PLEDGE AGREEMENT

      THIS PLEDGE AGREEMENT (this "Pledge Agreement"), dated as of August 29,
2000, is by and among the parties identified as "Pledgors" on the signature
pages hereto and such other parties as may become Pledgors hereunder after
the date hereof (individually a "Pledgor", and collectively the "Pledgors")
and BANK OF AMERICA, N.A., as collateral agent (in such capacity, the
"Collateral Agent") for the holders of the Secured Obligations referenced
below.

                             W I T N E S S E T H

      WHEREAS, a $125 million credit facility has been established in favor
of RehabCare Group, Inc., a Delaware corporation (the "Borrower"), pursuant
to the terms of that Credit Agreement dated as of the date hereof (as
amended, modified, increased, extended, renewed or replaced, the "Credit
Agreement") among the Borrower, the subsidiaries and affiliates identified
therein, as guarantors, the lenders identified therein and Bank of America,
N.A., as Administrative Agent;

      WHEREAS, this Pledge Agreement is required under the terms of the
Credit Agreement;

      NOW, THEREFORE, in consideration of these premises and other good and
valuable consideration, the receipt and sufficiency of which are hereby
acknowledged, the parties hereto agree as follows:

      1.    Definitions.  Terms used herein but not otherwise defined herein
shall have the meanings assigned to such terms in the Credit Agreement.  As
used herein:

            "Secured Obligations" means, without duplication, (i) all of the
      obligations of the Credit Parties to the Lenders and the Administrative
      Agent, whenever arising, under the Credit Agreement or any of the other
      Credit Documents (including, but not limited to, any interest accruing
      after the occurrence of a Bankruptcy Event with respect to any Credit
      Party, regardless of whether such interest is an allowed claim under
      the Bankruptcy Code), whether now existing or hereafter arising, due or
      to become due, direct or indirect, absolute or contingent, howsoever
      evidenced, held or acquired, as such obligations may be amended,
      modified, increased, extended, renewed or replaced from time to time,
      (ii) all obligations owing by the Credit Parties to the Lenders or any
      affiliate of a Lender, whenever arising, under any interest rate
      protection agreements, foreign currency exchange agreements or
      commodity purchase or option agreements to the extent permitted under
      the Credit Agreement, and (iii) all costs and expenses incurred in
      connection with enforcement and collection of the Secured Obligations,
      including reasonable attorneys' fees.

      2.    Pledge and Grant of Security Interest.  To secure the prompt
payment and performance in full when due, whether by lapse of time or
otherwise, of the Secured Obligations, each Pledgor hereby pledges and
assigns to the Collateral Agent, for the benefit of the holders of the
Secured Obligations, and grants to the Collateral Agent, for the benefit of
the holders of the Secured Obligations, a continuing security interest in any
and all right, title and interest of such Pledgor in and to the following,
whether now owned or existing or owned, acquired, or arising hereafter
(collectively, the "Pledged Collateral"):

            (a)   Pledged Shares.  (i) 100% (or, if less, the full amount
      owned by such Pledgor) of the issued and outstanding Capital Stock
      owned by such Pledgor of each Domestic Subsidiary set forth on Schedule
      2(a) attached hereto and (ii) 65% (or, if less, the full amount owned
      by such Pledgor) of the issued and outstanding shares of Capital Stock
      entitled to vote (within the meaning of Treas. Reg. Section
      1.956-2(c)(2)) ("Voting Equity") and 100% (or, if less, the full amount
      owned by such Pledgor) of the issued and outstanding Capital Stock not
      entitled to vote (within the meaning of Treas. Reg. Section
      1.956-2(c)(2)) ("Non-Voting Equity") owned by such Pledgor of each
      Foreign Subsidiary set forth on Schedule 2(a) attached hereto, in each
      case together with the certificates (or other agreements or
      instruments), if any, representing such Capital Stock, and all options
      and other rights, contractual or otherwise, with respect thereto
      (collectively, together with the Capital Stock described in Section
      2(b) and 2(c) below, the "Pledged Shares"), including, but not limited
      to, the following:

                  (A)   all shares, securities, membership interests or other
            equity interests representing a dividend on any of the Pledged
            Shares, or representing a distribution or return of capital upon
            or in respect of the Pledged Shares, or resulting from a stock
            split, revision, reclassification or other exchange therefor, and
            any subscriptions, warrants, rights or options issued to the
            holder of, or otherwise in respect of, the Pledged Shares; and

                  (B)   without affecting the obligations of the Pledgors
            under any provision prohibiting such action hereunder or under
            the Credit Agreement, in the event of any consolidation or merger
            involving the issuer of any Pledged Shares and in which such
            issuer is not the surviving entity, all Capital Stock of the
            successor entity formed by or resulting from such consolidation
            or merger.

            (b)   Additional Shares.  100% (or, if less, the full amount
      owned by such Pledgor) of the issued and outstanding Capital Stock
      owned by such Pledgor of any Person which hereafter becomes a Domestic
      Subsidiary and 65% (or, if less, the full amount owned by such Pledgor)
      of the Voting Equity and 100% (or, if less, the full amount owned by
      such Pledgor) of the Non-Voting Equity owned by such Pledgor of any
      Person which hereafter becomes a Foreign Subsidiary, including, without
      limitation, the certificates representing such Capital Stock.

            (c)   Proceeds.  All proceeds and products of the foregoing,
      however and whenever acquired and in whatever form.

      Without limiting the generality of the foregoing, it is hereby
specifically understood and agreed that a Pledgor may from time to time
hereafter deliver additional Capital Stock to the Collateral Agent as
collateral security for the Secured Obligations.  Upon delivery to the
Collateral Agent, such additional Capital Stock shall be deemed to be part of
the Pledged Collateral of such Pledgor and shall be subject to the terms of
this Pledge Agreement whether or not Schedule 2(a) is amended to refer to
such additional Capital Stock.

