ADVOCAT INC
10-Q, 1996-11-14
SKILLED NURSING CARE FACILITIES
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<PAGE>   1

                UNITED STATES SECURITIES AND EXCHANGE COMMISSION

                            WASHINGTON, D.C.  20549


                                   FORM 10-Q

CHECK ONE:

[X]               QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(D)
                     OF THE SECURITIES EXCHANGE ACT OF 1934

              FOR THE QUARTERLY PERIOD ENDED:   SEPTEMBER 30, 1996
                                       OR
[ ]        TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE
                        SECURITIES EXCHANGE ACT OF 1934
            FOR THE TRANSACTION PERIOD FROM _________ TO _________.

COMMISSION FILE NO.: 1-12996
                     -------

                                  ADVOCAT INC.
                                  ------------
             (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)


        DELAWARE                                      62-1559667
- -------------------------------              ---------------------------------
  (STATE OR OTHER JURISDICTION OF            (IRS EMPLOYER IDENTIFICATION NO.)

INCORPORATION OR ORGANIZATION)


     277 MALLORY STATION ROAD, SUITE 130, FRANKLIN, TN             37067
     -----------------------------------------------------------------------
     (ADDRESS OF PRINCIPAL EXECUTIVE OFFICES)                     (ZIP CODE)

                                 (615) 771-7575
                                 --------------
              (REGISTRANT'S TELEPHONE NUMBER, INCLUDING AREA CODE)

                                      NONE
- --------------------------------------------------------------------------
(FORMER NAME, FORMER ADDRESS AND FORMER FISCAL YEAR, IF CHANGED SINCE LAST
                                    REPORT.)

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

                                    5,315,822
- --------------------------------------------------------------------------
  (OUTSTANDING SHARES OF THE REGISTRANT'S COMMON STOCK AS OF OCTOBER 31, 1996)


<PAGE>   2




                         PART I.  FINANCIAL INFORMATION

ITEM 1. FINANCIAL STATEMENTS

                                  ADVOCAT INC.

                      INTERIM CONSOLIDATED BALANCE SHEETS
                           (IN THOUSANDS, UNAUDITED)




<TABLE>
<CAPTION>
                                                    SEPTEMBER 30, DECEMBER 31,
                                                        1996          1995
                                                    -----------   -----------
<S>                                                   <C>         <C>     
CURRENT ASSETS:
  Cash and cash equivalents                           $  2,172    $  1,076
  Accounts receivable, less
     allowance for contractual
     adjustments and doubtful
     accounts of $1,893 and
     $2,082, respectively                               21,935      19,566
  Income taxes receivable                                  -0-         304
  Inventories                                              557         508
  Prepaid expenses and other                             1,548       1,649
  Deferred income taxes                                    899         974
                                                      --------    --------
            Total current assets                        27,111      24,077
                                                      --------    --------

PROPERTY AND EQUIPMENT, at cost                         38,765      29,677
  Less accumulated depreciation
     and amortization                                   (9,154)     (7,659)
                                                      --------    --------
         Net property and equipment                     29,611      22,018
                                                      --------    --------
OTHER ASSETS:
  Deferred tax benefit                                   7,499       8,224
  Deferred financing and other costs, net                  883         855
  Other                                                  2,127       1,922
                                                      --------    --------
            Total other assets                          10,509      11,001
                                                      --------    --------
                                                      $ 67,231    $ 57,096
                                                      ========    ========
</TABLE>




                                  (Continued)

 

                                        2
<PAGE>   3


                                 ADVOCAT INC.

                      INTERIM CONSOLIDATED BALANCE SHEETS
                           (IN THOUSANDS, UNAUDITED)
                                  (CONTINUED)




<TABLE>
<CAPTION>
                                                              SEPTEMBER 30,   DECEMBER 31,
                                                                   1996          1995
                                                              -------------  ------------
<S>                                                              <C>           <C>     
CURRENT LIABILITIES:
  Current portion of long-term debt                              $  3,926      $  3,926
  Trade accounts payable                                            6,459         6,881
  Income taxes payable                                                385           -0-
  Accrued expenses:
     Payroll and related benefits                                   4,133         3,754
     Worker's compensation                                          1,519         1,225
     Other                                                          1,690         1,565
                                                                 --------      --------
         Total current liabilities                                 18,112        17,351
                                                                 --------      --------

NONCURRENT LIABILITIES:
  Long-term debt less current portion                              18,446        11,063
  Deferred gains with respect to leases, net                        4,092         4,502
  Other                                                               707         1,743
                                                                 --------      --------
         Total noncurrent liabilities                              23,245        17,308
                                                                 --------      --------

COMMITMENTS, CONTINGENCIES, AND
     GUARANTEE

SHAREHOLDERS' EQUITY:
  Preferred stock, authorized 1,000,000 shares,
     $.10 par value, none issued and outstanding                      -0-           -0-
  Common stock, authorized 20,000,000 shares,
     $.01 par value 5,316,000, and 5,288,000 shares
     issued and outstanding at September 30, 1996
     and December 31, 1995, respectively                               53            53
  Paid-in capital                                                  15,083        14,875
  Retained earnings                                                10,738         7,509
                                                                 --------      --------
         Total shareholders' equity                                25,874        22,437
                                                                 --------      --------

                                                                 $ 67,231      $ 57,096
                                                                 ========      ========
</TABLE>



The accompanying notes to interim combined financial statements are an integral
part of these interim  consolidated balance sheets.


                                       3

<PAGE>   4

                                  ADVOCAT INC.

                   INTERIM CONSOLIDATED STATEMENTS OF INCOME
            (IN THOUSANDS, EXCEPT PER SHARE AMOUNTS, AND UNAUDITED)

<TABLE>
<CAPTION>
                                              THREE MONTHS                NINE MONTHS
                                           ENDED SEPTEMBER 30,         ENDED SEPTEMBER 30,
                                         ----------------------      ----------------------
                                           1996          1995          1996          1995
                                         --------      --------      --------      --------
<S>                                      <C>           <C>           <C>           <C>     
REVENUES:
  Patient revenues                       $ 41,591      $ 35,705      $118,688      $ 99,808
  Management fees                           1,015           908         3,152         2,684
  Interest                                     40            59           115           180
                                         --------      --------      --------      --------
    Net revenues                           42,646        36,672       121,955       102,672
                                         --------      --------      --------      --------

EXPENSES:
  Operating                                33,823        28,606        97,101        79,514
  Lease                                     3,659         3,442        10,733        10,170
  General and administrative                2,104         1,904         6,314         5,765
  Depreciation and amortization               585           391         1,617         1,087
  Interest                                    489           174         1,156           523
                                         --------      --------      --------      --------
    Total expenses                         40,660        34,517       116,921        97,059
                                         --------      --------      --------      --------

INCOME BEFORE INCOME TAXES                  1,986         2,155         5,034         5,613

PROVISION FOR INCOME TAXES                    715           776         1,812         2,021
                                         --------      --------      --------      --------

NET INCOME                               $  1,271      $  1,379      $  3,222      $  3,592
                                         --------      --------      --------      --------


AVERAGE NUMBER OF COMMON
  AND COMMON EQUIVALENT
  SHARES OUTSTANDING (Note 3)               5,319         5,359         5,314         5,330
                                         ========      ========      ========      ========


EARNINGS PER SHARE (Note 3)              $    .24      $    .26      $    .61      $    .67
                                         ========      ========      ========      ========
</TABLE>




     The accompanying notes to interim financial statements are an integral
part of these interim consolidated financial statements.


                                       4
<PAGE>   5


                                  ADVOCAT INC.

