant to which BHG will purchase the Acquired Assets of ECS,
and a Management Agreement dated the same date (the "Management Agreement")
pursuant to which BHG will provide management services to ECS in connection
with the Operations between the Closing and the Effective Date upon the terms
and conditions set forth therein. Except as otherwise indicated, capitalized
terms used herein are defined as set forth in the Acquisition Agreement and the
Management Agreement (collectively, the "Agreements").

         The Guarantors are executing and delivering this Guaranty as an
inducement to ECS to enter into the Agreements.

         NOW, THEREFORE, for valuable consideration, the receipt and adequacy
of which are hereby acknowledged, the Guarantors hereby agree as follows:

         1.      Guarantor's Guarantee. The Guarantors hereby guarantee the
full and punctual performance and discharge, when due, without demand therefor,
of the Obligations (as defined in SECTION 3 below) of BHG under the Agreements.
This Guaranty is secured by a pledge of certain collateral by IHO pursuant to a
Security Agreement dated the date hereof and agreed to between IHO and ECS.

         2.      Absolute and Continuing Guaranty. The Guaranty shall be an
irrevocable, absolute and continuing guaranty. The obligations of the
Guarantors hereunder are direct, primary and independent of the obligations of
BHG and a separate claim or demand under the Agreements may be asserted against
and sought to be collected from Guarantors, whether claim or demand is asserted
against BHG or whether BHG is joined in any such claim(s) or demand(s).

         3.      Obligations. As used herein, "Obligations" means (a) all
covenants and obligations of BHG, including obligations of performance, under
the Agreements arising or accruing after the Closing and on or prior to the
Effective Date and (b) all obligations of BHG under the Demand Note and Term
Note.





                                       1
<PAGE>   2
         4.      Representations and Warranties. The Guarantors hereby
represent and warrant to ECS as follows:

         (a)     The execution, delivery and performance by the Guarantors of
                 this Guaranty does not and will not contravene or conflict
                 with (i) any law, order, rule, regulation, writ, injunction or
                 decree now in effect of any government, governmental
                 instrumentality or court having jurisdiction over the
                 Guarantors or (ii) any contractual restriction binding on or
                 affecting the Guarantors or any of its property or assets;

         (b)     This Guaranty creates legal, valid and binding obligations of
                 the Guarantors enforceable against them in accordance with its
                 terms;

         (c)     There is no action, proceeding or investigation pending or, to
                 the knowledge of the Guarantors, threatened affecting the
                 Guarantors which may adversely affect the Guarantors' ability
                 to fulfill and perform the Obligations and other undertakings
                 under this Guaranty; and

         (d)     The Guarantors are not insolvent on the date of this Guaranty
                 and will not become insolvent as a result of entering into
                 this Guaranty.

The Guarantors hereby agree to indemnify, defend and hold harmless ECS from and
against: (a) any loss, cost, damage or expense occurring by reason of a breach
of any of the foregoing representations and warranties; and (b) the loss,
mitigation, subordination or other consequences adverse to ECS by reason of any
performance of the Obligations being challenged as a preference or suffering
any other subjugation under any bankruptcy or other law, whether state or
federal, affecting debtors, creditors and/or the relationship between and among
them.

         5.       Governing Law. This Guaranty shall be governed by and
construed in accordance with the internal laws of the State of Delaware.

         6.       Amendment. This Guaranty may not be amended, modified or
supplemented except upon the expiration and delivery of a written agreement
executed by the parties hereto.

         7.       No Assignment. This Guaranty and all of the provisions hereof
shall be binding upon the Guarantors and shall inure to the benefit of ECS and
its respective successors. Neither this Guaranty nor any of the rights,
interest or obligations hereunder shall be assigned by ECS without the prior
written consent of the Guarantors.

         8.       Waiver. Any of the terms or conditions of this Guaranty which
may be lawfully waived may be waived in writing at any time by the entity which
is entitled to the benefits thereof. Any waiver of any of the provisions of
this Guaranty by any entity shall be binding only if set forth in an instrument
in writing signed on behalf of such entity. No waiver of any of the provisions 
of this Guaranty shall be deemed to or shall constitute a waiver of any of the





                                       2
<PAGE>   3
provisions of this Guaranty shall be deemed to or shall constitute a waiver of
any other provision hereof nor shall such waiver constitute a continuing
waiver.