      3.    Security for Secured Obligations.  The security interest created
hereby in the Pledged Collateral of each Pledgor constitutes continuing
collateral security for all of the obligations of the Credit Parties to the
holders of the Secured Obligations (including the Issuing Lender) and the
Collateral Agent, whenever arising, under the Credit Agreement, the
Collateral Documents or any of the other Credit Documents (including, but not
limited to, any interest accruing after the occurrence of a Bankruptcy Event
with respect to any Credit Party, regardless of whether such interest is an
allowed claim under the Bankruptcy Code), howsoever evidenced, created,
incurred or acquired, whether primary, secondary, direct, contingent, or
joint and several.

      4.    Delivery of the Pledged Collateral.  Each Pledgor hereby agrees
that:

            (a)   Each Pledgor shall deliver to the Collateral Agent (i)
      simultaneously with or prior to the execution and delivery of this
      Pledge Agreement, all certificates representing the Pledged Shares of
      such Pledgor and (ii) promptly upon the receipt thereof by or on behalf
      of a Pledgor, all other certificates and instruments constituting
      Pledged Collateral of a Pledgor.  Prior to delivery to the Collateral
      Agent, all such certificates and instruments constituting Pledged
      Collateral of a Pledgor shall be held in trust by such Pledgor for the
      benefit of the Collateral Agent pursuant hereto.  All such certificates
      shall be delivered in suitable form for transfer by delivery or shall
      be accompanied by duly executed instruments of transfer or assignment
      in blank, substantially in the form provided in Exhibit 4(a) attached
      hereto.

            (b)   Additional Securities.  If such Pledgor shall receive by
      virtue of its being or having been the owner of any Pledged Collateral,
      any (i) certificate, including without limitation, any certificate
      representing a dividend or distribution in connection with any increase
      or reduction of capital, reclassification, merger, consolidation, sale
      of assets, combination of shares or other equity interests, stock
      splits, spin-off or split-off, promissory notes or other instrument;
      (ii) option or right, whether as an addition to, substitution for, or
      an exchange for, any Pledged Collateral or otherwise; (iii) dividends
      payable in securities; or (iv) distributions of securities or other
      equity interests in connection with a partial or total liquidation,
      dissolution or reduction of capital, capital surplus or paid-in
      surplus, then such Pledgor shall receive such stock certificate,
      instrument, option, right or distribution in trust for the benefit of
      the Collateral Agent, shall segregate it from such Pledgor's other
      property and shall deliver it forthwith to the Collateral Agent in the
      exact form received together with any necessary endorsement and/or
      appropriate stock power duly executed in blank, substantially in the
      form provided in Exhibit 4(a), to be held by the Collateral Agent as
      Pledged Collateral and as further collateral security for the Secured
      Obligations.

            (c)   Financing Statements.  Each Pledgor shall execute and
      deliver to the Collateral Agent such UCC or other applicable financing
      statements as may be reasonably requested by the Collateral Agent in
      order to perfect and protect the security interest created hereby in
      the Pledged Collateral of such Pledgor.

      5.    Representations and Warranties.  Each Pledgor hereby represents
and warrants to the Collateral Agent, for the benefit of the holders of the
Secured Obligations, that so long as the Secured Obligations remain
outstanding and until all of the commitments relating thereto shall have been
terminated:

            (a)   Authorization of Pledged Shares.  The Pledged Shares are
      duly authorized and validly issued, are fully paid and nonassessable
      and are not subject to the preemptive rights of any Person.

            (b)   Title.  Each Pledgor has good and indefeasible title to the
      Pledged Collateral of such Pledgor and will at all times be the legal
      and beneficial owner of such Pledged Collateral free and clear of any
      Lien, other than Permitted Liens.  There exists no "adverse claim"
      within the meaning of Section 8-302 of the Uniform Commercial Code as
      in effect in the State of North Carolina as of the date hereof (the
      "UCC") with respect to the Pledged Shares of such Pledgor.

            (c)   Exercising of Rights.  The exercise by the Collateral Agent
      of its rights and remedies hereunder will not violate any law or
      governmental regulation or any material contractual restriction binding
      on or affecting a Pledgor or any of its property.

            (d)   Pledgor's Authority.  No authorization, approval or action
      by, and no notice or filing with any Governmental Authority or with the
      issuer of any Pledged Stock is required either (i) for the pledge made
      by a Pledgor or for the granting of the security interest by a Pledgor
      pursuant to this Pledge Agreement (except as have been already
      obtained) or (ii) for the exercise by the Collateral Agent or the
      holders of the Secured Obligations of their rights and remedies
      hereunder (except as may be required by laws affecting the offering and
      sale of securities).

            (e)   Security Interest/Priority.  This Pledge Agreement creates
      a valid security interest in favor of the Collateral Agent for the
      benefit of the holders of the Secured Obligations, in the Pledged
      Collateral.  The taking of possession by the Collateral Agent of the
      certificates representing the Pledged Shares and all other certificates
      and instruments constituting Pledged Collateral will perfect and
      establish the first priority of the Collateral Agent's security
      interest in the Pledged Shares and, when properly perfected by filing
      or registration, in all other Pledged Collateral represented by such
      Pledged Shares and instruments securing the Secured Obligations.
      Except as set forth in this Section 5(e), no action is necessary to
      perfect or otherwise protect such security interest.

            (f)   No Other Shares.  No Pledgor owns any Capital Stock in any
      Subsidiary other than as set forth on Schedule 2(a) attached hereto.

