SETTLEMENT AGREEMENT


                                   I. PARTIES
                                      -------

          This Settlement  Agreement  ("Agreement") is entered into by and among
the United States of America,  acting  through the Civil  Division of the United
States  Department  of Justice,  the United  States  Attorneys  for the Northern
District of Georgia and the Eastern  District of New York,  and on behalf of the
Office of Inspector  General  ("OIG-HHS")  of the Department of Health and Human
Services ("HHS") (collectively the "United States"); the Relator,  Donald Steven
McLendon  ("Relator");  and Olsten  Corporation,  Olsten  Health  Services,  and
Kimberly  Home  Health  Care  ("Kimberly")  (collectively  "Olsten"),  hereafter
referred to as "the Parties", through their authorized representatives.


                                  II. PREAMBLE
                                      --------

          A.  Olsten Corporation, a publicly-traded corporation headquartered in
Melville, New York, is in the business of providing homecare services,  staffing
services, and homecare management services.

          B.  The United States contends that Olsten submitted,  or caused to be
submitted, claims for payment to the Medicare Program ("Medicare"),  Title XVIII
of the Social Security Act, 42 U.S.C. ss.ss. 1395-1395ddd(1997).

          C.  Relator  has filed an action in the  Northern  District of Georgia
styled United States ex rel.  McLendon v. Columbia/HCA  Healthcare,  et al., No.
1:97-CV-0890-C.F.,  (the "Qui Tam Action")  alleging,  among other things,  that
Olsten violated the False Claims Act.

          D.  The United States  Attorney for the Eastern  District of New York,
in conjunction  with OIG-HHS,  has initiated an  investigation of Olsten that is
independent of the Qui Tam Action and involves issues distinct from those raised
in that action.

          E.  Based on its  investigations,  the United States  contends that it
has certain  civil claims  against  Olsten under the False Claims Act, 31 U.S.C.
ss.ss.  3729-3733,  and other federal statutes and/or common law doctrines,  for
engaging  in  the  following  conduct  (hereafter  collectively  referred  to as
"Covered Conduct"):

         (1)  Qui Tam Action:  The Qui Tam Action  alleges that  beginning  with
negotiations  in December of 1993,  and  continuing  through  October 31,  1996,
Olsten and Columbia/HCA Healthcare Corporation  ("Columbia/HCA")  entered into a
series of transactions  that enabled  Columbia/HCA to acquire  ownership of home
health agencies in Georgia,  Florida and Alabama,  and enabled Olsten to acquire
the right to manage the home  health  visits  arising  from those  acquisitions.
Olsten offered and paid remuneration  indirectly,  overtly and covertly, in cash
and in kind, to induce  Columbia/HCA to allow it to obtain and manage these home
health  visits  controlled  by  Columbia/HCA,   in  violation  of  the  Medicare
Anti-Kickback  Act,  42  U.S.C.  ss.  1320a-7b(b).  Olsten  then  colluded  with
Columbia/HCA  to  submit  fraudulent  claims  to the  Medicare  program  seeking
reimbursement  for  inflated  management  fees for the years  1994  through  and
including   1998,    which   included   the   costs    associated   with   these
acquisitions--costs that would not have been reimbursed had their true nature as
a vehicle for reimbursement of Columbia/HCA's acquisition costs been revealed to
the Medicare program.

                                       -2-


          The Qui  Tam  Action  further  alleges  that  beginning  in  1994  and
continuing  through and including 1998,  Olsten staffed the Columbia home health
agencies it managed  with  agency  directors  who  supervised  staff  personnel,
including those persons nominally  performing  so-called  "community  education"
functions.  These "community  educators" spent a majority of their time carrying
out  marketing  and  advertising  functions  directed  at  both  physicians  and
prospective patients in an effort to obtain referrals to Columbia agencies.  The
costs of such  patient and  physician  solicitation  services  performed by home
health agency personnel, as Olsten and Columbia well knew, were not allowable as
costs subject to  reimbursement  from the Medicare  program.  As a result of the
activities  described  above,  Olsten  caused the  submission of cost reports by
Columbia/HCA  to Medicare fiscal  intermediaries  for the cost report years 1994
through and  including  1998 which  contained  false and  fraudulent  claims for
expenses associated with community education.

