COMMUNITY CARE OF AMERICA INC
SC 14D9, 1997-08-07
SKILLED NURSING CARE FACILITIES
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                       SECURITIES AND EXCHANGE COMMISSION

                            Washington, D.C. 20549

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


                                 SCHEDULE 14D-9
           Solicitation/Recommendation Statement Pursuant To Section
                 14(d)(4) of the Securities Exchange Act of 1934



                        Community Care of America, Inc.
                           (Name Of Subject Company)



                        Community Care of America, Inc.
                       (Name Of Person Filing Statement)


                   Common Stock, par value $0.0025 per share
                        (Title Of Class of Securities)



                                   20363B10
                     (CUSIP Number of Class of Securities)



                                 Deborah A. Lau

                       President, Chief Executive Officer

                          and Chief Financial Officer
                            3050 N. Horseshoe Drive
                                   Suite 260
                             Naples, Florida 34104
                                (941) 435-0085
      (Name, Address and Telephone Number of Person Authorized to Receive

       Notices and Communications on Behalf of Person Filing Statement)




                                   Copy to:


                             J. Allen Miller, Esq.
                            Chadbourne & Parke LLP
                             30 Rockefeller Plaza
                           New York, New York 10112
                                (212) 408-5100
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<PAGE>

Item 1. Security and Subject Company.

     The name of the  subject  company is  Community  Care of America,  Inc.,  a
Delaware corporation (the "Company"), and the address of its principal executive
offices is 3050 N. Horseshoe Drive, Suite 260, Naples,  Florida 34104. The title
of the class of equity  securities  to which this  Solicitation/  Recommendation
Statement on Schedule 14D-9 (the "Statement") relates is Common Stock, par value
$0.0025 per share, of the Company (the "Shares").


Item 2. Tender Offer of the Bidder.

     This  Statement  relates to the tender  offer  disclosed  in a Tender Offer
Statement on Schedule 14D-1, dated August 7, 1997 (the "Schedule 14D-1"), of IHS
Acquisition  XXVI, Inc., a Delaware  corporation  ("Purchaser"),  a wholly owned
subsidiary  of  Integrated  Health  Services,   Inc.,  a  Delaware   corporation
("Parent"),  to purchase all issued and  outstanding  Shares at a price of $4.00
per share  (or any  greater  amount  paid per  Share  pursuant  to the Offer (as
defined  below))  net to the seller in cash (the "Per Share  Amount"),  upon the
terms and subject to the  conditions  set forth in the Offer to Purchase,  dated
August 7, 1997 and any  supplement  thereto (the "Offer to  Purchase"),  and the
related  Letter  of  Transmittal  and any  supplement  thereto  (which  together
constitute  the  "Offer").  The address of the  principal  executive  offices of
Parent and Purchaser is 10065 Red Run Boulevard,  Owings Mills, Maryland, 21117.
The telephone number at that location is (410) 998-8400.

     The Offer is being made  pursuant to an Agreement  and Plan of Merger among
Parent,  Purchaser  and the  Company,  dated as of August  1, 1997 (the  "Merger
Agreement"),  which  provides that  Purchaser  shall commence the Offer no later
than five (5)  business  days after the date of the public  announcement  of the
Offer.  Purchaser  publicly  announced  the Offer on August 1, 1997.  The Merger
Agreement  provides  that,  following  the  consummation  of the  Offer  and the
satisfaction or waiver of certain conditions,  Purchaser will be merged with and
into the Company (the  "Merger"),  with the Company  continuing as the surviving
corporation (the "Surviving Corporation"). In the Merger, each outstanding Share
(other than Shares held in the treasury of the Company or by any  subsidiary  of
the Company and Shares  owned by Parent,  Purchaser or any other  subsidiary  of
Parent,  which Shares will be canceled,  and other than Shares,  if any, held by
stockholders who perfect  appraisal rights under the General  Corporation Law of
the State of Delaware (the "Delaware  GCL")),  will, by virtue of the Merger and
without any action by the holder thereof, be converted into the right to receive
the Per Share Amount.

     The following discussion is based on information  contained in the Schedule
14D-1:

     Notwithstanding  any other provision of the Offer or the Merger  Agreement,
the  Purchaser  shall not be required  to accept for payment or,  subject to any
applicable  rules and  regulations  of the  Commission,  including Rule 14e-1(c)
under the  Securities  Exchange  Act of 1934,  as amended (the  "Exchange  Act")
relating to the  Purchaser's  obligation  to pay for or return  tendered  Shares
after the termination or withdrawal of the Offer, to pay for any Shares tendered
pursuant to the Offer unless (i) there shall have been validly  tendered and not
withdrawn prior to the expiration of the Offer such number of Shares which would
constitute a majority of the  outstanding  shares of Common Stock of the Company
on a  fully-diluted  basis on the date of purchase ("on a  fully-diluted  basis"
means,  as of the date of the  purchase  of Shares  pursuant  to the Offer,  the
number of Shares  outstanding,  together with all Shares of the Company issuable
pursuant  to  options  and  warrants)  and (ii) any  waiting  period  under  the
Hart-Scott-Rodino  Antitrust  Improvements  Act of  1976,  as  amended,  and the
regulations  thereunder  (the "HSR Act")  applicable  to the  purchase of Shares
pursuant  to the Offer  shall  have  expired  or been  terminated.  Furthermore,
notwithstanding  any  other  term of the  Offer  or the  Merger  Agreement,  the
Purchaser  will not be required to accept for payment or,  subject as aforesaid,
to pay for any Shares not theretofore  accepted for payment or paid for, and may
terminate the Offer if, at any time on or after the date of the Merger Agreement
and before the  acceptance  of such Shares for payment or the payment  therefor,
any of the following  conditions exists (other than as a result of any action or
inaction of the Parent or any of its subsidiaries  which constitutes a breach of
the Merger Agreement):

       (a) there shall be threatened, instituted or pending by any person or any
    Federal,  state or local government or any court,  administrative  agency or
    commission or other governmental authority or agency,  domestic,  foreign or
    supranational (a "Governmental Entity") any suit, action or



                                       1

<PAGE>

   proceeding (i)  challenging the acquisition by Parent or the Purchaser of any
   Shares  under the  Offer,  seeking  to  restrain  or  prohibit  the making or
   consummation  of the  Offer or the  Merger or the  performance  of any of the
   other transactions  contemplated by the Merger Agreement or seeking to obtain
   from the  Company,  Parent  or the  Purchaser  any  damages  not  covered  by
   insurance which in the reasonable judgment of Parent are material in relation
   to the Company and its subsidiaries  taken as whole, (ii) seeking to prohibit
   or impose  any  limitations  on  Parent's  or the  Purchaser's  ownership  or
   operation (or that of any of their respective  subsidiaries or affiliates) of
   the Company's  businesses or assets,  or to compel Parent or the Purchaser or
   their  respective  subsidiaries and affiliates to dispose of or hold separate
   any  portion  of the  business  or assets of the  Company or Parent and their
   respective  subsidiaries,  (iii) seeking to impose limitations on the ability
   of the Purchaser,  or render the Purchaser unable, to accept for payment, pay
   for or  purchase  some or all of the  Shares  pursuant  to the  Offer and the
   Merger,  (iv) seeking to impose  limitations  on the ability of Parent or the
   Purchaser  effectively  to exercise  full rights of  ownership  of any Shares
   including,  without limitation,  the right to vote such Shares on all matters
   properly presented to the stockholders of the Company, or (v) which otherwise
   in the reasonable judgment of Purchaser are likely to have a material adverse
   effect on the Company;

       (b) there shall be any  statute,  rule,  regulation,  judgment,  order or
    injunction enacted, entered,  enforced,  promulgated or deemed applicable to
    the  Offer  or the  Merger,  or any  other  action  shall  be  taken  by any
    Governmental  Entity,  other than the application to the Offer or the Merger
    of applicable  waiting  periods  under the HSR Act,  that in the  reasonable
    judgment of Parent is likely to result,  directly or  indirectly,  in any of
    the  consequences  referred to in clauses (i) through (v) of  paragraph  (a)
    above;

       (c) there shall have occurred any events that, either  individually or in
    the aggregate,  have caused or in the reasonable  judgment of the Parent are
    likely to cause a material adverse change with respect to the Company;

       (d) (i) the Board of  Directors of the Company or any  committee  thereof
    shall  have  withdrawn  or  modified  in a manner  adverse  to Parent or the
    Purchaser  its approval or  recommendation  of the Offer,  the Merger or the
    Merger Agreement, or approved or recommended any Takeover Proposal, (ii) the
    Company shall have entered into any  agreement  with respect to any Superior
    Proposal  in  accordance  with the  Merger  Agreement  or (iii) the Board of
    Directors of the Company or any  committee  thereof  shall have  resolved to
    take any of the foregoing actions;

       (e) any of the representations and warranties of the Company set forth in
    the Merger Agreement that are qualified as to materiality  shall not be true
    and  correct and any such  representations  and  warranties  that are not so
    qualified  shall not be true and correct in any  material  respect,  in each
    case as of the date of the Merger Agreement and at the scheduled or extended
    expiration of the Offer;

       (f)  the  Company  shall  have  failed  to  perform  or cure  within  the
    applicable cure period any material  obligation or to comply in any material
    respect  with any  material  agreement  or  covenant  of the  Company  to be
    performed or complied with by it under the Merger Agreement;

       (g) the Merger Agreement shall have been terminated in accordance with
    its terms;

       (h)  there  shall  have  occurred  (i)  any  general  suspension  of,  or
    limitation  of prices  for,  trading  in  securities  on the New York  Stock
    Exchange or on the Nasdaq Stock Market,  Inc.'s National Market  ("NASDAQ"),
    (ii) a declaration of a banking  moratorium or any suspension of payments in
    respect of banks in the United States,  (iii) a  commencement  of war, armed
    hostilities or other  international or national calamity directly  involving
    the Armed Forces of the United States,  (iv) any general limitation (whether
    or not mandatory) by any  governmental  authority on the extension of credit
    by  banks or other  lending  institutions  and (v) in the case of any of the
    foregoing  existing  at time of the  commencement  of the Offer,  a material
    acceleration or worsening thereof; or

       (i) the  Parent,  Purchaser  and the  Company  shall  not  have  procured
    consents  (i) to transfer of  healthcare  licenses in the States of Alabama,
    Colorado,  Florida,  Georgia,  Iowa,  Kansas,  Louisiana,  Maine,  Missouri,
    Nebraska,  Texas and Wyoming,  (ii) to transfers of the Certificates of Need
    in the States of Alabama and Maine and (iii) from  Healthcare and Retirement
    Properties Trust and Daiwa Healthco 2, L.L.C., the Company's lenders.



                                       2

<PAGE>


     The foregoing  conditions are for the sole benefit of the Purchaser and the
Parent, may be asserted by the Purchaser and the Parent, in whole or in part, at
any time and from time to time, in the reasonable  judgment of the Purchaser and
Parent regardless of the circumstances  giving rise to any such condition (other
than a  breach  by the  Parent  or the  Purchaser),  and  may be  waived  by the
Purchaser  and  Parent  in whole or in part at any time and from time to time in
their sole  discretion.  The failure by Parent or the  Purchaser  at any time to
exercise any of the  foregoing  rights will not be deemed a waiver of any right,
the waiver of such right with respect to any particular  facts or  circumstances
shall not be deemed a waiver with  respect to any other facts or  circumstances,
and each right will be deemed an ongoing  right that may be asserted at any time
and from time to time. Should the Offer be terminated  pursuant to the foregoing
provisions,  all tendered Shares not  theretofore  accepted for payment shall be
returned forthwith by the Depositary to the tendering stockholders.


Item 3. Identity and Background.

     (a) The name and  business  address  of the  Company,  which is the  person
filing  this  Statement,  are set forth in Item 1 above,  which  information  is
incorporated herein by reference.

     (b)(1)  Certain  contracts,  agreements,  arrangements  and  understandings
between  the  Company  and  certain of its  executive  officers,  directors  and
affiliates are described in the  Information  Statement of the Company  attached
hereto as Schedule I (the "Information Statement").

     (b)(2) Certain  contracts,  agreements,  arrangements,  and  understandings
between  the  Company  and  Parent  and  its  affiliates  are  described  in the
Information Statement attached hereto as Schedule I.

     The following  summary of the Merger Agreement is qualified in its entirety
by reference to the Merger Agreement,  a copy of which is filed as an exhibit to
this  Schedule  14D-9  and is  incorporated  herein  by  reference.  The  Merger
Agreement should be read in its entirety for a more complete  description of the
matters summarized below.

     The Offer. The Merger Agreement  provides for the commencement of the Offer
as promptly  as  practicable  after the date  thereof but in no event later than
five  business days after the date of public  announcement  of the execution and
delivery of the Merger  Agreement.  The  obligation of the Purchaser to commence
the Offer and to accept for payment and pay for Shares tendered  pursuant to the
Offer  is  subject  to  the  satisfaction  or  waiver  by the  Purchaser  of the
conditions  described in "Item 2 - Tender Offer of the Bidder." Under the Merger
Agreement,  the Purchaser  expressly reserves the right, in its sole discretion,
to waive any such  condition  (other  than the  condition  that there be validly
tendered and not withdrawn  prior to the Expiration Date (as defined below) that
number of Shares which constitutes at least a majority of the outstanding Shares
on a fully  diluted  basis on the date of purchase  (the  "Minimum  Condition"),
which  condition  may only be waived with the  Company's  consent)  and make any
other changes in the terms and conditions of the Offer; provided,  that, without
the consent of the  Company,  no change may be made which (a) reduces the number
of Shares  subject to the Offer,  (b) reduces the price per Share payable in the
Offer, (c) adds to the conditions to the Offer, (d) extends the Offer other than
as described in the next sentence, (e) changes the form of consideration payable
in the Offer or (f)  amends  any other term of or adds any new term to the Offer
in any manner materially  adverse to the Company's  stockholders.  The Purchaser
may,  without the consent of the Company,  but subject to the Company's right to
terminate  the Merger  Agreement if Shares have not been accepted for payment on
or before  November  30,  1997,  (i) extend the Offer,  if at the  scheduled  or
extended  expiration  date of the Offer any of the conditions to the Purchaser's
obligation to purchase Shares shall not be satisfied or waived,  until such time
as such conditions are satisfied or waived, (ii) extend the Offer for any period
required by any rule,  regulation,  interpretation or position of the Commission
or the staff thereof  applicable to the Offer,  (iii) extend the Offer from time
to time until two business days after expiration of the waiting period under the
HSR Act, and (iv) extend the Offer for an  aggregate  period of not more than 15
business  days  beyond  the  latest  expiration  date that  would  otherwise  be
permitted  under  clauses (i), (ii) or (iii) of this sentence if there shall not
have been tendered to the Purchaser  sufficient  Shares so that the Merger could
be effected  without a  stockholders'  meeting in accordance with Section 253 of
the Delaware GCL.


                                       3

<PAGE>

     The Merger.  The Merger Agreement provides that, upon the terms and subject
to the  conditions  thereof  and in  accordance  with the  Delaware  GCL, at the
Effective  Time,  the Purchaser  will be merged with and into the Company.  As a
result of the Merger,  the separate  corporate  existence of the Purchaser  will
cease  and the  Company  will  continue  as the  Surviving  Corporation.  At the
Parent's  election,  any direct or indirect  subsidiary of the Parent other than
the Purchaser may be merged with and into the Company instead of the Purchaser.

     At the Effective Time, each Share issued and outstanding  immediately prior
to the Effective Time (other than Shares owned by the Company, any subsidiary of
the Company,  the Parent,  the Purchaser or any other  subsidiary of the Parent,
which  Shares  shall  automatically  be canceled  and retired and shall cease to
exist, and no consideration  shall be delivered in exchange therefor,  or Shares
held by stockholders  who shall have properly  demanded and perfected  appraisal
rights under Section 262) will be cancelled, extinguished and converted into the
right to receive  $4.00 in cash or any higher price that may be paid pursuant to
the Offer,  payable to the holder thereof,  without interest,  upon surrender of
the certificate formerly  representing such Share in the manner described in the
Merger Agreement (the "Merger Consideration").  In addition, as of the Effective
Time,  each  share of capital  stock of the  Purchaser  issued  and  outstanding
immediately  prior to the Effective  Time shall be converted into and become one
thousand fully paid and nonassessable  shares of common stock, par value $0.0025
per share, of the Surviving Corporation.

     The Merger  Agreement  provides that Shares that are issued and outstanding
immediately  prior to the Effective Time and which are held by stockholders  who
have  complied  with all the  provisions of Section 262 of the Delaware GCL will
not be converted into the right to receive the Merger Consideration, but will be
entitled to receive the  consideration as determined  pursuant to Section 262 of
the Delaware GCL;  provided,  however,  that if, after the Effective  Time, such
stockholder  shall have failed to perfect or shall have  withdrawn  or otherwise
lost  his,  her  or  its  right  to  appraisal  under  the  Delaware  GCL,  such
stockholder's Shares shall thereupon be deemed to have been converted, as of the
Effective Time, into the right to receive the Merger  Consideration as described
above. The Merger Agreement  requires that the Company give Parent prompt notice
of any  demand  for  appraisal  of  Shares  received  by  the  Company  and  the
opportunity to participate in and direct all  negotiations  and proceedings with
respect to any demand for appraisal. In addition, the Merger Agreement prohibits
the Company  from making any payment  with  respect to,  settling or offering to
settle or otherwise negotiating any demands for appraisal without Parent's prior
consent.

     Purchaser  or the  designated  paying agent shall be entitled to deduct and
withhold  from  the  consideration  otherwise  payable  pursuant  to the  Merger
Agreement  to any holder of Shares such  amounts  that  Purchaser  or the paying
agent is  required  to deduct and  withhold  with  respect to the making of such
payment under the United States Internal  Revenue Code of 1986, as amended,  the
rules and regulations promulgated thereunder or any provision of state, local or
foreign tax law.