         9.       Notices. All notices, requests, approvals, demands and other
communications required or permitted to be given under this Guaranty shall be
in writing and shall be deemed to have been duly given and to be effective when
delivered personally (including delivery by overnight, express or courier
service) or, if mailed, five days after being deposited in the United States
mail as registered or certified, postage prepaid, return receipt requested,
addressed as follows or to such other address as any such entity may designate
by notice:

<TABLE>
<S>                               <C>
If to the Guarantors:             Integrated Health Options, LLC
                                  10500 Lunt Avenue, Suite 106
                                  Rosemont, IL 60018
                                  Attn: Frank M. Rosenbaum

                                  Illiana Behavioral Management, Inc.
                                  10500 Lunt Avenue, Suite 106
                                  Rosemont,IL 60018
                                  Attn:  Frank M. Rosenbaum

                                  BHG, Inc.
                                  10500 Lunt Avenue, Suite 106
                                  Rosemont, IL 60018
                                  Attn:  Frank M. Rosenbaum

with a copy to:                   Ungaretti & Harris
                                  3500 Three First National Plaza
                                  Chicago, IL 60602
                                  Attn: Craig E. Nelson, Esq.

If to ECS:                        MHM Extended Care Services, Inc.
                                  8000 Towers Crescent Drive, Suite 810
                                  Vienna, Virginia 22182
                                  Attn: President
</TABLE>

or to such other address as any such entity may, from time to time, designate
in a written notice given in like manner.

         11.     Complete Agreement, Conflict. This Guaranty and the other
documents and writings referred to herein or delivered pursuant hereto, contain
the entire understanding of the entities with respect to their subject matter.
This Guaranty supersedes all prior agreements and understandings, both written
and oral, between such entities with respect to such subject matter.

         12.     Headings. The headings contained in this Guaranty are for
reference only and shall not affect in any way the meaning or interpretation of
this Guaranty.





                                       3
<PAGE>   4
         13.     Third Party Beneficiaries. Nothing in this Guaranty, expressed
or implied is intended to confer on any person other than ECS and its
successors any rights, remedies, obligations or liabilities under or by reason
of this Guaranty.

<TABLE>
<CAPTION>
<S>                                               <C>
                                                  INTEGRATED HEALTH OPTIONS, LLC

                                                  By: /s/ FRANK ROSENBAUM
                                                      ---------------------------------
                                                      Its: Manager
                                                      Printed Name: FRANK ROSENBAUM
                                                                   --------------------

                                                  BHG, INC.

                                                  By: /s/ FRANK ROSENBAUM
                                                      ---------------------------------
                                                      Its: President
                                                          -----------------------------
                                                      Printed Name: FRANK ROSENBAUM
                                                                   --------------------

                                                  ILLIANA BEHAVIORAL MANAGEMENT,
                                                  INC.
                                                  By: /s/FRANK ROSENBAUM
                                                      ---------------------------------
                                                      Its: President
                                                          -----------------------------
                                                      Printed Name: FRANK ROSENBAUM
                                                                   --------------------
</TABLE>

                                       4

<PAGE>   1
                                   
                                                            Exhibit No. 10-8
                                   EXHIBIT D

                               SECURITY AGREEMENT

         THIS SECURITY AGREEMENT (this "Security Agreement") is made and
entered into as of the 31st day of December, 1998, by and between INTEGRATED
HEALTH OPTIONS, LLC, a Michigan limited liability company ("Guarantor"), and
MHM EXTENDED CARE SERVICES, INC., a Delaware corporation ("Seller").

                                    RECITALS

         A.      Guarantor's affiliate, BHG of Pennsylvania, LLC, a
Pennsylvania limited liability company ("Buyer") has entered into an Asset
Acquisition Agreement with Seller dated December22, 1998 (the "Asset
Acquisition Agreement") pursuant to which Buyer is acquiring certain assets
from Seller. Any capitalized terms used in this Security Agreement and not
otherwise defined have the meanings ascribed to them in the Asset Acquisition
Agreement.