         (2)  Eastern District of New York: It is alleged that during the period
1992 through 1996, Olsten wrongfully included certain costs in its Medicare home
office cost report submissions,  thereby wrongfully  claiming  reimbursement for
these costs, and mischarging these costs. These costs were:

          a)  Personal expenses of Olsten executive officers including: personal
credit card charges,  country club memberships,  health club dues, golf outings,
ski  outings and ski  equipment,  aerobics  lessons,  cooking  lessons,  sailing
lessons, skating lessons, spa fees, personal travel;

          b)  Gift and entertainment  expenses including:  alcoholic  beverages,
box seats and season tickets to sporting  events,  promotional  items,  jewelry,
business travel unrelated to Medicare; and

          c)  Merger costs.

          F.  HHS  contends  also  that  it has  certain  administrative  claims
against Olsten under the provisions for permissive  exclusion from the Medicare,
Medicaid and other federal health care programs,  42 U.S.C. ss. 1320a-7(b),  and
the provisions for civil monetary  penalties,  42 U.S.C. ss.  1320a-7a,  for the
Covered Conduct.

          G.  Kimberly has entered into a plea  agreement with the United States
pursuant to which it has agreed to plead  guilty in the United  States  District
Courts for the Southern District of Florida,  the Middle District of Florida and
the Northern  District of Georgia to offenses  involving  certain of the conduct
alleged in  Paragraph  E(1),  and has agreed to pay $10.08  million in  criminal
fines in connection therewith.


                           III. TERMS AND CONDITIONS
                                --------------------

          NOW,  THEREFORE,  in consideration of the mutual promises,  covenants,
and  obligations  set forth below,  and for good and valuable  consideration  as
stated herein, the Parties agree as follows:

          1.  Within five (5)  business  days of the time all pleas are accepted
by the  respective  courts and  sentence is imposed as described in Paragraph G,
Olsten  agrees to pay to the  United  States  $50.92  million  (the  "Settlement
Amount") by electronic  funds transfer  pursuant to written  instructions  to be
provided by the United States.  The Settlement Amount of $50.92 million shall be

                                      -3-


allocated as follows:  $10 million for the resolution of the EDNY  investigation
and the remaining $40.92 million for the resolution of the investigation related
to the Qui Tam Action.  These amounts are in addition to the criminal  fines set
forth in Paragraph G herein,  and in the event that the criminal  fines  imposed
are less than $10.08 million and the plea is not withdrawn, Olsten agrees to pay
to the United States the difference  between the actual imposed fines and $10.08
million as an additional  settlement  amount for resolution of the investigation
related to the Qui Tam Action.

          2.  Subject to the exceptions in Paragraph 5 below,  in  consideration
of the  obligations  of Olsten  set forth in this  Agreement,  conditioned  upon
Olsten's payment in full of the Settlement  Amount,  and subject to Paragraph 16
of this Section III, below (concerning  bankruptcy  proceedings commenced within
91 days of any payment  under this  Agreement),  the United States (on behalf of
itself,  its officers,  agents,  agencies and  departments)  agrees that it will
neither  institute  nor  join in an  action  against  Olsten  for any  civil  or
administrative monetary claims the United States has or may have for the Covered
Conduct,  under the False  Claims Act,  31 U.S.C.  ss.ss.  3729-3733;  the Civil
Monetary Penalties Law, 42 U.S.C. ss. 1320a-7a; the Program Fraud Civil Remedies
Act,  31 U.S.C.  ss.ss.  3801-3812,  or the  common law  theories  of payment by
mistake,  unjust  enrichment,  breach of  contract  and fraud,  for the  Covered
Conduct.

