COMMUNITY CARE OF AMERICA INC
10-K/A, 1997-04-30
SKILLED NURSING CARE FACILITIES
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                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549

                                    --------

                                   FORM 10-K/A

|X|        ANNUAL  REPORT  PURSUANT  TO  SECTION  13 OR 15(D) OF THE  SECURITIES
           EXCHANGE ACT OF 1934

           FOR THE FISCAL YEAR ENDED DECEMBER 31, 1996. OR |_| TRANSITION REPORT
           PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES AND EXCHANGE ACT OF
           1934

                         COMMISSION FILE NUMBER: 0-26502

                         COMMUNITY CARE OF AMERICA, INC.
             (Exact name of registrant as specified in its charter)


          DELAWARE                                               52-1823411
(State or other jurisdiction of                                (IRS Employer
incorporation or organization)                              Identification No.)


                     3050 NORTH HORSESHOE DRIVE, SUITE 260,
                              NAPLES, FLORIDA 34104
                    (Address of principal executive offices)

       REGISTRANT'S TELEPHONE NUMBER, INCLUDING AREA CODE: (941) 435-0085

        SECURITIES REGISTERED PURSUANT TO SECTION 12(B) OF THE ACT: NONE

       SECURITIES REGISTERED PURSUANT TO SECTION 12(G) OF THE ACT: COMMON
                             STOCK, $.0025 PAR VALUE

           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. |X| Yes |_| No

           Indicate by check mark if disclosure of delinquent filers pursuant to
Item 405 of Regulation S-K is not contained  herein,  and will not be contained,
to the best of the  registrant's  knowledge,  in definitive proxy or information
statements  incorporated  by  reference  in Part  III of this  Form  10-K or any
amendment to this Form 10-K. |_|

           The aggregate market value of Common Stock held by  non-affiliates of
the registrant as of March 31, 1997 was  approximately  $19,161,858.  Solely for
purposes of this computation,  the registrant's directors and executive officers
have been deemed to be  affiliates.  Such  treatment  is not intended to be, and
should not be construed to be, an admission by the  registrant or such directors
and officers that any of such persons are  "affiliates," as that term is defined
under the Securities Act of 1933.

           The number of shares of common stock outstanding as of March 31, 1997
was 7,597,801.

                       DOCUMENTS INCORPORATED BY REFERENCE
                                      None

================================================================================


<PAGE>



                                     PART II

ITEM 10:  DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT

           The directors and executive officers of the Company are as follows:


NAME                             AGE    POSITION
John L. Silverman.............    55    Chairman of the Board and Director
Deborah A. Lau................    36    President, Chief Executive Officer and 
                                           Director
William J. Krystopowicz.......    45    Executive Vice President and
                                           Director of Mergers and Acquisitions
Robert N. Elkins, M.D.........    53    Director
Michael S. Blass..............    40    Director

           John L.  Silverman  has,  since July 1995,  been  President and Chief
Executive Officer of Asia Care, Inc., a company seeking  investments in Asia for
its parent,  Integrated Health Services, Inc. ("IHS"). From 1985 until he joined
Asia Care,  Inc.,  Mr.  Silverman was President and Chief  Executive  Officer of
Venturecorp,  Inc., a venture capital and investment  management company. He has
also served as Chief  Financial  Officer since October 1990,  and President from
October 1990 to April 1993,  of the Chi Systems  Inc.,  a healthcare  consulting
company.  Mr.  Silverman  has served as the Chairman of the Board of the Company
since December 1993. Mr. Silverman is also a director of IHS and several private
companies.

           Deborah A. Lau joined the Company as  Executive  Vice  President  and
Chief Operating Officer in October 1995 and became President and Chief Executive
Officer (while retaining the post of Chief Operating  Officer) of the Company on
April 4, 1997.  From March 1989 until she joined the Company,  Ms. Lau served in
various  capacities with IHS, serving as Vice President of Financial  Operations
from January 1995,  Vice President  Healthcare  Controller from November 1993 to
December  1994 and Regional  Vice  President  from March 1989 to November  1993.
Prior  thereto,  Ms. Lau served as  Assistant  Controller  at  Continental  Care
Centers,  Inc.  Ms.  Lau  received  a B.S.  degree in  Accounting  and  Business
Administration from Towson State University.

           William J. Krystopowicz  joined the Company in July 1993,  serving as
interim  President  until February 1994,  since which time he has been Executive
Vice President.  Mr.  Krystopowicz  also served as the Company's Chief Financial
Officer from  February 1994 until June 1995.  Prior to joining the Company,  Mr.
Krystopowicz  served as IHS's Senior Vice  President of Financial  Services from
August 1988 and Vice  President - Controller  from June 1986 to July 1988.  From
July 1985 until he joined  IHS,  Mr.  Krystopowicz  was  Director of Finance and
Reimbursement of Genesis Health Ventures,  Inc., a long-term care operator.  Mr.
Krystopowicz received a B.S. degree in Accounting from LaSalle University.

           Robert N.  Elkins,  M.D.,  founder  of the  Company,  has served as a
director of the Company since December 1992. Dr. Elkins is currently Chairman of
the Board and Chief  Executive  Officer of IHS, a leading  provider  of subacute
healthcare  services,  positions  he has held since March 1986.  From 1980 until
co-founding  IHS in 1986,  Dr.  Elkins was a  co-founder  and Vice  President of
Continental  Care Centers,  Inc., an owner and operator of long-term  healthcare
facilities.  From 1976 through 1980, Dr. Elkins was a practicing physician.  Dr.
Elkins is a graduate of the University of Pennsylvania, received his M.D. degree
from the Upstate Medical Center, State University of New York, and completed his
residency at Harvard University Medical Center. Dr. Elkins is also a director of
Capstone Capital Corporation and Davstar Industries, Inc.

                                       -2-

<PAGE>



           Michael S. Blass has served as a director of the  Company  since July
1995.  Mr.  Blass has been a partner  in the law firm of Blass & Driggs for more
than the past five years.  Mr.  Blass  received a B.A.  degree  from  Georgetown
University and a J.D. degree from Fordham University.

           The Company's Certificate of Incorporation provides that the Board of
Directors shall be divided into three classes, with such classes to be as nearly
equal in number as the then total  number of directors  constituting  the entire
Board  permits.  Each class is elected for a term of three years.  The Company's
Board of  Directors  presently  consists  of four  members.  Deborah  A. Lau and
Michael S. Blass serve as Class I directors,  John L. Silverman  serves as Class
II director  and Robert N. Elkins  serves as Class III  director,  with terms of
office  scheduled to expire at the Company's 1999, 1997 and 1998 Annual Meetings
of Stockholders, respectively.

           Officers are elected by the Board of Directors  and may be removed at
any time by the Board.  The officers of the Company are elected  annually by the
Board of Directors at its meeting held  immediately  after the annual meeting of
the stockholders,  and hold their respective  offices until their successors are
duly elected and qualified.

           Stockholders  of the  Company  who,  at  April  25,  1997,  owned  an
aggregate of 733,392 shares of Common Stock (including 287,602 shares owned by a
partnership in which a limited partnership controlled by Dr. Elkins is a general
partner and is afforded  sole  voting  power) are parties to a Voting  Agreement
(the "Voting Agreement") with Dr. Elkins, in which such stockholders have agreed
that,  during the ten-year  term of the Voting  Agreement  (which was  effective
January 26, 1996), at all meetings of stockholders  and in all written  consents
of  stockholders,  they will  vote all  Common  Stock  owned by them in the same
manner as Common  Stock owned by Dr.  Elkins  (846,235  shares) is voted by him.
Each such  stockholder  has also  irrevocably  appointed  Dr. Elkins as proxy to
represent and vote all shares of Common Stock of such stockholder at any meeting
of  stockholders  of the Company and in all actions taken by written  consent of
stockholders.  Common Stock owned by such  stockholders will cease to be subject
to the Voting  Agreement  following any sale thereof in an  underwritten  public
offering pursuant to the Securities Act of 1933, as amended,  or in a sale under
Rule 144 promulgated under such Act. In addition,  Equity-Linked Investors, L.P.
("ELI-I")  and  Equity-Linked  Investors  II  ("ELI-II")  have  entered  into  a
Stockholders'  Agreement  with Dr.  Elkins and the Company  (the  "Stockholders'
Agreement"),  pursuant  to which ELI-I and ELI-II are  collectively  entitled to
designate  two nominees to the  Company's  Board of  Directors.  Dr.  Elkins has
agreed,  pursuant to the Stockholders'  Agreement, to vote all shares over which
he has voting  control for the  election  of such  nominees.  If the  collective
ownership of ELI-I and ELI-II falls below 665,907 shares,  they will be entitled
to one board nominee so long as they own any shares of Common  Stock.  ELI-I and
ELI-II,  which  currently own an aggregate of 1,331,814  shares of the Company's
Common Stock,  have had no designees  sitting on the Board since June 1996.  See
"Security  Ownership of Certain  Beneficial Owners and Management" in Item 12 of
this Report.

COMPLIANCE WITH SECTION 16(A) OF THE SECURITIES EXCHANGE ACT OF 1934

           Section  16(a) of the  Securities  Exchange Act of 1934,  as amended,
requires  the  Company's  executive  officers  and  directors,  and  persons who
beneficially  own more than 10% of the Company's  Common  Stock,  to timely file
initial  statements of stock  ownership and  statements of changes of beneficial
ownership  with the  Securities  and Exchange  Commission  and furnish copies of
those  statements to the Company.  Based solely on a review of the copies of the
statements furnished to the Company to date, or written  representations that no
statements were required,  the Company believes that all statements  required to
be filed by such  persons  with  respect  to the  Company's  fiscal  year  ended
December 31, 1996 were timely filed, except that Messrs. Damon Ball, Rohit Desai
and Daniel Pine,  former  directors of the Company,  were late in filing reports
covering the

                                       -3-

<PAGE>



automatic grant of options to them in 1996 under the Company's 1995 Non-Employee
Director Stock Option Plan.

ITEM 11:  EXECUTIVE COMPENSATION

SUMMARY COMPENSATION TABLE

           The following table sets forth the annual and long-term  compensation
for services in all  capacities to the Company for the years ended  December 31,
1994,  1995 and 1996 of those  persons  who,  at any time  during the year ended
December 31, 1996, were: (i) the chief executive  officer of the Company or (ii)
an executive officer whose compensation  exceeded $100,000 during that year (the
"Named Officers"):

<TABLE>
<CAPTION>
                                                                                         LONG-TERM COMPENSATION
                                               ANNUAL COMPENSATION                             AWARDS
                                ---------------------------------------------------   ---------------------------
                                                                                      RESTRICTED       SECURITIES
NAME AND                                                           OTHER ANNUAL        STOCK          UNDERLYING      ALL OTHER
PRINCIPAL POSITION(1)           YEAR   SALARY($)  BONUS($)(2)    COMPENSATION($)(3)   AWARDS($)        OPTIONS(#)     COMPENSATION
- - ------------------              ----   ---------  -----------    ------------------   ---------        ----------     ------------
<S>                             <C>    <C>        <C>                                                 <C>             <C>        
Gary W. Singleton               1996   $208,076   $ 76,110(4)            --                --         100,000(5)      $126,275(6)
  President and                                                                                                     
  Chief Executive Officer                                                                                           
                                                                                                                    
Kenneth W. Creasman             1996     96,503       --                 --                --            --            133,760(7)
  Former President and Former   1995    282,426     60,000               --                --            --              5,660
  Chief Executive Officer       1994    263,916    234,065(8)            --            $100,171(9)     86,487           50,000
                                                                                                                    
Deborah A. Lau                  1996    230,739     56,250               --                --            --            126,615(6)
  Executive Vice                1995     56,250     55,000               --                --          60,000           88,781
  President and Chief                                                                                               
  Operating Officer                                                                                                 
                                                                                                                    
William J. Krystopowicz         1996    180,003       --                 --                --            --            125,400(6)
  Executive Vice President      1995    138,917     40,000               --                --            --             25,000
  and Director of Mergers       1994    125,000     65,938                                                                --
  and Acquisitions                                                                                                  
                                                                                                                    
David H. Fater                  1996    221,050       --                 --                --            --            144,062(6)
  Executive Vice President      1995     95,630     65,000               --                --          25,316           30,000
  and Chief Financial Officer                                                                                       
</TABLE>
- - ----------------------

(1)   Dr. Singleton  served as President and Chief Executive  Officer from April
      1996 until April 4, 1997. Dr. Singleton replaced Mr. Creasman who resigned
      on April 19,  1996.  Mr.  Fater,  who  joined  the  Company  in June 1995,
      resigned on January 31,  1997.  Ms. Lau, who joined the Company in October
      1995, as Executive Vice President and Chief  Operating  Officer,  replaced
      Dr.  Singleton as President and Chief  Executive  Officer and Mr. Fater as
      Chief  Financial  Officer on April 4, 1997.  Reported  salaries  cover the
      portion of the respective year such persons were employees of the Company.
      See "Employment Agreements" and "--Termination Agreements," below.

(2)   Except as otherwise indicated,  bonuses are reflected in the year to which
      they relate even if paid in a subsequent year.

(3)   None of the Named Officers received prequisites or other personal benefits
      in an  amount  large  enough  to  require  reporting,  nor did any of them
      receive any other  compensation  required to be  reported,  in this column
      under applicable Securities and Exchange Commission rules.


                                       -4-

<PAGE>



(4)   Represents a bonus paid to Mr. Singleton as an inducement to enter into an
      employment  agreement and join the Company  ($70,000) and to reimburse Mr.
      Singleton  for  vacation  pay  forfeited  by reason of  leaving  his prior
      employment ($6,110).

(5)   In connection with the termination of Dr. Singleton's employment,  options
      to purchase  25,000 shares  became  vested and options to purchase  75,000
      shares were terminated. See "--Option/SAR Grants in Last Fiscal Year."

(6)   Represents  amounts paid by the Company for supplemental  health insurance
      coverage of $1,275 for Dr.  Singleton,  $1,615 for Ms.  Lau,  $404 for Mr.
      Krystopowicz and $19,062 for Mr. Fater; and (b) the full amount ($125,000)
      of  vested  and  unvested  Company   contributions   under  the  Company's
      Supplemental  Deferred Compensation Plan ("SDCP") allocated during 1996 to
      each  of Dr.  Singleton,  Ms.  Lau,  Mr.  Krystopowic  and Mr.  Fater.  In
      connection with the termination in 1997 of Dr. Singleton's and Mr. Fater's
      Employment  Agreements,  the  Company  agreed to pay each  $25,000 in full
      settlement of their SDCP accounts.

(7)   Includes (a) accrued  vacation pay ($18,101)  paid in connection  with the
      termination of Mr. Creasman's  employment and (b) consulting  availability
      fees  ($110,782)  paid  subsequent to the  termination  of Mr.  Creasman's
      employment  and and (c) premium paid ($4,877) on life  insurance  prior to
      the   termination  of  Mr.   Creasman's   employment.   See   "Termination
      Agreements,"  below,  for  information  concerning  the  settlement of Mr.
      Creasman's Employment Agreement with the Company.

(8)   Includes a bonus of  $210,000  paid to Mr.  Creasman as an  inducement  to
      enter into an  employment  agreement  and join the Company,  which bonuses
      were charged to start-up expense in 1993.

(9)   Represents the  difference  between the fair market value of the Company's
      Common Stock on the date Mr. Creasman paid for the 64,693 shares of Common
      Stock purchased by him and the consideration  paid by him for such shares.
      Under  federal  income  tax  rules,  these  shares  may  be  deemed  to be
      restricted stock awards. In 1995, Mr. Creasman's  Employment Agreement was
      amended  in a  manner  so  that  the  shares  were  no  longer  considered
      restricted stock under those rules. The difference between the fair market
      value of such shares on the date of the  amendment  and the amount paid by
      Mr. Creasman for such shares was approximately  $354,000,  which amount is
      taxable to Mr. Creasman.  The Company loaned Mr. Creasman  $141,600 to pay
      the  estimated  income  taxes,  which  loans  were  discharged  in 1997 in
      connection  with the  settlement  of a lawsuit  commenced by Mr.  Creasman
      against the Company.  See "--Termination  Agreements," below, and "Certain
      Relationships and Related Transactions" in Item 13 of this Report.



                                       -5-

<PAGE>



OPTION/SAR GRANTS IN LAST FISCAL YEAR

           The following table contains certain  information  concerning options
granted  by the  Company  during  the year ended  December  31,  1996 to Gary W.
Singleton,  the only Named Officer who was granted options during 1996. No stock
appreciation rights ("SARs") have been granted by the Company.

<TABLE>
<CAPTION>
                                            INDIVIDUAL OPTIONS
                                                                                        POTENTIAL REALIZABLE
                        NUMBER OF       PERCENT OF                                        VALUE AT ASSUMED
                          SHARES       TOTAL OPTIONS    EXERCISE                        ANNUAL RATES OF STOCK
                        UNDERLYING      GRANTED TO       PRICE                         PRICE APPRECIATION FOR
                         OPTIONS       EMPLOYEES IN       PER        EXPIRATION         OPTION TERM (2)
NAME                     GRANTED        FISCAL YEAR      SHARE         DATE(1)          5%                10%
- - ----                    ---------       -----------     -------       ---------        ----              ----
<S>                       <C>              <C>           <C>         <C>  <C>          <C>             <C>     
Gary W. Singleton         37,187           22.1%         $9.50       4/18/2006         $222,174        $563,032
                          62,813           37.4%         $9.50       5/30/2006         $375,276        $951,024
</TABLE>

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

(1)   In connection with the termination of Dr. Singleton's Employment Agreement
      in April 1997, the Company and Dr.  Singleton  agreed that, of the options
      granted to Dr.  Singleton,  options to  purchase  25,000  shares of Common
      Stock  would be fully  vested and the options to  purchase  the  remaining
      75,000 shares of Common Stock would be terminated.  Unless exercised on or
      before July 3, 1997,  the vested  options are to expire on that date.  See
      "Termination  Agreements,"  below. 

(2)   These  are  hypothetical   values  using  assumed  compound  growth  rates
      prescribed by the Securities and Exchange  Commission and are not intended
      to forecast possible future  appreciation,  if any, in the market price of
      the Common Stock.

AGGREGATED OPTION EXERCISES IN LAST FISCAL YEAR AND YEAR-END VALUES

           The following  table sets forth certain  information  concerning  the
number of shares of Common Stock  acquired  upon the  exercise of stock  options
during the year ended  December 31, 1996 by the Named  Officers and the value at
December 31, 1996 of shares of Common Stock subject to unexercised  options held
by the Named Officers. No SARs are held by any of such executive officers.

<TABLE>
<CAPTION>

                                                                NUMBER OF SHARES            VALUE OF
                                                                   UNDERLYING              UNEXERCISED
                                                                   UNEXERCISED            IN-THE-MONEY
                                                                OPTIONS AT FISCAL       OPTIONS AT FISCAL
                                                                    YEAR-END                YEAR-END
                            SHARES ACQUIRED       VALUE         (EXERCISABLE/            (EXERCISABLE/
            NAME              ON EXERCISE      REALIZED (1)     UNEXERCISABLE)        (UNEXERCISABLE) (2)
- - ------------------------    ----------------   ------------     --------------        -------------------
<S>                                                                 <C>                 <C>          <C>
Gary W. Singleton                     ---           ---             0/100,000(3)        $0/          0
Deborah A. Lau                        ---           ---            16,190/43,810        $0/          0
William J. Krystopowicz             14,000        $109,455         22,362/16,565          $9,213/6,825
David H. Fater                        ---           ---          8,439/16,877(4)       $0/           0
</TABLE>

                                                        (footnotes on next page)

                                       -6-

<PAGE>



- - --------------
(1)   Represents the closing price of the underlying  Common Stock on The Nasdaq
      Stock Market's National Market on the date of exercise of the option minus
      the applicable  option exercise price,  multiplied by the number of shares
      acquired upon exercise of the option.

(2)   Represents the closing price of the underlying  Common Stock on The Nasdaq
      Stock Market's National Market at year-end minus the option exercise price
      multiplied by the applicable  number of shares subject to the option.  See
      "Termination Agreements," below.

(3)   In connection with the termination of Dr. Singleton's Employment Agreement
      in April 1997, the Company and Dr.  Singleton  agreed that, of the options
      held by Dr.  Singleton,  options to purchase 25,000 shares of Common Stock
      would be fully  vested and the options to purchase  the  remaining  75,000
      shares of Common Stock would be terminated.  Unless exercised on or before
      July  3,  1997,  the  vested  options  are to  expire  on that  date.  See
      "Termination Agreements," below.

(4)   As a result of the  termination of Mr. Fater's  employment,  these options
      will  expire  unless  exercised  before  May  1,  1997.  See  "Termination
      Agreements," below.

COMPENSATION OF DIRECTORS

           Directors of the Company  receive no cash  compensation  for services
rendered as directors.  The Company's  1995  Non-Employee  Director Stock Option
Plan (the  "Non-Employee  Director  Plan")  provides for the automatic  grant of
options to purchase  10,000  shares of Common  Stock at the time a  non-employee
director initially is elected to the Board and 5,000 shares to each non-employee
director in office  immediately  following the conclusion of each annual meeting
of stockholders at which directors are elected.  Options granted under this plan
have  a  ten-year  term  and  are   exercisable   in  three  equal   semi-annual
installments, on a cumulative basis, commencing six months following the date of
grant,  subject to early termination in certain instances,  at an exercise price
equal to the fair market value of the Common Stock on the date of grant.

EMPLOYMENT AGREEMENTS

           The  Company  is  presently  a party to  Employment  Agreements  (the
"Employment   Agreements")   with  each  of  Deborah  A.  Lau  and   William  J.
Krystopowicz.

           The Company's  Employment  Agreement with Ms. Lau provides for a term
of three years commencing October 2, 1995, with automatic one-year extensions on
each  anniversary  thereof unless either party elects not to so extend by giving
written  notice  at least 90 days  prior to such  anniversary  date.  Ms.  Lau's
current  base salary is $237,659  per annum,  subject to increase  annually by a
percentage equal to the percentage increase in the Consumer Price Index and such
additional amounts as may be determined at the discretion of the Company's Chief
Executive Officer.  In addition,  Ms. Lau may also receive annual bonuses at the
discretion of the Company's Chief Executive Officer, subject to a maximum amount
equal to 35% of base  salary per annum  (and a minimum  of $56,250  for the year
ended December 31, 1996).  Since Ms. Lau has become Chief  Executive  Officer of
the Company,  the Company intends to have  determinations as to salary increases
and bonuses made by either the full Board of Directors or the  Compensation  and
Options Committee of the Board. Ms. Lau's Employment Agreement provides that the
Company  may  terminate  her  employment  for,  among other  reasons,  cause (as
defined) by  continuing to pay Ms. Lau her then current base salary for a period
of 18 months  provided that if, at the time,  less than 18 months remains on the
term of her Employment Agreement, such base salary shall continue for the longer
of the remaining term of her Employment Agreement or 12 months.


                                       -7-

<PAGE>



           The Company's Employment Agreement with Mr. Krystopowicz provided for
an initial term extending  through  December 31, 1998,  with automatic  one-year
extensions  on each  January  1 (so that the term is then  three  years)  unless
either  party  elects not to so extend by giving  written  notice  prior to such
anniversary  date. The current base salary under Mr.  Krystopowicz's  Employment
Agreement is $184,860, subject to increase annually by a percentage equal to the
percentage  increase in the Consumer Price Index and such additional  amounts as
may  be   determined  at  the   discretion  of  the  Board  of  Directors.   Mr.
Krystopowicz's  Employment Agreement provides that the Company may terminate his
employment for, among other things,  cause (as defined) by continuing to pay Mr.
Krystopowicz  his then  current  base  salary for a period of 18 months.  Either
party shall have the right, at any time upon 180 days' notice,  to terminate the
Employment  Agreement  without  cause.  In the  event of such  termination,  the
Company is to continue to pay Mr.  Krystopowicz his then current base salary for
the remaining scheduled term of his Employment  Agreement.  In addition,  in the
event that either party  voluntarily  terminates the Employment  Agreement,  the
Company may elect to continue the non-competition restrictions contained therein
for a period of up to 18 months by paying to Mr. Krystopowicz an amount equal to
100% of his  then  current  base  salary  for  each  month  the  non-competition
restrictions are to be in effect.

           In the event of a "change of control"  of the  Company (as  defined),
Ms. Lau and Mr. Krystopowicz each have the right, upon giving 30 days' notice to
the  Company  within 180 days  following  such event (or, if  terminated  by the
Company during such 180 day period), to terminate his or her employment in which
event the executive shall be entitled to receive his or her then base salary for
a period  of 36  months  following  the date of such  termination  and all stock
options  then held by the  executive  shall become  fully  vested.  A "change of
control" of the Company is deemed to occur under the Employment  Agreements,  in
general:  (i) when a person,  other than  Robert N.  Elkins or an  institutional
investor,  becomes the "beneficial owner" of 20% or more of the Company's Common
Stock,  (ii) in the event of  certain  mergers  or  consolidations  in which the
Company is not the surviving  entity,  (iii) in the event of the sale,  lease or
transfer of substantially  all of the Company's assets or the liquidation of the
Company or (iv) if Robert N. Elkins ceases to be a director of the Company.

           Each  executive  is also  entitled to  participate  in the  Company's
employee  benefit  plans.  Whenever  the  executive  is  entitled  to  receive a
continuation of salary following termination or nonrenewal of employment,  he or
she is also entitled to receive a  continuation  of the  executive's  automobile
allowance  and any  hospital  or major  medical  insurance  during the period of
salary continuation.

           Each of the Employment  Agreements contains covenants by the employee
to, among other  things,  maintain the  confidentiality  of trade secrets of the
Company,  as well as  covenants  not to solicit  employees  or  customers of the
Company and, during specified periods,  not to be employed or have certain other
relationships  with  entities  which are  directly  in the  business  of owning,
operating or managing  businesses  which  compete  with  certain  aspects of the
Company's business.

TERMINATION AGREEMENTS

           Effective  April 19,  1996,  Mr.  Kenneth W.  Creasman,  who was then
serving as  President,  Chief  Executive  Officer and a director of the Company,
resigned.  By letter  agreement dated April 23, 1996 between the Company and Mr.
Creasman, except for the provisions concerning confidentiality of trade secrets,
non-solicitation of employees and customers and non-competition,  Mr. Creasman's
Employment Agreement, which extended through January 1, 1999 and under which Mr.
Creasman's annual salary was then $290,821, was terminated. In lieu thereof, Mr.
Creasman  agreed to be  available  as a  consultant  to the Company by telephone
regarding  proposed and  recently  completed  acquisitions  by the Company for a
period of 18 months at a monthly  consulting  fee of $24,136.  The Company  also
agreed to continue Mr. Creasman's employee health benefit package at the

                                       -8-

<PAGE>



Company's expense for a period of 18 months or until he secures other employment
with  comparable  benefits,  whichever  is earlier.  The letter  agreement  also
provided that, notwithstanding the provisions of his option agreements,  options
to purchase  28,147 shares became vested and,  together with options to purchase
30,183 shares which had already  vested,  remain  exercisable  for 180 days. The
remaining  options held by Mr.  Creasman (to  purchase  28,157  shares of Common
Stock) were terminated. All options have now expired unexercised. On January 30,
1997, as part of a settlement of a lawsuit  instituted by Mr.  Creasman  against
the Company, the consulting  arrangement and the Company's agreement to continue
health care benefits was terminated. See also "Certain Relationships and Related
Transactions" in Item 13 of this Report.

           Effective  April 4, 1997,  Dr. Gary W.  Singleton,  who  replaced Mr.
Creasman as President,  Chief  Executive  Officer and a director of the Company,
resigned.  By letter  agreement  dated that date, the Company and Dr.  Singleton
agreed to terminate Dr. Singleton's  Employment Agreement which had been entered
on April 19, 1996, except for the provisions  concerning the  confidentiality of
trade secrets,  non-solicitation of employees and customers and non-competition.
Dr. Singleton's Employment Agreement provided for, among other things, an annual
salary of $300,000  (subject to annual  increases)  and extended  through  April
1999,  subject to the  Company's  right to terminate  the  Employment  Agreement
earlier by making certain future payments to Dr. Singleton. In lieu thereof, Dr.
Singleton is receiving  severance pay of $154,500,  payable in installments over
eleven months (and evidenced by a non-interest  bearing  promissory  note),  and
received $25,000 in satisfaction of his rights under the Company's  Supplemental
Deferred  Compensation  Plan  (evidenced  by six-month  promissory  note bearing
interest at 7% per annum). All amounts due Dr. Singleton accelerate in the event
of a sale of the Company.  The Company  also agreed to continue Dr.  Singleton's
employee  health  benefit  package at the Company's  expense for a period of six
months.  The letter agreement also provides of the options to purchase shares of
the Company's  Common Stock held by Dr.  Singleton,  options to purchase  25,000
shares  (which were  scheduled  to vest in part on April 19, 1997 and in part on
May 31,  1997) would  immediately  vest.  Unless  exercised on or before July 3,
1997, the vested options will expire on that date. The remaining options held by
Dr.  Singleton  (to  purchase  75,000  shares of  Common  Stock)  terminated  in
accordance with their terms.

           Effective  January  31,  1997,  Mr.  David H. Fater,  Executive  Vice
President  and Chief  Financial  Officer  of the  Company,  resigned.  By letter
agreement  dated that date,  the Company and Mr. Fater  agreed to terminate  Mr.
Fater's  Amended  Employment  Agreement which had been entered into on April 26,
1996, except for the provisions concerning the confidentiality of trade secrets,
non-solicitation  of employees and customers and  non-competition.  Mr.  Fater's
Employment  Agreement  provided  for,  among other  things,  an annual salary of
$210,000 (subject to annual reviews,  a bonus and, in general,  extended through
June 26, 1997. In lieu thereof, Mr. Fater has received severance pay of $12,454.
The Company also agreed to pay Mr. Fater $6,000 in satisfaction of a claim under
a consulting  arrangement between the Company and a company related to Mr. Fater
which  existed  prior  to  Mr.  Fater's  joining  the  Company  and  $25,000  in
satisfaction   of  his  rights  under  the   Company's   Supplemental   Deferred
Compensation Plan.

COMPENSATION COMMITTEE INTERLOCKS AND INSIDER PARTICIPATION

           The Compensation and Options  Committee,  which currently consists of
Messrs. John L. Silverman and Dr. Robert N. Elkins, has power and authority with
respect to all matters pertaining to compensation payable by the Company and the
administration of employee  benefits,  deferred  compensation and stock plans of
the Company.

           Robert N. Elkins and John L.  Silverman  are  directors  of IHS.  Dr.
Elkins is also the  Chairman  of the Board and Chief  Executive  Officer of IHS.
Pursuant to a January 19, 1994 Consulting Agreement, during the

                                       -9-

<PAGE>



year ended December 31, 1996, the Company paid Symphony Health Care  Consulting,
Inc. ("SHCC"), a subsidiary of IHS, approximately $148,000 for services rendered
to the Company for consulting, training and cost reporting services with respect
to the Company's third party Medicare  reimbursement  operations.  SHCC provides
similar  services to a number of unrelated  companies at similar rates. In 1996,
the  Company  paid  Symphony   Rehabilitation  Services  and  Symphony  Pharmacy
Services, wholly-owned subsidiaries of IHS, $162,000 for therapy and $98,000 for
pharmacy  services,  respectively.  The Company believes that the terms on which
these  services have been and are being provided are as favorable to the Company
as could have been obtained from unaffiliated third parties.

           On December 27,  1996,  the Company and IHS entered into a Management
Agreement  (the  "Management  Agreement")  pursuant  to  which  the  Company  is
employing IHS to supervise,  manage and operate the financial,  accounting, MIS,
reimbursement and ancillary services contracting functions for the Company until
December 31, 2001. The Management  Agreement  provides for the Company to pay to
IHS for its services,  until December 31, 1997, an amount equal to the lesser of
2% of the Company's gross revenues (as defined) or the Company's annualized cost
of  performing  those  services  itself based on the period July 1, 1996 through
December 31, 1996.  Thereafter,  the  management fee payable to IHS is to be the
lesser of 2% of the Company's  gross  revenues or a percentage of gross revenues
determined by comparing the Company's cost of performing  such functions  during
the period July 1, 1996 through December 31, 1996 to its gross revenues for that
period. The gross revenues  percentage which is fixed may be increased from 2.0%
to 2.5% by  mutual  agreement  of the  parties  following  IHS's  review  of the
Company.

           At that  time,  the  Company  and IHS  Financial  Holdings,  Inc.,  a
wholly-owned  subsidiary of IHS, also entered into a loan  agreement  which,  as
amended on January 13, 1997, entitles the Company to borrow,  until December 27,
1998,  amounts on a revolving  credit basis so that no more than $5.0 million is
outstanding at any time.  Loan advances are subject to the consent of IHS to the
making  of  advances,  which  consent  may not be  unreasonably  withheld.  This
revolving credit facility bears interest at a rate per annum equal to the annual
rate of interest set forth in IHS's  revolving  credit  agreement with Citibank,
N.A.,  plus 2%.  Repayment  of  amounts  advanced  under this line of credit are
subordinated  to the payment of up to an  aggregate  of $30 million of principal
and interest on the  Company's  obligations  to its two  principal  unaffiliated
third party lenders.  At April 15, 1997, the Company had outstanding  borrowings
aggregating  $4.5 million under this facility  which,  at that date, was bearing
interest at the rate of 10.5% per annum.

           In connection with entering into the revolving credit  facility,  the
Company issued to IHS warrants to purchase an aggregate of 752,182 shares of the
Company's Common Stock, one-half of which are exercisable until January 13, 1999
at $3.22  per  share  (the  average  of the high and low  trading  prices of the
Company's Common Stock on January 14 and 15, 1997) and the remaining one-half of
which are exercisable until January 13, 2002 at $6.44 per share.

           On April 14, 1997, IHS agreed to guarantee certain obligations of the
Company to the  Company's  principal  revolving  credit lender and to the lender
which has financed the Company's major acquisitions. To induce IHS to issue such
guarantees,  the Company agreed to reimburse IHS for such amounts paid by IHS on
behalf  of the  Company,  including  costs,  fees and  expenses,  and to pay IHS
interest at the rate of 15% per annum on all amounts  which  become owing to IHS
from the Company with respect thereto. In connection therewith, the Company also
issued  warrants  to IHS to  purchase  an  aggregate  of  379,900  shares of the
Company's  Common  Stock until April 15, 2002 at $1.9375 per share (the  closing
price of the Company's Common Stock on April 14, 1997).


                                      -10-

<PAGE>



           The number of shares  subject to each of the above  warrants  and the
exercise prices are subject to adjustment in certain instances, including if the
Company  issues shares of Common Stock (or  securities  convertible  into Common
Stock) at less than the applicable exercise price. In connection therewith,  the
Company  has  granted to IHS certain  rights to cause the shares  issuable  upon
exercise of the warrants to be registered  under the  Securities Act of 1933, as
amended, at the Company's expense.

ITEM 12:  SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT

           The following  table sets forth certain  information  concerning  the
beneficial  ownership of the Company's  Common  Stock,  as of the April 25, 1997
(except as noted below),  by (a) each person who is known to the Company to be a
beneficial  owner of more  than 5% of the  outstanding  Common  Stock,  (b) each
director,  (c) each current executive officer named in the Summary  Compensation
Table under the caption  "Executive  Compensation" in Item 11 of this Report and
(d) all directors and executive  officers of the Company as a group. The Company
understands  that,  except as noted below, each beneficial owner has sole voting
and investment power with respect to all shares attributable to such owner.

                                          AMOUNT AND NATURE OF        PERCENT OF
BENEFICIAL OWNER                          BENEFICIAL OWNERSHIP(1)      CLASS(2)
- - ----------------                          -----------------------     1 --------

Robert N. Elkins
  8889 Pelican Bay Boulevard
  Naples, Florida 33963..................      1,605,948(3)            21.1%
                                                                         
Integrated Health Services, Inc.                                         
  10065 Red Run Boulevard                                                
  Owing Mills, Maryland, 21117...........      1,132,082(4)            13.0
                                                                         
Equity-Linked Investors, L.P.                                            
Desai Capital Management Incorporated                                    
Rohit M. Desai                                                           
  540 Madison Avenue                                                     
  New York, New York 10022...............        665,907(5)             8.8
                                                                         
Equity-Linked Investors-II                                               
Desai Capital Management Incorporated                                    
Rohit M. Desai                                                           
  540 Madison Avenue                                                     
  New York, New York 10022...............        665,907(5)             8.8
                                                                         
Putnam Investments, Inc.                                                 
Putnam Investment Management, Inc.                                       
The Putnam Advisory Company, Inc.                                        
  One Post Office Square                                                 
  Boston, Massachusetts 02109............        417,700(6)             5.5
                                                                  
Deborah A. Lau...........................          26,190(7)             *

William J. Krystopowicz..................          54,708(8)(9)          *

John L. Silverman........................          46,657(8)(10)         *

Michael S. Blass.........................          38,570(8)(11)         *

All current directors and executive
  officers as a group (9 persons)........       1,706,395(4)(12)       22.1


                                      -11-

<PAGE>



- - -------------------
(1)   Shares subject to options and warrants are considered  beneficially  owned
      to the extent  currently  exercisable or exercisable  within 60 days after
      April 25, 1997.

(2)   Asterisk  indicates less than 1%. Shares subject to options are considered
      outstanding   only  for  the  purpose  of  computing  the   percentage  of
      outstanding  Common  Stock  which  would be owned by the  optionee  if the
      options  held by such  person and  currently  exercisable  or  exercisable
      within 60 days after  April 25, 1997 were  exercised,  but (except for the
      calculation  of  beneficial   ownership  by  all  executive  officers  and
      directors as a group) are not  considered  outstanding  for the purpose of
      computing the  percentage of  outstanding  Common Stock owned by any other
      person.

(3)   Includes (a) 846,235 shares owned  individually by Dr. Elkins, (b) 287,602
      shares  (3.8%)  owned  by a  partnership  in which a  limited  partnership
      controlled by Dr. Elkins is a general  partner and is afforded sole voting
      (subject to the Voting Agreement  described below) and dispositive  power,
      (c) [445,790]  additional  shares (5.9%)  subject to the Voting  Agreement
      described below as to which shares Dr. Elkins has sole voting power but no
      dispositive  power,  (d) 12,000  owned by his wife as to which Mr.  Elkins
      disclaims  beneficial  ownership and (e) 14,321 shares subject to options.
      Excludes the shares  subject to Warrants  held by IHS (see footnote 4), of
      which Dr. Elkins is Chairman of the Board,  Chief Executive  Officer and a
      director.  Dr.  Elkins  disclaims  beneficial  ownership of shares  deemed
      beneficially  owned by IHS.  Represents  Shares  subject to Warrants.  See
      "Certain  Relationships  and  Related  Transactions"  in  Item  13 of this
      Report.

(4)   Represents  shares subject to warrants.  Excludes the shares  beneficially
      owned by Dr.  Robert N.  Elkins  (see  footnote  3) who is Chairman of the
      Board,  Chief Executive  Officer and a director of IHS, as to which shares
      IHS  disclaims  beneficial  ownership.  Dr.  Elkins  disclaims  beneficial
      ownership of all warrants held by IHS.

(5)   ELI-I and ELI-II are limited  partnerships,  the general partners of which
      are  Rohit  M.  Desai   Associates  and  Rohit  M.  Desai   Associates-II,
      respectively.  Mr. Rohit M. Desai is the managing general partner of Rohit
      M. Desai  Associates and Rohit M. Desai  Associates-Il.  Mr. Desai is also
      the sole  stockholder,  Chairman of the Board and President of DCMI, which
      acts as an investment  advisor to ELI-I and ELI-II.  Under the  investment
      advisory  agreements  between DCMI and each of ELI-I and ELI-II,  DCMI has
      the power to vote and dispose of these shares.  Accordingly,  each of DCMI
      and Mr.  Desai  may be  deemed to be  beneficial  owners of all  1,331,814
      shares owned in the aggregate  directly by ELI-I and ELI-II.  DCMI and Mr.
      Desai each disclaim beneficial ownership of such shares.

(6)   Based on a Schedule 13G filed with the Securities and Exchange  Commission
      and the  Company,  which  provided  information  as at December  31, 1996,
      Putnam   Investments,   Inc.  and  its  subsidiaries,   Putnam  Investment
      Management  Inc.  and  The  Putnam  Advisory  Company,   Inc.,  registered
      investment  advisors,  have  shared  voting  power with  respect to 45,500
      shares,  no voting power with respect to the remaining  372,200 shares and
      shared dispositive power as to all 417,700 shares.

(7)   Includes 16,190 shares subject to options.

(8)   The shares  (and  shares  subject  to  options)  owned by such  person are
      subject to the Voting  Agreement  described below and,  accordingly,  each
      such person has no voting  power,  but has sole  dispositive  power,  with
      respect to such shares.


                                      -12-

<PAGE>



(9)   Includes 22,362 shares subject to options.

(10)  Includes 38,574 shares subject to options.

(11)  Includes 14,321 shares subject to options.

(12)  Includes 105,768 shares subject to options.

VOTING AGREEMENT AND STOCKHOLDERS AGREEMENT

           Stockholders  of the  Company  who,  at  April  25,  1996,  owned  an
aggregate of 733,392 shares of Common Stock (including 287,602 shares owned by a
partnership in which a limited partnership controlled by Dr. Robert N. Elkins is
a general  partner and is afforded  sole voting power) are parties to the Voting
Agreement with Dr. Elkins, a director,  founder and principal stockholder of the
Company,  in which such  stockholders have agreed that, during the ten-year term
of the Voting Agreement (which was effective  January 26, 1996), at all meetings
of stockholders and in all written consents of stockholders,  they will vote all
Common  Stock  owned by them in the same  manner  as Common  Stock  owned by Dr.
Elkins  (846,235  shares)  is  voted  by him.  Each  such  stockholder  has also
irrevocably  appointed  Dr.  Elkins as proxy to represent and vote all shares of
Common Stock of such  stockholder at any meeting of  stockholders of the Company
and in all actions taken by written consent of stockholders.  Common Stock owned
by such stockholders will cease to be subject to the Voting Agreement  following
any sale thereof in an underwritten  public offering  pursuant to the Securities
Act of 1933, as amended, or in a sale under Rule 144 promulgated under such Act.
In addition, ELI-I and ELI-II have entered into the Stockholders' Agreement with
Dr. Elkins and the Company,  pursuant to which ELI-I and ELI-II are collectively
entitled to designate  two nominees to the  Company's  Board of  Directors.  Dr.
Elkins has agreed,  pursuant to the Stockholders'  Agreement, to vote all shares
over which he has voting  control  for the  election  of such  nominees.  If the
collective  ownership of ELI-I and ELI-II falls below 665,907 shares,  they will
be entitled to one board nominee so long as they own any shares of Common Stock.
ELI-I and ELI-II,  which  currently own an aggregate of 1,331,814  shares of the
Company's  Common Stock,  have had no designees  sitting on the Board since June
1996.






                                      -13-

<PAGE>



ITEM 13:  CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS

           During the period from  August 1993  through  January  1994,  Messrs.
Creasman and  Krystopowicz  purchased  64,693 and 32,346 shares of Common Stock,
respectively,  at purchase  prices of $4.64 per share.  In connection with their
purchases, the Company loaned Mr. Creasman $220,000 ($70,000 of which was repaid
in  February  1995  through  the  payment  of a bonus to Mr.  Creasman)  and Mr.
Krystopowicz  $75,000.  Each  outstanding loan is evidenced by a promissory note
(the "Stock Purchase  Loans")  bearing  interest at the rate of 8% per annum and
payable on February 1, 1997.  The Company has  tentatively  agreed to extend the
date of this note to  September  1, 1997.  In  addition,  under the terms of the
arrangement   pursuant  to  which  Mr.  Creasman's   Employment   Agreement  was
terminated,  the Company loaned to Mr. Creasman $141,600 to pay estimated income
taxes payable with respect to the shares purchased by him which may be deemed to
have been restricted stock under Federal income tax rules.  Such loan which bore
interest at the rate of 9% per annum and was payable on the third anniversary of
its  issuance.  The Company  also agreed,  subject to obtaining  approval of its
senior secured lender,  to repurchase  34,193 of Mr.  Creasman's Common Stock in
exchange for the  cancellation  of the remaining  balance of his Stock  Purchase
Loan, the Additional Loan and $33,233 of accrued interest.  On January 30, 1997,
as part of a settlement of a lawsuit instituted by Creasman against the Company,
the  Stock  Purchase  Loan  and  Additional  Loan to Mr.  Creasman  (aggregating
$291,600) were cancelled. See "Executive Compensation -- Termination Agreements"
in Item 11 of this Report.

           On June 14, 1996, the Company loaned  $250,000 to Ms. Deborah A. Lau,
which  loan bears  interest  at the rate of 8% per annum and is to be payable in
full, together with interest,  on June 14, 2001. In the event of the termination
of Ms.  Lau's  employment  following a  change-in-control  of the  Company,  any
severance  payments  payable  to Ms.  Lau under her  Employment  Agreement  (see
"Executive  Compensation  -- Employment  Agreements"  in Item 11 of this Report)
will be applied as an offset against any principal or interest outstanding under
the note evidencing this loan.