                        INTERIM STATEMENTS OF CASH FLOWS
                          (IN THOUSANDS AND UNAUDITED)

<TABLE>
<CAPTION>
                                                                 Nine Months Ended September 30,
                                                                 -------------------------------
                                                                        1996          1995
                                                                        ----          ----
CASH FLOWS FROM OPERATING ACTIVITIES:
<S>                                                                    <C>           <C>    
   Net income                                                          $ 3,222       $ 3,592
   Adjustments to reconcile net income to net
     cash provided from operating activities:
       Depreciation and amortization                                     1,617           742
       Provision for doubtful accounts                                     931           595
       Equity earnings in joint ventures                                   (35)          (28)
       Amortization of deferred credits                                   (844)         (561)
       Deferred income taxes                                               800           400
   Change in assets and liabilities:
       Receivables                                                      (2,976)       (5,040)
       Inventories                                                         (48)          (24)
       Prepaid expenses and other                                          (32)       (1,134)
       Trade accounts payable and accrued expenses                         379         2,792
       Current taxes                                                       689          (211)
       Other                                                              (156)         (103)
                                                                       -------       -------
          Net cash provided from operating activities                    3,547         1,020
                                                                       -------       -------

CASH FLOWS FROM INVESTING ACTIVITIES:
   Purchases of property and equipment, net                             (1,802)       (2,391)
   Issuance of mortgage receivable                                         -0-          (792)
   Acquisitions, net                                                    (5,381)          -0-
   Pre-opening and other costs                                            (193)         (385)
   Proceeds from TDLP transaction                                           71            64
   Investment in joint venture                                              (2)         (254)
   Distributions from joint ventures                                        22            10
                                                                       -------       -------
       Net cash used in investing activities                            (7,285)       (3,748)
                                                                       -------       -------

CASH FLOWS FROM FINANCING ACTIVITIES:
   Proceeds from debt obligations                                        6,044           137
   Repayment of debt obligations                                        (1,498)         (329)
   Advances to TDLP                                                       (939)         (425)
   Financing costs                                                         (36)          -0-
   Net proceeds from bank line of credit                                 1,245           960
   Proceeds from sale of common stock                                      208           309
   Advances (to) from lessor, net                                         (190)           90
                                                                       -------       -------
           Net cash provided from financing activities                   4,834           742
                                                                       -------       -------
</TABLE>


                                   (Continued)


                                      5
<PAGE>   6



                                  ADVOCAT INC.

                        INTERIM STATEMENTS OF CASH FLOWS
                          (IN THOUSANDS AND UNAUDITED)
                                  (CONTINUED)



<TABLE>
<CAPTION>
                                                     NINE MONTHS ENDED SEPTEMBER 30,
                                                     -------------------------------
                                                          1996          1995
                                                          ----          ----

<S>                                                      <C>           <C>     
INCREASE/(DECREASE) IN CASH AND CASH EQUIVALENTS         $ 1,096       $(1,986)

CASH AND CASH EQUIVALENTS, beginning of period             1,076         3,136
                                                         --------      -------
CASH AND CASH EQUIVALENTS, end of period                 $ 2,172       $ 1,150
                                                         =======       =======


SUPPLEMENTAL INFORMATION:
   Cash payments of interest                             $ 1,006       $   573
                                                         =======       =======

   Cash payments of income taxes                         $   461       $ 1,978
                                                         =======       =======
</TABLE>



     Advocat received benefit plan deposits and recorded benefit plan
liabilities of $132,000 and $128,000 in  the nine month periods ended September
30, 1996 and 1995, respectively.

     In the period ended September 30, 1996, Advocat assumed debt of $1,592,000
in connection with an  acquisition.



     The accompanying notes to interim financial statements are an integral
part of these interim consolidated financial statements.


                                       6
<PAGE>   7


                                  ADVOCAT INC.

               NOTES TO INTERIM CONSOLIDATED FINANCIAL STATEMENTS

                           SEPTEMBER 30, 1996 AND 1995


1.   ORGANIZATION AND BACKGROUND:

     Advocat Inc. (together with its subsidiaries, "Advocat" or the "Company")
     commenced operations with an initial public offering of its common stock
     on May 10, 1994.  The Company is a provider of long-term care services
     operating nursing homes and retirement centers in the United States and
     Canada.

     Advocat's operational history can be traced to February 1980 through
     common senior management involved in different organizational structures.
     As of September 30, 1996, the Company operates 86 facilities comprised of
     64 nursing homes containing 7,340 licensed beds and 22 retirement centers
     containing 2,520 units.  The Company owns six nursing homes, acts as
     lessee with respect to 38 of the nursing homes it operates, and acts as
     manager with respect to the remaining 20 nursing homes.  The Company owns
     one retirement center, acts as lessee with respect to seven of the
     retirement centers that it operates, and acts as manager of the remaining
     14 retirement centers. Geographically, 53 of the Company's nursing homes
     are located in the United States and 11 are located in Canada, while 19 of
     the Company's 22 retirement centers are located in Canada.  The Company's
     facilities provide a range of health care services to their residents.  In
     addition to the nursing and social services usually provided in the
     long-term care facilities, the Company offers a variety of rehabilitative,
     nutritional, respiratory, and other specialized ancillary services.  The
     Company operates facilities in Alabama, Arkansas, Florida, Kentucky, Ohio,
     South Carolina, Tennessee, Texas, West Virginia, and the Canadian
     provinces of Ontario and British Columbia.

2.   BASIS OF FINANCIAL STATEMENTS

     The interim financial statements for the three and nine month periods ended
     September 30, 1996 and 1995, included herein have been prepared by the
     Company, without audit, pursuant to the rules and regulations of the
     Securities and Exchange Commission. Certain information and footnote
     disclosures normally included in financial statements prepared in
     accordance with generally accepted accounting principles have been
     condensed or omitted pursuant to such rules and regulations. In the opinion
     of management of the Company, the accompanying interim combined financial
     statements reflect all adjustments (consisting of only normally recurring
     accruals) necessary to present fairly the financial position at September
     30, 1996 and December 31, 1995 and the results of operations for the three
     and nine month periods ended September 30, 1996 and 1995, and the cash
     flows for the nine month periods ended September 30, 1996 and 1995. Certain
     items have been reclassified in the 1995 financial statements to conform to
     the 1996 presentation.


                                       7
<PAGE>   8


     The results of operations for the three and nine month periods ended
     September 30, 1996 and 1995 are not necessarily indicative of the
     operating results for the entire respective years.  These interim
     financial statements should be read in connection with the financial
     statements and notes thereto included in the Company's Annual Report on
     Form 10-K for the fiscal year ended December 31, 1995.

3.   EARNINGS PER SHARE

     Earnings per share is based on the weighted average number of the
     Company's common and common equivalent shares outstanding that pertain to
     the respective operations included in each period and is calculated as
     follows:

<TABLE>
<CAPTION>
                                             THREE MONTHS ENDED          NINE MONTHS ENDED
                                                SEPTEMBER 30,               SEPTEMBER 30,
                                             ------------------          ------------------
                                             1996          1995          1996          1995
                                             ----          ----          ----          ----
<S>                                      <C>           <C>           <C>           <C>      
Weighted average shares:
  Average shares outstanding             5,316,000     5,288,000     5,299,000     5,265,000
  Common stock equivalents --
     Employee stock purchase plan            3,000         3,000        15,000        13,000
     Options, conversion assumed
     under the treasury stock
     method                                    -0-        68,000           -0-        52,000
                                        ----------    ----------    ----------    ----------
Common and common equivalent
  shares outstanding                     5,319,000     5,359,000     5,314,000     5,330,000
                                        ==========    ==========    ==========    ==========

  Net income                            $1,271,000    $1,379,000    $3,222,000    $3,592,000
                                        ==========    ==========    ==========    ==========

  Earnings per share                    $      .24    $      .26    $      .61    $      .67
                                        ==========    ==========    ==========    ==========
</TABLE>



4.   ACQUISITIONS

     During the nine months ended September 30, 1996, the Company completed the
     acquisition of three nursing facilities totaling 276 licensed beds.  The
     aggregate purchase price of $7.0 million was financed with cash of
     approximately $400,000, debt issued in the amount of $5.0 million, and
     assumed indebtedness of $1.6 million.