            (g)   Partnership and Membership Interests.  Except as previously
      disclosed to the Collateral Agent, none of the Pledged Shares
      consisting of partnership or limited liability company interests (i) is
      dealt in or traded on a securities exchange or in a securities market,
      (ii) by its terms expressly provides that it is a security governed by
      Article 8 of the UCC, (iii) is an investment company security, (iv) is
      held in a securities account or (v) constitutes a "security" or a
      "financial asset" as such terms are defined in Article 8 of the UCC.

      6.    Covenants.  Each Pledgor hereby covenants, that so long as the
Secured Obligations shall remain outstanding and until all of the commitments
relating thereto shall have been terminated, such Pledgor shall:

            (a)   Books and Records.  Mark its books and records (and shall
      cause the issuer of the Pledged Shares of such Pledgor to mark its
      books and records) to reflect the security interest granted to the
      Collateral Agent, for the benefit of the holders of the Secured
      Obligations, pursuant to this Pledge Agreement.

            (b)   Defense of Title.  Warrant and defend title to and
      ownership of the Pledged Collateral of such Pledgor at its own expense
      against the claims and demands of all other parties claiming an
      interest therein, keep the Pledged Collateral free from all Liens,
      except for Permitted Liens, and not sell, exchange, transfer, assign,
      lease or otherwise dispose of Pledged Collateral of such Pledgor or any
      interest therein, except as permitted under the Credit Agreement and
      the other Credit Documents.

            (c)   Further Assurances.  Promptly execute and deliver at its
      expense all further instruments and documents and take all further
      action that may be necessary and desirable or that the Collateral Agent
      may reasonably request in order to (i) perfect and protect the security
      interest created hereby in the Pledged Collateral of such Pledgor
      (including, without limitation, any and all action necessary to satisfy
      the Collateral Agent that the Collateral Agent has obtained a first
      priority perfected security interest in any Capital Stock); (ii) enable
      the Collateral Agent to exercise and enforce its rights and remedies
      hereunder in respect of the Pledged Collateral of such Pledgor; and
      (iii) otherwise effect the purposes of this Pledge Agreement,
      including, without limitation and if requested by the Collateral Agent,
      delivering to the Collateral Agent irrevocable proxies in respect of
      the Pledged Collateral of such Pledgor.

            (d)   Amendments.  Not make or consent to any amendment or other
      modification or waiver with respect to any of the Pledged Collateral of
      such Pledgor or enter into any agreement or allow to exist any
      restriction with respect to any of the Pledged Collateral of such
      Pledgor other than pursuant hereto or as may be permitted under the
      Credit Agreement.

            (e)   Compliance with Securities Laws.  File all reports and
      other information now or hereafter required to be filed by such Pledgor
      with the United States Securities and Exchange Commission and any other
      state, federal or foreign agency in connection with the ownership of
      the Pledged Collateral of such Pledgor.

            (f)   Issuance or Acquisition of Capital Stock.  Not, without
      executing and delivering, or causing to be executed and delivered, to
      the Collateral Agent such agreements, documents and instruments as the
      Collateral Agent may require, issue or acquire any Capital Stock
      consisting of an interest in a partnership or a limited liability
      company that (i) is dealt in or traded on a securities exchange or in a
      securities market, (ii) by its terms expressly provides that it is a
      security governed by Article 8 of the UCC, (iii) is an investment
      company security, (iv) is held in a securities account or (v)
      constitutes a "security" or a "financial asset" as such terms are
      defined in Article 8 of the UCC.

      7.    Advances by holders of the Secured Obligations.  On failure of
any Pledgor to perform any of the covenants and agreements contained herein,
the Collateral Agent may, at its sole option and in its sole discretion,
perform the same and in so doing may expend such sums as the Collateral Agent
may reasonably deem advisable in the performance thereof, including, without
limitation, the payment of any insurance premiums, the payment of any taxes,
a payment to obtain a release of a Lien or potential Lien, expenditures made
in defending against any adverse claim and all other expenditures which the
Collateral Agent or the holders of the Secured Obligations may make for the
protection of the security hereof or which may be compelled to make by
operation of law.  All such sums and amounts so expended shall be repayable
by the Pledgors on a joint and several basis promptly upon timely notice
thereof and demand therefor, shall constitute additional Secured Obligations
and shall bear interest from the date said amounts are expended at the
default rate specified in Section 3.1 of the Credit Agreement for Revolving
Loans that are Base Rate Loans.  No such performance of any covenant or
agreement by the Collateral Agent or the holders of the Secured Obligations
on behalf of any Pledgor, and no such advance or expenditure therefor, shall
relieve the Pledgors of any default under the terms of this Pledge Agreement,
the other Credit Documents or any other documents relating to the Secured
Obligations.  The holders of the Secured Obligations may make any payment
hereby authorized in accordance with any bill, statement or estimate procured
from the appropriate public office or holder of the claim to be discharged
without inquiry into the accuracy of such bill, statement or estimate or into
the validity of any tax assessment, sale, forfeiture, tax lien, title or
claim except to the extent such payment is being contested in good faith by a
Pledgor in appropriate proceedings and against which adequate reserves are
being maintained in accordance with GAAP.

      8.    Events of Default.  The occurrence of an event which under the
Credit Agreement would constitute an Event of Default shall be an Event of
Default hereunder (an "Event of Default").

      9.    Remedies.

            (a)   General Remedies.  Upon the occurrence of an Event of
      Default and during the continuation thereof, the Collateral Agent and
      the holders of the Secured Obligations shall have, in respect of the
      Pledged Collateral of any Pledgor, in addition to the rights and
      remedies provided herein, in the Credit Documents, in any other
      documents relating to the Secured Obligations, or by law, the rights
      and remedies of a secured party under the UCC or any other applicable
      law.