           The Company  retained  Blass & Driggs,  of which law firm  Michael S.
Blass,  a director of the Company,  is a member,  as counsel  during 1996 and is
retaining  that law firm during  1997.  Fees paid to Blass & Driggs  during 1996
were $550,000.

           See "Executive  Compensation - Compensation  Committee Interlocks and
Insider Participation" in Item 11 of this Report for information with respect to
certain  transactions  between the Company and certain  other  directors  of the
Company and ELI-I and ELI-II.




                                      -14-

<PAGE>




                                     PART IV

ITEM 14:  EXHIBITS, FINANCIAL STATEMENT SCHEDULES AND REPORTS ON FORM 8-K

           (a)       (1)       Financial Statements

                          INDEX TO FINANCIAL STATEMENTS

<TABLE>
<CAPTION>

COMMUNITY CARE OF AMERICA, INC.
                                                                                                         PAGE
<S>                                                                                                         <C>
Independent Auditors' Report...........................................................................   F-1
Consolidated Balance Sheets as of December 31, 1995 and 1996...........................................   F-2
Consolidated Statements of Operations for the Years Ended December 31, 1994, 1995 and 1996.............   F-3
Consolidated Statements of Shareholders' Equity for the Years Ended December 31, 1994, 1995
    and 1996...........................................................................................   F-4
Consolidated Statements of Cash Flows for the Period for the Years Ended December 31, 1994,
    1995 and 1996......................................................................................   F-5
Notes to Consolidated Financial Statements.............................................................   F-6

                     (2)       The following financial statement schedule is filed herewith on the page indicated:



                                  SCHEDULE                                                               PAGE
Community Care of America, Inc.  Schedule II -- Valuation and Qualifying Accounts                         S-1
</TABLE>

           (b)       Reports on Form 8-K.

           The only  Report on Form 8-K filed  during the fourth  quarter of the
Company's  year  ended  December  31,  1996 was dated  October  8, 1996 (date of
earliest event reported),  reporting Item 5, Other Events.  In January 1997, the
Company  filed a report on Form 8-K dated  December  23,  1996 (date of earliest
event report), reporting Item 5, Other Events, and Item 7, Financial Statements,
Pro Forma Financial Information and Exhibits. No financial statements were filed
with either Report.

           (c)       Exhibits:

EXHIBIT NUMBER                       DESCRIPTION

2.01       Stock Purchase  Agreement  dated as of July 1, 1993 among the Company
           and PNC Venture  Corp.,  Primus  Capital Fund I Limited  Partnership,
           Primus Capital Fund II Limited Partnership,  PNC Venture Group I, New
           York Life Insurance Company and MeritWest, Inc.

2.02(a)    Amended and Restated Agreement and Plan of Reorganization dated as of
           May 10, 1996 among the Company,  Newco,  Southern  Care,  and Wallace
           Olson and Michael  Himmelstein,  the  shareholders  of Southern Care.
           (Incorporated  by reference to Exhibit 2.1 to the  Company's  Current
           Report on Form 8-K, date of earliest  reported  event:  May 16, 1996,
           File No. 0-26502.)


                                      -15-

<PAGE>


EXHIBIT NUMBER                       DESCRIPTION


2.02(b)    Consulting and Advisory Services Agreement effective as of January 1,
           1996  among  the  Company,   Southern  Care  Centers,  Inc.  and  its
           Shareholders.  (Incorporated  by reference to Exhibit  2.02(b) to the
           Company's  Annual Report on Form 10-K for the year ended December 31,
           1995, File No. 0-26502.)

2.02(c)    Management  Agreement  dated as of May 10, 1996 between CCA of Texas,
           Inc.  and  Southern  Care  Centers of Texas,  Inc.  (Incorporated  by
           reference to Exhibit 2.3 to the Company's Current Report on Form 8-K,
           date of earliest reported event: May 16, 1996, File No. 0-26502.)

2.02(d)    Agreement  to Provide  Accounting  and  Auditing  Services  and Rural
           Healthcare  Provider  Network Services dated as of May 10, 1996 among
           Newco and  Buchanan/SCC,  Inc.  (Incorporated by reference to Exhibit
           2.4 to the  Company's  Current  Report on Form 8-K,  date of earliest
           reported event: May 16, 1996, File No. 0-26502.)

3.01(a)    Certificate  of  Incorporation  of the  Company,  as  filed  with the
           Secretary of State of the State of Delaware on December 28, 1992.

3.01(b)    Certificate  of  Amendment of  Certificate  of  Incorporation  of the
           Company,  as filed  with  the  Secretary  of  State  of the  State of
           Delaware on October 13, 1993.

3.01(c)    Certificate  of  Amendment of  Certificate  of  Incorporation  of the
           Company,  as filed  with  the  Secretary  of  State  of the  State of
           Delaware on December 28, 1993.

3.01(d)    Certificate of  Designations,  Preferences  and Rights of Series A 8%
           Cumulative  Preferred  Stock, as filed with the Secretary of State of
           the State of Delaware on December 28, 1993.

3.01(e)    Certificate  of  Amendment of  Certificate  of  Incorporation  of the
           Company,  as filed  with  the  Secretary  of  State  of the  State of
           Delaware on June 7, 1994.

3.01(f)    Certificate  of  Amendment of  Certificate  of  Incorporation  of the
           Company,  as filed  with  the  Secretary  of  State  of the  State of
           Delaware on July 28, 1995.

3.02       By-laws of the Company, as amended to date.

4.01(a)    Healthcare Receivables Purchase and Transfer Agreement dated December
           23,  1996 among the Company  and each of the  providers  named in the
           Agreement and CCA Funding, LLC. (Incorporated by reference to Exhibit
           4.1 to the  Company's  Current  Report on Form 8-K,  date of earliest
           reported event: December 23, 1996.)

4.01(b)    Loan and  Security  Agreement  dated  December  23, 1996  between CCA
           Funding, LLC and Daiwa Healthco-2, LLC. (Incorporated by reference to
           Exhibit 4.2 to the


                                      -16-

<PAGE>


EXHIBIT NUMBER                        DESCRIPTION


           Company's  Current  Report on Form  8-K,  date of  earliest  reported
           event: December 23, 1996.)

4.01(c)    Assignment of Healthcare  Receivables Purchase and Transfer Agreement
           as Collateral Security.  (Incorporated by reference to Exhibit 4.3 to
           the Company's  Current Report on Form 8-K, date of earliest  reported
           event: December 23, 1996.)

o 4.01(d)  Waiver  and  Amendment  dated  April 16,  1997  between  CCA
           Funding, LLC and Daiwa Healthco-2, LLC.

o 4.01(e)  Warrant  dated  April  14,  1997 from  CCA,  Inc.  and Daiwa
           Healthco-2, LLC.

4.02       Promissory  Note dated  December 30, 1993 in the principal  amount of
           $7,000,000 made by ECA Holdings,  Inc.  ("ECA") payable to HRPT, with
           Allonge and Amendment dated April 1, 1995.

4.03(a)    Promissory  Note dated  December 30, 1993 in the principal  amount of
           $13,600,000  made by ECA payable to HRPT,  with Allonge and Amendment
           dated April 1, 1995.

4.03(b)    Allonge and  Amendment  dated as of May 10, 1996 to  Promissory  Note
           dated December 30, 1993 in the principal  amount of $13,600,000  made
           by ECA payable to HRPT.  (Incorporated by reference to Exhibit 4.1 to
           the Company's  Current Report on Form 8-K, date of earliest  reported
           event: May 16, 1996, File No. 0-26502.)

4.04(a)    Promissory  Note dated  December 30, 1993 in the principal  amount of
           $6,000,000 made by Community Care of Nebraska Inc. ("CCN") payable to
           HRPT, with Allonge and Amendment dated April 1, 1995.

4.04(b)    Allonge and  Amendment  dated as of May 10, 1996 to  Promissory  Note
           dated December 30, 1993 in the principal amount of $6,000,000 made by
           CCN payable to HRPT. (Incorporated by reference to Exhibit 4.2 to the
           Company's  Current  Report on Form  8-K,  date of  earliest  reported
           event: May 16, 1996, File No. 0-26502.)

4.05       Promissory  Note  dated  April 1,  1995 in the  principal  amount  of
           $3,800,000 made by the Company payable to HRPT.

4.06(a)    Promissory  Note  dated  April 1,  1995 in the  principal  amount  of
           $2,045,000  made by CCN and  certain of its  subsidiaries  payable to
           HRPT.

4.06(b)    Allonge and Amendment to Promissory  Note dated as of May 10, 1996 to
           Promissory  Note  dated  April 1,  1995 in the  principal  amount  of
           $2,045,000,  made by CCN and certain of its  subsidiaries  payable to
           HRPT.  (Incorporated  by  reference  to Exhibit 4.3 to the  Company's
           Current Report on Form 8-K, date of earliest  reported event: May 16,
           1996, File No. 0-26502.)


                                      -17-

<PAGE>


EXHIBIT NUMBER                        DESCRIPTION


4.07(a)    Renovation  Funding  Agreement  dated  April 1, 1995  between ECA and
           HRPT.

4.07(b)    ECA Holdings  Renovation  Funding Promissory Note dated April 1, 1995
           in the principal amount of $6,466,700 made by ECA payable to HRPT.

4.07(c)    Allonge and Amendment to Promissory  Note dated as of May 10, 1996 to
           ECA Holdings  Renovation  Funding Promissory Note dated April 1, 1995
           in the principal  amount of  $6,466,700  made by ECA payable to HRPT.
           (Incorporated  by reference to Exhibit 4.4 to the  Company's  Current
           Report on Form 8-K, date of earliest  reported  event:  May 16, 1996,
           File No. 0-26502.)

4.08(a)    Renovation  Funding  Agreement  dated  April 1, 1995  between CCN and
           HRPT.

4.08(b)    CCN Group Renovation  Funding  Promissory Note dated April 1, 1995 in
           the principal  amount of $2,833,300 made by CCN and its  subsidiaries
           payable to HRPT.

4.08(c)    Allonge and Amendment to Promissory  Note dated as of May 10, 1996 to
           CCN Group Renovation  Funding  Promissory Note dated April 1, 1995 in
           the principal  amount of $2,833,300 made by CCN and its  subsidiaries
           payable to HRPT.  (Incorporated  by  reference  to Exhibit 4.5 to the
           Company's  Current  Report on Form  8-K,  date of  earliest  reported
           event: May 16, 1996, File No. 0-26502.)

4.09(a)    Amended and Restated  Revolving Credit Agreement dated as of December
           27, 1996  between the Company and  Integrated  Health  Services,  Inc
           ("IHS").  (Incorporated  by reference to Exhibit 4.4 to the Company's
           Current Report on Form 8-K, date of earliest reported event: December
           23, 1996, File No. 0-26502.)

4.09(b)    Subordinated  Note dated December 27, 1996 from the Company to IHS in
           the  principal  sum of  $5,000,000.  (Incorporated  by  reference  to
           Exhibit  4.5 to the  Company's  Current  Report on Form 8-K,  date of
           earliest reported event: December 23, 1996, File No. 0-26502.)

10.01      Stockholders  Agreement  dated June 30, 1993 among  Robert N. Elkins,
           Robert N. Elkins, as voting trustee,  Equity-Linked  Investors,  L.P.
           ("ELI-I"),   Equity-Linked  Investors,  L.P.-II  ("ELI-II")  and  the
           Company.

10.02      Voting  Agreement  dated  January 26, 1996 among Robert N. Elkins and
           certain  stockholders of the Company.  (Incorporated  by reference to
           Exhibit  10.26 to the  Company's  Annual  Report on Form 10-K for the
           year ended December 31, 1995, File No. 0-26502.)

10.03(a)(i)+ Restated  Employment  Agreement dated July 1995 between the Company
           and Kenneth W. Creasman.



                                      -18-

<PAGE>


EXHIBIT NUMBER                            DESCRIPTION


10.03(a)(ii)+ Letter  agreement  dated  April 26,  1996  terminating  employment
           agreement between the Company and Kenneth W. Creasman.  (Incorporated
           by  reference  to  Exhibit  10.03(a)(ii)  to  Amendment  No. 1 to the
           Company's  Annual Report on Form 10-K for the year ended December 31,
           1995, File No. 0-26502.)

o 10.03(a)(iii)+  Mutual Settlement and Release Agreement dated January
           30, 1997 between Kenneth W. Creasman and the Company.

10.03(b)+  Restated Employment Agreement dated July 1995 between the Company and
           William T. Filippone.

10.03(b)(ii)+ Separation  Agreement dated September 26, 1995 between the Company
           and  William T.  Filippone.  (Incorporated  by  reference  to Exhibit
           10.03(b)  to the  Company's  Annual  Report on Form 10-K for the year
           ended December 31, 1995, File No. 0-26502.)

10.03(c)+  Restated Employment Agreement dated July 1995 between the Company and
           William J. Krystopowicz.

10.03(d)(i)+ Employment  Agreement dated as of June 26, 1995 between the Company
           and David H. Fater. (Incorporated by reference to Exhibit 10.03(d) to
           the Company's  Annual Report on Form 10-K for the year ended December
           31, 1995, File No. 0-26502.)

o10.03(d)(ii)+ Amended Employment Agreement dated as of April 26, 1996
           between the Company and David H. Fater.

o10.03(d)(iii)+  Letter  agreement  terminating  employment  agreement
           dated January 31, 1997 between the Company and David H. Fater.

10.03(e)+  Employment  Agreement  dated  October 2, 1995 between the Company and
           Deborah Lau.  (Incorporated  by reference to Exhibit  10.03(e) to the
           Company's  Annual Report on Form 10-K for the year ended December 31,
           1995, File No. 0-26502.)

10.03(f)(i)+ Employment  Agreement  dated April 19, 1996 between the Company and
           Gary W. Singleton.  (Incorporated by reference to Exhibit 10.03(f) to
           Amendment No. 1 to the  Company's  Annual Report on Form 10-K for the
           year ended December 31, 1995, File No. 0-26502.)

o10.03(f)(ii)+  Letter  agreement  dated  April  4,  1997  terminating
           employment agreement between the Company and Gary W. Singleton.

10.04(a)+  1993 Stock Option Plan, as amended to date.

10.04(b)+  1993 Senior Executive Stock Option Plan, as amended to date.



                                      -19-

<PAGE>


EXHIBIT NUMBER                       DESCRIPTION


10.04(c)+  1995 Stock Option Plan, as amended to date.

10.04(d)+  1995 Non-Employee Director Stock Option Plan, as amended to date.

10.04(e)(1)+ The Company's Supplemental Deferred Compensation Plan (the "SDRP").
           (Incorporated  by reference to Exhibit 10.04(e) to Amendment No. 1 to
           the Company's  Annual Report on Form 10-K for the year ended December
           31, 1995, File No. 0- 26502.)

o10.04(e)(2)+ Amendment No. 1 to the Company's SDRP.

o10.04(e)(3)+  Resolutions  from  minutes of the Board of Directors of
           the Company held on January 30, 1997 amending the Company's SDRP.

10.05(a)   Master Lease  Document,  General Terms and Conditions  dated December
           30,  1993  between  Health  and   Rehabilitation   Properties   Trust
           (currently known as Health and Retirement  Properties Trust, "HRPT"),
           as landlord, and ECA Holdings, Inc., a wholly-owned subsidiary of the
           Company  ("ECA"),  as tenant,  as amended by a First  Amendment dated
           July 22, 1994, a Second  Amendment dated November 1, 1994 and a Third
           Amendment dated April 1, 1995.

10.05(b)   Fourth  Amendment  dated as of May 10, 1996 to Master Lease Document,
           General Terms and Conditions dated December 30, 1993 between HRPT and
           ECA.  (Incorporated  by reference  to Exhibit  99.1 to the  Company's
           Current Report on Form 8-K, date of earliest  reported event: May 16,
           1996, File No. 0-26502.)

10.06(a)   Master Lease  Document,  General Terms and Conditions  dated April 1,
           1995 between HRPT, as landlord, and ECA, as tenant.

10.06(b)   First  Amendment  dated as of May 10, 1996 to Master Lease  Document,
           General  Terms and  Conditions  dated April 1, 1995  between HRPT and
           ECA.  (Incorporated  by reference  to Exhibit  99.2 to the  Company's
           Current Report on Form 8-K, date of earliest  reported event: May 16,
           1996, File No. 0-26502.)

10.07(a)   Purchase  Agreement  dated  September  15,  1994  among the  Company,
           Leonard Louis Healthcare Properties, Prospect Lake Healthcare Center,
           Inc. and Valley View Healthcare Center, Inc.

10.07(b)   Amendment  to  Purchase  Agreement  dated  October 31, 1994 among the
           Company,   Leonard  Louis   Healthcare   Properties,   Leonard  Louis
           Healthcare  Properties I, Leonard  Louis  Healthcare  Properties  II,
           Prospect  Lake  Healthcare  Center,  Inc. and Valley View  Healthcare
           Center, Inc.



                                      -20-

<PAGE>


EXHIBIT NUMBER                                      DESCRIPTION


10.08(a)   Stock  Purchase  Agreement  dated November 16, 1994 among the Company
           and Quality Health Care, Inc. and Timothy J. Juilfs,  Sally M. Juilfs
           and Brighton Place West, Inc.,  Quality Care of Topeka,  Inc., W.R.T.
           Care, Inc., Care Centers, Inc., Quality Care of Council Bluffs North,
           Inc.,  Quality Care of Council Bluffs South,  Inc., Oak Grove Medical
           Center, Inc., Quality Care of Pacific Junction, Inc., Quality Care of
           Glenwood, Inc. and W.T.F.D.R. Care, Inc.

10.08(b)   Stock  Purchase  Agreement  dated November 16, 1994 among the Company
           and Quality Health Care, Inc., and Timothy J. Juilfs, Sally M. Juilfs
           and W.S.T.  Care, Inc.,  Quality Care of Lyons, Inc., Quality Care of
           Columbus, Inc. and Quality Care of Grand Island, Inc.

10.09      Asset  Purchase  Agreement  dated February 1, 1995 among the Company,
           Georgiana  Doctors  Hospital,  Inc.,  Reliable Home Health  Services,
           Inc., Herbert Kinsey, M.D. and Mary Kinsey.

10.10      Stock Purchase Agreement dated as of November 1, 1995 among Community
           Care of America,  Inc., CCA of Maine, Inc., Maine Head Trauma Center,
           Inc.,  and  the  shareholders  of  Maine  Head  Trauma  Center,  Inc.
           (Incorporated  by reference to Exhibit 2.1 to the  Company's  Current
           Report on Form 8-K,  date of  earliest  event  reported:  November 3,
           1995, File No. 0-26502).

10.11(a)   Implementation  Contract  dated  January 19, 1994 between the Company
           and Health Care  Consulting,  Inc.  (now named  Symphony  Health Care
           Consulting, Inc.).

10.11(b)   Agreement  dated  August 17, 1994 between the Company and Health Care
           Consulting, Inc. (now named Symphony Health Care Consulting, Inc.).

10.12      Mortgage  Facilities Fee Agreement  (ECA) dated April 1, 1995 between
           the Company and HRPT.

10.13      Mortgage  Facilities Fee Agreement  (CCN) dated April 1, 1995 between
           the Company and HRPT.

10.14      Right of First Refusal and Option  Agreement  dated December 30, 1993
           between  ECA and  HRPT  with  respect  to  certain  of the  Company's
           facilities in Colorado.

10.15      Right of First Refusal  Agreement dated December 30, 1993 between CCN
           and HRPT with  respect  to  certain of the  Company's  facilities  in
           Nebraska.

10.16      Right of First Refusal  Agreements dated April 1, 1995 between W.S.T.
           Care, Inc., Quality Care of Lyons, Inc. and Quality Care of Columbus,
           Inc., respectively, and HRPT with respect to certain of the Company's
           facilities in Nebraska.



                                      -21-

<PAGE>


EXHIBIT NUMBER                          DESCRIPTION


10.17      Amended and Restated Option Agreement dated April 1, 1995 between ECA
           and HRPT with respect to the capital stock of CCN.

10.18(a)   Lease dated June 21,  1995  between  Midwest  Health  Enterprises  of
           Bessemer, Inc. ("Bessemer") and Community Care of America of Alabama,
           Inc. ("CCAA").

10.18(b)   Lease  Guaranty dated June 21, 1995 by the Company for the benefit of
           Bessemer.

10.18(c)   Subordination,  Non-Disturbance,  Attornment  and Security  Agreement
           among  Bessemer,  CCAA and Bankers Trust Company of California,  N.A.
           ("BT").

10.19(a)   Lease dated June 21, 1995 between South Gate Village,  Inc.  ("'South
           Gate") and CCAA.

10.19(b)   Lease  Guaranty dated June 21, 1995 by the Company for the benefit of
           South Gate.

10.20(a)   Lease  dated June 21,  1995  between  Greensboro  Health  Care,  Inc.
           ("Greensboro") and CCAA.

10.20(b)   Lease  Guaranty dated June 21, 1995 by the Company for the benefit of
           Greensboro.

10.20(c)   Subordination,  Non-Disturbance,  Attornment  and Security  Agreement
           among Greensboro, CCAA and BT.

10.21      Non-Competition  and Secrecy  Agreement dated June 21, 1995 among the
           Company, CCAA and Stanley L. Stein.

10.22(a)   Form of nine  Management  Agreements  dated June 23, 1995 pursuant to
           which the  Company is to manage nine  long-term  care  facilities  in
           Maine,  together  with a schedule  pursuant to  Instruction 2 to Item
           601(a) of Regulation S-K setting forth  material  details that differ
           from the attached form of Management Agreement.

10.22(b)   Management    Agreement   dated   June   23,   1995   among   Nursing
           Administrators,  Inc., David L. Friedman,  Mary Bayer,  Leon Bresloff
           and CCA of Maine, Inc.

10.22(c)   Purchase  Option  Agreement  dated June 23, 1995  relating to the ten
           long-term facilities in Maine to be managed by the Company.

10.22(d)   Services Agreement dated June 23, 1995 between CCA of Maine, Inc. and
           Sandy River Development, Inc.

10.22(e)   Letter  Agreement  dated June 23,  1995 from the  Company to David I.
           Friedman  regarding the Purchase Option Agreement dated June 23, 1995
           relating to the ten long-term care  facilities in Maine to be managed
           by the Company.


                                      -22-

<PAGE>


EXHIBIT NUMBER                                DESCRIPTION


10.22(f)   Agreement  dated June 23,  1995  between  the Company and Harbor Hill
           Limited Liability Company.

10.22(g)   Development  Agreement  Term Sheet  dated June 30,  1995  between the
           Company and Sandy River Development, Inc.

10.22(h)   Consulting  Agreement  dated July 10,  1995  between  the Company and
           Sandy River Development, Inc.

10.22(i)   Letter dated June 30, 1995 from Sandy River Development,  Inc. to the
           Company re: working capital adjustment.

10.22(j)   Form of Term Promissory Note to be issued by each Borrowing Entity to
           CCA-Maine in connection with the Sandy River Transaction.

10.22(k)   Form  of  Revolving  Credit  Promissory  Note  to be  issued  by each
           Borrowing  Entity to  CCA-Maine  in  connection  with the Sandy River
           Transaction.

10.22(l)   Form of Security  Agreement  to be  executed  and  delivered  by each
           Borrowing  Entity in favor of CCA-Maine in connection  with the Sandy
           River Transaction.

10.22(m)   Form of  Mortgage,  Lease  Assignment  and  Security  Agreement to be
           executed and delivered by each Borrowing Entity in favor of CCA-Maine
           in connection with the Sandy River Transaction.

o10.22(n)  Settlement  Agreement  dated  October  27,  1996  among the
           Company and the various principals of the Sandy River Group.

o10.22(o) Amendment dated March 1, 1997 to Settlement  Agreement dated
           October 27, 1996 among the Company and the various  principals of the
           Sandy River Group.

10.23(a)   Letter of Intent  dated July 12,  1995  between  the Company and Jeff
           Voreis, M.D.

10.23(b)   Employment  Agreement  dated July 11, 1995 between Jeff Voreis,  M.D.
           and the Company.

10.23(c)   Amended  and  Restated  Employment  Agreement  dated  August  4, 1995
           between the Company and Jeff Voreis, M.D.

10.23(d)   Asset  Purchase  Agreement  dated August 4, 1995 between Jeff Voreis,
           M.D. and Community Care of America of Alabama, Inc.

10.25      Master Lease Document,  General Terms and Conditions  dated as of May
           10, 1996 between HRPT and  Marietta/SCC,  Inc.,  Glenwood/SCC,  Inc.,
           Dublin/SCC, Inc.,


                                      -23-

<PAGE>


EXHIBIT NUMBER                                DESCRIPTION

           Macon/SCC,   Inc.,  and  College  Park/SCC,   Inc.  (Incorporated  by
           reference to Exhibit  99.3 to the  Company's  Current  Report on Form
           8-K,  date of  earliest  reported  event:  May  16,  1996,  File  No.
           0-26502.)

*10.26     Waiver  Agreement  dated April 14, 1997  between  CCA,  Inc.  and its
           Subsidiaries and HRPT.

10.27(a)   Warrant  Acquisition  Agreement dated as of January 13, 1997, between
           the Company  and IHS,  including  form of Series A Warrants,  Form of
           Series B Warrants and Registration Rights Agreement. (Incorporated by
           reference to Exhibit 4.6 to the Company's Current Report on Form 8-K,
           date of earliest reported event: December 23, 1996.)

o10.27(b)  Amended and Restated  Series C Warrant dated April 15, 1997
           from the Company to IHS.

10.28(a)   Management  Agreement  dated as of  December  27,  1996  between  the
           Company and IHS  (Incorporated  by  reference  to Exhibit 99.0 to the
           Company's  Current  Report on Form  8-K,  date of  earliest  reported
           event: December 23, 1996).

*10.28(b)  Amendment No. 1 to Management  Agreement dated April 14, 1997 between
           the Company and IHS.

o          10.29  Reimbursement  Agreement  dated  April 14,  1997  between  the
           Company and IHS.

*11.01     Calculation of Earnings per Share.

o21.01     Subsidiaries of the Company.

*23.01     Consent of KPMG Peat Marwick LLP

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

o  Filed herewith
*  Filed with the initial filing of this Report
+  Management contract or compensatory plan

All other exhibits,  unless otherwise noted by parenthetical  cross  references,
are incorporated by reference to the corresponding numbered exhibit to Company's
Registration Statement on Form S-1, Registration No. 33-92692.

                                   UNDERTAKING

           The  Company  hereby  undertakes  to  furnish to the  Securities  and
Exchange  Commission,  upon request,  all constituent  instruments  defining the
rights  of  holders  of  long-term  debt of the  Company  and  its  consolidated
subsidiaries not filed herewith. Such instruments have not been filed since none
are, nor are being,  registered under Section 12 of the Securities  Exchange Act
of 1934 and the total amount of securities authorized under any such instruments
does not exceed 10% of the total assets of the Company and its subsidiaries on a
consolidated basis.


                                      -24-

<PAGE>



                                   SIGNATURES

           Pursuant to the requirements of Section 13 or 15(d) 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  on the 30th day of
April, 1997.

                                             COMMUNITY CARE OF AMERICA, INC.



                                             By:/S/ DEBORAH A. LAU
                                                        Deborah A. Lau
                                                        President


                                      -25-



EXHIBIT NUMBER                       DESCRIPTION

2.01       Stock Purchase  Agreement  dated as of July 1, 1993 among the Company
           and PNC Venture  Corp.,  Primus  Capital Fund I Limited  Partnership,
           Primus Capital Fund II Limited Partnership,  PNC Venture Group I, New
           York Life Insurance Company and MeritWest, Inc.

2.02(a)    Amended and Restated Agreement and Plan of Reorganization dated as of
           May 10, 1996 among the Company,  Newco,  Southern  Care,  and Wallace
           Olson and Michael  Himmelstein,  the  shareholders  of Southern Care.
           (Incorporated  by reference to Exhibit 2.1 to the  Company's  Current
           Report on Form 8-K, date of earliest  reported  event:  May 16, 1996,
           File No. 0-26502.)



<PAGE>


EXHIBIT NUMBER                       DESCRIPTION


2.02(b)    Consulting and Advisory Services Agreement effective as of January 1,
           1996  among  the  Company,   Southern  Care  Centers,  Inc.  and  its
           Shareholders.  (Incorporated  by reference to Exhibit  2.02(b) to the
           Company's  Annual Report on Form 10-K for the year ended December 31,
           1995, File No. 0-26502.)

2.02(c)    Management  Agreement  dated as of May 10, 1996 between CCA of Texas,
           Inc.  and  Southern  Care  Centers of Texas,  Inc.  (Incorporated  by
           reference to Exhibit 2.3 to the Company's Current Report on Form 8-K,
           date of earliest reported event: May 16, 1996, File No. 0-26502.)

2.02(d)    Agreement  to Provide  Accounting  and  Auditing  Services  and Rural
           Healthcare  Provider  Network Services dated as of May 10, 1996 among
           Newco and  Buchanan/SCC,  Inc.  (Incorporated by reference to Exhibit
           2.4 to the  Company's  Current  Report on Form 8-K,  date of earliest
           reported event: May 16, 1996, File No. 0-26502.)

3.01(a)    Certificate  of  Incorporation  of the  Company,  as  filed  with the
           Secretary of State of the State of Delaware on December 28, 1992.

3.01(b)    Certificate  of  Amendment of  Certificate  of  Incorporation  of the
           Company,  as filed  with  the  Secretary  of  State  of the  State of
           Delaware on October 13, 1993.

3.01(c)    Certificate  of  Amendment of  Certificate  of  Incorporation  of the
           Company,  as filed  with  the  Secretary  of  State  of the  State of
           Delaware on December 28, 1993.

3.01(d)    Certificate of  Designations,  Preferences  and Rights of Series A 8%
           Cumulative  Preferred  Stock, as filed with the Secretary of State of
           the State of Delaware on December 28, 1993.

3.01(e)    Certificate  of  Amendment of  Certificate  of  Incorporation  of the
           Company,  as filed  with  the  Secretary  of  State  of the  State of
           Delaware on June 7, 1994.

3.01(f)    Certificate  of  Amendment of  Certificate  of  Incorporation  of the
           Company,  as filed  with  the  Secretary  of  State  of the  State of
           Delaware on July 28, 1995.

3.02       By-laws of the Company, as amended to date.

4.01(a)    Healthcare Receivables Purchase and Transfer Agreement dated December
           23,  1996 among the Company  and each of the  providers  named in the
           Agreement and CCA Funding, LLC. (Incorporated by reference to Exhibit
           4.1 to the  Company's  Current  Report on Form 8-K,  date of earliest
           reported event: December 23, 1996.)

4.01(b)    Loan and  Security  Agreement  dated  December  23, 1996  between CCA
           Funding, LLC and Daiwa Healthco-2, LLC. (Incorporated by reference to
           Exhibit 4.2 to the



<PAGE>


EXHIBIT NUMBER                        DESCRIPTION


           Company's  Current  Report on Form  8-K,  date of  earliest  reported
           event: December 23, 1996.)

4.01(c)    Assignment of Healthcare  Receivables Purchase and Transfer Agreement
           as Collateral Security.  (Incorporated by reference to Exhibit 4.3 to
           the Company's  Current Report on Form 8-K, date of earliest  reported
           event: December 23, 1996.)

o 4.01(d)  Waiver  and  Amendment  dated  April 16,  1997  between  CCA
           Funding, LLC and Daiwa Healthco-2, LLC.

o 4.01(e)  Warrant  dated  April  14,  1997 from  CCA,  Inc.  and Daiwa
           Healthco-2, LLC.

4.02       Promissory  Note dated  December 30, 1993 in the principal  amount of
           $7,000,000 made by ECA Holdings,  Inc.  ("ECA") payable to HRPT, with
           Allonge and Amendment dated April 1, 1995.

4.03(a)    Promissory  Note dated  December 30, 1993 in the principal  amount of
           $13,600,000  made by ECA payable to HRPT,  with Allonge and Amendment
           dated April 1, 1995.

4.03(b)    Allonge and  Amendment  dated as of May 10, 1996 to  Promissory  Note
           dated December 30, 1993 in the principal  amount of $13,600,000  made
           by ECA payable to HRPT.  (Incorporated by reference to Exhibit 4.1 to
           the Company's  Current Report on Form 8-K, date of earliest  reported
           event: May 16, 1996, File No. 0-26502.)

4.04(a)    Promissory  Note dated  December 30, 1993 in the principal  amount of
           $6,000,000 made by Community Care of Nebraska Inc. ("CCN") payable to
           HRPT, with Allonge and Amendment dated April 1, 1995.

4.04(b)    Allonge and  Amendment  dated as of May 10, 1996 to  Promissory  Note
           dated December 30, 1993 in the principal amount of $6,000,000 made by
           CCN payable to HRPT. (Incorporated by reference to Exhibit 4.2 to the
           Company's  Current  Report on Form  8-K,  date of  earliest  reported
           event: May 16, 1996, File No. 0-26502.)

4.05       Promissory  Note  dated  April 1,  1995 in the  principal  amount  of
           $3,800,000 made by the Company payable to HRPT.

4.06(a)    Promissory  Note  dated  April 1,  1995 in the  principal  amount  of
           $2,045,000  made by CCN and  certain of its  subsidiaries  payable to
           HRPT.

4.06(b)    Allonge and Amendment to Promissory  Note dated as of May 10, 1996 to
           Promissory  Note  dated  April 1,  1995 in the  principal  amount  of
           $2,045,000,  made by CCN and certain of its  subsidiaries  payable to
           HRPT.  (Incorporated  by  reference  to Exhibit 4.3 to the  Company's
           Current Report on Form 8-K, date of earliest  reported event: May 16,
           1996, File No. 0-26502.)



<PAGE>


EXHIBIT NUMBER                        DESCRIPTION


4.07(a)    Renovation  Funding  Agreement  dated  April 1, 1995  between ECA and
           HRPT.

4.07(b)    ECA Holdings  Renovation  Funding Promissory Note dated April 1, 1995
           in the principal amount of $6,466,700 made by ECA payable to HRPT.

4.07(c)    Allonge and Amendment to Promissory  Note dated as of May 10, 1996 to
           ECA Holdings  Renovation  Funding Promissory Note dated April 1, 1995
           in the principal  amount of  $6,466,700  made by ECA payable to HRPT.
           (Incorporated  by reference to Exhibit 4.4 to the  Company's  Current
           Report on Form 8-K, date of earliest  reported  event:  May 16, 1996,
           File No. 0-26502.)

4.08(a)    Renovation  Funding  Agreement  dated  April 1, 1995  between CCN and
           HRPT.

4.08(b)    CCN Group Renovation  Funding  Promissory Note dated April 1, 1995 in
           the principal  amount of $2,833,300 made by CCN and its  subsidiaries
           payable to HRPT.

4.08(c)    Allonge and Amendment to Promissory  Note dated as of May 10, 1996 to
           CCN Group Renovation  Funding  Promissory Note dated April 1, 1995 in
           the principal  amount of $2,833,300 made by CCN and its  subsidiaries
           payable to HRPT.  (Incorporated  by  reference  to Exhibit 4.5 to the
           Company's  Current  Report on Form  8-K,  date of  earliest  reported
           event: May 16, 1996, File No. 0-26502.)

4.09(a)    Amended and Restated  Revolving Credit Agreement dated as of December
           27, 1996  between the Company and  Integrated  Health  Services,  Inc
           ("IHS").  (Incorporated  by reference to Exhibit 4.4 to the Company's
           Current Report on Form 8-K, date of earliest reported event: December
           23, 1996, File No. 0-26502.)

4.09(b)    Subordinated  Note dated December 27, 1996 from the Company to IHS in
           the  principal  sum of  $5,000,000.  (Incorporated  by  reference  to
           Exhibit  4.5 to the  Company's  Current  Report on Form 8-K,  date of
           earliest reported event: December 23, 1996, File No. 0-26502.)

10.01      Stockholders  Agreement  dated June 30, 1993 among  Robert N. Elkins,
           Robert N. Elkins, as voting trustee,  Equity-Linked  Investors,  L.P.
           ("ELI-I"),   Equity-Linked  Investors,  L.P.-II  ("ELI-II")  and  the
           Company.

10.02      Voting  Agreement  dated  January 26, 1996 among Robert N. Elkins and
           certain  stockholders of the Company.  (Incorporated  by reference to
           Exhibit  10.26 to the  Company's  Annual  Report on Form 10-K for the
           year ended December 31, 1995, File No. 0-26502.)

10.03(a)(i)+ Restated  Employment  Agreement dated July 1995 between the Company
           and Kenneth W. Creasman.




<PAGE>


EXHIBIT NUMBER                            DESCRIPTION


10.03(a)(ii)+ Letter  agreement  dated  April 26,  1996  terminating  employment
           agreement between the Company and Kenneth W. Creasman.  (Incorporated
           by  reference  to  Exhibit  10.03(a)(ii)  to  Amendment  No. 1 to the
           Company's  Annual Report on Form 10-K for the year ended December 31,
           1995, File No. 0-26502.)

o 10.03(a)(iii)+  Mutual Settlement and Release Agreement dated January
           30, 1997 between Kenneth W. Creasman and the Company.

10.03(b)+  Restated Employment Agreement dated July 1995 between the Company and
           William T. Filippone.

10.03(b)(ii)+ Separation  Agreement dated September 26, 1995 between the Company
           and  William T.  Filippone.  (Incorporated  by  reference  to Exhibit
           10.03(b)  to the  Company's  Annual  Report on Form 10-K for the year
           ended December 31, 1995, File No. 0-26502.)

10.03(c)+  Restated Employment Agreement dated July 1995 between the Company and
           William J. Krystopowicz.

10.03(d)(i)+ Employment  Agreement dated as of June 26, 1995 between the Company
           and David H. Fater. (Incorporated by reference to Exhibit 10.03(d) to
           the Company's  Annual Report on Form 10-K for the year ended December
           31, 1995, File No. 0-26502.)

o10.03(d)(ii)+ Amended Employment Agreement dated as of April 26, 1996
           between the Company and David H. Fater.

o10.03(d)(iii)+  Letter  agreement  terminating  employment  agreement
           dated January 31, 1997 between the Company and David H. Fater.

10.03(e)+  Employment  Agreement  dated  October 2, 1995 between the Company and
           Deborah Lau.  (Incorporated  by reference to Exhibit  10.03(e) to the
           Company's  Annual Report on Form 10-K for the year ended December 31,
           1995, File No. 0-26502.)

10.03(f)(i)+ Employment  Agreement  dated April 19, 1996 between the Company and
           Gary W. Singleton.  (Incorporated by reference to Exhibit 10.03(f) to
           Amendment No. 1 to the  Company's  Annual Report on Form 10-K for the
           year ended December 31, 1995, File No. 0-26502.)

o10.03(f)(ii)+  Letter  agreement  dated  April  4,  1997  terminating
           employment agreement between the Company and Gary W. Singleton.

10.04(a)+  1993 Stock Option Plan, as amended to date.

10.04(b)+  1993 Senior Executive Stock Option Plan, as amended to date.




<PAGE>


EXHIBIT NUMBER                       DESCRIPTION


10.04(c)+  1995 Stock Option Plan, as amended to date.

10.04(d)+  1995 Non-Employee Director Stock Option Plan, as amended to date.

10.04(e)(1)+ The Company's Supplemental Deferred Compensation Plan (the "SDRP").
           (Incorporated  by reference to Exhibit 10.04(e) to Amendment No. 1 to
           the Company's  Annual Report on Form 10-K for the year ended December
           31, 1995, File No. 0- 26502.)

o10.04(e)(2)+ Amendment No. 1 to the Company's SDRP.

o10.04(e)(3)+  Resolutions  from  minutes of the Board of Directors of
           the Company held on January 30, 1997 amending the Company's SDRP.

10.05(a)   Master Lease  Document,  General Terms and Conditions  dated December
           30,  1993  between  Health  and   Rehabilitation   Properties   Trust
           (currently known as Health and Retirement  Properties Trust, "HRPT"),
           as landlord, and ECA Holdings, Inc., a wholly-owned subsidiary of the
           Company  ("ECA"),  as tenant,  as amended by a First  Amendment dated
           July 22, 1994, a Second  Amendment dated November 1, 1994 and a Third
           Amendment dated April 1, 1995.

10.05(b)   Fourth  Amendment  dated as of May 10, 1996 to Master Lease Document,
           General Terms and Conditions dated December 30, 1993 between HRPT and
           ECA.  (Incorporated  by reference  to Exhibit  99.1 to the  Company's
           Current Report on Form 8-K, date of earliest  reported event: May 16,
           1996, File No. 0-26502.)

10.06(a)   Master Lease  Document,  General Terms and Conditions  dated April 1,
           1995 between HRPT, as landlord, and ECA, as tenant.

10.06(b)   First  Amendment  dated as of May 10, 1996 to Master Lease  Document,
           General  Terms and  Conditions  dated April 1, 1995  between HRPT and
           ECA.  (Incorporated  by reference  to Exhibit  99.2 to the  Company's
           Current Report on Form 8-K, date of earliest  reported event: May 16,
           1996, File No. 0-26502.)

10.07(a)   Purchase  Agreement  dated  September  15,  1994  among the  Company,
           Leonard Louis Healthcare Properties, Prospect Lake Healthcare Center,
           Inc. and Valley View Healthcare Center, Inc.

10.07(b)   Amendment  to  Purchase  Agreement  dated  October 31, 1994 among the
           Company,   Leonard  Louis   Healthcare   Properties,   Leonard  Louis
           Healthcare  Properties I, Leonard  Louis  Healthcare  Properties  II,
           Prospect  Lake  Healthcare  Center,  Inc. and Valley View  Healthcare
           Center, Inc.




<PAGE>


EXHIBIT NUMBER                                      DESCRIPTION


10.08(a)   Stock  Purchase  Agreement  dated November 16, 1994 among the Company
           and Quality Health Care, Inc. and Timothy J. Juilfs,  Sally M. Juilfs
           and Brighton Place West, Inc.,  Quality Care of Topeka,  Inc., W.R.T.
           Care, Inc., Care Centers, Inc., Quality Care of Council Bluffs North,
           Inc.,  Quality Care of Council Bluffs South,  Inc., Oak Grove Medical
           Center, Inc., Quality Care of Pacific Junction, Inc., Quality Care of
           Glenwood, Inc. and W.T.F.D.R. Care, Inc.

10.08(b)   Stock  Purchase  Agreement  dated November 16, 1994 among the Company
           and Quality Health Care, Inc., and Timothy J. Juilfs, Sally M. Juilfs
           and W.S.T.  Care, Inc.,  Quality Care of Lyons, Inc., Quality Care of
           Columbus, Inc. and Quality Care of Grand Island, Inc.

10.09      Asset  Purchase  Agreement  dated February 1, 1995 among the Company,
           Georgiana  Doctors  Hospital,  Inc.,  Reliable Home Health  Services,
           Inc., Herbert Kinsey, M.D. and Mary Kinsey.

10.10      Stock Purchase Agreement dated as of November 1, 1995 among Community
           Care of America,  Inc., CCA of Maine, Inc., Maine Head Trauma Center,
           Inc.,  and  the  shareholders  of  Maine  Head  Trauma  Center,  Inc.
           (Incorporated  by reference to Exhibit 2.1 to the  Company's  Current
           Report on Form 8-K,  date of  earliest  event  reported:  November 3,
           1995, File No. 0-26502).

10.11(a)   Implementation  Contract  dated  January 19, 1994 between the Company
           and Health Care  Consulting,  Inc.  (now named  Symphony  Health Care
           Consulting, Inc.).

10.11(b)   Agreement  dated  August 17, 1994 between the Company and Health Care
           Consulting, Inc. (now named Symphony Health Care Consulting, Inc.).

10.12      Mortgage  Facilities Fee Agreement  (ECA) dated April 1, 1995 between
           the Company and HRPT.

10.13      Mortgage  Facilities Fee Agreement  (CCN) dated April 1, 1995 between
           the Company and HRPT.

10.14      Right of First Refusal and Option  Agreement  dated December 30, 1993
           between  ECA and  HRPT  with  respect  to  certain  of the  Company's
           facilities in Colorado.

10.15      Right of First Refusal  Agreement dated December 30, 1993 between CCN
           and HRPT with  respect  to  certain of the  Company's  facilities  in
           Nebraska.

10.16      Right of First Refusal  Agreements dated April 1, 1995 between W.S.T.
           Care, Inc., Quality Care of Lyons, Inc. and Quality Care of Columbus,
           Inc., respectively, and HRPT with respect to certain of the Company's
           facilities in Nebraska.




<PAGE>


EXHIBIT NUMBER                          DESCRIPTION


10.17      Amended and Restated Option Agreement dated April 1, 1995 between ECA
           and HRPT with respect to the capital stock of CCN.

10.18(a)   Lease dated June 21,  1995  between  Midwest  Health  Enterprises  of
           Bessemer, Inc. ("Bessemer") and Community Care of America of Alabama,
           Inc. ("CCAA").