                                       8
<PAGE>   9




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

OVERVIEW

     Advocat Inc. (together with its subsidiaries, "Advocat" or the "Company")
     commenced operations with an initial public offering of its common stock on
     May 10, 1994. The Company is a provider of long-term care services
     operating nursing homes and retirement centers in the United States and
     Canada.

     Advocat's operational history can be traced to February 1980 through common
     senior management involved in different organizational structures. As of
     September 30, 1996, the Company operates 86 facilities comprised of 64
     nursing homes containing 7,340 licensed beds and 22 retirement centers
     containing 2,520 units. The Company owns six nursing homes, acts as lessee
     with respect to 38 of the nursing homes it operates, and acts as manager
     with respect to the remaining 20 nursing homes. The Company owns one
     retirement center, acts as lessee with respect to seven of the retirement
     centers that it operates, and acts as manager of the remaining 14
     retirement centers. Geographically, 53 of the Company's nursing homes are
     located in the United States and 11 are located in Canada, while 19 of the
     Company's 22 retirement centers are located in Canada. The Company's
     facilities provide a range of health care services to their residents. In
     addition to the nursing and social services usually provided in the
     long-term care facilities, the Company offers a variety of rehabilitative,
     nutritional, respiratory, and other specialized ancillary services. The
     Company operates facilities in Alabama, Arkansas, Florida, Kentucky, Ohio,
     South Carolina, Tennessee, Texas, West Virginia, and the Canadian provinces
     of Ontario and British Columbia.

     Basis of Financial Statements. The Company's patient revenues consist of
     the fees charged to the residents of the Company's leased and owned nursing
     homes and retirement centers. Management fee revenues consists of the fees
     charged to the owners of the facilities managed by the Company. The
     management fee revenues are based on the respective contractual terms,
     which generally range from 3.5% to 6.0% of the net revenues of the managed
     facilities. As a result, the level of management fees is affected
     positively or negatively by the increase or decrease in the level of
     occupancy or rates per patient day of the managed facilities. Management
     fees also include consulting and development fee income. The Company's
     operating expenses include the costs incurred in the nursing homes and
     retirement centers leased and owned by the Company. The Company's general
     and administrative expenses consist of the costs of the corporate office
     and regional support functions, including the costs incurred in providing
     management services to the nursing homes and retirement centers managed by
     the Company. The Company's financial statements reflect the depreciation,
     amortization and interest expenses of the facilities owned by the Company,
     and the depreciation expense associated with equipment owned by the Company
     and used in its leased facilities.


                                       9
<PAGE>   10

RESULTS OF OPERATIONS

     The following tables present the unaudited interim statements of income
     data for the three and nine month periods ended September 30, 1996 and
     1995, and set forth this data as a percentage of revenues for the same
     periods.

<TABLE>
<CAPTION>
     (IN THOUSANDS)                           THREE MONTHS ENDED         NINE MONTHS ENDED
                                                 SEPTEMBER 30,             SEPTEMBER 30,
                                               -----------------         -----------------
                                               1996         1995         1996         1995
                                               ----         ----         ----         ----
<S>                                          <C>          <C>          <C>          <C>     
REVENUES:
    Patient revenues                         $ 41,591     $ 35,705     $118,688     $ 99,808
    Management fees                             1,015          908        3,152        2,684
    Interest                                       40           59          115          180
                                             --------     --------     --------     --------
         Net revenues                          42,646       36,672      121,955      102,672
                                             --------     --------     --------     --------
EXPENSES:
    Operating                                  33,823       28,606       97,101       79,514
    Lease                                       3,659        3,442       10,733       10,170
    General and administrative                  2,104        1,904        6,314        5,765
    Depreciation and amortization                 585          391        1,617        1,087
    Interest                                      489          174        1,156          523
                                             --------     --------     --------     --------
         Total expenses                        40,660       34,517      116,921       97,059
                                             --------     --------     --------     --------
INCOME BEFORE INCOME TAXES                      1,986        2,155        5,034        5,613
PROVISION FOR INCOME TAXES                        715          776        1,812        2,021
                                             --------     --------     --------     --------
NET INCOME                                   $  1,271     $  1,379     $  3,222     $  3,592
                                             ========     ========     ========     ========

</TABLE>

Percentage of Net Revenues
<TABLE>
<CAPTION>
     (IN THOUSANDS)                           THREE MONTHS ENDED         NINE MONTHS ENDED
                                                 SEPTEMBER 30,             SEPTEMBER 30,
                                               -----------------         -----------------
                                               1996         1995         1996         1995
                                               ----         ----         ----         ----
<S>                                          <C>          <C>          <C>          <C>     
     Patient revenues                            97.5%        97.4%        97.3%        97.2%
     Management fees                              2.4          2.5          2.6          2.6
     Interest                                     0.1          0.1          0.1          0.2
                                             --------     --------     --------     --------
          Net revenues                          100.0%       100.0%       100.0%       100.0%
                                             --------     --------     --------     --------
EXPENSES:
     Operating                                   79.3         78.0         79.6         77.4
     Lease                                        8.6          9.4          8.8          9.9
     General and administrative                   4.9          5.2          5.2          5.6
     Depreciation and amortization                1.4          1.0          1.3          1.1
     Interest                                     1.1          0.5          1.0          0.5
                                             --------     --------     --------     --------
                Total expenses                   95.3         94.1         95.9         94.5
                                             --------     --------     --------     --------

INCOME BEFORE INCOME TAXES                        4.7          5.9          4.1          5.5
PROVISION FOR INCOME TAXES                        1.7          2.1          1.5          2.0
                                             --------     --------     --------     --------

NET INCOME                                        3.0%         3.8%         2.6%         3.5%
                                             ========     ========     ========     ========
</TABLE>



                                       10
<PAGE>   11

RISK FACTORS

     In connection with the "safe harbor" provisions of the Private Securities
     Litigation Reform Act of 1995, the Company hereby makes reference to items
     set forth under the heading "Risk Factors" in the Company's Registration
     Statement on Form S-1, as amended (Registration No. 33-76150). Such
     cautionary statements identify important facts that could cause the
     Company's actual results to differ materially from those projected in
     forward looking statements made by or on behalf of the Company.

NEW HOMES

     As of September 30, 1996, the Company operates 86 facilities comprised of
     64 nursing homes containing 7,340 licensed beds and 22 retirement centers
     containing 2,520 units. In comparison, as of September 30, 1995, the
     Company operated 65 nursing homes containing 7,303 licensed beds and 20
     retirement centers containing 2,335 units. Since December 1, 1995, the
     Company has begun operating for its own account nine homes, three of which
     it previously managed, totaling 772 nursing home beds and 109 retirement
     center units. The operations of these facilities have a significant impact
     on the comparability of the 1996 and 1995 periods. In the following
     discussion, these homes are collectively referred to as the "New Homes." Of
     the New Homes, 387 beds/units were counted in the portfolio at September
     30, 1995.

THREE MONTHS ENDED SEPTEMBER 30 - 1996 COMPARED WITH 1995

     Revenues. Net revenues increased to $42.6 million in 1996 from $36.6
     million in 1995, an increase of $6.0 million, or 16.3%. Patient revenues
     increased to $41.6 million in 1996 from $35.7 million in 1995, an increase
     of $5.9 million, or 16.5%. Of this increase, $4.5 million is attributable
     to the New Homes. Ancillary service revenues, prior to contractual
     allowances, increased to $13.8 million in 1996 from $10.7 million in 1995,
     an increase of $3.1 million or 28.9%. The increase in patient revenues is
     also impacted by normal inflationary increases and a 2.3% decrease in
     patient days among the homes operating for at least one year. Management
     fee revenues increased by $107,000, or 11.8%. The increase is primarily due
     to $100,000 in consulting fees earned with respect to the development of
     one of the New Homes. The Company does not anticipate similar revenues
     beyond the third quarter. The increase in ancillary revenues and the
     completion in 1995 of the certification of all of the Company's nursing
     home beds for participation under the Medicare program have resulted in
     continued improvement in the quality mix of the Company's revenues year
     over year. As a percent of net patient revenues, Medicare improved to 24.2%
     in 1996 from 23.2% in 1995 while Medicaid increased slightly to 57.9% in
     1996 from 57.7% in 1995. The increase in the Medicaid percentage was
     impacted in part by the acquisition at the end of the second quarter of a
     nursing facility that is not yet certified for participation under the
     Medicare program.

     Operating Expense. Operating expense increased to $33.0 million in 1996
     from $28.6 million in 1995, an increase of $5.2 million, or 18.2%. As a
     percent of net revenues, operating expense increased to 79.3% in 1996 from
     78.0% in 1995. Of this increase, $3.7 million is attributable



                                       11
<PAGE>   12

     to the New Homes. The remaining increase is primarily attributable to an
     increase in the provision of ancillary services to Medicare patients. As
     ancillary services have increased, the supply costs related to the
     provision of such services have increased correspondingly. In addition, the
     Company's operating margin has declined due to reduced average census, cost
     containment measures in Medicaid programs, difficulty in achieving expense
     reductions as occupancy levels have declined in certain homes, an increase
     in the provision for bad debts, and growth in the Company's medical supply
     distribution business, which generates a lower operating margin. Wages
     increased to $15.5 million in 1996 from $13.4 million in 1995, an increase
     of $2.1 million, or 15.4%. Of this increase, $1.9 million is attributable
     to the New Homes. The Company's wage increases are generally in line with
     inflation. Among homes in operation for at least one year, the Company has
     experienced increased general and other insurance costs of approximately
     $270,000, which increases are expected to continue into 1997. While the
     Company's operating expense as a percentage of net revenues has increased
     year to year, there has been consistent improvement from the fourth quarter
     of 1995 (80.3%) through the third quarter of 1996 (79.3%). This is
     reflective of benefits realized from expense control programs implemented
     in the Company's various operating regions. Additionally, the Company has
     noted an improvement in occupancy in the latter part of the second quarter
     and continuing into the fourth quarter. The improvements are encouraging,
     but neither their continuance nor their positive impact to the Company's
     operations can be assured.

     Lease Expense. Lease expense increased to $3.6 million in 1996 from $3.4
     million in 1995, an increase of $217,000, or 6.3%. Of this increase,
     $203,000 is attributable to the New Homes, and the remainder is primarily
     attributable to inflationary increases included in the terms of a majority
     of the Company's operating leases.

     General and Administrative Expense. General and administrative expense
     increased to $2.1 million in 1996 from $1.9 million in 1995, an increase of
     $201,000, or 10.5%. The increase is primarily attributable to the expense
     of new positions added to service the Company's expanded operations. As a
     percent of total net revenues, general and administrative expenses declined
     from 5.2% in 1995 to 4.9% in 1996, reflective of spreading the Company's
     overhead costs over a wider base of operations.

     Depreciation and Amortization. Depreciation and amortization expenses
     increased to $585,000 in 1996 from $391,000 in 1995, an increase of
     $194,000, or 50.0%. Approximately $171,000 of the increase is associated
     with the New Homes.

     Interest Expense. Interest expense increased to $489,000 in 1996 from
     $174,000 in 1995, an increase of $315,000, or 180.6%. Approximately
     $261,000 of the increase is attributable to indebtedness related to the New
     Homes with the remainder of the increase primarily attributable to
     increased borrowings under the Company's working capital line of credit.

     Income Before Income Taxes; Net Income; Earnings Per Share. As a result of
     the above, income before income taxes was $2.0 million in 1996 as compared
     with $2.2 million in 1995, a decrease of $170,000, or 7.9%. The effective
     combined federal, state and provincial income tax rate was



                                       12
<PAGE>   13

     36% in both 1996 and 1995. Net income was $1.3 million in 1996 as compared
     with $1.4 million in 1995, a decrease of $109,000, and earnings per share
     was $.24 was compared with $.26.


NINE MONTHS ENDED SEPTEMBER 30 - 1996 COMPARED WITH 1995

     Revenues. Net revenues increased to $122.0 million in 1996 from $102.7
     million in 1995, an increase of $19.3 million, or 18.8%. Patient revenues
     increased to $118.7 million in 1996 from $99.8 million in 1995, an increase
     of $18.9 million, or 18.9%. Of this increase, $10.0 million is attributable
     to the New Homes. Ancillary service revenues, prior to contractual
     allowances, increased to $43.0 million in 1996 from $26.5 million in 1995,
     an increase of $16.5 million or 62.1%. The increase in patient revenues is
     also impacted by normal inflationary increases and a 2.0% decrease in
     patient days among the homes operating for at least one year. Management
     fee revenues increased by $468,000, or 17.4%. The increase is primarily due
     to $500,000 in consulting fees earned with respect to the development of
     three of the New Homes. The Company does not anticipate similar revenues
     beyond the third quarter. The increase in ancillary revenues and the
     completion in 1995 of the certification of all of the Company's nursing
     home beds for participation under the Medicare program have resulted in
     continued improvement in the quality mix of the Company's revenues. As a
     percent of net patient revenues, Medicare improved to 25.7% in 1996 from
     20.1% in 1995 while Medicaid decreased to 56.2% in 1996 from 59.5% in 1995.

     Operating Expense. Operating expense increased to $97.1 million in 1996
     from $79.5 million in 1995, an increase of $17.6 million, or 22.1%. As a
     percent of net revenues, operating expense increased to 79.6% in 1996 from
     77.4% in 1995. Of this increase, $8.3 million is attributable to the New
     Homes. The remaining increase is primarily attributable to an increase in
     the provision of ancillary services to Medicare patients. As ancillary
     services have increased, the supply costs related to the provision of such
     services have increased correspondingly. In addition, the Company's
     operating margin has declined due to reduced average census, cost
     containment measures in Medicaid programs, difficulty in achieving expense
     reductions as occupancy levels have declined in certain homes, an increase
     in the provision for bad debts, and growth in the Company's medical supply
     distribution business, which generates a lower operating margin. Wages
     increased to $43.6 million in 1996 from $37.7 million in 1995, an increase
     of $5.9 million, or 15.8%. Of this increase, $3.9 million is attributable
     to the New Homes. A portion of the remaining increase in wages is offset by
     reduced costs associated with less utilization of temporary nursing
     services and reduced contracted housekeeping and laundry services. The
     Company's wage increases are generally in line with inflation. Among homes
     in operation for at least one year, the Company has experienced increased
     general and other insurance costs of approximately $865,000, which
     increases are expected to continue into 1997.

     Lease Expense. Lease expense increased to $10.7 million in 1996 from $10.2
     million in 1995, an increase of $563,000, or 5.5%. Of this increase,
     $471,000 is attributable to the New Homes, and the remainder is primarily
     attributable to inflationary adjustments required under the terms of a
     majority of the Company's operating leases.



                                       13
<PAGE>   14

     General and Administrative Expense. General and administrative expense
     increased to $6.3 million in 1996 from $5.8 million in 1995, an increase of
     $549,000, or 9.5%. The increase is primarily attributable to the expense of
     new positions added to service the Company's expanded operations. As a
     percent of total net revenues, general and administrative expenses declined
     from 5.6% in 1995 to 5.2% in 1996, reflective of spreading the Company's
     overhead costs over a wider base of operations.

     Depreciation and Amortization. Depreciation and amortization expenses
     increased to $1.6 million in 1996 from $1.1 million in 1995, an increase of
     $530,000, or 48.7%. Approximately $379,000 of the increase is associated
     with the New Homes.

     Interest Expense. Interest expense increased to $1.1 million in 1996 from
     $523,000 in 1995, an increase of $633,000, or 121.0%. Approximately
     $512,000 of the increase is attributable to indebtedness related to the New
     Homes with the remainder of the increase primarily attributable to
     increased borrowings under the Company's working capital line of credit.