         B.      To induce Seller to enter into and consummate the transactions
contemplated by the Asset Acquisition Agreement, Guarantor and two affiliates
of Guarantor have agreed to enter into the Guaranty Agreement and Guarantor has
agreed to collateralize the performance of the Buyer's Obligations, as defined
in SECTION 3 of the Guaranty Agreement, pursuant to this Security Agreement.

         NOW, THEREFORE, in consideration of the foregoing recitals and for
good and valuable consideration, the receipt and sufficiency of which are
hereby acknowledged, the parties hereto agree as follows:

                                   AGREEMENT

         1.      Creation of Security Interest.

                 (a)      Guarantor hereby grants to Seller a valid, binding
        and enforceable security interest in and to Guarantor's rights,
        including all proceeds with respect thereto, under the two contracts
        attached as EXHIBIT A, to this Security Agreement (the "Collateral"):

                 (b)      Guarantor hereby grants and assigns to Seller a
        continuing security interest in and to the Collateral for the purpose of
        securing performance of the Guaranty Agreement. Guarantor hereby agrees
        that it shall not, without the prior written consent of Seller, enter
        into any agreement, incur any debt, take any action or fail to take any
        action which will result in the creation of a security interest in the
        Collateral which is senior to the security interest granted to Seller
        hereunder.





<PAGE>   2
       2.      Covenants of Guarantor. Guarantor hereby covenants that:

               (a)      Guarantor will not permit any default on the part of
       Guarantor to occur under the contracts constituting the Collateral; and

               (b)      Guarantor shall furnish promptly to Seller such
       information concerning the Collateral as Seller from time to time may
       reasonably request.

       3.      Perfection of Security Interest. Guarantor agrees, at the
       request of Seller:

               (a)      To execute from time to time one or more financing
       statements pursuant to the Uniform Commercial Code of the State of
       Illinois (the "UCC"), in a form satisfactory to Seller, to perfect
       Seller's security interest in and to the Collateral to the extent that
       such security interest may be perfected by such a filing under the UCC;

               (b)      To execute and deliver such further documents and
       instruments as may be required, in addition to, or in lieu of, filings
       under the UCC, to perfect Seller's interest in the Collateral; and

               (c)      To do such further acts and things as Seller may at any
       time, and from time to time, reasonably request in writing to effect the
       purpose of this Security Agreement.

       4.      Preservation of Collateral by the Seller. Should Guarantor fail
or refuse to perform or take any other action which Guarantor is obligated
hereunder to take or do at the time or in the manner herein provided, then
Seller, at Seller's reasonable discretion, and upon reasonable prior notice to
Guarantor but without releasing Guarantor from any obligation may take or do
the same in such manner and to such extent as Seller may deem necessary to
protect Seller's security interest in, and/or the value of, the Collateral.

       5.      Default and Remedies.

               (a)      The failure of Guarantor to perform or observe any
       material terms or conditions of this Security Agreement and the
       continuation of such failure for a period of 10 days after notice
       thereof, shall constitute an "Event of Default" hereunder. Upon the
       occurrence of an Event of Default, Seller may at any time, at its
       election, with notice as provided herein, and to the extent permitted by
       this Agreement:

                        (i)      Make such payments and do such acts as Seller
               may deem necessary to protect Seller's security interest in the
               Collateral, including but not limited to, performing any
               obligations of Guarantor under the contracts constituting the
               Collateral, and, in exercising any such powers or authority, pay
               all expenses incurred in connection therewith;





                                       2
<PAGE>   3

                 (ii)     Notify the other party to any contract constituting
          the Collateral to make any payment due thereunder directly to Seller
          and/or require Guarantor to deliver any such payments to Seller, or an
          agent or representative designated by Seller; and

                 (iii)    Exercise any remedies available to Seller under the
          UCC available under any other applicable law.

          (b)      Seller shall have the right to enforce one or more remedies
       hereunder, successively or concurrently, and such action shall not
       operate to estop or prevent Seller from pursuing any further remedy
       which it may have pursuant to the terms of this Security Agreement or
       the Guaranty Agreement.
                    
       6.      Termination of Security Interest. This Agreement shall terminate
upon performance in full of Buyer's Obligations and termination of the Guaranty
Agreement.

       7.      Notices.  All notices, demands and other communications
given hereunder shall be given as provided in the Asset Acquisition Agreement.