     The Merger  Agreement  also provides that at the Effective Time and without
any further  action on the part of the Company and the  Purchaser,  the Restated
Certificate  of  Incorporation  (the  "Certificate  of  Incorporation")  of  the
Company,  as in effect  immediately prior to the Effective Time, will be amended
to provide  that the total  number of shares of all  classes of stock  which the
Company has the  authority to issue will be 1,000 shares of Common Stock and, as
so amended,  the  Certificate  of  Incorporation  will be the  certification  of
incorporation of the Surviving  Corporation until thereafter  changed or amended
as  provided  therein and under the  Delaware  GCL.  At the  Effective  Time and
without any further  action on the part of the  Company and the  Purchaser,  the
By-Laws of the Company as in effect immediately prior to the Effective Time will
be the By-Laws of the Surviving  Corporation until thereafter changed or amended
as provided therein or by law. The Merger Agreement  provides that the directors
of the Purchaser  immediately  prior to the  Effective  Time will be the initial
directors of the Surviving  Corporation,  each to hold office in accordance with
the Certificate of Incorporation and By-Laws of the Surviving  Corporation,  and
the officers of the Company immediately prior to the Effective Time shall be the
initial  officers  of the  Surviving  Corporation,  in  each  case  until  their
respective   successors   are  duly  elected  and  qualified  or  their  earlier
resignation or removal. 


                                       4

<PAGE>

     Pursuant to the Merger Agreement, following the purchase of Shares pursuant
to the Offer, if approval of the Merger Agreement by the Company's  stockholders
is  required by law,  the Company  will,  at Parent's  request,  take all action
necessary  in  accordance  with  applicable  law to  convene  a  meeting  of its
stockholders  as soon as  practicable  to  consider  and vote  upon  the  Merger
Agreement and the transactions  contemplated  thereby. The Company will, through
the Board of Directors,  recommend that the Company's stockholders vote in favor
of the  adoption  of the  Merger  Agreement  and the  transactions  contemplated
thereby,  including  preparing and filing with the Commission under the Exchange
Act a proxy  statement  (the "Proxy  Statement")  and using its best  efforts to
cause  the  Proxy  Statement  to be mailed to  stockholders  of the  Company  as
promptly as practicable after such filing.  The Company will,  through the Board
of Directors,  recommend  that the Company's  stockholders  vote in favor of the
adoption of the Merger  Agreement  and the  transactions  contemplated  thereby,
subject to the Board of Directors'  fiduciary duty under  applicable law. At the
meeting of the Company's stockholders, the Parent will cause all Shares owned by
the Parent,  the  Purchaser or any other  subsidiary  of Parent,  including  all
Shares  purchased  in the  Offer,  to be voted in favor of the  adoption  of the
Merger Agreement and the transactions contemplated thereby.

     The Delaware GCL also provides  that if a parent  company owns at least 90%
of each  class  of  stock of a  subsidiary,  the  parent  company  can  effect a
"short-form"   merger  with  that   subsidiary   without  a  stockholder   vote.
Accordingly,  if, as a result of the Offer, or otherwise, the Purchaser acquires
or controls  the voting  power of at least 90% of the  outstanding  Shares,  the
Purchaser will be able, and intends,  to effect the Merger without a stockholder
vote.

     Representations    and   Warranties.    The   Merger   Agreement   contains
representations  and  warranties  by the Company  with  respect to,  among other
things, its organization and the organization and ownership of its subsidiaries,
its capitalization,  its corporate power and governmental authorization to enter
into the Merger  Agreement,  its  filings  with the  Commission,  its  financial
statements,  and the absence of certain  changes in its business since March 31,
1997. The Company has also  represented  and warranted that  consummation of the
transactions  contemplated  by the Merger  Agreement  does not conflict  with or
result in any breach of any provision of the  Certificate of  Incorporation  and
By-Laws of the  Company,  require  any filing  with,  or permit,  authorization,
consent or approval of, any  governmental  entity other than those  described in
the Merger Agreement, violate any applicable laws or (except as set forth in the
disclosure  schedule  to  the  Merger  Agreement)  any  material  agreements  or
instruments binding on the Company.  Other representations and warranties in the
Merger  Agreement  pertain  to  the  information  supplied  by  the  Company  in
connection with the Offer, the absence of undisclosed liabilities, the Company's
employee  benefit  plans and other  compensation  arrangements,  the  absence of
certain  litigation with respect to the Company,  compliance by the Company with
applicable law, including  environmental and healthcare  reimbursement laws, tax
matters,  the  inapplicability  of state  anti-takeover  statutes (except as set
forth in the disclosure schedule to the Merger Agreement), including Section 203
of the Delaware  GCL,  the  Company's  material  contracts,  insurance  matters,
intellectual property matters,  labor matters, real estate matters, and the vote
required  to  approve   the  Merger.   The  Merger   Agreement   also   contains
representations  and  warranties  with  respect  to the  extent  of  its  equity
interests  in other  entities,  any  brokerage  fees  payable as a result of the
consummation  of the Offer and the  Merger  and the  opinions  of its  financial
advisors  with  respect to the  fairness  of the  consideration  to be  received
pursuant to the Offer and the Merger.

     The Merger  Agreement also contains  representations  and warranties by the
Parent and the Purchaser with respect to, among other things,  the  organization
of the  Purchaser  and the  Parent,  their  authority  to enter  into the Merger
Agreement,  the  information  supplied by them in connection  with the Offer and
their  financial  ability to purchase  the  Shares.  The Merger  Agreement  also
contains  representations  and  warranties by the Purchaser and the Parent which
address any required  consents under any  applicable  provisions of the HSR Act,
the Exchange Act, the Securities Act of 1933, as amended (the "Securities Act"),
and the  regulations  thereunder  and  applicable  state  takeover  laws.  Other
representations  and  warranties  by the  Purchaser  and the  Parent  state that
execution  of the Merger  Agreement  by the Parent  and the  Purchaser  will not
conflict with or result in any breach of any provision of the 



<PAGE>


certificate  of  incorporation  or by-laws of the  Parent or the  Purchaser,  or
violate any  applicable  laws or any  agreements or  instruments  binding on the
Parent or its subsidiaries (except as provided in the Merger Agreement).

     Covenants of the Company. Pursuant to the Merger Agreement, until such time
as  Parent's  designees  constitute  a majority  of the  members of the Board of
Directors of the Company,  the Company shall and shall cause its subsidiaries to
carry on their respective  businesses in the usual,  regular and ordinary course
in substantially the same manner as conducted prior to execution and delivery of
the Merger  Agreement and use all  reasonable  efforts to preserve  intact their
present business  organizations and preserve their relationships with customers,
suppliers,  employees and others having  business  dealings with the Company and
its subsidiaries.  Without limiting the generality of the foregoing, the Company
shall not, and shall not permit any of its  subsidiaries to, without the written
consent  of Parent or as  expressly  contemplated  or  permitted  by the  Merger
Agreement,  among other things:  (i) (A) declare or pay any dividends on or make
any other  distributions  in respect of its capital stock,  other than dividends
and  distributions  by any direct or indirect  wholly-owned  subsidiaries of the
Company,  (B) split,  combine or reclassify any of its capital stock or issue or
authorize or propose the issuance of any other securities in respect of, in lieu
of or in substitution for shares of its capital stock or (C) repurchase,  redeem
or  otherwise  acquire any shares of capital  stock or other  securities  of the
Company or its subsidiaries, except pursuant to agreements referenced in Section
4.24 of the Merger Agreement or listed in the disclosure schedule thereto;  (ii)
issue, deliver,  sell, pledge or encumber any shares of its capital stock or any
securities convertible into, or any rights,  warrants,  calls,  subscriptions or
options to acquire,  any such  shares or  convertible  securities,  or any other
ownership  interest,  or authorize or propose to do any of the foregoing  (other
than the  issuance  of  Shares  upon  exercise  of stock  options  and  warrants
outstanding as of the date of the Merger  Agreement);  (iii) amend or propose to
amend  its  certificate  of  incorporation  or  by-laws;  (iv)  enter  into  any
management  agreement  for any of its assets or acquire or agree to acquire  (A)
any business or any  corporation,  partnership,  joint  venture,  association or
other  business  organization  or  division  thereof or (B) any assets  that are
material, individually or in the aggregate, to the Company and its subsidiaries,
taken as a whole,  except  purchases  of  inventory  in the  ordinary  course of
business consistent with past practice;  (v) sell, lease,  license,  encumber or
otherwise  dispose of or agree to sell,  lease,  license,  encumber or otherwise
dispose of any of its assets,  except for the  disposition  of  equipment in the
ordinary  course of business  consistent  with past practice;  (vi) (A) incur or
guarantee  any  indebtedness  for  borrowed  money,   issue  or  sell  any  debt
securities,   guarantee  any  debt  securities  of  others  or  enter  into  any
"keep-well" or other agreement to maintain any financial  statement condition of
another person or enter into any  arrangement  having the economic effect of any
of the foregoing,  except for borrowings for working capital purposes consistent
with past practices or (B) make any loans, advances or capital contributions to,
or investments in, any person other than in the case of both clauses (A) and (B)
any loan from the Company to a direct or indirect wholly-owned subsidiary; (vii)
make any tax election that would have a material effect on the Company or settle
or compromise any material tax liabilities; (viii) except as otherwise permitted
by the Merger Agreement, pay, discharge,  settle or satisfy any claim, liability
or  obligation,  other than the  payment,  in the  ordinary  course of  business
consistent  with past practice or in accordance with their terms, of liabilities
recognized  or disclosed in the  Company's  most recent  consolidated  financial
statements  included in  documents  filed with the  Commission  and  liabilities
incurred since the date of such financial  statements in the ordinary  course of
business  consistent  with past practice;  (ix) except in the ordinary course of
business or as otherwise  permitted by the Merger  Agreement,  modify,  amend or
terminate any material  agreement or waive any material rights or claims; or (x)
except as provided in the Merger  Agreement  or  required by law,  increase  the
compensation of executive  officers or directors,  enter into,  adopt,  amend or
terminate  any  employee  benefit  plan  or  any  plan,  agreement,   policy  or
arrangement  for the  benefit  of any  director,  officer  or  current or former
employee,  or pay any benefit  not  required  by any plan or  arrangement  as in
effect  as of the date of the  Merger  Agreement  (including  the  grant  of, or
acceleration of exercisability or vesting of, stock options,  stock appreciation
rights and restricted stock). In addition, the Company has agreed to (i) provide
Parent or its counsel  with copies of all filings  made by the Company  with any
governmental  entity in connection with the Merger  Agreement;  and (ii) consult
with  Parent  before  filing any  material  tax return as to the  positions  and
elections  to be taken or made with  respect  to such  return,  and to take such
positions or make such elections as the Company and Parent shall jointly agree.


                                       6

<PAGE>


     Prohibition on Solicitation. The Merger Agreement provides that the Company
and  its  officers,  directors,  employees,   representatives  and  agents  will
immediately  cease any ongoing  discussions  or  negotiations,  if any, with any
parties  conducted prior to the date of the Merger Agreement with respect to any
Takeover  Proposal (as defined below);  provided that following the cessation of
any such discussions or negotiations,  future  discussions or negotiations  with
any such parties will be governed by the remaining provisions of this paragraph.
Except as set forth in the Merger  Agreement,  (a) neither the Company or any of
its  subsidiaries,  nor  any of its or  their  respective  officers,  directors,
employees or representatives  will encourage,  solicit or initiate (including by
way of  furnishing  information)  or take any  other  action to  facilitate  any
inquiries or the making of any proposal  which  constitutes or may reasonably be
expected to lead to any Takeover  Proposal or participate in any  discussions or
negotiations  regarding any Takeover  Proposal and (b) neither the Company Board
nor any committee  thereof shall (i) withdraw or modify,  or propose to withdraw
or modify, in a manner adverse to Parent, the approval or recommendation by such
Board of  Directors  or  committee  of the Offer,  the Merger  Agreement  or the
Merger,  (ii)  approve or  recommend,  or propose to approve or  recommend,  any
Takeover  Proposal or (iii) cause the Company to enter into any  agreement  with
respect to any Takeover  Proposal.  Notwithstanding  the foregoing,  at any time
prior to  acceptance  of the Shares  pursuant to the Offer (a) the Company Board
may take, and disclose to the Company's stockholders, a position contemplated by
Rule  14e-2(a)  promulgated  under the  Exchange  Act with respect to any tender
offer for shares of capital  stock of the  Company;  provided,  that the Company
Board will not  recommend  that the  stockholders  of the Company  tender  their
shares in  connection  with any such tender offer unless the Company Board shall
have determined in good faith,  after  consultation  with outside counsel,  that
failing to take such action would be  inconsistent  with the Board of Directors'
fiduciary duty under applicable law; (b) the Company may furnish information, in
response  to an  unsolicited  Takeover  Proposal,  to any person  pursuant  to a
confidentiality  agreement,  and may participate in negotiations concerning such
Takeover  Proposal,  if the Company Board determines in its good faith judgment,
after consultation with outside counsel,  that it is necessary to do so in order
to  comply  with  its  fiduciary  duties  to the  Company's  stockholders  under
applicable law; and (c) the Company may (subject to the provisions of the Merger
Agreement),   if  the  Board  of  Directors  determines  in  good  faith,  after
consultation  with  outside  counsel,  that it is necessary to do so in order to
comply with its fiduciary duties to the Company's  stockholders under applicable
law,  withdraw or modify its approval or recommendation of the Offer, the Merger
Agreement and the Merger,  approve or recommend a Superior  Proposal (as defined
below),  cause the Company to enter into an agreement with respect to a Superior
Proposal or terminate the Merger Agreement, but in each case only at a time that
is after the first  business day following  Parent's  receipt of written  notice
advising  Parent  that the  Company  Board has  received  a  Superior  Proposal,
specifying  the material  terms and  conditions  of such  Superior  Proposal and
identifying  the person  making such  Superior  Proposal.  In  addition,  if the
Company  proposes  to enter  into an  agreement  with  respect  to any  Takeover
Proposal,  it shall concurrently with entering into such agreement pay, or cause
to be paid, to Parent the Termination Fee (see "-Fees and Expenses").  Under the
Merger Agreement,  the Company is obligated to notify the Parent  immediately of
any request for information or of any Takeover Proposal,  the material terms and
conditions  of such request or Takeover  Proposal and the identity of the person
making such request or Takeover Proposal.  The Company has agreed to keep Parent
fully  informed  of the status  and  details  of any such  request  or  Takeover
Proposal.

     For  purposes  of the  Merger  Agreement,  "Takeover  Proposal"  means  any
inquiry,  proposal  or offer from any person  relating to any direct or indirect
acquisition  or  purchase  of 20% or more of the assets of the  Company  and its
subsidiaries or 20% or more of any class of equity  securities of the Company or
any of its subsidiaries,  any tender offer or exchange offer that if consummated
would  result  in any  person  beneficially  owning  20% or more of any class of
equity  securities  of the  Company  or any of  its  subsidiaries,  any  merger,
consolidation,  business  combination,  sale of  substantially  all the  assets,
recapitalization,  liquidation, dissolution or similar transaction involving the
Company or any of its subsidiaries,  other than the transactions contemplated by
the Merger  Agreement,  or any other transaction the consummation of which could
reasonably be expected to impede,  interfere with,  prevent or materially  delay
the Offer  and/or the Merger or which  would  reasonably  be  expected to dilute
materially the benefits to Parent of the transactions contemplated by the Merger
Agreement. For purposes of the Merger Agreement, a "Superior Proposal" means any
bona fide proposal made by a third party to 


                                       7

<PAGE>


acquire,  directly or indirectly,  for  consideration  consisting of cash and/or
securities, more than 50% of the Shares then outstanding or all or substantially
all the assets of the Company  and  otherwise  on terms which the Company  Board
determines  in its good  faith  judgment  (based on the  advice  of a  financial
advisor  of  nationally  recognized  reputation)  to be  more  favorable  to the
Company's stockholders than the Offer and the Merger.

     Reasonable Efforts.  The Merger Agreement provides that, upon the terms and
subject to the  conditions  thereof,  each of the parties  thereto shall use its
reasonable  efforts to take, or cause to be taken, all actions  necessary to (i)
comply promptly with all legal  requirements which may be imposed on itself with
respect to the Offer and the Merger (which actions shall include  furnishing all
information  required  under the HSR Act and in connection  with approvals of or
filings with any other governmental entity) and will promptly cooperate with and
furnish  information  to each  other in  connection  with any such  requirements
imposed upon any of them or any of their  subsidiaries  in  connection  with the
Offer and the  Merger and (ii)  obtain  (and will  cooperate  with each other in
obtaining)  any consent,  authorization,  order or approval of, or any exemption
by, any  governmental  entity or other public or private third party required to
be  obtained  or made by  Parent,  the  Purchaser,  the  Company or any of their
subsidiaries  in  connection  with the Offer and the Merger or the taking of any
action  contemplated  thereby or by the Merger  Agreement,  except that no party
need waive any substantial rights or agree to any substantial  limitation on its
operations or to dispose of any assets.

     Board of Directors.  The Merger Agreement provides that, subject to Section
14(f) of the Exchange Act and Rule 14f-1  thereunder,  promptly upon the payment
by the Purchaser for any Shares  pursuant to the Offer,  the Purchaser  shall be
entitled to designate  such number of directors of the Company as shall give the
Purchaser a majority of the directors; provided that until the Effective Time at
least two  persons  who are  directors  of the Company on the date of the Merger
Agreement  and who are not  officers of the Company  shall be  directors  of the
Company (the "Independent Directors"). Following the election of the Purchaser's
designees  to the  Board of  Directors  and  prior to the  Effective  Time,  the
affirmative vote of a majority of the Independent Directors shall be required by
the Company to (i) amend or terminate the Merger Agreement by the Company,  (ii)
exercise  or waive any of the  Company's  rights or  remedies  under the  Merger
Agreement,  or (iii)  extend  the  time  for  performance  of  Parent's  and the
Purchaser's respective obligations under the Merger Agreement.  The Company will
promptly,  at the  option  of the  Parent,  increase  the  size of the  Board of
Directors and/or obtain the resignations of such number of its current directors
as is  necessary  to enable the  Purchaser's  designees  to be elected to and to
constitute a majority of the Board of Directors,  and will cause the Purchaser's
designees to be so elected.