     Income Before Income Taxes; Net Income; Earnings Per Share. As a result of
     the above, income before income taxes was $5.0 million in 1996 as compared
     with $5.6 million in 1995, a decrease of $579,000, or 20.3%. The effective
     combined federal, state and provincial income tax rate was 36% in both 1996
     and 1995. Net income was $3.2 million in 1996 as compared with $3.6 million
     in 1995, a decrease of $411,000, and earnings per share was $.61 as
     compared with $.67.

LIQUIDITY AND CAPITAL RESOURCES

     At September 30, 1996, the Company's working capital was $9.0 million with
     a current ratio of 1.5 as compared with $6.7 million with a current ratio
     of 1.4 at December 31, 1995.

     Net cash provided from operating activities totaled $3.5 million and $1.0
     million in 1996 and 1995, respectively. These amounts primarily represent
     the cash flows from income plus depreciation and amortization along with
     the changes in working capital components.

     Net cash used in investing activities totaled $7.3 million and $3.7 million
     in 1996 and 1995, respectively. These amounts primarily represent capital
     expenditures for equipment for and improvements to the Company's existing
     facilities, acquisitions in 1996, and, in 1995, a loan to a Canadian
     partnership managed by the Company. The Company and its predecessor
     business have used between $1.7 million and $3.0 million for capital
     expenditures for facility improvements and equipment in each of the last
     three calendar years. Such expenditures were financed through working
     capital. The Company anticipates that such expenditures for its existing
     facility operations will be approximately $2.4 million for the year ended
     December 31, 1996.

     Net cash provided from financing activities totaled $4.8 million and
     $742,000 in 1996 and 1995, respectively. The net cash used in financing
     activities primarily represents proceeds from and repayment of long-term
     debt, advances to TDLP, net proceeds under the Company's bank line of
     credit, and proceeds from issuance of common stock.



                                       14
<PAGE>   15

     At September 30, 1996, the Company had total debt outstanding of $22.4
     million of which $13.0 million was principally mortgage debt bearing
     interest at rates currently ranging from 8.0% to 11.0%. The Company's
     remaining debt was drawn under its $17.5 million credit line. The credit
     line had an initial term through May 1, 1996 and has been extended through
     December 1, 1996. The credit line includes $10.0 million designated for use
     in making acquisitions of long-term care facilities and $7.5 million for
     working capital purposes. Through September 30, 1996, the Company had drawn
     $6.0 million under its acquisition credit line. Amounts drawn under the
     acquisition credit line may be converted to a three-year term loan
     effective with the end of the initial term. At September 30, 1996, the
     Company had drawn $2.4 million and had $5.1 million in letters of credit
     outstanding under this working capital credit line. Amounts drawn under the
     credit line bear interest, at the Company's option, at either the lead
     bank's prime rate or 2% above the London Interbank Offered Rate ("LIBOR").
     Amounts drawn under the credit line are secured generally by certain
     accounts receivable and substantially all other assets of the Company as
     well as by any assets acquired with funds drawn under the acquisition
     credit line. The Company has agreed to comply with certain covenants,
     including financial covenants with respect to maintaining current ratio,
     net working capital, coverage of fixed charges, tangible net worth, and
     earnings levels as defined in the line of credit agreement. Additionally,
     the Company may not declare dividends during the term of the agreement.

     In December 1995, the Company received a temporary increase (the
     "Overline") in the maximum amount available to be drawn under the line of
     credit facility. The Company has the ability to draw additional working
     capital up to $2.6 million through December 1, 1996. As of September 30,
     1996, the Company had drawn $0.9 million under the Overline. The amount
     drawn under the Over- line was reduced by approximately $500,000 through
     November 12, 1996.

     The Company has secured a commitment for a new credit facility and plans to
     exercise its privileges thereunder to restructure and consolidate its
     indebtedness during the fourth quarter. The new credit facility, which will
     have a term of three years, will be for a total of $50 million and will be
     divided into two components: a $10 million revolving credit facility and a
     $40 million acquisition line of credit. Funds drawn under the revolving
     credit facility will be subject to a defined borrowing base and will bear
     interest (at the Company's option) of either prime or LIBOR plus 2.5%.
     Funds drawn under the acquisition line will have defined limits in relation
     to the appraised values (generally 85%) and debt service ratios of the
     facilities financed thereunder. These components will also determine the
     applicable interest rate, which will vary (at the Company's option) in
     relation to either the prime rate or LIBOR. Amounts drawn under the $50
     million credit facility will be secured generally by certain accounts
     receivable and substantially all other assets of the Company as well as by
     any assets acquired with funds drawn under the acquisition credit line. The
     Company will agree to comply with certain covenants, including financial
     covenants with respect to maintaining current ratio, net working capital,
     coverage of fixed charges, tangible net worth, and earnings levels as
     defined in the credit facility agreements.

     During the quarter, the Company closed on replacement financing with
     respect to a Canadian retirement facility purchased in December 1995. The
     proceeds were approximately $1.1 million bearing interest of 7.89%
     repayable over a thirty-year amortization with a balloon maturity in 2006.



                                       15
<PAGE>   16

     Based upon the operations of the Company, management believes that
     available cash and funds generated from operations, as well as amounts
     available through its banking relationships, will be sufficient for the
     Company to satisfy its capital expenditures, working capital, and debt
     requirements for the next 12 months. The Company intends to satisfy the
     capital requirements for its acquisition activities from among various
     means, including borrowings from commercial lenders, seller-financed debt,
     issuance of additional debt, financing obtained from sale and leaseback
     transaction with real estate investment trusts and, to the extent
     available, internally generated cash from operations. On a longer-term
     basis, management believes the Company will be able to satisfy the
     principal repayment requirements on its indebtedness with a combination of
     funds generated from operations and from refinancings with existing or new
     commercial lenders.

RECEIVABLES

     The Company's operations could be adversely affected if it experiences
     significant delays in reimbursement of its labor and other costs from
     Medicare and other third-party revenue sources. The Company's future
     liquidity will continue to be dependent upon the relative amounts of
     current assets (principally cash, accounts receivable and inventories) and
     current liabilities (principally accounts payable and accrued expense). In
     that regard, accounts receivable can have a significant impact on the
     Company's liquidity. Continued efforts by governmental and third-party
     payors to contain or reduce the acceleration of costs by monitoring
     reimbursement rates, increasing medical review of bills for services or
     negotiating reduced contract rates, as well as any significant increase in
     the Company's proportion of Medicare and Medicaid patients, could adversely
     affect the Company's liquidity and results of operations.

     Accounts receivable attributable to the provision of patient and resident
     services at September 30, 1996 and December 31, 1995, totaled $22.5 million
     and $20.2 million, respectively, representing approximately 50 and 51 days,
     respectively, in accounts receivable. Accounts receivable from the
     provision of management services at September 30, 1996 and December 31,
     1995, totaled $0.6 million and $0.7 million, respectively, representing
     approximately 54 and 69 days, respectively, in accounts receivable.

     The Company continually evaluates the adequacy of its bad debt reserves
     based on patient mix trends, agings of older balances, payment terms and
     delays with regard to third-party payors, collateral and deposit resources,
     as well as other factors. The Company has implemented additional procedures
     to strengthen its collection efforts and reduce the incidence of
     uncollectible accounts.

FOREIGN CURRENCY TRANSLATION

     The Company has obtained its financing primarily in U.S. dollars; however,
     it will incur revenues and expenses in Canadian dollars with respect to
     Canadian management activities and operations of the Company's Canadian
     facilities. Therefore, if the currency exchange rate fluctuates, the
     Company may experience currency translation gains and losses with respect
     to the operations of these activities and the capital resources dedicated
     to their support. While such currency exchange rate fluctuations have not
     been material to the Company in the past, there can be no assurance that
     the Company will not be adversely affected by shifts in the currency
     exchange rates in the future.