10.18(b)   Lease  Guaranty dated June 21, 1995 by the Company for the benefit of
           Bessemer.

10.18(c)   Subordination,  Non-Disturbance,  Attornment  and Security  Agreement
           among  Bessemer,  CCAA and Bankers Trust Company of California,  N.A.
           ("BT").

10.19(a)   Lease dated June 21, 1995 between South Gate Village,  Inc.  ("'South
           Gate") and CCAA.

10.19(b)   Lease  Guaranty dated June 21, 1995 by the Company for the benefit of
           South Gate.

10.20(a)   Lease  dated June 21,  1995  between  Greensboro  Health  Care,  Inc.
           ("Greensboro") and CCAA.

10.20(b)   Lease  Guaranty dated June 21, 1995 by the Company for the benefit of
           Greensboro.

10.20(c)   Subordination,  Non-Disturbance,  Attornment  and Security  Agreement
           among Greensboro, CCAA and BT.

10.21      Non-Competition  and Secrecy  Agreement dated June 21, 1995 among the
           Company, CCAA and Stanley L. Stein.

10.22(a)   Form of nine  Management  Agreements  dated June 23, 1995 pursuant to
           which the  Company is to manage nine  long-term  care  facilities  in
           Maine,  together  with a schedule  pursuant to  Instruction 2 to Item
           601(a) of Regulation S-K setting forth  material  details that differ
           from the attached form of Management Agreement.

10.22(b)   Management    Agreement   dated   June   23,   1995   among   Nursing
           Administrators,  Inc., David L. Friedman,  Mary Bayer,  Leon Bresloff
           and CCA of Maine, Inc.

10.22(c)   Purchase  Option  Agreement  dated June 23, 1995  relating to the ten
           long-term facilities in Maine to be managed by the Company.

10.22(d)   Services Agreement dated June 23, 1995 between CCA of Maine, Inc. and
           Sandy River Development, Inc.

10.22(e)   Letter  Agreement  dated June 23,  1995 from the  Company to David I.
           Friedman  regarding the Purchase Option Agreement dated June 23, 1995
           relating to the ten long-term care  facilities in Maine to be managed
           by the Company.



<PAGE>


EXHIBIT NUMBER                                DESCRIPTION


10.22(f)   Agreement  dated June 23,  1995  between  the Company and Harbor Hill
           Limited Liability Company.

10.22(g)   Development  Agreement  Term Sheet  dated June 30,  1995  between the
           Company and Sandy River Development, Inc.

10.22(h)   Consulting  Agreement  dated July 10,  1995  between  the Company and
           Sandy River Development, Inc.

10.22(i)   Letter dated June 30, 1995 from Sandy River Development,  Inc. to the
           Company re: working capital adjustment.

10.22(j)   Form of Term Promissory Note to be issued by each Borrowing Entity to
           CCA-Maine in connection with the Sandy River Transaction.

10.22(k)   Form  of  Revolving  Credit  Promissory  Note  to be  issued  by each
           Borrowing  Entity to  CCA-Maine  in  connection  with the Sandy River
           Transaction.

10.22(l)   Form of Security  Agreement  to be  executed  and  delivered  by each
           Borrowing  Entity in favor of CCA-Maine in connection  with the Sandy
           River Transaction.

10.22(m)   Form of  Mortgage,  Lease  Assignment  and  Security  Agreement to be
           executed and delivered by each Borrowing Entity in favor of CCA-Maine
           in connection with the Sandy River Transaction.

o10.22(n)  Settlement  Agreement  dated  October  27,  1996  among the
           Company and the various principals of the Sandy River Group.

o10.22(o) Amendment dated March 1, 1997 to Settlement  Agreement dated
           October 27, 1996 among the Company and the various  principals of the
           Sandy River Group.

10.23(a)   Letter of Intent  dated July 12,  1995  between  the Company and Jeff
           Voreis, M.D.

10.23(b)   Employment  Agreement  dated July 11, 1995 between Jeff Voreis,  M.D.
           and the Company.

10.23(c)   Amended  and  Restated  Employment  Agreement  dated  August  4, 1995
           between the Company and Jeff Voreis, M.D.

10.23(d)   Asset  Purchase  Agreement  dated August 4, 1995 between Jeff Voreis,
           M.D. and Community Care of America of Alabama, Inc.

10.25      Master Lease Document,  General Terms and Conditions  dated as of May
           10, 1996 between HRPT and  Marietta/SCC,  Inc.,  Glenwood/SCC,  Inc.,
           Dublin/SCC, Inc.,


                                      -23-

<PAGE>


EXHIBIT NUMBER                                DESCRIPTION

           Macon/SCC,   Inc.,  and  College  Park/SCC,   Inc.  (Incorporated  by
           reference to Exhibit  99.3 to the  Company's  Current  Report on Form
           8-K,  date of  earliest  reported  event:  May  16,  1996,  File  No.
           0-26502.)

*10.26     Waiver  Agreement  dated April 14, 1997  between  CCA,  Inc.  and its
           Subsidiaries and HRPT.

10.27(a)   Warrant  Acquisition  Agreement dated as of January 13, 1997, between
           the Company  and IHS,  including  form of Series A Warrants,  Form of
           Series B Warrants and Registration Rights Agreement. (Incorporated by
           reference to Exhibit 4.6 to the Company's Current Report on Form 8-K,
           date of earliest reported event: December 23, 1996.)

o10.27(b)  Amended and Restated  Series C Warrant dated April 15, 1997
           from the Company to IHS.

10.28(a)   Management  Agreement  dated as of  December  27,  1996  between  the
           Company and IHS  (Incorporated  by  reference  to Exhibit 99.0 to the
           Company's  Current  Report on Form  8-K,  date of  earliest  reported
           event: December 23, 1996).

*10.28(b)  Amendment No. 1 to Management  Agreement dated April 14, 1997 between
           the Company and IHS.

o10.29     Reimbursement  Agreement  dated  April 14,  1997  between  the
           Company and IHS.

*11.01     Calculation of Earnings per Share.

o21.01     Subsidiaries of the Company.

*23.01     Consent of KPMG Peat Marwick LLP


o           Filed herewith
*          Filed with the initial filing of this Report
+          Management contract or compensatory plan

All other exhibits,  unless otherwise noted by parenthetical  cross  references,
are incorporated by reference to the corresponding numbered exhibit to Company's
Registration Statement on Form S-1, Registration No. 33-92692.






SEGMENT EX401 INSERT HERE









                                     WARRANT

                           To Purchase Common Stock of

                         Community Care of America, Inc.









                                  Warrant No. 1
                    No. of Shares of Common Stock: 1,787,568







Doc # 1397641


<PAGE>







                                TABLE OF CONTENTS

1.         DEFINITIONS.....................................................1

2.         EXERCISE OF WARRANT.............................................5
           2.1       Manner of Exercise....................................5
           2.2       Cashless Exercise.....................................6
           2.3       Payment of Taxes......................................6
           2.4       Fractional Shares.....................................6
           2.5       Continued Validity....................................7

3.         TRANSFER, DIVISION AND COMBINATION..............................7
           3.1       Transfer..............................................7
           3.2       Division and Combination..............................7
           3.3       Expenses..............................................7
           3.4       Maintenance of Books..................................7

4.         ADJUSTMENTS.....................................................8
           4.1       Stock Dividends, Subdivisions and Combinations........8
           4.2       Certain Other Distributions...........................8
           4.3       Issuance of Additional Shares of Common Stock.........9
           4.4       Issuance of Warrants or Other Rights.................11
           4.5       Issuance of Convertible Securities...................11
           4.6       Superseding Adjustment...............................12
           4.7       Other Provisions Applicable to Adjustments 
                     under this Section...................................13
           4.8       Reorganization, Reclassification, Merger, 
                     Consolidation or Disposition of Assets...............15
           4.9       Other Action Affecting Common Stock..................16
           4.10      Certain Limitations..................................16
           4.11      Adjustment to Number of Shares of Common 
                     Stock Purchasable Hereunder..........................16

5.         NOTICES TO WARRANT HOLDERS.....................................17
           5.1       Notice of Adjustments................................17
           5.2       Notice of Certain Corporate Action...................17

6.         NO IMPAIRMENT..................................................17

7.         RESERVATION AND AUTHORIZATION OF COMMON STOCK; REGISTRATION
           WITH OR APPROVAL OF ANY GOVERNMENTAL AUTHORITY.................18

8.         TAKING OF RECORD; STOCK AND WARRANT TRANSFER BOOKS.............18


                                        i

<PAGE>



9.         RESTRICTIONS ON TRANSFERABILITY...............................19
           9.1       Restrictive Legend..................................19
           9.2       Notice of Proposed Transfers; Request for 
                     Registration........................................19
           9.3       Required Registration...............................20
           9.4       Incidental Registration.............................20
           9.5       Registration Procedures.............................21
           9.6       Expenses............................................23
           9.7       Indemnification and Contribution....................24
           9.8       Termination of Restrictions.........................25
           9.9       Listing on Securities Exchange......................26
           9.10      Certain Limitations on Registration Rights..........26
           9.11      Selection of Managing Underwriters..................26

10.        SUPPLYING INFORMATION.........................................26

11.        LOSS OR MUTILATION............................................27

12.        OFFICE OF THE COMPANY.........................................27

13.        FINANCIAL AND BUSINESS INFORMATION............................27
           13.1      Quarterly Information...............................27
           13.2      Annual Information..................................27
           13.3      Filings.............................................28

14.        APPRAISAL.....................................................28

15.        LIMITATION OF LIABILITY.......................................28

16.        REPURCHASE BY THE COMPANY OF WARRANT..........................28
           16.1      Obligation to Repurchase Warrant....................29
           16.2      Determination and Payment of Repurchase Price.......29

17.        MISCELLANEOUS.................................................30
           17.1      Nonwaiver and Expenses..............................30
           17.2      Notice Generally....................................30
           17.3      Indemnification.....................................31
           17.4      Remedies............................................31
           17.5      Successors and Assigns..............................31
           17.6      Amendment...........................................31
           17.7      Severability........................................32
           17.8      Headings............................................32
           17.9      Governing Law.......................................32


                                       ii

<PAGE>



EXHIBIT A  SUBSCRIPTION FORM.............................................33

EXHIBIT B  ASSIGNMENT FORM...............................................34

EXHIBIT C CONVERSION FORM................................................35


                                       iii

<PAGE>


                                        1

THIS  WARRANT AND THE  SECURITIES  REPRESENTED  HEREBY HAVE NOT BEEN  REGISTERED
UNDER THE  SECURITIES  ACT OF 1933,  AS AMENDED AND MAY NOT BE SOLD OR OTHERWISE
TRANSFERRED  IN VIOLATION OF SUCH ACT, THE RULES AND  REGULATIONS  THEREUNDER OR
THE PROVISIONS OF THIS WARRANT.


No. of Shares of Common Stock: up to 1,787,568                    Warrant No. 1

                                     WARRANT

                           To Purchase Common Stock of

                         Community Care of America, Inc.


           This is to  certify  that Daiwa  Healthco-2  LLC,  or its  registered
assigns  ("Holder"),  is  entitled,  at any time or from time to time during the
Exercise  Period,  to purchase from Community Care of America,  Inc., a Delaware
corporation  (the  "Company"),  an aggregate of up to 1,787,568 shares of Common
Stock at a  purchase  price of  $0.0025  per share,  subject  to  adjustment  as
provided herein,  all on the terms and conditions and pursuant to the provisions
hereinafter set forth.

1.         DEFINITIONS

           As used in this  Warrant,  the  following  terms have the  respective
meanings set forth below:

           "Additional  Shares of Common  Stock" shall mean all shares of Common
Stock issued by the Company after the date hereof, other than Warrant Stock.

           "Appraised Value" shall mean, in respect of any share of Common Stock
on any date herein  specified,  the fair saleable  value of such share of Common
Stock  (determined  without  giving  effect to the  discount  for (i) a minority
interest,  (ii) a lack of  voting  power or (iii) any lack of  liquidity  of the
Common  Stock  or to the  fact  that the  Company  may  have no class of  equity
registered  under the  Exchange  Act) as of the last day of most  recent  fiscal
month to end within 60 days prior to such date specified,  based on the value of
the Company,  as determined by an investment banking firm selected in accordance
with the terms of Section 14,  adjusted to reflect the  aggregate  consideration
receivable by the Company or the aggregate  principal  amount of indebtedness of
the  Company  extinguishable  upon the  issuance of any and all  securities  not
outstanding  but deemed to be  outstanding  in the  computation,  divided by the
number of Fully Diluted Outstanding shares of Common Stock.

           "Book Value"  shall mean,  in respect of any share of Common Stock on
any date herein specified, the consolidated  stockholders' equity of the Company
as of the  last  day of any  month  immediately  preceding  such  date  plus the
aggregate consideration receivable by the Company or


<PAGE>


                                        2

the aggregate  principal  amount of indebtedness  of the Company  extinguishable
upon the issuance of any and all  securities  not  outstanding  but deemed to be
outstanding  in the  computation of Fully Diluted  Outstanding  shares of Common
Stock, divided by the number of Fully Diluted Outstanding shares of Common Stock
as  determined  in  accordance  with GAAP by any firm of  independent  certified
public  accountants of recognized  national standing selected by the Company and
reasonably acceptable to the Majority Holders.

           "Business Day" shall mean any day that is not a Saturday or Sunday or
a day on which  banks in the City of New York are  required or  permitted  to be
closed.

           "Commission" shall mean the Securities and Exchange Commission or any
other federal  agency then  administering  the  Securities Act and other federal
securities laws.

           "Common  Stock" shall mean the common  stock,  par value  $0.0025 per
share of the Company as  constituted  on the date hereof,  and any capital stock
into which such Common Stock may  thereafter be changed,  and shall also include
(i)  capital  stock  of  the  Company  of any  other  class  (regardless  of how
denominated)  issued  to  the  holders  of  shares  of  Common  Stock  upon  any
reclassification  thereof,  excluding any class which provides for (A) dividends
at a fixed rate  which  rate does not vary based on the net income or  operating
results  of  the  Company  and/or  its  subsidiaries,  (B)  a  preference  as to
liquidation  which is limited to the  consideration  received by the Company for
such stock and (C) no right of redemption and (ii) shares of common stock of any
successor or acquiring  corporation  (as defined in Section 4.8)  received by or
distributed to the holders of Common Stock in the circumstances  contemplated by
Section 4.8.

           "Convertible Securities" shall mean evidences of indebtedness, shares
of stock or other securities which are convertible into or exchangeable, with or
without payment of additional  consideration in cash or property, for Additional
Shares of Common Stock, either immediately or upon the occurrence of a specified
date or a specified event.

           "Current  Market Price" shall mean, in respect of any share of Common
Stock on any date  herein  specified,  (a) the  higher of (x) the Book Value per
share of Common  Stock at such date,  and (y) the  Appraised  Value per share of
Common Stock as at such date,  or (b) if there shall then be a public market for
the Common Stock,  the higher of (x) the Book Value per share of Common Stock at
such date,  and (y) the average of the daily  market  prices for 30  consecutive
Business Days  commencing  45 days before such date.  The daily market price for
each  such  Business  Day  shall be (i) the last  sale  price on such day on the
principal  stock  exchange on which such Common Stock is then listed or admitted
to trading,  (ii) if no sale takes place on such day on any such  exchange,  the
average  of the  last  reported  closing  bid and  asked  prices  on such day as
officially  quoted on any such  exchange,  (iii) if the Common Stock is not then
listed or  admitted  to trading on any stock  exchange,  the average of the last
reported  closing  bid and  asked  prices  on such  day in the  over-the-counter
market, as furnished by the National Association of Securities Dealers Automatic
Quotation System or the National  Quotation  Bureau,  Inc., (iv) if neither such
corporation at the time is engaged in the business of reporting such prices,  as
furnished by any


<PAGE>


                                        3

similar firm then engaged in such business,  or (v) if there is no such firm, as
furnished by any member of the NASD  selected  mutually by the Majority  Holders
and the Company or, if they cannot agree upon such selection, as selected by two
such members of the NASD, one of which shall be selected by the Majority Holders
and one of which shall be selected by the Company.

           "Current  Warrant  Price"  shall  mean the  price at which a share of
Common  Stock may be  purchased  at any date  pursuant  to the  exercise of this
Warrant  on such  date;  the  initial  Current  Warrant  Price is  stated in the
preamble on to this Warrant.

           "Exchange  Act" shall mean the  Securities  Exchange Act of 1934,  as
amended,  or any similar federal  statute,  and the rules and regulations of the
Commission thereunder, all as the same shall be in effect from time to time.

           "Exercise Period" shall have the meaning set forth in Section 2.1.

           "Expiration  Date"  shall  mean  the  fifth  anniversary  of the date
hereof.

           "Fully Diluted  Outstanding"  shall mean, when used with reference to
Common  Stock,  at any date as of which the  number of shares  thereof  is to be
determined,  all shares of Common Stock  Outstanding at such date and all shares
of Common Stock  issuable in respect of this Warrant on such date, and all other
options or warrants to  purchase,  or  securities  convertible  into,  shares of
Common  Stock  outstanding  on such date which  would be deemed  outstanding  in
accordance  with GAAP for purposes of  determining  book value or net income per
share on a fully-diluted basis.

           "GAAP" shall mean  generally  accepted  accounting  principles in the
United States of America from time to time in effect.

           "Loan  and  Security  Agreement"  shall  mean the  Loan and  Security
Agreement,  dated as of December 23, 1996 as amended,  modified or  supplemented
from time to time, or any successor agreement between such parties.

           "Majority Holders" shall mean the Holders of Warrants exercisable for
in  excess of 50% of the  aggregate  number  of  shares  of  Common  Stock  then
purchasable upon exercise of all Warrants, whether or not then exercisable.

           "NASD" shall mean the National  Association  of  Securities  Dealers,
Inc., or any successor corporation thereto.

           "Other Property" shall have the meaning set forth in Section 4.8.

           "Outstanding"  shall mean,  when used with reference to Common Stock,
at any date as of which the number of shares  thereof is to be  determined,  all
issued shares of Common Stock,


<PAGE>


                                        4

except  shares  then owned or held by or for the  account of the  Company or any
subsidiary  thereof,  and shall  include  all  shares  issuable  in  respect  of
outstanding  scrip or any  certificates  representing  fractional  interests  in
shares of Common Stock.

           "Permitted  Issuances"  shall mean (i) the  issuance  of  warrants or
stock  options to the Company's  management  employees for the purchase of up to
965,000 shares of Common Stock, (ii) the issuance of shares of Common Stock upon
exercise of the warrants and options referred to in clause (i).

           "Person" shall mean any individual, sole proprietorship, partnership,
limited  liability  company,  joint venture,  trust,  association,  corporation,
institution,  other entity or government (whether federal,  state, county, city,
municipal or otherwise,  including,  without  limitation,  any  instrumentality,
division, agency, body or department thereof).

           "Registration  Statement" shall have the meaning set forth in Section
9.4.

           "Restricted  Common  Stock"  shall mean shares of Common  Stock which
are, or which upon their  issuance on the  exercise  of this  Warrant  would be,
evidenced by a certificate  bearing the restrictive  legend set forth in Section
9.1(a).

           "Securities  Act" shall mean the  Securities Act of 1933, as amended,
or any similar federal statute,  and the rules and regulations of the Commission
thereunder, all as the same shall be in effect at the time.

           "Transfer" shall mean any disposition of any Warrant or Warrant Stock
or of any  interest in either  thereof,  which would  constitute  a sale thereof
within the meaning of the Securities Act.

           "Transfer Notice" shall have the meaning set forth in Section 9.2.

           "Warrants"  shall mean this  Warrant  and all  warrants  issued  upon
transfer,  division or combination of, or in substitution for, any thereof.  All
Warrants  shall at all times be identical as to terms and  conditions  and date,
except  as to the  number of  shares  of  Common  Stock  for  which  they may be
exercised and, to the extent  provided in Section  4.3(d),  the Current  Warrant
Price.

           "Warrant  Price"  shall  mean an  amount  equal to (i) the  number of
shares of Common Stock being purchased upon exercise of this Warrant pursuant to
Section 2.1, multiplied by (ii) the Current Warrant Price as of the date of such
exercise.

           "Warrant  Stock" shall mean the shares of Common  Stock  purchased by
the holders of the Warrants upon the exercise thereof.



<PAGE>


                                        5

2.         EXERCISE OF WARRANT

           2.1 MANNER OF  EXERCISE.  At any time and from time to time after the
earliest of (A) the date of the  satisfaction  by the  Company of the  principal
outstanding  in excess of the Basic  Borrowing  Amount  pursuant to the Loan and
Security Agreement, (B) the occurrence of an Event of Default under the Loan and
Security  Agreement and (C) April 1, 1998 until 5:00 P.M., New York time, on the
Expiration Date (the "Exercise  Period"),  Holder may exercise this Warrant,  on
any  Business  Day,  for all or any part of the number of shares of Common Stock
purchasable hereunder on such date.

           In order to exercise this Warrant,  in whole or in part, Holder shall
deliver to the  Company at its  principal  office at 3050 North  Horshoe  Drive,
Suite 260,  Naples,  Florida 34104 or at the office or agency  designated by the
Company  pursuant  to Section 12, (i) a written  notice of Holder's  election to
exercise this Warrant, which notice shall specify the number of shares of Common
Stock to be purchased, (ii) payment of the Warrant Price and (iii) this Warrant;
provided,  that any notice of exercise  given  hereunder may be made  contingent
upon the happening of, and effective concurrently with the effectiveness of, any
event,  including,  without  limitation,  the  participation of any Holder in or
closing of any public offering  proposed to be effected by the Company,  if such
contingency  and such event are  specified in such notice.  Such notice shall be
substantially in the form of the subscription  form appearing at the end of this
Warrant as Exhibit A, duly  executed  by Holder or its agent or  attorney.  Upon
receipt thereof, the Company shall, as promptly as practicable, and in any event
within five (5) Business  Days  thereafter,  execute or cause to be executed and
deliver  or cause  to be  delivered  to  Holder a  certificate  or  certificates
representing  the aggregate  number of full shares of Common Stock issuable upon
such  exercise,  together  with  cash in lieu of any  fraction  of a  share,  as
hereinafter  provided.  The stock certificate or certificates so delivered shall
be, to the extent possible, in such denomination or denominations as such Holder
shall  request in the notice and shall be  registered  in the name of Holder or,
subject to Section 9, such other name as shall be designated in the notice. This
Warrant  shall  be  deemed  to have  been  exercised  and  such  certificate  or
certificates shall be deemed to have been issued, and Holder or any other Person
so  designated  to be named  therein  shall be deemed to have become a holder of
record of such shares for all purposes, as of the date the notice, together with
the cash or check or checks and this  Warrant,  is  received  by the  Company as
described above and all taxes required to be paid by Holder, if any, pursuant to
Section 2.3 prior to the issuance of such shares have been paid. If this Warrant
shall have been exercised in part, the Company shall, at the time of delivery of
the certificate or certificates  representing Warrant Stock, deliver to Holder a
new Warrant  evidencing the rights of Holder to purchase the unpurchased  shares
of Common Stock called for by this Warrant, which new Warrant shall in all other
respects  be  identical  with  this  Warrant,  or,  at the  request  of  Holder,
appropriate  notation  may be made on this  Warrant  and the  same  returned  to
Holder.  Notwithstanding any provision herein to the contrary, the Company shall
not be required to register  shares in the name of any Person who acquired  this
Warrant (or part hereof) or any Warrant Stock  otherwise than in accordance with
this  Warrant.  Payment of the Warrant  Price shall be made at the option of the
Holder by certified or official bank check.



<PAGE>


                                        6

           2.2 CASHLESS  EXERCISE.  Notwithstanding  the provisions set forth in
Section  2.1,  if, at any time during the Exercise  Period,  the Current  Market
Price of one share of Common Stock is greater than the Current Warrant Price (at
the date of calculation as set forth below),  in lieu of exercising this Warrant
(or any portion  thereof) for cash, the Holder may elect to convert such Warrant
(or  portion  thereof)  into the number of shares of Common  Stock  equal to the
value (as  determined  below) of this  Warrant  (or the  portion  thereof  being
canceled) by surrender  of this Warrant at the  principal  office of the Company
together with written notice of such election  (pursuant to the Conversion  Form
attached  hereto as Exhibit C), in which event the Company shall issue to Holder
a number of shares of Common Stock computed using the following formula:

                                   X = Y (A-B)
                                        A

where

X=         the number of shares of Common  Stock to be issued to the Holder upon
           conversion  of this  Warrant  (or portion  thereof)  pursuant to this
           Section 2.1

Y=         the number of shares of Common Stock  purchasable under this Warrant,
           or if only a portion of this Warrant is being exercised,  the portion
           of this Warrant being exercised (at the date of such calculation)

A=         the Current Market Price of one share of Common Stock (at the date of
           such calculation)

B=         the  Current   Warrant  Price  (as  adjusted  to  the  date  of  such
           calculation)

           2.3 PAYMENT OF TAXES.  All shares of Common Stock  issuable  upon the
exercise of this Warrant  pursuant to the terms hereof shall be validly  issued,
fully paid and  nonassessable  and without any  preemptive  rights.  The Company
shall pay all expenses in connection with, and all taxes and other  governmental
charges  that may be imposed  with  respect to, the issue or  delivery  thereof,
unless  such tax or charge is  imposed  by law upon  Holder,  in which case such
taxes or charges  shall be paid by Holder.  The Company  shall not be  required,
however,  to pay any tax or other charge imposed in connection with any transfer
involved in the issue of any  certificate  for shares of Common  Stock  issuable
upon exercise of this Warrant in any name other than that of Holder.

           2.4 FRACTIONAL  SHARES.  The Company shall not be required to issue a
fractional  share of  Common  Stock  upon  exercise  of any  Warrant.  As to any
fraction of a share which the Holder of one or more  Warrants,  the rights under
which are  exercised  in the same  transaction,  would  otherwise be entitled to
purchase upon such exercise,  the Company shall pay a cash adjustment in respect
of such final  fraction in an amount  equal to the same  fraction of the Current
Market Price per share of Common Stock on the date of exercise.



<PAGE>


                                        7

           2.5  CONTINUED  VALIDITY.  A holder of shares of Common  Stock issued
upon the exercise of this Warrant,  in whole or in part (other than a holder who
acquires  such  shares  after the same have been  publicly  sold  pursuant  to a
Registration  Statement  under the  Securities  Act or sold pursuant to Rule 144
thereunder),  shall  continue to be entitled  with respect to such shares to all
rights to which it would have been  entitled as Holder under  Sections 9, 10 and
16 of this  Warrant.  The  Company  will,  at the time of each  exercise of this
Warrant,  in whole or in part,  upon the  request of the holder of the shares of
Common Stock issued upon such exercise hereof,  acknowledge in writing,  in form
reasonably  satisfactory to such holder, its continuing  obligation to afford to
such holder all such rights;  provided,  however, that if such holder shall fail
to make  any  such  request,  such  failure  shall  not  affect  the  continuing
obligation of the Company to afford to such holder all such rights.

3.         TRANSFER, DIVISION AND COMBINATION

           3.1 TRANSFER.  Subject to compliance with Section 9, transfer of this
Warrant and all rights  hereunder,  in whole or in part,  shall be registered on
the books of the Company to be maintained  for such purpose,  upon  surrender of
this Warrant at the principal  office of the Company  referred to in Section 2.1
or the office or agency  designated  by the  Company  pursuant  to  Section  12,
together with a written assignment of this Warrant  substantially in the form of
Exhibit B hereto  duly  executed  by Holder or its agent or  attorney  and funds
sufficient to pay any transfer  taxes payable upon the making of such  transfer.
Upon such surrender and, if required,  such payment,  the Company shall, subject
to Section 9,  execute  and deliver a new Warrant or Warrants in the name of the
assignee or assignees and in the  denomination  specified in such  instrument of
assignment, and shall issue to the assignor a new Warrant evidencing the portion
of this Warrant not so assigned, and this Warrant shall promptly be cancelled. A
Warrant,  if properly assigned in compliance with Section 9, may be exercised by
a new Holder for the  purchase of shares of Common  Stock  without  having a new
Warrant issued.

           3.2 DIVISION AND COMBINATION.  Subject to Section 9, this Warrant may
be divided or  combined  with other  Warrants  upon  presentation  hereof at the
aforesaid  office or  agency  of the  Company,  together  with a written  notice
specifying the names and  denominations  in which new Warrants are to be issued,
signed by Holder or its agent or attorney.  Subject to  compliance  with Section
3.1 and  with  Section  9, as to any  transfer  which  may be  involved  in such
division or combination,  the Company shall execute and deliver a new Warrant or
Warrants  in  exchange  for the Warrant or Warrants to be divided or combined in
accordance with such notice.

           3.3 EXPENSES. The Company shall prepare, issue and deliver at its own
expense  (other than  transfer  taxes) the new  Warrant or  Warrants  under this
Section 3.

           3.4  MAINTENANCE  OF BOOKS.  The Company  agrees to maintain,  at its
aforesaid  office or agency,  books for the registration and the registration of
transfer of the Warrants.



<PAGE>


                                        8

4.         ADJUSTMENTS

           The  number  of shares of Common  Stock  for which  this  Warrant  is
exercisable  and the Current  Warrant Price shall be subject to adjustment  from
time to time as set forth in this Section 4. The Company  shall give each Holder
notice of any event  described  below which  requires an adjustment  pursuant to
this  Section  4 at the  time of such  event in  accordance  with  Section  5.1.
Notwithstanding  anything to the contrary in this Section 4, no adjustment under
this Section 4 (other than subsection 4.1(c)) shall increase the Current Warrant
Price or decrease the number of shares of Common Stock for which this Warrant is
exercisable  except  for  (i)  any  rescission  adjustment  required  to be made
pursuant to the first sentence of Section 4.6 and (ii) any  adjustment  required
to be made pursuant to Section 4.11.

           4.1 STOCK DIVIDENDS,  SUBDIVISIONS AND COMBINATIONS.  If any time the
Company shall:

                     (a) take a record of the  holders of its  Common  Stock for
           the purpose of  entitling  them to receive a dividend  payable in, or
           other distribution of, Additional Shares of Common Stock,

                      (b) subdivide its outstanding  shares of Common Stock into
           a larger number of shares of Common Stock, or

                      (c) combine its outstanding  shares of Common Stock into a
           smaller number of shares of Common Stock,

then (i) the  number  of  shares of Common  Stock  for  which  this  Warrant  is
exercisable immediately after the occurrence of any such event shall be adjusted
to equal the number of shares of Common Stock which a record  holder of the same
number of  shares  of  Common  Stock  for  which  this  Warrant  is  exercisable
immediately  prior to the  occurrence  of such event would own or be entitled to
receive  after the happening of such event,  and (ii) the Current  Warrant Price
shall be adjusted  to equal (A) the  Current  Warrant  Price  multiplied  by the
number of  shares  of  Common  Stock  for  which  this  Warrant  is  exercisable
immediately  prior to the  adjustment  divided  by (B) the  number of shares for
which this Warrant is exercisable immediately after such adjustment.

           4.2 CERTAIN  OTHER  DISTRIBUTIONS.  If at any time the Company  shall
take a record of the holders of its Common  Stock for the  purpose of  entitling
them to receive any dividend or other distribution of:

                     (a)  cash  (other  than a  cash  distribution  or  dividend
           payable  out of  earnings  for the year in which  such  dividend  was
           declared  or earned  surplus  legally  available  for the  payment of
           dividends under the laws of the  jurisdiction of incorporation of the
           Company),



<PAGE>


                                        9

                     (b) any  evidences of its  indebtedness,  any shares of its
           stock or any other  securities  or property of any nature  whatsoever
           (other than cash,  Convertible  Securities  or  Additional  Shares of
           Common Stock), or

                     (c) any  warrants  or  other  rights  to  subscribe  for or
           purchase any evidences of its  indebtedness,  any shares of its stock
           or any other securities or property of any nature  whatsoever  (other
           than cash,  Convertible  Securities  or  Additional  Shares of Common
           Stock),

then (i) the  number  of  shares of Common  Stock  for  which  this  Warrant  is
exercisable  shall be  increased to equal the product of the number of shares of
Common Stock for which this  Warrant is  exercisable  immediately  prior to such
adjustment  multiplied  by a fraction  (A) the  numerator  of which shall be the
Current Market Price per share of Common Stock at the date of taking such record
and (B) the denominator of which shall be such Current Market Price per share of
Common  Stock  minus the amount of cash and the amount  (as  determined  in good
faith by the Board of Directors of the Company and  supported by an opinion from
an investment  banking firm of recognized  national  standing  acceptable to the
Majority  Holders)  of any and all such  evidences  of  indebtedness,  shares of
stock,  other  securities  or  property or  warrants  or other  subscription  or
purchase rights distributable to a holder of one share of Common Stock, and (ii)
the Current  Warrant  Price  shall be reduced to equal (A) the  Current  Warrant
Price  multiplied by the number of shares of Common Stock for which this Warrant
is exercisable  immediately prior to the adjustment divided by (B) the number of
shares for which this Warrant is exercisable  immediately after such adjustment;
provided, that if the event requiring adjustment by this Section 4.2 would cause
the  Current  Warrant  Price to be equal to or less than $0, no such  adjustment
shall be made and the Company shall distribute to each Holder such cash, any and
all evidences of indebtedness,  shares of stock, other securities or property or
warrants or other subscription or purchase rights that would be distributable to
such Holder had such Holder  exercised  this Warrant  immediately  prior to such
distribution. A reclassification of the Common Stock (other than a change in par
value, or from par value to no par value or from no par value to par value) into
shares of Common  Stock and shares of any other class of stock shall be deemed a
distribution by the Company to the holders of its Common Stock of such shares of
such other  class of stock  within the  meaning of this  Section 4.2 and, if the
outstanding  shares of Common  Stock  shall be changed  into a larger or smaller
number of shares of Common Stock as a part of such reclassification, such change
shall be  deemed  a  subdivision  or  combination,  as the  case may be,  of the
outstanding shares of Common Stock within the meaning of Section 4.1.

           4.3 ISSUANCE OF ADDITIONAL SHARES OF COMMON STOCK. (a) If at any time
the Company shall (except as hereinafter  provided) issue or sell any Additional
Shares  of Common  Stock,  other  than  Permitted  Issuances,  in  exchange  for
consideration  in an amount per  Additional  Share of Common Stock less than the
Current  Warrant  Price at the time the  Additional  Shares of Common  Stock are
issued,  then (i) the Current Warrant Price as to the number of shares for which
this Warrant is exercisable prior to such adjustment shall be reduced to a price
determined  by  dividing  (A) an  amount  equal to the sum of (x) the  number of
shares of Common Stock


<PAGE>


                                       10

Outstanding  immediately  prior  to such  issue or sale  multiplied  by the then
existing Current Warrant Price, and (y) the  consideration,  if any, received by
the Company upon such issue or sale, by (B) the total number of shares of Common
Stock  Outstanding  immediately after such issue or sale; and (ii) the number of
shares of Common Stock for which this Warrant is exercisable  shall be increased
to equal the product obtained by multiplying the Current Warrant Price in effect
immediately  prior to such issue or sale by the number of shares of Common Stock
for which this Warrant is  exercisable  immediately  prior to such issue or sale
and dividing the product thereof by the Current Warrant Price resulting from the
adjustment made pursuant to clause (i) above.

           (b) If at any time the Company shall (except as hereinafter provided)
issue or sell any  Additional  Shares  of Common  Stock,  other  than  Permitted
Issuances,  for  consideration in an amount per Additional Share of Common Stock
less than the  Current  Market  Price,  then (i) the  number of shares of Common
Stock for which this  Warrant is  exercisable  shall be  increased  to equal the
product  obtained by multiplying  the number of shares of Common Stock for which
this  Warrant  is  exercisable  immediately  prior  to such  issue  or sale by a
fraction  (A) the  numerator  of which  shall be the  number of shares of Common
Stock Outstanding  immediately after such issue or sale, and (B) the denominator
of which shall be the number of shares of Common Stock  Outstanding  immediately
prior to such  issue or sale  plus the  number of  shares  which  the  aggregate
offering  price of the total  number of such  Additional  Shares of Common Stock
would  purchase at the then Current Market Price;  and (ii) the Current  Warrant
Price as to the number of shares for which this Warrant is exercisable  prior to
such  adjustment  shall be reduced to a price  determined  by  multiplying  such
Current  Warrant  Price by a fraction  (X) the  numerator  of which shall be the
number of shares for which this Warrant is exercisable immediately prior to such
issue or sale; and (Y) the denominator of which shall be the number of shares of
Common Stock purchasable immediately after such issue or sale.

           (c) If at any time the Company (except as hereinafter provided) shall
issue or sell any  Additional  Shares  of Common  Stock,  other  than  Permitted
Issuances,  in exchange for  consideration in an amount per Additional Shares of
Common  Stock which is less than the Current  Warrant  Price and Current  Market
Price at the time  the  Additional  Shares  of  Common  Stock  are  issued,  the
adjustment  required under this Section 4.3 shall be made in accordance with the
formula in paragraph (a) or (b) above which results in the lower Current Warrant
Price  following  such  adjustment.  The provisions of paragraphs (a) and (b) of
Section 4.3 shall not apply to any issuance of Additional Shares of Common Stock
for which an adjustment  is provided  under Section 4.1 or 4.2. No adjustment of
the number of shares of Common Stock for which this Warrant shall be exercisable
shall be made under paragraph (a) or (b) of Section 4.3 upon the issuance of any
Additional  Shares of Common Stock which are issued  pursuant to the exercise of
any  warrants  or other  subscription  or  purchase  rights or  pursuant  to the
exercise of any conversion or exchange rights in any Convertible Securities,  if
any such  adjustment  shall  previously have been made upon the issuance of such
warrants or other rights or upon the issuance of such Convertible Securities (or
upon the issuance of any warrant or other rights  therefor)  pursuant to Section
4.4 or Section 4.5.



<PAGE>


                                       11

           (d) If any  Additional  Shares of Common Stock,  other than Permitted
Issuances,  are issued or sold in exchange  for  consideration  in an amount per
Additional  Share of Common Stock equal to or greater  than the Current  Warrant
Price and the Current Market Price at the time the Additional Shares are issued,
then (i) the  number  of  shares of Common  Stock  for  which  this  Warrant  is
exercisable  shall be increased to equal the product obtained by multiplying the
number of  shares  of  Common  Stock  for  which  this  Warrant  is  exercisable
immediately  prior to such  adjustment  by a fraction (A) the numerator of which
shall be the number of shares of Common Stock Outstanding  immediately after the
issuance of such Additional  Shares of Common Stock,  and (B) the denominator of
which  shall be the  number of shares of Common  Stock  Outstanding  immediately
prior to the issuance of such  Additional  Shares of Common Stock;  and (ii) the
Current  Warrant Price as to the number of shares of Common Stock for which this
Warrant is exercisable prior to such adjustment shall not change but the Current
Warrant Price for each of the  incremental  number of shares of Common Stock for
which this Warrant becomes  exercisable  after such adjustment shall be equal to
the amount of such consideration per Additional Share of Common Stock.

           4.4 ISSUANCE OF WARRANTS OR OTHER RIGHTS.  If at any time the Company
shall  take a record of the  holders  of its  Common  Stock for the  purpose  of
entitling  them to receive a  distribution  of, or shall in any manner  (whether
directly  or by  assumption  in a merger in which the  Company is the  surviving
corporation)  issue or sell,  any warrants or other  rights to subscribe  for or
purchase any Additional  Shares of Common Stock or any  Convertible  Securities,
whether or not the rights to  exchange  or convert  thereunder  are  immediately
exercisable,  then the Current  Warrant Price and the number of shares of Common
Stock for which this Warrant is then  exercisable  shall be adjusted as provided
in Section  4.3 on the basis that the  maximum  number of  Additional  Shares of
Common Stock issuable pursuant to all such warrants or other rights or necessary
to effect the conversion or exchange of all such Convertible Securities shall be
deemed to have been issued and  outstanding  and the Company shall have received
all of the consideration  payable therefor, if any, as of the date of the actual
issuance of such warrants or other rights. No further adjustments of the Current
Warrant  Price or the  number of shares for which  this  Warrant is  exercisable
shall be made upon the actual issue of such Common Stock or of such  Convertible
Securities  upon  exercise of such  warrants or other  rights or upon the actual
issue of such Common Stock upon such conversion or exchange of such  Convertible
Securities.

           4.5 ISSUANCE OF  CONVERTIBLE  SECURITIES.  If at any time the Company
shall  take a record of the  holders  of its  Common  Stock for the  purpose  of
entitling  them to receive a  distribution  of, or shall in any manner  (whether
directly  or by  assumption  in a merger in which the  Company is the  surviving
corporation)  issue or sell,  any  Convertible  Securities,  whether  or not the
rights to exchange or convert thereunder are immediately  exercisable,  then the
Current  Warrant  Price and the number of shares of Common  Stock for which this
Warrant is then exercisable  shall be adjusted as provided in Section 4.3 on the
basis that the maximum number of Additional  Shares of Common Stock necessary to
effect the conversions or exchange of all such  Convertible  Securities shall be
deemed to have been issued and  outstanding  and the Company shall have received
all of the  consideration  payable  therefor,  if any,  as of the date of actual
issuance


<PAGE>


                                       12

of such  Convertible  Securities.  No adjustment of the Current Warrant Price or
the number of shares for which this Warrant is  exercisable  shall be made under
this  Section 4.5 upon the  issuance  of any  Convertible  Securities  which are
issued  pursuant  to the  exercise  of any  warrants  or other  subscription  or
purchase rights therefor, if any such adjustment shall previously have been made
upon the issuance of such  warrants or other rights  pursuant to Section 4.4. No
further  adjustments  of the Current  Warrant  Price or the number of shares for
which this  Warrant is  exercisable  shall be made upon the actual issue of such
Additional  Shares  of  Common  Stock  or of such  Convertible  Securities  upon
exercise  of such  warrants  or other  rights or upon the  actual  issue of such
Additional  Shares of Common  Stock upon such  conversion  or  exchange  of such
Convertible Securities.

           4.6 SUPERSEDING  ADJUSTMENT.  If, at any time after any adjustment of
the  Current  Warrant  Price and the number of shares of Common  Stock for which
this  Warrant is  exercisable  shall have been made  pursuant  to Section 4.4 or
Section 4.5 as the result of any  issuance of  warrants,  rights or  Convertible
Securities,

                     (a) such warrants or rights,  or the right of conversion or
           exchange in such other Convertible Securities,  shall expire, and all
           or a portion of such  warrants or rights,  or the right of conversion
           or  exchange  with  respect  to  all  or  a  portion  of  such  other
           Convertible  Securities,  as the case  may be,  shall  not have  been
           exercised, or

                     (b) the  consideration per share for which shares of Common
           Stock are issuable  pursuant to such warrants or rights, or the terms
           of such other Convertible Securities, shall be increased or decreased
           solely by virtue of  provisions  therein  contained  for an automatic
           increase  or  decrease  in such  consideration  per  share  upon  the
           occurrence of a specified date or event,

then such previous adjustment shall be rescinded and annulled and the Additional
Shares of Common  Stock  which were  deemed to have been issued by virtue of the
computation  made in  connection  with the  adjustment so rescinded and annulled
shall no longer be  deemed  to have been  issued by virtue of such  computation.
Thereupon,  a  recomputation  shall be made of the  effect of such  warrants  or
rights or other Convertible Securities on the basis of

                     (c)  treating  the  number of  Additional  Shares of Common
           Stock or other  property,  if any,  theretofore  actually  issued  or
           issuable  pursuant to the previous  exercise of any such  warrants or
           rights or any such right of  conversion  or exchange,  as having been
           issued  on the  date  or  dates  of any  such  exercise  and  for the
           consideration actually received and receivable therefor, and

                     (d) treating any such  warrants or rights or any such other
           Convertible  Securities which then remain  outstanding as having been
           granted  or issued  immediately  after the time of such  increase  or
           decrease,  as the case may be,  of the  consideration  per  share for
           which  shares of Common Stock or other  property  are issuable  under
           such warrants or rights or


<PAGE>


                                       13

           other  Convertible  Securities;  whereupon  a new  adjustment  of the
           Current  Warrant  Price and the number of shares of Common  Stock for
           which this Warrant is  exercisable  shall be made pursuant to Section
           4.4 or  Section  4.5,  as  appropriate,  which new  adjustment  shall
           supersede the previous adjustment so rescinded and annulled;

provided,  that no rescission or  recomputation  adjustment  shall be made under
this  Section  4.6 in respect  of any  portion  of this  Warrant  which has been
exercised  prior  to the  occurrence  of any  action  otherwise  requiring  such
rescission or recomputation adjustment.