          3.  In compromise  and  settlement of the rights of OIG-HHS to exclude
Kimberly pursuant to 42 U.S.C. ss.  1320a-7(a)(1)  and (b)(7),  Olsten agrees to
the  permanent  exclusion  of Kimberly  under these  statutory  provisions  from
participation in Medicare,  Medicaid, and all other federal health care programs
as defined in 42 U.S.C.  ss.  1320a-7b(f).  Such  exclusion  will have  national
effect and will also apply to all other Federal  procurement and non-procurement
programs.  Olsten agrees on behalf of Kimberly that this exclusion will commence
on the  effective  date of this  Agreement,  and Olsten,  on behalf of Kimberly,
waives any further notice of Kimberly's exclusion.  Olsten agrees not to contest
such exclusion of Kimberly  either  administratively  or in any State or Federal
court.  If  Kimberly  submits  or causes the  submission  of claims on behalf of
Kimberly while  excluded,  Olsten and Kimberly will be subject to the imposition
of additional  civil  monetary  penalties and  assessments.  Olsten and Kimberly
further  agree  to hold  the  federal  programs  and all the  federal  programs'
beneficiaries  and/or sponsors  harmless from any financial  responsibility  for
services  furnished to such  beneficiaries  and/or  sponsors  during  Kimberly's
exclusion.  Olsten  specifically  waives  its  rights as to  Kimberly  under any
statute or regulation to payment from the Medicare,  Medicaid, TRICARE, Veterans
Affairs (VA), or Federal Employees Health Benefits (FEHBP) programs for services
provided by Kimberly during Kimberly's exclusion.

          4.  In  consideration  of the obligations set forth in this Agreement,
conditioned upon Olsten's payment in full of the settlement  amount, and subject
to the provisions of Paragraph 16 (concerning  bankruptcy  proceedings commenced
within 91 days of any payment under this  agreement),  OIG-HHS agrees to release
and refrain from instituting,  directing or maintaining any administrative claim
or any action  seeking  exclusion  from the Medicare,  Medicaid or other federal
health care programs (as defined in 42 U.S.C.  ss.  1320a-7b(f))  against Olsten
under 42 U.S.C.  ss. 1320a-7a (Civil Monetary  Penalties Law), or 42 U.S.C.  ss.
1320a-7(b) (permissive exclusion) , for the Covered Conduct,  except as reserved
in Paragraph 5 of this Section III, below,  and as reserved in this Paragraph 4.
The  OIG-HHS  expressly  reserves  all  rights  to  comply  with  any  statutory
obligations  to exclude Olsten or others from federal health care programs under


                                      -4-


42 U.S.C.  ss.  1320a-7(a)  (mandatory  exclusion).  Nothing  in this  Paragraph
precludes the OIG-HHS from taking  action  against  entities or persons,  or for
conduct and practices,  for which civil claims have been reserved in Paragraph 5
of this Section III, below.

          5.  Notwithstanding any term of this Agreement,  specifically reserved
and  excluded  from the scope and terms of this  Agreement  as to any  entity or
person (including Olsten) are any and all of the following:

         (a)  Any civil,  criminal or administrative  claims arising under Title
26, U.S. Code (Internal Revenue Code);

         (b)  Any criminal liability;

         (c)  Except as explicitly stated in this Agreement,  any administrative
liability, including mandatory exclusion from Federal health care programs;

         (d)  Any  liability  to the  United  States (or its  agencies)  for any
conduct other than the Covered Conduct;

         (e)  Any claims  based  upon such  obligations  as are  created by this
Agreement;

         (f)  Any civil or  administrative  claims of the United States  against
individuals,  including current or former directors, officers, employees, agents
or shareholders of Olsten who, in connection with the Covered  Conduct,  receive
notification that they are the target of a criminal investigation (as defined in
the United States Attorneys' Manual), are criminally indicted or charged, or are
convicted, or who enter a criminal plea; and

         (g)  Any entity or  individual  determined  by the United States in its
sole  discretion to be jointly and  severally  liable with Olsten or its related
entities  for the Covered  Conduct,  including  but not limited to  Columbia/HCA
Healthcare Corporation, its subsidiaries,  affiliates, predecessors, successors,
employees, agents and any and all related individuals and entities.

          6.  Olsten has  entered  into a  Corporate  Integrity  Agreement  with
OIG-HHS,  attached as Exhibit A, which is  incorporated  into this  Agreement by
reference.  Olsten will implement its obligations under the Corporate  Integrity
Agreement immediately upon execution of this Agreement.

          7.  Olsten   has   provided    financial    information    ("Financial
Information")  to the  United  States  and the  United  States has relied on the
accuracy  and  completeness  of this  Financial  Information  in  reaching  this
Agreement.  Olsten  warrants  that  to the  best  of  Olsten's  information  the
historical  Financial  Information  it has provided is thorough,  accurate,  and
complete. The forward-looking  Financial Information consists of, as of the date
of this Agreement,  Olsten's best confidential  internal financial  projections,
which projections are subject to various risk factors and uncertainties.  Olsten
further  warrants  that it does not own or have an interest in any assets  which
have not been disclosed in the Financial  Information,  and that Olsten has made
no  misrepresentations  on, or in connection with, the Financial  Information or
its  financial  condition.  In the event the United States learns of asset(s) in
which  Olsten  had an  interest  at the  time of this  Agreement  that  were not
disclosed in the Financial Information, or in the event the United States learns
of a  misrepresentation  by Olsten  on, or in  connection  with,  the  Financial


                                      -5-


Information   or   Olsten's   financial   condition,   and  in  the  event  such
non-disclosure  or  misrepresentation  changes the estimated net worth of Olsten
set forth on the Financial  Information by Five Million dollars  ($5,000,000) or
more,  the United States may at its option:  (a) rescind this Agreement and file
suit upon the Covered Conduct described in paragraph E; or (b) let the Agreement
stand and collect the full Settlement  Amount plus one hundred percent (100%) of
the value of such increased net worth of Olsten that was previously  undisclosed
or  misrepresented  at the time of this Agreement.  Olsten agrees not to contest
any  collection  action  undertaken  by  the  United  States  pursuant  to  this
provision.

          8.  In the event that the  United  States,  pursuant  to  paragraph  7
above,  opts to rescind this Agreement,  Olsten  expressly  agrees not to plead,
argue or  otherwise  raise  any  defenses  under  the  theories  of  statute  of
limitations,   laches,   estoppel   or  similar   theories,   to  any  civil  or
administrative  claims  which  (a) are filed by the  United  States  within  180
calendar  days of written  notification  to Olsten that this  Agreement has been
rescinded,  and (b) relate to the Covered  Conduct,  except to the extent  these
defenses were  available on April 4, 1997, the date the Qui Tam Action was filed
under seal.

          9.  Olsten  waives and will not assert any defenses it may have to any
criminal  prosecution or administrative  action relating to the Covered Conduct,
which defenses may be based in whole or in part on the Double Jeopardy Clause of
the Fifth Amendment of the Constitution,  or under the Excessive Fines Clause of
the Eighth Amendment of the Constitution.  Olsten agrees that this settlement is
not  punitive  in  purpose or effect.  Nothing  in this  paragraph  or any other
provision  of this  Agreement  constitutes  an  agreement  by the United  States
concerning the  characterization  of the  Settlement  Amount for purposes of the
Internal Revenue Code, Title 26 of the United States Code.