                                       16
<PAGE>   17

     In 1995, the exchange rate has averaged 73.1% (United States equivalent of
     Canadian dollars), and it has recently improved to 75.2% (as of November 8,
     1996).

MINIMUM WAGE

     The Federal minimum wage increased by 50c. effective October 1, 1996; an
     additional 40c. increase is scheduled for September 1, 1997. The Company
     has evaluated the impact of these increases and expects no material
     increase in its costs.

INFLATION

     Management does not believe that the operations of the Company have been
     materially affected by inflation. The Company expects salary and wage
     increases for its skilled staff to continue to be higher than average
     salary and wage increases, as is common in the health care industry. To
     date, these increases as well as normal inflationary increases in other
     operating expenses have been adequately covered by revenue increases.
     However, it is likely that states will continue to seek ways to control the
     growth in Medicaid program rates.

RECENT ACCOUNTING PRONOUNCEMENTS

     In 1995, the Financial Accounting Standards Board ("FASB") issued Statement
     of Financial Accounting Standards ("SFAS") No. 121, "Accounting for the
     Impairment of Long-Lived Assets and for Long-Lived Assets to be Disposed
     of." The Company adopted SFAS No. 121 in the first quarter of 1996 and the
     adoption did not have a material effect on the Company's financial
     position. Three facilities noted as receiving special attention in the
     Company's Annual Report on Form 10-K showed improvement in operations in
     the nine months ended September 30, 1996 as compared to the three months
     ended December 31, 1995.

     The FASB also issued SFAS No. 123, "Accounting for Stock-Based
     Compensation" in 1995. This statement requires new disclosures in the notes
     to the financial statements about stock-based compensation plans based on
     the fair value of equity instruments granted. Companies may also base the
     recognition of compensation cost for instruments issued under stock-based
     compensation plans on these fair values. The Company will adopt the
     disclosure requirements of SFAS No. 123 in 1996.


                          PART II.   OTHER INFORMATION

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

     The Registrant has not filed any reports on Form 8-K during the quarter for
     which this report is filed.

     The exhibits filed as part of this report on Form 10-Q are listed in the
     Exhibit Index immediately following the signature page.


                                       17
<PAGE>   18

                                   SIGNATURES


     Pursuant to the requirements of the Securities Exchange Act of 1934, the
     registrant has duly caused this report to be signed on its behalf by the
     undersigned thereunto duly authorized.



                                  ADVOCAT INC.

     November 13, 1996

                              By: /s/Mary Margaret Hamlett
                                  ----------------------------------------------
                                  Mary Margaret Hamlett
                                  Principal Financial Officer and Chief
                                  Accounting Officer and An Officer Duly
                                  Authorized to Sign on Behalf of the Registrant



                                       18
<PAGE>   19

                                  EXHIBIT INDEX


   EXHIBIT
   NUMBER           DESCRIPTION OF EXHIBITS
   -------          -----------------------

      3.1   Certificate of Incorporation of the Registrant (incorporated by
            reference of Exhibit 3.1 to the Company's Registration Statement No.
            33-76150 on Form S-1).

      3.2   Bylaws of the Company (incorporated by reference to Exhibit 3.2 to
            the Company's Registration Statement No. 33-76150 on Form S-1).

      3.3   Amendment to Articles of Incorporation dated March 23, 1995
            (incorporated by reference to Exhibit A of Exhibit 1 to Form 8-A
            filed March 30, 1995).

      4.1   Form of Common Stock Certificate (incorporated by reference to
            Exhibit 4 to the Company's Registration Statement No. 33-76150 on
            Form S-1).

      4.2   Rights Agreement dated March 13, 1995, between the Company and Third
            National Bank in Nashville (incorporated by reference to Exhibit 1
            to the Company's Current Report on Form 8-K dated March 13, 1995).

      4.3   Summary of Shareholder Rights Plan adopted March 13, 1995
            (incorporated by reference to Exhibit B of Exhibit 1 to Form 8-A
            filed March 30, 1995).

      4.4   Rights Agreement of Advocat Inc. dated March 23, 1995 (incorporated
            by reference to Exhibit 1 to Form 8-A filed March 30, 1995).

      10.1  Seventh Amendment to Credit and Security Agreement dated September
            1, 1996, between NationsBank of Tennessee, N.A., Advocat Inc. and
            the Subsidiaries (as defined).

      10.2  Eighth Amendment to Credit and Security Agreement dated November 1,
            1996, between NationsBank of Tennessee, N.A., Advocat Inc. and the
            Subsidiaries (as defined).

      21    Subsidiaries of the Registrant (incorporated by reference to Exhibit
            21 to the Company's Annual Report on Form 10-K for the fiscal year
            ended December 31, 1994).

      27    Financial Data Schedule (for SEC use only).




<PAGE>   1

                           SEVENTH AMENDMENT TO CREDIT
                             AND SECURITY AGREEMENT


     This Seventh Amendment to Credit and Security Agreement, made and entered
into as of the 1st day of September, 1996, by and between NationsBank of
Tennessee, N.A., a national banking association (the "Bank"), Advocat Inc., a
Delaware corporation ("Borrower"), and the Subsidiaries, as defined in the
Credit and Security Agreement by and between the Bank, the Borrower and the
Subsidiaries, dated as of October 12, 1994, as amended from time to time (the
"Loan Agreement").  Capitalized terms not otherwise described herein shall have
the meanings ascribed to such terms in the Loan Agreement.

                              W I T N E S S E T H:

     WHEREAS, pursuant to the terms of the Loan Agreement, the Bank committed
to loan to the Borrower and the Subsidiaries amounts not to exceed $17,500,000,
including the $7,500,000 Line, which matures on September 1, 1996, and the
$10,000,000 Line which converts to a term facility on September 1, 1996; and,

     WHEREAS, by Sixth Amendment to Credit and Security Agreement dated as of
June 28, 1996 (the "Sixth Amendment"), Bank agreed to permit Borrower to
continue to request and receive funds under Credit Facility in excess of the
amount available under the Credit Facility, calculated in accordance with the
Borrowing Base, pending the closing of the refinancing of the TDLP First
Mortgage Indebtedness; and,

     WHEREAS, Bank agreed to permit such overadvances under the Credit Facility
through September 1, 1996, subject to the terms and conditions contained in the
Sixth Amendment; and,

     WHEREAS, Borrower has represented to Bank that Borrower intends to close
on or before November 1, 1996, (i) the refinancing of the TDLP First Mortgage
Indebtedness with Bank, and (ii) a credit facility with First American National
Bank and GMAC - Health Care which will pay off the Credit Facility (the "First
American Financing"); and,

     WHEREAS, the Borrower has requested (i) that the maturity date of the
$7,500,000 Line be extended from September 1, 1996, to November 1, 1996 (ii)
that the date on which the right of Borrower to request funds under the
$10,000,000 Line be extended from September 1, 1996, to November 1, 1996, and
(iii) that the Termination Date, as defined in Section 2 of the Third Amendment
to Credit and Security Agreement dated of December 1, 1995 (the "Third
Amendment") be extended through November 1, 1996; and,

     WHEREAS, based on the representations of Borrower regarding the
refinancing of the TDLP First Mortgage Indebtedness, and the First American
Financing, Bank has agreed to extend the Credit Facility through November 1,
1996; and,



                                      -1-
<PAGE>   2

     WHEREAS, the parties desire to execute this Seventh Amendment to extend
the maturity date of the $7,500,000 Line and the Termination Date through
November 1, 1996, and to set forth certain other agreements between the
parties, as more particularly described herein,

     NOW, THEREFORE, in consideration of the foregoing premises, and other good
and valuable consideration, the receipt and legal sufficiency of which is
hereby acknowledged, the Bank, the Borrower and the Subsidiaries hereby agree
as follows:

     1. Extension of Maturity Date - $7,500,000 Line.   The maturity date of
the $7,500,000 Line is hereby extended from September 1, 1996, to November 1,
1996.  Borrower agrees to execute a renewal note and such other documents as
Bank may reasonably request to evidence such extension of the maturity date.