            (b)   Sale of Pledged Collateral.  Upon the occurrence of an
      Event of Default and during the continuation thereof, without limiting
      the generality of this Section and without notice, the Collateral Agent
      may, in its sole discretion, sell or otherwise dispose of or realize
      upon the Pledged Collateral, or any part thereof, in one or more
      parcels, at public or private sale, at any exchange or broker's board
      or elsewhere, at such price or prices and on such other terms as the
      Collateral Agent may deem commercially reasonable, for cash, credit or
      for future delivery or otherwise in accordance with applicable law.  To
      the extent permitted by law, any Lender may in such event, bid for the
      purchase of such securities.  Each Pledgor agrees that, to the extent
      notice of sale shall be required by law and has not been waived by such
      Pledgor, any requirement of reasonable notice shall be met if notice,
      specifying the place of any public sale or the time after which any
      private sale is to be made, is personally served on or mailed, postage
      prepaid, to such Pledgor, in accordance with the notice provisions of
      Section 11.1 of the Credit Agreement at least 10 days before the time
      of such sale.  The Collateral Agent shall not be obligated to make any
      sale of Pledged Collateral of such Pledgor regardless of notice of sale
      having been given.  The Collateral Agent may adjourn any public or
      private sale from time to time by announcement at the time and place
      fixed therefor, and such sale may, without further notice, be made at
      the time and place to which it was so adjourned.

            (c)   Private Sale.  Upon the occurrence of an Event of Default
      and during the continuation thereof, the Pledgors recognize that the
      Collateral Agent may deem it impracticable to effect a public sale of
      all or any part of the Pledged Shares or any of the securities
      constituting Pledged Collateral and that the Collateral Agent may,
      therefore, determine to make one or more private sales of any such
      securities to a restricted group of purchasers who will be obligated to
      agree, among other things, to acquire such securities for their own
      account, for investment and not with a view to the distribution or
      resale thereof.  Each Pledgor acknowledges that any such private sale
      may be at prices and on terms less favorable to the seller than the
      prices and other terms which might have been obtained at a public sale
      and, notwithstanding the foregoing, agrees that such private sale shall
      be deemed to have been made in a commercially reasonable manner and
      that the Collateral Agent shall have no obligation to delay sale of any
      such securities for the period of time necessary to permit the issuer
      of such securities to register such securities for public sale under
      the Securities Act.  Each Pledgor further acknowledges and agrees that
      any offer to sell such securities which has been (i) publicly
      advertised on a bona fide basis in a newspaper or other publication of
      general circulation in the financial community of New York, New York
      (to the extent that such offer may be advertised without prior
      registration under the Securities Act), or (ii) made privately in the
      manner described above shall be deemed to involve a "public sale" under
      the UCC, notwithstanding that such sale may not constitute a "public
      offering" under the Securities Act, and the Collateral Agent may, in
      such event, bid for the purchase of such securities.

            (d)   Retention of Pledged Collateral.  In addition to the rights
      and remedies hereunder, upon the occurrence of an Event of Default, the
      Collateral Agent may, after providing the notices required by Section
      9-505(2) of the UCC or otherwise complying with the requirements of
      applicable law of the relevant jurisdiction, retain all or any portion
      of the Pledged Collateral in satisfaction of the Secured Obligations.
      Unless and until the Collateral Agent shall have provided such notices,
      however, the Collateral Agent shall not be deemed to have retained any
      Pledged Collateral in satisfaction of any Secured Obligations for any
      reason.

            (e)   Deficiency.  In the event that the proceeds of any sale,
      collection or realization are insufficient to pay all amounts to which
      the Collateral Agent or the holders of the Secured Obligations are
      legally entitled, the Pledgors shall be jointly and severally liable
      for the deficiency, together with interest thereon at the default rate
      specified in Section 3.1 of the Credit Agreement for Revolving Loans
      that are Base Rate Loans, together with the costs of collection and the
      reasonable fees of any attorneys employed by the Collateral Agent to
      collect such deficiency.  Any surplus remaining after the full payment
      and satisfaction of the Secured Obligations shall be returned to the
      Pledgors or to whomsoever a court of competent jurisdiction shall
      determine to be entitled thereto.

      10.   Rights of the Collateral Agent.

            (a)   Power of Attorney.  In addition to other powers of attorney
      contained herein, each Pledgor hereby designates and appoints the
      Collateral Agent, on behalf of the holders of the Secured Obligations,
      and each of its designees or agents as attorney-in-fact of such
      Pledgor, irrevocably and with power of substitution, with authority to
      take any or all of the following actions upon the occurrence and during
      the continuance of an Event of Default:

                  (i)   to demand, collect, settle, compromise, adjust and
            give discharges and releases concerning the Pledged Collateral of
            such Pledgor, all as the Collateral Agent may reasonably
            determine;

                  (ii)  to commence and prosecute any actions at any court
            for the purposes of collecting any of the Pledged Collateral of
            such Pledgor and enforcing any other right in respect thereof;

                  (iii) to defend, settle or compromise any action brought
            and, in connection therewith, give such discharge or release as
            the Collateral Agent may deem reasonably appropriate;

                  (iv)  to pay or discharge taxes, liens, security interests,
            or other encumbrances levied or placed on or threatened against
            the Pledged Collateral of such Pledgor;

                  (v)   to direct any parties liable for any payment under
            any of the Pledged Collateral to make payment of any and all
            monies due and to become due thereunder directly to the
            Collateral Agent or as the Collateral Agent shall direct;

                  (vi)  to receive payment of and receipt for any and all
            monies, claims, and other amounts due and to become due at any
            time in respect of or arising out of any Pledged Collateral of
            such Pledgor;