       8.      Waiver. Seller's failure to require strict performance by
Guarantor of any provision of this Security Agreement shall not waive, affect
or diminish any right of Seller thereafter to demand strict compliance and
performance therewith. Any waiver of an Event of Default hereunder shall not
suspend, waive or affect any other Event of Default hereunder.

       9.      Governing Law. This Security Agreement shall be governed by the
internal laws of the State of Delaware (without regard to the principles
thereof respecting the conflict of laws), which laws shall, without limitation,
govern the enforceability, validity and interpretation of this Security
Agreement.

       10.     Severability. Whenever possible, each provision of this Security
Agreement shall be interpreted in such manner as to be effective and valid
under applicable law, but if any provision of this Security Agreement shall be
prohibited by or invalid under applicable law, such provision shall be
ineffective only to the extent of such prohibition or invalidity without
invalidating the remainder of such provision or the remaining provisions of the
Security Agreement.

       11.     Assignment. This Security Agreement may not be assigned without
the prior written consent of the other party hereto.

       12.     Successor and Assigns. All agreements, covenants, conditions and
provisions of this Agreement shall inure to the benefit of Seller and Seller's
successors and assigns and shall be binding upon Guarantor and Guarantor's
successors and assigns.

       13.     Headings and Terminology. The headings in this Security
Agreement are inserted for convenience only and shall not affect the meaning or
interpretation of this Security Agreement or

                                       3



<PAGE>   4





any provision hereof. As used in this Security Agreement, the singular shall
include the plural, and the plural shall include the singular, as the context
requires.

         14.     Amendment. This Security Agreement can be modified or
rescinded only by writing expressly referring to this Security Agreement and
signed by the parties.

         15.     Multiple Counterparts. This Security Agreement may be executed
in two counterparts, which taken together shall constitute one and same
instrument.

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

                                        GUARANTOR:


                                        INTEGRATED HEALTH OPTIONS, LLC

                                        By:
                                            ----------------------------------
                                        Its: Manager
                                        Printed Name: Frank M. Rosenbaum


                                        SELLER:

                                        MHM EXTENDED CARE SERVICES, INC.

                                        By: /s/ STEVEN H. WHEELER
                                            ----------------------------------

                                        Printed Name:  Steven H. Wheeler
                                                     -------------------------  
                                        Its: Executive Vice President
                                             --------------------------------

                              


                                      4


<PAGE>   1
                                 Exhibit 99.1

Company Press Release


           MHM SERVICES, INC. DIVESTS EXTENDED CARE SERVICES BUSINESS

VIENNA, Va., Jan. 12 /PRNewswire/ -- MHM Services, Inc. (OTC Bulletin Board:
MHMM - news) announced today that it has sold its nursing home services
businesses in Massachusetts, Pennsylvania, Tennessee, and Georgia to three
separate buyers. As a result of these transactions, the Company has effectively
divested all of its fee-for-service mental health care operations in nursing
homes.  It will now focus on expanding its existing business of providing
capitated mental health services in correctional facilities and nursing homes.
The divested businesses accounted for $11.5 million in revenues in fiscal 1998.
The transaction resulted in the company realizing a gain of $207,000 and net
cash proceeds of approximately $870,000.

Michael Pinkert, MHM's President and CEO, said, ``By divesting these
fee-for-service nursing home operations, we can now concentrate on expanding
our correctional mental health business, where we have a unique and profitable
niche. We anticipate rapid growth in the areas of providing mental health and
substance abuse services to inmates in jails and prisons.'' MHM currently
provides mental health services to approximately 52,000 inmates in Tennessee
and Georgia (through contracts with the Department of Corrections in each
state) and to 2,400 nursing home residents in Georgia (through a capitated
Medicaid contract).

MHM Services, Inc. is a leading provider of on-site specialty health care
services in the United States.

This release includes forward-looking statements based on management's current
plans and expectations. Such statements involve risks and uncertainties which
may cause actual future activities and results of operations to be materially
different from those suggested in this release, including the use of available
cash resources to fund continued operating losses, the amount and timing of
receipt of government reimbursement and the resolution of claim reviews, risks
associated with industry consolidation and acquisitions, and the need to manage
growth. For additional information, please refer to the Company's filings with
the Securities and Exchange Commission.







                                       6


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