     2. Extension of Revolving Period - $10,000,000 Line.   The date through
which the Borrower may request funds under the $10,000,000 Line, as set forth
in Section 2.1(b) of the Loan Agreement, is hereby extended from September 1,
1996, to November 1, 1996.  In addition, the date on which the monthly
amortization payments due under the $10,000,000 Line commence is hereby
extended from October 1, 1996, to December 1, 1996.

     3. Extension of Termination Date.   Section 2 of the Third Amendment (as
amended) is hereby modified to delete the reference to September 1, 1996, and
substitute in its place, November 1, 1996, it being the intent of the parties
that the Termination Date shall be the earlier of (i) the date on which the
refinancing of the TDLP First Mortgage Indebtedness is completed, or (ii)
November 1, 1996.  Overadvances, if any, shall continue to be available under
the $10,000,000 Line, subject to the provisions of Section 2 of the Third
Amendment.

     4. First American Financing.   Borrower represents to Bank that Borrower
has received a commitment from First American for the First American Financing
and anticipates closing the facility on or before November 1, 1996.

     5. Joinder of Guarantors.   The Guarantors, by executing this Amendment,
hereby confirm that the terms and conditions of the Guaranty Agreements
executed by each of the Guarantors dated as of October 12, 1994, continue in
full force and effect, and the Obligations (as defined in the Guaranty
Agreements) shall include any amounts advanced as an Overadvance, pursuant to
the terms of the Loan Agreement.  This Amendment shall be deemed to be an
amendment to the Guaranty Agreements, to the extent required, to confirm that
the Guarantors' obligations under the Guaranty Agreements include, without
limitation, any Overadvance funded pursuant to the terms of the Loan Agreement.

     6. No Default.   The Borrower and the Subsidiaries hereby confirm that no
Event of Default currently exists, and, to the best of the Borrower's and the
Subsidiaries' knowledge, no condition presently exists or is anticipated which,
with the passage of time, the giving of notice, or both, would constitute an
Event of Default.



                                      -2-
<PAGE>   3

     7. Ratification.   The Borrower and the Subsidiaries hereby restate and
ratify the terms and conditions of the Loan Agreement as of the date hereof, and
each acknowledge that the terms and conditions of the Loan Agreement, as amended
hereby, remain in full force and effect.

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


NATIONSBANK OF TENNESSEE,                ADVOCAT INC., A DELAWARE CORPORATION 
 N.A.                                                                         
                                                                              
By:   /s/Roy Haisley                     By:     /s/Mary Margaret Hamlett     
- -------------------------                ------------------------------------ 
   Roy Haisley                                                                
   Vice President                        Title:   Executive Vice President    
                                         ------------------------------------ 
                                                                              
        "BANK"                                      "BORROWER"                
                                                                              
                                                                              
                                         DIVERSICARE LEASING CORP., A         
                                          TENNESSEE CORPORATION               
                                                                              
                                         By:     /s/Mary Margaret Hamlett     
                                         ------------------------------------ 
                                                                              
                                         Title:   Executive Vice President    
                                         ------------------------------------ 
                                         

                                         DIVERSICARE MANAGEMENT SERVICES   
                                         CO., A TENNESSEE CORPORATION      
                                                                           
                                         By:     /s/Mary Margaret Hamlett  
                                         ------------------------------------ 
                                                                           
                                         Title:   Executive Vice President 
                                         ------------------------------------ 
                                                                          
                                                                           
                                         ADVOCAT ANCILLARY SERVICES, A     
                                         TENNESSEE CORPORATION             
                                                                           
                                         By:     /s/Mary Margaret Hamlett  
                                         ------------------------------------ 
                                                                           
                                         Title:   Executive Vice President 
                                         ------------------------------------ 
                                         


                                      -3-
<PAGE>   4

                                         DIVERSICARE CANADA                
                                         MANAGEMENT SERVICES CO.,          
                                         A CANADA CORPORATION              
                                                                           
                                         By:     /s/Mary Margaret Hamlett  
                                         ------------------------------------ 
                                                                           
                                         Title:   Executive Vice President 
                                         ------------------------------------ 
                                                                           
                                                                           
                                         DIVERSICARE GENERAL PARTNER, INC.,
                                         A TEXAS CORPORATION               
                                                                           
                                         By:     /s/Mary Margaret Hamlett  
                                         ------------------------------------ 
                                                                           
                                         Title:   Executive Vice President 
                                         ------------------------------------ 
                                                                           
                                                                           
                                         FIRST AMERICAN HEALTH CARE, INC., 
                                         AN ALABAMA CORPORATION            
                                                                           
                                         By:     /s/Mary Margaret Hamlett  
                                         ------------------------------------ 
                                                                           
                                         Title:   Executive Vice President 
                                         ------------------------------------ 
                                         


                                         DAUPHIN HEALTH CARE FACILITY,     
                                         INC., AN ALABAMA CORPORATION      
                                                                           
                                         By:     /s/Mary Margaret Hamlett  
                                         ------------------------------------ 
                                                                           
                                         Title:   Executive Vice President 
                                         ------------------------------------ 
                                         



                                      -4-

<PAGE>   1

                           EIGHTH AMENDMENT TO CREDIT
                             AND SECURITY AGREEMENT


     This Eighth Amendment to Credit and Security Agreement, made and entered
into as of the 1st day of November, 1996, by and between NationsBank of
Tennessee, N.A., a national banking association (the "Bank"), Advocat Inc., a
Delaware corporation ("Borrower"), and the Subsidiaries, as defined in the
Credit and Security Agreement by and between the Bank, the Borrower and the
Subsidiaries, dated as of October 12, 1994, as amended from time to time (the
"Loan Agreement").  Capitalized terms not otherwise described herein shall have
the meanings ascribed to such terms in the Loan Agreement.

                              W I T N E S S E T H:

     WHEREAS, pursuant to the terms of the Loan Agreement, the Bank committed
to loan to the Borrower and the Subsidiaries amounts not to exceed $17,500,000,
including the $7,500,000 Line, which matures on November 1, 1996, and the
$10,000,000 Line which converts to a term facility on November 1, 1996; and,

     WHEREAS, by Seventh Amendment to Credit and Security Agreement dated as of
June 28, 1996 (the "Seventh Amendment"), Bank agreed to permit Borrower to
continue to request and receive funds under Credit Facility in excess of the
amount available under the Credit Facility, calculated in accordance with the
Borrowing Base, pending the closing of the refinancing of the TDLP First
Mortgage Indebtedness; and,

     WHEREAS, Bank agreed to permit such overadvances under the Credit Facility
through November 1, 1996, subject to the terms and conditions contained in the
Sixth Amendment; and,

     WHEREAS, Borrower has represented to Bank that Borrower intends to close
on or before December 1, 1996, (i) the refinancing of the TDLP First Mortgage
Indebtedness with Bank, and (ii) a credit facility with First American National
Bank and GMAC - Health Care which will pay off the Credit Facility (the "First
American Financing"); and,

     WHEREAS, the Borrower has requested (i) that the maturity date of the
$7,500,000 Line be extended from November 1, 1996, to December 1, 1996 (ii)
that the date on which the right of Borrower to request funds under the
$10,000,000 Line be extended from November 1, 1996, to December 1, 1996, and
(iii) that the Termination Date, as defined in Section 2 of the Third Amendment
to Credit and Security Agreement dated of December 1, 1995 (the "Third
Amendment") be extended through December 1, 1996; and,

     WHEREAS, based on the representations of Borrower regarding the
refinancing of the TDLP First Mortgage Indebtedness, and the First American
Financing, Bank has agreed to extend the Credit Facility through December 1,
1996; and,


                                      -1-
<PAGE>   2


     WHEREAS, the parties desire to execute this Eighth Amendment to extend the
maturity date of the $7,500,000 Line and the Termination Date through December
1, 1996, and to set forth certain other agreements between the parties, as more
particularly described herein,

     NOW, THEREFORE, in consideration of the foregoing premises, and other good
and valuable consideration, the receipt and legal sufficiency of which is
hereby acknowledged, the Bank, the Borrower and the Subsidiaries hereby agree
as follows:

     1. Extension of Maturity Date - $7,500,000 Line.   The maturity date of
the $7,500,000 Line is hereby extended from November 1, 1996, to December 1,
1996.  Borrower agrees to execute a renewal note and such other documents as
Bank may reasonably request to evidence such extension of the maturity date.

     2. Extension of Revolving Period - $10,000,000 Line.   The date through
which the Borrower may request funds under the $10,000,000 Line, as set forth
in Section 2.1(b) of the Loan Agreement, is hereby extended from November 1,
1996, to December 1, 1996.  In addition, the date on which the monthly
amortization payments due under the $10,000,000 Line commence is hereby
extended from December 1, 1996, to January 1, 1997.

     3. Extension of Termination Date.   Section 2 of the Third Amendment (as
amended) is hereby modified to delete the reference to November 1, 1996, and
substitute in its place, December 1, 1996, it being the intent of the parties
that the Termination Date shall be the earlier of (i) the date on which the
refinancing of the TDLP First Mortgage Indebtedness is completed, or (ii)
December 1, 1996.  Overadvances, if any, shall continue to be available under
the $10,000,000 Line, subject to the provisions of Section 2 of the Third
Amendment.

     4. First American Financing.   Borrower represents to Bank that Borrower
has received a commitment from First American for the First American Financing
and anticipates closing the facility on or before November 15, 1996.

     5. Joinder of Guarantors.   The Guarantors, by executing this Amendment,
hereby confirm that the terms and conditions of the Guaranty Agreements
executed by each of the Guarantors dated as of October 12, 1994, continue in
full force and effect, and the Obligations (as defined in the Guaranty
Agreements) shall include any amounts advanced as an Overadvance, pursuant to
the terms of the Loan Agreement.  This Amendment shall be deemed to be an
amendment to the Guaranty Agreements, to the extent required, to confirm that
the Guarantors' obligations under the Guaranty Agreements include, without
limitation, any Overadvance funded pursuant to the terms of the Loan Agreement.

     6. No Default.   The Borrower and the Subsidiaries hereby confirm that no
Event of Default currently exists, and, to the best of the Borrower's and the
Subsidiaries' knowledge, no condition presently exists or is anticipated which,
with the passage of time, the giving of notice, or both, would constitute an
Event of Default.



                                      -2-
<PAGE>   3

     7. Ratification.   The Borrower and the Subsidiaries hereby restate and
ratify the terms and conditions of the Loan Agreement as of the date hereof, and
each acknowledge that the terms and conditions of the Loan Agreement, as amended
hereby, remain in full force and effect.

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



NATIONSBANK OF TENNESSEE,                ADVOCAT INC., A DELAWARE CORPORATION 
 N.A.                                                                         
                                                                              
By:   /s/Anne Jenkins                    By:     /s/Mary Margaret Hamlett     
- --------------------------------         ------------------------------------ 
   Anne Jenkins, Banking Officer                                              
   Vice President                        Title:   Executive Vice President    
                                         ------------------------------------ 
                                                                              
          "BANK"                                    "BORROWER"                
                                                                              
                                                                              
                                         DIVERSICARE LEASING CORP., A         
                                          TENNESSEE CORPORATION               
                                                                              
                                         By:     /s/Mary Margaret Hamlett     
                                         ------------------------------------ 
                                                                              
                                         Title:   Executive Vice President    
                                         ------------------------------------ 



                                         DIVERSICARE MANAGEMENT SERVICES   
                                         CO., A TENNESSEE CORPORATION      
                                                                           
                                         By:     /s/Mary Margaret Hamlett  
                                         ------------------------------------ 
                                                                           
                                         Title:   Executive Vice President 
                                         ------------------------------------ 
                                                                           
                                                                           
                                         ADVOCAT ANCILLARY SERVICES, A     
                                         TENNESSEE CORPORATION             
                                                                           
                                         By:     /s/Mary Margaret Hamlett  
                                         ------------------------------------ 
                                                                           
                                         Title:   Executive Vice President 
                                         ------------------------------------ 
                                                                           
                                                                           

                                      -3-
<PAGE>   4
                                                                           
                                         DIVERSICARE CANADA                
                                         MANAGEMENT SERVICES CO.,          
                                         
                                         A CANADA CORPORATION               
                                                                            
                                         By:     /s/Mary Margaret Hamlett   
                                         ------------------------------------ 
                                                                            
                                         Title:   Executive Vice President  
                                         ------------------------------------ 
                                                                            
                                                                            
                                         DIVERSICARE GENERAL PARTNER, INC., 
                                         A TEXAS CORPORATION                
                                                                            
                                         By:     /s/Mary Margaret Hamlett   
                                         ------------------------------------ 
                                                                            
                                         Title:   Executive Vice President  
                                         ------------------------------------ 
                                                                            
                                                                            
                                         FIRST AMERICAN HEALTH CARE, INC.,  
                                         AN ALABAMA CORPORATION             
                                                                            
                                         By:     /s/Mary Margaret Hamlett   
                                         ------------------------------------ 
                                                                           
                                         Title:   Executive Vice President  
                                         ------------------------------------ 
                                         


                                         DAUPHIN HEALTH CARE FACILITY,     
                                         INC., AN ALABAMA CORPORATION      
                                                                           
                                         By:     /s/Mary Margaret Hamlett  
                                         ------------------------------------ 
                                                                           
                                         Title:   Executive Vice President 
                                         ------------------------------------ 


                                      -4-

<TABLE> <S> <C>

<ARTICLE> 5
<LEGEND>
THIS SCHEDULE CONTAINS SUMMARY FINANCIAL INFORMATION EXTRACTED FROM THE
FINANCIAL STATEMENTS OF ADVOCAT INC., FOR THE NINE MONTHS ENDED SEPTEMBER 30,
1996, AND IS QUALIFIED IN ITS ENTIRETY BY REFERENCE TO SUCH FINANCIAL STATEMENTS
INCLUDED IN THE FORM 10-Q OF ADVOCAT INC., FOR THE QUARTERLY PERIOD ENDED
SEPTEMBER 30, 1996.
</LEGEND>
<CURRENCY> US DOLLARS
       
<S>                             <C>
<PERIOD-TYPE>                   9-MOS
<FISCAL-YEAR-END>                          DEC-31-1996
<PERIOD-END>                               SEP-30-1996
<EXCHANGE-RATE>                                  1,000
<CASH>                                           2,172
<SECURITIES>                                         0
<RECEIVABLES>                                   23,828
<ALLOWANCES>                                     1,893
<INVENTORY>                                        557
<CURRENT-ASSETS>                                27,111
<PP&E>                                          38,765
<DEPRECIATION>                                  (9,154)
<TOTAL-ASSETS>                                       0
<CURRENT-LIABILITIES>                           18,112
<BONDS>                                              0
                                0
                                          0
<COMMON>                                            53
<OTHER-SE>                                      25,821
<TOTAL-LIABILITY-AND-EQUITY>                    67,231
<SALES>                                              0
<TOTAL-REVENUES>                               121,955
<CGS>                                                0
<TOTAL-COSTS>                                  116,921
<OTHER-EXPENSES>                                     0
<LOSS-PROVISION>                                   931
<INTEREST-EXPENSE>                               1,156
<INCOME-PRETAX>                                  5,034
<INCOME-TAX>                                     1,812
<INCOME-CONTINUING>                              3,222
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                      0
<CHANGES>                                            0
<NET-INCOME>                                     3,222
<EPS-PRIMARY>                                      .61
<EPS-DILUTED>                                      .61
        

</TABLE>


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