                  (vii) to sign and endorse any drafts, assignments, proxies,
            stock powers, verifications, notices and other documents relating
            to the Pledged Collateral of such Pledgor;

                  (viii)      to settle, compromise or adjust any suit,
            action or proceeding described above and, in connection
            therewith, to give such discharges or releases as the Collateral
            Agent may deem reasonably appropriate;

                  (ix)  to execute and deliver all assignments, conveyances,
            statements, financing statements, renewal financing statements,
            pledge agreements, affidavits, notices and other agreements,
            instruments and documents that the Collateral Agent may determine
            necessary in order to perfect and maintain the security interests
            and liens granted in this Pledge Agreement and in  order to fully
            consummate all of the transactions contemplated therein;

                  (x)   to exchange any of the Pledged Collateral of such
            Pledgor or other property upon any merger, consolidation,
            reorganization, recapitalization or other readjustment of the
            issuer thereof and, in connection therewith, deposit any of the
            Pledged Collateral of such Pledgor with any committee,
            depository, transfer agent, registrar or other designated agency
            upon such terms as the Collateral Agent may determine;

                  (xi)  to vote for a shareholder resolution, or to sign an
            instrument in writing, sanctioning the transfer of any or all of
            the Pledged Shares of such Pledgor into the name of the
            Collateral Agent or one or more of the holders of the Secured
            Obligations or into the name of any transferee to whom the
            Pledged Shares of such Pledgor or any part thereof may be sold
            pursuant to Section 10 hereof; and

                  (xii) to do and perform all such other acts and things as
            the Collateral Agent may reasonably deem to be necessary, proper
            or convenient in connection with the Pledged Collateral of such
            Pledgor.

      This power of attorney is a power coupled with an interest and shall be
      irrevocable (i) for so long as any of the Secured Obligations remain
      outstanding, any Credit Document or any other documents relating to the
      Secured Obligations,  is in effect or any Letter of Credit shall remain
      outstanding and (ii) until all of the Commitments shall have been
      terminated.  The Collateral Agent shall be under no duty to exercise or
      withhold the exercise of any of the rights, powers, privileges and
      options expressly or implicitly granted to the Collateral Agent in this
      Pledge Agreement, and shall not be liable for any failure to do so or
      any delay in doing so.  The Collateral Agent shall not be liable for
      any act or omission or for any error of judgment or any mistake of fact
      or law in its individual capacity or its capacity as attorney-in-fact
      except acts or omissions resulting from its gross negligence or willful
      misconduct.  This power of attorney is conferred on the Collateral
      Agent solely to protect, preserve and realize upon its security
      interest in Pledged Collateral.

            (b)   Assignment by the Collateral Agent.  The Collateral Agent
      may from time to time assign the Secured Obligations and any portion
      thereof and/or the Pledged Collateral and any portion thereof, and the
      assignee shall be entitled to all of the rights and remedies of the
      Collateral Agent under this Pledge Agreement in relation thereto.

            (c)   The Collateral Agent's Duty of Care.  Other than the
      exercise of reasonable care to assure the safe custody of the Pledged
      Collateral while being held by the Collateral Agent hereunder, the
      Collateral Agent shall have no duty or liability to preserve rights
      pertaining thereto, it being understood and agreed that  Pledgors shall
      be responsible for preservation of all rights in the Pledged Collateral
      of such Pledgor, and the Collateral Agent shall be relieved of all
      responsibility for Pledged Collateral upon surrendering it or tendering
      the surrender of it to the Pledgors.  The Collateral Agent shall be
      deemed to have exercised reasonable care in the custody and
      preservation of the Pledged Collateral in its possession if such
      Pledged Collateral is accorded treatment substantially equal to that
      which the Collateral Agent accords its own property, which shall be no
      less than the treatment employed by a reasonable and prudent agent in
      the industry, it being understood that the Collateral Agent shall not
      have responsibility for (i) ascertaining or taking action with respect
      to calls, conversions, exchanges, maturities, tenders or other matters
      relating to any Pledged Collateral, whether or not the Collateral Agent
      has or is deemed to have knowledge of such matters; or (ii) taking any
      necessary steps to preserve rights against any parties with respect to
      any Pledged Collateral.

            (d)   Voting Rights in Respect of the Pledged Collateral.

                  (i)   So long as no Event of Default shall have occurred
            and be continuing, to the extent permitted by law, each Pledgor
            may exercise any and all voting and other consensual rights
            pertaining to the Pledged Collateral of such Pledgor or any part
            thereof for any purpose not inconsistent with the terms of this
            Pledge Agreement or the Credit Agreement; and

                  (ii)  Upon the occurrence and during the continuance of an
            Event of Default, at the election of the Collateral Agent, all
            rights of a Pledgor to exercise the voting and other consensual
            rights which it would otherwise be entitled to exercise pursuant
            to paragraph (i) of this subsection shall cease and all such
            rights shall thereupon become vested in the Collateral Agent
            which shall then have the sole right to exercise such voting and
            other consensual rights.

            (e)   Dividend Rights in Respect of the Pledged Collateral.

                  (i)   So long as no Event of Default shall have occurred
            and be continuing and subject to Section 4(b) hereof, each
            Pledgor may receive and retain any and all dividends (other than
            stock dividends and other dividends constituting Pledged
            Collateral which are addressed hereinabove) or interest paid in
            respect of the Pledged Collateral to the extent they are allowed
            under the Credit Agreement.