         10.  Olsten   agrees   that  all  costs  (as  defined  in  the  Federal
Acquisition Regulations ("FAR") ss. 31.205-47 and in Titles XVIII and XIX of the
Social Security Act, 42 U.S.C. ss.ss. 1395-1395ddd (1997) and 1396-1396v (1997),
and the regulations  promulgated thereunder) incurred by or on behalf of Olsten,
in  connection  with:  (a)  the  matters  covered  by  this  Agreement,  (b) the
Government's audit(s) and civil and any criminal investigation(s) of the matters
covered by this Agreement,  (c) Olsten's investigation,  defense, and corrective
actions  undertaken in response to the  Government's  audit(s) and civil and any
criminal  investigation(s)  in  connection  with  the  matters  covered  by this
Agreement  (including  attorneys'  fees)  including the  obligations  undertaken
pursuant to the Corporate  Integrity  Agreement  incorporated in this Agreement,
(d) the negotiation of this Agreement,  the Corporate Integrity  Agreement,  and
any plea agreement and/or deferred  prosecution  agreement,  and (e) the payment
made  pursuant  to this  Agreement,  whether  for  fines or for  settlement  and
compromise of the civil matters,  are unallowable costs on Government  contracts
and under the Medicare  Program,  Medicaid  Program,  TRICARE Program,  Veterans
Affairs  Program  (VA) and Federal  Employee  Health  Benefits  Program  (FEHBP)
(hereafter, "unallowable costs"). Olsten agrees that it will separately estimate
and account for these unallowable costs, and it will not charge such unallowable
costs  directly or  indirectly  to any  contracts  with the United States or any
state Medicaid  program,  or seek payment for such unallowable costs through any
cost report, cost statement,  information statement or payment request submitted
by Olsten or any of its subsidiaries to the Medicare,  Medicaid,  TRICARE, VA or
FEHBP programs.



                                      -6-


         11.  Olsten further agrees that within 60 days of the effective date of
this  Agreement  it will  identify to  applicable  Medicare  and TRICARE  fiscal
intermediaries,  carriers and/or contractors,  and Medicaid, VA and FEHBP fiscal
agents,  any unallowable costs (as defined in Paragraph 10) included in payments
previously  sought  from the  United  States,  or any  State  Medicaid  Program,
including,  but not  limited  to,  payments  sought  in any cost  reports,  cost
statements, information reports, or payment requests already submitted by Olsten
or any of its subsidiaries, and will request, and agree, that such cost reports,
cost  statements,  information  reports  or  payment  requests,  even if already
settled,  be  adjusted  to  account  for  the  effect  of the  inclusion  of the
unallowable  costs.  Olsten  agrees  that the United  States will be entitled to
recoup  from  Olsten  any  overpayment  as a  result  of the  inclusion  of such
unallowable costs on  previously-submitted  cost reports,  information  reports,
cost statements or requests for payment.  Any payments due after the adjustments
have been made shall be paid to the United  States  pursuant to the direction of
the  Department  of Justice,  and/or the affected  agencies.  The United  States
reserves its rights to disagree with any calculations submitted by Olsten or any
of its subsidiaries on the effect of inclusion of unallowable  costs (as defined
in this  paragraph) on Olsten or any of its  subsidiaries'  cost  reports,  cost
statements or information reports.  Nothing in this Agreement shall constitute a
waiver  of the  rights  of  the  United  States  to  examine  or  reexamine  the
unallowable costs described in Paragraph 10 and in this Paragraph.

         12.  Olsten agrees to cooperate  fully and  truthfully  with the United
States,  investigation of individuals and entities not specifically  released in
this Agreement,  for the Covered Conduct.  Upon reasonable  notice,  Olsten will
make reasonable  efforts to facilitate  access to, and encourage the cooperation
of, its  directors,  officers,  and  employees  for  interviews  and  testimony,
consistent with the rights and privileges of such individuals,  and will furnish
to the United States, upon reasonable request, all non-privileged  documents and
records in its  possession,  custody or control  relating to the Covered Conduct
which have not been previously produced by Olsten to the United States.

         13.  This  Agreement  is intended to be for the benefit of the Parties,
only,  and by this  instrument the Parties do not release any claims against any
other person or entity, except as expressly set forth herein.

         14.  Olsten  agrees that it will not seek payment for any of the health
care billings  covered by this Agreement from any health care  beneficiaries  or
their  parents or sponsors.  Olsten  waives any causes of action  against  these
beneficiaries  or their  parents or  sponsors  based upon the claims for payment
covered by this Agreement.

         15.  Olsten  expressly  warrants  that it has  reviewed  its  financial
situation and that it currently is solvent  within the meaning of 11 U.S.C.  ss.
547(b)(3),  and will remain  solvent  following its payment to the United States
hereunder. Further, the Parties expressly warrant that, in evaluating whether to
execute this Agreement,  the Parties (a) have intended that the mutual promises,
covenants and obligations set forth herein constitute a contemporaneous exchange
for new value given to Olsten, within the meaning of 11 U.S.C. ss. 547 (c) (1) ,
and (b) have concluded that these mutual promises, covenants and obligations do,
in fact, constitute such a contemporaneous exchange.