           4.7 OTHER  PROVISIONS  APPLICABLE TO ADJUSTMENTS  UNDER THIS SECTION.
The following provisions shall be applicable to the making of adjustments of the
Current  Warrant  Price and the number of shares of Common  Stock for which this
Warrant is exercisable provided for in this Section 4:

                     (a)  Computation of  Consideration.  To the extent that any
           Additional  Shares of Common Stock or any  Convertible  Securities or
           any  warrants  or other  rights  to  subscribe  for or  purchase  any
           Additional Shares of Common Stock or any Convertible Securities shall
           be issued for cash consideration,  the consideration  received by the
           Company  therefor  shall be the  amount of the cash  received  by the
           Company  therefor,  or, if such Additional  Shares of Common Stock or
           Convertible  Securities are offered by the Company for  subscription,
           the subscription price, or, if such Additional Shares of Common Stock
           or  Convertible  Securities are sold to  underwriters  or dealers for
           public offering without a subscription  offering,  the initial public
           offering price (in any such case  subtracting (x) any amounts paid or
           receivable  for  accrued  interest or accrued  dividends  and (y) any
           compensation,  discounts or expenses  paid or incurred by the Company
           for and in the  underwriting of, or otherwise in connection with, the
           issuance  thereof).  To the extent that such issuance  shall be for a
           consideration  other  than  cash,  then,  except as herein  otherwise
           expressly provided,  the amount of such consideration shall be deemed
           to be the  fair  value  of  such  consideration  at the  time of such
           issuance as determined in good faith by the Board of Directors of the
           Company.  In case  any  Additional  Shares  of  Common  Stock  or any
           Convertible  Securities  or any warrants or other rights to subscribe
           for or purchase such Additional Shares of Common Stock or Convertible
           Securities shall be issued in connection with any merger in which the
           Company issues any securities,  the amount of consideration  therefor
           shall be deemed to be the fair value,  as determined in good faith by
           the Board of Directors of the Company,  of such portion of the assets
           and business of the  nonsurviving  corporation  as such Board in good
           faith shall determine to be attributable to such Additional Shares of
           Common Stock,  Convertible  Securities,  warrants or other rights, as
           the case may be.  The  consideration  for any  Additional  Shares  of
           Common  Stock  issuable  pursuant to any  warrants or other rights to
           subscribe  for or  purchase  the  same  shall  be  the  consideration
           received by the Company for  issuing  such  warrants or other  rights
           plus the lowest  amount of  additional  consideration  payable to the
           Company  upon  exercise  of  such  warrants  or  other  rights.   The
           consideration  for any  Additional  Shares of Common  Stock  issuable
           pursuant to the terms of any Convertible


<PAGE>


                                       14

           Securities  shall be the  consideration  received  by the Company for
           issuing  warrants or other rights to subscribe  for or purchase  such
           Convertible Securities, plus the consideration paid or payable to the
           Company  in  respect  of the  subscription  for or  purchase  of such
           Convertible   Securities,   plus  the  lowest  amount  of  additional
           consideration,  if any,  payable to the Company  upon the exercise of
           the right of conversion or exchange in such  Convertible  Securities.
           In case of the  issuance  at any  time of any  Additional  Shares  of
           Common Stock or Convertible  Securities in payment or satisfaction of
           any dividends  upon any class of stock other than Common  Stock,  the
           Company  shall be deemed to have  issued  such  Additional  Shares of
           Common Stock or Convertible Securities for no consideration. Whenever
           the Board of  Directors  of the  Company  shall be required to make a
           determination  in good faith of the fair value of any  consideration,
           such  determination  shall, if requested by the Majority Holders,  be
           supported by an opinion of an  investment  banking firm of recognized
           national  standing  selected by the Company  and  acceptable  to such
           Holders, with all costs thereof borne by the Company.

                     (b) When  Adjustments to Be Made. The adjustments  required
           by  this  Section  4 shall  be  made  whenever  and as  often  as any
           specified event requiring an adjustment shall occur,  except that any
           adjustment  of the  number of shares of Common  Stock for which  this
           Warrant  is  exercisable  that would  otherwise  be  required  may be
           postponed  (except in the case of a  subdivision  or  combination  of
           shares of the Common  Stock,  as provided  for in Section 4.1) up to,
           but not  beyond the date of  exercise  if such  adjustment  either by
           itself  or  with  other  adjustments  not  previously  made  adds  or
           subtracts less than 0.1% of the shares of Common Stock for which this
           Warrant  is  exercisable  immediately  prior  to the  making  of such
           adjustment.  Any  adjustment  representing a change of less than such
           minimum  amount  (except as  aforesaid)  which is postponed  shall be
           carried  forward and made as soon as such  adjustment,  together with
           other adjustments required by this Section 4 and not previously made,
           would result in a minimum adjustment or on the date of exercise.  For
           the purpose of any adjustment, any specified event shall be deemed to
           have occurred at the close of business on the date of its occurrence.

                      (c) Fractional  Interests.  In computing adjustments under
           this Section 4,  fractional  interests in Common Stock shall be taken
           into account to the nearest 1/10th of a share.

                     (d) When Adjustment Not Required. If the Company shall take
           a record  of the  holders  of its  Common  Stock for the  purpose  of
           entitling them to receive a dividend or  distribution or subscription
           or purchase rights and shall,  thereafter and before the distribution
           to stockholders  thereof,  legally abandon its plan to pay or deliver
           such dividend,  distribution,  subscription or purchase rights,  then
           thereafter no adjustment shall be required by reason of the taking of
           such  record  and any  such  adjustment  previously  made in  respect
           thereof shall be rescinded and annulled.



<PAGE>


                                       15

                     (e) Escrow of Warrant Stock. If after any property  becomes
           distributable  pursuant to this  Section 4 by reason of the taking of
           any  record  of  the  holders  of  Common  Stock,  but  prior  to the
           occurrence  of the  event  for which  such  record  is taken,  Holder
           exercises this Warrant,  then any  additional  shares of Common Stock
           and other  property  issuable upon exercise  solely by reason of such
           adjustment  shall be held in escrow for  Holder by the  Company to be
           issued to Holder upon and to the extent that the event actually takes
           place. Notwithstanding any other provision to the contrary herein, if
           the event  for  which  such  record  was  taken  fails to occur or is
           rescinded,  then  such  escrowed  shares  shall be  cancelled  by the
           Company and escrowed property returned.

                     (f)  Challenge  to Good Faith  Determination.  Whenever the
           Board  of  Directors  of the  Company  shall  be  required  to make a
           determination  in good faith of the fair value of any item under this
           Section  4, such  determination  may be  challenged  in good faith by
           Holder,  and any dispute shall be resolved by an  investment  banking
           firm of  recognized  national  standing  selected  by the Company and
           acceptable  to such  Holder,  with  all  costs  thereof  borne by the
           Company.

                     (g)  Current  Warrant  Price  Not  Less  than  $.0025.  If,
           following any reduction of the Current  Warrant Price and increase in
           the  number  of shares of  Common  Stock  for  which the  Warrant  is
           exercisable  made  pursuant to this  Section 4, except any  reduction
           made pursuant to subsections  4.1(a) or 4.1(b),  the Current  Warrant
           Price is reduced to an amount less than $.0025,  the Current  Warrant
           Price shall be increased (without any further change in the number of
           shares of Common  Stock for which  this  Warrant is  exercisable)  to
           equal the lesser of (x) the Current Warrant Price  immediately  prior
           to such adjustment and (y) $.01. However, for purposes of calculating
           any  subsequent  adjustment  pursuant to this  Section 4 (except this
           Section 4.7(g)) any increase in the Current Warrant Price pursuant to
           this Section 4.7(g) shall be disregarded.

           4.8  REORGANIZATION,   RECLASSIFICATION,   MERGER,  CONSOLIDATION  OR
DISPOSITION  OF  ASSETS.  In case the  Company  shall  reorganize  its  capital,
reclassify  its  capital  stock,  consolidate  or  merge  with or  into  another
corporation  (where the Company is not the surviving  corporation or where there
is a change in or distribution with respect to the Common Stock of the Company),
or sell, transfer or otherwise dispose of all or substantially all its property,
assets or business  to another  corporation  and,  pursuant to the terms of such
reorganization,   reclassification,  merger,  consolidation  or  disposition  of
assets, shares of common stock of the successor or acquiring corporation, or any
cash,  shares of stock or other securities or property of any nature  whatsoever
(including  warrants or other subscription or purchase rights) in addition to or
in lieu of  common  stock of the  successor  or  acquiring  corporation  ("Other
Property"),  are to be received by or distributed to the holders of Common Stock
of the  Company,  then each Holder shall have the right  thereafter  to receive,
upon  exercise  of such  Warrant,  the  number of shares of common  stock of the
successor or acquiring  corporation  or of the Company,  if it is the  surviving
corporation,  and  Other  Property  receivable  upon  or  as a  result  of  such
reorganization, reclassification, merger, consolidation or disposition of assets
by a holder of the


<PAGE>


                                       16

number of  shares  of  Common  Stock  for  which  this  Warrant  is  exercisable
immediately   prior  to  such  event.  In  case  of  any  such   reorganization,
reclassification,  merger, consolidation or disposition of assets, the successor
or acquiring  corporation (if other than the Company) shall expressly assume the
due and  punctual  observance  and  performance  of each and every  covenant and
condition of this  Warrant to be  performed  and observed by the Company and all
the obligations and liabilities hereunder,  subject to such modifications as may
be deemed  appropriate (as determined by resolution of the Board of Directors of
the Company) in order to provide for  adjustments  of shares of the Common Stock
for which this Warrant is  exercisable  which shall be as nearly  equivalent  as
practicable to the  adjustments  provided for in this Section 4. For purposes of
this Section 4.8 "common stock of the successor or acquiring  corporation" shall
include  (i) stock of such  corporation  of any class which does not provide for
(A)  dividends  at a fixed  rate  which does not vary based on the net income or
operating results of the Company and/or its subsidiaries, (B) a preference as to
liquidation  which is limited to the  consideration  received by the Company for
such stock and (C) a right of redemption and (ii) any evidences of indebtedness,
shares of stock or other  securities  which are convertible into or exchangeable
for any such stock,  either  immediately or upon the arrival of a specified date
or the  happening  of a  specified  event and any  warrants  or other  rights to
subscribe  for or purchase  any such stock.  The  foregoing  provisions  of this
Section   4.8   shall   similarly    apply   to   successive    reorganizations,
reclassification, mergers, consolidations or disposition of assets.

           4.9 OTHER ACTION  AFFECTING COMMON STOCK. If at any time or from time
to time the Company shall take any action in respect of its Common Stock,  other
than the payment of dividends  described  in Section  4.2(a) or any other action
described in this Section 4, then, unless such action will not have a materially
adverse  effect upon the rights of the  Holders,  the number of shares of Common
Stock or other stock for which this Warrant is  exercisable  and/or the purchase
price  thereof  shall be  adjusted  in such  manner as may be  equitable  in the
circumstances.

           4.10  CERTAIN  LIMITATIONS.  Notwithstanding  anything  herein to the
contrary,  the Company agrees not to enter into any transaction which, by reason
of any adjustment  hereunder,  would cause the Current  Warrant Price to be less
than the par value per share of Common Stock.

           4.11  ADJUSTMENT  TO NUMBER OF  SHARES  OF COMMON  STOCK  PURCHASABLE
HEREUNDER.  In the event and on each occasion that, pursuant to the terms of the
Loan and  Security  Agreement,  the  Company  reduces  the  amount of  principal
outstanding in excess of the Basic Borrowing  Amount (as defined in the Loan and
Security Agreement) by at least $300,000 (the amount of any such reduction,  the
"Reduction Amount"), the number of shares of Common Stock for which this Warrant
is exercisable shall be adjusted to a number of shares as follows.  In the event
that the Current  Market  Price of one share of Common Stock on the date of such
event is equal to or less than such Current  Market Price onApril 1, 1998,  then
the number of shares of Common Stock for which this Warrant is exercisable shall
be adjusted to a number of shares equal in value to the value of this Warrant on
April 1, 1998 minus the Reduction  Amount.  In the event that the Current Market
Price of one share of Common  Stock on the date of such  event is  greater  than
such Current Market Price on April 1, 1998, then the number of shares of


<PAGE>


                                       17

Common  Stock for which this  Warrant is  exercisable  shall be  decreased  by a
number of shares equal in value to the  Reduction  Amount  valued at the Current
Market Price of one share of Common Stock on the date of such event.

5.         NOTICES TO WARRANT HOLDERS

           5.1 NOTICE OF ADJUSTMENTS.  Whenever the Current Warrant Price or the
number of shares of Common Stock for which this Warrant is exercisable  shall be
adjusted   pursuant  to  Section  4,  the  Company  shall  forthwith  prepare  a
certificate to be executed by the chief financial officer of the Company setting
forth, in reasonable  detail,  the event requiring the adjustment and the method
by which such adjustment was calculated (including a description of the basis on
which the Board of  Directors  of the Company  determined  the fair value of any
evidences of  indebtedness,  shares of stock,  other  securities  or property or
warrants or other  subscription or purchase rights referred to in Section 4.2 or
4.7(a)),  specifying the number of shares of Common Stock for which this Warrant
is exercisable  and (if such adjustment was made pursuant to Section 4.8 or 4.9)
describing  the number and kind of any other  shares of stock or Other  Property
for which this Warrant is  exercisable,  and any change in the purchase price or
prices thereof,  after giving effect to such  adjustment or change.  The Company
shall  promptly  cause an executed copy of such  certificate  to be delivered to
each Holder in  accordance  with  Section  15.2.  The Company  shall keep at its
office  or  agency  designated  pursuant  to  Section  12  copies  of  all  such
certificates  and cause the same to be available  for  inspection at said office
during normal  business  hours by any Holder or any  prospective  purchaser of a
Warrant designated by a Holder thereof.

           5.2 NOTICE OF CERTAIN CORPORATE ACTION.  The Holder shall be entitled
to the same rights to receive notice of corporate action as any holder of Common
Stock.

6.         NO IMPAIRMENT

           The Company shall not by any action  including,  without  limitation,
amending  its  certificate  of  incorporation  or  through  any  reorganization,
transfer  of assets,  consolidation,  merger,  dissolution,  issuance or sale of
securities or any other voluntary action,  avoid or seek to avoid the observance
or  performance  of any of the terms of this  Warrant,  but will at all times in
good faith assist in the carrying out of all such terms and in the taking of all
such actions as may be necessary or  appropriate to protect the rights of Holder
against  impairment.  Without  limiting the  generality  of the  foregoing,  the
Company  will (a) not  increase  the par value of any  shares  of  Common  Stock
receivable  upon the exercise of this Warrant above the amount payable  therefor
upon such exercise immediately prior to such increase in par value, (b) take all
such action as may be  necessary  or  appropriate  in order that the Company may
validly and legally  issue fully paid and  nonassessable  shares of Common Stock
upon the  exercise of this  Warrant,  and (c) use its best efforts to obtain all
such  authorizations,  exemptions  or consents from any public  regulatory  body
having jurisdiction thereof as may be necessary to enable the Company to perform
its obligations under this Warrant.



<PAGE>


                                       18

           Upon the request of Holder,  the Company  will at any time during the
period this Warrant is outstanding  acknowledge in writing, in form satisfactory
to Holder,  the continuing  validity of this Warrant and the  obligations of the
Company hereunder.

7.         RESERVATION AND AUTHORIZATION OF COMMON STOCK;
           REGISTRATION WITH OR APPROVAL OF ANY GOVERNMENTAL
           AUTHORITY

           From and  after  the date  hereof,  the  Company  shall at all  times
reserve and keep  available  for issue upon the exercise of Warrants such number
of its authorized  but unissued  shares of Common Stock as will be sufficient to
permit the exercise in full of all  outstanding  Warrants.  All shares of Common
Stock which shall be so issuable,  when issued upon  exercise of any Warrant and
payment therefor in accordance with the terms of such Warrant, shall be duly and
validly issued and fully paid and  nonassessable,  and not subject to preemptive
rights.

           Before taking any action which would cause an adjustment reducing the
Current  Warrant Price below the then par value, if any, of the shares of Common
Stock  issuable  upon  exercise  of the  Warrants,  the  Company  shall take any
corporate  action  which may be  necessary in order that the Company may validly
and legally  issue fully paid and  nonassessable  shares of such Common Stock at
such adjusted Current Warrant Price.

           Before  taking any action which would result in an  adjustment in the
number of shares of Common Stock for which this Warrant is exercisable or in the
Current Warrant Price, the Company shall take all actions  required,  including,
without limitation, amending its certificate of incorporation, to ensure that it
has a sufficient  number of shares of authorized  and unissued  shares of Common
Stock in order to permit the exercise of the Warrants  following such adjustment
and obtain all such  authorizations or exemptions  thereof, or consents thereto,
as  may  be  necessary  from  any  public   regulatory  body  or  bodies  having
jurisdiction thereof.

           If any shares of Common  Stock  required to be reserved  for issuance
upon  exercise  of  Warrants  require  registration  or  qualification  with any
governmental  authority  under  any  federal  or state  law  (otherwise  than as
provided in Section 9) before such shares may be so issued,  the Company will in
good faith and as expeditiously as possible and at its expense endeavor to cause
such shares to be duly registered.

8.         TAKING OF RECORD; STOCK AND WARRANT TRANSFER BOOKS

           In the case of all dividends or other distributions by the Company to
the holders of its Common Stock with respect to which any provision of Section 4
refers to the taking of a record of such holders,  the Company will in each such
case take such a record and will take such record as of the close of business on
a Business  Day.  The Company  will not at any time,  except  upon  dissolution,
liquidation  or winding up of the  Company,  close its stock  transfer  books or
Warrant transfer books so as to result in preventing or delaying the exercise or
transfer of any Warrant.


<PAGE>


                                       19

9.         RESTRICTIONS ON TRANSFERABILITY

           The  Warrants  and  the  Warrant  Stock  shall  not  be  transferred,
hypothecated or assigned before satisfaction of the conditions specified in this
Section  9,  which  conditions  are  intended  to  ensure  compliance  with  the
provisions of the  Securities Act with respect to the Transfer of any Warrant or
any Warrant Stock. Holder, by acceptance of this Warrant,  agrees to be bound by
the provisions of this Section 9.

           9.1  RESTRICTIVE  LEGEND.  (a) Except as  otherwise  provided in this
Section 9, each certificate for Warrant Stock initially issued upon the exercise
of this Warrant, and each certificate for Warrant Stock issued to any subsequent
transferee of any such certificate, shall be stamped or otherwise imprinted with
a legend in substantially the following form:

                     "The shares  represented by this  certificate have not been
           registered  under the  Securities  Act of 1933,  as amended,  and are
           subject to the conditions  specified in a certain Warrant dated April
           14,1997,  originally  issued by  Community  Care of America,  Inc. No
           transfer of the shares represented by this certificate shall be valid
           or effective until such conditions have been fulfilled. A copy of the
           form of said Warrant is on file with the Secretary of Community  Care
           of America,  Inc. The holder of this  certificate,  by  acceptance of
           this  certificate,  agrees  to be  bound  by the  provisions  of such
           Warrant."

                      (b) Except as  otherwise  provided in this Section 9, each
           Warrant  shall be stamped  or  otherwise  imprinted  with a legend in
           substantially the following form:

                     "This Warrant and the  securities  represented  hereby have
           not been registered under the Securities Act of 1933, as amended, and
           may not be  transferred  in  violation  of such  Act,  the  rules and
           regulations thereunder or the provisions of this Warrant."

           9.2 NOTICE OF PROPOSED TRANSFERS; REQUEST FOR REGISTRATION.  Prior to
any Transfer or attempted  Transfer of any Warrants or any shares of  Restricted
Common Stock, the holder of such Warrants or Restricted  Common Stock shall give
ten days'  prior  written  notice (a  "Transfer  Notice") to the Company of such
holder's   intention  to  effect  such  Transfer,   describing  the  manner  and
circumstances of the proposed  Transfer,  and obtain from counsel to such holder
who  shall be  reasonably  satisfactory  to the  Company,  an  opinion  that the
proposed  Transfer  of such  Warrants  or such  Restricted  Common  Stock may be
effected  without  registration  under the Securities  Act. After receipt of the
Transfer  Notice and opinion,  the Company shall,  within five days thereof,  so
notify the holder of such  Warrants  or such  Restricted  Common  Stock and such
holder shall  thereupon be entitled to Transfer such Warrants or such Restricted
Common  Stock,  in  accordance  with the  terms  of the  Transfer  Notice.  Each
certificate,  if any,  evidencing such shares of Restricted  Common Stock issued
upon such  Transfer  shall  bear the  restrictive  legend  set forth in  Section
9.1(a),  and each Warrant issued upon such Transfer  shall bear the  restrictive
legend set forth in Section  9.1(b),  unless in the opinion of such counsel such
legend is not required in order to ensure  compliance  with the Securities  Act.
The holder of the Warrants or the


<PAGE>


                                       20

Restricted  Common Stock,  as the case may be, giving the Transfer  Notice shall
not be entitled to transfer such Warrants or such Restricted  Common Stock until
receipt of notice from the Company under this Section 9.2(a).

           The holder of  Warrants  and  Warrant  Stock  shall have the right to
request registration of such Warrant Stock pursuant to Sections 9.3 and 9.4.

           9.3 REQUIRED  REGISTRATION.  After receipt of a written  request from
the holders of Warrants and/or Warrant Stock  representing at least an aggregate
of 30% of the total of (i) all shares of Warrant  Stock then subject to purchase
upon  exercise  of all  Warrants  and (ii) all  shares  of  Warrant  Stock  then
outstanding,  requesting  that the Company  effect the  registration  of Warrant
Stock  issuable  upon the exercise of such  holder's  Warrants or of any of such
holder's  Warrant Stock under the  Securities  Act and  specifying  the intended
method or methods of disposition  thereof, the Company shall promptly notify all
holders of Warrants and Warrant  Stock in writing of the receipt of such request
and each such holder,  in lieu of  exercising  its rights under Section 9.4, may
elect (by written  notice sent to the Company  within ten Business Days from the
date of such holder's receipt of the  aforementioned  Company's  notice) to have
its shares of Warrant Stock included in such  registration  thereof  pursuant to
this Section 9.3.  Thereupon the Company shall, as expeditiously as is possible,
use its best efforts to effect the registration  under the Securities Act of all
shares of Warrant  Stock which the Company has been so  requested to register by
such holders for sale, all to the extent  required to permit the disposition (in
accordance  with the intended  method or methods  thereof,  as aforesaid) of the
Warrant Stock so registered;  provided,  however,  that the Company shall not be
required to effect more than two  registrations of any Warrant Stock pursuant to
this Section 9.3,  unless the Company  shall be eligible to file a  registration
statement on Form S-3 (or other comparable short form) under the Securities Act,
in which  event  there  shall be no limit on the  number  of such  registrations
pursuant to this Section 9.3.

           9.4 INCIDENTAL  REGISTRATION.  If the Company at any time proposes to
file on its  behalf  and/or  on  behalf  of any of its  security  holders  ("the
demanding security  holders") a registration  statement under the Securities Act
on any  form  (other  than a  registration  statement  on Form S-4 or S-8 or any
successor  form  for  securities  to be  offered  in a  transaction  of the type
referred to in Rule 145 under the  Securities Act or to employees of the Company
pursuant  to  any  employee   benefit  plan,   respectively)   for  the  general
registration  of securities to be sold for cash with respect to its Common Stock
or any other class of equity  security  (as  defined in Section  3(a)(11) of the
Exchange Act) of the Company (a "Registration Statement"),  it will give written
notice to all holders of  Warrants or Warrant  Stock at least 60 days before the
initial filing with the Commission of such Registration Statement,  which notice
shall set forth the intended method of disposition of the securities proposed to
be registered  by the Company.  The notice shall offer to include in such filing
the  aggregate  number of shares of Warrant  Stock,  and the number of shares of
Common Stock for which this Warrant is exercisable, as such holders may request.



<PAGE>


                                       21

           Each holder of any such Warrants or any such Warrant  Stock  desiring
to have Warrant Stock registered under this Section 9.4 shall advise the Company
in  writing  within 30 days  after the date of  receipt  of such  offer from the
Company,  setting forth the amount of such Warrant Stock for which  registration
is requested.  The Company shall thereupon  include in such filing the number of
shares of Warrant Stock for which  registration is so requested,  subject to the
next sentence,  and shall use its best efforts to effect  registration under the
Securities Act of such shares. If the managing  underwriter of a proposed public
offering  shall  advise  the  Company  in  writing  that,  in its  opinion,  the
distribution of the Warrant Stock  requested to be included in the  registration
concurrently  with  the  securities  being  registered  by the  Company  or such
demanding security holder would materially and adversely affect the distribution
of such securities by the Company or such demanding  security  holder,  then all
selling security holders (other than any demanding security holder who initially
requested such registration) shall reduce the amount of securities each intended
to  distribute  through such  offering on a pro rata basis.  Except as otherwise
provided in Section 9.6, all expenses of such registration shall be borne by the
Company.

           9.5  REGISTRATION  PROCEDURES.  If the  Company  is  required  by the
provisions of this Section 9 to use its best efforts to effect the  registration
of any of its  securities  under  the  Securities  Act,  the  Company  will,  as
expeditiously as possible:

                     (a) prepare  and file with the  Commission  a  Registration
           Statement with respect to such securities and use its best efforts to
           cause such Registration  Statement to become and remain effective for
           a period of time required for the  disposition of such  securities by
           the holders thereof;

                     (b) prepare and file with the  Commission  such  amendments
           and  supplements  to such  Registration  Statement and the prospectus
           used  in  connection  therewith  as may be  necessary  to  keep  such
           Registration Statement effective and to comply with the provisions of
           the Securities  Act with respect to the sale or other  disposition of
           all  securities  covered  by such  Registration  Statement  until the
           earlier of such time as all of such  securities have been disposed of
           in a public offering or the expiration of 180 days;

                     (c) furnish to such selling security holders such number of
           copies of a  summary  prospectus  or other  prospectus,  including  a
           preliminary  prospectus,  in conformity with the  requirements of the
           Securities Act, and such other  documents,  as such selling  security
           holders may reasonably request;

                     (d) use  its  best  efforts  to  register  or  qualify  the
           securities  covered by such  Registration  Statement under such other
           securities or blue sky laws of such  jurisdictions  within the United
           States  and  Puerto  Rico as each  holder  of such  securities  shall
           request  (provided,  however,  the Company  shall not be obligated to
           qualify as a foreign corporation to do business under the laws of any
           jurisdiction in which it is not then qualified or to file any general
           consent to service or process), and do such other reasonable acts and
           things


<PAGE>


                                       22

           as may be  required of it to enable  such  holder to  consummate  the
           disposition in such  jurisdiction  of the securities  covered by such
           Registration Statement;

                     (e)  furnish,  at  the  request  of any  holder  requesting
           registration  of Warrant  Stock  pursuant to Section 9.3, on the date
           that such shares of Warrant Stock are  delivered to the  underwriters
           for sale pursuant to such  registration  or, if such Warrant Stock is
           not  being  sold   through   underwriters,   on  the  date  that  the
           Registration  Statement  with respect to such shares or Warrant Stock
           becomes  effective,   (1)  an  opinion,   dated  such  date,  of  the
           independent counsel representing the Company for the purposes of such
           registration,  addressed  to the  underwriters,  if any,  and if such
           Warrant  Stock is not being sold  through  underwriters,  then to the
           holders making such request, stating that such Registration Statement
           has become  effective  under the  Securities  Act and that (i) to the
           best  knowledge  of  such  counsel,  no  stop  order  suspending  the
           effectiveness  thereof  has been issued and no  proceedings  for that
           purpose have been instituted or are pending or contemplated under the
           Securities  Act,  (ii)  the  Registration   Statement,   the  related
           prospectus,  and each amendment or supplement  thereto,  comply as to
           form in all material respects with the requirements of the Securities
           Act  and the  applicable  rules  and  regulations  of the  Commission
           thereunder  (except  that such  counsel need express no opinion as to
           financial  statements  contained therein),  (iii) the descriptions in
           the  Registration  Statement or the  prospectus,  or any amendment or
           supplement  thereto,  of all legal  matters and  contracts  and other
           legal  documents or  instruments  are accurate and fairly present the
           information required to be shown, and (iv) such counsel does not know
           of any legal or governmental  proceedings,  pending or  contemplated,
           required to be described in the Registration Statement or prospectus,
           or any  amendment or supplement  thereto,  which are not described as
           required,  nor of any  contracts  or documents  or  instruments  of a
           character  required to be described in the Registration  Statement or
           prospectus, or any amendment or supplement thereto, or to be filed as
           exhibits to the  Registration  Statement  which are not described and
           filed or  incorporated  by reference as required;  such counsel shall
           also  confirm  that he has no  reason  to  believe  that  either  the
           Registration  Statement  or  the  prospectus,  or  any  amendment  or
           supplement  thereto (other than  financial  material as to which such
           counsel need make no  statement)  contains any untrue  statement of a
           material fact or omits to state a material fact required to be stated
           therein or necessary to make the statements  therein, in light of the
           circumstances  in which made, not misleading;  and (2) a letter dated
           such date, from the independent  certified public  accountants of the
           Company,  addressed to the underwriters,  if any, and if such Warrant
           Stock is not being  sold  through  underwriters,  then to the  holder
           making such request and, if such  accountants  refuse to deliver such
           letter to such  holder,  then to the  Company  stating  that they are
           independent  certified public  accountants  within the meaning of the
           Securities  Act and that,  in the  opinion of such  accountants,  the
           financial statements and other financial data of the Company included
           in the Registration Statement or the prospectus,  or any amendment or
           supplement  thereto,  comply as to form in all material respects with
           the applicable  accounting  requirements  of the Securities Act. Such
           opinion of counsel shall  additionally cover such other legal matters
           with respect to the registration in respect of which such


<PAGE>


                                       23

           opinion  is  being  given  as  such  holders  of  Warrant  Stock  may
           reasonably request. Such letter from the independent certified public
           accountants  shall  additionally  cover such other financial  matters
           (including  information  as to the  period  ending  not  more  than 5
           Business  Days prior to the date of such  letter) with respect to the
           registration  in respect of which such  letter is being  given as the
           holders  holding a majority of the Warrant  Stock being so registered
           may reasonably request;

                     (f)  entered  into  customary   agreements   (including  an
           underwriting agreement in customary form) and take such other actions
           as are  reasonably  required in order to expedite or  facilitate  the
           disposition of such Warrant Stock; and

                     (g)  otherwise  use its best  efforts  to  comply  with all
           applicable  rules  and  regulations  of  the  Commission,   and  make
           available to its security holders, as soon as reasonably practicable,
           but  not  later  than  18  months  after  the  effective  date of the
           Registration  Statement, an earnings statement covering the period of
           at least 12 months  beginning  with the first  full  month  after the
           effective  date  of  such  Registration  Statement,   which  earnings
           statement  shall  satisfy  the  provisions  of  Section  11(a) of the
           Securities Act.

           It shall be a condition precedent to the obligation of the Company to
take any action  pursuant to this Section 9 in respect of the  securities  which
are to be  registered  at the request of any holder of Warrants or Warrant Stock
that such holder shall  furnish to the Company such  information  regarding  the
securities held by such holder and the intended method of disposition thereof as
the Company shall reasonably request and as shall be required in connection with
the action taken by the Company.

           9.6  EXPENSES.  All expenses  incurred in  complying  with Section 9,
including,  without limitation,  all registration and filing fees (including all
expenses  incident  to  filing  with  the  NASD),  printing  expenses,  fees and
disbursements  of counsel for the Company,  the reasonable  fees and expenses of
one  counsel for the  selling  security  holders  (selected  by those  holding a
majority  of the  shares  being  registered),  expenses  of any  special  audits
incident to or required by any such  registration and expenses of complying with
the securities or blue sky laws of any jurisdictions pursuant to Section 9.5(d),
shall be paid by the Company, except that

                     (a) all such expenses in  connection  with any amendment or
           supplement to the  Registration  Statement or  prospectus  filed more
           than  12  months  after  the  effective  date  of  such  Registration
           Statement  because any holder of Warrant  Stock has not  effected the
           disposition  of the  securities  requested to be registered  shall be
           paid by such holder; and

                     (b) the Company shall not be liable for any fees, discounts
           or commissions to any  underwriter  or any fees or  disbursements  of
           counsel for any underwriter in respect of the securities sold by such
           holder of Warrant Stock.



<PAGE>


                                       24

           9.7  INDEMNIFICATION  AND  CONTRIBUTION.  (a)  In  the  event  of any
registration  of any of the Warrant Stock under the  Securities  Act pursuant to
this Section 9, the Company shall indemnify and hold harmless the holder of such
Warrant  Stock,  such holder's  directors  and  officers,  and each other Person
(including each  underwriter)  who  participated in the offering of such Warrant
Stock  and  each  other  Person,  if  any,  who  controls  such  holder  or such
participating  Person  within the  meaning of the  Securities  Act,  against any
losses, claims,  damages or liabilities,  joint or several, to which such holder
or any such director or officer or  participating  Person or controlling  Person
may become  subject under the  Securities  Act or any other statute or at common
law,  insofar as such  losses,  claims,  damages or  liabilities  (or actions in
respect thereof) arise out of or are based upon (i) any alleged unsure statement
of  any  material  fact  contained,  on  the  effective  date  thereof,  in  any
Registration  Statement under which such  securities  were registered  under the
Securities  Act,  any  preliminary  prospectus  or  final  prospectus  contained
therein, or any amendment or supplement thereto, or (ii) any alleged omission to
state therein a material fact required to be stated therein or necessary to make
the statements  therein not misleading,  and shall reimburse such holder or such
director, officer or participating Person or controlling Person for any legal or
any other expenses reasonably incurred by such holder or such director,  officer
or participating  Person or controlling  Person in connection with investigating
or  defending  any such loss,  claim,  damage,  liability  or action;  provided,
however,  that the  Company  shall not be liable in any such case to the  extent
that any such loss,  claim,  damage or liability  arises out of or is based upon
any alleged  untrue  statement  or alleged  omission  made in such  Registration
Statement,  preliminary  prospectus,  prospectus  or amendment or  supplement in
reliance  upon and in  conformity  with  written  information  furnished  to the
Company  by such  holder  specifically  for use  therein  or (in the case of any
registration  pursuant to Section  9.3) so  furnished  for such  purposes by any
underwriter.  Such indemnity shall remain in full force and effect regardless of
any investigation made by or on behalf of such holder or such director,  officer
or participating Person or controlling Person, and shall survive the transfer of
such securities by such holder.

           (b) Each holder of any Warrant Stock, by acceptance  thereof,  agrees
to indemnify and hold harmless the Company,  its directors and officers and each
other  person,  if any,  who  controls  the  Company  within the  meaning of the
Securities  Act against any losses,  claims,  damages or  liabilities,  joint or
several, to which the Company or any such director or officer or any such Person
may become  subject under the  Securities  Act or any other statute or at common
law,  insofar as such  losses,  claims,  damages or  liabilities  (or actions in
respect  thereof) arise out of or are based upon information in writing provided
to the Company by such holder of such Warrant Stock contained,  on the effective
date  thereof,  in  any  Registration  Statement  under  which  securities  were
registered  under  the  Securities  Act at  the  request  of  such  holder,  any
preliminary  prospectus or final prospectus  contained therein, or any amendment
or supplement thereto.

           (c) If the  indemnification  provided  for in this Section 9 from the
indemnifying  party is unavailable to an indemnified  party hereunder in respect
of any losses,  claims,  damages,  liabilities or expenses  referred to therein,
then the indemnifying  party, in lieu of indemnifying  such  indemnified  party,
shall  contribute to the amount paid or payable by such  indemnified  party as a
result  of  such  losses,  claims,  damages,  liabilities  or  expenses  in such
proportion as is


<PAGE>


                                       25

appropriate  to  reflect  the  relative  fault  of the  indemnifying  party  and
indemnified  parties in  connection  with the  actions  which  resulted  in such
losses, claims, damages,  liabilities or expenses, as well as any other relevant
equitable  considerations.  The relative  fault of such  indemnifying  party and
indemnified  parties  shall be  determined  by reference to, among other things,
whether any action in question, including any untrue or alleged untrue statement
of a material fact or omission or alleged omission to state a material fact, has
been made by, or relates to information  supplied by, such indemnifying party or
indemnified  parties,  and the parties'  relative intent,  knowledge,  access to
information and  opportunity to correct or prevent such action.  The amount paid
or payable by a party as a result of the losses,  claims,  damages,  liabilities
and  expenses  referred  to above  shall be deemed to include any legal or other
fees or  expenses  reasonably  incurred  by such  party in  connection  with any
investigation or proceeding.

           The parties  hereto agree that it would not be just and  equitable if
contribution  pursuant  to  this  Section  9(c)  were  determined  by  pro  rata
allocation or by any other method of  allocation  which does not take account of
the equitable considerations referred to in the immediately preceding paragraph.
No Person guilty of fraudulent  misrepresentation (within the meaning of Section
11(f) of the Securities Act) shall be entitled to  contribution  from any Person
who was not guilty of such fraudulent misrepresentation.

           9.8  TERMINATION  OF  RESTRICTIONS.   Notwithstanding  the  foregoing
provisions  of Section 9, the  restrictions  imposed  by this  Section  upon the
transferability  of the Warrants,  the Warrant Stock and the  Restricted  Common
Stock (or Common  Stock  issuable  upon the  exercise of the  Warrants)  and the
legend  requirements of Section 9.1 shall terminate as to any particular Warrant
or share of Warrant Stock or Restricted  Common Stock (or Common Stock  issuable
upon the exercise of the Warrants)  (i) when and so long as such security  shall
have been  effectively  registered  under the  Securities  Act and  disposed  of
pursuant  thereto or (ii) when the  Company  shall have  received  an opinion of
counsel reasonably  satisfactory to it that such legend is not required in order
to ensure compliance with the Securities Act. Whenever the restrictions  imposed
by Section 9 shall terminate as to this Warrant,  as hereinabove  provided,  the
Holder  hereof shall be entitled to receive from the Company,  at the expense of
the  Company,  a new  Warrant  bearing  the  following  legend  in  place of the
restrictive legend set forth hereon:

           "THE RESTRICTIONS ON TRANSFERABILITY OF THE WITHIN WARRANT
           CONTAINED IN SECTION 9 HEREOF TERMINATED ON ________________, 19__,
           AND ARE OF NO FURTHER FORCE AND EFFECT."

All Warrants issued upon  registration of transfer,  division or combination of,
or in  substitution  for,  any Warrant or Warrants  entitled to bear such legend
shall have a similar legend endorsed thereon.  Wherever the restrictions imposed
by this Section shall  terminate as to any share of Restricted  Common Stock, as
hereinabove  provided,  the holder thereof shall be entitled to receive from the
Company,  at the Company's expense,  a new certificate  representing such Common
Stock not bearing the restrictive legend set forth in Section 9.1(a).



<PAGE>


                                       26

           9.9 LISTING ON  SECURITIES  EXCHANGE.  If the Company  shall list any
shares of Common Stock on any securities exchange, it will, at its expense, list
thereon,  maintain and, when necessary,  increase such listing of, all shares of
Common  Stock  issued  or,  to  the  extent  permissible  under  the  applicable
securities exchange rules, issuable upon the exercise of this Warrant so long as
any shares of Common Stock shall be so listed during any such Exercise Period.

           9.10 CERTAIN LIMITATIONS ON REGISTRATION RIGHTS.  Notwithstanding the
other provisions of Section 9:

           (i)       the Company  shall not be obligated to register the Warrant
                     Stock of any  holder  if, in the  opinion of counsel to the
                     Company  reasonably  satisfactory  to the  holder  and  its
                     counsel  (or,  if the  holder  has  engaged  an  investment
                     banking  firm,  to such  investment  banking  firm  and its
                     counsel),  the sale or other  disposition  of such holder's
                     Warrant Stock, in the manner proposed by such holder (or by
                     such  investment  banking  firm),  may be effected  without
                     registering  such Warrant Stock under the  Securities  Act;
                     and

           (ii)       the Company shall not be obligated to register the Warrant
                      Stock  of any  holder  pursuant  to  Section  9.3,  if the
                      Company has had a registration statement, under which such
                      holder  had a right to have  its  Warrant  Stock  included
                      pursuant to Section 9.3 or 9.4, declared  effective within
                      one  year  prior to the date of the  request  pursuant  to
                      Section 9.3; provided, however, that if any holder elected
                      to have shares of its Warrant  Stock  included  under such
                      registration statement but some or all of such shares were
                      excluded  pursuant to the last  sentence of Section 9.3 or
                      9.4,  then such  one-year  period  shall be reduced to six
                      months.

           9.11 SELECTION OF MANAGING UNDERWRITERS.  The managing underwriter or
underwriters  for any  offering of Warrant  Stock to be  registered  pursuant to
Section 9.3 shall be  selected by the holders of a majority of the shares  being
so registered  (other than any shares being registered  pursuant to Section 9.4)
and shall be reasonably acceptable to the Company.

10.        SUPPLYING INFORMATION

           The Company  shall  cooperate  with each Holder of a Warrant and each
holder of  Restricted  Common  Stock in  supplying  such  information  as may be
reasonably  necessary  for such  holder  to  complete  and file any  information
reporting forms presently or hereafter required by the Commission as a condition
to the  availability of an exemption from the Securities Act for the sale of any
Warrant or Restricted Common Stock.



<PAGE>


                                       27

11.        LOSS OR MUTILATION

           Upon  receipt by the Company  from any Holder of evidence  reasonably
satisfactory  to it of the  ownership  of and the loss,  theft,  destruction  or
mutilation of this Warrant and indemnity  reasonably  satisfactory  to it and in
case of mutilation  upon  surrender and  cancellation  hereof,  the Company will
execute and  deliver in lieu hereof a new Warrant of like tenor to such  Holder;
provided,  however,  that in the  case of  mutilation,  no  indemnity  shall  be
required if this Warrant in identifiable  form is surrendered to the Company for
cancellation.

12.        OFFICE OF THE COMPANY

           As long as any of the Warrants remain outstanding,  the Company shall
maintain an office or agency  (which may be the principal  executive  offices of
the Company) where the Warrants may be presented for exercise,  registration  of
transfer, division or combination as provided in this Warrant.

13.        FINANCIAL AND BUSINESS INFORMATION

           13.1 QUARTERLY INFORMATION.  The Company will deliver to each Holder,
as soon as practicable  after the end of each of the first three quarters of the
Company,  and in any event within 45 days  thereafter,  one copy of an unaudited
consolidated  balance sheet of the Company and its  subsidiaries as at the close
of such quarter, and the related unaudited consolidated statements of income and
changes in  financial  position of the Company for such quarter and, in the case
of the second and third quarters, for the portion of the fiscal year ending with
such quarter, setting forth in each case in comparative form the figures for the
corresponding  periods in the previous  fiscal year.  Such financial  statements
shall be prepared by the Company in accordance  with GAAP and accompanied by the
certification  of the  Company's  chief  executive  officer  or chief  financial
officer  that such  financial  statements  are  complete and correct and present
fairly the consolidated financial position, results of operations and changes in
financial  position of the Company  and its  subsidiaries  as at the end of such
quarter and for such year-to-date period, as the case may be.

           13.2 ANNUAL  INFORMATION.  The Company will deliver to each Holder as
soon as practicable after the end of each fiscal year of the Company, and in any
event within 90 days thereafter, one copy of:

                      (i) an audited  consolidated  balance sheet of the Company
           and its subsidiaries as at the end of such year, and

                      (ii) audited consolidated  statements of income,  retained
           earnings  and  changes in  financial  position of the Company and its
           subsidiaries for such year;



<PAGE>


                                       28

setting forth in each case in comparative form the figures for the corresponding
periods in the previous  fiscal year; all prepared in accordance  with GAAP, and
which  audited  financial  statements  shall be  accompanied  by (i) an  opinion
thereon of the independent  certified public  accountants  regularly retained by
the Company,  or any other firm of independent  certified public  accountants of
recognized  national  standing selected by the Company and (ii) a report of such
independent certified public accountants confirming any adjustment made pursuant
to Section 4 during such year.

           13.3  FILINGS.  The Company will file on or before the required  date
all  regular  or  periodic  reports  (pursuant  to the  Exchange  Act)  with the
Commission and will deliver to Holder promptly upon their becoming available one
copy of each  report,  notice  or proxy  statement  sent by the  Company  to its
stockholders generally,  and of each regular or periodic report (pursuant to the
Exchange   Act)  and  any   Registration   Statement,   prospectus   or  written
communication (other than transmittal letters) (pursuant to the Securities Act),
filed by the Company with (i) the Commission or (ii) any securities  exchange on
which shares of Common Stock are listed.

14.        APPRAISAL

           The  determination  of the Appraised  Value per share of Common Stock
shall be made by an investment  banking firm of nationally  recognized  standing
selected  by  the  Company  and  acceptable  to  the  Majority  Holders.  If the
investment  banking  firm  selected  by the  Company  is not  acceptable  to the
Majority  Holders and the Company and the  Majority  Holders  cannot  agree on a
mutually  acceptable  investment banking firm, then the Majority Holders and the
Company shall each choose one such  investment  banking firm and the  respective
chosen firms shall agree on another investment banking firm which shall make the
determination.  The Company  shall  retain,  at its sole cost,  such  investment
banking  firm as may be  necessary  for the  determination  of  Appraised  Value
required by the terms of this Warrant.