                  (ii)  Upon the occurrence and during the continuance of an
            Event of Default:

                        (A)   at the election of the Collateral Agent, all
                  rights of a Pledgor to receive the dividends and interest
                  payments which it would otherwise be authorized to receive
                  and retain pursuant to paragraph (i) of this Section shall
                  cease and all such rights shall thereupon be vested in the
                  Collateral Agent which shall then have the sole right to
                  receive and hold as Pledged Collateral such dividends and
                  interest payments; and

                        (B)   all dividends and interest payments which are
                  received by a Pledgor contrary to the provisions of
                  paragraph (A) of this Section shall be received in trust
                  for the benefit of the Collateral Agent, shall be
                  segregated from other property or funds of such Pledgor,
                  and shall be forthwith paid over to the Collateral Agent as
                  Pledged Collateral in the exact form received, to be held
                  by the Collateral Agent as Pledged Collateral and as
                  further collateral security for the Secured Obligations.

            (f)   Release of Pledged Collateral.  The Collateral Agent may
      release any of the Pledged Collateral from this Pledge Agreement or may
      substitute any of the Pledged Collateral for other Pledged Collateral
      without altering, varying or diminishing in any way the force, effect,
      lien, pledge or security interest of this Pledge Agreement as to any
      Pledged Collateral not expressly released or substituted, and this
      Pledge Agreement shall continue as a first priority lien on all Pledged
      Collateral not expressly released or substituted.

      11.   Rights of Required Lenders.  All rights of the Collateral Agent
hereunder, if not exercised by the Collateral Agent, may be exercised by the
Required Lenders.

      12.   Application of Proceeds.  Upon the occurrence and during the
continuance of an Event of Default, any payments in respect of the Secured
Obligations and any proceeds of any Pledged Collateral, when received by the
Collateral Agent or any of the holders of the Secured Obligations in cash or
its equivalent, will be applied in reduction of the Secured Obligations in
the order set forth in the Credit Agreement or other document relating to the
Secured Obligations, and each Pledgor irrevocably waives the right to direct
the application of such payments and proceeds and acknowledges and agrees
that the Collateral Agent shall have the continuing and exclusive right to
apply and reapply any and all such payments and proceeds in the Collateral
Agent's sole discretion, notwithstanding any entry to the contrary upon any
of its books and records.

      13.   Costs of Counsel.  At all times hereafter, the Pledgors agree to
promptly pay upon demand any and all reasonable costs and expenses of the
Collateral Agent or the holders of the Secured Obligations, (a) as required
under Section 11.5 of the Credit Agreement and (b) as necessary to protect
the Pledged Collateral or to exercise any rights or remedies under this
Pledge Agreement or with respect to any Pledged Collateral.  All of the
foregoing costs and expenses shall constitute Secured Obligations hereunder.

      14.   Continuing Agreement.

            (a)   This Pledge Agreement shall be a continuing agreement in
      every respect and shall remain in full force and effect so long as the
      Secured Obligations shall remain outstanding and until all of the
      commitments relating thereto shall have been terminated (other than any
      obligations with respect to the indemnities and the representations and
      warranties set forth in the Credit Documents).  Upon such payment and
      termination, this Pledge Agreement shall be automatically terminated
      and the Collateral Agent and the holders of the Secured Obligations
      shall, upon the request and at the expense of the Pledgors, forthwith
      release all of its liens and security interests hereunder and shall
      executed and deliver all UCC termination statements and/or other
      documents reasonably requested by the Pledgors evidencing such
      termination.  Notwithstanding the foregoing all releases and
      indemnities provided hereunder shall survive termination of this Pledge
      Agreement.

            (b)   This Pledge Agreement shall continue to be effective or be
      automatically reinstated, as the case may be, if at any time payment,
      in whole or in part, of any of the Secured Obligations is rescinded or
      must otherwise be restored or returned by the Collateral Agent or any
      holder of the Secured Obligations as a preference, fraudulent
      conveyance or otherwise under any bankruptcy, insolvency or similar
      law, all as though such payment had not been made; provided that in the
      event payment of all or any part of the Secured Obligations is
      rescinded or must be restored or returned, all reasonable costs and
      expenses (including without limitation any reasonable legal fees and
      disbursements) incurred by the Collateral Agent or any holder of the
      Secured Obligations in defending and enforcing such reinstatement shall
      be deemed to be included as a part of the Secured Obligations.

      15.   Amendments; Waivers; Modifications.  This Pledge Agreement and
the provisions hereof may not be amended, waived, modified, changed,
discharged or terminated except as set forth in Section 11.6 of the Credit
Agreement.

      16.   Successors in Interest.  This Pledge Agreement shall create a
continuing security interest in the Collateral and shall be binding upon each
Pledgor and its successors and assigns, and shall inure, together with the
rights and remedies of the Collateral Agent and the holders of the Secured
Obligations hereunder, to the benefit of the Collateral Agent and the holders
of the Secured Obligations and their successors and permitted assigns;
provided, however, that none of the Pledgors may assign its rights or
delegate its duties hereunder without the prior written consent of each
Lender or the Required Lenders, as required by the Credit Agreement.  To the
fullest extent permitted by law, each Pledgor hereby releases the Collateral
Agent and each Lender, and its successors and assigns, from any liability for
any act or omission relating to this Pledge Agreement or the Collateral,
except for any liability arising from the gross negligence or willful
misconduct of the Collateral Agent, or such Lender, or its officers,
employees or agents.

      17.   Notices.  All notices required or permitted to be given under
this Pledge Agreement shall be given as provided in the Credit Agreement.

      18.   Counterparts.  This Pledge Agreement may be executed in any
number of counterparts, each of which where so executed and delivered shall
be an original, but all of which shall constitute one and the same
instrument.  It shall not be necessary in making proof of this Pledge
Agreement to produce or account for more than one such counterpart.