                                      -7-


         16.  In the  event  Olsten  Corporation  commences,  or a  third  party
commences,  within 91 days of any payment made under this  Agreement,  any case,
proceeding,   or  other  action  (a)  under  any  law  relating  to  bankruptcy,
insolvency,  reorganization or relief of debtors,  seeking to have any order for
relief  of  Olsten   Corporation's   debts,  or  seeking  to  adjudicate  Olsten
Corporation as bankrupt or insolvent,  or (b) seeking appointment of a receiver,
trustee,  custodian or other similar official for Olsten  Corporation or for all
or any  substantial  part of Olsten  Corporation's  assets,  Olsten  Corporation
agrees as follows:

         (a)  The  Settlement  Amount set forth in this  Agreement  represents a
compromise figure predicated on the financial state of Olsten Corporation at the
time of this  Agreement.  In the event  that  Olsten  Corporation  institutes  a
proceeding  or other action  described  in this  Paragraph  16, this  Settlement
Amount does not  constitute  a waiver by the United  States of its right to seek
the full amount of single damages it deems to be due and owing, which the United
States contends totals at least $189,000,000, plus penalties.

         (b)  Olsten's  obligations  under  this  Agreement  may not be  avoided
pursuant to 11 U.S.C.  Section 547, and Olsten will not argue or otherwise  take
the  position  in any  such  case,  proceeding  or  action  that:  (i)  Olsten's
obligations  under this  Agreement may be avoided  under 11 U.S.C.  Section 547;
(ii) Olsten was insolvent at the time this Agreement was entered into, or became
insolvent as a result of the payment  made to the United  States  hereunder;  or
(iii) the mutual promises, covenants and obligations set forth in this Agreement
do not constitute a contemporaneous exchange for new value given to Olsten.

         (c)  In the event that Olsten's  obligations  hereunder are avoided for
any reason,  including,  but not limited to, through the exercise of a trustee's
avoidance  powers under the  Bankruptcy  Code,  the United  States,  at its sole
option,  may rescind the releases in this Agreement,  and bring any civil and/or
administrative  claim,  action or proceeding  against Olsten for the claims that
would otherwise be covered by the releases provided herein. If the United States
chooses to do so, Olsten agrees that (i) any such claims, actions or proceedings
brought by the United States  (including any  proceedings to exclude Olsten from
participation in Medicare,  Medicaid, or other federal health care programs) are
not subject to an "automatic  stay" pursuant to 11 U.S.C. ss. 362(a) as a result
of the  action,  case  or  proceeding  described  in the  first  clause  of this
Paragraph,  and that Olsten will not argue or otherwise  contend that the United
States'  claims,  actions or proceedings  are subject to an automatic stay; (ii)
Olsten will not plead,  argue or otherwise raise any defenses under the theories
of statute of limitations,  laches,  estoppel or similar  theories,  to any such
civil or administrative  claims,  actions or proceeding which are brought by the
United  States  within  one  hundred  eighty  (180)  calendar  days  of  written
notification to Olsten that the releases herein have been rescinded  pursuant to
this  Paragraph,  except to the extent such defenses were  available on April 4,
1997,  the date the Qui Tam Action was filed  under  seal;  and (iii) the United
States may pursue its claim,  inter alia, in the cases,  actions or  proceedings
referenced in the first clause of this Paragraph,  as well as in any other case,
action, or proceeding.

         (d)  Olsten  acknowledges  that its  agreements  in this  Paragraph are
provided in exchange for valuable consideration provided in this Agreement.