     Treatment of Stock Options and Warrants.  Pursuant to the Merger Agreement,
the Company has agreed to amend the  Company's  option  plans to provide that if
optionees do not exercise their  unexercised  options to purchase Shares granted
by the Company under such plans (the "Options")  within 30 days of a notice that
the Company proposes to merge into another  corporation,  then the optionee will
receive,  in  settlement of each Option,  a Cash Amount (as defined  below) with
respect to the number of Shares underlying the unexercised portion of the Option
immediately prior to the Effective Time. The Cash Amount payable for each Option
shall  equal  the  difference   between  (i)  the  product  of  (a)  the  Merger
Consideration  minus the  exercise  price per Share of each  Option  and (b) the
number of Shares covered by the  unexercised  portion of the Option and (ii) any
applicable  withholding taxes. The Company is obligated to give to each optionee
notice that the Company proposes to merge into another corporation following the
date of the Merger  Agreement.  The Company's  option plans will terminate as of
the Effective Time.

     The Merger  Agreement  provides that, at the Effective Time, each holder of
an outstanding  warrant to purchase Shares granted by the Company  ("Warrants"),
whether or not then exercisable,  shall, in settlement thereof, receive for each
Share  issuable  upon  exercise  of  such  Warrant  an  amount  (subject  to any
applicable  withholding tax) in cash equal to the difference  between the Merger
Consideration  and the per share  exercise  price of such  Warrant to the extent
such  difference  is a positive  number.  The Company has also agreed to use its
best  efforts  to obtain all  consents  or  releases  from  holders of  Warrants
necessary to give effect to the transactions contemplated by this paragraph.



                                       8

<PAGE>

     Indemnification  and  Insurance.  Under the Merger  Agreement the Purchaser
agrees  that all rights to  indemnification  existing in favor of the present or
former  directors  and  officers  of  the  Company  (as  such)  or  any  of  its
subsidiaries (collectively, the "Covered Persons"), as provided in the Company's
Certificate  of  Incorporation  or By-Laws,  or the  articles of  incorporation,
by-laws  or  similar  documents  of any of the  Company's  subsidiaries  and the
indemnification  agreements with such present and former  directors and officers
filed with the Commission and publicly available prior to the date of the Merger
Agreement,  with respect to matters  occurring  prior to the Effective Time will
survive  the Merger and  continue  in full force and effect in  accordance  with
their terms.  In addition,  for a period of six years from the  Effective  Time,
Parent shall (i) guarantee such indemnification obligations and (ii) maintain in
effect the Company's current officers' and directors' liability insurance policy
covering those persons who were covered at the time of the Merger Agreement.

     Conditions to Merger. The respective obligation of each party to the Merger
Agreement  to effect the Merger shall be subject to the  satisfaction,  prior to
the closing of the  transactions  contemplated by the Merger  Agreement,  of the
following  conditions:  (a) if necessary under  applicable law, the Merger shall
have been adopted by the requisite  vote of the  stockholders  of the Company in
accordance  with the DGCL;  (b) no legal  requirements  shall have been enacted,
entered,  promulgated  or enforced  by any court or  governmental  entity  which
prohibit or prevent the  consummation  of the Merger  (provided that each of the
parties  shall have used  reasonable  efforts  to prevent  the entry of any such
injunction  or other order and to appeal as promptly as possible any  injunction
or other order that may be entered; (c) Purchaser shall have previously accepted
for payment and paid for Shares  pursuant to the Offer;  and (d) the  applicable
waiting period under the HSR Act shall have expired or been terminated.

     Termination.  The Merger  Agreement  may be terminated at any time prior to
the Effective Time of the Merger,  whether before or after approval of the terms
of the  Merger  Agreement  by the  stockholders  of the  Company,  (a) by mutual
consent  of the Parent and the  Company  (but only by action of the  Independent
Directors after the purchase of Shares pursuant to the Offer); (b) by either the
Company  or the  Parent  if (i) (x) as a  result  of the  failure  of any of the
conditions to the Offer the Offer shall have terminated or expired in accordance
with its terms  without the  Purchaser  having  accepted  for payment any Shares
pursuant to the Offer or (y) the  Purchaser  shall not have accepted for payment
any Shares pursuant to the Offer prior to November 30, 1997; provided,  however,
that the right to terminate the Merger  Agreement  shall not be available to any
party whose failure to perform any of its obligations under the Merger Agreement
results in the failure of any such condition or if the failure of such condition
results from facts or circumstances  that constitute a breach of  representation
or warranty under the Merger  Agreement by such party; or (ii) any  governmental
entity  shall have issued an order,  decree or ruling or taken any other  action
permanently  enjoining,  restraining or otherwise prohibiting the acceptance for
payment of, or payment for,  Shares pursuant to the Offer or the Merger and such
order,   decree  or  ruling  or  other   action  shall  have  become  final  and
nonappealable;  (c) by Parent or the  Purchaser  (i)  prior to the  purchase  of
Shares  pursuant  to the Offer in the event of a breach  by the  Company  of any
representation,  warranty,  covenant or other agreement  contained in the Merger
Agreement which (A) would give rise to the failure of certain  conditions to the
Offer and (B) cannot be or has not been cured within 20 days after the giving of
written  notice to the Company;  (ii) if Parent or the  Purchaser is entitled to
terminate the Offer as a result of the Company  Board or any  committee  thereof
having  withdrawn or modified in a manner adverse to Parent or the Purchaser its
approval or recommendation of the Offer, the Merger or the Merger Agreement,  or
approved or  recommended  any Takeover  Proposal,  or if the Company  shall have
entered into any agreement  with respect to any Superior  Proposal in accordance
with the Merger  Agreement  or the Company  Board or any  committee  thereof has
resolved  to do any of the  foregoing  or (iii) if,  due to an  occurrence,  not
involving a breach by Parent or the Purchaser under the Merger Agreement,  which
makes it  impossible  to satisfy  any of the  conditions  set forth in "Item 2 -
Tender Offer of the Bidder,"  Parent,  the Purchaser or any of their  affiliates
shall  have  failed  to  commence  the Offer on or prior to five  business  days
following the date of the initial public  announcement of the Offer;  (d) by the
Company (i) in connection with entering into a definitive  agreement relating to
a Superior Proposal in accordance with the Merger  Agreement,  or (ii) if Parent
or the  Purchaser  shall have  breached  in any  material  respect  any of their
respective representations,  warranties, covenants or other agreements contained
in the Merger Agreement, which breach or 


                                       9
<PAGE>

failure to perform is  incapable  of being cured or has not been cured within 20
days  after  the  giving of  written  notice  to  Parent  or the  Purchaser,  as
applicable,  except,  in any case,  such  breaches  and  failures  which are not
reasonably  likely to affect  adversely  Parent's or the Purchaser's  ability to
complete the Offer or the Merger,  or (iii) if Parent,  the  Purchaser or any of
their  affiliates  shall have failed to  commence  the Offer on or prior to five
business days following the date of the initial public announcement of the Offer
(provided  that the Company may not terminate the Merger  Agreement  pursuant to
this provision if the Company is at such time in breach of its obligations under
the Merger  Agreement such as to cause a material  adverse effect on the Company
and its subsidiaries, taken as a whole).

     In the  event  of the  termination  of the  Merger  Agreement,  the  Merger
Agreement  shall  forthwith  become  void and of no effect and there shall be no
liability on the part of any party thereto except as described under "- Fees and
Expenses"  below and as otherwise  provided in the Merger  Agreement;  provided,
however,  that  nothing  in the Merger  Agreement  will  relieve  any party from
liability for any breach thereof before termination.

     Fees and Expenses.  The Merger Agreement  provides that, except as provided
in the following  paragraph,  all fees and expenses  incurred in connection with
the Offer, the Merger,  the Merger  Agreement and the transactions  contemplated
thereby will be paid by the party  incurring  such fees or expenses,  whether or
not the Offer or the Merger is consummated.

     Under the Merger  Agreement  the Company will pay, or cause to be paid,  in
same  day  funds,  to  the  Parent  (a) a  termination  fee of  $1,000,000  (the
"Termination  Fee") and (b) all  outstanding  loans between Parent or any of its
subsidiaries  and the Company if the Merger  Agreement is terminated  (w) by the
Company in accordance  with the provisions  described in clause (d)(i) under the
heading "Termination" above, (x) by the Parent in accordance with the provisions
described in clause  (c)(ii) under the heading "-  Termination"  above or (y) by
either the Company or Parent in accordance  with the provisions of clause (b)(i)
above and (I) prior  thereto there shall have been  publicly  announced  another
Takeover  Proposal  or an event  described  in clause (d) under "Item 2 - Tender
Offer of the  Bidder"  shall  have  occurred  and (II) a  Takeover  Proposal  is
consummated on or prior to March 31, 1998. Any amounts  payable  pursuant to the
Merger  Agreement shall be payable  concurrently  with termination of the Merger
Agreement in the case of  termination  pursuant to clauses (w) and (x) above and
at the time of  consummation  of a  Takeover  Proposal  as  described  in clause
(y)(II) above.

     Amendment;  Waiver. Any provision of the Merger Agreement may be amended or
waived prior to the Effective  Time (as set forth in the Merger  Agreement)  if,
and  only  if,  such  amendment  is in  writing  and  signed,  in the case of an
amendment,  by the Company,  the Parent and the  Purchaser  or, in the case of a
waiver,  by the party against whom the waiver is to be effective;  provided that
(i) any waiver or amendment shall be effective against a party only if the board
of directors of such party  approves such waiver or amendment and (ii) after the
adoption of the Merger  Agreement by the  stockholders  of the Company,  no such
amendment or waiver shall be made which by law requires the further  approval of
such stockholders  without obtaining such further approval.  Notwithstanding any
provision  included  under this heading "-  Amendment;  Waiver" to the contrary,
following the election or appointment of the Purchaser's  designees as directors
of the  Company  and prior to the  Effective  Time,  the  affirmative  vote of a
majority of the  Independent  Directors  then in office shall be required by the
Company to (i) amend or terminate  the Merger  Agreement  by the  Company,  (ii)
exercise  or waive any of the  Company's  rights or  remedies  under the  Merger
Agreement or (iii) extend the time for performance of Parent and the Purchaser's
respective obligations under the Merger Agreement.

     No  failure  by any  party to assert  any of its  rights  under the  Merger
Agreement or otherwise shall operate as a waiver thereof.

     Assignment.  The Merger  Agreement  shall be binding  upon and inure to the
benefit of the parties  thereto and their  respective  successors  and  assigns,
provided  that no party may assign any of its rights,  interests or  obligations
under the  Merger  Agreement  without  the prior  written  consent  of the other
parties thereto,  except that the Purchaser may assign any or all of its rights,
interests and obligations  under the Merger  Agreement to any direct or indirect
wholly-owned subsidiary of Parent.


                                       10


<PAGE>


Item 4. The Solicitation or Recommendation.

     (a) Recommendation of the Board of Directors.

     THE BOARD OF DIRECTORS OF THE COMPANY,  BY UNANIMOUS  VOTE OF ALL DIRECTORS
PRESENT AND VOTING  (WITH THE TWO  DIRECTORS  WHO ARE ALSO  DIRECTORS  OF PARENT
ABSTAINING OR NOT  ATTENDING),  BASED UPON,  AMONG OTHER  THINGS,  THE UNANIMOUS
RECOMMENDATION  AND  APPROVAL OF A SPECIAL  COMMITTEE  OF THE  DIRECTORS  OF THE
COMPANY,  HAS DETERMINED THAT THE TERMS OF THE OFFER AND MERGER ARE FAIR TO, AND
IN THE BEST  INTERESTS OF, THE  STOCKHOLDERS  OF THE COMPANY (OTHER THAN PARENT,
THE PURCHASER AND THEIR AFFILIATES), AND RECOMMENDS THAT STOCKHOLDERS ACCEPT THE
OFFER AND TENDER THEIR SHARES PURSUANT TO THE OFFER.

     At a meeting  of the Board of  Directors  of the  Company  held on July 31,
1997, the Board (i) determined  that the Merger  Agreement and the  transactions
contemplated  thereby,  including the Offer and the Merger, taken together, at a
price of  $4.00  per  share,  are fair to,  and in the best  interests  of,  the
stockholders  of the  Company,  (ii)  approved,  subject  to the  execution  and
delivery of the Merger  Agreement,  the Merger  Agreement  and the  transactions
contemplated thereby,  including the Offer and the Merger, and (iii) recommended
that the  stockholders  of the Company  accept the Offer and, if required by the
Delaware GCL, vote in favor of the Merger.  Accordingly,  the Board of Directors
of the Company  recommends  that the  stockholders  of the Company  tender their
Shares pursuant to the Offer.  Dr. Robert N. Elkins,  a member of the Board, who
is also a shareholder,  director and the chief executive officer of Parent,  did
not attend the meeting of the Board of Directors of the Company on July 31, 1997
and Mr. John L. Silverman, who is also a shareholder,  director and officer of a
subsidiary of Parent, abstained from voting at the July 31, 1997 meeting. A copy
of the press  release  announcing  the  Merger  Agreement  and the  transactions
contemplated  thereby is filed herewith as Exhibit 3 and is incorporated  herein
by reference.

     (b)(1) Background to the Offer; Reasons for Recommendation.

     Background to the Offer.  The Company develops and operates skilled nursing
facilities  in  medically  underserved  rural  communities.  The  Company  began
operations in December 1993 with its  acquisition of all of the capital stock of
MeritWest Inc.  ("MeritWest"),  which operated 28 long-term care facilities,  of
which 14 were owned,  13 were  leased and one was  managed,  in six states.  Dr.
Robert N. Elkins,  a director of the Company and Chairman of the Board and Chief
Executive  Officer of Parent,  was a founder and  principal  stockholder  of the
Company.  The Company  subsequently  consummated  a series of  acquisitions  and
entered into various lease and  management  agreements.  The Company's  business
strategy  was to improve the acquired  facilities  and use them as a platform to
provide  an  expanded  and  coordinated  range of health  care  services,  while
continuing to seek expansion opportunities.

     In August 1995,  the Company  completed an initial  public  offering of its
common stock.  The Company issued  3,450,000  Shares to the public at a price of
$9.50 per Share,  and raised net proceeds of  approximately  $27.6 million.  The
Company used the net proceeds of the offering  principally to repay indebtedness
and to redeem shares of preferred stock.

     At the time of  consummation  of the public  offering in August  1995,  the
Company  assumed the management of nine long-term  care  facilities  (the "Sandy
River Facilities") in Maine pursuant to a series of management agreements (which
also  contemplated the Company managing one additional  facility upon completion
of construction and the achievement of certain occupancy levels). As part of the
arrangement, the Company also obtained an option to acquire these ten facilities
pursuant to which the Company made a $5.0 million non-refundable deposit.

     During 1996, the Company sought to raise  additional funds through debt and
equity public  offerings  with the  objective of reducing its  revolving  credit
indebtedness and increasing working capital.  These offerings were unsuccessful,
in part due to investor  concerns related to the Medicare  decertification  of a
nursing  facility  operated by the Company and growing  concerns  regarding  the
ability of the Sandy River  Facilities to generate  sufficient  cash flow to pay
the Company's management fees and consequent write-off risks.


                                       11

<PAGE>


     In February 1996, the Company engaged Smith Barney Inc. ("Smith Barney") to
pursue  alternative  courses of  obtaining a capital  infusion  for the Company,
finding a suitable  joint  venture  partner or selling the  Company.  During the
first quarter of 1996,  approximately 34 parties were contacted on the Company's
behalf, of which four submitted initial  indications of interest.  However,  the
Company  was unable to either  obtain a capital  infusion or to find a purchaser
for the Company.

     The Sandy River  Facilities  continued to fail to generate  sufficient cash
flows to pay the  Company's  management  fees and, in August  1996,  the Company
terminated both its management agreement and purchase option agreements relating
to those  facilities.  The  Company  also  separately  determined  to close four
primary care clinics, four adult day care centers and one physician practice. As
a result principally of the termination of the agreements  relating to the Sandy
River  Facilities and the nine unrelated  closings,  the Company  recorded $19.2
million in charges during the second quarter of 1996.

     In October 1996, the Company requested that Smith Barney assist the Company
in again evaluating debt and equity financing  alternatives or the possible sale
of the Company. Approximately 40 parties were contacted on the Company's behalf,
of which five  submitted  initial  indications of interest.  However,  no viable
offers were submitted to the Company.

     The Company  recorded $10.7 million of charges during the fourth quarter of
1996.  These charges related  principally to: the termination of an agreement to
acquire  certain rural hospitals in Georgia and the transfer back to the sellers
of one hospital  acquired in connection with the proposed  transaction since the
Company was unable to secure  financing to complete  the  proposed  transaction;
costs  associated with  unsuccessful  debt and equity  offerings by the Company;
contractual  allowances  and  revenue  adjustments;   and  other  balance  sheet
adjustments.

     As a result of the foregoing, the Company recorded a total of $29.9 million
of write-offs  and charges during the year ended December 31, 1996. For the same
period,  the Company incurred a loss of $18.9 million and had negative cash flow
from  operating  activities.  As of December 31, 1996, the Company had a working
capital  deficiency  of $10.9 million and was in default with respect to certain
of its debt, lease and other agreements.  These circumstances raised doubt about
the Company's ability to continue as a going concern.

     In December  1996, as part of a financial  restructuring  plan, the Company
refinanced its bank revolving line of credit to extend the payment terms related
to $4.8 million of debt due at December 31, 1996. The Company also  subsequently
obtained the release of $4.1 million of security deposits through a modification
of agreements  with its principal  lessor to reduce rental payments and obtained
waivers of financial covenant violations and related defaults under certain debt
and lease agreements through February 1998.