15.        LIMITATION OF LIABILITY

           No provision hereof,  in the absence of affirmative  action by Holder
to purchase shares of Common Stock,  and no enumeration  herein of the rights or
privileges of Holder hereof, shall give rise to any liability of such Holder for
the  purchase  price of any Common  Stock or as a  stockholder  of the  Company,
whether  such  liability  is  asserted  by the  Company or by  creditors  of the
Company.

16.        REPURCHASE BY THE COMPANY OF WARRANT

           16.1      OBLIGATION TO REPURCHASE WARRANT.

           (a) Upon the earlier of (i) April 1, 1998 and (ii) 10  Business  Days
after delivery of an Event Notice  (defined  below) with respect to the proposed
consummation of a merger,  sale of all or substantially  all of the property and
assets of the Company or sale of the majority of the


<PAGE>


                                       29

outstanding  shares of Common  Stock of the  Company  (each,  an  "Event")  (the
"Repurchase Date"), the Company shall repurchase this Warrant in its entirety in
the manner  set forth in  Section  16.2  below,  from such  Holder for an amount
determined  by  multiplying  (i) the number of shares of Common Stock subject to
this  Warrant by (ii) the  difference  between (A) the higher of (i) the Current
Market  Price of one share of Common  Stock on the date of such  notice and (ii)
the Current  Market  Price of one share of Common  Stock on [March 11, 1997] and
(B) the Current  Warrant Price per share of Common Stock as of the relevant date
described in Section 16.2.  Nothing herein shall preclude the exercise by Holder
of any portion of this Warrant exercisable at any time prior to such repurchase.

                                                                                
                                                                                
                    (b) The  Company  shall give the Holder at least 20 Business
Days' written notice prior to the consummation of an Event (the "Event Notice").

                    (c) The Company hereby agrees that the repurchase obligation
set  forth in  paragraph  (a)  hereof  shall  be a  condition  precedent  to the
consummation of any Event.

           16.2      DETERMINATION AND PAYMENT OF REPURCHASE PRICE.

                    (a) The purchase price for any  repurchase  pursuant to this
Section 16 (the  "Repurchase  Price")  shall be determined as of 5 days prior to
the applicable Repurchase Date. On the Repurchase Date, each Holder shall assign
to the Company such Holder's  Warrant or portion thereof being  repurchased,  as
the case may be,  without any  representation  or warranty,  by the surrender of
such  Holder's  Warrant at the  principal  office of the Company  referred to in
Section 2.1 against payment  therefor of the Repurchase  Price by, at the option
of such Holder,  (i) wire transfer to an account in a bank located in the United
States  designated  by such  Holder  for such  purpose  or (ii) a  certified  or
official bank check drawn on a member of the New York Clearing  House payable to
the order of such Holder.

                    (b) Each  Holder  shall have the right at any time to object
to the determination of

Book  Value,  if  relevant  to the  determination  of the  Repurchase  Price  by
specifying  in writing to the Company the nature of its  objection  and,  unless
such  objection is resolved by  agreement  of the Company and such  Holder,  the
Company  and such  Holder  shall  each have the right to  subject  the  disputed
determination  to  separate  firms  of  independent  accountants  of  recognized
national  standing for a joint resolution of the objection of such Holder (which
firms  of  independent  accountants  may,  in  either  case,  be  the  firms  of
accountants  regularly  retained by the Company or such  Holder).  If such firms
cannot  jointly  resolve the objection of such Holder,  then,  unless  otherwise
directed by agreement of the Company and such Holder,  such firms shall in their
sole discretion choose another firm of independent  certified public accountants
of recognized national standing, which is not the regular auditor of such Holder
or the Company,  which firm shall resolve such  objection.  In either case,  for
purposes hereof the determination so made shall be conclusive and binding on the
Company,  such Holder and all Persons claiming under or through any of them, and
any adjustment in the  determination  of Book Value and the Repurchase Price per
share of Common Stock resulting from such determination  shall be made. The cost
of any


<PAGE>


                                       30

such determination shall be borne by the Company if it results in an increase of
the aggregate  Repurchase Price for all shares of Common Stock issuable upon the
exercise  hereof and by such Holder if it results in no adjustment or a decrease
of the aggregate  Repurchase  Price for all shares of Common Stock issuable upon
the exercise hereof.

                    (c) In the event that the  determination  of the  Repurchase
Price  requires an opinion from an investment  banking firm or accounting  firm,
all costs and fees associated therewith shall be paid by the Company.

17.        MISCELLANEOUS

           17.1  NONWAIVER  AND  EXPENSES.  No course of dealing or any delay or
failure to exercise any right hereunder on the part of Holder shall operate as a
waiver of such right or otherwise prejudice Holder's rights, powers or remedies.
If the Company fails to make, when due, any payments provided for hereunder,  or
fails to comply with any other provision of this Warrant,  the Company shall pay
to Holder such  amounts as shall be  sufficient  to cover any costs and expenses
including,  but not limited to, reasonable  attorneys' fees,  including those of
appellate proceedings, incurred by Holder in collecting any amounts due pursuant
hereto  or in  otherwise  enforcing  any  of  its  rights,  powers  or  remedies
hereunder.

           17.2  NOTICE  GENERALLY.   Any  notice,  demand,  request,   consent,
approval,  declaration,  delivery or other  communication  hereunder  to be made
pursuant to the provisions of this Warrant shall be  sufficiently  given or made
if in writing and either  delivered in person with receipt  acknowledged or sent
by registered or certified  mail,  return receipt  requested,  postage  prepaid,
addressed as follows:

                     (a) If to any  Holder or holder of  Warrant  Stock,  at its
           last known address  appearing on the books of the Company  maintained
           for such purpose.

                     (b)       If to the Company at
                               3050 North Horshoe Drive, Suite 260
                               Naples, Florida 34104

or at such  other  address  as may be  substituted  by  notice  given as  herein
provided.  The giving of any notice required  hereunder may be waived in writing
by the party  entitled to receive such notice.  Every notice,  demand,  request,
consent, approval, declaration,  delivery or other communication hereunder shall
be  deemed to have  been  duly  given or served on the date on which  personally
delivered, with receipt acknowledged,  or three (3) Business Days after the same
shall  have been  deposited  in the  United  States  mail.  Failure  or delay in
delivering  copies  of  any  notice,  demand,  request,  approval,  declaration,
delivery or other communication to the person designated above to receive a copy
shall in no way  adversely  affect the  effectiveness  of such  notice,  demand,
request, approval, declaration, delivery or other communication.



<PAGE>


                                       31

           17.3  INDEMNIFICATION.  The  Company  agrees  to  indemnify  and hold
harmless Holder from and against any liabilities,  obligations, losses, damages,
penalties,  actions,  judgments, suits, claims, costs, attorneys' fees, expenses
and disbursements of any kind which may be imposed upon, incurred by or asserted
against Holder in any manner relating to or arising out of (i) Holder's exercise
of this  Warrant  and/or  ownership  of any  shares of Warrant  Stock  issued in
consequence  thereof,  or (ii) any litigation to which Holder is made a party in
its  capacity as a  stockholder  of the  Company;  provided,  however,  that the
Company  will not be  liable  hereunder  to the  extent  that  any  liabilities,
obligations,  losses, damages,  penalties,  actions,  judgments,  suits, claims,
costs,  attorneys'  fees,  expenses  or  disbursements  are  found  in  a  final
non-appealable  judgment  by a  court  to  have  resulted  from  Holder's  gross
negligence,  bad faith or willful misconduct in its capacity as a stockholder or
warrantholder of the Company.

           17.4 REMEDIES.  Each holder of Warrant and Warrant Stock, in addition
to being entitled to exercise all rights granted by law,  including  recovery of
damages,  will be entitled to specific performance of its rights under Section 9
of this Warrant.  The Company agrees that monetary damages would not be adequate
compensation for any loss incurred by reason of a breach by it of the provisions
of  Section 9 of this  Warrant  and  hereby  agrees to waive the  defense in any
action for specific performance that a remedy at law would be adequate.

           17.5  SUCCESSORS  AND ASSIGNS.  Subject to the provisions of Sections
3.1 and 9, this  Warrant  and the rights  evidenced  hereby  shall  inure to the
benefit of and be binding upon the  successors of the Company and the successors
and assigns of Holder. The provisions of this Warrant are intended to be for the
benefit  of all  Holders  from  time  to  time of this  Warrant,  and  shall  be
enforceable by any such Holder.

           17.6  AMENDMENT.  This Warrant and all other Warrants may be modified
or amended or the  provisions  hereof  waived  with the  written  consent of the
Company and the Majority Holders,  provided that no such Warrant may be modified
or amended to reduce the number of shares of Common Stock for which such Warrant
is  exercisable  or to increase  the price at which such shares may be purchased
upon  exercise  of such  Warrant  (before  giving  effect to any  adjustment  as
provided therein) without the prior written consent of the Holder thereof.



<PAGE>


                                       32


           17.7 SEVERABILITY.  Wherever possible, each provision of this Warrant
shall  be  interpreted  in  such  manner  as to be  effective  and  valid  under
applicable  law, but if any  provision of this Warrant shall be prohibited by or
invalid under  applicable law, such provision shall be ineffective to the extent
of such  prohibition or invalidity,  without  invalidating the remainder of such
provision or the remaining provisions of this Warrant.

           17.8  HEADINGS.  The  headings  used  in  this  Warrant  are  for the
convenience of reference  only and shall not, for any purpose,  be deemed a part
of this Warrant.

           17.9 GOVERNING LAW. This Warrant shall be governed by the laws of the
State of New York, without regard to the provisions thereof relating to conflict
of laws.


Dated:April 14, 1997

                                               COMMUNITY CARE OF AMERICA, INC.



                                               By:____________________________
                                      Name:
                                     Title:

                                               DAIWA HEALTHCO-2 LLC



                                               By:_____________________________
                                      Name:
                                     Title:


<PAGE>


                                       33

                           EXHIBIT A SUBSCRIPTION FORM

                 [To be executed only upon exercise of Warrant]

           The  undersigned   registered  owner  of  this  Warrant   irrevocably
exercises  this  Warrant  for the  purchase of _____  Shares of Common  Stock of
Community Care of America, Inc. and herewith makes payment therefor,  all at the
price and on the terms and  conditions  specified  in this  Warrant and requests
that  certificates  for the shares of Common  Stock  hereby  purchased  (and any
securities or other property  issuable upon such exercise) be issued in the name
of and delivered to _______________ whose address is  ____________________  and,
if such  shares of Common  Stock  shall not  include all of the shares of Common
Stock issuable as provided in this Warrant, that a new Warrant of like tenor and
date for the  balance  of the  shares  of Common  Stock  issuable  hereunder  be
delivered to the undersigned.



                                                    ----------------------------
                           (Name of Registered Owner)



                                                    ----------------------------
                         (Signature of Registered Owner)



                                                    ----------------------------
                                                    (Street Address)



                                                    ----------------------------
                                                    (City)  (State)   (Zip Code)


NOTICE:    The signature on this  subscription  must correspond with the name as
           written  upon the face of this Warrant in every  particular,  without
           alteration.



<PAGE>


                                       34

                            EXHIBIT B ASSIGNMENT FORM


           FOR VALUE RECEIVED the undersigned  registered  owner of this Warrant
hereby  sells,  assigns and transfers  unto the Assignee  named below all of the
rights of the  undersigned  under this  Warrant,  with  respect to the number of
shares of Common Stock set forth below:

Name and Address of Assignee                 Number of Shares of Common Stock




and does hereby irrevocably  constitute and appoint  ___________________________
attorney-in-fact  to register  such  transfer on the books of Community  Care of
America, Inc. maintained for the purpose, with full power of substitution in the
premises.


Dated:_________________________      Print Name:___________________

                                     Signature:____________________

                                     Witness:______________________

NOTICE:    The signature on this  assignment  must  correspond  with the name as
           written  upon the face of this Warrant in every  particular,  without
           alteration.



<PAGE>


                                       35

                            EXHIBIT C CONVERSION FORM

The undersigned  registered owner of this Warrant hereby  irrevocably  elects to
convert,  pursuant to Section 2.2 of this  Warrant,  ____% of this  Warrant into
shares of the Common Stock of Community  Care of America,  Inc. (the  "Shares"),
and  requests  that  certificates  for the  Shares (or any  securities  or other
property  issuable upon such  conversion) be issued in the name of and delivered
to __________________  whose address is ______________ and, if such Shares shall
not include all Shares issuable as provided in this Warrant,  that a new Warrant
of like tenor and date for the balance of Shares issuable hereunder be delivered
to the undersigned.

The number of Shares to br received by the  undersigned  shall be  calculated in
accordance with the provisions of Section 2.2 of this Warrant.


                                    ----------------------------------
                                    (Name of Registered Owner)


                                    ----------------------------------
                                    (Signature of Registered Owner)



                                    ----------------------------------
                                    (Street Address)



                                    ----------------------------------
                                    (City)   (State)   (Zip Code)

NOTICE:    The signature on this  conversion  form must correspond with the name
           as written upon the face of this Warrant in every particular, without
           alteration.



                                               
                                                           EXHIBIT 10.03(a)(iii)

                     MUTUAL SETTLEMENT AND RELEASE AGREEMENT


     Mutual  Settlement  and Release  Agreement  (the  "Agreement")  dated as of
January 30, 1997, between Kenneth W. Creasman ("Creasman"), having an address at
363 Sedgwick Court,  Naples,  FL 33963,  and Community Care of America,  Inc., a
Delaware  corporation,  having an address at 3050 N. Horseshoe Drive, Suite 260,
Naples, FL 33942 ("CCA").

     WHEREAS,  Creasman and CCA are parties to a Letter  Agreement,  dated April
26,  1996 (the  "Letter  Agreement")  pursuant to which CCA agreed to (i) pay to
Creasman  a monthly  consulting  fee in the  amount of  $24,135.56  pursuant  to
Paragraph  2 of the Letter  Agreement,  and (ii) pay to  Creasman a monthly  car
allowance in the amount of $750.00 and provide to him certain  health  insurance
coverage pursuant to Paragraph 3 of the Letter  Agreement,  each for a period of
eighteen (18) months running from April 19, 1996; and

     WHEREAS,  Creasman is indebted to CCA pursuant to two promissory notes (the
"Notes"),  one of which is dated  December 29, 1993,  in the original  principal
amount of $150,000.00 and the other dated May 8, 1996, in the original principal
amount of $141,600.00; and

     WHEREAS,  Creasman  has filed a lawsuit  against  CCA,  styled  Kenneth  W.
Creasman v. Community Care of America,  Inc., Case No.  96-3805CA-01-TB,  in the
Twentieth Judicial Circuit of Florida (the "Lawsuit"); and

     WHEREAS, the parties wish to settle the Lawsuit and their respective claims
in respect of the Notes and the Letter Agreement.

     NOW,  THEREFORE,  for good and  valuable  consideration,  the  receipt  and
sufficiency of which is hereby  acknowledged,  CCA and Creasman  hereby agree as
follows:

     1. Creasman  hereby  releases and  discharges CCA from any and all actions,
causes of action,  suits,  debts,  dues,  sums of money,  accounts,  reckonings,
bonds, bills,  specialties,  covenants,  contracts,  controversies,  agreements,
promises, variances, trespasses, damages, judgments, extents, executions, claims
and demands  whatsoever,  in law,  admiralty  or equity by  Creasman  and/or his
successors,  administrators,  executors, heirs and assigns, which against any or
all of CCA and/or its  successors  and assigns,  Creasman  ever had, now has, or
hereafter can,  shall or may, have for, upon, or by reason of any matter,  cause
or thing  whatsoever  arising out of, or under, or by reason of Paragraphs and 2
and 3 of the Letter Agreement, including, without limitation, any obligations of
CCA to perform any action or make any future  payment  pursuant to  Paragraphs 2
and 3 of the Letter Agreement ("Released Creasman Claims").

     2. CCA hereby  releases and  discharges  Creasman from any and all actions,
causes  of  actions,  suits,  debts,  dues,  sums of  money,  accrued  interest,
accounts,   reckonings,   bonds,  bills,  specialties,   covenants,   contracts,
controversies,  agreements, promises, variances, trespasses, damages, judgments,
extent,  executions,  claims and demands whatsoever, in law, admiralty or equity
by CCA


<PAGE>



and/or its  successors  and  assigns,  which  against any or all of the Creasman
and/or his successors,  administrators,  executors,  heirs and assigns, CCA ever
had, now has, or hereafter  can,  shall or may, have for,  upon, or by reason of
any matter,  cause or thing whatsoever arising out of, or under, or by reason of
(i) the Notes,  and (ii) any other claim on the part of CCA against  Creasman of
which CCA has actual  knowledge as of the date of this Agreement  (collectively,
"Released CCA Claims");  provided  that the terms of  subparagraph  (ii) of this
Paragraph 2 shall not apply to (and  Released  CCA Claims shall not be deemed to
include)  any matter in respect of which a claim is hereafter  asserted  against
CCA by any  shareholder of CCA or any other third party,  other than any officer
or director of CCA who held such position as of the date of this agreement.

     3. In  furtherance of the  foregoing,  Creasman  agrees not to commence any
legal or equitable proceeding, action or lawsuit against CCA with respect to any
Released Creasman Claim.

     4. In furtherance of the foregoing, CCA agrees not to commence any legal or
equitable  proceeding,  action or lawsuit  against  Creasman with respect to any
Released CCA Claim.

     5. CCA acknowledges  that of the 64,693 shares of CCA common stock owned by
Creasman,  (i) as of the date hereof,  a total of 17,251  shares were fully paid
for by Creasman more than two (2) years ago, and (ii) as of February 1, 1997, an
additional  15,095 shares will have been fully paid for by Creasman for a period
of more than two (2) years.  CCA agrees promptly to confirm,  upon request,  the
foregoing  information  in such manner and to such persons as may  reasonably be
necessary  in order  to  enable  Creasman  to  effect  sales  of his  shares  in
compliance with Rule 144 of the Securities and Exchange Commission.

     6. The parties  acknowledge  and agree that this Agreement  constitutes the
release and settlement of all outstanding  Released Creasman Claims and Released
CCA Claims, including,  without limitation, the Lawsuit. Creasman agrees to have
the lawsuit dismissed with prejudice as soon as is reasonably  practicable after
the date hereof.

     7. This Agreement shall inure to the benefit of each person or entity which
now or  hereafter  may become  jointly  liable for,  or shall be a guarantor  or
surety of any Released Creasman Claims or Released CCA Claim.

     8. This Agreement  constitutes  the entire  agreement of the parties hereto
with  respect to the  subject  matter  hereof and may not be amended or modified
except in a writing executed by each of the parties hereto. This Agreement shall
be governed by the internal laws of the State of Florida applicable to contracts
executed,  delivered and to be fully performed in said State,  without regard to
contrary principles of conflict of laws.



                                       -2-

<PAGE>



     IN WITNESS WHEREOF, each of the undersigned has caused this Agreement to be
executed and delivered as of the date first above written.



                                         /s/ Kenneth W. Creasman
                                         -----------------------
                                         Kenneth W. Creasman
                                      
                                      
                                      
                                         COMMUNITY CARE OF AMERICA, INC.
                                      
                                      
                                         By:  /s/ Gary W. Singleton
                                              ---------------------
                                         Name:  Gary W. Singleton
                                         Title: President and CEO
                                      
                                                                        
                                       -3-

<PAGE>


STATE OF WISCONSIN       )
                         )           ss.:
COUNTY OF RACINE         )

     I, the undersigned  Notary Public for the aforesaid  jurisdiction,  certify
that before me personally came Kenneth W. Creasman, to me known, who being by me
duly sworn, did depose and say that he resides at 363 Sedgwick Court, Naples, FL
33963;  and that he is the person  described in and which executed the foregoing
instrument.

     Witness my hand and official seal this 14 day of January 1997.


                                                    Notary Public
                                                  
                                                  
                                                    /s/ Maureen Glynn
                                                    -----------------
                                                    Print Name:
[Seal]                                     

My Commission Expires: August 30, 2000



STATE OF FLORIDA           )
                           )           ss.:
COUNTY OF COLLIER          )

     I, the undersigned  Notary Public for the aforesaid  jurisdiction,  certify
that Gary W. Singleton came before me this day and  acknowledged  that he/she is
President & CEO of Community Care of America, Inc., a Delaware corporation,  and
that by authority  duly given and as the act of the  corporation,  the Agreement
was signed on behalf of said corporation.

     Witness my hand and official seal this 30TH day of January 1997.


                                                 Notary Public


                                                 /s/ Susan P. Wilke
                                                 ------------------
                                                 Print Name:  Susan P. Wilke
[Seal]

My Commission Expires: 7/13/99

                                       -4-





                                                            EXHIBIT 10.03(d)(ii)


                              EMPLOYMENT AGREEMENT
                              --------------------


     THIS AGREEMENT made and entered into as of the 30th day of April,  1996, by
and  between   COMMUNITY  CARE  OF  AMERICA,   INC.,  a  Delaware   corporation,
(hereinafter  referred  to as the  "Company"),  and DAVID H. FATER  (hereinafter
referred to as the "Employee").


                              W I T N E S S E T H:
                              --------------------

           WHEREAS,  the  Employee is  employed  by the  Company  pursuant to an
Employment  Agreement,  dated as of June 26, 1995 (the "Employment  Agreement");
and
           WHEREAS, the Company and the Employee desire to amend and restate the
Employment Agreement on the terms and conditions set forth herein; and
           WHEREAS,  the  Company  is  engaged  in the  business  of owning  and
operating rural health care facilities and networks through its subsidiaries and
tradenames; and
           WHEREAS,  in  the  course  of  his  employment,  and  as a  necessary
consequence thereof,  Employee will receive information and acquire knowledge of
special procedures,  processes, business conduct, and knowledge that is private,
proprietary, and secret to the Company in its business; and
           WHEREAS,  the  business,  as well as the  success  and profits of the
Company,  depend  in large  part  upon the  maintenance  of  secrecy  as to such
information,  processes,  procedures  and  knowledge  as to the  conduct  of the
Company's business generally.



<PAGE>



           NOW,  THEREFORE,  in  consideration  of the foregoing  premises,  the
mutual  agreements  herein  contained,  as well as the  agreement  to employ the
Employee or to continue to employ the  Employee  under the terms and  conditions
contained herein, and intending to be legally bound hereby, it is agreed between
the parties hereto as follows:

                                    ARTICLE I

                             EMPLOYMENT RELATIONSHIP
                             -----------------------

           1.1  Employment.  The  Company  hereby  employs  the  Employee in the
position of Executive Vice President and Chief Financial Officer of the Company,
with such  responsibilities  as may be assigned to Employee from time to time by
the Chief  Executive  Officer of the  Company.  Employee  shall report to and be
responsible  to the Chief  Executive  Officer  of the  Company,  for the  period
hereinafter set forth, and the Employee hereby accepts such employment.

           1.2 Exclusive  Employment.  During the continuation of the Employee's
employment by the Company hereunder,  the Employee will, unless the Employee has
first received the prior written  consent of the Company,  devote the Employee's
entire  business  time,  energy,  attention,  and skill to the  services  of the
Company and to the promotion of its  interests,  and covenants  that during such
time the Employee will neither:  (a) engage in, be employed by, be a director of
or be  otherwise  directly  or  indirectly  interested  in (i) any  business  or
activity competing with or of a nature similar to the businesses of the Company,
or (ii) any business or activity engaged in the owning,  operation or management
of business or activity  competing with or of a nature similar to the businesses
of the Company, nor (b) take any part in any activities  detrimental to the best
interests of the Company.

                                      - 2 -

<PAGE>



                                   ARTICLE II
                              PERIOD OF EMPLOYMENT

           2.1 Term. The term of employment  under this Agreement shall begin as
of the date hereof,  and shall end on June 26, 1997,  unless  sooner  terminated
pursuant to the terms of this Agreement.  Six (6) months prior to the expiration
of this  Agreement,  at the  request of  Employee,  Company  will  discuss  with
Employee Company's intentions regarding the renewal of this Agreement.

           2.2 Termination For Cause.  Company may terminate this Agreement with
cause and without any obligation to pay Employee further  compensation  upon the
occurrence of any one or more of the following events:

                     (a) Employee  willfully or repeatedly  fails to perform any
           of his duties in any  material  respect or  willfully  or  repeatedly
           breaches  any  material  term  of  this  Agreement,   which  failure,
           non-performance  or breach is not corrected  within fifteen (15) days
           after  written  notice is  delivered  by the Company to the  Employee
           specifying said failure, non-performance or breach.

                     (b) Employee  becomes  disabled or is unable to perform his
           normal duties,  which  condition  persists for a period of sixty (60)
           days or more,  provided  that  Company  has  provided  Employee  with
           disability  insurance  which shall begin to pay after said sixty (60)
           day period expires, and provided further that, to any extent that the
           disability  insurance  benefits payable to Employee are less than the
           base  salary  being  paid to  Employee  as of the date on  which  his
           employment   terminated,   the  Company  shall  continue  payment  of
           Employee's  salary to the  extent of such  deficiency  until the date
           which is two (2) years following the date of this Agreement;

                     (c)       Employee is convicted of a felony;

                     (d)       Employee   is   convicted   of  theft, larceny or
                               embezzlement of Company's tangible or intangible 
                               property.


                                      - 3 -

<PAGE>



           2.3 Death of the Employee.  In the event of the death of the Employee
during the term of his  employment  hereunder,  this Agreement  shall  terminate
immediately  and the  Employee's  estate shall  thereupon be entitled to receive
such portion of the Employee's  Base Salary as has been accrued through the date
of his death. 

           2.4 Change of Control.

                     (a) In the  event of a Change  of  Control  of the  Company
           during the term of the Employee's employment hereunder,  the Employee
           shall have the right,  upon the giving of thirty (30) days' notice to
           the  Company  within one hundred  eighty  (180) days  following  such
           event, to terminate his employment under this Agreement. For purposes
           of this  Agreement,  a "Change of Control  of the  Company"  shall be
           deemed  to  occur  if  (i)  there  shall  be   consummated   (x)  any
           consolidation  or merger of the  Company in which the  Company is not
           the  continuing or surviving  corporation  other than a merger of the
           Company  in  which  the  holders  of  the   Company's   Common  Stock
           immediately prior to the merger have the same proportionate ownership
           of common stock of the surviving  corporation  immediately  after the
           merger,  or (y) any sale,  lease,  exchange or other transfer (in one
           transaction  or  a  series  of  related   transactions)  of  all,  or
           substantially  all,  of  the  assets  of the  Company,  or  (ii)  the
           stockholders  of the Company  shall  approve any plan or proposal for
           liquidation or  dissolution  of the Company,  or (iii) any person (as
           such term is used in Sections  13(d) and  14(d)(2) of the  Securities
           Exchange Act of 1934, as amended (the  "Exchange  Act")),  other than
           Robert N.  Elkins or any  institutional  investor,  shall  become the
           beneficial owner (within the meaning of Rule 13-d3 under the Exchange
           Act) of 20% or more of the Company's  outstanding  Common  Stock,  or
           (iv) Robert N. Elkins shall cease to be a director of the Company.

                     (b) In the event that the Employee  elects to terminate his
           employment hereunder pursuant to Paragraph 2.4(a), above, the Company
           shall pay to the  Employee  one  hundred  (100%)  percent of his then
           current Base Salary for a period of thirty-six (36) months  following
           the date of such  termination,  and all stock options  granted to the
           Employee  pursuant to Section 3.5(a) hereof,  and all options granted
           to the  Employee  pursuant  to  Section  3.5(b)  hereof for which the
           vesting schedule has been accelerated in accordance with such Section
           3.5(b), shall become fully vested as of the date of such termination.

                     (c)  Notwithstanding  anything herein to the contrary,  the
           present value of the payments and benefits to Employee, whether under
           this Agreement or otherwise,  which are includable in the computation
           of  "parachute  payments" (as defined in Section 280G of the Internal
           Revenue Code) shall not exceed 2.99 times the Employee's base amount,
           all within the  meaning  and as computed  under  Section  280G of the
           Code.  Such  determination  shall be made by the regular  independent
           accountants  retained by the Company  immediately prior to the Change
           of Control,  whose  determination  shall be conclusive and binding on
           the parties.

                                      - 4 -

<PAGE>



           2.5  Continuation of Benefits.  Whenever under the provisions of this
Agreement the Employee shall be entitled to receive a  continuation  of his Base
Salary  for a period  of time  following  a  termination  or  nonrenewal  of his
employment  under  this  Agreement,  it is agreed  that the  Company  also shall
continue to pay for or provide  during such  period of salary  continuation  the
insurance coverage provided for in Paragraph 3.3 of this Agreement.

           2.6 Acceleration of Payments.  If the Company fails to pay any salary
continuation  installment referred to in this Article II or any benefit referred
to in  Paragraph  2.5 within  thirty (30) days after notice from the Employee or
his personal or legal representative that the installment or benefit was due and
payable,  then the Employee or his personal or legal  representative may declare
the entire unpaid balance of the salary continuation  installments and the value
of all unpaid benefits to be immediately due and payable.

           2.7 Death or Disability.  The right of the Employee or his estate, as
of the case may be, to salary  continuation  installments  under this Article II
shall not be affected by the Employee's death or disability after her employment
has terminated; and the Company shall continue to make those payments, until the
full amount  thereof has been paid,  notwithstanding  the death or disability of
the Employee after the termination of this employment.

           2.8 Acceleration of Options.  If the Company  terminates the Employee
without cause,  all options which the Employee then holds to acquire  securities
from the Company shall be accelerated and shall be immediately exercisable.






                                      - 5 -

<PAGE>



                                   ARTICLE III

                                  COMPENSATION
                                  ------------

           3.1 Base  Salary.  For all services  rendered by Employee  under this
Agreement, the Employee shall receive a base salary at a rate of $210,000.00 per
year ("Base Salary"). Employee's Base Salary shall be payable in accordance with
the pay period policy  established  by the Company from time to time.  Said Base
Salary  shall be  reviewed  one (1) year  after  the date  hereof,  and shall be
increased (i) by a percentage  equal to the CPI percentage  increase  during the
first year of this Agreement and (ii) by such additional  amount, if any, as may
be determined at the discretion of the Board of Directors of the Company.

           3.2 Bonuses.  Within  ninety (90) days of the close of each  calendar
year, the Company shall pay to Employee a cash bonus of up to thirty-five  (35%)
percent  of  Employee's  Base  Salary  for  such  year,  such  cash  bonus to be
determined at the discretion of the Board of Directors of the Company.

           3.3 Additional Benefits.  Separate and apart from the Employee's cash
compensation  as set forth above,  the Company shall provide for (i)  Employee's
coverage  under the  Company's  standard life and health  insurance  package for
executives,  (ii) an automobile  allowance of $750 per month, and (iii) four (4)
weeks' paid vacation.  Notwithstanding  the  foregoing,  Employee has elected to
maintain his health  insurance  coverage  under COBRA  through June 30, 1996, in
addition  to  his  coverage  under  the  Company's  health  insurance  plan.  In
connection with the  aforementioned  maintenance of employee's  health insurance
coverage under COBRA, Company shall pay the premiums with respect thereto during
the period of such maintenance, up to a maximum of $6,000 over such period.

                                      - 6 -

<PAGE>



           3.4 Reimbursement of Expenses.  The Company shall reimburse  Employee
at the rate of $.29 per mile for  business  use of his  automobile,  and for all
reasonable  and  necessary   business  expenses  subject  to  such  budgets  and
documentation requirements as may be mandated from time to time by the Company.


                                   ARTICLE IV

                            COVENANTS OF THE EMPLOYEE
                            -------------------------

           4.1 Ownership and Return of Documents.  The Employee  agrees that all
memoranda,  notes,  records,  papers or other  documents and all copies  thereof
relating  to the  Company's  operations  or  businesses,  some of  which  may be
prepared  by the  Employee,  and all  objects  associated  therewith  in any way
obtained by the Employee  shall be the Company's  property.  The Employee  shall
not,  except for  Company's  use,  copy or duplicate  any of the  aforementioned
documents or objects,  nor remove them from the Company's facilities nor use any
information concerning them except for the Company's benefit,  either during the
Employee's employment or thereafter.  The Employee agrees that the Employee will
deliver  all of the  aforementioned  documents  and  objects  that may be in his
possession to the Company on termination of the Employee's employment, or at any
other  time on the  Company's  request,  together  with the  Employee's  written
certification of compliance with the provision of this paragraph.

           4.2  Confidential  Information.  In connection with employment at the
Company,  Employee will have access to  confidential  information  consisting of
some or all of the  following  categories of  information.  Company and Employee
consider their relation one of confidence with respect to such information:

                                      - 7 -

<PAGE>



                     (a)  Financial  Information,  including  but not limited to
           information  relating  to  the  Company's  earnings,  assets,  debts,
           prices,  pricing  structure,  volume of  purchases  or sales or other
           financial  data whether  related to the Company or  generally,  or to
           particular products, services, geographic areas, or time periods;

                     (b)  Supply  and  Service  Information,  including  but not
           limited to  information  relating to goods and  services,  suppliers'
           names or  addresses,  terms of  supply  or  service  contracts  or of
           particular  transactions,  or  related  information  about  potential
           suppliers to the extent that such  information is not generally known
           to the public, and to the extent that the combination of suppliers or
           use of a particular  supplier,  though  generally known or available,
           yields  advantages to the Company  details of which are not generally
           known;

                     (c)  Marketing  Information,  including  but not limited to
           information  relating to details about ongoing or proposed  marketing
           programs  or  agreements  by or  on  behalf  of  the  Company,  sales
           forecasts,  advertising  formats and methods or results of  marketing
           efforts or information about impending transactions;

                     (d)  Personnel  Information,  including  but not limited to
           information  relating to  employees'  personal or medical  histories,
           compensation  or  other  terms  of  employment   actual  or  proposed
           promotions, hirings, resignation,  disciplinary actions, terminations
           or reasons therefor, training methods, performance, or other employee
           information; and

                     (e)  Customer  Information,  including  but not  limited to
           information  relating  to past,  existing or  prospective  customers'
           names,  addresses or  backgrounds,  records of agreements and prices,
           proposals or agreements between customers and the Company,  status of
           customers' accounts or credit, or related information about actual or
           prospective customers as well as customer lists.

           All of the foregoing are hereinafter  referred to as "Trade Secrets."
During and after the  employment by the Company,  regardless of the reasons that
such employment ends, Employee agrees:

                     (aa)  To hold  all  Trade  Secrets  in  confidence  and not
           discuss,  communicate or transmit to others, or make any unauthorized
           copy  of or use  the  Trade  Secrets  in any  capacity,  position  or
           business  except as it directly  relates to Employee's  employment by
           the Company;

                     (bb) To use the Trade Secrets only in furtherance of proper
           employment related reasons of the Company to further the interests of
           the Company;

                     (cc) To take all  reasonable  actions  that  Company  deems
           necessary or appropriate,  to prevent  unauthorized use or disclosure
           of or to protect the Company's interest in the Trade Secrets; and

                                      - 8 -

<PAGE>



                     (dd) That any of the Trade  Secrets,  whether  prepared  by
           Employee  or  which  may  come  into  Employee's   possession  during
           Employee's employment  hereunder,  are and remain the property of the
           Company and its  affiliates,  and all such Trade  Secrets,  including
           copies  thereof,  together with all other  property  belonging to the
           Company or its affiliates,  or used in their  respective  businesses,
           shall be delivered to or left with the Company.  

           This  Agreement  does not  apply  to  information  that  (i)  becomes
generally  available  to the public  other than as a result of a  disclosure  by
Employee,  (ii) was available to Employee on a non- confidential  basis prior to
the disclosure of such information to Employee by the Company, provided that the
source  of  such  information  was  not  known  by  Employee  to be  bound  by a
confidentiality  agreement  with  or  other  contractual,   legal  or  fiduciary
obligation  of  confidentiality  to the  Company or any of its  affiliates  with
respect  to  such   material,   (iii)   becomes   available  to  Employee  on  a
non-confidential  basis  from a source  other than the  Company  or its  agents,
advisors or representatives provided that the source of such information was not
known  by  Employee  to be bound by a  confidentiality  agreement  with or other
contractual,  legal or fiduciary obligation of confidentiality to the Company or
any of its affiliates  with respect to such material,  or (iv) is required to be
disclosed by judicial or administrative  proceedings  after Employee  diligently
tries to avoid each disclosure and affords the Company the opportunity to obtain
assurance that compelled disclosures will receive confidential treatment.

           4.3  Non-Solicitation  and  Non-Pirating.  At all times  following  a
termination or the natural  expiration of this  Agreement,  the Employee  hereby
agrees that,  without the express written  consent of the Company,  the Employee
will not,  directly or  indirectly,  for the  Employee or on behalf of any other
person, firm, entity or other enterprise:

                     (a) solicit any client or customer of the Company or in any
           way divert or take away any client or customer of the Company who was
           a client  or  customer  of the  Company  while  the  Employee  was an
           employee of the  Company  under this  Agreement  (such  period  being
           hereinafter referred to as the "Employment Period"); and

                                      - 9 -

<PAGE>



                     (b) hire,  entice away or in any other manner  persuade any
           employee,  client,  or customer of the Company who was an employee of
           the  Company  during  the  Employment  Period,  to  alter,  modify or
           terminate their  relationship  with the Company as an employee as the
           case may be.


           4.4  Non-Competition.  In consideration of the Employee's  employment
hereunder,  and  as an  inducement  to  the  execution  and  performance  of the
Employment  Agreement by the Company,  the Employee  hereby  agrees that,  for a
period of three (3) years following the natural expiration or any termination of
this  Agreement,  the Employee will not,  without the express written consent of
the Company, directly or indirectly,  for the Employee or on behalf of any other
person,  firm,  entity or other  enterprise,  be  employed  by, be a director or
manager  of,  act as a  consultant  for,  be a partner  in,  have a  proprietary
interest  in, give advice to, loan money to or  otherwise  associate  with,  any
person,  enterprise,  partnership,  association,  corporation,  joint venture or
other  entity  which is  directly or  indirectly  in the  business of  providing
nursing home care, assisted living care, senior housing, home health care, adult
day care, primary care clinic services or medical transportation services of any
type within a  twenty-five  (25) mile radius of any nursing home or other health
care facility  which is owned or operated by the Company as of the date on which
this Agreement shall have expired or terminated.  Notwithstanding the foregoing,
in the event the  Company  terminates  this  Agreement  other than  pursuant  to
Paragraph  2.2,   above,   Employee  shall  be  bound  by  the   non-competition
restrictions  of this  Paragraph  4.4  only  for so long as  Company  elects  to
continue to pay  Employee's  Base Salary  hereunder,  which election shall be at
Company's  sole  option.  The  provisions  of this  Paragraph  4.4  shall not be
construed to prohibit the Employee  from owning up to 2% of the issued shares of
any company whose common stock is listed for trading on any national  securities
exchange or on the NASDAQ National Market System.

                                     - 10 -

<PAGE>



           4.5  Necessary  Restrictions.  The  Employee  acknowledges  that  the
restrictions contained in Paragraphs 4.3 and 4.4 are reasonable and necessary to
protect the legitimate  business interests of the Company and that any violation
thereof by him would result in irreparable harm to the Company. Accordingly, the
Employee  agrees  that  upon  the  violation  by his of any of the  restrictions
contained in Paragraphs 4.3 or 4.4, the Company shall be entitled to obtain from
any court of competent  jurisdiction a preliminary  and permanent  injunction as
well as any other  relief  provided  at law,  equity,  under this  Agreement  or
otherwise.  In  the  event  any  of  the  foregoing  restrictions  are  adjudged
unreasonable in any  proceeding,  then the parties agree that the period of time
or the scope of such  restrictions  (or both) shall be adjusted to such a manner
or for such a time (or both) as is adjudged to be reasonable.

           4.6 Prior Companies.  Employee hereby  represents and warrants to the
Company  that (i) he is not bound by any  agreement  with any prior  employer or
other party to refrain from using or disclosing any confidential  information or
from  competing  with the  business of such  employer or other  party,  (ii) his
performance under this Agreement will not breach any other agreement by which he
is bound,  and (iii) he has not  brought  with his to the  Company,  nor will he
bring or use in the  performance  of his  responsibilities  at the Company,  any
materials or documents of a former employer which are not generally available to
the public.

           4.7 Remedies For Breach. The Employee acknowledges that the covenants
contained in Article IV of this Agreement are independent covenants and that any
failure by the Company to perform its  obligations  under this Agreement  (other
than the act of nonpayment  which is not cured by the Company within thirty (30)
days of the receipt of written notice of said condition from the Employee) shall
not be a defense to enforcement of the covenants contained in Article

                                     - 11 -

<PAGE>



IV,  including  but not  limited to a temporary  or  permanent  injunction.  The
Employee  acknowledges  that damages in the event of  Employee's  breach of this
Article  IV  will  be  difficult,  if not  impossible,  to  ascertain  and it is
therefore  agreed that the  Company,  in addition  to, and without  limiting any
other  remedy  or right it may  have,  shall  have  the  right to an  injunction
enjoining the said breach.  Employee  agrees to reimburse  Company for all costs
and expenses,  including reasonable attorney's fees, incurred by Company because
of any breach of this Article.



                                    ARTICLE V

                                   ASSIGNMENT
                                   ----------

           5.1  Prohibition  of Employment  Assignment.  The Employee  agrees on
behalf  of the  Employee  and  the  Employee's  heirs  and  executors,  personal
representatives,  and any other person or persons claiming any benefit under the
Employee  by  virtue of this  Agreement,  that this  Agreement  and the  rights,
interests, and benefits hereunder shall not be assigned, transferred, pledged or
hypothecated in any way by the Employee or the Employee's  heirs,  executors and
personal representatives,  and shall not be subject to execution,  attachment or
similar  process.  Any  attempt  to assign,  transfer,  pledge,  hypothecate  or
otherwise  dispose of this Agreement or any such rights,  interests and benefits
thereunder contrary to the foregoing provision, or the levy of any attachment or
similar  process  thereupon  shall be null and void and without effect and shall
relieve the Company of any and all liability hereunder.

           5.2 Right of Company to Assign.  This  Agreement  shall be assignable
and  transferable  by the  Company  to  Company's  transferee,  assignee  or any
successor-in-interest,  parent,  subsidiary  or affiliate of Company,  and shall
inure to the benefit of and be binding upon the Employee,  the Employee's  heirs
and personal  representatives,  and the Company and its  successors and assigns.
Employee agrees to execute all documents necessary to ratify and effectuate such
assignment.

                                     - 12 -

<PAGE>



           5.3 Binding  Effect If  Transferred.  In the event this  Agreement is
transferred by Company, the term "Company" and "Company" used herein shall refer
to and be binding upon the Company's transferee or assignee.


                                   ARTICLE VI

                                     GENERAL
                                     -------

           6.1 Governing Law. This Agreement shall be subject to and governed by
the laws of the State of Florida, irrespective of the fact that the Employee may
be a resident of a different state.

           6.2 Binding Effect. This Agreement shall be binding upon and inure to
the benefit of the Company and the Employee and their  respective  heirs,  legal
representatives, executors, administrators, successors and permitted assigns.

           6.3 Entire Agreement. This Agreement constitutes the entire Agreement
between the parties and contains all of the agreements  between the parties with
respect to the subject  matter  hereof;  this  Agreement  supersedes any and all
other  agreements,  either oral or in writing,  between the parties  hereto with
respect to the subject hereof. No change or modification of this Agreement shall
be valid  unless the same be in writing and signed by both  parties  hereto.  No
waiver of any provisions of this Agreement  shall be valid unless in writing and
signed by the person or party to be charged.

           6.4  Severability.  If any portion of this Agreement shall be for any
reason,  invalid or  unenforceable,  the  remaining  portion or  portions  shall
nevertheless  be valid,  enforceable  and carried into  effect,  unless to do so
would  clearly  violate the  present  legal and valid  intention  of the parties
hereto.

                                     - 13 -

<PAGE>



           6.5 Notices. All notices, demands, requests,  consents,  approvals or
other  communications  required or permitted  hereunder  shall be in writing and
shall be delivered by hand,  registered  or certified  mail with return  receipt
requested or by a nationally recognized overnight delivery service, in each case
with all postage or other delivery  charges  prepaid,  and to the address of the
party to whom it is directed as  indicated  below,  or to such other  address as
such party may  specify  by giving  notice to the other in  accordance  with the
terms hereof. Any such notice shall be deemed to be received (i) when delivered,
if by hand,  (ii) on the next  business  day  following  timely  deposit  with a
nationally  recognized overnight delivery service, or (iii) on the date shown on
the return receipt as received or refused or on the date the postal  authorities
state that delivery cannot be  accomplished,  if sent by registered of certified
mail, return receipt requested.

If to the Company:           Community Care of America, Inc.
                             3050 N. Horseshoe Drive, Suite 260
                             Naples, Florida 33942
                             Attn: President

If to the Employee:          David H. Fater
                             751 Saint George's Court
                             Naples, Florida 33963

           6.6 Independent Legal Counsel.  Employee represents and warrants that
he has had the opportunity to seek the advice of independent legal counsel prior
to signing this  Agreement,  and that the Company has recommended to his that he
obtain such counsel.

           6.7  Attorney's  Fees.  In the event of  litigation  concerning  this
Agreement,  the  prevailing  party shall be entitled to collect  from the losing
party attorney's fees and costs, including those on appeal.

                                     - 14 -

<PAGE>


           IN WITNESS  WHEREOF,  the  Company has caused  this  Agreement  to be
signed by its duly  authorized  officers and its  corporate  seal to be hereunto
affixed,  and the Employee has hereunto set Employee's  hand on the day and year
first above written.

COMPANY                                                                 EMPLOYEE
- - -------                                                                 --------

COMMUNITY CARE OF AMERICA, INC.
a Delaware Corporation



By: /s/ Gary W. Singleton                          /s/ David H. Fater
- - ---------------------------------          ------------------------------------
                                                       David H. Fater
Name:  Gary W. Singleton
- - ---------------------------------

Title:   President & CEO
- - ---------------------------------

                                     - 15 -


                                                           EXHIBIT 10.03(d)(iii)


                            PERSONAL AND CONFIDENTIAL





                                     January 31, 1997


Mr. David H. Fater
751 Saint George's Court
Naples, FL 33963

Dear David:

This is to summarize our agreement  concerning the terms of your separation from
Community Care of America, Inc. (the "Company").  By signing this document,  you
agree to the following:

1.   By your  execution  hereof,  you  hereby  confirm  your  resignation  as an
     employee and officer of the Company and its subsidiaries, and as a director
     of its  subsidiaries,  effective  as of January 31, 1997 (the  "Termination
     Date").

2.   In full satisfaction of any and all amounts now or hereafter payable to you
     under the Company's  Supplemental  Deferred  Compensation Plan, the Company
     shall pay to you a total sum of $25,000, payable in four equal installments
     of $6,250 each, such  installments to be paid on March 15, 1997,  March 31,
     1997, April 15, 1997, and April 30, 1997,  respectively.  It is agreed that
     the  Company's  agreement to make such payments is in  cancellation  of the
     prior  promissory  note of the Company to you dated  September 13, 1996, in
     the principal  amount of $125,000,  and the replacement note of the Company
     in the same  principal  amount dated January 2, 1997.  You agree to deliver
     back to the Company for cancellation both of the said promissory notes upon
     your execution of this Letter Agreement.

3.   The Company  hereby  agrees:  (i) to pay to you the amount of  $6,000.00 in
     full satisfaction of all obligations owed to you pursuant to the consulting
     arrangement  with ALDA,  Inc.,  which  amount  shall be paid to you in four
     equal  installments  of  $1,500  each,  with each  installment  to be paid,
     respectively,  on the same  installment  dates as provided for the payments
     under  Paragraph  3  hereof,  and  (ii)  to pay to  you or to  health  care
     providers,  as  appropriate,  any amounts  owing  pursuant to the Company's
     health care plans, including the Exec-u-Care Plan, which have accrued as of
     the date hereof.

4.   The Company  will pay to you a  severance  payment  representing  three (3)
     weeks salary in the total amount of $12,454.00,  which amount shall be paid
     in two equal  installments of $6,227 each, the first such installment to be
     paid within five days  following the execution of this  agreement,  and the
     second such installment to be paid on February 28, 1997.


<PAGE>


Mr. David H. Fater
January 31, 1997
Page 2


5.   You agree not to disclose to any person or entity any trade,  technical  or
     technological secrets, details of organization,  business affairs, or other
     information  of a  proprietary  or  confidential  nature  relating  to  the
     business of or belonging to the Company,  its  subsidiaries  or affiliates.
     You agree not to malign or make  negative  statements  about the Company or
     any of its  officers,  directors  or  employees.  You  agree  to make  only
     positive  statements  about the Company  and its  officers,  directors  and
     employees, and to act generally as a goodwill ambassador for the Company.

6.   You, for yourself,  your heirs and assigns,  do hereby  waive,  relinquish,
     release,  acquit and  forever  discharge  the  Company,  its  subsidiaries,
     affiliates, shareholders, directors, officers and employees of and from any
     and all claims or rights that you may have or ever had against any of them,
     whether arising in respect of your employment,  termination,  compensation,
     benefits, or otherwise,  including,  without limitation, any claims arising
     under any  employment  agreement or under the Civil Rights Act of 1964, the
     Civil Rights Act of 1991, the Age  Discrimination in Employment Act, or any
     similar federal or state laws, rules, or regulations.

7.   You agree that you will  continue to be bound by all of the  covenants  and
     restrictions  set forth in Article IV of your Employment  Agreement,  dated
     April__,  1996, with the Company (the "Employment  Agreement").  Except for
     the said Article IV and except for Article VI of the Employment  Agreement,
     the provisions of which shall also be applicable to this Letter  Agreement,
     all remaining  terms and provisions of the Employment  Agreement are hereby
     terminated  effective  as of the  Termination  Date.  For  purposes  of the
     notices  provision of Article VI of the  Employment  Agreement (and for any
     notices  hereunder),  your  address  is as  follows  until we are  notified
     otherwise pursuant to said Article VI:

               751 Saint George's Court
               Naples, FL 33963

8.   In the event that you materially violate any of the covenants  contained in
     this Letter  Agreement,  the Company may, at its election,  forthwith cease
     providing  you with any of the  payments  under this Letter  Agreement.  In
     addition, you acknowledge and agree that the amount of damages in the event
     of  your  breach  of  this  Letter  Agreement  will  be  difficult,  if not
     impossible, to ascertain. You therefore agree that the Company, in addition
     to, and without  limiting any other remedy or right it may have, shall have
     the right to an injunction  enjoining  any breach of the covenants  made by
     you in this Letter Agreement.


<PAGE>


Mr. David H. Fater
January 31, 1997
Page 3

9.   We have  advised  you of your right to consult an  attorney.  If you do not
     choose to consult an attorney  before  execution of this Letter  Agreement,
     you have knowingly waived that right.

10.  You acknowledge  that you have read this Letter  Agreement,  understand its
     contents,  and have been given a period of 21 days to review  and  consider
     this agreement, ask questions and have problems resolved.

11.  You  acknowledge   that  you  are  entering  into  this  Letter   Agreement
     voluntarily and not as a result of any pressure, coercion or duress.

12.  For a period of seven (7) days  following  your  execution  of this  Letter
     Agreement,  you may revoke this Letter  Agreement by written  notice to the
     Company.  The Letter  Agreement  shall not become  effective or enforceable
     until the seven (7) day revocation period has ended.

13.  This Letter  Agreement  sets forth the entire  agreement and  understanding
     between  us  and  shall  supersede  all  prior  agreements,   documents  or
     discussions  with  respect  to the  matters  herein  covered.  This  Letter
     Agreement  may be amended,  modified,  or waived only by an  instrument  in
     writing signed by the parties hereto.

                                             Sincerely,

                                             COMMUNITY CARE OF AMERICA, INC.


                                             By:/s/ Gary W. Singleton
                                                ------------------------
                                             Title:CEO

AGREED TO AND ACCEPTED:


 /s/ David H. Fater     2/20/97
 ------------------------------
David H. Fater          Date


cc: Personnel File

                       

                                                            EXHIBIT 10.03(f)(ii)

                            PERSONAL AND CONFIDENTIAL



                                  April 4, 1997



Mr. Gary W. Singleton
78 Southport Cove
Bonita Springs, FL 34134

Dear Gary:

This is to summarize our agreement  concerning the terms of your separation from
Community Care of America, Inc. (the "Company").  By signing this document,  you
agree to the following:

1.   By your  execution  hereof,  you  hereby  confirm  your  resignation  as an
     employee and officer of the Company and its subsidiaries, and as a director
     of the Company  and its  subsidiaries,  effective  as of April 4, 1997 (the
     "Termination Date").

2.   In full satisfaction of any and all amounts now or hereafter payable to you
     under the Company's  Supplemental  Deferred  Compensation Plan, the Company
     shall  pay to you a  total  sum of  $25,000,  payable  in a six  (6)  month
     promissory note at an annual  interest rate of seven (7) percent.  The note
     and any accrued  interest shall become  immediately  due and payable in the
     event of the sale of the Company. It is agreed that the Company's agreement
     to make such payment is in cancellation of the prior promissory note of the
     Company  to you  dated  September  13,  1996,  in the  principal  amount of
     $125,000,  and the  replacement  note of the Company in the same  principal
     amount dated January 2, 1997.  You agree to deliver back to the Company for
     cancellation  both of the said promissory notes upon your execution of this
     Letter Agreement.

3.   The Company  hereby agrees to continue  your  benefits  under the Company's
     health care plans,  including  the  Exec-u-Care  Plan,  for a period of six
     months from the Termination Date.

4.   The Company agrees: (i) to pay to you a severance payment  representing six
     (6)  months  salary  and  automobile  allowance  in  the  total  amount  of
     $154,500.00,  which amount shall be paid without  interest,  in two initial
     installments  of  $12,875.00  on April  15,  1997 and  April  30,  1997 and
     subsequent semi-monthly  installments of $6,437.50 each for ten (10) months
     thereafter, pursuant to a promissory note of the Company to be delivered to
     you upon  execution  hereof,  and (ii) to vest  you in 25  percent  of your
     awarded options which will be repriced at at any general repricing level if
     the Company's  options are repriced prior to or at the sale of the Company.
     You agree to provide reasonable consultation services to the

                                                               
<PAGE>


                                       
Mr. Gary W. Singleton                  -2-                         April 4, 1997


     Company as may be requested during this period. In the event of the sale of
     the  Company,  the  remaining  severance  will become  immediately  due and
     payable.

5.   You agree not to disclose to any person or entity any trade,  technical  or
     technological secrets, details of organization,  business affairs, or other
     information  of a  proprietary  or  confidential  nature  relating  to  the
     business of or belonging to the Company,  its  subsidiaries  or affiliates.
     Subject to a legal obligation or a fiduciary duty to others,  you agree not
     to malign or make  negative  statements  about  the  Company  or any of its
     officers,  directors  or  employees.  You agree to initiate  only  positive
     statements about the Company and its officers, directors and employees, and
     to act generally as a goodwill ambassador for the Company.

6.   With the  exception  of the above  obligations  of the  Company,  you,  for
     yourself,  your heirs and assigns,  do hereby waive,  relinquish,  release,
     acquit and forever  discharge the Company,  its  subsidiaries,  affiliates,
     shareholders,  directors,  officers  and  employees of and from any and all
     claims or rights that you may have or ever had against any of them, whether
     arising in respect of your employment, termination, compensation, benefits,
     or otherwise,  including,  without limitation, any claims arising under any
     employment  agreement  or under the  Civil  Rights  Act of 1964,  the Civil
     Rights  Act of 1991,  the Age  Discrimination  in  Employment  Act,  or any
     similar federal or state laws, rules, or regulations.

7.   You agree that you will  continue to be bound by all of the  covenants  and
     restrictions  set forth in Article V of your  Employment  Agreement,  dated
     April 19, 1996, with the Company (the  "Employment  Agreement".  Except for
     the said Article V and except for Article VII of the Employment  Agreement,
     the provisions of which shall also be applicable to this Letter  Agreement,
     all remaining  terms and provisions of the Employment  Agreement are hereby
     terminated  effective  as of the  Termination  Date.  For  purposes  of the
     notices  provision of Article VII of the Employment  Agreement (and for any
     notices  hereunder),  your  address  is as  follows  until we are  notified
     otherwise pursuant to said Article VII:

                        78 Southport Cove
                        Bonita Springs, FL 34134

8.   In the event that you materially violate any of the covenants  contained in
     this Letter  Agreement,  the Company may, at its election,  forthwith cease
     providing  you with any of the  payments  under this Letter  Agreement.  In
     addition, you acknowledge and agree that the amount of damages in the event
     of  your  breach  of  this  Letter  Agreement  will  be  difficult,  if not
     impossible, to ascertain. You therefore agree that the Company, in addition
     to, and without  limiting any other remedy or right it may have, shall have
     the right to an injunction  enjoining  any breach of the covenants  made by
     you in this Letter Agreement.

9.   We have  advised  you of your right to consult an  attorney.  If you do not
     choose to consult an attorney  before  execution of this Letter  Agreement,
     you have knowingly waived that right.

                                             
<PAGE>


                                       
Mr. Gary W. Singleton                 -3-                         April 4, 1997


10.  You acknowledge  that you have read this Letter  Agreement,  understand its
     contents,  and have been given a period of 21 days to review  and  consider
     this agreement, ask questions and have problems resolved.

11.  You  acknowledge   that  you  are  entering  into  this  Letter   Agreement
     voluntarily and not as a result of any pressure, coercion or duress.

12.  For a period of seven (7) days  following  your  execution  of this  Letter
     Agreement,  you may revoke this Letter  Agreement by written  notice to the
     Company.  The Letter  Agreement  shall not become  effective or enforceable
     until the seven (7) day revocation period has ended.

13.  This Letter  Agreement  sets forth the entire  agreement and  understanding
     between  us  and  shall  supersede  all  prior  agreements,   documents  or
     discussions  with  respect  to the  matters  herein  covered.  This  Letter
     Agreement  may be amended,  modified,  or waived only by an  instrument  in
     writing signed by the parties hereto.

                                   Sincerely,

                                   COMMUNITY CARE OF AMERICA, INC.


                                   By: Deborah Lau
                                       ---------------

                                   Title: President & Chief Executive Officer
                                          -----------------------------------


AGREED TO AND ACCEPTED:


- - -------------------------------       
Gary W. Singleton          Date
                                


cc:  Personnel File
                                                           





                                                          EXHIBIT 10.04 (e)(2)



                             AMENDMENT NO. 1 TO THE
                         COMMUNITY CARE OF AMERICA, INC.
                     SUPPLEMENTAL DEFERRED COMPENSATION PLAN
                     ---------------------------------------


     WHEREAS,  Community Care of America, Inc. (the "Corporation") maintains the
Community Care of America,  Inc.  Supplemental  Deferred  Compensation Plan (the
"Plan"); and

     WHEREAS,  the  Corporation  has the  power to amend the Plan in a way which
reduces  participants' accrued benefits under the Plan, provided the Corporation
obtains the affected  participants'  respective  consents to any such amendment;
and

     WHEREAS,  the  Corporation  desires  to amend  the  Plan  and the  affected
participants desire to consent to such amendment.

     NOW,  THEREFORE,  the Plan  hereby is amended as follows,  effective  as of
August 1, 1996:

     1. The second paragraph of Section 3.1 of the Plan hereby is amended in its
entirety to read as follows:

        "No  Employer  Contribution  Credits  shall be allocated to
        Participants' Employer Contribution Credit Accounts for the
        Plan's first Plan Year (i.e.,  beginning  January 1, 1995).
        The aggregate  Employer  Contribution  Credits  credited to
        Participants' Employer Contribution Credit Accounts for the
        Plan's second Plan Year (i.e.,  beginning  January 1, 1996)
        shall be five  hundred  thousand  dollars  ($500,000).  The
        aggregate   Employer   Contribution   Credits  credited  to
        Participants'  Employer  Contribution  Credit  Accounts for
        each Plan Year  commencing on or after the first day of the
        third Plan Year (i.e., January 1, 1997) shall be an amount,
        if any, determined by the Employer, in its discretion.  The
        amount   allocated   to   each    Participant's    Employer
        Contribution  Credit  Account  for each Plan Year for which
        the Employer  makes  Employer  Contribution  Credits  shall
        equal the aggregate  Employer  Contribution  Credits to the
        Plan  for the  Plan  Year  multiplied  by a  fraction,  the
        numerator of which is one (1) and the  denominator of which
        is the total number of  Participants  as of the last day of
        the Plan Year as of which the Employer  Contribution Credit
        is credited.  Notwithstanding  the  preceding,  in any Plan
        Year in which a Change  of  Control  occurs,  the  Employer
        Contribution   Credits   credited  to  each   Participant's
        Employer  Contribution  Credit  Account  shall be an amount
        that is not less than  three  (3)  times the  amount of the
        Employer  Contribution Credit credited to the Participant's
        Employer Contribution Credit Account in the Plan Year among
        the five (5) Plan Years ending with the Plan Year of the


<PAGE>



        Change of Control in which the  highest  amount of Employer
        Contribution  Credits  was  credited  to the  Participant's
        Employer  Contribution  Credit Account  (without  regard to
        this sentence);  provided,  however, that, if the Plan Year
        of the  Change  of  Control  is the Plan  Year in which the
        highest amount of Employer Contribution Credits is credited
        to the Participant's  Employer  Contribution Credit Account
        (without regard to this  sentence),  the amount credited to
        the Participant's  Employer Contribution Credit Account for
        the Plan Year of the Change of Control  shall be the amount
        previously   credited   to   the   Participant's   Employer
        Contribution  Credit  Account during the Plan Year (without
        regard to this  sentence)  plus two (2)  times  the  amount
        previously   credited   during  the  Plan  Year.   Employer
        Contribution  Credits  for a Plan Year shall be credited to
        each  Participant who is actively  employed (i) on the last
        day of the Plan Year  with  respect  to which the  Employer
        Contribution  Credit is  credited  if no Change of  Control
        occurs during the Plan Year or (ii) the day before a Change
        of  Control  occurs  during  the Plan  Year if a Change  of
        Control occurs during the Plan Year."

   2.   Section  6.2(b)  hereby is amended in its entirety to read as follows:

        "(b)  Timing and Manner of  Payment.  An  aggregate  amount
        equal to the  Participant's  vested Account will be paid by
        the   Trust  or  the   Employer   upon  the   Participant's
        termination of employment with the Employer, as provided by
        Section 6.1, in a lump sum."

   3.   The names "Kenneth  Creasman" and "James K. Burkhart" hereby are removed
from Schedule I of the Plan and the name "Gary W. Singleton"  hereby is added to
Schedule I of the Plan.

     IN WITNESS  WHEREOF,  the Corporation  hereby evidences its adoption of the
above Amendment and the Plan participants affected by the above Amendment hereby
consent to the above Amendment by setting forth their signatures below.

WITNESS/ATTEST                          COMMUNITY CARE OF AMERICA, INC.


/s/ Annette E. Blair                    By: /s/ David H. Fater
- - -----------------------------           --------------------------
  Print Name: Annette E. Blair          Print Name: David H. Fater
                                        PrintTitle: Executive VP & CFO
                                        Date:    9/13/96

/s/ Annette E. Blair                    /s/ Deborah A. Lau
- - -----------------------------           --------------------------
  Print Name: Annette E. Blair              Deborah A. Lau

                                       -2-

<PAGE>


/s/ Annette E. Blair                    /s/ David H. Fater
- - -----------------------------           --------------------------
  Print Name: Annette E. Blair              David H. Fater

/s/ Annette E. Blair                    /s/ William Krystopowicz
- - -----------------------------           --------------------------
  Print Name: Annette E. Blair              William Krystopowicz



                                       -3-


                                                             EXHIBIT 10.04(e)(3)

                            RESOLUTIONS ADOPTED AT A
                                 MEETING OF THE
                               BOARD OF DIRECTORS
                                       OF
                         COMMUNITY CARE OF AMERICA, INC.
                                January 30, 1997



                     RESOLVED,  that  Section  3.1  of  the  Community  Care  of
           America, Inc. Supplemental Deferred Compensation Plan (the "Plan") is
           hereby  amended  by  deleting  therefrom  the fifth  sentence  in its
           entirety (which sentence begins with the words  "Notwithstanding  the
           preceding,"),  so that a Change  of  Control  will not  result  in an
           increase in the amount of the Employer  Contribution  Credit credited
           to a Participant's account; and

                     FURTHER  RESOLVED,  that  Section 5.2 of the Plan is hereby
           amended to delete the provision therein which is to the effect that a
           Participant  shall  become  100% vested in his or her account if such
           Participant  terminates  employment  with the  Company for any reason
           within one year following a Change of Control; and

                     FURTHER RESOLVED, that the president and any executive vice
           president of the Company be, and each of them hereby is,  authorized,
           empowered and directed,  in the name and on behalf of the Company, to
           executive and deliver such documents,  agreements,  and  instruments,
           and to do or cause to be done all such  other  acts or things as each
           of them may deem necessary or appropriate to effect the intent and to
           accomplish  the purposes of the  transactions  contemplated  by these
           resolutions, the taking of any such actions to be conclusive evidence
           of the authority granted hereby.






                              SETTLEMENT AGREEMENT
                              --------------------


           THIS SETTLEMENT AGREEMENT made and entered into as of the ____ day of
October,  1996 by and among DAVID L. FRIEDMAN of Boulder,  Colorado,  MICHAEL C.
TYLER,  of Camden,  Maine,  MICHAEL B.  PRIOR,  of  Portland,  Maine,  DANIEL J.
MAGUIRE,  of Harpswell,  Maine (referred to collectively as the  "Individuals");
BIRCH  GROVE  MANAGEMENT  COMPANY,  INC.,  a  Maine  corporation,   CEDAR  RIDGE
MANAGEMENT,  INC.,  a  Maine  corporation,   CEDAR  RIDGE  NURSING  CARE  CENTER
ASSOCIATES, a Maine limited partnership,  HARBOR HILL LIMITED LIABILITY COMPANY,
a Maine limited liability company, HOMEWOOD LIMITED PARTNERSHIP, a Maine limited
partnership,  NURSING  ADMINISTRATORS,  INC.,  a Maine  corporation,  OAK  GROVE
MANAGEMENT COMPANY,  INC., a Maine corporation,  PINE POINT NURSING CARE CENTER,
INC., a Maine  corporation,  RIVERRIDGE  MANAGEMENT,  INC., a Maine corporation,
RIVER RIDGE ASSOCIATES,  a Maine general  partnership,  SANDY RIVER DEVELOPMENT,
INC., a Maine corporation,  SANDY RIVER GROUP, a Maine corporation,  SPRINGBROOK
ASSOCIATES, a Maine general partnership,  SPRINGBROOK MANAGEMENT,  INC., a Maine
corporation,  SRG/HOMEWOOD,  INC., a Maine  corporation,  SRG/WINDWARD  GARDENS,
INC.,  a Maine  corporation,  THE  WILLOWS  MANAGEMENT  COMPANY,  INC.,  a Maine
corporation,  WILSON  STREAM  MANAGEMENT,  INC., a Maine  corporation,  WINDWARD
GARDENS LIMITED PARTNERSHIP, a Maine limited partnership,  WOODFORD PARK NURSING
CARE CENTER,  INC., a Maine  corporation  (collectively  the "SRG Entities") and
SANDY RIVER HEALTH SYSTEM LLC, a Maine limited liability  company,  as agent for
the SRG  Entities  ("SRHS"),  and  COMMUNITY  CARE OF AMERICA,  INC., a Delaware
corporation with its principal place of business in Naples,  Florida ("CCA") and
CCA OF MAINE, INC., a Delaware  corporation with its principal place of business
in Naples,  Florida ("CCA Maine") and CCA acting on behalf of MEDICAL  SUPPLY OF
AMERICA and REHAB AMBASSADORS, such entities being affiliates of CCA

                              W I T N E S S E T H :

           WHEREAS,  Leon  Bresloff,  Mary Bayer,  Richard  Boisvert,  Christine
Boisvert, David Sylvester, Sara Sylvester,  Eleanor Goldberg and D. Wayne Silby,
High Valley Group,  Inc. and Elder Solutions,  Inc.  (collectively the "Minority
Holders") and the Individuals  entered into a certain  Purchase Option Agreement
with CCA and CCA Maine dated June 23, 1995 (the "Option Agreement"); and

           WHEREAS, CCA Maine entered into ten Management Agreements,  all dated
June 23, 1995,  with  certain of the  Individuals  and of the SRG Entities  with
respect to Woodford  Park Nursing Care Center,  Pine Point  Nursing Care Center,
Marshwood  Nursing Care  Center,  RiverRidge,  Springbrook  Nursing Care Center,
Sandy River  Nursing Care  Center,  Cedar Ridge  Nursing Care Center,  Sedgewood
Commons, Harbor Hill and Windward Gardens, all nursing homes owned by certain of
the SRG  Entities,  as well as a letter of intent  dated  August  14,  1995 with
respect  to  The  Willows,   Oak  Grove  and  Birch  Grove   (collectively   the
"Facilities") (such


<PAGE>



Management  Agreements are referred to  collectively  herein as the  "Management
Agreements"); and

           WHEREAS, CCA Maine sent the SRG Entities a written notice on July 14,
1996 stating its intention to terminate the Management Agreements; and

           WHEREAS,  CCA and/or CCA Maine  have  entered  into a number of other
written agreements with certain of the Individuals,  Minority Holders and/or SRG
Entities,  more  particularly  described on Exhibit A attached hereto and made a
part hereof (collectively the "Miscellaneous Agreements"); and

           WHEREAS,  certain of the SRG Entities  commenced suit, for injunctive
and other relief,  in Superior  Court,  Androscoggin  County,  in a civil action
captioned Nursing  Administrators,  Inc. v. Community Care of America,  Inc., et
al., Docket No. CV-96-____ (the "Lawsuit"); and

           WHEREAS,  the parties to this Agreement have determined that it is in
their mutual best interests to terminate the Management  Agreements,  modify the
Option  Agreement  and  terminate  or  continue  certain  of  the  Miscellaneous
Agreements  and to enter  into a  comprehensive  financial  settlement  of their
mutual obligations, all on the terms and conditions set forth in this Agreement;
and

           WHEREAS,  as part of the consideration  for this settlement,  SRHS is
assuming the obligation to settle any claims owed by CCA to the SRG Entities;

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

           1.  Termination  of Management  Agreements.  Subject to the terms and
conditions of this Agreement, the Management Agreements and the letter of intent
dated August 14, 1995 with respect to Birch Grove, Oak Grove and The Willows are
hereby  terminated  effective the date of this Agreement.  At the closing of the
settlement  described  in this  Agreement,  CCA Maine  shall  assign to SRHS all
accrued, unpaid management fees under the Management Agreements by assignment in
form and substance similar to that attached hereto as Exhibit B.

           2. Limited  Continuation of Option  Agreement.  The time during which
the option  granted by the Option  Agreement  may be  exercised,  as provided in
Section 3 of the  Option  Agreement,  is  hereby  made to expire at the close of
business on January 2, 1997. In the event CCA Maine exercises the option granted
in the Option  Agreement  pursuant  to the terms of the Option  Agreement  on or
before January 2, 1997, and  notwithstanding  anything to the contrary contained
in  the  Option  Agreement,  CCA  of  Maine  (a)  shall  pay  as  an  additional
non-refundable  deposit  $480,000  as a  condition  of, and at the time of, such
exercise,  in immediately available funds paid by wire transfer to SRHS as agent
and (b)  shall  have a period of 30 days  after  exercise,  subject  to the next
sentence, in which to close on its purchase of the Facilities. In no event shall
the Option Agreement extend beyond 5:00 PM February 3, 1997, even if the option

                                        2

<PAGE>



has been  exercised.  The  Option  Agreement  shall be deemed  modified  by this
Section  and by  other  provisions  of  this  Agreement  specifically  amending,
changing  or  modifying  the Option  Agreement.  The Option  Agreement  shall be
construed  together  with  this  Agreement,  and to the  extent  there  are  any
inconsistencies between the Option Agreement and this Agreement,  this Agreement
shall be controlling.

           3.  Miscellaneous  Agreements.  Exhibit A attached hereto  identifies
those of the Miscellaneous  Agreements which shall survive and those which shall
be  terminated  effective  as of  the  date  of  this  Agreement.  As  to  those
Miscellaneous Agreements listed on Exhibit A that are to terminate effective the
date of this Agreement, neither party shall have further liability to the other.
CCA and CCA Maine  agree that they shall  continue to perform  their  respective
obligations under those Miscellaneous  Agreements that shall survive the closing
of the settlement described in this Agreement. SRHS shall be responsible for and
shall have the benefit of all cost  reports and  exceptions  to the Routine Cost
Limitations  ("RCLs").  CCA Maine shall send all work  relating to 1995 Medicare
RCLs , including all work papers, diskettes and other materials to SRHS and SRHS
shall complete the 1995 Medicare RCLs. In addition, any other agreements between
CCA and/or CCA Maine and Leon  Bresloff  and Mary Bayer are not affected by this
Agreement.

           4. Offset of Claims.  In  consideration of CCA and CCA Maine waiving,
canceling and forgiving all amounts due (including any interest accrued thereon)
by  certain  of the  SRG  Entities  with  respect  to the  Facilities  and  more
particularly  described  on  Exhibit C attached  hereto  and made a part  hereof
(collectively   the  "Working  Capital   Lines"),   the  SRG  Entities  and  the
Individuals,  for  themselves and their  successors and assigns,  hereby forever
waive and  relinquish  all  claims  against  CCA and CCA Maine  asserted  in the
Lawsuit,  but not including those  obligations of CCA and CCA Maine  undertaken,
continued  or  modified  pursuant to this  Agreement.  In  consideration  of the
foregoing waiver and relinquishment by certain of the SRG Entities of all claims
against  CCA and CCA Maine  asserted in the  Lawsuit,  but not  including  those
obligations of CCA and CCA Maine  undertaken,  continued or modified pursuant to
this  Agreement,  CCA and CCA Maine,  for  themselves  and their  successors and
assigns,  do hereby waive,  cancel and forgive all amounts due under the Working
Capital Lines  (including  any interest  accrued  thereon).  Upon executing this
Settlement Agreement,  CCA Maine hereby authorizes and directs its attorney John
P. Doyle, Jr. to execute and to deliver to those SRG Entities that are liable on
the Working Capital Lines discharges and UCC-3 terminations of all mortgages and
financing statements securing the Working Capital Lines. CCA and CCA Maine shall
deliver the  original  Working  Capital Line  promissory  notes to SRHS as agent
marked "paid in full." CCA and CCA Maine shall  provide such evidence as the SRG
Entities shall request showing that NationsBank of Florida,  N.A., has consented
to the  cancellation  of  the  Working  Capital  Lines  and  the  return  of the
collateral for the same.

           5.  Modification  of Stock Options and Put Option with Respect to the
Individuals and Minority Holders.


                                        3

<PAGE>



           (a) With  respect to the  rights  granted by CCA and CCA Maine to the
Individuals  to acquire  shares of common stock of CCA (the "Stock  Options") in
and  pursuant to those  certain  Stock  Option  Agreements  between  each of the
Individuals  and CCA  dated  July 11,  1995,  (collectively  the  "Stock  Option
Agreements"),  and notwithstanding any provisions in the Stock Option Agreements
to the contrary dealing with the vesting of the Stock Options, CCA and CCA Maine
agree  that all of the shares of the  common  stock of CCA  subject to the Stock
Options,  for a total of twenty thousand (20,000) shares,  are as of the date of
this Agreement  fully vested with respect to the Stock Options,  and, as to such
twenty thousand (20,000) shares,  the Stock Options shall be nonforfeitable  and
immediately exercisable, and, upon exercise thereof, all stock so acquired shall
be freely tradeable.

           (b) With  respect  to the rights  granted by CCA and CCA Maine  under
Section 9(j) of the Option  Agreement to require the purchase of common stock of
CCA previously  issued to each of the  Individuals  and the Minority  Holders in
connection  with the payment of the  deposit  under  Section  8(a) of the Option
Agreement (the "Put Option") covering the shares of CCA common stock held by the
Individuals,  such Put  Option  shall  continue  in full  force and  effect,  as
modified by this  Section,  and CCA hereby agrees that it is liable with respect
to the Put Option.  Without regard to any  limitations as to percentages of such
stock to be put or as to dates for such puts,  all shares of stock under the Put
Option are hereby  exercised and CCA  acknowledges  and agrees to such exercise.
The Individuals  agree they shall not demand payment for the stock hereby put to
CCA until the earlier to occur of (i)  February 28, 1997 or (ii) the sale of all
or  substantially  all of the  assets  of CCA or the sale of a  majority  of the
issued and outstanding shares of stock of CCA to a third party, or the merger of
CCA with or into another  entity,  or any similar type of  transaction  (each, a
"Sale  Transaction").  If the  sale of CCA is  structured  as a  stock-for-stock
transaction,  the  Individuals and Minority  Holders hereby agree to accept,  in
lieu of cash,  shares of stock in the acquiring entity in an amount that results
in the Individuals and Minority Holders  receiving stock in the acquiring entity
of a market value on the date of closing equal to the value of the shares in CCA
held by the Individuals and Minority  Holders at the price under the Put Option,
and provided  that the stock of the  acquiring  entity is fully  registered  and
freely tradeable upon issuance to the Individuals and Minority Holders.

           6.  Continuation  and  Extension  of Put Rights with Respect to Maine
Head Trauma  Center.  The put options  granted to the  Individuals  in the Stock
Purchase  Agreement  (the "MHTC  Agreement")  among CCA,  CCA Maine,  Maine Head
Trauma Center,  Inc. and the Individuals and others dated as of November 1, 1995
(the "MHTC Put Options") shall continue in full force and effect,  and the dates
contained in Section  2.1(j) of the MHTC  Agreement  governing the period during
which the MHTC Put Options may be exercised are hereby  changed as follows:  The
shares  subject to the First Put Period (as defined in the MHTC  Agreement)  and
the Second Put Period (as defined in the MHTC  Agreement)  are hereby  exercised
and  shall be paid at the same  time as those  Put  Option  rights  set forth in
Section  5(b)  above  and the MHTC  Agreement  shall  be  deemed  to be  amended
accordingly. The Put Option price shall be as provided in the MHTC Agreement.


                                        4

<PAGE>



           7.  Appointment  of Agent with Respect to Put Option.  The holders of
the rights described in Sections 5 and 6 above hereby irrevocably  appoint James
N. Broder,  Esquire,  Curtis Thaxter Stevens Broder & Micoleau, One Canal Plaza,
Portland,  Maine 04412 as agent to hold the shares of stock to be tendered under
Sections 5 and 6 and to deliver  the  certificates  evidencing  said shares upon
tender of payment as required hereunder.  In the event CCA fails to make payment
of or to otherwise  perform under this  Agreement,  CCA agrees that such holders
shall be entitled to recover from CCA their  reasonable  legal fees and expenses
in addition to any other damages  incurred by reason of CCA's said failure.  CCA
waives any  conflict of interest  arising  from Mr.  Broder's  serving as escrow
agent under this Section and releases Mr. Broder from all  liability  except for
that arising from his intentional tortious acts.

           8. Additional Consideration for Settlement. The consideration for the
Settlement  described  herein shall be the mutual offset  described in Section 4
above.  In  addition,  CCA and CCA Maine agree  jointly and  severally to pay to
SRHS,  as agent for the SRG Entities  and the  Individuals,  including,  without
limitation,   David  L.  Friedman,  without  offset  or  deduction,  $50,000  in
immediately available funds, as follows: $25,000 on or before November 15, 1996,
and  $25,000  on the  earlier to occur of (i)  February  28,  1997,  or (ii) the
closing of a Sale  Transaction,  in payment of legal fees and  expenses  paid or
accrued by the SRG Entities and the  Individuals,  including  David L. Friedman,
between September 15, 1996 and the closing of this Agreement.

           9. Rehab Ambassadors. CCA represents and warrants to the SRG Entities
and the  Individuals  that One Hundred  Twenty  Thousand  Dollars  ($120,000.00)
previously  paid to CCA in July or August  1996 was  applied on that date to the
account of Rehab Ambassadors, an affiliate of CCA. Provided the $120,000 payment
was made to Rehab  Ambassadors,  the SRG Entities agree that they shall continue
to use the services of Rehab  Ambassadors,  except that the SRG  Entities  shall
have the right to  terminate  Rehab  Ambassadors  severally  on thirty (30) days
notice.  In addition,  Rehab Ambassadors will be treated the same as other trade
payables, i.e., shall be paid no sooner or later than any other accounts payable
of the SRG  Entities.  The amounts owing to Rehab  Ambassadors  as of August 31,
1996 are as shown on Exhibit D hereto and are hereby  confirmed by CCA and Rehab
Ambassadors.

           10. Office Lease.  SRHS shall enter into a Sublease with CCA Maine in
form and  substance  similar  to that  attached  hereto as  Exhibit  E. The rent
payable by SRHS shall be the rent payable by CCA Maine to Dead River Properties,
the Landlord under the Lease. The Sublease shall be for an initial term expiring
on February  14, 1997 with the right to extend for  additional  six month terms.
CCA and CCA  Maine  acknowledge  that all  furniture,  fixtures,  machinery  and
equipment located on the premises  described in the Sublease belong to SRHS. Any
additions,  accessions,  modifications  or  substitutions  to such equipment are
hereby transferred, sold and conveyed to SRHS.


                                        5

<PAGE>



           11. Continuation of Workers  Compensation  Program.  The SRG Entities
agree to continue utilizing the workers  compensation program currently covering
the SRG Entities'  employees until the end of the current policy term,  which is
March 31, 1997.

           12. No Amounts Owed to Medical Supply.  CCA and CCA Maine acknowledge
and confirm that none of the SRG Entities and none of the  Individuals  owes any
sums whatsoever to Medical Supply of America, an affiliate of CCA.

           13.  Representations and Warranties of CCA and CCA Maine. CCA and CCA
Maine jointly and severally warrant and represent to the Individuals and the SRG
Entities as follows:

                    a.  Each  of  CCA  and  CCA  Maine  is  a  validly   created
corporation in good standing under the laws of Delaware and has been  authorized
by all necessary  corporate  action to execute and deliver this Agreement and to
complete the transactions  described herein.  Certified corporate resolutions to
that  effect  will be  delivered  to SRHS  within  5 days of  execution  of this
Agreement.

                    b.  Neither  CCA nor CCA Maine is  required  to  obtain  the
consent of any party in order to enter into this  Agreement  and to perform  its
respective obligations hereunder.

                    c. Except for the Lawsuit, there is no litigation pending or
threatened, nor any proceeding before any other court or tribunal either pending
or threatened against CCA or CCA Maine that would have a material adverse effect
upon the performance by CCA or CCA Maine of their respective  obligations  under
this Agreement.

                    d.  Except  for an  assignment  in favor of  NationsBank  of
Florida,  N.A.,  CCA  Maine is the  holder  of the  promissory  notes,  security
agreements,  and all other documents and instruments  evidencing or securing the
Working  Capital  Lines,  has not assigned or  transferred  the Working  Capital
Lines,  and has the right to discharge and terminate the same as required by the
terms of this Agreement.  NationsBank of Florida N.A. has consented to the terms
of this Settlement Agreement.

           14.  Representations  and  Warranties  by the SRG  Entities.  The SRG
Entities jointly and severally warrant to CCA and CCA Maine as follows:

                    a.  Each  of  the  SRG   Entities   is  a  validly   created
corporation,  general  partnership,  limited  partnership  or limited  liability
company,  as the case may be, in good  standing  under the laws of Maine and has
been  authorized by all necessary  corporate  action to execute and deliver this
Agreement and to complete the transactions described herein.

                    b.  None of the SRG  Entities  is  required  to  obtain  the
consent of any party in order to enter into this  Agreement  and to perform  its
respective obligations hereunder.


                                        6

<PAGE>



                    c. Except for the Lawsuit, there is no litigation pending or
threatened, nor any proceeding before any other court or tribunal either pending
or threatened against any of the SRG Entities that would have a material adverse
affect upon the performance by the SRG Entities of their respective  obligations
under this Agreement.

           15.  Indemnification  by CCA and CCA of Maine. CCA and CCA Maine, and
their respective  successors and assigns,  shall jointly and severally indemnify
and defend the SRG Entities,  the Individuals,  and their respective successors,
assigns,  heirs  and  personal  representatives  from  and  against  any and all
liability,  costs, damages, and claims arising from or in any way related to (i)
all claims,  demands and liabilities by or in favor of Rehab Ambassadors arising
from or in any way  related to the  $120,000  payment  referred  to in Section 9
above,  including  whether or not such  payment  was in fact  received  by Rehab
Ambassadors, (ii) all claims, demands and liabilities (including fines) that may
be imposed upon or asserted  against the SRG  Entities by reason of  operational
matters within the Facilities  arising from actions or omissions of CCA Maine or
any affiliates  between August 15, 1995 and August 14, 1996 and (iii) any breach
of the  representations  and warranties set forth in Section 13 above.  Upon the
happening of any event  covered by this  indemnity,  CCA and CCA Maine shall pay
the amount of such loss upon demand.  This indemnity  shall also cover all costs
associated  with   collection  or  enforcement  of  this  indemnity,   including
reasonable  attorneys'  fees.  This  indemnity  shall continue in full force and
effect for a period of six (6) years from the closing of this settlement.

           16.  Indemnification  by SRG  Entities.  The SRG  Entities  and their
respective  successors  and assigns,  shall jointly and severally  indemnify and
defend CCA, CCA Maine,  and their  respective  successors and assigns,  from and
against any and all liability, costs, damages, and claims arising from or in any
way related to (i) any breach of the representations and warranties set forth in
Section 14 above,  and (ii) any claims by the Minority  Holders arising from the
settlement  described  in this  Agreement,  except  with  respect to  continuing
obligations of CCA or CCA Maine to certain of the Minority  Holders as described
in  Sections  3, 5 and 6 above.  This  indemnity  shall  also  cover  all  costs
associated  with   collection  or  enforcement  of  this  indemnity,   including
reasonable  attorneys'  fees.  This  indemnity  shall continue in full force and
effect for a period of six (6) years from the closing of this settlement.

           17.  Closing.  The  closing  of  the  settlement  described  in  this
Agreement shall take place on October ___, 1996. At the closing:

                    a.  CCA  shall  execute  and  deliver  original  termination
statements and mortgage discharges releasing all of the mortgages and all of the
UCC-1 financing statements covering the Facilities, in form for proper recording
and filing at the appropriate public office.

                    b. CCA Maine shall execute and deliver the  Assignment  with
respect  to unpaid  management  fees,  the form of which is  attached  hereto as
Exhibit B.


                                        7

<PAGE>



                    c. CCA Maine and SRHS shall execute the  Sublease,  the form
of which is attached hereto as Exhibit E.

                    d.  The  parties   shall  execute  such  other  and  further
documents as shall be necessary  to complete  the  settlement  described in this
Agreement.

           18.  Release  by CCA and CCA of  Maine.  CCA  and CCA of  Maine,  for
themselves and their respective successors and assigns,  hereby remise,  release
and forever  discharge and, by these presents,  do, for themselves and for their
agents and representatives, hereby remise, release and forever discharge the SRG
Entities,  the  Individuals  and the  Facilities  and  their  respective  heirs,
successors,  agents, attorneys, personal representatives and assigns of and from
all claims, debts, demands,  actions,  causes of action,  covenants,  contracts,
controversies,  agreements,  promises,  doings, omissions,  variances,  damages,
executions,  claims, rights,  liabilities,  suits, dues, sums and sums of money,
accounts, reckonings, presentments, liens and any other claim of whatsoever kind
or nature,  whether known or unknown, of every name and nature, either at law or
in equity or otherwise,  which CCA and CCA Maine,  or either of them,  ever had,
now have or which may result in the future  from the  existing  or past state of
things,  from the beginning of time to the date of closing  specified in Section
17 above,  arising from, or in any way relating to, the  Management  Agreements,
the  Option  Agreement  (except  as  provided  below),  and those  Miscellaneous
Agreements  listed  on  Exhibit A  attached  hereto  that are  being  terminated
pursuant to this Agreement, as well as the Lawsuit. This release shall not cover
or apply to any  obligations of the SRG Entities or the  Individuals  under this
Agreement,  including,  without limitation, the indemnities set forth in Section
16  above,  or  under  the  Option  Agreement  as it has been  modified  by this
Agreement, all of which obligations shall continue in full force and effect.

           19. Release by the Individuals and the SRG Entities.  The Individuals
and the SRG Entities, for themselves and their respective heirs,  successors and
assigns,  hereby remise,  release and forever  discharge and, by these presents,
do, for  themselves  and for their agents and  representatives,  hereby  remise,
release and forever discharge CCA and CCA Maine and their respective successors,
assigns,  agents and attorneys of and from all claims, debts, demands,  actions,
causes of action, covenants,  contracts,  controversies,  agreements,  promises,
doings, omissions,  variances, damages, executions, claims, rights, liabilities,
suits, dues, sums and sums of money, accounts, reckonings,  presentments,  liens
and any other claim of whatsoever kind or nature,  whether known or unknown,  of
every  name and  nature,  either  at law or in equity  or  otherwise,  which the
Individuals  and the SRG Entities,  or any of them,  ever had, now have or which
may result in the future  from the  existing  or past state of things,  from the
beginning of time to the date of closing specified in Section 17 above,  arising
from, or in any way relating to, the Management Agreements, the Option Agreement
(except as provided below), and those Miscellaneous Agreements listed on Exhibit
A attached hereto that are being terminated pursuant to this Agreement,  as well
as the Lawsuit.  This release shall not cover or apply to (i) any obligations of
CCA or CCA Maine  under  this  Agreement,  including,  without  limitation,  the
indemnities set forth in Section 15 above and under the Option Agreement,  Stock
Option  Agreement  and  MHTC  Agreement,  as they  have  been  modified  by this
Agreement, all of which

                                        8

<PAGE>



obligations shall continue in full force and effect, or to (ii) any liability of
CCA or CCA Maine arising from operation of the Facilities,  other than the third
party  reimbursement or other financial  obligations that have been addressed by
this  Agreement.  The  parties'  intent  is that  this  release  shall not cover
obligations owed by CCA and CCA Maine as Manager to patients and with respect to
day-to-day operations of the Facilities.

           20. Further Assurances. The parties to this Agreement agree that they
shall  perform all such further  acts and execute all such further  documents as
may be necessary or required in order to complete the transactions  described in
this Agreement.

           21. Miscellaneous.  Time is of the essence. This Agreement sets forth
the entire  Agreement of the parties and  supersedes  all prior  agreements  and
understandings,  whether  oral or  written.  No  modification  or  waiver of any
provision  of this  Agreement  shall be  effective  unless  the same shall be in
writing and  executed by all parties  hereto.  All notices,  demands,  and other
communications  under this Agreement  shall be in writing and shall be deemed to
have  been  duly  given  to  the   recipient  if  mailed  by   certified   mail,
postage-prepaid,  or if by sent  by  hand  delivery  or by  reputable  overnight
delivery service, address to the recipient at the following addresses:

           If to CCA and CCA Maine:

                                          3050 North Horseshoe Drive
                                          Suite 260
                                          Naples, Florida  33942

           with a copy to:

                                          Michael Blass, Esquire
                                          Blass & Driggs
                                          461 Fifth Avenue, 19th Floor
                                          New York, New York 10017

           If to any of the SRG Entities or Individuals:

                                          c/o Sandy River Development
                                          183 Middle Street
                                          P.O. Box 110
                                          Portland, Maine  04112

           with a copy to:

                                          James N. Broder, Esquire
                                          Curtis Thaxter Stevens Broder & 
                                          Micoleau LLC
                                          One Canal Plaza--P.O. Box 7320

                                        9

<PAGE>



                                          Portland, Maine 04112

Any party may change addresses by providing written notice of such change to the
other parties hereto. All  representations and warranties made by the parties in
this Agreement  shall survive the delivery of this  Agreement  shall continue in
full force and effect.  This Agreement shall be binding upon and shall inure the
benefit of the  parties  and their  respective  successors,  assigns,  heirs and
personal  representatives.  This  Agreement  may be  executed  in any  number of
counterparts,  each of  which  shall be  deemed  an  original,  but all of which
together shall  constitute  one and the same  instrument.  The  representations,
warranties  and  indemnities  contained  in  Sections  13, 14, 15 and 16 of this
Agreement  shall survive the closing of the settlement  described  herein.  This
Agreement  shall be  construed  under the laws of the  State of  Maine.  Section
headings used in this  Agreement are for  convenience  only and shall not affect
the construction of this Agreement.

           IN WITNESS  WHEREOF,  the parties  have caused this  Agreement  to be
executed as of the day and year first written above.

WITNESS:                               COMMUNITY CARE OF AMERICA,
                                       INC.


_________________________________      By:_______________________________
                                             Name:
                                             Title:

                                       CCA OF MAINE, INC.


_________________________________      By:_______________________________
                                             Name:
                                             Title:

                                       MEDICAL SUPPLY OF AMERICA

                                       BY:        COMMUNITY CARE OF
                                                  AMERICA, INC., its duly
authorized                                                  agent


_________________________________      By:_______________________________
                                            Name:
                                            Title:


                                       10

<PAGE>



                                      REHAB AMBASSADORS

                                      BY:        COMMUNITY CARE OF
                                                 AMERICA, INC., its duly
authorized                                                 agent


_________________________________     By:______________________________
                                           Name:
                                           Title:

                                      CEDAR RIDGE MANAGEMENT, INC.


_________________________________     By:_______________________________
                                            David L. Friedman, its President

                                      BIRCH GROVE MANAGEMENT
                                      COMPANY, INC.


_________________________________     By:_______________________________
                                           David L. Friedman, its President

                                      CEDAR RIDGE NURSING CARE
                                      CENTER ASSOCIATES

                                      BY:        SANDY RIVER GROUP, its
                                                 General Partner


_________________________________     By:_______________________________
                                            David L. Friedman, its President

                                      HARBOR HILL LIMITED LIABILITY
                                      COMPANY


_________________________________     By:_______________________________
                                            David L. Friedman, its Member

                                      HOMEWOOD LIMITED PARTNERSHIP


                                       11

<PAGE>



                                      BY:        SEDGEWOOD LIMITED
                                                 LIABILITY COMPANY, its
                                                           General Partner


_________________________________     By:_______________________________
                                            David L. Friedman, its Member

                                      NURSING ADMINISTRATORS, INC.


_________________________________     By:_______________________________
                                            David L. Friedman, its President

                                      OAK GROVE MANAGEMENT
                                      COMPANY, INC.


_________________________________     By:_______________________________
                                           David L. Friedman, its President

                                      PINE POINT NURSING CARE CENTER,
                                      INC.


_________________________________     By:_______________________________
                                            David L. Friedman, its President

                                      RIVER RIDGE MANAGEMENT, INC.


_________________________________     By:_______________________________
                                            David L. Friedman, its President



                                      RIVER RIDGE ASSOCIATES

                                      BY:        SANDY RIVER GROUP, its
                                                 General Partner


_________________________________     By:_______________________________

                                       12

<PAGE>



                                              David L. Friedman, its President

                                        SANDY RIVER DEVELOPMENT, INC.


_________________________________       By:_______________________________
                                             David L. Friedman, its President

                                        SANDY RIVER GROUP


_________________________________       By:_______________________________
                                              David L. Friedman, its President

                                        SPRINGBROOK ASSOCIATES

                                        BY:        SANDY RIVER GROUP, its
                                                   General Partner


_________________________________       By:_______________________________
                                              David L. Friedman, its President

                                        SPRINGBROOK MANAGEMENT, INC.


_________________________________       By:_______________________________
                                              David L. Friedman, its President

                                        SRG/HOMEWOOD, INC.


_________________________________       By:_______________________________
                                              David L. Friedman, its President




                                        SRG/WINDWARD GARDENS, INC.


_________________________________       By:_________________________________
                                              David L. Friedman, its President

                                       13

<PAGE>



                                        THE WILLOWS MANAGEMENT
                                        COMPANY, INC.


_________________________________       By:_______________________________
                                              David L. Friedman, its President

                                        WILSON STREAM MANAGEMENT,
                                        INC.


_________________________________       By:_______________________________
                                              David L. Friedman, its President

                                        WINDWARD GARDENS LIMITED
                                        PARTNERSHIP

                                        BY:        WINDWARD GARDENS
                                                   LIMITED LIABILITY COMPANY,
                                                   its General Partner


_________________________________       By:_______________________________
                                              David L. Friedman, its Member

                                        WOODFORD PARK NURSING CARE
                                        CENTER, INC.


_________________________________       By:_______________________________
                                              David L. Friedman, its President

                                        SANDY RIVER HEALTH SYSTEM LLC


_________________________________       By:_______________________________
                                              David L. Friedman, its Member


- - ---------------------------------       ----------------------------------
                                        David L. Friedman



                                       14

<PAGE>



- - ---------------------------------   ----------------------------------
                                    Michael C. Tyler


- - ---------------------------------   ----------------------------------
                                    Michael B. Prior


- - ---------------------------------   ----------------------------------
                                    Daniel J. Maguire


                                                           LIMITED JOINDER


           The undersigned,  being all of the Minority Holders identified above,
hereby  join in this  Settlement  Agreement  for the  purpose of agreeing to the
provisions of Sections 5(b), 6 and 7 above, as applicable.

WITNESS:


- - ---------------------------------        ---------------------------------
                                         Leon Bresloff


- - ---------------------------------        ---------------------------------
                                         Mary Bayer


- - ---------------------------------        ---------------------------------
                                         D. Wayne Silby


- - ---------------------------------        ---------------------------------
                                         Richard Boisvert


- - ---------------------------------        ---------------------------------
                                         Christine Boisvert




                                       15

<PAGE>



- - ---------------------------------         ---------------------------------
                                          Eleanor Goldberg


- - ---------------------------------         ---------------------------------
                                          David Sylvester


- - ---------------------------------         ---------------------------------
                                          Sarah Sylvester

                                          HIGH VALLEY GROUP, INC.


_________________________________         By:______________________________
                                                     Its:

                                          ELDER SOLUTIONS, INC.


_________________________________         By:______________________________
                                                     Its:


- - ---------------------------------         ---------------------------------
                                          Anne Hess


- - ---------------------------------         ---------------------------------
                                          Terri-Lee Brown

- - ---------------------------------         ---------------------------------
                                          Judith Smith


- - ---------------------------------         ---------------------------------
                                          Robert Gass


- - ---------------------------------         ---------------------------------
                                          Marc Sarkady



                                       16

<PAGE>



- - ---------------------------------            ---------------------------------
                                             Peter Troast






                                       17

<PAGE>



                     SETTLEMENT AGREEMENT--LIST OF EXHIBITS


           Exhibit A:         Miscellaneous Agreements.
           Exhibit B:         Form of Assignment of unpaid management fees.
           Exhibit C:         List of Working Capital Lines.
           Exhibit D:         Rehab Ambassadors Payables.
           Exhibit E:         Form of Sublease.








                                       18

<PAGE>



                                    EXHIBIT A

                            MISCELLANEOUS AGREEMENTS


MISCELLANEOUS AGREEMENTS BEING TERMINATED:


           1. Side letter to David L. Friedman from CCA and CCA Maine dated June
23, 1995 re depreciation recapture.

           2. Side letter between Harbor Hill Limited  Liability Company and CCA
dated June 23, 1995, as amended, re Harbor Hill start-up.

           3. Side letter  between CCA and David L. Friedman dated June 23, 1995
re automobile leases.

           4.  Consulting  Agreement  dated July 10, 1995  between CCA and Sandy
River Development, Inc.

           5. Services Agreement dated June 23, 1995 between CCA Maine and Sandy
River Development, Inc.

           6.  Development  Agreement term sheet dated June 30, 1995 between CCA
and Sandy River Development, Inc.

           7.  Replacement  Promissory Note in the original  principal amount of
$21,846.61 dated July 12, 1991 made by River ridge Management,  Inc. in favor of
Amethyst E.G. Mountfort Revocable Trust and endorsed to CCA Maine.

           8.  Replacement  Promissory Note in the original  principal amount of
$21,704.31 dated August 6, 1991 made by River ridge Management, Inc. in favor of
Amethyst E.G. Mountfort Revocable Trust and endorsed to CCA Maine.

           9.  Replacement  Promissory Note in the original  principal amount of
$14,470.20 dated August 2, 1991 made by River ridge Management, Inc. in favor of
Christine Boisvert and endorsed to CCA Maine.

           10.  Replacement  Promissory Note in the original principal amount of
$14,564.40 dated July 15, 1991 made by River ridge Management,  Inc. in favor of
Christine Boisvert and endorsed to CCA Maine.


                                       19

<PAGE>



           11.  Replacement  Promissory Note in the original principal amount of
$8,000  dated  August 4, 1992 made by River ridge  Management,  Inc. in favor of
Christine Boisvert and endorsed to CCA Maine.

           12.  Replacement  Promissory Note in the original principal amount of
$12,000  dated August 7, 1992 made by River ridge  Management,  Inc. in favor of
David L. Friedman and endorsed to CCA Maine.

           13. Side letter to David Fater from David  Friedman  dated August 10,
1995 re Owner Entities' working capital loans.

           14. Non-Competition Agreements of various dates between CCA Maine and
Richard  Boisvert and  Christine  Boisvert,  Sara  Sylvester,  David  Sylvester,
Eleanor Goldberg,  David Friedman,  Michael Tyler, Michael Prior, Daniel Maguire
and Sandy River Development, Inc.


MISCELLANEOUS AGREEMENTS CONTINUING IN FULL FORCE AND EFFECT:


           1. The MHTC Agreement and all documents and  instruments  executed in
connection therewith, as modified by this Agreement.

           2 The Stock Options, as modified by this Agreement.





                                       20

<PAGE>



                                    EXHIBIT B

                                   ASSIGNMENT


           KNOW ALL PERSONS BY THESE PRESENTS, that CCA OF MAINE, INC., a
Delaware  corporation  with  a  place  of  business  in  Naples,   Florida  (the
"Assignor"), for valuable consideration, the receipt and sufficiency of which is
hereby acknowledged,  hereby grants, transfers,  assigns, sets over and delivers
to SANDY RIVER HEALTH SYSTEM LLC, a Maine limited liability company with a place
of business in Portland, Maine (the "Assignee"),  all accrued, unpaid management
fees due to assignor under those certain  Management  Agreements  dated June 23,
1995 with Assignor as manager with respect to Woodford Park Nursing Care Center,
Pine Point  Nursing Care  Center,  Marshwood  Nursing  Care Center,  RiverRidge,
Springbrook  Nursing Care Center,  Sandy River Nursing Care Center,  Cedar Ridge
Nursing Care Center, Sedgewood Commons, Harbor Hill and Windward Gardens.

           This  Assignment is the  assignment  referred to in Section 1 of that
certain Settlement  Agreement by and among Assignor,  Assignee and others.  This
Assignment  is  subject  to  and  shall  be  construed  consistently  with  such
Settlement Agreement.

           IN WITNESS WHEREOF,  CCA of Maine, Inc. has caused this Assignment to
be executed by  _____________________________,  its ________________,  thereunto
duly authorized, this _____ day of October, 1996.

WITNESS:                                CCA OF MAINE, INC.



_________________________________       By:_______________________________
                                                   Its:
                                                   Print Name:





                                       21

<PAGE>



                                    EXHIBIT C

                          LIST OF WORKING CAPITAL LINES




        NAME OF FACILITY                       FACE AMOUNT OF    OUTSTANDING
                                               LINE              AMOUNT AS OF
                                                                 August 14, 1996

Windward Gardens Limited Partnership           $145,000             $
Revolver
Windward Gardens Term Note                     $200,000             $
Homewood Limited Partnership Revolver          $450,000             $
Nursing Administrators, Inc. Revolver          $325,000             $
Springbrook Management Revolver                $350,000             $         *
RiverRidge Management Revolver                 $570,000             $         *
Cedar Ridge Management Revolver                $225,000             $         *
Pine Point Nursing Care Center, Inc.           $150,000             $
Revolver
Wilson Stream Management Revolver              $200,000             $
Woodford Park Nursing Care Center, Inc.        $300,000             $
Revolver


           * Includes  principal  amount of SRG land loans with  respect to land
adjacent to these Facilities.


                                       22

<PAGE>



                                    EXHIBIT D

                                     SUMMARY

                             ACCOUNTS PAYABLE DUE TO
                                REHAB AMBASSADORS
                              AS OF AUGUST 31, 1996


Sandy River Nursing Care Center                        $  93,062.89

Marshwood Nursing Care Center                          $  68,747.24

Springbrook Nursing Care Center                        $  89,807.52

Pine Point Nursing Care Center                         $  30,495.82

Woodford Park Nursing Care Center                      $  45,756.67

                                              TOTAL:   $327,870.14




                                       23

<PAGE>



                                    EXHIBIT E

                                    SUBLEASE


           SUBLEASE made this ______ day of October, 1996, by and between CCA OF
MAINE, INC., a Delaware corporation with a place of business in Portland,  Maine
("Landlord")  and SANDY  RIVER  HEALTH  SYSTEM  LLC, a Maine  limited  liability
company with a place of business in Portland, Maine ("Tenant")

                              W I T N E S S E T H:

           WHEREAS,  Landlord is tenant under that certain Lease dated  November
14, 1995 (the "Prime Lease") with Dead River Company,  acting by and through its
division, Dead River Properties, as Landlord (the "Prime Landlord") with respect
to approximately  3,838 square feet of office space in Prime Landlord's building
known as  Atlantic  Place and located at Darling  Avenue and Foden  Road,  South
Portland, Maine; and

           WHEREAS,  Landlord  wishes to sublease  such space to Tenant upon the
terms and conditions contained in this Sublease and in the Prime Lease;

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

           1.  Premises  Subleased.  Landlord  subleases  to Tenant,  and Tenant
subleases from  Landlord,  the entire space leased to Landlord by Prime Landlord
under the terms of the Prime  Lease,  with all rights in common  with  others in
common areas in Prime Landlord's building (collectively the "Premises").

           2. Term;  Right to Renew.  The term of this Sublease shall be for six
months  beginning  on the date of this Lease and ending on February  ___,  1997.
Provided  Tenant is not in default  under this  Sublease,  Tenant may renew this
Sublease for successive terms, each of six months' duration,  upon the terms and
conditions contained herein, provided Tenant gives written notice to Landlord of
Tenant's  election  to renew at least  sixty  (60)  days  before  the end of the
then-current term.

           3. Rent.  Tenant  covenants and agrees to pay rent during the term in
the amount of ____________________________________________ Dollars ($__________)
per month,  payable  in advance on the first day of each month  during the term.
Rent for partial months shall be prorated.

           4.  Utilities.  Tenant  shall pay all charges  for gas,  electricity,
lights,  heat, water, sewer and telephone or other  communication  service used,
rendered or supplied to the Premises.



<PAGE>



           5.  Use of  Premises.  Tenant  shall  use the  Premises  only for the
purposes allowed in Section 4.1 of the Prime Lease.

           6. Maintenance and Repair.  Tenant acknowledges that the Premises are
in  reasonable  condition as of the date of this  Sublease.  Tenant shall at all
times  maintain  the Premises in the same order and repair as they are in at the
commencement  of the term,  reasonable  use and wear and damage by fire or other
casualty only  excepted;  shall keep all fixtures and equipment in the Premises,
including without  limitation all heating,  plumbing,  electrical and mechanical
fixtures  and  equipment in the same  operating  condition as they are in on the
date of this  Sublease,  reasonable  use and wear and damage by fire or casualty
only excepted.  At the end of the term,  Tenant shall  surrender the Premises to
Landlord  in the same  condition  as they were in on the date of this  Sublease,
reasonable  use and wear and  damage by fire or other  casualty  only  excepted.
Tenant shall make no alterations or  modifications  to the Premises  without the
Landlord's written consent, which consent shall not be unreasonably withheld.

           7.  Insurance.  Tenant shall  maintain a policy of general  liability
insurance  insuring  Landlord  and  Tenant,  said  policy  to be in the  amounts
required of the tenant under the Prime Lease.  The policy shall name Landlord as
an additional insured.

           8. Indemnification. Except for claims arising before the date of this
Lease,  and  except  for  claims  arising at any time due in whole or in part to
Landlord's  negligence or wilful acts,  Tenant shall indemnify and hold Landlord
harmless  from and against any and all claims for injury to persons or damage to
property  in or  about  the  Premises  or  arising  in any way  from  the use or
condition of the Premises,  and against any costs or damages which  Landlord may
incur by reason of the assertion of any such claims.

           9. Assignment and  Subletting.  Tenant shall not assign this Sublease
or sublet the Premises or any part thereof  without the prior written consent of
Landlord, which consent shall not be unreasonably withheld.  Landlord represents
and  warrants to Tenant that  Landlord has  received  all  approvals  from Prime
Landlord that are necessary in order for Landlord to enter into this Sublease.

           10. Damage or Destruction by Fire, Eminent Domain or Casualty. In the
event that the Premises or any part thereof shall be taken by eminent  domain or
shall be so damaged  or  destroyed  by fire or  unavoidable  casualty,  that the
Premises are thereby rendered  untenantable,  then either Landlord or Tenant may
terminate  this Sublease upon written  notice to the other and the rent shall be
prorated as of the date of such termination.

           11.  Tenant's  Property.  All  property  of every kind of Tenant's or
Tenant's  employees or invitees which may be on the Premises  during the term or
any occupancy by Tenant thereof, shall be at the sole risk and hazard of Tenant.


                                        2

<PAGE>


           12. Default. If Tenant shall default in the performance of any of its
obligations hereunder, and such default is not cured within fifteen (15) days of
the date of a written  notice  from  Landlord if the default is a failure to pay
rent, or thirty (30) days from the date of a written notice from Landlord in the
case of other  defaults,  including  any default  under the Prime  Lease,  or if
Tenant  shall file or have filed  against it a petition in  bankruptcy  or if an
assignment shall be made by Tenant for the benefit of creditors,  then in any of
such  cases  Landlord  may  lawfully,  immediately  and at any time  thereafter,
without further notice or demand,  and without  prejudice to any other remedies,
terminate this Sublease by written  notice  addressed to Tenant at the Premises,
and upon such mailing this Sublease shall terminate.

           13.  Successors and Assigns;  Incorporation  of the Prime Lease.  The
provisions  of this  Sublease  shall be binding upon and inure to the benefit of
the respective successors and assigns of Landlord and Tenant. The Prime Lease is
incorporated  herein  by  reference  and a copy of the Prime  Lease is  attached
hereto as Exhibit A. Tenant shall abide by all terms and conditions of the Prime
Lease.

           14. Settlement  Agreement.  This Sublease is the Sublease referred to
in Section 10 of that certain Settlement Agreement dated as of October ___, 1996
by and among Landlord,  Tenant and others, and shall be subject to and construed
consistently with, such Settlement Agreement.

           IN WITNESS  WHEREOF,  Landlord and Tenant have executed this Sublease
as of the date first above written.

WITNESS:                                  CCA OF MAINE, INC., Landlord



_________________________________         By:______________________________
                                                     Its:

                                          SANDY RIVER HEALTH SYSTEM
                                          LLC, Tenant



_________________________________         By:______________________________
                                                     Its Member



                                        3


                                                                EXHIBIT 10.22(o)

                        AMENDMENT TO THE OCTOBER 27, 1996
                              SETTLEMENT AGREEMENT
                              --------------------


     THIS  AMENDMENT  TO THE OCTOBER 27, 1996  SETTLEMENT  AGREEMENT is made and
entered into as of this 1st day of March,  1997,  by and among DAVID L. FRIEDMAN
of  Boulder,  Colorado,  individually  and is his  capacity  as  Trustee  of the
AMETHYST  E.G.  MONTFORT  REVOCABLE  TRUST,  MICHAEL C. TYLER of Camden,  Maine,
MICHAEL B. PRIOR of  Portland,  Maine,  DANIEL J. MAGUIRE of  Harpswell,  Maine,
TERRI-LEE  BROWN of Bangor,  Maine,  ROBERT B. GASS and JUDITH  EPSTEIN  GASS of
Boulder,  Colorado,  ANNE HESS of  Stillwater,  Maine,  MARK  SARKADY of Boston,
Massachusetts,  PETER  R.  TROAST  of South  Freeport,  Maine,  JUDITH  SMITH of
Orrington,  Maine,  CHRISTINE  M.  BOISVERT  of  Springvale,  Maine,  RICHARD A.
BOISVERT  of  Springvale,  Maine,  MARY T.  BAYER of  Portland,  Maine,  LEON M.
BRESLOFF of Portland,  Maine,  ELEANOR J. GOLDBERG of Portland,  Maine, D. WAYNE
SILBY of Washington  D.C.,  DAVID P.  SYLVESTER of  Waterville,  Maine,  SARA J.
SYLVESTER of Waterville,  Maine (each referred to as a "Holder" and collectively
as the "Holders"),  BIRCH GROVE MANAGEMENT  COMPANY,  INC., a Maine corporation,
CEDAR RIDGE  MANAGEMENT,  INC., a Maine  corporation,  CEDAR RIDGE  NURSING CARE
CENTER ASSOCIATES,  a Maine limited  partnership,  HARBOR HILL LIMITED LIABILITY
COMPANY,  a Maine limited liability  company,  HOMEWOOD LIMITED  PARTNERSHIP,  a
Maine limited partnership,  NURSING  ADMINISTRATORS,  INC., a Maine corporation,
OAK GROVE MANAGEMENT COMPANY, INC., a Maine corporation, PINE POINT NURSING CARE
CENTER,  INC.,  a  Maine  corporation,  RIVERRIDGE  MANAGEMENT,  INC.,  a  Maine
corporation,  RIVER RIDGE ASSOCIATES,  a Maine general partnership,  SANDY RIVER
DEVELOPMENT,  INC., a Maine corporation, SANDY RIVER GROUP, a Maine corporation,
SPRINGBROOK  ASSOCIATES,  a Maine general partnership,  SPRINGBROOK  MANAGEMENT,
INC., a Maine corporation, SRG/HOMEWOOD, INC., a Maine corporation, SRG/WINDWARD
GARDENS,  INC., a Maine  corporation,  THE WILLOWS MANAGEMENT  COMPANY,  INC., a
Maine corporation, WILSON STREAM MANAGEMENT, INC., a Maine corporation, WINDWARD
GARDENS LIMITED PARTNERSHIP, a Maine limited partnership,  WOODFORD PARK NURSING
CARE CENTER,  INC., a Maine  corporation  (collectively  the "SRG Entities") and
SANDY RIVER HEALTH SYSTEM LLC, a Maine limited liability  company,  as agent for
the SRG Entities  ("SRHS"),  and  COMMUNITY  CARE OF AMERICA,  INC.,  and CCA OF
MAINE,  INC., both being Delaware  corporations  with their principal  places of
business  in Naples,  Florida  (collectively  "CCA") and CCA acting on behalf of
MEDICAL SUPPLY OF AMERICA and REHAB AMBASSADORS,  such entities being affiliates
of CCA.

                              W I T N E S S E T H:

     WHEREAS,  certain of the Holders and CCA  entered  into a certain  Purchase
Option Agreement, dated June 23, 1995 (the "Option Agreement"); and

     WHEREAS,  certain  of the  Holders  and CCA  entered  into a certain  Stock
Purchase Agreement, dated November 1, 1995 (the "Purchase Agreement"); and


<PAGE>




     WHEREAS,  pursuant to the Option  Agreement and the Purchase  Agreement CCA
issued to the Holders an aggregate of 219,798 shares of common stock,  par value
$.0025 per share, of CCA (the "CCA Shares") and granted to the Holders the right
to require CCA to purchase the CCA Shares back from the Holders at stated prices
and terms (the "Put Option"); and

     WHEREAS,  in October,  1996,  certain of the SRG  Entities  commenced  suit
against CCA, for  injunctive and other relief,  in the State of Maine,  Superior
Court (Androscoggin County), Docket No. CV-96-___ (the "Lawsuit); and

     WHEREAS,  all the  parties  to this  Amendment  entered  into a  Settlement
Agreement dated October 27, 1996 (the "Settlement  Agreement"),  attached hereto
as Exhibit A, to resolve the issues raised by the Lawsuit and to modify  certain
portions of the Option Agreement; and

     WHEREAS,  pursuant to the Settlement  Agreement,  CCA acknowledged that the
Holders  had  exercised  the Put  Option  and the  Holders  agreed not to demand
payment on the Put Option from CCA until the earlier of a "Sale  Transaction" as
defined in the Settlement Agreement or February 28, 1997; and

     WHEREAS,  pursuant to Section 5(b) of the Settlement Agreement, the Holders
have now properly demanded payment from CCA of the stock put to CCA; and

     WHEREAS,  CCA has failed to timely pay for the stock put to CCA pursuant to
the Settlement  Agreement and now seeks to amend the  Settlement  Agreement with
respect to its payment obligation; and

     WHEREAS,  the parties to this Amendment have determined that it is in their
mutual  best  interest  to  amend  Sections  5(b),  6  and 7 of  the  Settlement
Agreement, on the terms and conditions set forth in this Amendment; and

     WHEREAS,  except as specifically  amended herein, the Settlement  Agreement
remains in full force and effect.

     NOW, THEREFORE,  for valuable consideration,  the receipt and sufficient of
which are hereby  acknowledged,  the parties amend Sections 5(b), 6 and 7 of the
Settlement Agreement as follows:

     1.  AMOUNT TO BE PAID BY CCA. In full  satisfaction  and  discharge  of its
obligation  to purchase the common stock of CCA pursuant to Sections  5(b) and 6
of the Settlement  Agreement,  CCA shall pay to the Holders the aggregate sum of
Two  Million  One  Hundred   Eighty-One   Thousand   Seven  and  19/100  Dollars
($2,181,007.19), payable as follows:


                                        2

<PAGE>



          (i)  CCA  shall  pay to the  Holders  Five  Hundred  Thousand  Dollars
     ($500,000.00) in cash  simultaneously  with the execution by all parties of
     this Amendment; and

          (ii) On the earlier of either (a)  September 1, 1997,  or (b) the sale
     of all or substantially  all of the assets of CCA or the sale of a majority
     of the issued and  outstanding  shares of stock of CCA to a third party, or
     the  merger of CCA with or into  another  entity,  or any  similar  type of
     transaction,  CCA will pay to the  Holders  the  remaining  principal,  One
     Million  Six  Hundred   Eighty-One   Thousand   Seven  and  19/100  Dollars
     ($1,681,007.19),  together with interest accruing from February 28, 1997 on
     the principal amount outstanding from time to time at the rate of 8.50% per
     annum.  CCA shall pay  interest to Holders on the  thirtieth  (30th) day of
     every month until final payment, commencing with the first interest payment
     due on or before April 30, 1997.

     2. MEANS OF PAYMENT.  All  amounts to be paid by CCA  pursuant to Section 1
above shall be paid as follows:  by wire transfer to: Key Bank, One Canal Plaza,
Portland,  Maine  04101,  ABA  #011200608;  for the account of:  Curtis  Thaxter
Stevens Broder & Micoleau LLC, client escrow account #002-1929-0.  Payment shall
be deemed to have been made on the date on which the wire transfer is complete.

     3. SECURITY FOR PAYMENT.  As security for payment,  simultaneously with the
execution  by all  parties  of this  Amendment,  CCA shall  deliver  to James N.
Broder, as escrow agent for Holders, a Promissory Note of CCA, dated as of March
1, 1997 in the principal amount of One Million Six Hundred  Eighty-One  Thousand
Seven and 19/100 Dollars  ($1,681,007.19)  payable to Holders, such Note in form
and  substance  identical  to that  attached  hereto as  Exhibit B. As stated in
Exhibit B, interest shall accrue from February 28, 1997 on the principal  amount
outstanding  from time to time at the rate of 8.50% per  annum;  the Note  shall
require  CCA to pay  interest  to Holders on the  thirtieth  (30th) day of every
month until final payment,  commencing with the first interest payment due on or
before April 30, 1997.

     4. SALE OF SHARES.

          (a) The Holders agree to deliver to John Hock of Smith  Barney,  Inc.,
Philadelphia,  Pennsylvania,  (or other stock broker  identified  by CCA if John
Hock is  unwilling  to  accept  delivery  of the CCA  Shares)  all  certificates
representing  the CCA Shares,  together with duly executed stock powers and such
other  documents as may be  reasonably  necessary or  appropriate  to effect the
transfer of the CCA Shares as aforesaid.  The Holders agree through John Hock to
sell all of the CCA  Shares  over a period of thirty  (30) days,  commencing  no
later than August 1, 1997 (the "Sale Period"), to the extent legally permissible
under Rule 144 of the  Securities and Exchange  Commission  under the Securities
Act of 1933, as amended  ("Rule 144").  CCA agrees to furnish a legal opinion to
Holders and John Hock that the  proposed  sale of the CCA Shares  complies  with
Rule 144. CCA further  agrees to (i) indemnify and hold harmless the Holders and
their agents from any claim against the Holders and/or their Agents made by

                                        3

<PAGE>



anyone  arising out of or  relating to the sale of the CCA Shares;  (ii) pay all
legal costs,  including  attorneys fees, incurred by Holders related to any such
claim; and (iii) assume the defense of any such claim. The Holders will instruct
John  Hock  that  the  sale of the CCA  Shares  shall  not at any  time,  in the
aggregate,  exceed Sixty Thousand  (60,000) shares during any period of five (5)
consecutive  business  days.  CCA shall have no  recourse  to the Holders in the
event John Hock fails to follow the  foregoing  instructions.  The proceeds from
the sale of the CCA Shares, net of all brokerage commissions and other expenses,
shall  be  paid  to the  Holders  in  the  manner  described  in  Section  2 and
automatically shall offset and reduce amounts owing under the Promissory Note on
a  dollar-for-dollar  basis.  The amount of such payment  shall be applied first
against  unpaid fees and costs of collection of the note,  then against  accrued
and unpaid interest and then against principal. Payment of the proceeds shall be
made by wire  transfer  pursuant to the  instructions  set forth in Section 2 of
this Amendment.

     5.  APPOINTMENT OF AGENT WITH RESPECT TO HOLDERS'  RECEIPT OF PAYMENTS FROM
CCA. The Holders  irrevocably appoint James N. Broder,  Esquire,  Curtis Thaxter
Stevens Broder & Micoleau LLC, One Canal Plaza,  Portland,  Maine 04101 as agent
(the "Escrow  Agent") to receive all payments from CCA and/or  proceeds from the
sale of CCA Shares,  as provided for in this  Amendment.  The Holders agree that
upon receipt of any  payments,  the funds  received,  net of the Escrow  Agent's
expenses shall be disbursed  according to the percentages set forth in Exhibit C
attached  hereto.  Expenses  include the Escrow  Agent's fees for services since
January 31, 1997 in connection with the Settlement Agreement,  expenses incurred
in connection  with the  negotiation  and  execution of this  Amendment and such
other expenses  related to the delivery of CCA Shares and collection of funds as
described  herein.  Payments from Escrow Agent to Holders shall be made by check
drawn on the Curtis Thaxter Stevens Broder & Micoleau LLC client escrow account.
The Holders  expressly  release the Escrow Agent from all liability arising from
his service as Escrow Agent, except for his intentional  tortious acts, it being
acknowledged  by the Holders  that the Escrow  Agent's  willingness  to serve is
premised on this  release of Escrow  Agent.  The Holders also  authorize  Escrow
Agent to deliver  the  certificates  evidencing  the CCA Shares as  required  in
Section 4 of this Amendment.

     6.  REPRESENTATIONS  AND WARRANTIES OF CCA AND CCA MAINE. CCA and CCA Maine
jointly and severally warrant and represent to the Holders, the SRG Entities and
SRHS as follows:

          (a) Each of CCA and CCA Maine is a validly created corporation in good
standing  under the laws of Delaware and has been  authorized  by all  necessary
corporate  action to execute  and deliver  this  Amendment  and to complete  the
transactions  described herein.  Certified corporate  resolutions to that effect
will be delivered to Agent within five (5) days of execution of this Amendment;

          (b) Neither CCA nor CCA Maine is required to obtain the consent of any
party in order to enter  into  this  Amendment  and to  perform  its  respective
obligations hereunder.


                                        4

<PAGE>



          (c) Accept as  disclosed  on Exhibit D  attached  hereto,  there is no
litigation  pending or threatened,  nor any proceeding before any other court or
tribunal either pending or threatened against CCA or CCA Maine that would have a
material  adverse  effect  upon  the  performance  by CCA or CCA  Maine of their
respective obligations under this Amendment.

     7.  REPRESENTATIONS  AND  WARRANTIES BY THE SRG ENTITIES.  The SRG Entities
jointly and severally warrant to CCA and CCA Maine as follows:

          (a) Each of the SRG Entities is a validly created corporation, general
partnership,  limited  partnership or limited liability company, as the case may
be, in good  standing  under the laws of Maine  and has been  authorized  by all
necessary corporate action to execute and deliver this Amendment and to complete
the transactions described herein.

          (b) None of the SRG  Entities is required to obtain the consent of any
party in order to enter  into  this  Amendment  and to  perform  its  respective
obligations hereunder.

     8.  REPRESENTATIONS  AND  WARRANTIES  BY SRHS.  SRHS jointly and  severally
warrant to CCA and CCA Maine as follows:

          (a)  SRHS  is a  validly  created  corporation,  general  partnership,
limited  partnership or limited liability  company,  as the case may be, in good
standing  under  the laws of  Maine  and has been  authorized  by all  necessary
corporate  action to execute  and deliver  this  Amendment  and to complete  the
transactions described herein.

          (b) SRHS is  required  to obtain the  consent of any party in order to
enter into this Amendment and to perform its respective obligations hereunder.

     9.  REPRESENTATIONS AND WARRANTIES BY THE HOLDERS.  The Holders jointly and
severally warrant to CCA and CCA Maine as follows:

          (a) None of the Holders is required to obtain the consent of any party
in order  to  enter  into  this  Amendment  and to  perform  his/her  respective
obligations hereunder.

     10. MISCELLANEOUS.  This Amendment to the Settlement Agreement contains the
entire  agreement  between  the parties  with  respect to the  amendment  of the
Settlement  Agreement and the terms of this  Amendment are actual and not a mere
recital. As modified in this Amendment, the Settlement Agreement remains in full
force and effect and the parties  ratify and reaffirm  their  obligations to one
another thereunder. CCA reaffirms its existing obligation contained in paragraph
7 of the Settlement  Agreement that in the event CCA fails to make payment of or
to otherwise  perform under this  Amendment  and/or  Settlement  Agreement,  the
Holders  shall be entitled to recover from CCA their  reasonable  legal fees and
expenses  in  addition  to any other  damage  incurred  by reason of CCA's  said
failure.  CCA  agrees  to pay  Holders'  legal  fees and  expenses  incurred  in
negotiating and finalizing this Amendment within (ten) 10 days of

                                        5

<PAGE>



presentment of a statement.  This Amendment may be executed in counterparts  all
of which  taken  together  shall  constitute  one  enforceable  instrument.  The
undersigned  state  that each has read  this  Amendment  and knows the  contents
thereof and signs the same of its own free act. This Amendment shall be governed
in accordance with the laws of the State of Maine.

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

                               COMMUNITY CARE OF AMERICA, INC.



                               By:__________________________________
                                     Deborah A. Lau, President and Chief
                                     Executive Officer


                               CCA OF MAINE, INC.



                               By:__________________________________
                                     Deborah A. Lau, President and Chief
                                     Executive Officer




                               -------------------------------------
                               David L. Friedman individually and as Trustee
                               of the Amethyst E.G. Montfort Revocable
                               Trust



                               -------------------------------------
                                Michael C. Tyler



                               -------------------------------------
                                Michael B. Prior


                                        6

<PAGE>



                               -------------------------------------
                                Daniel J. Maguire



                               -------------------------------------
                                 Terri Lee Brown



                               -------------------------------------
                                 Robert B. Gass



                               -------------------------------------
                               Judith Epstein Gass



                               -------------------------------------
                               Anne Hess



                               -------------------------------------
                               Mark Sarkady



                               -------------------------------------
                                 Peter R. Troast



                               -------------------------------------
                               Judith Smith



                               -------------------------------------
                              Christine M. Boisvert

                                        7

<PAGE>





                               -------------------------------------
                               Richard A. Boisvert



                               -------------------------------------
                                  Mary T. Bayer



                               -------------------------------------
                                Leon M. Bresloff



                               -------------------------------------
                               Eleanor J. Goldberg




                               -------------------------------------
                                 D. Wayne Silby



                               -------------------------------------
                               David P. Sylvester



                               -------------------------------------
                                Sara J. Sylvester


                             BIRCH GROVE MANAGEMENT
                                 COMPANY, INC.,


                               By:_______________________________
                                     David L. Friedman, its President


                                        8

<PAGE>




                               CEDAR RIDGE MANAGEMENT, INC.,


                               By:_______________________________
                                     David L. Friedman, its President


                               CEDAR RIDGE NURSING CARE CENTER
                               ASSOCIATES,

                               By:          SANDY RIVER GROUP, its
                                            General Partner

                               By:_______________________________
                                     David L. Friedman, its President


                               HARBOR HILL LIMITED LIABILITY
                               COMPANY


                               By:_______________________________
                                     David L. Friedman, its President


                               HOMEWOOD LIMITED PARTNERSHIP


                               By:_______________________________
                                     David L. Friedman, its President


                               NURSING ADMINISTRATORS, INC.


                               By:_______________________________
                                     David L. Friedman, its President




                                        9

<PAGE>



                              OAK GROVE MANAGEMENT
                                  COMPANY, INC.


                               By:_______________________________
                                     David L. Friedman, its President


                               PINE POINT NURSING CARE CENTER,
                               INC.


                               By:_______________________________
                                     David L. Friedman, its President


                               RIVERRIDGE MANAGEMENT, INC.


                               By:_______________________________
                                     David L. Friedman, its President


                             RIVER RIDGE ASSOCIATES

                               By:          SANDY RIVER GROUP, its
                                            General Partner


                               By:_______________________________
                                     David L. Friedman, its President


                               SANDY RIVER DEVELOPMENT, INC.


                               By:_______________________________
                                     Michael C. Tyler, its President




                                       10

<PAGE>



                                SANDY RIVER GROUP


                               By:_______________________________
                                     David L. Friedman, its President


                             SPRINGBROOK ASSOCIATES

                               By:_______________________________
                                     SANDY RIVER GROUP, its
                                     General Partner


                               By:_______________________________
                                     David L. Friedman, its President


                               SPRINGBROOK MANAGEMENT, INC.


                               By:_______________________________
                                     David L. Friedman, its President


                               SRG/HOMEWOOD, INC.


                               By:_______________________________
                                     David L. Friedman, its President


                               SRG/WINDWARD GARDENS, INC.


                               By:_______________________________
                                     David L. Friedman, its President

                             THE WILLOWS MANAGEMENT
                                  COMPANY, INC.


                               By:_______________________________
                                     David L. Friedman, its President

                                       11

<PAGE>



                               WILSON STREAM MANAGEMENT, INC.


                               By:_______________________________
                                     David L. Friedman, its President


                               WINDWARD GARDENS LIMITED
                               PARTNERSHIP

                               By:_______________________________

                                            WINDWARD GARDENS
                                            LIMITED LIABILITY COMPANY,
                                            its General Partner


                               By:_______________________________
                                     David L. Friedman, its President


                               WOODFORD PARK NURSING CARE
                               CENTER, INC.


                               By:_______________________________
                                     David L. Friedman, its President


                               SANDY RIVER HEALTH SYSTEM LLC


                               By:_______________________________
                                     David L. Friedman, its Member


                                       12


WARRANT NO. C-1                                                   379,900 SHARES

               NO SALE, OFFER OR TRANSFER OF THIS WARRANT SHALL BE
                 MADE UNLESS A REGISTRATION STATEMENT UNDER THE
               SECURITIES ACT OF 1933, AS AMENDED, WITH RESPECT TO
                                      SUCH
          TRANSACTION IS THEN IN EFFECT OR SUCH TRANSFER IS EXEMPT FROM
                          REGISTRATION UNDER SUCH ACT.

                          AMENDED AND RESTATED WARRANT
                     TO SUBSCRIBE FOR AND PURCHASE SHARES OF
                                 COMMON STOCK OF

                         COMMUNITY CARE OF AMERICA, INC.


           This certifies that, for value received,  Integrated Health Services,
Inc., a Delaware  corporation  (the  "Holder"),  or its registered  assigns,  is
entitled,  subject to the terms and  conditions of this Warrant,  at any time or
from time to time at or after 5:00 p.m.,  New York time,  on April 15, 1997 (the
"Commencement  Date"),  and at or before 5:00 P.M.,  New York time, on April 15,
2002 (the  "Expiration  Date"),  to  subscribe  for and purchase an aggregate of
Three  Hundred  Seventy  Nine  Thousand  Nine Hundred  (379,900)  fully paid and
nonassessable  shares of the common stock, $.0025 par value ("Common Stock"), of
Community  Care of America,  Inc.  (the  "Company"),  at the Purchase  Price (as
defined  herein),  upon  surrender  of this  Warrant and payment of the Purchase
Price to the Company at the address set forth  herein for notices to the Company
or at such other  place as the Company may  designate  by written  notice to the
Registered  Holder.  The number of shares of Common Stock issuable upon exercise
of this Warrant and the Purchase  Price are subject to adjustment  and change as
provided  herein (any  reference  hereinafter  to Purchase  Price shall mean the
Purchase Price as adjusted pursuant the terms of this Warrant).

           1.        CERTAIN DEFINITIONS.

           As used in this Warrant the following  terms shall have the following
respective meanings:

           "COMMON  STOCK  DEEMED  OUTSTANDING"  means,  at any given time,  the
number of shares of Common Stock  actually  outstanding  at such time,  plus the
number of shares of Common Stock deemed to be  outstanding  pursuant to Sections
4.1(i) and 4.l(ii)  hereof  regardless  of whether  the  Options or  Convertible
Securities  are actually  exercisable  at such time, but excluding any shares of
Common Stock issuable upon exercise of the IHS Warrants.

           "CONVERTIBLE  SECURITIES" shall mean any stock or securities directly
or indirectly convertible into Common Stock.

           "IHS WARRANTS" shall mean this Warrant and Warrant No. W-2, issued to
the Holder on even date herewith,  and any warrants delivered in substitution or
exchange therefor as provided herein and therein.


                                                                 -1-

<PAGE>



           "MARKET  PRICE" as to any  security on any day shall mean the closing
sale  price  of  such  security  as  reported  for  such  day  pursuant  to  the
consolidated  quotation  system or any other  transaction  reporting  plan under
Section 11A of the  Securities  Exchange Act of 1934, as amended (the  "Exchange
Act"),  or, if there have been no sales so reported for such day, the average of
the best bid and best  offer  prices  quoted  under the  consolidated  quotation
system or any other such  transaction  reporting  plan as of 4:00 P.M., New York
time, on such day, or, if on any day such security is not so quoted, the average
of  the  best  bid  and  best  offered  prices  on  such  day  in  the  domestic
over-the-counter market as reported by any electronic communications network, as
such  term is  used  in Rule  11Acl-1(a)(8)  under  the  Exchange  Act or by the
National Quotation Bureau, Incorporated,  or any similar successor or comparable
organization.  If at any  time  such  security  is not  listed  on any  domestic
securities  exchange  or quoted  under a  transaction  reporting  plan or in the
domestic  over-the-counter  market,  the "Market  Price" shall be the fair value
thereof determined jointly by the Company and the Registered  Holders;  provided
that if such parties are unable to reach  agreement as to the Market Price,  the
Market Price shall be determined by appraisal as set forth in Section 12 of this
Warrant.

           "NOTE"  shall mean the  Subordinated  Note,  dated as of December 27,
1996,  executed  by the  Company  pursuant  to  that  certain  Revolving  Credit
Agreement, dated as of December 27, 1996, between the Company and the Holder.

           "OPTIONS"  means any rights,  warrants or options to subscribe for or
purchase Common Stock or Convertible Securities.

           "PERSON"  shall  mean  any  natural   person  and  any   corporation,
partnership,  limited liability company,  limited liability  partnership,  joint
venture,   association,    joint-stock   partnership,    trust,   unincorporated
organization or government or other agency or political subdivision thereof.

           "PURCHASE  PRICE"  shall mean a price per share of  $1.9375,  as such
price may be adjusted from time to time pursuant to Section 4 hereof.

           "REGISTERED  HOLDER" shall mean any Person in whose name this Warrant
is registered upon the books and records maintained by the Company.

           "SUBSIDIARY" shall mean, with respect to any Person, any corporation,
limited liability company, partnership,  association or other business entity of
which (i) if a  corporation,  a majority of the total  voting power of shares of
stock entitled  (without regard to the occurrence of any contingency) to vote in
the election of directors,  managers or trustees thereof is at the time owned or
controlled,  directly or indirectly,  by that Person or one or more of the other
Subsidiaries  of that  Person  or a  combination  thereof,  or (ii) if a limited
liability company, partnership, association or other business entity, a majority
of the partnership or other similar  ownership  interest  thereof is at the time
owned or  controlled,  directly  or  indirectly,  by that  Person or one or more
Subsidiaries of that Person or a combination  thereof.  For purposes  hereof,  a
Person or Persons  shall be deemed to have a majority  ownership  interest  in a
limited liability company, partnership, association or other business


                                       -2-

<PAGE>



entity if such  Person or  Persons  shall be  allocated  a  majority  of limited
liability  company,  partnership,  association or other business entity gains or
losses or shall be or control any managing  director or general  partner of such
limited liability company, partnership, association or other business entity.

           "UNDERLYING  COMMON  STOCK" shall mean (i) the shares of Common Stock
issued or issuable upon exercise of the Warrant and (ii) any Common Stock issued
or issuable  with respect to the  securities  referred to in clause (i) above by
way of stock  dividend or stock split or in  connection  with a  combination  of
shares, recapitalization, merger, consolidation, or other reorganization.

           "WARRANT" as used herein,  shall include this Warrant and any warrant
delivered in substitution or exchange therefor as provided herein.

           2.         EXERCISE.

           2.1        EXERCISE PERIOD. The Warrant shall be exercisable in whole
or in part from and after 9:00 A.M., New York time, on the Commencement Date.

           2.2        EXERCISE PROCEDURE.

(i)        This Warrant shall be deemed to have been  exercised when the Company
           has received all of the following items:

(a)        an Election to  Purchase  in the form  attached  hereto as Exhibit A,
           properly  completed  and  executed  by the Person  (the  "Purchaser")
           exercising  all or part of the purchase  rights  represented  by this
           Warrant;

(b)        this Warrant;

(c)        if this Warrant is not  registered in the name of the  Purchaser,  an
           Assignment or  Assignments  in the form set forth in Exhibit B hereto
           evidencing the assignment of this Warrant to the Purchaser,  in which
           case the  Registered  Holder shall have complied with the  provisions
           set forth in Section 7.1 hereof; and

(d)        either  (1) a check or wire  transfer  payable  to the  Company in an
           amount equal to the product of the Purchase  Price  multiplied by the
           number of shares of Common Stock being  purchased  upon such exercise
           (the "Aggregate Exercise Price"), (2) a written notice to the Company
           that the Purchaser is exercising  the Warrant (or a portion  thereof)
           by  authorizing  the  Company to withhold  from  issuance a number of
           shares of Common  Stock  issuable  upon such  exercise of the Warrant
           which when multiplied by the Market Price of Common Stock is equal to
           the  Aggregate  Exercise  Price (and such  withheld  shares of Common
           Stock shall no longer be issuable under this Warrant),  or (3) if the
           Holder  holds the  Note,  a written  notice to the  Company  that the
           Holder  is  exercising   the  Warrant  (or  a  portion   thereof)  by
           authorizing  the  Company  to  withhold  and  apply  such  amount  of
           principal or


                                       -3-

<PAGE>



           accrued but unpaid  interest under the Note (whether or not then due)
           as is equal to the  Aggregate  Purchase  Price  (and  such  amount of
           principal  or  accrued  and unpaid  interest  under the Note shall no
           longer be payable to the Holder).

(ii)       Certificates  for shares of Common Stock  purchased  upon exercise of
           this  Warrant  shall be  delivered  by the  Company to the  Purchaser
           within  three  (3)  business  days  after  the date of the  exercise,
           together with cash in lieu of any fraction of a share of Common Stock
           that would be issuable  upon such  exercise in an amount equal to the
           Market Price of such fractional share as of the date of exercise.  No
           fractional  shares of Common Stock or scrip  representing  fractional
           shares  of Common  Stock  shall be issued  upon an  exercise  of this
           Warrant.  Unless  this  Warrant  has  expired or all of the  purchase
           rights  represented  hereby have been  exercised,  the Company  shall
           prepare a new Warrant,  substantially identical hereto,  representing
           the  rights  formerly  represented  by this  Warrant  which  have not
           expired or been  exercised  and shall  within such three (3) business
           day period deliver such new Warrant to the Purchaser.

(iii)      The shares of Common Stock issuable upon the exercise of this Warrant
           shall be deemed to have been issued to the  Purchaser  at the time of
           exercise,  and the Purchaser shall be deemed for all purposes to have
           become the record holder of such Common Stock at such time.

(iv)       The Company  shall not close its books  against the  transfer of this
           Warrant or of any share of Common Stock  issued or issuable  upon the
           exercise  of this  Warrant in any manner  which  interferes  with the
           timely exercise of this Warrant.  The Company shall from time to time
           take all such action as may be necessary to assure that the par value
           per share of the unissued  Common Stock  acquirable  upon exercise of
           this Warrant is at all times equal to or less than the Purchase Price
           then in effect.

(v)        The Company shall assist and cooperate with any Registered  Holder or
           Purchaser to make any governmental filings or obtain any governmental
           approvals  required  prior to or in  connection  with any exercise of
           this Warrant (including,  without limitation, making at the Company's
           own expense any filings required to be made by the Company).

           3.         EXPIRATION DATE.

           The Warrant evidenced hereby may not be exercise after 5:00 P.M., New
York time, on the Expiration Date with respect to the shares of the Common Stock
as to which the Warrant may be exercised and, to the extent not exercised by the
Expiration Date, the Warrant evidenced hereby shall become void.

           4.         ADJUSTMENTS.

           Subject to the  provisions of this Section 4, the Purchase  Price and
the  number  of  shares  of the  Common  Stock as to which  the  Warrant  may be
exercised  shall be subject to adjustment  from time to time as hereinafter  set
forth:


                                       -4-

<PAGE>



           4.1 EFFECT ON PURCHASE PRICE AND NUMBER OF SHARES OF CERTAIN  EVENTS.
If and whenever on or after the Commencement  Date, the Company issues or sells,
or in  accordance  with this  Section 4.1 is deemed to have issued or sold,  any
share of Common Stock for a consideration per share less than the Purchase Price
in effect immediately prior to such time, then immediately upon such issuance or
sale the Purchase  Price shall be reduced  pursuant to this Section 4.1 to a new
Purchase Price  determined by dividing (A) the sum of (x) the product derived by
multiplying the Purchase Price in effect immediately prior to such issue or sale
times the number of shares of Common Stock Deemed Outstanding  immediately prior
to such  issue or sale,  plus (y) the  consideration,  if any,  received  by the
Company  upon such issue or sale,  by (13) the number of shares of Common  Stock
Deemed  Outstanding  immediately  after  such  issue or  sale.  Upon  each  such
adjustment of the Purchase Price,  the number of shares of Common Stock issuable
upon the  exercise  of this  Warrant (to the extent not  theretofore  exercised)
shall be  increased to a number  determined  by  multiplying  the number of such
shares so purchasable  immediately  prior to such adjustment by a fraction,  the
numerator of which shall be the Purchase  Price in effect  immediately  prior to
such  adjustment  and the  denominator  of which shall be the Purchase  Price in
effect  immediately  after such  adjustment.  For  purposes of  determining  the
Purchase  Price as adjusted  under this  Section  4.1,  the  following  shall be
applicable:

(i)        ISSUANCE OF RIGHTS OR OPTIONS.  If on or after the Commencement  Date
           the Company in any manner issues, grants or sells any Options and the
           price per share for which a share of Common  Stock is  issuable  upon
           the exercise of any such Option,  or upon  conversion  or exchange of
           any Convertible  Security  issuable upon exercise of such Option,  is
           less than the Purchase Price in effect  immediately prior to the time
           of the granting or sale of such Option, then the total maximum number
           of shares of Common Stock issuable upon the exercise of such Options,
           or upon  conversion or exchange of the total maximum  amounts of such
           Convertible  Securities  issuable  upon the exercise of such Options,
           shall be deemed to be  outstanding  for purposes of  determining  the
           Common Stock Deemed  Outstanding  and to have been issued and sold by
           the  Company at such time for such price per share.  For  purposes of
           this  Section  4.  l(i),  the  "price  per share for which a share of
           Common Stock is issuable"  shall be equal to the sum of the amount of
           consideration  (if any)  received or  receivable  by the Company with
           respect  to the  issuance,  grant,  or sale of the  Option,  plus the
           amount  of  consideration  (if any)  that  would be  received  by the
           Company  with  respect  to  exercise  of the  Option in full plus the
           amount  of  consideration  (if any)  that  would be  received  by the
           Company  with  respect  to  conversion  or  exchange  in  full of any
           Convertible  Security  issuable  upon  exercise of such  Option,  all
           divided by the total number of shares of Common Stock  issuable  upon
           exercise of the Option and conversion or exchange of the  Convertible
           Security.  No further  adjustment of the Purchase Price shall be made
           upon the actual  issue of such  Common  Stock or of such  Convertible
           Security  upon the  exercise of such Options or upon the actual issue
           of such Common Stock upon conversion or exchange of such  Convertible
           Security.

(ii)       ISSUANCE OF CONVERTIBLE  SECURITIES.  If on or after the Commencement
           Date  the  Company  in  any  manner  issues,  grants,  or  sells  any
           Convertible  Security  and the  price  per share for which a share of
           Common Stock is issuable upon conversion or exchange  thereof is less
           than the Purchase  Price in effect  immediately  prior to the time of
           such issue or sale, then the maximum number


                                       -5-

<PAGE>



           of shares of Common Stock  issuable  upon  conversion  or exchange of
           such  Convertible  Securities  shall be deemed to be outstanding  for
           purposes of determining  the Common Stock Deemed  Outstanding  and to
           have been  issued and sold by the Company at such time for such price
           per share.  For the purposes of this Section 4. l(ii), the "price per
           share for which a share of Common Stock is  issuable"  shall be equal
           to the sum of the  amount  of  consideration  (if  any)  received  or
           receivable by the Company with respect to the issuance, grant or sale
           of the Convertible Security plus the amount of consideration (if any)
           that would be received by the Company with respect to the  conversion
           or exchange of such Convertible  Security in full, all divided by the
           total number of shares of Common Stock  issuable  upon  conversion or
           exchange of the Convertible  Security.  No further  adjustment of the
           Purchase  Price  shall be made upon the actual  issue of such  Common
           Stock upon conversion or exchange of any Convertible Security, and if
           any such  issue or sale of such  Convertible  Security  is made  upon
           exercise of any Options for which  adjustments  of the Purchase Price
           has  been or is to be  made  pursuant  to  other  provisions  of this
           Section 4, no further  adjustment of the Purchase Price shall be made
           under this Section 4. l(ii) by reason of such issue or sale.

(iii)      CHANGE  IN  OPTION  PRICE OR  CONVERSION  RATE.  If the  amount to be
           received by the Company upon the exercise of any Options  outstanding
           as of the Commencement  Date, the additional  consideration,  if any,
           payable upon the issuance, conversion, or exchange of any Convertible
           Securities  outstanding as of the  Commencement  Date, or the rate at
           which any Convertible  Securities  outstanding as of the Commencement
           Date are convertible into or exchangeable for Common Stock changes at
           any time after the Commencement Date, then such Option or Convertible
           Security  and  the  Common  Stock  deemed   issuable  upon  exercise,
           conversion  or exchange  thereof shall be deemed for purposes of this
           Section  4.1 to have been  issued,  granted or sold as of the date of
           such  changes  and the  Purchase  Price shall be adjusted as provided
           herein;  provided  that no such  change  shall at any time  cause the
           Purchase Price hereunder to be increased.

(iv)       TREATMENT OF EXPIRED OPTIONS AND UNEXERCISED  CONVERTIBLE SECURITIES.
           Upon the expiration of any Option described in Section 4. l(i) or the
           termination  of any right to  convert  or  exchange  any  Convertible
           Securities  described  in Section  4.1(ii)  without  the  exercise or
           conversion  in  whole  or in  part  of  such  Option  or  Convertible
           Security,  the Purchase Price then in effect and the number of shares
           of Common Stock issuable  hereunder shall be adjusted  immediately to
           the  Purchase  Price and the number of shares of Common  Stock  which
           would  have  been  in  effect  at the  time  of  such  expiration  or
           termination  had such Option or  Convertible  Securities,  never been
           issued,  granted  or  sold;  provided  that  if  such  expiration  or
           termination would result in an increase in the Purchase Price then in
           effect,  such increase shall not be effective  until thirty (30) days
           after written notice thereof has been given to the Registered Holder.
           For purposes of this Section 4.1, the  expiration or  termination  of
           any Option or Convertible  Security  which was  outstanding as of the
           Commencement  Date shall not cause the Purchase Price hereunder to be
           adjusted unless, and only to the extent that, a change in the term of
           such Option or  Convertible  Security  caused it to be deemed to have
           been issued after the Commencement Date pursuant to Section 4.1(iii).

(v)        CALCULATION OF CONSIDERATION  RECEIVED.  If any Common Stock, Options
           or  Convertible  Securities are issued or sold or deemed to have been
           issued or sold for cash, the


                                       -6-

<PAGE>



           consideration  received therefor shall be deemed to be the net amount
           received by the Company therefor.  In case any Common Stock,  Options
           or  Convertible  Securities  are  issued or sold for a  consideration
           other than  cash,  the  amount of the  consideration  other than cash
           received   by  the   Company   shall  be  the  fair   value  of  such
           consideration,   except   where  such   consideration   consists   of
           securities, in which case the amount of consideration received by the
           Company  shall be the Market Price thereof as of the date of receipt.
           In case any Common Stock Options or Convertible Securities are issued
           to the  owners of the  non-surviving  entity in  connection  with any
           merger in which the Company is the surviving corporation,  the amount
           of  consideration  therefor  shall be deemed to be the fair  value of
           such  portion  of the net assets and  business  of the  non-surviving
           entity as is attributable to such Common Stock Options or Convertible
           Securities,  as the case may be. The fair value of any  consideration
           other  than cash or  securities  shall be  determined  jointly by the
           Company  and the  Registered  Holder.  If such  parties are unable to
           reach  agreement,  such fair value shall be  determined  by appraisal
           pursuant to Section 12.

(vi)       INTEGRATED  TRANSACTIONS.  In case any Option is issued in connection
           with the issue or sale of other  securities of the Company,  together
           comprising   one   integrated   transaction   in  which  no  specific
           consideration  is allocated  to such Options by the parties  thereto,
           the   Options   shall  be  deemed  to  have   been   issued   without
           consideration.

(vii)      EACH SERIES A SEPARATE  SECURITY.  In case an  agreement  relating to
           Options  or  Convertible  Securities  provides  that  more  than  one
           Purchase Price,  conversion or exchange  provisions are applicable to
           the securities  issuable  thereunder,  then the securities subject to
           each  different  exercise  price,  conversion or exchange  provisions
           shall be deemed to be subject  to  separate  Options  or  Convertible
           Securities for purposes of applying this Section 4.1.

(viii)     TREASURY SHARES.  The Common Stock outstanding at any given time does
           not include shares owned or held by or for the account of the Company
           or any Subsidiary, and the disposition of any shares so owned or held
           shall be considered an issue or sale of Common Stock.

(ix)       RECORD DATE.  If the Company  takes a record of the holders of Common
           Stock for the purpose of entitling  them (A) to receive a dividend or
           other distribution payable in Common Stock, Options or in Convertible
           Securities or (B) to subscribe for or purchase Common Stock,  Options
           or Convertible  Securities,  then such record date shall be deemed to
           be the date of the issue or sale of the shares of Common Stock deemed
           to have been issued or sold upon the  declaration of such dividend or
           the making of such other  distribution or the date of the granting of
           such right of subscription or purchase, as the case may be.

           4.2 SUBDIVISION OR COMBINATION OF COMMON STOCK. If the Company at any
time  subdivides  (by any  stock  split,  stock  dividend,  recapitalization  or
otherwise) one or more classes of its outstanding  shares of Common Stock into a
greater number of shares, the Purchase Price in effect immediately prior to such
subdivision shall be proportionately  reduced and the number of shares of Common
Stock  obtainable  upon exercise of this Warrant (to the extent not  theretofore
exercised)  shall  be  proportionally  increased.  If the  Company  at any  time
combines (by reverse stock split or


                                      -7-

<PAGE>



otherwise) one or more classes of its outstanding  shares of Common Stock into a
smaller number of shares, the Purchase Price shall be proportionately  increased
and the number of shares of Common Stock  issuable upon exercise of this Warrant
(to the extent not theretofore exercised) shall be proportionally decreased.

           4.3 REORGANIZATION RECLASSIFICATION,  CONSOLIDATION, MERGER, OR SALE.
Any recapitalization, reorganization, reclassification, spin-off, consolidation,
merger,  sale, or distribution of the Company's assets or other transaction,  in
each case which is effected  in such a way that the holders of Common  Stock are
entitled to receive  (either  directly  or upon  subsequent  liquidation)  stock
securities or assets with respect to or in exchange for Common Stock is referred
to herein as "Organic  Change." Prior to the consummation of any Organic Change,
the Company shall make appropriate provision (in form and substance satisfactory
to the Registered  Holders) to insure that each of the Registered  Holders shall
thereafter  have the right to acquire and receive,  in lieu of or in addition to
(as  the  case  may be) the  shares  of  Common  Stock  immediately  theretofore
acquirable  and  receivable  upon the exercise of such  Warrant,  such shares of
stock  securities  or assets as may be issued or payable  with  respect to or in
exchange  for the  number  of shares of  Common  Stock  immediately  theretofore
issuable upon  exercise of the Warrant had such Organic  Change not taken place.
In any such case,  the Company  shall make  appropriate  provision  (in form and
substance  satisfactory to the Registered Holders) with respect to such Holders'
rights and interests to insure that the provisions of this Section 4, Section 5,
and Section 6 hereof shall  thereafter be applicable to the Warrant  (including,
in the case of any such  consolidation,  merger or sale in which  the  successor
entity or purchasing entity is other than the Company, an immediate reduction in
the Purchase  Price to the value of the Common  Stock  reflected by the terms of
such consolidation,  merger or sale, and a corresponding immediate adjustment in
the number of shares of Common Stock  issuable upon exercise of this Warrant (to
the extent not  theretofore  exercised),  if the value so reflected is less than
the Purchase Price in effect immediately prior to such consolidation,  merger or
sale). The Company shall not effect any such spin-off, consolidation,  merger or
sale, unless prior to the consummation  thereof,  the successor entity (if other
than the  Company)  resulting  from  spin-off,  consolidation,  or merger or the
entity  purchasing  such  assets  assumes  by  written  instrument  (in form and
substance  satisfactory to the Registered Holders), the obligation to deliver to
each such  holder such shares of stock  securities  or assets as, in  accordance
with the foregoing provisions, such holder may be entitled to acquire.

           4.4 CERTAIN EVENTS.  If any event occurs of the type  contemplated by
the  provisions  of  this  Section  4 but  not  expressly  provided  for by such
provisions  (including,  without limitation,  the granting of stock appreciation
rights,   phantom  stock  rights  or  other  rights  with  equity   features  or
equity-based  valuation or any  dividend or  distribution  of the capital  stock
issued by any  Person  other  than the  Company),  then the  Company's  Board of
Directors  shall make an  appropriate  adjustment in the Purchase  Price and the
number of shares  issuable  upon  exercise  of this  Warrant  (to the extent not
theretofore  exercised) so as to protect the rights of the  Registered  Holders;
provided that no such adjustment  shall increase the Purchase Price as otherwise
determined Pursuant to this Section 4.



                                       -8-

<PAGE>



           4.5       CALCULATION OF PURCHASE PRICE: NOTICES.

(i)        All  calculations of the Purchase Price under this Section 4 shall be
           computed to the nearest One-Thousandth (1/l000th) of a cent.

(ii)       Immediately  upon any adjustment of the Purchase  Price,  the Company
           shall give written notice thereof to the Registered  Holder,  setting
           forth in reasonable  detail and  certifying  the  calculation of such
           adjustment, provided however, that such notice shall not be deemed to
           be conclusive as to the Purchase Price calculation. At the request of
           the Registered  Holder,  the Company shall certify the Purchase Price
           of and the  number of shares  for which a Warrant  at the time may be
           exercised.

(iii)      The Company  shall give written  notice to the  Registered  Holder at
           least thirty (30) days prior to the date on which the Company  closes
           its books or takes a record (A) with  respect to any  subdivision  or
           combination  of the Common  Stock that is subject to Section  4.2, or
           any other dividend or  distribution  upon the Common Stock,  (B) with
           respect to any pro rata subscription offer to holders of Common Stock
           or (C) for  determining  rights to vote with  respect to any  Organic
           Change, dissolution or liquidation.

(iv)       The Company shall also give written notice to the  Registered  Holder
           at least  thirty  (30) days  prior to the date on which  any  Organic
           Change, dissolution or liquidation shall take place.

           4.6 EXCLUDED TRANSACTIONS. The provisions of this Section 4 shall not
apply to the exercise of the IHS Warrants.

           4.7 EXPRESSION OF PURCHASE  PRICE AND NUMBER OF SHARES.  Irrespective
of any  adjustments  or change in the Purchase Price or the number of securities
actually  purchasable under the Warrant, the Warrants theretofore and thereafter
issued may continue to express the purchase  price and the number of  securities
purchasable  thereunder  as the  Purchase  Price and the  number  of  securities
purchasable were expressed in the Warrant when initially issued.

           5. NO RIGHTS OR LIABILITIES AS STOCKHOLDERS  AND NOTICE TO REGISTERED
HOLDER.

           Nothing  contained  herein shall be construed as conferring  upon the
Registered  Holder the right to vote or to  consent  or to  receive  notice as a
stockholder  in respect of the  meetings  of  stockholders  for the  election of
directors of the Company or any other matter,  or any other rights whatsoever as
a stockholder of the Company; provided, however, that in the event that:



                                                                 -9-

<PAGE>


(a)        the Company shall take a record of the holders of its Common Stock or
           other  stock or  securities  for the  purpose  of  entitling  them to
           receive any dividend or other distribution, or any right to subscribe
           for or  purchase  any  shares  of  stock of any  class  or any  other
           securities or to receive any other right;

(b)        the   Company   shall  take   action  to   accomplish   any   capital
           reorganization,  or  reclassification  of the  capital  stock  of the
           Company,  or a consolidation or merger of the Company into, or a sale
           of all or substantially all of its assets to, another corporation;

(c)        the  Company  shall take  action to redeem or  convert  any or all of
           outstanding Common Stock or other stock or securities of the Company;
           or

(d)        the  Company  shall take action  looking to a voluntary  dissolution,
           liquidation or winding up of the Company;

then, and in each such case, the Company shall mail or cause to be mailed to the
Registered Holder of this Warrant a notice  specifying,  as the case may be, (i)
the date on which a record  is to be taken  for the  purpose  of such  dividend,
distribution  or  right,  or  (ii)  the  date  on  which  such   reorganization,
reclassification,  spin-off,  consolidation,  merger,  conveyance,  dissolution,
liquidation,  winding-up,  redemption or  conversion  is to take place,  and the
time, if any, is to be fixed,  as of which the holders of record of Common Stock
or such other stock or securities  shall be entitled to exchange their shares of
Common Stock or such other stock or securities  for securities or other property
deliverable upon such reorganization,  reclassification,  consolidation, merger,
conveyance, dissolution, liquidation, winding-up, conversion or redemption. Such
notice  shall be  delivered  at least thirty (30) days prior to the date therein
specified.

           6.         DUTY TO REGISTER COMMON STOCK.

           The  shares of Common  Stock  issuable  under this  Warrant  shall be
subject to all of the terms and conditions of that certain  Registration  Rights
Agreement between Holder and the Company, dated as of January 13, 1997, with the
same effect as though this Warrant was included  within the term  "Warrants"  as
defined in such Registration Rights Agreement.

           7.         TRANSFERS AND EXCHANGES.

           7.1 WARRANT TRANSFERABLE. Subject to the transfer conditions referred
to in the  legend  endorsed  hereon,  this  Warrant  and  all  rights  hereunder
(including those under the Purchase Agreement) are transferable,  in whole or in
part,  without charge to the Registered  Holder,  upon surrender of this Warrant
with a  properly  executed  Assignment  (in the form of Exhibit B hereto) at the
principal  office of the  Company.  The  Company  shall  record on its books the
transferee as the Registered  Holder of the portion of this Warrant  transferred
pursuant to this Section 7.1.



                                      -10-

<PAGE>


           7.2 WARRANT EXCHANGEABLE FOR DIFFERENT DENOMINATIONS. This Warrant is
exchangeable,  upon  the  surrender  hereof  by  the  Registered  Holder  at the
principal office of the Company,  for new Warrants of like teens representing in
the aggregate the purchase rights hereunder, and each of such new Warrants shall
represent such portion of such rights as is designated by the Registered  Holder
at the time of such  surrender.  The  date the  Company  initially  issues  this
Warrant  shall be deemed to be the "Date of Issuance"  hereof  regardless of the
number of times new  certificates  representing  the unexpired  and  unexercised
rights  formerly  represented  by this  Warrant  shall be issued.  All  Warrants
representing  portions  of the rights  hereunder  are  referred to herein as the
"Warrants."

           8. VALID ISSUANCE AND PAYMENT OF TAXES.

           All shares of Common  Stock  issued upon the exercise of this Warrant
shall be validly issued,  fully paid and  non-assessable,  and the Company shall
pay all taxes and other  governmental  charges that may be imposed in respect of
the issue or delivery thereof.  The Company shall not be required to pay any tax
or other charge imposed in connection with any transfer involved in the issuance
of any certificate for shares of Common Stock in any name other than that of the
Registered  Holder of this  Warrant,  and in such case the Company  shall not be
required to issue or deliver any stock certificate or security until such tax or
other  charge has been  paid,  or it has been  established  that no tax or other
charge is due.

           9. MUTILATED OR MISSING WARRANTS.

           In case any of the  Warrants  shall be  mutilated,  lost,  stolen  or
destroyed, the Company shall issue and deliver in exchange and substitution for,
and  upon  cancellation  of  the  mutilated  Warrant,  or in  lieu  of,  and  in
substitution for, the Warrant lost,  stolen or destroyed,  a new Warrant of like
tenor and representing an equivalent right or interest, but only upon receipt of
reasonable evidence of such loss, theft, or destruction of such Warrant.

           10. RESERVE.

           The Company hereby  represents and covenants that it has reserved and
at all times  there  shall be  reserved  for  issuance  such  number and type of
securities  as the  Registered  Holders are entitled to receive upon exercise of
the IHS  Warrants.  Prior  to the  issuance  of any  equity  securities  (or any
instrument  exercisable for or convertible into equity  securities) and whenever
otherwise  required  to satisfy  this  Section  10, the  Company  will amend its
Certificate  of  Incorporation  to the extent  necessary to ensure that there is
reserved  for  issuance  a  sufficient  number  and  type of  securities  as the
Registered  Holders of the IHS Warrants  are  entitled to receive upon  exercise
thereof.

           11. NO IMPAIRMENT.

           The  Company   will  not,  by  amendment   of  its   Certificate   of
Incorporation  or bylaws,  or  through  reorganization,  consolidation,  merger,
dissolution,  issue or sale of securities, sale of assets or any other voluntary
action, avoid or seek to avoid the observance or performance of any of the terms
of this Warrant,  but will at all times in good faith assist in the carrying out
of all such terms and in the taking of all such  action as may be  necessary  or
appropriate  in order to protect the rights of the  Registered  Holders  against
impairment.  Without  limiting the generality of the foregoing,  the Company (a)
shall not increase the par value of any shares  issuable  upon  exercise of this
Warrant  above the  Purchase  Price and (b) will take all such  action as may be
necessary or appropriate in order that the


                                      -11-

<PAGE>



Company may validly and legally  issue fully paid and  non-assessable  shares of
Common Stock upon exercise of this Warrant.

           12.       APPRAISAL.

           In case of any  dispute  as to  valuation  of a  security  under this
Agreement,  the fair value of such security  shall be determined by an appraiser
without any discount for liquidity or  restrictions  under the  Securities  Act.
This  appraisal  process shall be instituted  within  fourteen (14) days after a
party to this  Agreement  notifies  the other  party of its desire to submit the
issue to an appraiser. In the event that, within seven (7) days after a party to
this Agreement  notifies the other party of its desire to submit the issue to an
appraiser,  the parties do not agree on a single appraiser to determine the fair
value of such  security,  the fair value of such security  shall be  determined,
without any discount for liquidity or restrictions  under the Securities Act, by
the  majority  determination  of a panel of three  (3)  appraisers  who shall be
selected in the following manner: the Company shall select one (1) appraiser and
the Registered  Holder entitled to exercise this Warrant for the greatest number
of shares of Common Stock (in the event there shall be more than one  Registered
Holder),  on behalf  of all of the  Registered  Holders,  shall  select  one (1)
appraiser and the two (2) appraisers  selected by the Company and the Registered
Holder shall jointly select a third appraiser. The appraiser selected jointly by
the parties and, if applicable,  each member of the appraisal  panel shall be an
individual  who  personally  and  whose  Affiliates  shall  not have a  previous
business  relationship with either party. The appraiser and, if applicable,  the
appraisal panel shall endeavor to complete the appraisal as soon as practicable.
The  determination  of such appraiser and, if  applicable,  the appraisal  panel
shall be final and binding on the Company and the  Registered  Holders,  and the
fees and expenses of such  appraisal  shall be borne equally by the Company,  on
the one hand, and the Registered Holders on the other.

           13.       NOTICES.

           Except as may be  otherwise  provided  herein,  all notices and other
communications  required or permitted hereunder shall be in writing and shall be
conclusively deemed to have been duly given (a) when hand delivered to the other
party,  (b) when  received  when sent by  facsimile  to number  set forth  below
(provided,  however,  that  notices  given by  facsimile  shall not be effective
unless either (i) a duplicate copy of such facsimile notice is promptly given by
one of the other  methods  described in this  Section 13, or (ii) the  receiving
party  delivers a written  confirmation  of receipt  for such  notice  either by
facsimile  or any other  method  described  in this Section 13) and (c) the next
business day after deposit with a national overnight  delivery service,  postage
prepaid,  addressed  to the  parties as set forth  below with  next-business-day
delivery guaranteed,  provided that the sending party receives a confirmation of
delivery from the delivery service provider.



                                      -12-

<PAGE>



   TO:  THE REGISTERED HOLDER             TO:  THE COMPANY

   Integrated Health Services, Inc.       Community Care of America, Inc.
   10065 Red Run Boulevard                3050 North Horseshoe Drive
   Owings Mills, MD 21117                 Naples, FL 33942
   Fax No.: (410) 998-8747                Fax No.: (941) 435-0087
   Attn: Marshall A. Elkins, Esq.         Attn: Deborah A. Lau, President

A party may  change or  supplement  the  addresses  given  above,  or  designate
additional addresses,  for purposes of this Section 13 by giving the other party
written notice of the new address in the manner set forth above.

           14.       HEADINGS.

           The  headings in this  Warrant are for  purposes  of  convenience  in
reference only, and shall not be deemed to constitute a part hereof.

           15.       GOVERNING LAW.

           This Warrant shall be construed and enforced in accordance  with, and
governed  by,  the laws of the State of New York  without  regard to  provisions
regarding choice of laws.

           16.       SEVERABILITY.

           If any term,  provision,  covenant or  restriction of this Warrant is
held by a court of competent  jurisdiction to be invalid, void or unenforceable,
the  remainder of the terms,  provisions,  covenants  and  restrictions  of this
Warrant  shall  remain in full force and effect and shall in no way be affected,
impaired or invalidated.

           17.       NO INCONSISTENT AGREEMENTS.

           The Company will not on or after the date of this Warrant  enter into
any agreement  which is  inconsistent  with the rights granted to the Registered
Holders of this Warrant or otherwise  conflicts with the provisions  hereof. The
Company hereby represents and warrants that the rights granted to the Registered
Holders  hereunder do not in any way conflict with and are not inconsistent with
the  rights  granted  to holders  of the  Company's  securities  under any other
agreements, except rights that have been waived.

           18.       SATURDAYS, SUNDAYS, AND HOLIDAYS.

           If the Expiration Date falls on a Saturday, Sunday, or legal holiday,
the  Expiration  Date shall  automatically  be extended until 5:00 p.m. the next
business day.



                                      -13-

<PAGE>



           19.        AMENDED AND  RESTATED  WARRANT.  This  Warrant  amends and
restates in its entirety  that certain  Warrant No. C-1 issued by the Company to
Holder for 379,900 shares, dated April 15, 1997.

           IN WITNESS WHEREOF,  Community Care of America,  Inc. has caused this
Warrant to be signed  manually  by a duly  authorized  officer of the Company on
this 15th day of April, 1997.

                                       COMMUNITY CARE OF AMERICA, INC.


                                       By: /S/ DEBORAH A. LAU,
                                          -----------------------
                                          Deborah A. Lau, President


                                      -14-

<PAGE>



                                    EXHIBIT A

                              ELECTION TO PURCHASE


To:        Community Care of America, Inc.
           _______________________________
           _______________________________
           _______________________________

           The undersigned hereby elects to exercise the Warrant  represented by
the within Warrant  Certificate to purchase  shares of the Common Stock issuable
upon the exercise of the Warrant and requests that  certificates for such shares
shall be issued in the name of:

                       ___________________________________
                                     (Name)
                                            
                       ___________________________________
                                    (Address)
                                            
                       ___________________________________
                                (Taxpayer number)
                                            
                       and be delivered to:_______________
                                            
                       ___________________________________
                                     (Name)
                                            
                       ___________________________________
                                    (Address)
                     
and, if said number of shares of the Common Stock shall not be all the shares of
the Common Stock evidenced by the within Warrant Certificate, that a new Warrant
Certificate  for the balance  remaining of such said shares be registered in the
name of:


                       ___________________________________
                                     (Name)
                                            
                       ___________________________________
                                    (Address)
                                            
                       ___________________________________
                                (Taxpayer number)




                                      -15-

<PAGE>



and delivered to the undersigned at the address below stated.

Dated: ________________________, 19


Name of holder of Warrant Certificate


                       _________________________________
                                 (please print)


                       _________________________________
                                    (Address)


                       _________________________________
                                   (Signature)





                                      -16-

<PAGE>


                                    EXHIBIT B

                                   ASSIGNMENT

                    (to be executed by the registered holder
                   to effect a transfer of the within Warrant)


FOR VALUE RECEIVED _____________________________________________________________

hereby sells, assigns, and transfers unto ______________________________________

________________________________________________________________________________
                                     (Name)

________________________________________________________________________________
                                    (Address)

________________________________________________________________________________



the right to purchase  the  ________  shares of Common  Stock  evidenced by this
Warrant, and does hereby irrevocably constitute and appoint  ___________________
to  transfer  the said  right on the books of the  Company,  with full  power of
substitution.

Dated:_________________

                                                   _____________________________

                                                            (Signature)


                                                                 -17-



                             REIMBURSEMENT AGREEMENT


           REIMBURSEMENT  AGREEMENT  (the  "Agreement"),  dated as of April  14,
1997, by and between  INTEGRATED HEALTH SERVICES,  INC., a Delaware  corporation
having an address  at 10065 Red Run  Boulevard,  Owings  Mills,  Maryland  21117
("IHS"),  and COMMUNITY CARE OF AMERICA,  INC., a Delaware corporation having an
address at 3050 N. Horseshoe Drive, Naples, Florida 33942 ("CCA").

                                                              WITNESSETH:

           WHEREAS,  CCA  has  entered  into  that  certain  Loan  and  Security
Agreement with Daiwa Healthco-2 LLC ("Daiwa") dated as of December 23, 1996 (the
"Loan Agreement");

           WHEREAS,  as a condition to  extending to CCA certain  accommodations
under the Loan  Agreement,  Daiwa has required  that IHS provide a guaranty (the
"Daiwa Guaranty")  securing the repayment of all amounts owing from CCA to Daiwa
under the Loan Agreement in excess of the Basic Borrowing Amount, as well as the
payment  of any and all  reasonable  costs and  expenses  (including  reasonable
counsel fees and  expenses)  paid or incurred by Daiwa in  enforcing  its rights
under the Daiwa Guaranty;

           WHEREAS,  CCA has  entered  into a letter  agreement  with Health and
Retirement  Properties  Trust  ("HRPT")  dated as of April 14, 1997 (the "Letter
Agreement");

           WHEREAS,  in accordance with the Letter Agreement,  HRPT has required
that IHS provide a guaranty (the "HRPT Guaranty")  securing certain  obligations
owed by CCA to HRPT;

           WHEREAS,  as a condition to providing the Daiwa Guaranty and the HRPT
Guaranty,  IHS  requires  that CCA agree to  reimburse  IHS for any amounts that
become payable by IHS in respect of the Daiwa Guaranty and the HRPT Guaranty.

           NOW, THEREFORE,  in consideration of the mutual promises  hereinafter
set forth,  and for other good and valuable  consideration,  the parties  hereby
agree as follows:

           1.  Subject  to any  waiver  by IHS of the  right to  subrogation  or
reimbursement  contained in the Daiwa  Guaranty  and/or the HRPT  Guaranty,  CCA
shall, on demand,  reimburse IHS for any amounts paid by IHS on behalf of CCA in
accordance  with the  terms of the Daiwa  Guaranty  and/or  the HRPT  Guarantee,
including any costs, fees, charges and expenses (including reasonable legal fees
and expenses of counsel) arising out of the negotiation, preparation or issuance
of,  or  performance  under,  the  Daiwa  Guaranty  and/or  the  HRPT  Guarantee
(collectively, the "Reimbursement Obligations").



<PAGE>



           2. Any and all amounts which become owing to IHS by CCA in respect of
the Reimbursement  Obligations  shall bear interest,  from the date such amounts
are advanced by IHS under the  applicable  guaranty  until paid in full,  at the
rate of fifteen (15%) percent per annum.

           3. This Agreement  shall remain in full force and effect until all of
the  Reimbursement  Obligations  shall have been fully,  finally and irrevocably
satisfied  and IHS has been fully,  finally and  irrevocably  released  from all
obligations with respect to the Daiwa Guaranty and the HRPT Guaranty.

           4. All  agreements  between  CCA and IHS herein are hereby  expressly
limited so that in no contingency or event whatsoever,  shall the amount paid or
agreed  to be paid to IHS  for  the  use,  forbearance  or  detention  of  money
hereunder  exceed the maximum  permissible  under  applicable  law. If, from any
circumstance  whatsoever,  the fulfillment of any provision  hereof, at the time
performance of such provision shall be due, shall involve transcending the limit
of validity  prescribed by law, then, IPSO FACTO, the obligation to be fulfilled
shall be reduced to the limit of such validity, and if from any circumstance IHS
should ever receive as interest an amount which would exceed the highest  lawful
rate,  such amount  which would be  excessive  interest  shall be applied to the
reduction  of the  principal  of the  Reimbursement  Obligations  and not to the
payment of interest.

           5. Any  notice or other  communication  by either  party to the other
shall be in  writing  and shall be given and be deemed to have been duly  given,
upon the date  delivered if delivered  personally  or upon the date  received if
mailed postage pre-paid, registered, or certified mail, addressed as follows:

           TO CCA:              Community Care of America, Inc.
                                3050 North Horseshoe Drive, Suite 260
                                Naples, Florida 33942
                                Attention: President

           TO IHS:              Integrated Health Services, Inc.
                                10065 Red Run Boulevard
                                Owings Mills, MD  21117
                                Attention: General Counsel

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

           6. The  substantive  laws of the State of Maryland  shall  govern the
validity, construction, enforcement and interpretation of this Agreement and all
other documents and instruments  referred to herein,  unless otherwise specified
therein.   Whenever  possible,   each  provision  of  this  Agreement  shall  be
interpreted  in such manner as to be effective and valid under  applicable  law,
but if any provision of this Agreement shall be prohibited or invalid under

                                        2

<PAGE>


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 this Agreement.

           7. Neither this  Agreement nor any  provision  hereof may be changed,
waived,  discharged or terminated  orally,  but only by an instrument in writing
signed by the party against which enforcement of the change,  waiver,  discharge
or  termination  is sought.  This  Agreement  shall be binding  upon CCA and its
successors and assigns,  and shall inure to the benefit of and be enforceable by
the IHS and its successors and assigns.

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

                                          INTEGRATED HEALTH SERVICES, INC.


                                          By: _____________________________
                                          Name:
                                          Title:


                                          COMMUNITY CARE OF AMERICA, INC.


                                          By: _____________________________
                                          Name:
                                          Title:


                                        3






                                                                   EXHIBIT 21.01

                           Subsidiaries of the Company

<TABLE>
<CAPTION>

                           JURISDICTION OF    NAME(S) UNDER WHICH
       SUBSIDIARY(+)       INCORPORATION      SUBSIDIARY DOES BUSINESS
       -------------       -------------      ------------------------
<S>     <C>    <C>    <C>    <C>    <C>    <C>
ECA Holdings, Inc.         Delaware                      *
  ECA Properties, Inc.     Delaware       Grandview Manor
  Community  Care of       Delaware       Community Care of America at Ainsworth
   Nebraska,  Inc.                        Community Care of America at Ashland
                                          Community Care of America at Aurora  
                                          Community Care of America at Blue Hill
                                          Community Care of America at Central City
                                          Community Care of America at Edgar  
                                          Community Care of America at Exeter  
                                          Community Care of America at Gretna  
                                          Community Care of America at Sutherland  
                                          Community Care of America at Utica  
                                          Community Care of America at Waverly
  W.S.T. Care, Inc.        Nebraska       Crestview Care Center
  Quality Care of          Nebraska       Community Care of America at Lyons
   Lyons, Inc.
  Quality Care of          Nebraska       Community Care of America at Columbus
   Columbus, Inc.
MeritWest, Inc.            Pennsylvania                     *
      MTC West, Inc.       Delaware                         *
Community Care of America  Delaware       Georgiana Doctors Hospital; Reliable 
  of Alabama, Inc.                        Home Health Services, d/b/a 
                                          Georgiana Home Health Agency; Rural 
                                          Health Clinic, d/b/a Georgiana Health
                                          Clinic; Kinsey Clinic; Family Rural
                                          Medical Clinic; Jeff Voreis, M.D., 
                                          in association with Community Care of
                                          America, Inc.; Livingston Nursing 
                                          Home; Southgate Village
CCA of Maine, Inc.         Delaware                         *
     Maine Head Trauma     Maine          Maine Head Trauma Center
      Center, Inc.
CCA of Midwest, Inc.       Delaware       Coolidge Center
Southern Care Centers, Inc.
      Luling/SCC, Inc.                    Community Care of America at Luling
      Dublin/SCC, Inc.                    Community Care of America at Dublin
      Marietta/SCC, Inc.                  Community Care of America at Marietta
      Macon/SCC, Inc.                     Community Care of America at Macon
      College Park/SCC, Inc.              Community Care of America at College Park
      Glenwood/SCC, Inc.                  Community Care of America at Connor
</TABLE>


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

+          Indirect subsidiary is indicated by indentation
*          Not applicable
           Each subsidiary is wholly-owned by its immediate parent.



<PAGE>


           The names of  particular  subsidiaries  which,  if  considered in the
aggregate  as a single  subsidiary,  would not have  constituted  a  significant
subsidiary  (as defined in Rule  1-02(w) of  Regulation  S-X) as of December 31,
1996 are omitted.

                                       -2-



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