                                      -8-


         17.  In  consideration  of the mutual  promises and obligations of this
Agreement,  Relator hereby releases and discharges  Olsten and its  subsidiaries
and  affiliated  corporate  entities,  and  their  respective  past and  present
officers, directors,  employees,  principals,  partners, agents and counsel, and
their respective heirs, executors, administrators,  predecessors, successors and
assigns  (collectively,  the "Olsten  Releasees"),  from all actions,  causes of
action, suits, debts, dues, sums of money, accounts,  reckonings,  bonds, bills,
specialties,   covenants,  contracts,   controversies,   agreements,   promises,
variances,  trespasses,  damages,  judgments,  extents,  executions,  claims and
demands whatsoever, in law, admiralty or equity, whether known or unknown, which
Relator and/or his heirs,  executors,  administrators,  successors,  and assigns
ever had,  now have or  hereafter  can,  shall or may have  against  the  Olsten
Releasees for, upon or by reason of any matter,  cause or thing  whatsoever from
the  beginning  of the world to the date of this  Agreement,  including  but not
limited to, any claims  asserted or which could have been asserted in connection
with Relator's Qui Tam Action.

         18.  Notwithstanding  the  provisions  of  Paragraph 17 of Section III,
above, it is agreed that neither Relator nor his counsel is releasing any entity
or individual determined by the United States or any court or other governmental
entity, in their respective sole discretions, to be jointly and severally liable
with Olsten or its related entities for the Covered  Conduct,  including but not
limited to Columbia/HCA  Healthcare Corporation,  its subsidiaries,  affiliates,
predecessors,  successors,  employees,  agents, and any and all related entities
and  individuals.  It is the express  intent of the parties to this Agreement to
release  Olsten  and its  related  entities  but not any other  party who may be
jointly and severally liable with Olsten or its related entities.

         19.  Relator's  counsel,  by signing this Agreement,  hereby waives any
and all claims he may have against Olsten for  professional  fees arising out of
his representation of the Relator in the Qui Tam Action.

         20.  Olsten, on its own behalf and on behalf of its agents,  attorneys,
predecessors,  successors,  and assigns  releases Relator and his attorneys from
any and all claims,  or causes of action whether known or unknown as of the date
of this Agreement.

         21.  Relator's  Release  shall be effective  upon receipt by the United
States of the Settlement Amount under this Agreement.

         22.  Relator agrees that this settlement  between the United States and
Olsten in connection with the Qui Tam Action is fair,  adequate,  and reasonable
pursuant  to 31  U.S.C.  ss.  3730(c)(2)(B)  and  that he will not  contest  the
settlement.

         23.  Pursuant to 31 U.S.C. ss. 3730, the United States will pay Relator
a share of the Settlement  Amount  attributable  to the conduct set forth in the
Qui Tam Action, in the amount of $9,820,800.00 (Nine Million,  Eight Hundred and
Twenty  Thousand and Eight Hundred  dollars)  within a reasonable time after the
United States' receipt of full payment from Defendants.  The United States shall
not be obligated to pay Relator unless and until the United States receives full
payment of the settlement amount from Olsten.






                                      -9-


         24.  In  exchange  for the United  States'  promise to pay  Relator the
above-noted share of the Settlement Amount, Relator agrees to relinquish any and
all claims he might bring against the United  States  arising out of or relating
to the Qui Tam Action,  including any claim under 31 U.S.C. ss. 3730(c) and (d),
except as may relate to defendants in the Qui Tam Action who are not released by
this Agreement.

         25.  Each  party to this  Agreement  will  bear its own legal and other
costs incurred in connection  with this matter,  including the  preparation  and
performance of this Agreement.

         26.  Olsten  represents that it is entering into this Agreement  freely
and voluntarily.

         27.  This Agreement is governed by the laws of the United  States.  The
Parties agree that the exclusive  jurisdiction and venue for any dispute arising
between  and among the  Parties  to this  Agreement  will be the  United  States
District Court for the Northern District of Georgia except that jurisdiction and
venue for any dispute  arising among the Parties to this  Agreement  relating to
the Eastern  District of New York  investigation  shall be in the United  States
District Court for the Eastern District of New York.  Disputes arising under the
Corporate  Integrity  Agreement shall be resolved  exclusively under the dispute
resolution provisions of the Corporate Integrity Agreement.