     The  Company  also  entered  into a  number  of  transactions  with  Parent
commencing  in  December  1996.  Dr.  Elkins,  a  director  of the  Company  and
beneficial owner of approximately 21.0% of the Shares, is Chairman of the Board,
Chief Executive Officer and a significant stockholder of Parent. John Silverman,
a director of the  Company,  is also a  director,  officer  and  stockholder  of
Parent. Michael Blass, a director of the Company, has provided legal services to
Parent as well as the  Company.  Deborah  Lau, a  director  of the  Company  and
currently its  President,  had been an employee of Parent until she became Chief
Operating  Officer  of the  Company  in  October  1995 as  part of a  management
restructuring. Ms. Lau has no continuing contractual arrangements with Parent.

     The  Company  had  previously  (in January  1994)  entered  into a Medicare
consulting   agreement  with  Symphony  Care  Consulting,   Inc.   ("SCCI"),   a
wholly-owned  subsidiary of Parent. The agreement was amended on May 1, 1995 and
provided  for SCCI's  provision  to the  Company of Medicare  reimbursement  and
certification   services,   including  training,  cost  report  preparation  and
accounting services,  through January 1996. The Company paid to SCCI $410,000 in
1994,  $453,000 in 1995 and $148,000 in 1996 for these  services.  In 1996,  the
Company paid  Symphony  Rehabilitation  Services  ("SRS") and Symphony  Pharmacy
Services ("SPS"), both wholly-owned subsidiaries of Parent, $162,000 for therapy
services  and $98,000 for pharmacy  services,  respectively.  In  addition,  the
Company  paid  Parent  approximately  $500,000  in 1994 and  $186,000 in 1995 to
reimburse Parent for expenses incurred on behalf of 


                                       12

<PAGE>


the Company in  connection  with the start-up of the Company's  operations,  the
MeritWest  acquisition  and  due  diligence  services  in  connection  with  the
Company's public  offering.  No amounts were paid to Parent in 1996. The Company
believes  that the  terms of the  agreement  with SCCI and the  amounts  paid to
Parent,  SRS and SPS for services  were on terms as favorable as could have been
obtained from unaffiliated third parties.

     On December  27,  1996,  the Company and Parent  entered  into a Management
Agreement (the  "Management  Agreement")  pursuant to which the Company  engaged
Parent  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
Parent 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 Parent 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  may be increased from 2.0% to
2.5% by  mutual  agreement  of the  parties  following  Parent's  review  of the
Company.

     At the  same  time the  Company  and  Parent  entered  into the  Management
Agreement,  IHS Financial  Holdings,  Inc., a wholly-owned  subsidiary of Parent
("IHS  Holdings"),   also  entered  into  a  loan  agreement  (the  "First  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 Parent,  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 Parent'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.  In connection  with  entering  into the revolving  credit
facility,  the Company  issued to Parent  warrants to purchase an  aggregate  of
752,182  Shares,  one-half of which were  exercisable  until January 13, 1999 at
$3.22 per share (the average of the high and low trading prices of the Shares on
January 14 and 15, 1997) and the  remaining  one-half of which were  exercisable
until January 13, 2002 at $6.44 per Share.

     Parent  initially  declined the  opportunity to enter the rural  healthcare
market at the time the Company was formed. However, by the end of 1996, with the
changes  in the  healthcare  industry,  such  as the  expected  introduction  of
prospective pay for nursing homes and continued pressure on reimbursement rates,
as well as Parent's expansion of its home healthcare services in connection with
the  establishment of its post-acute care network system based on geriatric care
facilities and home healthcare,  Parent detemined that geriatric care facilities
serving medically  underserved rural communities could be an important strategic
component of its post-acute care network system. However, Parent was at the time
unwilling to enter this market through  acquisition  until it better  understood
the rural healthcare marketplace. Accordingly, the Parent believed that entering
into the  Management  Agreement  would provide it with an  opportunity to better
understand  the rural  healthcare  marketplace  without  making a large  capital
commitment.

     In  negotiating  the terms of the  Management  Agreement and the First Loan
Agreement,  Parent appointed a special committee consisting of two directors who
had no financial interest or other  relationship with the Company.  This special
committee  engaged  separate  legal  counsel and a financial  advisor,  Shattuck
Hammond Partners Inc. ("Shattuck Hammond"),  to advise it in connection with the
negotiation  of the  Management  Agreement,  the First  Loan  Agreement  and the
warrants issued in connection with the First Loan Agreement.

     On April 14, 1997,  Parent 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 Parent to issue
such guarantees, the Company agreed to reimburse Parent for such 


                                       13


<PAGE>


amounts  paid by  Parent on behalf of the  Company,  including  costs,  fees and
expenses, and to pay Parent interest at the rate of 15% per annum on all amounts
which  become  owing to  Parent  from  the  Company  with  respect  thereto.  In
connection therewith,  the Company also issued warrants to Parent to purchase an
aggregate  of 379,900  Shares  until  April 15,  2002 at $1.9375  per Share (the
closing price of the Shares on April 14, 1997).  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.  As a result of the issuance of the warrants in April 1997,  the warrants
issued to Parent in January 1997 were adjusted to cover 809,374 Shares, one-half
of which are  exercisable at $2.99 per Share until January 13, 1999 and one-half
of which  are  exercisable  at $5.99  per  Share  until  January  13,  2002.  In
connection with the issuance of each of the above warrants,  the Company granted
to Parent  certain  rights to cause the Shares  issuable  upon  exercise  of the
warrants to be registered under the Securities Act at the Company's expense.

     In April 1997,  at the  Company's  direction,  Smith  Barney  began a third
attempt to solicit buyers for the Company. This time,  approximately 38 parties,
including  Parent,  were contacted.  By mid-May 1997, four parties had submitted
preliminary expressions of interest in acquiring the Company.

     On June 6, 1997,  the Board of  Directors  of the Company held a meeting at
which it authorized the formation of the Special Committee to solicit and review
any  acquisition  proposals,  to retain  counsel and an  investment  bank in the
Special  Committee's  discretion and to conduct an auction  process as it deemed
appropriate.  At that meeting,  Dr. Elkins indicated that Parent  management was
considering  the  possibility of submitting to its Board of Directors a proposal
to bid for the purchase of the Company.  Accordingly,  the Special Committee was
organized to include the directors of the Company other than Messrs.  Elkins and
Silverman, who are both directors of Parent.

     On June 11, 1997, the Special Committee held its first meeting. The Special
Committee  retained the law firm of Chadbourne & Parke LLP, which had previously
acted as special  counsel to the Company  Board on various  matters  relating to
representation of the Company in negotiations with Parent. The Special Committee
also decided,  upon advice of counsel, to seek an opinion in connection with any
acquisition  transaction  from an investment bank that had no previous  dealings
with Parent or the Company,  in addition to an opinion from Smith Barney,  since
Smith Barney from time to time provides investment banking services to Parent on
matters  unrelated  to the  Company.  The Special  Committee  directed  that its
counsel  prepare a form of merger  agreement  for  submission to the parties who
provided  preliminary  indications  of interest  and that each of the bidders be
contacted  with a view to  reducing  the  conditions  to the offers made by such
bidders and increasing the consideration  offered by them. The Special Committee
also  requested  that Parent be contacted to determine if it would be submitting
an offer, and also directed that its advisors prepare a press release announcing
that the Company was soliciting potential buyers for the Company.

     On June 13, 1997,  the Company  publicly  announced  that it was evaluating
credible indications of interest from potential buyers.

     Between  June 11, 1997 and June 24,  1997,  the Special  Committee  members
communicated informally by telephone regarding the auction process, selection of
an  investment  banker in  addition  to Smith  Barney to  render an  opinion  in
connection  with  a  transaction  and  related  matters.   During  this  period,
discussions  continued  with  the  parties  who  had  submitted  expressions  of
interest, including Parent.

     On June 24, 1997, the Special Committee, on behalf of the Company,  engaged
Wheat, First Securities, Inc. ("Wheat First") to render an opinion in connection
with any proposed transaction that might result from the auction process.  Also,
on June 24,  1997,  Michael  Blass  resigned  from  the  Special  Committee.  He
indicated  that he had been  advised  that Parent had decided to submit a bid to
purchase the Company and felt that his  resignation  was appropriate in light of
the fact that his law firm,  Blass &  Driggs,  had  provided  and  continued  to
provide legal services to Parent on matters unrelated to the Company.

     During  1997,  Parent  continued  to expand its  post-acute  care  network,
particularly in the home healthcare area. In July 1997, Parent agreed to acquire
RoTech Medical  Corporation,  which provides  comprehensive  home healthcare and
primary care physician services, principally to patients in non-- 


                                       14


<PAGE>

urban areas (the "RoTech Acquisition"). The proposed RoTech Acquisition, as well
as Parent's  acquisition  of First  American  Health  Care of  Georgia,  Inc. in
October 1996 and Arcadia Services,  Inc. in July 1997, will significantly expand
Parent's  presence  in the rural home  healthcare  market.  As a result,  Parent
determined  that  operating  geriatric  care  facilities  in the areas  where it
provided  rural home  healthcare  services  would  benefit  its home  healthcare
business  and  expand the scope of its  post-acute  care  network.  Accordingly,
Parent determined to pursue the acquisition of the Company.

     On June 25, 1997,  Parent  delivered a bid to acquire all of the  Company's
outstanding  Shares in a merger  pursuant to which  stockholders  of the Company
would receive $3.50 per Share in cash.

     On June 26, 1997,  the Special  Committee  held a meeting,  attended by the
Company's  legal  and  financial  advisors,  to  discuss  the bids that had been
presented.  The Special  Committee  was informed  that one of the entities  that
initially provided an expression of interest had withdrawn its bid. With respect
to the bids submitted, the Special Committee was informed as follows:

       - One entity that had  previously  provided an  expression of interest in
   buying the Company at $3.00 per Share in cash had,  following  completion  of
   its due  diligence,  reduced its bid to $1.50 per Share in cash.  The Special
   Committee had a high degree of confidence  that the entity could finance such
   a  transaction.  However,  the  Special  Committee  believed  that  this  bid
   represented a very conservative valuation of the Company.

       -  Another  entity  bid $3.41 per  Share in cash.  The  bidder,  however,
   refused to disclose its financing sources unless the Special Committee agreed
   to engage  in  exclusive  negotiations  with such  bidder.  Further,  the bid
   provisions  required  establishment  of an  escrow  account  and  significant
   conditions relating to the restructuring of existing financing  arrangements,
   which the Company  believed made the  consummation  of any transaction at the
   bid price subject to significant risk of delay or failure. The bidder did not
   reveal its  financing  sources  and was  unwilling  to permit the  Company to
   conduct due  diligence  with  respect to the ability of the bidder to finance
   the  transaction,  until such time as the Company was  prepared to  negotiate
   exclusively with the bidder.

       - Parent submitted a bid for $3.50 cash per Share. The Special  Committee
   noted that the offer  contained no financing  contingency  and that the offer
   had  already  been  approved  by a special  committee  of  Parent's  board of
   directors.

       -  A  fourth   entity   submitted  a  bid  calling  for  an  exchange  of
   publicly-traded  shares of such entity for Shares of the Company. The bid was
   nominally  valued  at  $4.10  per  Share,  based on the  market  price of the
   bidder's shares.  The Special Committee  requested that Wheat First and Smith
   Barney each analyze certain pro forma financial  information  relating to the
   combined entity resulting from a possible  transaction with this bidder.  The
   Special Committee also reviewed with its advisors certain issues relating to,
   among other things,  liquidity of the trading market for shares of the bidder
   following a merger, capitalization of the combined entity, earnings accretion
   or  dilution,  working  capital  needs,  regulatory  impact of the merger and
   timing issues.

     The Special Committee directed that its advisors focus their efforts on the
stock-for-stock  bidder and a cash  merger  with  Parent  with a view to seeking
increased consideration and minimizing conditions to closing.

     On July 1, 1997,  Parent  notified  the Company that it had raised its cash
offer to $4.00 per Share.

     On July 1, 1997, the  stock-for-stock  bidder raised its offer to $4.26 per
Share, again based on the current market price of its publicly-traded shares.

     On July 6, 1997, the Special  Committee met to review the sale process.  At
such meeting,  the Special Committee was updated as to the revised status of the
bids  received  from Parent and the  stock-for-stock  bidder,  and reviewed with
Wheat  First and Smith  Barney  certain  pro forma  financial  information  with
respect to the stock-for-stock  bidder following a merger with the Company.  For
the reasons discussed below under  "Recommendations of the Special Committee and
the Company Board;  Fairness of the Offer and the Merger," the Special Committee
determined that the proposed  transaction  with Parent was in the best interests
of the Company's stockholders. 


                                       15

<PAGE>

     The  Special  Committee  directed  its  advisors  to  enter  into  detailed
negotiations with Parent with a view to executing a definitive merger agreement.

     Between July 7 and July 31,  1997,  the Company and Parent  negotiated  the
terms of a definitive  merger  agreement.  During this  period,  the Company and
Parent also negotiated  terms of a $5.0 million secured loan financing which the
Company  requested  to  provide  it  working  capital  in order to avoid  making
additional asset dispositions.

     On July 18, 1997,  the Company and IHS Holdings  entered into a second loan
agreement,  which entitles the Company to borrow for working  capital  purposes,
until July 18,  1999,  amounts on a revolving  credit basis so that no more than
$5.0 million is outstanding  at any time.  Loan advances are to be made directly
to creditors of the Company,  including the Parent,  in payment of the Company's
obligations to such  creditors.  Proceeds used to pay the Company's  obligations
are directed by the Parent in accordance  with the  Management  Agreement.  This
revolving credit facility bears interest at a rate per annum equal to the annual
rate of interest set forth in Parent's revolving credit agreement with Citibank,
N.A.,  plus 4%.  Repayment  of  amounts  advanced  under this line of credit are
subordinated  to the payment of up to an aggregate of $13.6 million of principal
and interest on the  Company's  obligations  to one of the  Company's  principal
unaffiliated third-party lenders. The revolving credit facility is guaranteed in
full by Community Care of Nebraska,  Inc.,  ECA Holdings,  Inc., CCA of Midwest,
Inc.,  Quality Care of Columbus,  Inc.,  Quality Care of Lyons,  Inc. and W.S.T.
Care, Inc., each a wholly-owned subsidiary of the Company. The revolving line of
credit  is  secured  by  the  real  property  assets  of  the  Company  and  its
subsidiaries.  At July 31,  1997,  no  borrowings  were  outstanding  under this
facility.

     On July 30,  1997,  the  Special  Committee  met to review the terms of the
proposed  merger  agreement.  Wheat First and Smith Barney each made a financial
presentation  and advised the Special  Committee that,  subject to review of the
final  documentation for the transaction and certain other customary matters, it
was prepared to render an opinion to the effect that the cash  consideration  to
be received by holders of Shares (other than Parent and its  affiliates)  in the
Offer and the Merger was fair from a  financial  point of view to such  holders.
After full discussion, the Special Committee members determined to recommend the
Merger to the Company Board for approval.

     On July 31, 1997, the Company Board met to review the terms of the proposed
Merger Agreement and the  recommendation of the Special  Committee.  Wheat First
and Smith Barney each made a financial  presentation  and orally rendered to the
Company  Board their  respective  opinions  (which  opinions  were  subsequently
confirmed  by delivery of written  opinions  dated  August 1, 1997,  the date of
execution of the Merger  Agreement)  to the effect that,  as of the date of such
opinions and based upon and subject to certain matters stated therein,  the cash
consideration  to be  received  by holders of Shares  (other than Parent and its
affiliates) in the Offer and the Merger was fair from a financial  point of view
to such holders.  A majority of the Company  Board,  including a majority of the
non-employee  directors,  approved the Offer and the Merger.  Dr. Elkins did not
attend the meeting, and Mr. Silverman  abstained,  noting that he was a director
of Parent.

     On August 1, 1997,  representatives  of the Company  and Parent  signed the
definitive Merger  Agreement.  On the same date, the Company and Parent issued a
joint press release announcing the signing of the Merger Agreement.

     Recommendations of the Special Committee and the Company Board; Fairness of
the Offer  and the  Merger.  At a meeting  held on July 30,  1997,  the  Special
Committee unanimously determined to recommend that the Company Board approve the
Offer and the Merger.  At a meeting held on July 31, 1997, the Company Board, by
unanimous  vote of all directors  present and voting (with the two directors who
are  also  directors  of  Parent  abstaining  or  not  attending)  based  on the
recommendation of the Special Committee,  determined that the terms of the Offer
and the Merger were fair to, and in the best interests of,  stockholders  of the
Company (other than Parent,  the Purchaser and their  affiliates),  and approved
the Offer and Merger.