      19.   Headings.  The headings of the sections and subsections hereof
are provided for convenience only and shall not in any way affect the meaning
or construction of any provision of this Pledge Agreement.

      20.   Governing Law; Submission to Jurisdiction; Venue.

            (a)   THIS PLEDGE AGREEMENT AND THE RIGHTS AND OBLIGATIONS OF THE
      PARTIES HEREUNDER SHALL BE GOVERNED BY AND CONSTRUED AND INTERPRETED IN
      ACCORDANCE WITH THE LAWS OF THE STATE OF NORTH CAROLINA.  Any legal
      action or proceeding with respect to this Pledge Agreement may be
      brought in the state or federal courts located in Charlotte, North
      Carolina, and, by execution and delivery of this Pledge Agreement, each
      Pledgor hereby irrevocably accepts for itself and in respect of its
      property, generally and unconditionally, the jurisdiction of such
      courts.  Each Pledgor further irrevocably consents to the service of
      process out of any of the aforementioned courts in any such action or
      proceeding by the mailing of copies thereof by registered or certified
      mail, postage prepaid, to it at the address for notices pursuant to
      Section 11.1 of the Credit Agreement, such service to become effective
      three days after such mailing.  Nothing herein shall affect the right
      of the Collateral Agent to serve process in any other manner permitted
      by law or to commence legal proceedings or to otherwise proceed against
      any Pledgor in any other jurisdiction.

            (b)   Each Pledgor hereby irrevocably waives any objection which
      it may now or hereafter have to the laying of venue of any of the
      aforesaid actions or proceedings arising out of or in connection with
      this Pledge Agreement brought in the courts referred to in subsection
      (a) hereof and hereby further irrevocably waives and agrees not to
      plead or claim in any such court that any such action or proceeding
      brought in any such court has been brought in an inconvenient forum.

      21.   Waiver of Jury Trial.  TO THE EXTENT PERMITTED BY APPLICABLE LAW,
EACH OF THE PARTIES TO THIS PLEDGE AGREEMENT HEREBY IRREVOCABLY WAIVES ALL
RIGHT TO TRIAL BY JURY IN ANY ACTION, PROCEEDING OR COUNTERCLAIM ARISING OUT
OF OR RELATING TO THIS PLEDGE AGREEMENT OR THE TRANSACTIONS CONTEMPLATED
HEREBY.

      22.   Severability.  If any provision of this Pledge Agreement is
determined to be illegal, invalid or unenforceable, such provision shall be
fully severable and the remaining provisions shall remain in full force and
effect and shall be construed without giving effect  to the illegal, invalid
or unenforceable provisions.

      23.   Entirety.  This Pledge Agreement, the other Credit Documents and
the other documents relating to the Secured Obligations represent the entire
agreement of the parties hereto and thereto, and supersede all prior
agreements and understandings, oral or written, if any, including any
commitment letters or correspondence relating to the Credit Documents, the
other documents relating to the Secured Obligations or the transactions
contemplated herein and therein.

      24.   Survival.  All representations and warranties of the Pledgors
hereunder shall survive the execution and delivery of this Security
Agreement, the other Credit Documents and the other documents relating to the
Secured Obligations, the delivery of the Notes and the extension of credit
thereunder or in connection therewith.

      25.   Other Security.  To the extent that any of the Secured
Obligations are now or hereafter secured by property other than the Pledged
Collateral (including, without limitation, real and other personal property
owned by a Pledgor), or by a guarantee, endorsement or property of any other
Person, then the Collateral Agent and the holders of the Secured Obligations
shall have the right to proceed against such other property, guarantee or
endorsement upon the occurrence of any Event of Default, and the Collateral
Agent and the holders of the Secured Obligations have the right, in their
sole discretion, to determine which rights, security, liens, security
interests or remedies the Collateral Agent and the holders of the Secured
Obligations shall at any time pursue, relinquish, subordinate, modify or take
with respect thereto, without in any way modifying or affecting any of them
or the Secured Obligations or any of the rights of the Collateral Agent and
the holders of the Secured Obligations under this Pledge Agreement, under any
other of the Credit Documents or any other document relating to the Secured
Obligations.

      26.   Joint and Several Obligations of Pledgors.

            (a)   Each of the Pledgors is accepting joint and several
      liability hereunder in consideration of the financial accommodation to
      be provided by the Lenders under the Credit Agreement, for the mutual
      benefit, directly and indirectly, of each of the Pledgors and in
      consideration of the undertakings of each of the Pledgors to accept
      joint and several liability for the obligations of each of them.

            (b)   Each of the Pledgors jointly and severally hereby
      irrevocably and unconditionally accepts, not merely as a surety but
      also as a co-debtor, joint and several liability with the other
      Pledgors with respect to the payment and performance of all of the
      Secured Obligations arising under this Pledge Agreement, the other
      Credit Documents and the other documents relating to the Secured
      Obligations, it being the intention of the parties hereto that all the
      Secured Obligations shall be the joint and several obligations of each
      of the Pledgors without preferences or distinction among them.

            (c)   Notwithstanding any provision to the contrary contained
      herein, in any other of the Credit Documents or in any other documents
      relating to the Secured Obligations, the obligations of each Guarantor
      under the Credit Agreement and the other Credit Documents shall be
      limited to an aggregate amount equal to the largest amount that would
      not render such obligations subject to avoidance under Section 548 of
      the Bankruptcy Code or any comparable provisions of any applicable
      state law.

      27.   Rights of Required Lenders.  All rights of the Collateral Agent
hereunder, if not exercised by the Collateral Agent, may be exercised by the
Required Lenders.