         28.  This  Agreement  and the  Corporate  Integrity  Agreement  that is
incorporated  herein by reference  constitute the complete agreement between the
Parties.  This Agreement may not be amended except by signed written  consent of
the  Parties,  except  that only  Olsten and  OIG-HHS  need to agree in a signed
writing to any modification of the Corporate Integrity Agreement.

         29.  This  Agreement is  specifically  conditioned on the acceptance by
the United  States  District  Court for the  Southern  District of Florida,  the
United  States  District  Court for the Middle  District of Florida,  and United
States District Court for the Northern  District of Georgia of Kimberly's  pleas
of guilty and the  imposition  of the  sentence  referenced  in  Paragraph  G of
Section II above on the terms agreed upon by the Parties.

         30.  The  individual   signing  this  Agreement  on  behalf  of  Olsten
represents  and  warrants  that he has  been  authorized  by  Olsten's  Board of
Directors to execute this  Agreement.  The United States  signatories  represent
that they are signing this Agreement in their official  capacities and that they
are authorized to execute this Agreement.

         31.  This Agreement may be executed in  counterparts  and/or  facsimile
form with the same  effect as if the  parties  had  executed  a single  original
Settlement  Agreement.  Facsimile  signatures  shall  have  the same  effect  as
original signatures in binding the parties hereto.

         32.  This  Agreement  is binding  on the  successors,  transferees  and
assigns of the Parties.

         33.  This  Agreement  is effective on the date of signature of the last
signatory to the Agreement.





                                      -10-


                          THE UNITED STATES OF AMERICA
                          ----------------------------



DATED: July 16, 1999                   BY:/s/ Michael F. Hertz
       ------------------------           ---------------------------------
                                          Michael F. Hertz
                                          Director
                                          Commercial Litigation Branch
                                          Civil Division
                                          United States Department
                                             of Justice


DATED:                                 BY:/s/ Loretta E. Lynch
       ------------------------           ---------------------------------
                                          Loretta E. Lynch
                                          United States Attorney
                                          Eastern District of New York


DATED: July 19 1999                    BY:/s/ Richard H. Deane, Jr.
       ------------------------           ---------------------------------
                                          Richard H. Deane, Jr.
                                          United States Attorney
                                          Northern District of Georgia


DATED: July 16 1999                    BY:/s/ Lewis Morris
       ------------------------           ---------------------------------
                                          LEWIS MORRIS
                                          Assistant Inspector General
                                          Office of Counsel to the
                                          Inspector General
                                          Office of Inspector General
                                          United States Department of
                                            Health and Human Services




















                                      -11-


                        Olsten and Kimberly Quality Care
                        --------------------------------




DATED: July 19 1999                    BY:/s/ William Costantini
       ------------------------           ---------------------------------
                                          William Costantini
                                          Executive Vice President and
                                            General Counsel
                                          Olsten Corporation


DATED: July 19 1999                    BY:/s/ Stuart Gerson, Esquire
       ------------------------           ---------------------------------
                                          Stuart Gerson, Esquire
                                          Epstein, Becker & Green
                                          1227 25th Street, N.W.
                                          Washington, D.C. 20037


DATED: July 19 1999                    BY:/s/ Mark H. Tuohey III, Esquire
       ------------------------           ---------------------------------
                                          Mark H. Tuohey III, Esquire
                                          Vinson & Elkins
                                          1455 Pennsylvania Ave., N.W.
                                          Washington, D.C. 20004-1008






























                                      -12-


                                     RELATOR
                                     -------




DATED: July 15 1999                       /s/ Donald McLendon, Relator
       ------------------------           ---------------------------------
                                          Donald McLendon, Relator


DATED: July 15 1999                       /s/ Marlan B. Wilbanks, Esquire
       ------------------------           ---------------------------------
                                          Marlan B. Wilbanks, Esquire
                                          Harmon, Smith, Bridges & Wilbanks, LLP
                                          1795 Peachtree Road
                                          Suite 350
                                          Atlanta, Georgia  30309-2339