     In reaching its conclusions,  the Special Committee  considered a number of
factors, including but not limited to the following:


                                       16

<PAGE>

        (i)  the  Company's  financial  condition  and  results  of  operations,
     including its  substantial  net losses since its initial public offering in
     August 1995;  its reliance  since  inception on financings as its principal
     source of liquidity;  and its difficulty during the period since its public
     offering in obtaining financing;

        (ii) the cash  consideration  of $4.00 per Share to be  received  by the
     Company's  stockholders  in the Offer and Merger  represents a  substantial
     premium  over  recent  market  prices (the  closing  price of the Shares as
     reported on NASDAQ on July 31, 1997, the last full trading day prior to the
     announcement of the execution of the Merger Agreement, was $3.1875) and the
     Offer and the Merger will enable the Company's  stockholders  to sell their
     Shares at a premium in an otherwise relatively illiquid market;

        (iii) the Offer Price and Merger  consideration  represent a substantial
     premium to the net book value of the Shares (which as of March 31, 1997 was
     $2.04 per Share on a primary basis);

        (iv) the Company's current business and future prospects,  including the
     fact that, without increased liquidity, the Company would be constrained in
     its growth;

        (v) partial  sales of the  Company's  assets would  present  significant
     risks  in  realizing  value  for  the  stockholders  due to  the  liquidity
     constraints on the Company and the effects that  write-offs  resulting from
     asset sales  would have on the  Company's  ability to  maintain  its Nasdaq
     listing and liquidity for the Shares;

        (vi)  uncertainty as to the  realizable  value to equity holders upon an
     orderly liquidation of the Company's assets;

        (vii) the fact  that the  Company  had for more  than a  year-and-a-half
     publicly  indicated  it was  seeking a buyer and had been  unsuccessful  in
     finding  a  credible  buyer  with  adequate   financing   sources  to  make
     consummation of a sale probable;

        (viii) the fact that, in the most recent auction  process,  commenced in
     April 1997, the most viable alternative bid was a stock-for-stock  proposal
     that  involved  significant  risks  which made such offer  unattractive  by
     comparison to the cash offer of Parent.  Although the  stock-for-stock  bid
     had a nominal  value in excess of the  Parent's  cash  offer,  based on the
     market price of the bidder's stock, the Special Committee believed that the
     resulting  post-merger  entity  would  not be a  suitable  vehicle  for the
     Company's   stockholders  to  realize  value.  The  Special  Committee  was
     influenced in its  determination  by the fact that the shares of the bidder
     were  trading  at  multiples  of  approximately  148 times  projected  1997
     earnings and 49 times  projected 1998 earnings,  whereas the mean multiples
     for  comparable  companies  in the  same  industry  were  17.1  times  1997
     projected  earnings  and 14.9 times 1998  projected  earnings.  The Special
     Committee  was  concerned  that  (A)  the  trading  multiple  could  not be
     justified  based on  historical  performance  and that a settling  of share
     prices of the  combined  entity  would  negatively  affect the value of the
     Company's  stockholders' holding in the post-merger entity, (B) the trading
     volume of the shares of the stock-for-stock bidder was low, and there was a
     very small institutional  investor base, so that the Company's stockholders
     would have had limited liquidity for their shares in a post-merger  entity,
     (C) the Company  required working capital to sustain  operations  pending a
     merger,  which it could  reasonably  expect  to  obtain  only by  divesting
     certain assets or obtaining  financing from a prospective  bidder,  and (D)
     divestitures  by the Company  would result in additional  write-offs  which
     would have  jeopardized  the post-merger  entity's  ability to maintain the
     minimum  net worth  required  to  maintain a NASDAQ  listing.  The  Special
     Committee  believed,  based  on  review  of  the  stock-for-stock  bidder's
     historical  working  capital  needs and  sources,  that  liquidity  for the
     Company's operations would be an issue of immediate concern if it pursued a
     transaction with the stock-for-stock bidder;

        (ix) the terms and conditions of the Offer and the Merger, including the
     lack of  financing  as a condition  of either the Offer or the Merger,  and
     that all stockholders will receive the same price and form of consideration
     for their Shares, whether in the Offer or the Merger;

        (x) the oral  presentations  made by the  Company's  financial and legal
     advisors to the Special  Committee at a meeting held on July 30, 1997 as to
     various  financial  and  other   considerations   deemed  relevant  to  the
     evaluation of the Offer and the Merger; and


                                       17

<PAGE>

        (xi) the belief on the part of members of the Special  Committee,  based
     upon their  investigation  regarding  the Company's  business,  its current
     financial  condition and results of operations,  and its future  prospects,
     that the cash  consideration  to be paid in the Offer and the Merger fairly
     reflects the  Company's  value that was  probable of being  obtained by the
     stockholders of the Company in a sale of the Company.

     At a meeting of the Company Board held on July 31, 1997, by unanimous  vote
of all  directors  present  and  voting  (with  the two  directors  who are also
directors of Parent abstaining or not attending),  based upon the recommendation
of  the  Special  Committee,  the  Company  Board  voted  to  recommend  to  the
stockholders  of the Company  that they accept the Offer and tender their Shares
pursuant  to the Offer.  Dr.  Elkins did not attend the  meeting of the  Company
Board at which this recommendation was made and Mr. Silverman abstained,  noting
that he was director of Parent.

     The  members  of  the  Company  Board,  including  the  Special  Committee,
evaluated the various  factors  listed above in light of their  knowledge of the
business,  financial condition and prospects of the Company,  and based upon the
advice of financial and legal advisors. The Company Board also took into account
the  financial  presentations  of the  Company's  financial  advisors  and their
respective oral opinions (subsequently confirmed in writing) to the effect that,
as of the date of such  opinions  and based upon and subject to certain  matters
stated  therein,  the cash  consideration  to be  received  by holders of Shares
(other  than  Parent and its  affiliates)  in the Offer and the Merger was fair,
from a  financial  point of view,  to such  holders.  In light of the number and
variety of factors that the Company Board and the Special  Committee  considered
in connection  with their  evaluation  of the Offer and the Merger,  neither the
Company Board nor the Special  Committee found it practicable to assign relative
weights to the foregoing factors and, accordingly, neither the Company Board nor
the Special  Committee  did so. In addition to the  factors  listed  above,  the
Company  Board and the Special  Committee  each  considered  the fact that while
consummation  of the Offer  would  result  in the  stockholders  of the  Company
receiving a premium for their Shares over the trading prices of the Shares prior
to the public  announcement of the Merger  Agreement,  consummation of the Offer
and the Merger would eliminate any  opportunity for  stockholders of the Company
(other than  Parent,  Purchaser  and their  affiliates)  to  participate  in the
potential  future  growth  prospects of the Company.  The Company  Board and the
Special  Committee  determined,  however,  that (i) the loss of  opportunity  is
reflected in the Offer Price,  and (ii) there is uncertainty as to the Company's
long-term financial prospects.

     In addition,  the Special  Committee and the Company Board  determined that
the  Offer and the  Merger  are  procedurally  fair to the  stockholders  of the
Company (other than Parent,  Purchaser,  and their  affiliates)  because,  among
other things: (i) the Special Committee, consisting of directors who are neither
designees  of Parent nor persons  having a current  business  relationship  with
Parent,  was  appointed to represent the  interests of the  stockholders  of the
Company (other than Parent,  Purchaser, and their affiliates);  (ii) the Special
Committee  retained  and was advised by  independent  legal  counsel;  (iii) the
Special  Committee  retained  Smith  Barney and Wheat  First as its  independent
financial advisors to assist it in evaluating the Offer and the Merger; and (iv)
the fact that the $4.00 per Share  price and the other terms and  conditions  of
the Merger  Agreement  resulted  from  active  arm's-length  bargaining  between
representatives  of the  Special  Committee,  on the  one  hand,  and a  special
committee of the Board of Directors of the Parent which did not include  persons
who were directors or stockholders of the Company, on the other.

     Each of the Company  Board and the Special  Committee  recognized  that the
Merger  is  not  structured  to  require  the  approval  of a  majority  of  the
stockholders  of the Company (other than Parent or  Purchaser),  and that if the
Offer is consummated  Parent and Purchaser will have sufficient  voting power to
approve the Merger without the affirmative vote of any other  stockholder of the
Company.  Pursuant to the Merger  Agreement,  the  purchase by  Purchaser of all
Shares  validly  tendered in the Offer and not  withdrawn  is a condition to the
Merger.

     In making their respective determinations and recommendations, each of the
Company Board and the Special Committee was aware of the matters set forth in
the Information Statement.



                                       18

<PAGE>


Item 5. Persons Retained, Employed or to be Compensated.

     Smith Barney.  The Company has retained Smith Barney as a financial advisor
to the  Company in  connection  with the Offer and the  Merger.  Pursuant to the
terms of Smith Barney's  engagement,  the Company has agreed to pay Smith Barney
for its  services  an  aggregate  financial  advisory  fee  based  on the  total
consideration  (including  liabilities  assumed)  payable in connection with the
Offer and the Merger. The fee payable to Smith Barney is currently  estimated to
be  approximately  $1.8 million.  The Company also has agreed to reimburse Smith
Barney for travel and other  out-of-pocket  expenses,  including  legal fees and
expenses,  and to indemnify  Smith Barney and certain  related  parties  against
certain  liabilities,  including  liabilities under the federal securities laws,
arising out of Smith Barney's engagement.  Smith Barney has in the past provided
investment  banking services to the Company and Parent unrelated to the proposed
Offer and Merger, for which services Smith Barney has received compensation.  In
the ordinary  course of business,  Smith Barney and its  affiliates may actively
trade or hold the  securities of the Company and Parent for their own account or
for the account of customers  and,  accordingly,  may at any time hold a long or
short position in such securities.

     Wheat  First.  Pursuant  to a letter  agreement  dated June 24,  1997,  the
Company has also retained Wheat First to render an opinion as to fairness to the
Company and to its  stockholders,  from a financial  point of view,  of the cash
consideration  to be  received  by  unaffiliated  stockholders  in the  proposed
Transaction. Upon delivery of such opinion, the Company shall pay Wheat First an
opinion fee of $250,000.

     The  Company has also agreed to  reimburse  Wheat First for its  reasonable
out-of-pocket expenses, including reasonable legal fees and expenses, whether or
not the  proposed  Transaction  is  consummated,  and to  indemnify  Wheat First
against  certain  liabilities in connection  with the engagement of Wheat First.
Wheat First is a nationally recognized investment banking firm regularly engaged
in the valuation of businesses and their  securities in connection  with mergers
and acquisitions,  negotiated  underwritings,  competitive  biddings,  secondary
distributions  of  listed  and  unlisted  securities,   private  placements  and
valuations  for estate,  corporate  and other  purposes.  Wheat First  regularly
publishes  research  reports  regarding  the  long-term  care  industry  and the
businesses  and  securities  of  publicly  owned  companies  in  that  industry,
including the Company. 

     The Company has not employed,  retained or compensated  any other person to
make solicitations or recommendations on its behalf to stockholders with respect
to the Offer of the Merger.


Item 6. Recent Transactions and Intent with Respect to Securities.

     (a) Except for the transactions  contemplated by the Offer, there have been
no transactions in Shares which were effected during the past sixty (60) days by
the  Company  or any of its  subsidiaries,  or,  to the  best  of the  Company's
knowledge, any executive officer, director or affiliate of the Company.

     (b) To the best of the Company's knowledge,  each of its executive officers
and  directors  presently  intends to tender his or her Shares  pursuant  to the
Offer.


Item 7. Certain Negotiations and Transactions by the Subject Company.

     (a) Except as otherwise set forth herein, the Company is not engaged in any
negotiation  in response to the Offer  which  relates or would  result in (i) an
extraordinary  transaction  such as a merger or  reorganization,  involving  the
Company or any subsidiary of the Company; (ii) a purchase, sale or transfer of a
material amount of assets by the Company or any subsidiary of the Company; (iii)
a tender offer for or other  acquisition of securities by or of the Company;  or
(iv) any material change in the present capitalization or dividend policy of the
Company.

     (b) Except as otherwise set forth herein, there are no transactions,  board
resolutions,  agreements  in  principle  or signed  contracts in response to the
Offer that relate to or would  result in one or more of the matters  referred to
in Item 7(a) above.

                                       19

<PAGE>

Item 8. Additional Information to be Furnished.

     The   Information   Statement   attached  as  Schedule  I  hereto  contains
information required by Section 14(f) of the Securities Exchange Act of 1934, as
amended (the  "Exchange  Act"),  and Rule 14f-1  issued under the Exchange  Act.
Section 14(f) and Rule 14f-1 specify information to be delivered to stockholders
if,  pursuant to any  arrangement  or  understanding  with the person or persons
acquiring  securities in a transaction  subject to Section 14(d) of the Exchange
Act,  any persons are to be elected or  designated  as  directors of the issuer,
other  than at a meeting  of  security  holders,  and the  persons so elected or
designated will constitute a majority of the directors of the issuer.  Under the
terms of the Merger Agreement,  the Purchaser has the right (after  consummation
of the Offer) to  designate  such number of persons to the Board of Directors of
the Company as shall give the  Purchaser a majority of the  directors;  provided
that  until  the  effective  time of the  Merger at least  two  persons  who are
directors  of the  Company on the date of the Merger  Agreement  and who are not
officers of the Company  shall be directors of the Company.  The  Purchaser  has
designated one person to serve on the Board of Directors in substitution  for an
existing director. Such person, together with Dr. Elkins and Mr. Silverman,  who
are existing  designees of the Parent,  would constitute a majority of the Board
of Directors of the Company.  The  Information  Statement is incorporated in its
entirety herein by reference.



Item 9. Material to be Filed as Exhibits.

Exhibit
- --------

  *+1  Offer to Purchase, dated August 7, 1997.
  
  *+2  Letter of Transmittal.

   +3  Text of press release issued by the Company dated August 1, 1997.

   *4  Opinion of Smith Barney Inc., dated August 1, 1997.

   *5  Opinion of Wheat, First Securities, Inc., dated August 1, 1997.

  *+6  Agreement  and Plan of Merger,  dated as of August 1, 1997,  by and among
       Integrated  Health  Services,   Inc.,  IHS  Acquisition  XXVI,  Inc.  and
       Community Care of America, Inc.

- ---------

 * Included in materials delivered to stockholders of the Company.

 + Filed as an exhibit to Purchaser's  Tender Offer Statement on Schedule 14D-1,
   dated August 7, 1997 and incorporated herein by reference.


                                       20


<PAGE>

                                   SIGNATURE

     After due inquiry  and to the best of my  knowledge  and belief,  I certify
that the information set forth in this statement is true, complete and correct.




Dated: August 7, 1997



   
                                  COMMUNITY CARE OF AMERICA, INC.






                                  By: /s/ Deborah A. Lau
                                      -----------------------------------
                                      Name:   Deborah A. Lau
                                      Title:  President, Chief Executive Officer
                                              and Chief Financial Officer


                                       21
<PAGE>


                                                                      SCHEDULE I


                        COMMUNITY CARE OF AMERICA, INC.
                      3050 N. HORSESHOE DRIVE, SUITE 260
                             NAPLES, FLORIDA 34104


                       INFORMATION STATEMENT PURSUANT TO
             SECTION 14(f) OF THE SECURITIES EXCHANGE ACT OF 1934
                           AND RULE 14f-1 THEREUNDER

     This  information  statement  is being mailed on or about August 7, 1997 as
part of the  Solicitation/   Recommendation  Statement on Schedule 14D-9 (the
"Schedule  14D-9") of Community  Care of America,  Inc.  (the  "Company") to the
holders  of  record as of the close of  business  on July 31,  1997 of shares of
common stock,  par value $0.0025 per share, of the Company (the  "Shares").  You
are  receiving  this  Information  Statement  in  connection  with the  possible
election  of  persons  designated  by IHS  Acquisition  XXVI,  Inc.,  a Delaware
Corporation  ("Purchaser"),  to the  Board  of  Directors  of the  Company  (the
"Company Board"). Purchaser is an indirect wholly owned subsidiary of Integrated
Health Services, Inc., a Delaware corporation ("Parent"). 

     On August 1, 1997,  the  Company,  Parent  and  Purchaser  entered  into an
Agreement and Plan of Merger (the "Merger  Agreement")  in  accordance  with the
terms and  subject to the  conditions  of which (i)  Purchaser  will  commence a
tender  offer (the  "Offer") for all of the issued and  outstanding  Shares at a
price of $4.00 per Share (or any greater  amount paid per share  pursuant to the
Offer),  net to the seller in cash, and (ii) following the  consummation  of the
Offer and the satisfaction or waiver of other conditions set forth in the Merger
Agreement, Purchaser will be merged with and into the Company (the "Merger"). As
a result of the Offer and the  Merger,  the  Company  will  become and  indirect
wholly owned subsidiary of Parent.

     The Merger  Agreement  requires that the Company use its best  efforts,  at
Parent's  request,  to take  all  lawful  action  necessary  to  cause  Parent's
designees to be elected to the Company Board under the  circumstances  described
in the Merger Agreement. See "BOARD OF DIRECTORS AND EXECUTIVE OFFICERS-Right to
Designate Directors; the Purchaser Designees" below.

     You are urged to read this Information  Statement  carefully.  You are not,
however,  required  to take  any  action.  Capitalized  terms  used  herein  and
otherwise  not defined  herein  shall have the meaning set forth in the Schedule
14D-9.

     Pursuant to the Merger  Agreement,  Purchaser  has  commenced  the Offer on
August 7, 1997.  The Offer is  scheduled to expire at 12:00  midnight,  New York
City time, on Thursday, September 4, 1997, unless the Offer is extended.

     The information  contained in this Information Statement concerning Parent,
Purchaser and the Purchaser Designees  (hereinafter  defined) has been furnished
to the Company by Parent,  and the  Company  assumes no  responsibility  for the
accuracy or completeness of such information.


                   BOARD OF DIRECTORS AND EXECUTIVE OFFICERS
General

     The  Shares  are  the  only  class  of  voting  securities  of the  Company
outstanding.  Each Share has one vote. As of July 31, 1997, there were 7,597,801
Shares  outstanding.  The Company  Board  currently  consists  of five  members,
divided among three classes,  with each class being as nearly equal in number as
the current number of directors  constituting  the entire Company Board permits.
Each nominee is elected to a three-year  term, with one class being elected each
year. The number of directors may be determined  from time to time by resolution
of the  Company  Board.  Vacancies  in the  Company  Board  may be filled by the
Company Board,  and any director chosen to fill a vacancy will hold office until
the next election of the directors. 


                                      I-1

<PAGE>

Right to Designate Directors; the Purchaser Designees


     The Merger  Agreement  provides  that,  subject to compliance  with Section
14(f) of the  Securities  Exchange  Act of 1934,  promptly  upon payment for any
Shares by  Purchaser  pursuant  to the Offer,  Purchaser  shall be  entitled  to
designate  such number of directors  (the  "Purchaser  Designees")  as will give
Purchaser majority representation on the Company Board and the Company shall, at
such time,  cause  Purchaser  Designees to be appointed by the existing  Company
Board;  provided,  however,  that in the event that the Purchaser  Designees are
appointed  to the Company  Board,  until the  effective  time of the Merger (the
"Effective  Time"),  such Company Board will have at least two directors who are
directors  on the date of the Merger  Agreement  and who are not officers of the
Company (the "Independent Directors"); and provided further that, in such event,
if the number of Independent Directors shall be reduced below two for any reason
whatsoever,  the remaining Independent Director shall designate a person to fill
such vacancy who shall be deemed to be an  Independent  Director for purposes of
the Merger  Agreement or, if no  Independent  Directors  then remain,  the other
directors  shall  designate two persons to fill such  vacancies who shall not be
officers or affiliates of the Company or any of its subsidiaries, or officers or
affiliates  of  Parent or any of its  subsidiaries,  and such  persons  shall be
deemed to be  Independent  Directors  for purposes of the Merger  Agreement.  In
connection  with the  foregoing,  the Company  will  promptly,  at the option of
Parent, either (i) increase the size of the Company Board and/or (ii) obtain the
resignation  of such number of its current  directors  as is necessary to enable
the  Purchaser  Designees  to be elected or  appointed  to, and to  constitute a
majority of, the Company Board.

Purchaser Designees

     Lawrence P. Cirka has been  President  and a director of Parent  since July
1994, and served as Chief Operating Officer of Parent from October 1987 to April
1997 and Senior Vice  President of Parent from October 1987 to July 1994.  Prior
to joining  Parent,  Mr. Cirka  served in various  operational  capacities  with
Unicare Healthcare  Corporation,  a long-term  healthcare company, for 15 years,
most recently as Vice President-Western  Division,  where he had operational and
financial  responsibility for 46 long-term healthcare facilities exceeding 5,000
beds. Mr. Cirka is a graduate of Clarion  University and a Licensed Nursing Home
Administrator in Pennsylvania, Florida and Washington.


Directors of the Company


     The Company's Certificate of Incorporation  provides that the Company Board
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  Company
Board  permits.  Each class is elected  for a term of three years with the terms
being staggered.  It is contemplated that the Class II directors,  whose term is
due to expire in 1997,  will  continue to hold office until the next election of
directors.  The term of the Class III director  expires in 1998 and the terms of
the Class I directors expire in 1999. 

     Set forth below is certain  information  regarding  each director  (each, a
"Director") of the Company as of August 7, 1997:


                   Name                           Age
                   -----                        - ----
       Class I     Michael S. Blass  ............ 40
                   Deborah A. Lau ............... 37

       Class II    Wallace Olson  ............... 50
                   John L. Silverman ............ 55

       Class III   Robert N. Elkins, M.D.  ...... 53



     Mr. Blass will resign from the Company Board promptly upon payment for any
Shares by Purchaser as more fully described above. See "Right to Designate
Directors; the Purchaser Designees."

Continuing Directors

     Robert N. Elkins,  M.D.,  53,  co-founder  of the Company,  has served as a
director since December 1992. Since March of 1986, Dr. Elkins has also served as
Chairman of the Board and Chief Executive Officer of Parent,  and he also served
as President from March 1986 to July 1994. From 1980 until 


                                      I-2

<PAGE>


co-founding Parent with Timothy F. Nicholson, a director of Parent, 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.

     Deborah A. Lau, 37, has served as President, Chief Executive Officer, Chief
Financial  Officer and director  (while  retaining  the post of Chief  Operating
Officer) since April 4, 1997.  Prior to that time,  since October 1995, when she
joined the  Company,  Ms.  Lau  served as  Executive  Vice  President  and Chief
Operating Officer.  From March 1989 until she joined the Company, Ms. Lau served
with Parent as its Regional  Vice  President  from March 1989 to November  1993,
Vice  President  Healthcare  Controller  from November 1993 to December 1994 and
Vice President of Financial  Operations from January 1995.  Prior to March 1989,
Ms. Lau served as Assistant Controller at Continental Care Centers, Inc. Ms. Lau
received a B.S. degree in accounting and business administration at Towson State
University.

     Wallace Olson,  50, has been involved in long-term  health care since 1985.
From 1990 to 1996,  Mr. Olson was a principal  and chief  executive  officer for
Southern Care Centers,  Inc.  ("Southern Care") a long-term health care company,
which  in 1996  was sold to the  Company.  Prior  thereto,  Mr.  Olson  was Vice
President  -  Acquisitions  for Nursing  Care  Centers of  America,  Inc.,  Vice
President - Acquisitions  of Harborside  Healthcare and Director of Acquisitions
for  Life  Care  Centers  of  America,  Inc.  Mr.  Olson  practiced  as a public
accountant from 1971 to 1984.

     John L.  Silverman,  55, 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.  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 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 Parent and several
private companies. 


Meetings of the Company Board and Committees

     The  Company  Board held 26  meetings  and acted by written  consent on one
occasion  during the fiscal year ending  December 31, 1996. All of the Directors
attended  75% or more of the  meetings of the Company  Board and  committees  of
which they are members. 

     The Company has standing Audit and Compensation and Options Committees.
The Company does not have a Nominating Committee.


     The Audit Committee,  composed of Messrs.  Blass and Silverman,  held three
meetings  during the 1996 fiscal year.  The Audit  Committee has authority  with
respect to the financial audit and reporting functions of the Company, including
review of internal  accounting  procedures  and the review and  oversight of the
Company's independent accountants.

     The  Compensation  and Options  Committee,  composed of Messrs.  Elkins and
Silverman,  held no  formal  meetings,  but  acted  by  written  consent  on two
occasions  following  informal  discussions,  during the 1996 fiscal  year.  The
Compensation  and Committee 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 the stock  option  plans of the
Company. 


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  shares of Common Stock to the following  persons:  (i) each person who
was a non-employee director on April 1, 1995, (ii) each person who becomes a


                                      I-3


<PAGE>

non-employee  director  subsequent to April 1, 1995 and (iii) each  non-employee
director in office  immediately  following the conclusion of each annual meeting
of  stockholders  at which  directors are elected.  On May 7, 1996,  the Company
Board amended the Non-Employee  Director Plan to, among other things, change the
number of shares of common  stock  subject to initial  and  automatic  grants to
non-employee directors from the number of shares obtained by dividing $30,000 by
the fair market value of a share of Company  common stock on the date the option
is granted to 10,000  shares in the case of initial  grants and 5,000  shares in
the case of annual grants.  Options granted under the Non-Employee Director 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.


Executive Officers of the Company

     The following sets forth certain  information as to each executive  officer
of the Company as of August 7, 1997:


     Deborah A. Lau, 37,  joined the Company as  Executive  Vice  President  and
Chief Operating  Officer in October 1995 and became  President,  Chief Executive
Officer and Chief Financial 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  Parent,  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,  45, 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 at which time he became the Director
of Mergers and  Acquisitions.  Prior to joining the  Company,  Mr.  Krystopowicz
served as the Vice  President  of Financial  Services  from August 1988 and Vice
President-Controller  from June 1986 to 1988 of Parent.  From July 1995 until he
joined Parent,  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.



                                      I-4
<PAGE>

        SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT


     The  following  table sets forth,  as of July 31, 1997 (except as otherwise
indicated),  certain information with respect to the beneficial ownership of the
Company's  common  stock  held by (i) each  person  known by the  Company to own
beneficially  more than 5% of the outstanding  shares of common stock, (ii) each
director  of the  Company,  (iii)  the  Chief  Executive  Officer  and the other
executive  officers of the  Company and (iv) all  officers  and  directors  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. 
<TABLE>
<CAPTION>
                                                                                      Number of Shares
                                                                                   Beneficially Owned on
                                                                                       July 31, 1997
                                                                              --------------------------------
Name                                                  Address                     Number (1)      Percent (2)
- --------------------------------------- ------------------------------------- ------------------- ------------
<S>                                     <C>                                   <C>                 <C>
Robert N. Elkins, M.D.                  8889 Pelican Bay Boulevard            1,600,853 (3)          21.0%
                                        Naples, Florida 33963
Integrated Health Services, Inc.        10065 Red Run Boulevard               1,189,274 (4)          13.5%
                                        Owing Mills, Maryland 21117
Equity-Linked Investors, L.P.           540 Madison Avenue                    665,907 (5)            8.8%
Desai Capital Management Incorporated   New York, New York 10022
Rohit M. Desai
Equity-Linked Investors-II              540 Madison Avenue                    665,907 (5)            8.8%
Desai Capital Management Incorporated   New York, New York 10022
Rohit M. Desai
Putnam Investments, Inc.                One Post Office Square                417,700 (6)            5.5%
Putnam Investment Management, Inc.      Boston, Massachusetts 02109
The Putnam Advisory Company, Inc.
Deborah A. Lau                          c/o Community Care of America, Inc.   26,190 (7)             *
                                        3050 N. Horseshoe Drive, Suite 260
                                        Naples, Florida 34104
William J. Krystopowicz                 c/o Community Care of America, Inc.   64,174 (8)(9)          *
                                        3050 N. Horseshoe Drive, Suite 260
                                        Naples, Florida 34104
Wallace Olson, Esq.                     207 Krystal Building                  264,444                3.5%
                                        1 Union Square
                                        Chattanooga, Tennessee 37404
John L. Silverman                       c/o Community Care of America, Inc.   43,325 (8)(10)         *
                                        3050 N. Horseshoe Drive, Suite 260
                                        Naples, Florida 34104
Michael S. Blass                        c/o Community Care of America, Inc.   35,238 (8)(11)         *
                                        3050 N. Horseshoe Drive, Suite 260
                                        Naples, Florida 34104
All current directors and executive                                        1,969,546 (4)(12)      25.6%
 officers as group (9 persons)
</TABLE>


- ----------
   * Less than one percent

 (1) Shares  issuable  upon the exercise of options or warrants  are  considered
     beneficially  owned to the extent such  options or warrants  are  currently
     exercisable  or  exercisable  within 60 days  after July 31,  1997.  Shares
     issuable upon the exercise of options are  considered  outstanding  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  July  31,  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.

 (2) Percent of 7,597,801  Shares  outstanding as of July 31, 1997,  counting as
     outstanding  for each named  person all Shares  issuable  to such person on
     exercise of Company options that are included in the first columns.



                                      I-5

<PAGE>

 (3) Includes (a) 840,472 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)  449,790  additional  shares  (5.9%)  subject to the  Voting  Agreement
     described  below as to  which  Dr.  Elkins  has sole  voting  power  but no
     dispositive  power,  (d)  12,000  shares  owned by his wife as to which Mr.
     Elkins  disclaims  beneficial  ownership and (e) 10,989  shares  subject to
     options.  Excludes 1,189,274 Shares issuable upon exercise of warrants held
     by Parent,  (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  Integrated  Health
     Services, Inc., representing shares subject to warrants.

 (4) Represents  shares issuable upon exercise of 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 Integrated
     Health  Services,  Inc.,  as to which shares  Parent  disclaims  beneficial
     ownership.  Dr. Elkins disclaims  beneficial ownership of all warrants held
     by Integrated Health Services, Inc.

(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-II.  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 with
    respect to all 417,700 shares.

 (7) Includes 16,190 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.

 (9) Includes 31,828 subject to options.

(10) Includes 35,242 subject to options.

(11) Includes 10,989 subject to options.

(12) Includes 105,238 subject to options.


                  Voting Agreement and Stockholders Agreement


     Stockholders  of the Company,  who at July 31, 1997,  owned an aggregate of
737,392 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 a voting  agreement
(the "Voting  Agreement")  with Dr.  Robert N. Elkins,  a director,  founder and
principal stockholder of the Company. The Voting Agreement provides that, during
the  ten-year  term of the Voting  Agreement  (which was  effective  January 25,
1996),  the  parties  will vote common  stock  owned by them at all  meetings of
stockholders  and in all written  consents of stockholders in the same manner as
Dr. Elkins votes shares of common stock owned 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 (the "Act"),  or in a sale under Rule
144 promulgated under the Act.

     In addition,  ELI-I and ELI-II have entered into a  stockholders  agreement
(the  "Stockholders  Agreement")  with the Company and Dr.  Elkins,  pursuant to
which ELI-I and ELI-II are  collectively  entitled to designate  two nominees to
the  Company  Board.  Dr.  Elkins  has  agreed,  pursuant  to  the  Stockholders
Agreement, to vote all shares over which he has voting power 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 nominee to the Company  board so
long as they own any shares of common stock of the Company.



                                      I-6
<PAGE>

                            EXECUTIVE COMPENSATION

     The following table sets forth certain information concerning  compensation
of the Chief  Executive  Officer of the  Company,  the four  other  most  highly
compensated  executive  officers of the  Company who were  serving as such as of
December 31, 1996, and two  individuals who would have been among such group but
for the fact that such individuals no longer served as executive officers of the
Company as of December 31, 1997 (collectively, the "Named Executive Officers"):

                          Summary Compensation Table


<TABLE>
<CAPTION>
                                                      Annual Compensation
                                         --------------------------------------------
                                                                           Other
                                                                          Annual
                                                                          Compen-
Name and Principal Position (1)   Year   Salary ($)     Bonus($)(2)    sation($)(3)
- --------------------------------- ------ ------------ ---------------- --------------
<S>                               <C>    <C>          <C>                <C>
Deborah A. Lau                    1996    230,739     56,250               -
 Chief Executive Officer,         1995    56,250      55,000               -
 President and Chief              1994       -          -                  -
 Financial Officer
William J. Krystopowicz           1996    180,003       -                  -
 Executive Vice President         1995    138,917    40,000                -
 and Director of Mergers          1994    125,000    65,938                -
 and Acquisitions
Dr. Gary W. Singleton             1996    208,076    76,110 (4)            -
 Former President and             1995       -          -                  -
 former Chief Executive           1994       -          -                  -
 Officer
Kenneth W. Creasman               1996     96,503       -                  -
 Former President and             1995    282,426    60,000                -
 Former Chief Executive           1994    263,916   234,065 (8)            -
 Officer
David H. Fater                    1996    221,050       -                  -
 Former Executive Vice            1995     95,630    65,000                -
 President and Chief              1994       -          -                  -
 Financial Officer

<CAPTION>
                                         Long-Term Compensation
                                  -------------------------------------
                                   Restricted        Securities           
                                     Stock           Underlying          All Other 
                                     Awards            Options/         Compensation
Name and Principal Position (1)       ($)              SARs (#)              ($)
- --------------------------------- ------------- ------------------- ------------------------
<S>                               <C>                <C>                 <C>
Deborah A. Lau                    -                     -               126,615(6)
 Chief Executive Officer,         -                 60,000               88,781
 President and Chief              -                     -                   -
 Financial Officer
William J. Krystopowicz           -                     -               125,400(6)
 Executive Vice President         -                     -                25,000
 and Director of Mergers          -                     -                   -
 and Acquisitions
Dr. Gary W. Singleton             -                 100,000(5)          126,275(6)
 Former President and             -                     -                   -
 former Chief Executive           -                     -                   -
 Officer
Kenneth W. Creasman               -                     -               133,760(7)
 Former President and             -                    -                  5,660
 Former Chief Executive           100,171 (9)       86,487               50,000
 Officer
David H. Fater                    -                     -               144,062(6)
 Former Executive Vice            -                 25,316               30,000
 President 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  perquisites 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) 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 Grants in 1996"

(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.  Krystopowicz  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.


                                      I-7

<PAGE>

(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 (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."


Option Grants in 1996

     Information concerning options granted by the Company during fiscal 1996 to
Gary W.  Singleton,  the only Named  Executive  Officer who was granted  options
during that fiscal year. No stock  appreciation  rights have been granted by the
Company:

     
                                        Options Granted in the Last Fiscal Year
<TABLE>
<CAPTION>
                                                                                                    Potential
                                           Individual Grants                                   Realizable Value (2)
                          ---------------------------------------------------                 ----------------------
                             Number of            % of Total        Exercise
                             Securities         Options Granted     or Base
                          Underlying Option      to Employees       Price       Expiration
Name                          Granted              in 1996          ($/sh)      Date (1)      5% ($)       10% ($)
- -----------------------   -------------------   -----------------   ---------   -----------   ----------   ---------
<S>                       <C>                   <C>                 <C>         <C>           <C>          <C>
Dr. Gary W. Singleton          37,187               22.1%           $9.50       4/18/06       $222,974     $563,032
                               62,813               37.4%           $9.50       5/30/06       $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 would be fully
    vested and the options to purchase  the  remaining  75,000  shares of common
    stock would be terminated.  All 25,000 vested options expired unexercised on
    July 3, 1997. See "Termination Agreements" below.

(2) Potential  Realizable  Value is at  assumed  annual  rates  of  stock  price
    appreciation for option term compounded annually.


Options Exercised in 1996

     The  following  table sets forth  information  regarding  the  exercise  of
options,  the  number  of  shares  covered  by stock  options  held by the Named
Executive Officers as of the end of fiscal 1996, and the value of "in-the-money"
stock options,  which  represents the positive spread between the exercise price
of a stock  option and the year-end  market price of the shares  subject to such
options, at the end of fiscal 1996.


                                      I-8

<PAGE>

  Options Exercised in the Last Fiscal Year and Fiscal Year-End Option Values

<TABLE>
<CAPTION>
                                                                    Number of Securities
                                                                   Underlying Unexercised        Value of Unexercised
                          Shares Acquired                                Options at             In-the-Money Options at
                            On Exercise     Value Realized (1)      Fiscal year End (#)           Fiscal Year End ($)
Name                            (#)                 ($)          Exercisable/Unexercisable   Exercisable/Unexercisable (2)
- ------------------------- ----------------- -------------------- --------------------------- ------------------------------
<S>                       <C>                  <C>                  <C>                         <C>             
Dr. 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>

- ----------

(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.


Employment Contracts and Termination Arrangements

     Employment  Agreements. The  Company  has  entered into  written employment
agreements with Deborah A. Lau, William J. Krystopowicz, and Timothy J. Trybus.

     The  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  Company  Board or the  Compensation  and
Options Committee of the Company 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.

     The Company's  employment  agreement with Mr. Krystopowicz  provided for an
initial  term  extending  through  December 31, 1998,  with  automatic  one-year
extensions 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 Company Board. Mr. Krystopowicz's employment
agreement  provides  that the Company may terminate his  employment  for,  among
other things,  cause (as defined) by continuing to pay him 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


                                      I-9

<PAGE>

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.

     The employment  agreement  with Mr. Trybus  provides for a term of one year
from July 1, 1997. The base salary under the  employment  agreement is $105,000.
In  addition,  Mr.  Trybus is eligible for a cash bonus equal to 15% of his base
salary.  The  Company  and Mr.  Trybus  each  have the  right to  terminate  the
agreement  for cause (as  defined).  The Company  may  terminate  the  agreement
without  cause on sixty days notice.  If the Company  terminates  the  agreement
without  cause or Mr.  Trybus  terminates  for cause,  the Company  must pay Mr.
Trybus  severance pay at the rate of Mr. Trybus' salary on a monthly basis for a
period of twelve months from the effective  date of  termination,  and all stock
options of Mr. Trybus become immediately vested.

     In the event of a "change of control" of the Company (as defined),  Ms. Lau
and  Messrs.  Krystopowicz  and Trybus  each have the right,  upon the giving 30
days' written 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, Ms. Lau and Mr.  Krystopowicz  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.  If Mr. Trybus elects to terminate his  employment  after a
change in  control,  he is  entitled  to receive his base salary for a period of
twelve months from the date of  termination  and all of his stock options become
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 more than
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 Dr. Elkins ceases to be a
director of the Company.  The consummation of the  transactions  contemplated by
the Merger  Agreement  will  constitute  a "change of control"  under Ms.  Lau's
employment agreement. 

     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  during the period of salary  continuation of
the insurance coverage provided under the employment agreement.

     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  business  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  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  agreement,
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 of the  Company)  were  terminated.  All options  have now expired
unexercised. On January 30, 1997, as part of a settlement of a lawsuit


                                      I-10

<PAGE>

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."

     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 April 4, 1997, 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 confidentiality of trade secrets,
non-solicitation of employees and customers and non-competition, Dr. Singleton's
employment agreement.  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 $154,000,  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 a 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.



               REPORT OF THE COMPENSATION AND OPTIONS COMMITTEE

     The following report is submitted by the Compensation and Options Committee
of the Board of  Directors  which has power and  authority  with  respect to all
matters pertaining to compensation payable by the Company and the administration
of the Company's  employee  benefit plans,  including the Company's stock option
plans.


General

     To date,  the  principal  components  of executive  compensation  have been
salary, bonuses and stock options. The Company has also provided  reimbursements
and  allowances in connection  with an  executive's  activities on behalf of the
Company and as inducement to his or her relocation to the Company's headquarters
in Naples,  Florida upon joining the Company.  The Compensation  Committee views
salaries as a means of  providing a basic level of  compensation  sufficient  to
attract  and  retain  qualified  executives.  Bonuses  are  used to  reward  the
executive's  personal  performance  and  contribution  to the  Company's  recent
overall  performance  and  are  discretionary,  except  that  in  two  instances
executive  officers have been  guaranteed  minimum bonuses for the first year of
employment  as an inducement  to join the Company.  The Committee  believes that
stock options provide  long-term  incentive and align the executive's  interests
with those of stockholders  through potential stock ownership and an increase in
the value of the Company's Common Stock. 


                                      I-11

<PAGE>

Employment Agreements

     The  compensation  of the Named  Executive  Officers are  determined  under
employment  agreements  entered into to induce the executive to join the Company
and  relocate to Naples,  Florida,  where the  Company's  executive  offices are
located.  These  agreements  also  contain  provisions  designed  to provide the
Company with post employment  non-competition  and  confidentiality  protection.
Each employment agreement was separately  negotiated and the basis and levels of
compensation were determined through arms' length negotiations. The full Company
Board,  each of whose members are familiar with the  healthcare  industry's  pay
structure, approved each employment agreement.


Salaries

     Each employment agreement provides for a specified initial base salary and,
to protect the executive against inflation, annual increases equal to the change
in the Consumer Price Index. In addition, each employment agreement empowers the
Company to further increase the executive's compensation. In determining whether
to exercise this power and in determining  salaries of other executive officers,
the  Committee  has in the past,  and  intends in the  future,  to examine  such
factors as the executive's level of  responsibility,  expertise and performance,
as well as the Company's performance. In determining salary levels of executives
who are not  parties  to  employment  agreements,  the  Committee  also  reviews
existing  economic  (including  cost of living)  and  competitive  factors.  The
Committee's  decisions  have been made on a subjective  basis without  assigning
weights to any particular factor.


Bonuses

     Each  employment  agreement  to which  the  Company  is  presently  a party
permits,  (except in the case of the negotiated  employment agreement of Ms. Lau
which  provided  for a minimum  bonus for 1996),  but does not  require,  annual
bonuses  (although in certain  instances  the  employment  agreement  limits the
amount of bonus). In determining whether to grant bonuses, the Committee intends
to reward the executive for his or her personal  performance and contribution to
the  Company's  overall  performance  during  the year for  which  the  bonus is
granted.  Bonuses may be  determined  either on a subjective  basis or objective
basis by reference to specific predetermined performance targets.


Long-Term Incentive

     To date the  Company  has  utilized  stock  options  to  provide  long-term
incentive  compensation.  Options  generally  have  been  granted  to  executive
officers  at the time of, and as an  incentive  to,  joining  the  Company.  The
Committee  believes  that stock  options  foster the  incentive  of employees in
seeking  long-term  growth for the Company,  as well as linking the interests of
the employees  with the overall  interests of  stockholders.  In the case of the
Named Executive Officers, the number of options granted to each and the terms of
each option  were  determined  at the time of, and as an  inducement  to,  their
joining the Company and as part of  consideration  in entering  into  employment
agreements.  Determinations  with  respect to options  that have been granted to
other executives,  and future options that may be granted to executive officers,
including the Named Executive Officers,  will be made in light of their level of
responsibility  and  compensation,  their prior  contribution  to the  Company's
performance  and the future  goals and  performance  expected  of them,  without
assigning  specific  weights  to the  factors.  All  options  granted to date to
executive  officers have  provided  vesting over a period of not less than three
years in order to ensure longer term incentive.  In certain  instances,  options
have provided for accelerated vesting if certain performance goals are met. Each
of the Company's  employee  option plans are  described in greater  detail under
"-Stock Options" below.


Stock Options

     1993 Stock Option Plan. The Company adopted the 1993 Stock Option Plan (the
"Stock  Option  Plan")  effective  as of July 1,  1993.  The Stock  Option  Plan
provides for the grant of options to purchase up to  2,285,140  shares of common
stock,  .0025 par value.  Options  under the Stock Option Plan may be granted to
present or future key  employees of the Company or a subsidiary  of the Company,
and to 


                                      I-12

<PAGE>
consultants who are not employees.  The maximum number of shares of common stock
subject to options  which may be granted to an optionee  under the Stock  Option
Plan in any fiscal year may not exceed  750,000.  Options issued under the Stock
Option Plan may or may not be  designated as incentive  stock  options  ("ISOs")
pursuant to the  Internal  Revenue Code of 1986,  as amended.  In the case of an
option that is not treated as an ISO,  the  exercise  price per share may not be
less  than the par value of a share of  common  stock on the date the  option is
granted.  In the case of an ISO, the exercise price may not be less than 100% of
the fair  market  value of a share of  common  stock on the date the  option  is
granted (110% in the case of an optionee who, at the time the option is granted,
owns stock  possessing  more than 10% of the total combined  voting power of all
classes of stock).  The period  during which an option may be exercised is fixed
by the committee that administers the Stock Option Plan (the  "Committee"),  but
cannot  exceed  ten  years  from the date of the  grant  (or 5 years  for an ISO
granted to a "ten  percent  shareholder").  No option  will  become  exercisable
unless  the  person to whom the option  was  granted  remains in the  continuous
employ or service of the Company (or a subsidiary) for at least one year (or for
such other period as the  Committee may  designate)  from the date the option is
granted.  Subject to earlier  termination  of the option,  unless the  Committee
determines  otherwise,  options will be  exercisable  from and after the date of
grant.  Vesting or other restrictions on the exercisability of an option will be
set forth in the related option agreement.  If an optionee ceases to be employed
by or to perform  services for the Company (and the  subsidiary)  for any reason
other than death or disability, then, unless extended by the Committee acting in
its sole  discretion,  each  outstanding  option granted to him or her under the
Stock Option Plan will terminate on the date three months after the date of such
termination of employment or service,  or, if earlier, the date specified in the
option agreement. If an optionee's employment or service is terminated by reason
of the  optionee's  death or  disability  (or if the  optionee's  employment  or
service is terminated by reason of his or her  disability  and the optionee dies
within one year after such termination of employment or service),  then,  unless
extended by the Committee acting in its sole discretion, each outstanding option
granted to the optionee  under the Stock Option Plan will  terminate on the date
one year after the date of such  termination  of  employment  or service (or one
year after the later  death of a disabled  optionee)  or, if  earlier,  the date
specified  in the  option  agreement.  If there is a change  of  control  of the
Company,  all  outstanding  options shall become  exercisable  without regard to
whether any vesting conditions have been satisfied.  The Board has the authority
to amend or terminate the Stock Option Plan,  provided  that certain  amendments
that  increase  the  aggregate  number of shares  under the Stock Option Plan or
materially increase benefits are subject to approval by a majority of the common
stockholders.

     1993 Senior  Executive  Stock  Option  Plan.  The Company  adopted the 1993
Senior Executive Stock Option Plan (the "Senior Executive Plan") effective as of
July 1, 1993.  The Senior  Executive  Plan  provides for the grant of options to
purchase up to 587,476  shares of common stock,  .0025 par value.  Options under
the Senior  Executive Plan may be granted to present or future senior  executive
officers of the Company or a subsidiary  of the Company.  The maximum  number of
shares of common  stock  subject to options  which may be granted to an optionee
under the Stock Option Plan in any fiscal year may not exceed  350,000.  Options
issued  under the Senior  Executive  Plan may or may not be  designated  as ISOs
pursuant to the  Internal  Revenue Code of 1986,  as amended.  In the case of an
option that is not treated as an ISO,  the  exercise  price per share may not be
less  than the par value of a share of  common  stock on the date the  option is
granted.  In the case of an ISO, the exercise price may not be less than 100% of
the fair  market  value of a share of  common  stock on the date the  option  is
granted (110% in the case of an optionee who, at the time the option is granted,
owns stock  possessing  more than 10% of the total combined  voting power of all
classes of stock).  The period  during which an option may be exercised  will be
fixed  by  the  committee  that  administers  the  Senior  Executive  Plan  (the
"Committee"), but cannot exceed ten years from the date of the grant (or 5 years
for an ISO  granted  to a "ten  percent  shareholder").  No option  will  become
exercisable  unless the person to whom the  option  was  granted  remains in the
continuous  employ or service of the Company (or a subsidiary)  for at least one
year (or for such other period as the Committee may designate) from the date the
option is granted.  Subject to earlier  termination  of the  option,  unless the
Committee determines  otherwise,  options will be exercisable from and after the
date of grant.  Vesting or other restrictions on the exercisability of an option
will be set forth in the related option  agreement.  If an optionee ceases to be
employed by or to perform  services for the Company (and the subsidiary) for any
reason other than death or disability, then, unless extended by 


                                      I-13

<PAGE>

the Committee acting in its sole discretion,  each outstanding option granted to
him or her under the  Senior  Executive  Plan will  terminate  on the date three
months  after the date of such  termination  of  employment  or service,  or, if
earlier, the date specified in the option agreement. If an optionee's employment
or service is terminated by reason of the optionee's  death or disability (or if
the  optionee's  employment  or  service is  terminated  by reason of his or her
disability  and the  optionee  dies  within one year after such  termination  of
employment or service),  then,  unless  extended by the Committee  acting in its
sole  discretion,  each  outstanding  option  granted to the optionee  under the
Senior Executive Plan will terminate on the date one year after the date of such
termination  of  employment  or service  (or one year after the later death of a
disabled  optionee) or, if earlier,  the date specified in the option agreement.
For purposes hereof, the term "disability" means the inability of an optionee to
perform the customary  duties of his or her  employment or other service for the
Company or a  Subsidiary  by reason of a physical  or mental  capacity  which is
expected to result in death or be of indefinite  duration.  If there is a change
of control of the Company,  all  outstanding  options  shall become  exercisable
without regard to whether any vesting conditions have been satisfied.  The Board
has the authority to amend or terminate the Senior Executive Plan, provided that
certain amendments that increase the aggregate number of shares under the Senior
Executive  Plan or  materially  increase  benefits  are subject to approval by a
majority of the common stockholders.

     1995 Non-Employee  Director Stock Option Plan. The Company adopted the 1995
Non-Employee  Director Stock Option Plan (the "Director  Plan")  effective as of
April 1, 1995.  The Director  Plan provides for the grant of options to purchase
up to 250,000 shares of common stock,  .0025 par value.  Each individual who was
an outside  director  of the  Company on April 1, 1995 was  granted an option to
purchase the number of shares of common stock equal to the "fixed grant amount."
Each individual who became or becomes an outside director subsequent to April 1,
1995 was or will be granted an option to purchase the number of shares of common
stock equal to the "fixed  grant  amount." The "fixed grant  amount"  means,  in
respect  of any  option,  that  number of shares of common  stock  which  equals
$30,000  divided by the exercise  price of such option.  The exercise  price per
share at which  shares of common  stock may be  purchased  pursuant  to  options
granted under the Director Plan shall be 100% of the fair market value of common
stock on the date the option is granted.  The option  term of each option  under
the  Director  Plan is ten years from the date of the grant,  subject to earlier
termination  as provided in the Director  Plan. In the event that any grantee of
an option  under the Plan ceases to be a director of the Company for any reason,
any unexercised  option held by such grantee  automatically  shall terminate and
expire on that date which is one year  following  the date on which such grantee
ceased to be a  director.  If there is a change of control of the  Company,  all
outstanding  options  shall  become  exercisable  without  regard to whether any
vesting conditions have been satisfied.  The Board has the authority to amend or
terminate the Director Plan,  provided that certain amendments that increase the
aggregate  number  of shares  under the  Director  Plan or  materially  increase
benefits are subject to approval by a majority of the common stockholders.


Deferred Compensation Plan

     Community Care of America,  Inc.  Supplemental  Deferred Compensation Plan.
The Company adopted the Community Care of America,  Inc.  Supplemental  Deferred
Compensation  Plan (the "Top-Hat Plan")  effective  January 1, 1995. The Top-Hat
Plan is an unfunded deferred  compensation plan maintained for a select group of
management or highly  compensated  employees.  The Company  designates  eligible
employees for participation in the Top-Hat Plan. As of January 1, 1995,  Kenneth
Creasman,  Deborah  A.  Lau,  David H.  Fater,  Bill  Krystopowicz  and James K.
Burkhart  were  designated  as  eligible  employees.  The Company did not make a
contribution  credit to the  Top-Hat  Plan for the 1995  plan  year  (which is a
calendar  year) and was  obligated  to make a $500,000  contribution  credit for
1996.  For plan years  beginning  January 1,  1997,  the amount of  contribution
credits shall be determined by the Company.  Employer  contribution  credits for
each  plan  year are  allocated  on an equal  basis to each  participant  in the
Top-Hat Plan. Amounts credited to participants' accounts vest according to a six
year graduated vesting schedule. After six years of participation in the Top-Hat
Plan, a participant  becomes  fully vested in his or her account.  A participant
who terminates  employment  shall receive payment of the vested amount of his or
her account as soon as practicable after  termination.  If a participant  termi-



                                      I-14

<PAGE>


nates  employment  by  reason  of  death,  total  and  permanent  disability  or
involuntary  termination,  the participant becomes one hundred percent vested in
his or her account. The Company has the right to terminate, suspend or amend the
Top-Hat Plan at any time,  provided  that no amendment may deprive a participant
of a right accrued under the Top-Hat Plan prior to amendment.  Upon termination,
the value of all  interests  in the Top-Hat  Plan shall  become fully vested and
paid as soon as possible after termination.


Chief Executice Officer Salary

     The salary of  Kenneth  W.  Creasman,  who  served as the  Company's  Chief
Executive  Officer  during  1995,  was  based  on the  terms  of his  employment
agreement.  The  salary  increase  of Mr.  Creasman  for 1995 was  based  on, in
addition to the  increase in the  Consumer  Price Index during the first year of
his  employment,   his  added   responsibilities   in  light  of  the  Company's
acquisitions  and initial public  offering.  The bonus paid to Mr.  Creasman was
determined using the same performance factors as utilized for executive officers
in general. Mr. Creasman was not granted stock options in 1995. The compensation
of Gary W. Singleton, who replaced Mr. Creasman as the Company's Chief Executive
Officer on April 19, 1996,  was determined  based upon his employment  agreement
which was negotiated with the Company.  That  employment  agreement is described
under the caption "-  Employment  Agreements",  above.  The salary of Deborah A.
Lau, who replaced Mr. Singleton as Chief Executive  Officer on April 4, 1997, is
being  determined  based upon her  employment  agreement  with the Company.  Her
employment agreement is described under "-Employment  Agreements and Termination
Agreements" above.


Certain Tax Legislation

     Section  162(m) of the  Internal  Revenue  Code of 1986  precludes a public
company from taking a federal  income tax deduction for annual  compensation  in
excess of  $1,000,000  paid to its chief  executive  officer  or any of its four
other most highly compensated  executive  officers.  Certain  "performance based
compensation" is excluded from the deduction  limitation.  Each of the Company's
stock option plans  contains  provisions  which limit the number of options that
may be granted to any one optionee in any one year. Such provisions are designed
to enable any compensation  resulting from the exercise of stock options granted
by  the  Company  to  be  eligible  for  the  "performance  based  compensation"
exclusion.  Based on Internal Revenue Service  proposed  regulations and present
compensation levels, the Committee believes that the limitations on compensation
deductibility  under Section 162(m) will have no material  effect on the Company
for the foreseeable future.

                                        Respectfully submitted,
                                        Robert N. Elkins
                                        John L. Silverman




                 COMPENSATION AND OPTIONS 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.  Dr.  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.

     Mr. Elkins was one of the initial investors in the Company when it acquired
MeritWest Inc. in December 1993. On January 19, 1994, the Company entered into a
Medicare consulting  agreement with Symphony Care Consulting,  Inc. ("SCCI"),  a
wholly owned  subsidiary  of IHS. The  agreement  was amended on May 1, 1995 and
provided Medicare  reimbursement and certification  services including training,
cost report preparation and accounting services through January 1996. Costs paid
to SCCI were  $410,000 in 1994,  $453,000 in 1995 and $148,000 in 1996. In 1996,
the Company paid Symphony  Rehabilitation Services ("SRS") and Symphony Pharmacy
Services  ("SPS"),  both wholly owned  subsidiaries of IHS, $162,000 for therapy
and $98,000 for pharmacy services, respectively. Also, the Company paid


                                      I-15

<PAGE>

IHS  approximately  $500,000 in 1994 and $186,000 in 1995 to  reimburse  IHS for
expenses  incurred on behalf of the Company in  connection  with the start-up of
the Company's  operations,  the  acquisition of MeritWest Inc. and due diligence
services in  connection  with the Company's  public  offering in August 1995. No
amounts  were paid to IHS in 1996.  The Company  believes  that the terms of the
agreement  with SCCI and the amounts paid to IHS, SRS and SPS for services  were
on terms as  favorable  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 engaged 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  may be increased  from 2.0% to 2.5% by
mutual agreement of the parties following IHS's review of the Company.


     At the time the Company and IHS entered into the Management Agreement,  IHS
Financial  Holdings,  Inc. ("IHS Holdings"),  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,  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. 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
were  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 were  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).  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. As a result of the issuance of the warrants in April
1997, the warrants  issued to IHS in January 1997 were adjusted to cover 809,374
shares of common stock, one-half of which are exercisable at $2.99 per share for
a two year period and one-half of which are exercisable at $5.99 per share for a
five year period. In connection with the issuance of each of the above warrants,
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.

     On July 18, 1997,  the Company and IHS Holdings  entered into a second loan
agreement,  which entitles the Company to borrow for working  capital  purposes,
until July 18,  1999,  amounts on a revolving  credit basis so that no more than
$5.0 million is outstanding  at any time.  Loan advances are to be made directly
to creditors of the Company,  including the Parent,  in payment of the Company's
obligations to such  creditors.  Proceeds used to pay the Company's  obligations
are directed by the Parent in 


                                      I-16

<PAGE>

accordance with the Management  Agreement.  This revolving credit facility bears
interest at a rate per annum  equal to the annual rate of interest  set forth in
Parent's  revolving credit agreement with Citibank,  N.A., plus 4%. Repayment of
amounts advanced under this line of credit are subordinated to the payment of up
to an aggregate  of $13.6  million of  principal  and interest on the  Company's
obligations to one of the Company's principal unaffiliated  third-party lenders.
The  revolving  credit  facility  is  guaranteed  in full by  Community  Care of
Nebraska,  Inc.,  ECA  Holdings,  Inc.,  CCA of Midwest,  Inc.,  Quality Care of
Columbus,  Inc.,  Quality Care of Lyons,  Inc.  and W.S.T.  Care,  Inc.,  each a
wholly-owned  subsidiary  of  the  Company  (together,  the  "Guarantors").  The
revolving  line of credit is secured by real property  assets of the Company and
its  subsidiaries.  At July 31, 1997, the Company had no borrowings  outstanding
under this facility.


                            STOCK PERFORMANCE GRAPH

     The  following is a graph  comparing  the annual  percentage  change in the
cumulative  stockholder  return  on the  Shares  from the time of the  Company's
initial  public  offering  on  August  9,  1995 to  December  31,  1996 with the
cumulative  total return on (a) the NASDAQ  Composite Index (the "NASDAQ Index")
(b) the S&P 500 Index and (c) the Long Term  Care  Peer  Group  Index  (the "LTC
Index").  The Comparison  assumes $100 invested in the Shares, the NASDAQ Index,
the S&P 500 Index and the LTC Index at the close of  business on August 9, 1995,
and  that  all the  dividends  were reinvested. The LTC  Index  consists  of the
following  Companies  in  the  long  term  care  industry  with  similar  market
capitalizations:  Advocat Inc.,   Beverly  Enterprises,  Inc.,  GranCare,  Inc.,
Harborside  Healthcare  Corporation,  Living Centers of America,  Inc.,  Mariner
Health Group, Inc., Regency Health Services,  Inc.,  Retirement Care Associates,
Inc.,  Summit Care  Corporation,  Sun  Healthcare,  Inc.  and Unison  Healthcare
Corporation.

   

                COMPARISON OF CUMULATIVE TOTAL RETURNS AMONG THE
               COMPANY, NASDAQ COMPOSITE INDEX, S&P 500 INDEX AND
                                   LTC INDEX
         

                     8/9/95           12/29/95         12/31/96
                     ------           --------         --------
COMPANY              100.00             91.30             35.87
NASDAQ INDEX         100.00            103.14            126.56
S&P 500              100.00            109.62            131.83
LTC INDEX            100.00             94.81             84.12

                 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 canceled. See "Executive Compensation  Termination Agreements" in
Item 11 of this Report.


                                      I-17

<PAGE>

     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"  for  information  with respect to certain  transactions
between the Company and  certain  other  directors  of the Company and ELI-I and
ELI-II.

     Mr.  Wallace Olson is a member of the Special  Committee.  Mr. Olson has no
contractual or other  relationship  with Parent or any of its affiliates  (other
than the Company). Mr. Olson was a principal shareholder of Southern Care, which
was  merged  into a wholly  owned  subsidiary  of the  Company  in May 1996.  In
connection with such  transaction,  the Company and the selling  shareholders of
Southern  Care  (including  Mr.  Olson),  are  engaged  in a  dispute  regarding
post-closing  settlement  matters.  The Company claims a receivable due from the
selling  shareholders,  including Mr. Olson, of approximately $1.4 million. Such
claim has been disputed by the selling  shareholders  of Southern Care, who have
also asserted claims against the Company.



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

     Section 16(a) of the Securities Exchange Act of 1934 requires directors and
certain  officers of the Company,  as well as persons who own more than 10% of a
registered class of the Company's equity securities  ("Reporting  Persons"),  to
file reports of ownership  and changes of ownership on Forms 3, 4 and 5 with the
Securities and Exchange Commission.  Based solely upon a review of the copies of
such forms furnished to the Company, or written  representations  that no Form 5
filings were required,  the Company believes that during the period from January
1, 1996  through  December  31,  1996,  all Section  16(a)  filing  requirements
applicable to its Reporting Persons were met.


                                      I-18


<PAGE>






                                                                         Annex A



                       [LETTERHEAD OF SMITH BARNEY INC.]



CONFIDENTIAL


August 1, 1997



The Board of Directors
Community Care of America, Inc.
3050 North Horseshoe Drive
Naples, Florida 33942



Members of the Board:

You have  requested  our opinion as to the fairness,  from a financial  point of
view,  to the holders of the common  stock of  Community  Care of America,  Inc.
("CCA") of the  consideration  to be  received by such  holders  pursuant to the
terms and  subject  to the  conditions  set forth in the  Agreement  and Plan of
Merger,  dated as of August 1, 1997 (the "Merger  Agreement"),  among Integrated
Health Services,  Inc.  ("IHS"),  IHS Acquisition XXVI, Inc., an indirect wholly
owned subsidiary of IHS ("Sub"),  and CCA. As more fully described in the Merger
Agreement,  (i) IHS will cause Sub to commence a tender  offer to  purchase  all
outstanding shares of the common stock, par value $0.0025 per share, of CCA (the
"CCA Common Stock") at a purchase price of $4.00 per share, net to the seller in
cash (the "Tender Offer") and (ii)  subsequent to the Tender Offer,  Sub will be
merged with and into CCA (the "Merger" and,  together with the Tender Offer, the
"Transaction")  and each  outstanding  share of CCA Common Stock not  previously
tendered will be converted into the right to receive $4.00 in cash.

In  arriving  at  our  opinion,  we  reviewed  the  Merger  Agreement  and  held
discussions  with certain senior officers,  directors and other  representatives
and advisors of CCA and certain senior officers and other representatives of IHS
concerning the business,  operations  and prospects of CCA. We examined  certain
publicly available business and financial information relating to CCA as well as
certain  financial  forecasts and other  information and data for CCA which were
provided to or otherwise discussed with us by the management of CCA. We reviewed
the  financial  terms of the  Merger as set  forth in the  Merger  Agreement  in
relation  to,  among other  things:  current and  historical  market  prices and
trading volumes of CCA Common Stock;  the historical and projected  earnings and
other operating data of CCA; and the capitalization  and financial  condition of
CCA. We considered,  to the extent  publicly  available,  the financial terms of
certain  other  similar  transactions  recently  effected  which  we  considered
relevant in evaluating the Merger and analyzed certain  financial,  stock market
and other  publicly  available  information  relating to the businesses of other
companies whose operations we considered relevant in evaluating those of CCA. In
connection  with  our  engagement,  we were  requested  to  approach,  and  held
discussions with, third parties to solicit indications of interest in a possible
acquisition of or investment in CCA. In addition to the foregoing,  we conducted
such other  analyses  and  examinations  and  considered  such other  financial,
economic  and  market  criteria  as we deemed  appropriate  in  arriving  at our
opinion.

In  rendering  our  opinion,  we have  assumed and relied,  without  independent
verification,  upon the accuracy and  completeness  of all  financial  and other
information and data publicly available or furnished to or otherwise reviewed by
or discussed with us. With respect to financial  forecasts and other information
and data provided to or otherwise reviewed by or discussed with us, we have been
advised by the management of CCA that such forecasts and other  information  and
data were reasonably  prepared on bases reflecting the best currently  available
estimates  and  judgments of the  management  of CCA as to the future  financial
performance  of CCA.  We have  not  made or been  provided  with an  independent
evaluation or appraisal of the assets or  liabilities  (contingent or otherwise)
of CCA nor have we made



                                      A-1

<PAGE>






The Board of Directors
Community Care of America, Inc.
Page 2
August 1, 1997


any  physical  inspection  of the  properties  or assets of CCA.  Our opinion is
necessarily based upon information available to us, and financial,  stock market
and other conditions and  circumstances  existing and disclosed to us, as of the
date hereof.

Smith Barney has been engaged to render  financial  advisory  services to CCA in
connection  with  the  proposed  Transaction  and  will  receive  a fee for such
services,  a significant portion of which is contingent upon the consummation of
the  Transaction.  We also will receive a fee upon the delivery of this opinion.
In the ordinary course of our business, we and our affiliates may actively trade
or hold the  securities of CCA and IHS for our own account or for the account of
our customers and, accordingly, may at any time hold a long or short position in
such securities. We have in the past provided investment banking services to CCA
and IHS  unrelated  to the  proposed  Transaction,  for which  services  we have
received  compensation.  In addition, we and our affiliates (including Travelers
Group Inc. and its affiliates) may maintain relationships with CCA and IHS.

Our  advisory  services  and the opinion  expressed  herein are provided for the
information  of the Board of Directors of CCA in its  evaluation of the proposed
Transaction,  and our opinion is not  intended to be and does not  constitute  a
recommendation  to any stockholder as to whether or not such stockholder  should
tender  shares of CCA Common Stock in the Tender  Offer or how such  stockholder
should  vote  on the  proposed  Merger.  Our  opinion  may not be  published  or
otherwise used or referred to, nor shall any public reference to Smith Barney be
made,  without our prior written consent;  provided that this opinion letter may
be included in its entirety in the Solicitation/Recommendation  Statement of CCA
relating to the proposed Transaction.

Based upon and subject to the foregoing,  our experience as investment  bankers,
our work as described above and other factors we deemed relevant,  we are of the
opinion that, as of the date hereof,  the cash  consideration  to be received by
the  holders of CCA Common  Stock  (other  than IHS and its  affiliates)  in the
Transaction is fair, from a financial point of view, to such holders.


Very truly yours, SMITH BARNEY INC.


                                      A-2

<PAGE>






                                                                         Annex B


                              [Letterhead of Wheat First]



August 1, 1997



CONFIDENTIAL


The Board of Directors
Community Care of America, Inc.
3050 North Horseshoe Drive, Suite 260
Naples, FL 33942



Ladies and Gentlemen:


     You have requested our opinion as to the fairness,  from a financial  point
of view, to the holders of the  outstanding  shares of Common  Stock,  par value
$0.0025  per share (the  "Shares"),  of  Community  Care of America,  Inc.  (the
"Company") of the cash  consideration to be received by such holders pursuant to
the terms and subject to the  conditions  set forth in the Agreement and Plan of
Merger  dated as of August 1, 1997 (the  "Agreement"),  by and among  Integrated
Health Services,  Inc. (the  "Acquiror"),  its  wholly-owned  subsidiary and the
Company.

     As  described  in the  Agreement,  Acquiror  will  cause  its  wholly-owned
subsidiary to commence a tender offer (the "Offer") to purchase all  outstanding
Shares at a purchase  price of $4.00 per  Share,  and  following  the Offer such
subsidiary of Acquiror will be merged with and into the Company (the "Merger").

     Wheat, First Securities,  Inc. ("Wheat"), as part of its investment banking
business,  is  regularly  engaged  in the  valuation  of  businesses  and  their
securities   in   connection   with   mergers   and   acquisitions,   negotiated
underwritings,  competitive  biddings,  secondary  distributions  of listed  and
unlisted securities, private placements and valuations for estate, corporate and
other purposes.  In the ordinary course of our business as a  broker-dealer,  we
may actively trade or hold the securities of the Company or the Acquiror for our
own account or for the account of our  customers  and,  accordingly,  may at any
time hold a long or short position in such securities.  Wheat will receive a fee
from the Company for rendering this opinion.


     In arriving at our opinion, we have, among other things:

     (1)  reviewed  the  financial  and  other  information   contained  in  the
          Company's  Annual Reports to  Shareholders  and Annual Reports on Form
          10-K for the fiscal  years ended  December  31, 1996 and  December 31,
          1995, and the Company's  Quarterly Report on Form 10-Q for the quarter
          ended March 31, 1997;

     (2)  reviewed  the  financial  and  other  information   contained  in  the
          Acquiror's  Annual Reports to Shareholders  and Annual Reports on Form
          10-K for the fiscal years ended  December 31, 1996,  December 31, 1995
          and December 31, 1994,  and the  Acquiror's  Quarterly  Report on Form
          10-Q for the quarter ended March 31, 1997;

     (3)  conducted discussions with members of senior management of the Company
          concerning its businesses, operations and prospects;

     (4)  reviewed  other  financial  information  concerning the businesses and
          operations  of  the  Company   including   certain  audited  financial
          information and certain internal  financial analyses and forecasts for
          the Company prepared by senior management of the Company;

                                      B-1


<PAGE>





     (5)  reviewed  certain  publicly  available  information  with  respect  to
          historical market prices and trading activity for the Company's Common
          Stock  and for  certain  publicly  traded  companies  which we  deemed
          relevant;

     (6)  compared  the  results  of  operations  of the  Company  with those of
          certain publicly traded companies which we deemed relevant;

     (7)  compared  the proposed  financial  terms of the  transaction  with the
          financial  terms of certain  other mergers and  acquisitions  which we
          deemed to be relevant;

     (8)  reviewed the Agreement; and

     (9)  reviewed such other financial  studies and analyses and performed such
          other  investigations  and taken into account such other matters as we
          deemed necessary.

     In rendering our opinion,  we have assumed and relied upon the accuracy and
completeness  of all  information  supplied or otherwise made available to us by
the  Company,  and we  have  not  assumed  any  responsibility  for  independent
verification of such  information or any  independent  valuation or appraisal of
any of the assets of the  Company.  We have  relied upon the  management  of the
Company  as to the  reasonableness  and  achievability  of their  financial  and
operational  forecasts and projections,  and the assumptions and bases therefor,
provided to us, and we have assumed that such forecasts and projections  reflect
the best currently available estimates and judgments of such management and that
such forecasts and  projections  will be realized in the amounts and in the time
periods currently estimated by such management. Our opinion is necessarily based
upon market, economic and other conditions as they exist and can be evaluated on
the date  hereof and the  information  made  available  to us  through  the date
hereof. We were not requested to, and did not, participate in the negotiation or
structuring of the transaction contemplated by the Agreement.

     Our advisory  services and the opinion expressed herein are provided solely
for the use of the Company's  Board of Directors in evaluating  the  transaction
contemplated  by the Agreement and are not on behalf of, and are not intended to
confer rights or remedies upon the Acquiror,  any stockholder of the Acquiror or
the Company,  or any person other than the Company's  Board of  Directors.  This
opinion may not be summarized,  excerpted from or otherwise publicly referred to
without our prior written  consent;  provided,  that this opinion  letter may be
included   in   its    entirety    in   the   Offer   to   Purchase    and   the
Solicitation/Recommendation  Statement of the Company  relating to the Offer and
the Merger.

     On the basis of, and subject to the  foregoing,  we are of the opinion that
as of the date hereof the cash  consideration  of $4.00 per Share to be received
by the holders of the Shares  (other than  Acquiror and its  affiliates)  in the
Offer and Merger is fair, from a financial point of view, to such holders.


Very truly yours,


WHEAT, FIRST SECURITIES, INC.


                                      B-2


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