                 [remainder of page intentionally left blank]




                              REHABCARE GROUP, INC.
                                PLEDGE AGREEMENT
      Each of the parties hereto has caused a counterpart of this Pledge
Agreement to be duly executed and delivered as of the date first above
written.

PLEDGORS:                     REHABCARE GROUP, INC.,
                              a Delaware Corporation

                                    By: /s/ Gregory J. Eisenhauer
                                    Name:   Gregory J. Eisenhauer
                                    Title:  Vice President

                              REHABCARE GROUP THERAPY SERVICES, INC.,
                              a Missouri corporation

                                    By: /s/ Gregory J. Eisenhauer
                                    Name:   Gregory J. Eisenhauer
                                    Title:  Vice President

                              SALT LAKE PHYSICAL THERAPY ASSOCIATES, INC.,
                              a Utah corporation

                                    By: /s/ Gregory J. Eisenhauer
                                    Name:   Gregory J. Eisenhauer
                                    Title:  Vice President

                              ALLSTAFF, INC.,
                              an Iowa corporation

                                    By: /s/ Gregory J. Eisenhauer
                                    Name:   Gregory J. Eisenhauer
                                    Title:  Vice President

                              WESLEY MEDICAL RESOURCES, INC.,
                              a California corporation

                                    By: /s/ Gregory J. Eisenhauer
                                    Name:   Gregory J. Eisenhauer
                                    Title:  Vice President




                          [Signature Pages Continue]



                              HEALTHCARE STAFFING SOLUTIONS, INC.,
                              a Massachusetts corporation

                                    By: /s/ Gregory J. Eisenhauer
                                    Name:   Gregory J. Eisenhauer
                                    Title:  Vice President


                              EAI HEALTHCARE STAFFING SOLUTIONS, INC.,
                              a Delaware corporation

                                    By: /s/ Gregory J. Eisenhauer
                                    Name:   Gregory J. Eisenhauer
                                    Title:  Vice President

                              REHABCARE GROUP EAST, INC.,
                              a Delaware corporation

                                    By: /s/ Gregory J. Eisenhauer
                                    Name:   Gregory J. Eisenhauer
                                    Title:  Vice President

                              REHABCARE GROUP MANAGEMENT SERVICES, INC.,
                              a Delaware corporation

                                    By: /s/ Gregory J. Eisenhauer
                                    Name:   Gregory J. Eisenhauer
                                    Title:  Vice President

                              REHABCARE TEXAS HOLDINGS, INC.,
                              a Delaware corporation

                                    By: /s/ Gregory J. Eisenhauer
                                    Name:   Gregory J. Eisenhauer
                                    Title:  Vice President

                              HEALTH TOUR MANAGEMENT, INC.,
                              a Delaware corporation

                                    By: /s/ Gregory J. Eisenhauer
                                    Name:   Gregory J. Eisenhauer
                                    Title:  Vice President
                          [Signature Pages Continue]



                              REHABCARE GROUP OF CALIFORNIA, INC.,
                              a Delaware corporation

                                    By: /s/ Gregory J. Eisenhauer
                                    Name:   Gregory J. Eisenhauer
                                    Title:  Vice President

                              STARMED HEALTH PERSONNEL, INC.,
                              a Delaware corporation

                                    By: /s/ Gregory J. Eisenhauer
                                    Name:   Gregory J. Eisenhauer
                                    Title:  Vice President

                              THERAPEUTIC SYSTEMS, LTD.,
                              an Illinois corporation

                                    By: /s/ Gregory J. Eisenhauer
                                    Name:   Gregory J. Eisenhauer
                                    Title:  Vice President

                              STARMED MANAGEMENT, L.L.C.,
                              a Delaware limited liability company

                              By:   Healthcare Staffing Solutions, Inc.,
                                    a Massachusetts corporation, as its Member

                                    By: /s/ Gregory J. Eisenhauer
                                    Name:   Gregory J. Eisenhauer
                                    Title:  Vice President


                              REHABCARE GROUP OF TEXAS, L.P.,
                              a Texas limited liability company

                              By:   Rehabcare Group, Inc.,
                                    a Delaware corporation, as its General
Partner

                                    By: /s/ Gregory J. Eisenhauer
                                    Name:   Gregory J. Eisenhauer
                                    Title:  Senior Vice President, Finance



                          [Signature Pages Continue]



Accepted and agreed to as of the date first above written.

BANK OF AMERICA, N.A.,
as Collateral Agent

By:
Name:
Title:




                                Schedule 2(a)

                                      to

                               Pledge Agreement

                         dated as of August 29, 2000

                      in favor of Bank of America, N.A.

                             as Collateral Agent

                                PLEDGED STOCK

                                           Number of  Certificate  Percentage
       Pledgor               Issuer         Shares      Number     Ownership

RehabCare Group, Inc.






                                 Exhibit 4(a)

                                      to

                               Pledge Agreement

                         dated as of August 29, 2000

                      in favor of Bank of America, N.A.

                             as Collateral Agent


                           Irrevocable Stock Power


      FOR VALUE RECEIVED, the undersigned hereby sells, assigns and transfers
to



the following shares of capital stock of _____________________, a
____________ corporation:

                  No. of Shares                       Certificate No.



and irrevocably appoints __________________________________ its agent and
attorney-in-fact to transfer all or any part of such capital stock and to
take all necessary and appropriate action to effect any such transfer.  The
agent and attorney-in-fact may substitute and appoint one or more persons to
act for him.  The effectiveness of a transfer pursuant to this stock power
shall be subject to any and all transfer restrictions referenced on the face
of the certificates evidencing such interest or in the certificate of
incorporation or bylaws of the subject corporation, to the extent they may
from time to time exist.

                                    _______________________________

                                    By:
                                    Name:
                                    Title: