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                                                                         ANNEX A

                          AGREEMENT AND PLAN OF MERGER
                                  BY AND AMONG
                      NATIONAL MEDICAL ENTERPRISES, INC.,
                              AMH ACQUISITION CO.
                                      AND
                        AMERICAN MEDICAL HOLDINGS, INC.

                          DATED AS OF OCTOBER 10, 1994

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                               TABLE OF CONTENTS



                                                                                                               PAGE
                                                                                                             ---------
                                                                                                       

                                                      ARTICLE I
                                                      THE MERGER

Section 1.1       The Merger...............................................................................         00
Section 1.2       Effective Time of the Merger.............................................................         00

                                                      ARTICLE II
                                              THE SURVIVING CORPORATION

Section 2.1       Certificate of Incorporation.............................................................         00
Section 2.2       By-Laws..................................................................................         00
Section 2.3       Directors and Officers of Surviving Corporation..........................................         00

                                                     ARTICLE III
                                                 CONVERSION OF SHARES

Section 3.1       Merger Consideration.....................................................................         00
Section 3.2       Exchange of Certificates Representing Shares.............................................         00
Section 3.3       Dividends................................................................................         00
Section 3.4       No Fractional Securities.................................................................         00
Section 3.5       Closing of Company Transfer Books........................................................         00
Section 3.6       Unclaimed Amounts........................................................................         00
Section 3.7       Lost Certificates........................................................................         00
Section 3.8       Dissenting Shares........................................................................         00
Section 3.9       Closing..................................................................................         00

                                                      ARTICLE IV
                                       REPRESENTATIONS AND WARRANTIES OF PARENT

Section 4.1       Organization.............................................................................         00
Section 4.2       Capitalization; Registration Rights......................................................         00
Section 4.3       Subsidiaries.............................................................................         00
Section 4.4       Material Investments.....................................................................         00
Section 4.5       Authority Relative to this Agreement.....................................................         00
Section 4.6       Consents and Approvals; No Violations....................................................         00
Section 4.7       Parent SEC Reports.......................................................................         00
Section 4.8       Absence of Certain Changes or Events.....................................................         00
Section 4.9       Litigation...............................................................................         00
Section 4.10      Absence of Undisclosed Liabilities.......................................................         00
Section 4.11      No Default...............................................................................         00
Section 4.12      Taxes....................................................................................         00
Section 4.13      Title to Certain Properties; Encumbrances................................................         00
Section 4.14      Medicare Participation/Accreditation and Recapture.......................................         00
Section 4.15      Labor Matters............................................................................         00
Section 4.16      Employee Benefit Plans; ERISA............................................................         00
Section 4.17      Patents, Licenses, Franchises and Formulas...............................................         00
Section 4.18      Insurance................................................................................         00
Section 4.19      Board Approvals; Opinion of Financial Advisor............................................         00
Section 4.20      Brokers..................................................................................         00


                                      A-i




                                                                                                               PAGE
                                                                                                             ---------
                                                                                                       

                                                      ARTICLE V
                                    REPRESENTATIONS AND WARRANTIES OF THE COMPANY

Section 5.1       Organization.............................................................................         00
Section 5.2       Capitalization...........................................................................         00
Section 5.3       Subsidiaries.............................................................................         00
Section 5.4       Material Investments.....................................................................         00
Section 5.5       Authority Relative to this Agreement.....................................................         00
Section 5.6       Consents and Approvals; No Violations....................................................         00
Section 5.7       Company SEC Reports......................................................................         00
Section 5.8       Absence of Certain Changes or Events.....................................................         00
Section 5.9       Litigation...............................................................................         00
Section 5.10      Absence of Undisclosed Liabilities.......................................................         00
Section 5.11      No Default...............................................................................         00
Section 5.12      Taxes....................................................................................         00
Section 5.13      Title to Certain Properties; Encumbrances................................................         00
Section 5.14      Compliance with Applicable Law...........................................................         00
Section 5.15      Medicare Participation/Accreditation and Recapture.......................................         00
Section 5.16      Labor Matters............................................................................         00
Section 5.17      Employee Benefit Plans; ERISA............................................................         00
Section 5.18      Patents, Licenses, Franchises and Formulas...............................................         00
Section 5.19      Insurance................................................................................         00
Section 5.20      Board Approval; Opinion of Financial Advisor.............................................         00
Section 5.21      Brokers..................................................................................         00

                                                      ARTICLE VI
                                        CONDUCT OF BUSINESS PENDING THE MERGER

Section 6.1       Conduct of Business by the Company Pending the Merger....................................         00
Section 6.2       Conduct of Business by Parent Pending the Merger.........................................         00
Section 6.3       Conduct of Business of SUB...............................................................         00

                                                     ARTICLE VII
                                                ADDITIONAL AGREEMENTS

Section 7.1       Access and Information...................................................................         00
Section 7.2       Acquisition Proposals....................................................................         00
Section 7.3       Registration Statement...................................................................         00
Section 7.4       Listing Application......................................................................         00
Section 7.5       Information Statement and Stockholder Approval...........................................         00
Section 7.6       Filings; Other Action....................................................................         00
Section 7.7       Public Announcements.....................................................................         00
Section 7.8       Company Indemnification Provision........................................................         00
Section 7.9       Registration Statement for Securities Act Affiliates.....................................         00
Section 7.10      Certain Benefits.........................................................................         00
Section 7.11      Directors of Parent......................................................................         00
Section 7.12      Special Dividend.........................................................................         00
Section 7.13      Additional Agreements....................................................................         00


                                      A-ii




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                                                     ARTICLE VIII
                                       CONDITIONS TO CONSUMMATION OF THE MERGER

Section 8.1       Conditions to Each Party's Obligation to Effect the Merger...............................         00
Section 8.2       Conditions to Obligation of the Company to Effect the Merger.............................         00
Section 8.3       Conditions to Obligations of Parent and SUB to Effect the Merger.........................         00

                                                      ARTICLE IX
                                          TERMINATION, AMENDMENT AND WAIVER

Section 9.1       Termination by Mutual Consent............................................................         00
Section 9.2       Termination by Either Parent or the Company..............................................         00
Section 9.3       Termination by the Company...............................................................         00
Section 9.4       Termination by Parent....................................................................         00
Section 9.5       Effect of Termination and Abandonment....................................................         00

                                                      ARTICLE X
                                                  GENERAL PROVISIONS

Section 10.1      Survival of Representations, Warranties and Agreements...................................         00
Section 10.2      Notices..................................................................................         00
Section 10.3      Descriptive Headings.....................................................................         00
Section 10.4      Entire Agreement: Assignment.............................................................         00
Section 10.5      Governing Law............................................................................         00
Section 10.6      Expenses.................................................................................         00
Section 10.7      Amendment................................................................................         00
Section 10.8      Waiver...................................................................................         00
Section 10.9      Counterparts; Effectiveness..............................................................         00
Section 10.10     Severability; Validity; Parties in Interest..............................................         00
Section 10.11     Enforcement of Agreement.................................................................         00


                                     A-iii

                          AGREEMENT AND PLAN OF MERGER

    AGREEMENT  AND PLAN OF  MERGER, dated as  of October 10,  1994, by and among
National  Medical  Enterprises,  Inc.,  a  Nevada  corporation  ("Parent"),  AMH
Acquisition  Co., a Delaware corporation and a wholly owned subsidiary of Parent
("Sub"), and  American  Medical  Holdings, Inc.,  a  Delaware  corporation  (the
"Company").

    WHEREAS,  the Boards  of Directors  of Parent and  Sub and  the Company have
approved the  merger upon  the terms  and subject  to the  conditions set  forth
herein (the "Merger").

    WHEREAS,  in conjunction with  the execution and  delivery of this Agreement
and as  an inducement  to Parent's  and  Sub's willingness  to enter  into  this
Agreement,  certain holders of  shares of the Company's  common stock, par value
$.01 per  share  (the  "Common Stock"),  have  agreed  to and  will  enter  into
Stockholder  Voting  and  Profit Sharing  Agreements  with Parent,  in  the form
attached hereto  as  Exhibit  A  (the "Stockholder  Voting  and  Profit  Sharing
Agreements").

    NOW,  THEREFORE,  in  consideration  of  the  foregoing  and  the respective
representations, warranties,  covenants and  agreements  set forth  herein,  the
parties hereto agree as follows:

                                   ARTICLE I
                                   THE MERGER

    Section  1.1   THE MERGER.   Upon  the terms  and subject  to the conditions
hereof, at the Effective Time (as defined  in Section 1.2 hereof), Sub shall  be
merged  with and into  the Company and  the separate corporate  existence of Sub
shall thereupon cease, and the Company shall be the surviving corporation in the
Merger (the "Surviving Corporation") and all of its rights, privileges,  powers,
immunities, purposes and franchises shall continue unaffected by the Merger. The
Merger  shall  have  the  effects  set  forth  in  Section  259  of  the General
Corporation Law of the State of Delaware (the "DGCL").

    Section 1.2    EFFECTIVE  TIME OF  THE  MERGER.   The  Merger  shall  become
effective   when  a  properly   executed  Certificate  of   Merger  meeting  the
requirements of Section  251 of the  DGCL is  duly filed with  the Secretary  of
State of the State of Delaware or at such later time as the parties hereto shall
have  designated  in  such filing  as  the  Effective Time  of  the  Merger (the
"Effective Time"), which filing shall be  made as soon as practicable after  the
closing  of the transactions  contemplated by this  Agreement in accordance with
Section 3.9 hereof.

                                   ARTICLE II
                           THE SURVIVING CORPORATION

    Section 2.1  CERTIFICATE OF INCORPORATION.  The Certificate of Incorporation
of the Surviving Corporation shall be the Certificate of Incorporation of Sub in
effect immediately prior to the Effective Time.

    Section 2.2  BY-LAWS.  The By-Laws of Sub as in effect immediately prior  to
the Effective Time shall be the By-Laws of the Surviving Corporation.

    Section 2.3  DIRECTORS AND OFFICERS OF SURVIVING CORPORATION.

    (a)  The directors of Sub  immediately prior to the  Effective Time shall be
the directors of the Surviving Corporation as of the Effective Time.

    (b) The officers  of the  Company immediately  prior to  the Effective  Time
shall  be the officers  of the Surviving  Corporation at the  Effective Time and
shall hold office from the Effective Time until

                                      A-2

their respective successors  are duly elected  or appointed and  qualify in  the
manner provided in the Certificate of Incorporation and By-Laws of the Surviving
Corporation, or as otherwise provided by law.

                                  ARTICLE III
                              CONVERSION OF SHARES

    Section  3.1  MERGER CONSIDERATION.  At the Effective Time, by virtue of the
Merger and without any action on the part of the holder thereof:

        (a) Each share of  Common Stock (the  "Shares"), issued and  outstanding
    immediately  prior to the  Effective Time (other  than Dissenting Shares (as
    hereinafter defined) and Shares held in the treasury of the Company or owned
    by Parent or any subsidiary of the Company or the Parent) shall be converted
    into the right to  receive (i) 0.42  of a share of  Common Stock, par  value
    $.075  per  share  ("Parent  Shares"), of  Parent  (holders  of  which shall
    thereafter be entitled to issuance of Parent's Series A Junior Participating
    Preferred  Stock  issuable  in  connection  with  Parent's  Preferred  Stock
    Purchase  Rights (as hereinafter defined)  in the circumstances specified in
    Parent's Certificate of Designation relating thereto), subject to the  right
    of  holders of  Shares pursuant  to Section  6.2(c) to  elect, under certain
    circumstances, to receive cash in lieu of such fraction of a Parent Share as
    set forth in such Section 6.2(c); and (ii) $19.00 in cash or, if the Closing
    shall not have been consummated on or before March 31, 1995, $19.25 in cash,
    all of  which shall  be payable  upon the  surrender of  the  certificate(s)
    formerly  representing  such  Shares (the  Parent  Shares (or  cash  in lieu
    thereof as  aforesaid) and  cash  so deliverable  being herein  referred  to
    collectively  as the "Merger Consideration"). As  of the Effective Time, all
    such Shares  shall  no longer  be  outstanding and  shall  automatically  be
    cancelled  and  retired and  shall  cease to  exist,  and each  holder  of a
    certificate representing any such Shares shall cease to have any rights with
    respect  thereto,  except  to  receive  the  Merger  Consideration,  without
    interest.

        (b) At the Effective Time, all options (individually, a "Company Option"
    or collectively, the "Company Options") then outstanding under the Company's
    Nonqualified  Employee  Stock  Option Plan  and  the  Company's Nonqualified
    Performance  Stock  Option   Plan  for  Key   Employees,  each  as   amended
    (collectively,  the "Company Stock  Option Plans"), shall,  by virtue of the
    Merger and without  any further action  on the  part of the  Company or  any
    holder of such Company Options, unless otherwise agreed to in writing by the
    holder of a Company Option, be cancelled in consideration for payment by the
    Surviving  Corporation to  holders of Company  Options of cash  in an amount
    equal  to  (i)(A)  the  sum  of  (x)  the  cash  component  of  the   Merger
    Consideration,  plus  (y)  0.42  times  the  Average  Price  (as hereinafter
    defined) of a Parent Share, multiplied by (B) the Shares subject to  Company
    Options, less (ii) the exercise price of such Company Options.

        (c)  Each Share issued and held in  the treasury of the Company or owned
    by any  subsidiary of  the Company  and each  Share held  by Parent  or  any
    subsidiary  of  Parent  immediately prior  to  the Effective  Time  shall be
    cancelled and retired and cease to exist  and no payment shall be made  with
    respect thereto.

        (d)  Each share of common stock, par value $.01 per share, of Sub issued
    and outstanding immediately prior to  the Effective Time shall be  converted
    into and become a fully paid and non-assessable share of Common Stock of the
    Surviving Corporation.

    Section 3.2  EXCHANGE OF CERTIFICATES REPRESENTING SHARES.

    (a)  As of the  Effective Time, Parent  shall deposit, or  shall cause to be
deposited, with an exchange agent selected by Parent and reasonably satisfactory
to the Company (the "Exchange Agent"), for the benefit of the holders of Shares,
for  exchange  in  accordance  with   this  Article  III,  (i)(x)   certificates
representing  the  number  of  Parent  Shares issuable  as  part  of  the Merger
Consideration

                                      A-3

(subject to the election contained in Section 6.2(c)) and (y) cash in an  amount
equal  to the aggregate cash component of the Merger Consideration, in each case
to be  paid  in respect  of  all Shares  outstanding  immediately prior  to  the
Effective  Time and which are to be  exchanged pursuant to the Merger (exclusive
of shares to be cancelled pursuant to Section 3.1(c)), and (ii) cash to be  paid
in  lieu of the issuance of fractional  shares as provided in Section 3.4 hereof
(such cash and certificates for Parent  Shares, if any, together with  dividends
or distributions with respect thereto being hereinafter referred to collectively
as the "Exchange Fund").

    (b) Promptly after the Effective Time, Parent shall cause the Exchange Agent
to  mail (or  deliver at  its principal office)  to each  holder of  record of a
certificate or  certificates representing  Shares (i)  a letter  of  transmittal
which  shall specify that delivery shall be effected, and risk of loss and title
to  the  certificates  for  Shares  shall  pass,  only  upon  delivery  of   the
certificates for Shares to the Exchange Agent and shall be in such form and have
such  other provisions, including appropriate provisions with respect to back-up
withholding, as Parent may reasonably specify, and (ii) instructions for use  in
effecting  the surrender  of the  certificates for  Shares. Upon  surrender of a
certificate for Shares  for cancellation  to the Exchange  Agent, together  with
such  letter of transmittal, duly executed  and completed in accordance with the
instructions thereto,  the  holder  thereof  shall be  entitled  to  receive  in
exchange  therefor that portion of  the Exchange Fund which  such holder has the
right to receive pursuant  to the provisions of  this Article III, after  giving
effect  to  any required  withholding  tax, and  the  certificate for  Shares so
surrendered shall forthwith be cancelled. No interest will be paid or accrued on
the cash to be  paid as part of  the Merger Consideration. In  the event of  any
transfer  of ownership of Shares  which has not been  registered in the transfer
records of the Company,  certificates representing the  proper number of  Parent
Shares,  if any, together with a check in  an amount equal to the cash component
of the  Exchange Fund,  will be  issued  to the  transferee of  the  certificate
representing the transferred Shares presented to the Exchange Agent, accompanied
by  all documents required to evidence and effect the prior transfer thereof and
to evidence  that  any applicable  stock  transfer taxes  associated  with  such
transfer were paid.

    Section 3.3  DIVIDENDS.  No dividends or other distributions with respect to
securities of Parent constituting part of the Merger Consideration shall be paid
to  the holder of any unsurrendered  certificates representing Shares until such
certificates are surrendered as  provided in Section  3.1. Upon such  surrender,
all dividends and other distributions payable in respect of such securities on a
date  subsequent to, and in  respect of a record  date after the Effective Time,
shall be paid, without  interest, to the person  in whose name the  certificates
representing  the securities of Parent into which such Shares were converted are
registered or as otherwise directed by that person. In no event shall the person
entitled to  receive such  dividends  or distributions  be entitled  to  receive
interest on any such dividends or distributions.

    Section   3.4    NO  FRACTIONAL  SECURITIES.     No  certificates  or  scrip
representing fractional Parent  Shares shall  be issued upon  the surrender  for
exchange of certificates representing Shares pursuant to this Article III and no
dividend,  stock split or other  change in the capital  structure of the Company
shall relate to any fractional interest, and such fractional interests shall not
entitle the owner thereof to vote or to any rights of a security holder. In lieu
of any such fractional interest, each holder of Shares who would otherwise  have
been  entitled  to  a  fraction  of  a  Parent  Share  upon  surrender  of stock
certificates for exchange pursuant  to this Article III  will be paid cash  upon
such  surrender in an amount equal to the product of such fraction multiplied by
the average closing sale price of Parent  Shares on the New York Stock  Exchange
over  the ten  (10) consecutive trading  days immediately  preceding the Closing
Date, as such closing sale  price shall be reported  in THE WALL STREET  JOURNAL
or,  if not available, such other authoritative publication as may be reasonably
selected by Parent (such average over such period being the "Average Price").

    Section 3.5  CLOSING OF COMPANY TRANSFER BOOKS.  At the Effective Time,  the
stock  transfer books of the  Company shall be closed  and no transfer of Shares
shall  thereafter  be   made.  If,  after   the  Effective  Time,   certificates
representing  Shares are presented  to the Surviving  Corporation, they shall be
cancelled and exchanged for the Merger Consideration.

                                      A-4

    Section 3.6  UNCLAIMED AMOUNTS.  Any  portion of the Exchange Fund which  is
attributable  to  Dissenting Shares  or which  remains  unclaimed by  the former
stockholders of the Company one year after the Effective Time shall be delivered
by the Exchange Agent to the Parent. Any former stockholders of the Company  who
have  not theretofore complied with this  Article III shall thereafter look only
to the  Parent  for  payment  of  the Merger  Consideration,  cash  in  lieu  of
fractional  shares, and unpaid dividends and  distributions in respect of Parent
Shares deliverable as part of the Merger Consideration as determined pursuant to
this Agreement, in all cases without  any interest thereon. None of Parent,  the
Surviving  Corporation, the Exchange Agent or any other person will be liable to
any former  holder of  Shares for  any  amount properly  delivered to  a  public
official pursuant to applicable abandoned property, escheat or similar laws.

    Section  3.7   LOST CERTIFICATES.   In the event  any certificate evidencing
Shares shall have been lost, stolen  or destroyed, upon the making and  delivery
of  an affidavit of  that fact by  the person claiming  such certificate to have
been lost, stolen or destroyed and, if  required by Parent, the posting by  such
person  of a bond  in such reasonable  amount as Parent  may direct as indemnity
against any claim that would be made against the Company or Parent with  respect
to  such certificate, the Exchange  Agent will issue in  exchange for such lost,
stolen or destroyed certificate the portion of the Exchange Fund deliverable  in
respect thereof pursuant to this Agreement.

    Section  3.8  DISSENTING SHARES.  Notwithstanding anything in this Agreement
to the contrary,  any issued  and outstanding Shares  held by  a stockholder  (a
"Dissenting  Stockholder") who objects  to the Merger and  complies with all the
provisions of the DGCL concerning the right of holders of Shares to dissent from
the Merger and require appraisal of  the Shares ("Dissenting Shares") shall  not
be  converted as described in Section 3.1  but shall become the right to receive
such consideration as may be determined to be due to such Dissenting Stockholder
pursuant to the DGCL. If, after the Effective Time, such Dissenting  Stockholder
withdraws  his demand for appraisal  or fails to perfect  or otherwise loses his
right of appraisal, in any case pursuant to the DGCL, or if the Parent otherwise
consents thereto, his Shares shall be deemed to be converted as of the Effective
Time into the right to receive  the Merger Consideration, without interest.  The
Company  shall give  Parent (a)  prompt notice of  any demands  for appraisal of
Shares received by  the Company and  (b) the opportunity  to participate in  and
direct  all negotiations and  proceedings with respect to  any such demands. The
Company shall not, without the prior written consent of Parent, make any payment
with respect to,  or settle, offer  to settle or  otherwise negotiate, any  such
demands.

    Section  3.9  CLOSING.  The closing of the transactions contemplated by this
Agreement (the "Closing")  shall take  place at the  offices of  Neal, Gerber  &
Eisenberg, 2 North LaSalle Street, Chicago, Illinois, at 10:00 a.m., local time,
on  the  later  of  (a) twenty  (20)  business  days after  the  mailing  of the
Information Statement/Prospectus (as  defined in  Section 7.3  hereof), (b)  the
third  business day  following notice  from Parent  to the  Company that  it has
obtained the proceeds from the  financing necessary to provide for  consummation
of  the Merger (except that the foregoing  shall not prejudice the rights of the
Company under  Section 9.3(d)  hereof)  and (c)  the day  on  which all  of  the
conditions  set forth in Article VIII hereof are satisfied or waived, or at such
other date, time and place as Parent  and the Company shall agree (the  "Closing
Date").

                                   ARTICLE IV
                    REPRESENTATIONS AND WARRANTIES OF PARENT

    Except  as otherwise disclosed  to the Company  in a letter  delivered to it
prior to the execution hereof (which letter shall contain appropriate references
to identify the representations and  warranties herein to which the  information
in  such letter relates) (the "Parent Disclosure Letter"), the Parent represents
and warrants to the Company as follows:

    Section 4.1  ORGANIZATION.  Parent is a corporation duly organized,  validly
existing  and in good standing under the laws of the State of Nevada and has the
corporate power  to carry  on  its business  as it  is  now being  conducted  or
presently  proposed  to be  conducted.  Parent is  duly  qualified as  a foreign

                                      A-5

corporation to do business, and is in good standing, in each jurisdiction  where
the  character of its properties owned or held  under lease or the nature of its
activities make such qualification necessary, except where the failure to be  so
qualified  would not  individually or in  the aggregate have  a material adverse
effect on the business, assets, liabilities, results of operations or  financial
condition  of Parent and the Parent Subsidiaries  (as defined below), taken as a
whole (a "Parent Material Adverse Effect"). Sub is a corporation duly organized,
validly existing and in good standing under  the laws of the State of  Delaware.
Sub  has not engaged in  any business since the  date of its incorporation other
than in connection with this Agreement.

    Section 4.2   CAPITALIZATION; REGISTRATION RIGHTS.   The authorized  capital
stock  of Parent consists  of 450,000,000 Parent Shares  and 2,500,000 shares of
preferred stock, par  value $.15  per share  ("Parent Preferred  Stock"). As  of
September  30, 1994, (i) 166,324,747 Parent  Shares were issued and outstanding,
19,262,919 Parent  Shares were  issued and  held in  treasury and  no shares  of
Parent  Preferred Stock were outstanding, (ii) employee stock options to acquire
15,107,151 Parent Shares (the "Parent Employee Stock Options") were  outstanding
under  all employee  stock option plans  of Parent,  (iii) non-employee director
stock options  to acquire  248,740  Parent Shares  (the "Parent  Director  Stock
Options")  were  issued and  outstanding under  all non-employee  director stock
option plans of  Parent, (iv)  2,102 shares  of Series  B Convertible  Preferred
Stock  were  reserved  for  issuance  upon  conversion  of  Parent's Convertible
Floating Rate Debentures due  1996, (v) 13,977,549  Parent Shares were  reserved
for  issuance upon conversion of Parent's  Series B Convertible Preferred Stock,
(vi) 500,000  Parent  Shares  were  reserved for  issuance  in  connection  with
Parent's  Deferred Compensation Plan  Trust, (vii) 1,000,000  Parent Shares were
reserved for issuance in  connection with Parent's 1994  SERP Trust, and  (viii)
225,000  shares of  Parent Series  A Junior  Participating Preferred  Stock were
reserved for issuance  upon the  exercise of Parent's  Preferred Stock  Purchase
Rights.  All of  the issued  and outstanding  Parent Shares  are validly issued,
fully paid and nonassessable and free  of pre-emptive rights. All of the  Parent
Shares  reserved for issuance  in exchange for  Shares at the  Effective Time in
accordance with this Agreement will be, when so issued, duly authorized, validly
issued, fully  paid  and  nonassessable  and free  of  pre-emptive  rights.  The
authorized  capital stock of Sub  consists of 1,000 shares  of common stock, par
value $.01 per share,  all of which shares  are validly issued and  outstanding,
fully  paid and nonassessable and are owned by Parent. Except as set forth above
or as specified in Section 4.2 of  the Parent Disclosure Letter, as of the  date
of  this Agreement  there are  no shares  of capital  stock of  Parent issued or
outstanding or any options, warrants, subscriptions, calls, rights,  convertible
securities  or  other  agreements  or commitments  obligating  Parent  to issue,
transfer, sell,  redeem,  repurchase or  otherwise  acquire any  shares  of  its
capital  stock or securities, or the capital  stock or securities of Sub. Except
as provided in  this Agreement  or as  disclosed in  Section 4.2  of the  Parent
Disclosure  Letter, after the  Effective Time Parent will  have no obligation to
issue, transfer or sell any shares of its capital stock pursuant to any employee
benefit plan or otherwise.

    Section 4.3  SUBSIDIARIES.

    (a) The subsidiaries of Parent that (i) directly or indirectly own or  lease
any  interest  in  any  hospitals,  health  care  facilities  or  medical office
buildings, (ii) directly or indirectly conduct any insurance activities or (iii)
are otherwise material to Parent  (collectively, the "Parent Subsidiaries")  are
listed in Section 4.3(a) of the Parent Disclosure Letter. Each Parent Subsidiary
is a corporation duly organized, validly existing and in good standing under the
laws  of the jurisdiction  of its incorporation and  has all requisite corporate
power and authority to own, lease and operate its properties and to carry on its
business as now being  conducted, except where the  failure to be so  organized,
existing  and in  good standing or  to have  such power and  authority would not
individually or in  the aggregate have  a Parent Material  Adverse Effect.  Each
Parent  Subsidiary is  duly qualified  or licensed  and in  good standing  to do
business in each jurisdiction in which the property owned, leased or operated by
it or the nature  of the business  conducted by it  makes such qualification  or
licensing  necessary, except  in such jurisdictions  where the failure  to be so
duly qualified or licensed and in good standing would not individually or in the
aggregate have a Parent Material Adverse Effect.

                                      A-6

    (b) Except as set forth in  Section 4.3(b) of the Parent Disclosure  Letter,
Parent is, directly or indirectly, the record and beneficial owner of all of the
outstanding  shares of capital  stock of each of  the Parent Subsidiaries, there
are no proxies with respect to any such shares, and no equity securities of  any
Parent  Subsidiary are  or may  become required  to be  issued by  reason of any
options, warrants, rights to subscribe to, calls or commitments of any character
whatsoever relating to, or securities or rights convertible into or exchangeable
or exercisable for, shares  of any capital stock  of any Parent Subsidiary,  and
there  are no  contracts, commitments,  understandings or  arrangements by which
Parent or any Parent Subsidiary is or may be bound to issue, redeem, purchase or
sell additional shares of  its capital stock or  securities convertible into  or
exchangeable  or exercisable for any such shares. All of such shares so owned by
Parent are validly issued, fully paid and nonassessable and are owned by it free
and clear  of  any  claim,  mortgage, deed  of  trust,  pledge,  lien,  security
interest,  charge,  encumbrance  or  similar agreement  of  any  kind  or nature
whatsoever ("Lien"),  restraint on  alienation, or  any other  restriction  with
respect to the transferability or assignability thereof (other than restrictions
on transfer imposed by federal or state securities laws).

    Section  4.4  MATERIAL INVESTMENTS.   Except as set  forth in Section 4.4 of
the Parent Disclosure  Letter, Parent does  not directly or  indirectly own  any
equity  or similar interest in, or any interest convertible into or exchangeable
or exercisable for  any equity or  similar interest in,  any corporation  (other
than  a subsidiary), partnership, joint venture or other business association or
entity that directly or indirectly owns  or leases any interest in any  hospital
or health care facility, directly or indirectly conducts any insurance activity,
or  which  is  otherwise material  to  Parent.  With respect  to  those entities
indicated on Section 4.4 of the Parent Disclosure Letter, Parent has  heretofore
delivered  to the Company financial statements (audited to the extent available)
and interim unaudited financial statements of each of such entities (through the
most recently concluded  fiscal quarter for  each of such  persons) and, to  the
best   knowledge  of  Parent,  such  financial  statements  fairly  present,  in
conformity with generally accepted accounting  principles ("GAAP") applied on  a
consistent  basis (except as may be indicated in the notes thereto or in Section
4.4 of the Parent Disclosure Letter), the financial condition of each thereof as
at and the results of operations for the periods so indicated (subject to normal
year-end adjustments in the case of the interim unaudited financial statements),
and Parent's disclosures with  respect to its investment  in each such  entities
otherwise  included in the Parent SEC Reports  (as defined below) do not contain
any untrue  statements of  material fact  or  omit to  state any  material  fact
required  to  be stated  therein or  which are  necessary in  order to  make the
statements therein, in light  of the circumstances under  which they were  made,
not  misleading. Except  as set  forth in Section  4.4 of  the Parent Disclosure
Letter, Parent (or,  as indicated  thereon, a  Parent Subsidiary)  has good  and
marketable  title to  the securities evidencing  its investment  in the entities
indicated in  Section 4.4  of  the Parent  Disclosure  Letter, which  have  been
validly issued and are fully paid and non-assessable and are held by Parent or a
Parent  Subsidiary free and clear  of any Lien, restraint  on alienation, or any
other restriction with respect of  the transferability or assignability  thereof
(other  than restrictions  on transfer  imposed by  federal or  state securities
laws).

    Section 4.5  AUTHORITY RELATIVE TO THIS  AGREEMENT.  Each of Parent and  Sub
has  the power  to enter into  this Agreement  and to carry  out its obligations
hereunder. The execution, delivery and  performance of this Agreement by  Parent
and  Sub and the consummation by Parent and Sub of the transactions contemplated
hereby have been duly authorized by the  Boards of Directors of Parent and  Sub,
and by Parent as the sole shareholder of Sub, and no other corporate proceedings
on  the part of Parent  or Sub are necessary to  authorize this Agreement or the
transactions contemplated  hereby.  This Agreement  has  been duly  and  validly
executed  and delivered by  each of Parent  and Sub and  constitutes a valid and
binding agreement of each of Parent and Sub, enforceable against Parent and  Sub
in accordance with its terms.

    Section  4.6  CONSENTS AND APPROVALS;  NO VIOLATIONS.  Except for applicable
requirements of the  Hart-Scott-Rodino Antitrust  Improvements Act  of 1976,  as
amended (the "HSR Act"), the Securities Act of 1933, as amended (the "Securities
Act"), the Securities Exchange Act of 1934, as amended (the "Exchange Act") (the
HSR  Act,  Securities  Act  and Exchange  Act,  collectively,  the "Governmental

                                      A-7

Requirements"), state  or foreign  laws relating  to takeovers,  if  applicable,
state securities or blue sky laws, state and local laws and regulations relating
to  the  licensing and  transfer  of hospitals  and  health care  facilities and
similar matters and the filing of the  Certificate of Merger as required by  the
DGCL,  no filing with, and no permit, authorization, consent or approval of, any
court or tribunal or administrative, governmental or regulatory body, agency  or
authority  is  necessary for  the execution,  delivery  and performance  of this
Agreement by Parent and Sub of the transactions contemplated by this  Agreement.
Neither  the execution, delivery nor performance  of this Agreement by Parent or
Sub, nor the  consummation by  Parent or  Sub of  the transactions  contemplated
hereby,  nor compliance by Parent or Sub with any of the provisions hereof, will
(i) conflict with or result in any  breach of any provisions of the Articles  of
Incorporation  or By-Laws of  Parent and Sub  or the Articles  or Certificate of
Incorporation, as the case may be, or By-Laws of any of the Parent Subsidiaries,
(ii) except as  set forth in  Section 4.6(ii) of  the Parent Disclosure  Letter,
result in a violation or breach of, or constitute (with or without due notice or
lapse  of time  or both) a  default (or give  rise to any  right of termination,
cancellation,  acceleration,   vesting,   payment,   exercise,   suspension   or
revocation) under, any of the terms, conditions or provisions of any note, bond,
mortgage,  deed  of  trust,  security  interest,  indenture,  license, contract,
agreement, plan or other instrument or obligation to which Parent or any of  the
Parent  Subsidiaries  is  a party  or  by which  any  of  them or  any  of their
properties or assets  may be bound  or affected,  (iii) except as  set forth  in
Section  4.6(iii)  of the  Parent Disclosure  Letter,  violate any  order, writ,
injunction, decree, statute, rule or regulation applicable to Parent, any Parent
Subsidiary or any of  their properties or  assets, (iv) except  as set forth  in
Schedule  4.6(iv) of  the Parent  Disclosure Letter,  result in  the creation or
imposition of any Lien on any asset  of Parent or any Parent Subsidiary, or  (v)
except as set forth in Section 4.6(v) of the Parent Disclosure Letter, cause the
suspension   or  revocation   of  any   certificates  of   need,  accreditation,
registrations, licenses, permits and other consents or approvals of governmental
agencies or accreditation  organizations, except  in the case  of clauses  (ii),
(iii),   (iv)  and   (v)  for  violations,   breaches,  defaults,  terminations,
cancellations, accelerations, creations, impositions, suspensions or revocations
which would not individually or in the aggregate have a Parent Material  Adverse
Effect.

    Section  4.7  PARENT SEC REPORTS.   Parent has delivered to the Company true
and complete  copies  of  each  registration  statement,  report  and  proxy  or
information  statement,  including, without  limitation,  its Annual  Reports to
Shareholders incorporated  in material  part  by reference  in certain  of  such
reports, in the form (including exhibits and any amendments thereto) required to
be  filed with the Securities and Exchange Commission ("SEC") since June 1, 1992
(collectively, the "Parent SEC Reports"). Except as set forth in Section 4.7  of
the Parent Disclosure Letter, as of the respective dates such Parent SEC Reports
were  filed or, if any such Parent SEC Reports were amended, as of the date such
amendment was filed, each of the Parent SEC Reports (i) complied in all material
respects with all applicable requirements of the Securities Act and the Exchange
Act, and the  rules and  regulations promulgated  thereunder, and  (ii) did  not
contain any untrue statement of a material fact or omit to state a material fact
required  to be  stated therein  or necessary  in order  to make  the statements
therein, in  light  of  the  circumstances  under  which  they  were  made,  not
misleading.  Each of the audited consolidated financial statements and unaudited
consolidated interim financial statements of Parent (including any related notes
and schedules) included (or incorporated by reference) in its Annual Reports  on
Form  10-K for each of the three fiscal  years ended May 31, 1992, 1993 and 1994
and Quarterly Reports on  Form 10-Q for all  interim periods subsequent  thereto
fairly present, in conformity with GAAP applied on a consistent basis (except as
may  be indicated in the notes  thereto), the consolidated financial position of
the Parent  and the  Parent Subsidiaries  as of  its date  and the  consolidated
results  of operations  and changes  in financial  position for  the period then
ended (subject  to normal  year-end adjustments  in the  case of  any  unaudited
interim financial statements).

    Section  4.8   ABSENCE OF CERTAIN  CHANGES OR  EVENTS.  Since  May 31, 1994,
except as set forth  in Section 4.8  of the Parent Disclosure  Letter or in  the
Parent  SEC Reports or as otherwise permitted  in Section 6.2 hereof, Parent and
the Parent Subsidiaries have in  all material respects conducted their  business
in the ordinary course consistent with past practices.

                                      A-8

    Section  4.9  LITIGATION.   Except for litigation disclosed  in the notes to
the financial statements included in the Parent  SEC Reports or as set forth  in
Section  4.9  of the  Parent  Disclosure Letter,  there  is no  suit,  action or
proceeding (whether at law or equity, before or by any federal, state or foreign
court, tribunal, commission,  board, agency  or instrumentality,  or before  any
arbitrator)  pending or, to the best  knowledge of Parent, threatened against or
affecting Parent or any of the Parent Subsidiaries, the outcome of which, in the
reasonably judgment of  Parent, is likely  individually or in  the aggregate  to
have  a  Parent Material  Adverse  Effect, nor  is  there any  judgment, decree,
injunction, rule or  order of  any court,  governmental department,  commission,
agency,  instrumentality or arbitrator outstanding against  Parent or any of the
Parent Subsidiaries having, or which, insofar as can reasonably be foreseen,  in
the future may have, any such effect.

    Section 4.10  ABSENCE OF UNDISCLOSED LIABILITIES.  Except for liabilities or
obligations  which  are  accrued  or  reserved  against  in  Parent's  financial
statements (or  reflected in  the  notes thereto)  included  in the  Parent  SEC
Reports  or which  were incurred after  May 31,  1994 in the  ordinary course of
business  and  consistent  with  past  practices  or  in  connection  with   the
transactions  contemplated by this Agreement, Parent and the Parent Subsidiaries
do  not  have  any  liabilities  or  obligations  (whether  absolute,   accrued,
contingent  or otherwise)  of a  nature required  by GAAP  to be  reflected in a
consolidated balance sheet (or reflected in the notes thereto).

    Section 4.11  NO DEFAULT.  Except as set forth in Section 4.11 of the Parent
Disclosure Schedule, neither Parent, Sub nor  any of the Parent Subsidiaries  is
in  violation or breach  of, or default  under (and no  event has occurred which
with notice or the lapse of time or both would constitute a violation or  breach
of,  or default under) any  term, condition or provision  of (a) its Articles or
Certificate of Incorporation,  as the  case may be,  or By-Laws,  (b) any  note,
bond, mortgage, deed of trust, security interest, indenture, license, agreement,
plan,  contract, lease,  commitment or other  instrument or  obligation to which
Parent or any of the Parent Subsidiaries is  a party or by which they or any  of
their  properties  or assets  may be  bound  or affected,  (c) any  order, writ,
injunction, decree, statute, rule or regulation  applicable to Parent or any  of
the  Parent  Subsidiaries or  any  of their  properties  or assets,  or  (d) any
certificate of  need, accreditation,  registration,  license, permit  and  other
consent  or  approval of  governmental  agencies or  accreditation organization,
except in the case of clauses (b), (c) and (d) above for violations, breaches or
defaults which would not individually or in the aggregate have a Parent Material
Adverse Affect.

    Section 4.12   TAXES.  Except  as set forth  in Section 4.12  of the  Parent
Disclosure Letter:

        (a)  Parent and each of the Parent Subsidiaries has (i) timely filed (or
    has had timely filed  on its behalf)  or will cause to  be timely filed  all
    material  Tax Returns  (as defined below)  required by applicable  law to be
    filed by any of them for tax years ended prior to the date of this Agreement
    and all  such  Tax Returns  and  amendments thereto  are  or will  be  true,
    complete,  and correct in all  material respects, (ii) has  paid (or has had
    paid on its behalf) all  Taxes due or has  properly accrued or reserved  for
    all  such Taxes  for such periods  and (iii)  has accrued for  all Taxes for
    periods subsequent to the periods covered by such Tax Returns.

        (b) There are no material liens for  Taxes upon the assets of Parent  or
    any of the Parent Subsidiaries, except liens for Taxes not yet due.

        (c)  There are  no material deficiencies  or adjustments  for Taxes that
    have been  proposed or  assessed by  any Tax  Authority (as  defined  below)
    against Parent or any of the Parent Subsidiaries and which remain unpaid.

        (d)  The Federal  income tax  returns of Parent  and each  of the Parent
    Subsidiaries have been examined by the Internal Revenue Service for all past
    taxable years and periods to and including the year ended May 31, 1985,  and
    all  material deficiencies finally assessed as a result of such examinations
    have been paid. Section 4.12 of the Parent Disclosure Letter sets forth  (i)
    all taxable years and periods of Parent and the Parent Subsidiaries that are
    presently  under Audit (as defined  below) or in respect  of which Parent or
    any of the Parent Subsidiaries has been notified in

                                      A-9

    writing by the  relevant Tax  Authority that it  will be  Audited, (ii)  the
    taxable  years of Parent and the Parent Subsidiaries in respect of which the
    statutory period of  limitations for  the assessment of  Federal, state  and
    local income or franchise Taxes has expired, and (iii) all waivers extending
    the  statutory period  of limitation applicable  to any  material Tax Return
    filed by Parent  or any of  the Parent Subsidiaries  for any taxable  period
    ending prior to the date of this Agreement.

        (e)  Prior to the  date hereof, Parent and  the Parent Subsidiaries have
    disclosed all material Tax sharing, Tax indemnity, or similar agreements  to
    which  Parent or any of the Parent Subsidiaries  is a party to, is bound by,
    or has any obligation or liability for Taxes.

        (f) Parent and the Parent Subsidiaries have not paid, and do not  expect
    to  pay,  in  any taxable  year  commencing  on or  after  January  1, 1994,
    remuneration that would result in a  disallowance of any material amount  of
    tax deductions under section 162(m) of the Internal Revenue Code of 1986, as
    amended  (the "Code").  There are no  changes in the  tax accounting methods
    subject to section 481(a) of the Code which have an ongoing material  effect
    on Parent or any of the Parent Subsidiaries. No "consent" within the meaning
    of  section 341(f) of the Code has been  filed with respect to Parent or any
    of the Parent Subsidiaries.

        (g) As  used  in this  Agreement,  (i)  "Audit" shall  mean  any  audit,
    assessment  of Taxes, other examination by  any Tax Authority, proceeding or
    appeal of such  proceeding relating to  Taxes, (ii) "Taxes"  shall mean  all
    Federal,  state, local and foreign taxes, and other assessments of a similar
    nature (whether  imposed directly  or  through withholding),  including  any
    interest,  additions  to tax,  or penalties  applicable thereto,  (iii) "Tax
    Authority" shall mean the Internal Revenue Service and any other domestic or
    foreign governmental  authority responsible  for the  administration of  any
    Taxes,  and  (iv) "Tax  Returns" shall  mean all  Federal, state,  local and
    foreign tax returns, declarations, statements, reports, schedules, forms and
    information returns and any amended Tax Return relating to Taxes.

    Section 4.13   TITLE TO  CERTAIN PROPERTIES;  ENCUMBRANCES.   Except as  set
forth  in  Section 4.13  of  the Parent  Disclosure  Letter, no  person  has any
contractual right or option to purchase or acquire, directly or indirectly,  any
interest  in, and  there are no  contracts pursuant  to which the  Parent or any
Parent Subsidiary  is or  may be  bound to  sell, lease,  transfer or  otherwise
dispose of, any of the hospitals owned by the Parent or any Parent Subsidiary.

    Section 4.14  MEDICARE PARTICIPATION/ACCREDITATION AND RECAPTURE.

    (a) All hospitals or significant health care facilities owned or operated as
continuing  operations by  the Parent  or the  Parent Subsidiaries  (the "Parent
Facilities") are  certified for  participation or  enrollment in  the  Medicare,
Medicaid  and  Civilian Health  and Medical  Program  of the  Uniformed Services
("CHAMPUS") programs,  have  a current  and  valid provider  contract  with  the
Medicare,  Medicaid and CHAMPUS programs, are in substantial compliance with the
terms and conditions  of participation of  such programs and  have received  all
approvals  or  qualifications necessary  for  capital reimbursement  of Parent's
assets except where the failure to be  so certified, to have such contracts,  to
be  in such  compliance or  to have such  approvals or  qualifications would not
individually or in the aggregate have  a Parent Material Adverse Effect. To  the
knowledge  of  Parent,  the  amounts  established  as  provisions  for Medicare,
Medicaid, or CHAMPUS adjustments and adjustments by any other third party payors
on the financial statements of Parent and the Parent Subsidiaries are sufficient
in all material  respects to  pay any  amounts for which  Parent or  any of  the
Parent  Subsidiaries  may  be  liable.  Neither Parent  nor  any  of  the Parent
Subsidiaries has received notice from  the regulatory authorities which  enforce
the  statutory or regulatory provisions in  respect of the Medicare, Medicaid or
CHAMPUS programs of  any pending  or threatened  investigations, surveys  (other
than    routine   surveys   conducted   by   accreditation   organizations)   or
decertification  proceedings,  and  neither  Parent   nor  any  of  the   Parent
Subsidiaries  has any reason to believe that any such investigations, surveys or
proceedings are pending, threatened or imminent which may individually or in the
aggregate have a Parent Material Adverse Effect. All Parent Facilities  eligible
for such accreditation are accredited by

                                      A-10

the   Joint  Commission  on  Accreditation   on  Healthcare  Organizations,  the
Commission on Accreditation of Rehabilitation or other appropriate accreditation
agency. Section 4.14(a) of  the Parent Disclosure Letter  sets forth a  complete
and  correct list  of all hospitals  and significant  separately licensed health
care facilities owned  or operated  by Parent  and the  Parent Subsidiaries  and
their respective accreditation.

    (b)  Each such Parent Facility is licensed by the proper state department of
health to conduct  its business in  substantially the manner  conducted by  such
Parent  Facility  and  is authorized  to  operate  the number  of  beds utilized
therein. The Parent Facilities are presently in substantial compliance with  all
of  the terms, conditions and provisions of such licenses. Parent has heretofore
made available to the Company correct and complete copies of all such  licenses.
The  facilities,  equipment, staffing  and operations  of the  Parent Facilities
satisfy the applicable  state hospital  licensing requirements  in all  material
respects.

    (c)  No funds  were received on  behalf of the  Parent or any  of the Parent
Subsidiaries to construct, improve  or acquire any of  its facilities under  the
"Hill-Burton"  Act as a result of which Parent or any of the Parent Subsidiaries
are currently or will  in the future  be required to pay  any amounts for  which
there  shall  be  any  "recapture"  as  a  result  of  the  consummation  of the
transactions contemplated by this Agreement.

    Section 4.15  LABOR  MATTERS.  Except  as set forth in  Section 4.15 of  the
Parent Disclosure Letter, neither Parent nor any of the Parent Subsidiaries is a
party  to, or bound  by, any collective bargaining  agreement, contract or other
agreement or understanding with a labor union or labor organization. There is no
unfair labor  practice  or  labor  arbitration proceeding  pending  or,  to  the
knowledge  of  Parent,  threatened  against Parent  or  the  Parent Subsidiaries
relating to  their business,  except for  any such  proceeding which  would  not
individually  or in the aggregate have a  Parent Material Adverse Effect. To the
knowledge of Parent,  there are no  organizational efforts with  respect to  the
formation  of a  collective bargaining unit  presently being  made or threatened
involving employees of  Parent or any  of the Parent  Subsidiaries. There is  no
labor strike, dispute, slow down, work stoppage, or lockout actually pending or,
to   the  knowledge  of   Parent,  threatened  against   Parent  or  the  Parent
Subsidiaries.  To  the  knowledge  of  Parent,  there  are  no  labor  union  or
organization  claims to represent the  employees of Parent or  any of the Parent
Subsidiaries, nor  does  any  question concerning  the  representation  of  such
employees by any labor union or organization exist.

    Section 4.16  EMPLOYEE BENEFIT PLANS; ERISA.

    (a)  Section 4.16(a)  of the  Parent Disclosure  Letter contains  a true and
complete list  of each  bonus,  deferred compensation,  incentive  compensation,
stock  purchase, stock option, severance  or termination pay, hospitalization or
other medical,  life or  other  insurance, supplemental  unemployment  benefits,
profit-sharing,  pension, or retirement plan, program, agreement or arrangement,
and each other  employee benefit  plan, program, agreement  or arrangement  (the
"Parent  Plans"), maintained or contributed to  or required to be contributed to
by (i)  Parent, (ii)  any Parent  Subsidiary  or (iii)  any trade  or  business,
whether or not incorporated, that together with Parent would be deemed a "single
employer"  within the meaning of Section  4001 of the Employee Retirement Income
Security Act of  1974, as  amended, and  the rules  and regulations  promulgated
thereunder  ("ERISA")  (a  "Parent ERISA  Affiliate"),  for the  benefit  of any
employee or former employee of Parent, any Parent Subsidiary or any Parent ERISA
Affiliate. Section 4.16(a) of  the Parent Disclosure  Letter identifies each  of
the  Parent Plans that is an "employee benefit plan," as that term is defined in
Section 3(3) of ERISA (such plans being hereinafter referred to collectively  as
the "Parent ERISA Plans").

    (b)  With  respect  to  each  of the  Parent  Plans,  Parent  has heretofore
delivered to  the Company  true and  complete copies  of each  of the  following
documents:  (i) a  copy of the  Parent Plan (including  all amendments thereto),
(ii) a copy of the annual report and actuarial report, if required under  ERISA,
with  respect to the Parent ERISA  Plan for the last two  years, (iii) a copy of
the most recent Summary Plan Description, together with each Summary of Material
Modification, required under ERISA with respect  to the Parent ERISA Plan,  (iv)
if   the  Parent   Plan  is   funded  through  a   trust  or   any  third  party

                                      A-11

funding vehicle, a copy of the  trust or other funding agreement (including  all
amendments  thereto) and  the latest financial  statements thereof,  and (v) the
most recent determination letter received from the Internal Revenue Service with
respect to each Parent ERISA Plan intended  to qualify under Section 401 of  the
Code.

    (c)  No liability under Title  IV of ERISA has  been incurred by Parent, any
Parent Subsidiary or  any Parent  ERISA Affiliate  since the  effective date  of
ERISA  that has not been satisfied in full,  and, except as set forth in Section
4.16(c) of the  Parent Disclosure Letter,  no condition exists  that presents  a
material  risk to Parent, any Parent Subsidiary or any Parent ERISA Affiliate of
incurring any liability under such Title (other than liability for premiums  due
to  the Pension  Benefit Guaranty Corporation  (the "PBGC"). To  the extent this
representation applies to Sections 4064, 4069 or  4204 of Title IV of ERISA,  it
is made not only with respect to the Parent ERISA Plans but also with respect to
any employee benefit plan, program, agreement or arrangement subject to Title IV
of  ERISA to which Parent, a Parent Subsidiary or a Parent ERISA Affiliate made,
or was required to make, contributions during the five-year period ending on the
date of this Agreement.

    (d) With respect to each Parent ERISA  Plan which is subject to Title IV  of
ERISA,  except as set forth in Section  4.16(d) of the Parent Disclosure Letter,
the present value of accrued benefits under such plan, based upon the  actuarial
assumptions  used for financial reporting purposes  in the most recent actuarial
report prepared  by such  plan's actuary  with  respect to  such plan,  did  not
exceed, as of its latest valuation date, the then current value of the assets of
such plan allocable to such accrued benefits.

    (e)  No Parent ERISA  Plan or any trust  established thereunder has incurred
any "accumulated funding  deficiency" (as defined  in Section 302  of ERISA  and
Section  412 of the Code), whether or not waived, as of the last day of the most
recent fiscal year of  each Parent ERISA  Plan ended prior to  the date of  this
Agreement,  and  all  contributions required  to  be made  with  respect thereto
(whether pursuant to  the terms of  any Parent  ERISA Plan or  otherwise) on  or
prior  to the date  of this Agreement have  been timely made.  (f) Except as set
forth in Section 4.16(f) of the  Parent Disclosure Letter, no Parent ERISA  Plan
is a "multi-employer pension plan," as defined in Section 3(37) of ERISA, nor is
any Parent ERISA Plan a plan described in Section 4063(a) of ERISA.

    (g)  Except as set forth in Section 4.16(g) of the Parent Disclosure Letter,
each Parent ERISA Plan intended to be "qualified" within the meaning of  Section
401(a)  of the Code has been determined by the Internal Revenue Service to be so
qualified and the trusts maintained thereunder have been determined to be exempt
from taxation under Section  501(a) of the  Code and, to  the best knowledge  of
Parent, no event has occurred nor does any condition exist which would adversely
affect such qualification and exemption.

    (h)  Except as set forth in Section 4.16(h) of the Parent Disclosure Letter,
each of the  Parent Plans  has been operated  and administered  in all  material
respects  in accordance  with applicable  laws, including,  but not  limited to,
ERISA and the Code.

    (i) Except as set forth in Section 4.16(i) of the Parent Disclosure  Letter,
no  amounts payable under the Parent Plans or any other contract, arrangement or
agreement will fail to be deductible  for federal income tax purposes by  virtue
of Section 280G of the Code.

    (j)  Except as set forth in Section 4.16(j) of the Parent Disclosure Letter,
no  Parent Plan provides benefits, including without limitation death or medical
benefits (whether or not insured), with  respect to current or former  employees
of  Parent,  any Parent  Subsidiary or  any Parent  ERISA Affiliate  beyond such
employees' retirement or other termination  of service, other than (i)  coverage
mandated by applicable law, (ii) death benefits or retirement benefits under any
"employee pension plan," as that term is defined in Section 3(2) of ERISA, (iii)
deferred  compensation benefits accrued  as liabilities on  the books of Parent,
any Parent Subsidiary or  any Parent ERISA Affiliate  or (iv) benefits the  full
cost of which is borne by such employees or their beneficiaries.

                                      A-12

    (k)  Except as set forth in Section 4.16(k) of the Parent Disclosure Letter,
the consummation of the transactions contemplated by this Agreement will not (i)
entitle any  current  or  former  employee or  officer  of  Parent,  any  Parent
Subsidiary  or  any  Parent  ERISA  Affiliate  to  severance  pay,  unemployment
compensation or  any  other  payment,  except  as  expressly  provided  by  this
Agreement,  (ii)  accelerate the  time of  payment or  vesting, or  increase the
amount, of any compensation due any such employee or officer, or (iii) result in
any prohibited transaction described in Section 406 of ERISA or Section 4975  of
the Code for which an exemption is not available.

    (l)  With respect  to each  Parent Plan that  is funded  wholly or partially
through an insurance policy,  there will be no  liability of Parent, any  Parent
Subsidiary  or any Parent ERISA  Affiliate, as of the  Effective Time, under any
such insurance  policy or  ancillary agreement  with respect  to such  insurance
policy  in the nature of a retroactive rate adjustment, loss sharing arrangement
or other  actual or  contingent liability  arising wholly  or partially  out  of
events occurring prior to the closing.

    (m)  There are no pending, threatened or  anticipated claims by or on behalf
of any of the  Parent Plans, by  any employee or  beneficiary covered under  any
such  Parent  Plan, or  otherwise  involving any  such  Parent Plan  (other than
routine claims for benefits).

    (n) None of Parent, any Parent  Subsidiary, any Parent ERISA Affiliate,  any
of  the  Parent ERISA  Plans, any  trust  created thereunder  or any  trustee or
administrator thereof  has engaged  in a  transaction in  connection with  which
Parent,  any Parent Subsidiary or any Parent  ERISA Affiliate, any of the Parent
ERISA Plans, any  such trust, or  any trustee or  administrator thereof, or  any
party  dealing with the Parent ERISA Plans or any such trust could be subject to
either a material civil liability under Section 409 of ERISA, Section 502(i)  of
ERISA,  or Section 502(l) of ERISA or a material tax imposed pursuant to Section
4975 or 4976 of the Code.

    Section 4.17  PATENTS,  LICENSES, FRANCHISES AND FORMULAS.   Each of  Parent
and  the Parent Subsidiaries owns all of the patents, trademarks, service marks,
copyrights, permits, trade names, licenses,  franchises and formulas, or  rights
with  respect to the foregoing, and has  obtained assignments of all such rights
and other rights of  whatever nature, necessary for  the present conduct of  its
business, in each case except as would not individually or in the aggregate have
a Parent Material Adverse Effect.

    Section  4.18  INSURANCE.  Section 4.18 of the Parent Disclosure Letter sets
forth a complete and correct list  of all material insurance policies  currently
in  force insuring against  risks of Parent and  the Parent Subsidiaries. Parent
previously has delivered to the Company  true and correct schedules listing  the
name  of carrier, policy coverage, policy limits and deductibles with respect to
the policies listed in Section 4.18 of the Parent Disclosure Letter. Parent  and
the  Parent Subsidiaries are in  compliance with the terms  of such policies and
except as set forth in Section 4.18  of the Parent Disclosure Letter, there  are
no  claims by Parent or any of the  Parent Subsidiaries under any such policy as
to which  any  insurance company  is  denying  liability or  defending  under  a
reservation  of rights clause, in each case  except as would not individually or
in the aggregate result in a Parent Material Adverse Effect.

    Section 4.19  BOARD  APPROVALS; OPINION OF FINANCIAL  ADVISOR.  Each of  the
Board  of Directors  of Parent and  Sub (at  meetings duly called  and held) has
unanimously determined that the transactions contemplated hereby are fair to and
in the best  interests of Parent  and Sub.  Parent has received  the opinion  of
Donaldson,  Lufkin & Jenrette Securities Corporation ("DLJ"), Parent's financial
advisor, substantially to the effect that the Merger Consideration to be paid by
Parent in the Merger is fair to Parent from a financial point of view.

    Section 4.20  BROKERS.  No  broker, finder or investment banker (other  than
DLJ)  is entitled  to any  brokerage, finder's  fee or  other fee  or commission
payable by  Parent in  connection  with the  transactions contemplated  by  this
Agreement based upon arrangements made by and on behalf of Parent.

                                      A-13

                                   ARTICLE V
                 REPRESENTATIONS AND WARRANTIES OF THE COMPANY

    Except  as otherwise disclosed  to Parent and  Sub in a  letter delivered to
them prior  to the  execution  hereof (which  letter shall  contain  appropriate
references  to identify the  representations and warranties  herein to which the
information in  such  letter relates)  (the  "Company Disclosure  Letter"),  the
Company represents and warrants to Parent and Sub as follows:

    Section  5.1   ORGANIZATION.  The  Company is a  corporation duly organized,
validly existing and in good  standing under the laws  of the State of  Delaware
and  has  the corporate  power  to carry  on  its business  as  it is  now being
conducted or presently proposed to be  conducted. The Company is duly  qualified
as  a  foreign corporation  to do  business, and  is in  good standing,  in each
jurisdiction where the character of its properties owned or held under lease  or
the  nature of its  activities makes such  qualification necessary, except where
the failure to be so qualified would not individually or in the aggregate have a
material adverse  effect  on  the  business,  assets,  liabilities,  results  of
operations  or financial condition  of the Company  and the Company Subsidiaries
(as defined below), taken as a whole (a "Company Material Adverse Effect").

    Section 5.2  CAPITALIZATION.   The authorized capital  stock of the  Company
consists  of 200,000,000  Shares and  5,000,000 shares  of preferred  stock, par
value $.01  per share  (the "Preferred  Stock"). As  of September  30, 1994  (i)
77,563,054  Shares were issued and outstanding,  (ii) Company Options to acquire
3,081,005 Shares were outstanding under all stock option plans and agreements of
the Company, (iii) 6,306,601 Shares (including Shares issuable upon exercise  of
the options identified in clause (ii) above) were reserved for issuance pursuant
to all employee plans of the Company, and (iv) there were no shares of Preferred
Stock  outstanding. All of the issued and outstanding Shares are validly issued,
fully paid and nonassessable and free of preemptive rights. Except as set  forth
above or as specified in Section 5.2 of the Company Disclosure Letter, as of the
date  of this  Agreement there  are no  shares of  capital stock  of the Company
issued or outstanding  or any options,  warrants, subscriptions, calls,  rights,
convertible securities or other agreements or commitments obligating the Company
to  issue, transfer, sell, redeem, repurchase or otherwise acquire any shares of
its capital stock or securities. Except as provided in this Agreement or as  set
forth  in Section 5.2 of the Company Disclosure Letter, after the Effective Time
the Company will have no obligation to issue, transfer or sell any shares of its
capital stock pursuant to any employee benefit plan or otherwise.

    Section 5.3  SUBSIDIARIES.

    (a) The subsidiaries of the Company  that (i) directly or indirectly own  or
lease  any interest in  any hospitals, health care  facilities or medical office
buildings, (ii)  directly or  indirectly conduct  any insurance  activities,  or
(iii)  are  otherwise  material  to  the  Company  (collectively,  the  "Company
Subsidiaries") are listed in  Section 5.3(a) of  the Company Disclosure  Letter.
Each Company Subsidiary is a corporation duly organized, validly existing and in
good  standing under the laws  of the jurisdiction of  its incorporation and has
all requisite  corporate power  and  authority to  own,  lease and  operate  its
properties and to carry on its business as now being conducted, except where the
failure  to be so organized, existing and in good standing or to have such power
and authority would not individually or in the aggregate have a Company Material
Adverse Effect. Each  Company Subsidiary is  duly qualified or  licensed and  in
good  standing to do business in each  jurisdiction in which the property owned,
leased or operated by  it or the  nature of the business  conducted by it  makes
such  qualification or licensing  necessary, except in  such jurisdictions where
the failure to be so duly qualified  or licensed and in good standing would  not
individually or in the aggregate have a Company Material Adverse Effect.

    (b)  Except as set forth in Section 5.3(b) of the Company Disclosure Letter,
the Company is, directly or indirectly,  the record and beneficial owner of  all
of  the outstanding shares of capital stock of each of the Company Subsidiaries,
there are no proxies with respect to  any such shares, and no equity  securities
of  any Company Subsidiary are or may become  required to be issued by reason of
any

                                      A-14

options, warrants, rights to subscribe to, calls or commitments of any character
whatsoever relating to, or securities or rights convertible into or exchangeable
or exercisable for, shares of any  capital stock of any Company Subsidiary,  and
there are no contracts, commitments, understandings or arrangements by which the
Company  or any Company Subsidiary is or may be bound to issue, redeem, purchase
or sell additional  shares of  its capital stock  or any  Company Subsidiary  or
securities  convertible into or exchangeable or exercisable for any such shares.
Except as set forth in Section 5.3(b)  of the Company Disclosure Letter, all  of
such  shares  so  owned  by  the Company  are  validly  issued,  fully  paid and
nonassessable and are  owned by  it free  and clear  of any  Lien, restraint  on
alienation,  or any  other restriction  with respect  to the  transferability or
assignability thereof (other than restrictions on transfer imposed by federal or
state securities laws).

    Section 5.4  MATERIAL INVESTMENTS.   Except as set  forth in Section 5.4  of
the  Company Disclosure Letter, the Company  does not directly or indirectly own
any equity  or  similar  interest  in,  or  any  interest  convertible  into  or
exchangeable  or  exercisable  for  any  equity  or  similar  interest  in,  any
corporation (other  than  a subsidiary),  partnership,  joint venture  or  other
business  association or entity  that directly or indirectly  owns or leases any
interest in  any  hospital  or  health care  facility,  directly  or  indirectly
conducts  any insurance activity, or which is otherwise material to the Company.
With respect to those entities listed  on Section 5.4 of the Company  Disclosure
Letter,  the  Company has  heretofore delivered  to Parent  financial statements
(audited to the extent available) and interim unaudited financial statements  of
each  of such entities  (through the most recently  concluded fiscal quarter for
each of such persons) and, to the best knowledge of the Company, such  financial
statements fairly present, in conformity with GAAP applied on a consistent basis
(except  as may  be indicated  in the  notes thereto  or in  Section 5.4  of the
Company Disclosure Letter), the  financial condition of each  thereof as at  and
the  results  of operations  for  the periods  so  indicated (subject  to normal
year-end adjustments in the case of the interim unaudited financial statements),
and the Company's  disclosures with respect  to its investment  in each of  such
entities otherwise included in the Company SEC Reports (as defined below) do not
contain  any untrue statements  of material fact  or omit to  state any material
fact required to be stated therein or  which are necessary in order to make  the
statements  therein, in light  of the circumstances under  which they were made,
not misleading. Except as  set forth in Schedule  5.4 of the Company  Disclosure
Letter,  the Company (or,  as indicated thereon, a  Company Subsidiary) has good
and marketable title to the securities evidencing its investment in the entities
listed on Section 5.4 of the Company Disclosure Letter, which have been  validly
issued and are fully paid and non-assessable and are held by the Company (or, as
indicated  thereon, a Company Subsidiary) free  and clear of any Lien, restraint
on alienation, or any other restriction  with respect of the transferability  or
assignability thereof (other than restrictions on transfer imposed by federal or
state securities laws).

    Section  5.5   AUTHORITY RELATIVE  TO THIS AGREEMENT.   The  Company has the
power to enter into this Agreement  and to carry out its obligations  hereunder.
The execution, delivery and performance of this Agreement by the Company and the
consummation  by the Company  of the transactions  contemplated hereby have been
duly authorized by the Company's Board of Directors and, except for the approval
of its stockholders to  be provided by written  consent pursuant to Section  7.5
hereof  promptly but in  any event within  ten (10) days  after the execution of
this Agreement and notification to all stockholders of such action in accordance
with the  DGCL  and Regulation  14C  of the  Exchange  Act, no  other  corporate
proceedings on the part of the Company are necessary to authorize this Agreement
or  the  transactions  contemplated  hereby.  Subject  to  the  foregoing,  this
Agreement has been duly  and validly executed and  delivered by the Company  and
constitutes  a valid and  binding agreement of  the Company, enforceable against
the Company in accordance with its terms.

    Section 5.6  CONSENTS AND APPROVALS;  NO VIOLATIONS.  Except for  applicable
requirements of the Governmental Requirements, state or foreign laws relating to
takeovers,  if applicable,  state securities or  blue sky laws,  state and local
laws and regulations  relating to the  licensing and transfer  of hospitals  and
health  care facilities and similar  matters and the filing  of a Certificate of
Merger as required by  the DGCL, no filing  with, and no permit,  authorization,
consent or approval of, any court or tribunal

                                      A-15

or  administrative,  governmental or  regulatory  body, agency,  public  body or
authority is  necessary for  the  execution, delivery  and performance  of  this
Agreement  by the  Company of the  transactions contemplated  by this Agreement.
Neither the  execution,  delivery  and  performance of  this  Agreement  by  the
Company,  nor the consummation  by the Company  of the transactions contemplated
hereby, nor compliance by  the Company with any  of the provisions hereof,  will
(i)  conflict with or result in any  breach of any provisions of the Certificate
of Incorporation or  By-Laws of the  Company or the  Certificate or Articles  of
Incorporation,   as  the  case  may  be,  or  By-Laws  of  any  of  the  Company
Subsidiaries, (ii) except  as set  forth in  Section 5.6(a)(ii)  of the  Company
Disclosure  Letter, result in a  violation or breach of,  or constitute (with or
without due notice  or lapse of  time or both)  a default (or  give rise to  any
right  of termination,  cancellation, vesting,  payment, exercise, acceleration,
suspension or revocation) under, any of  the terms, conditions or provisions  of
any  note, bond, mortgage, deed of trust, security interest, indenture, license,
contract, agreement, plan or other instrument or obligation to which the Company
or any of the Company Subsidiaries is a party or by which any of them or any  of
their  properties or assets may be bound  or affected, (iii) except as set forth
in Section  5.6(a)(iii) of  the Company  Disclosure Letter,  violate any  order,
writ, injunction, decree, statute, rule or regulation applicable to the Company,
any  of the  Company Subsidiaries  or any  of their  properties or  assets, (iv)
except as set  forth in  Section 5.6(a)(iv)  of the  Company Disclosure  Letter,
result  in the creation or imposition of any Lien on any asset of the Company or
any Company Subsidiary or (v)  except as set forth  in Section 5.6(a)(v) of  the
Company   Disclosure  Letter,  cause   the  suspension  or   revocation  of  any
certificates of need, accreditation, registrations, licenses, permits and  other
consents  or approvals of governmental  agencies or accreditation organizations,
except in  the  case  of clauses  (ii),  (iii),  (iv) and  (v)  for  violations,
breaches,   defaults,  terminations,  cancellations,  accelerations,  creations,
impositions, suspensions or revocations which  would not individually or in  the
aggregate have a Company Material Adverse Effect.

    Section  5.7  COMPANY SEC REPORTS.  The Company has delivered to Parent true
and complete  copies  of  each  registration  statement,  report  and  proxy  or
information  statement,  including, without  limitation,  its Annual  Reports to
Stockholders incorporated  in material  part  by reference  in certain  of  such
reports, in the form (including exhibits and any amendments thereto) required to
be  filed with the SEC  since September 1, 1992  (collectively, the "Company SEC
Reports"). As of the respective dates the Company SEC Reports were filed or,  if
any  such Company SEC  Reports were amended,  as of the  date such amendment was
filed, each of  the Company SEC  Reports (i) complied  in all material  respects
with all applicable requirements of the Securities Act and Exchange Act, and the
rules  and  regulations promulgated  thereunder, and  (ii)  did not  contain any
untrue statement of a material fact or omit to state a material fact required to
be stated therein or necessary in order to make the statements therein, in light
of the circumstances  under which they  were made, not  misleading. Each of  the
audited  consolidated  financial statements  and unaudited  consolidated interim
financial statements of the Company (including any related notes and  schedules)
included  (or incorporated by reference) in its  Annual Reports on Form 10-K for
each of the  three fiscal years  ended August 31,  1991, 1992 and  1993 and  its
Quarterly Reports on Form 10-Q for all interim periods subsequent thereto fairly
present, in conformity with GAAP applied on a consistent basis (except as may be
indicated  in the  notes thereto),  the consolidated  financial position  of the
Company and the Company Subsidiaries as of its date and the consolidated results
of operations  and changes  in  financial position  for  the period  then  ended
(subject  to normal  year-end adjustments in  the case of  any unaudited interim
financial statements).

    Section 5.8   ABSENCE OF CERTAIN  CHANGES OR  EVENTS.  Since  May 31,  1994,
except  as set forth in  Section 5.8 of the Company  Disclosure Letter or in the
Company SEC Reports or as otherwise permitted in Section 6.1 hereof, the Company
and the  Company Subsidiaries  have  in all  material respects  conducted  their
business in the ordinary course consistent with past practices.

    Section  5.9  LITIGATION.   Except for litigation disclosed  in the notes to
the financial statements included in the Company SEC Reports or as set forth  in
Section  5.9  of the  Company Disclosure  Letter,  there is  no suit,  action or
proceeding (whether  at  law or  equity,  before or  by  any federal,  state  or

                                      A-16

foreign commission, court, tribunal, board, agency or instrumentality, or before
any  arbitrator) pending  or, to the  best knowledge of  the Company, threatened
against or affecting the Company or any of the Company Subsidiaries, the outcome
of which, in the reasonable judgment  of the Company, is likely individually  or
in  the aggregate to  have a Company  Material Adverse Effect,  nor is there any
judgment,  decree,  injunction,  rule  or  order  of  any  court,   governmental
department,   commission,  agency,  instrumentality  or  arbitrator  outstanding
against the Company or any of the Company Subsidiaries having, or which, insofar
as can reasonably be foreseen, in the future many have, any such effect.

    Section 5.10  ABSENCE OF UNDISCLOSED LIABILITIES.  Except for liabilities or
obligations which are  accrued or  reserved against in  the Company's  financial
statements  (or reflected  in the notes  thereto) included in  the Company's SEC
Reports or which were incurred after August  31, 1993 in the ordinary course  of
business  and  consistent  with  past practices,  the  Company  and  the Company
Subsidiaries do  not  have  any material  liabilities  or  obligations  (whether
absolute,  accrued, contingent or otherwise) of a  nature required by GAAP to be
reflected in a consolidated balance sheet (or reflected in the notes thereto).

    Section 5.11   NO  DEFAULT.   Neither the  Company nor  any of  the  Company
Subsidiaries  is in violation or  breach of, or default  under (and no event has
occurred which with  notice or  the lapse  of time  or both  would constitute  a
violation  or breach of, or a default under) any term, condition or provision of
(a) its  Articles  or Certificate  of  Incorporation, as  the  case may  be,  or
By-Laws,  (b)  any  note,  bond, mortgage,  deed  of  trust,  security interest,
indenture, license,  agreement,  plan,  contract,  lease,  commitment  or  other
instrument or obligation to which the Company or any of the Company Subsidiaries
is a party or by which they or any of their properties or assets may be bound or
affected,  (c) any order, writ, injunction,  decree, statute, rule or regulation
applicable to the Company  or any of  the Company Subsidiaries  or any of  their
properties   or  assets,  or   (d)  any  certificate   of  need,  accreditation,
registration, license,  permit and  other consent  or approval  of  governmental
agencies  or accreditation organizations, except in the case of clauses (b), (c)
and (d) above for breaches, defaults or violations which would not  individually
or in the aggregate have a Company Material Adverse Effect.

    Section  5.12  TAXES.   Except as set  forth in Section  5.12 of the Company
Disclosure Letter,

    (a) The Company and  each of the Company  Subsidiaries has (i) timely  filed
(or  has had timely  filed on its behalf)  or will cause to  be timely filed all
material Tax Returns required by applicable law  to be filed by any of them  for
tax years ended prior to the date of this Agreement and all such Tax Returns and
amendments  thereto are or will  be true, complete, and  correct in all material
respects, (ii) has paid  (or has had paid  on its behalf) all  Taxes due or  has
properly  accrued or reserved for all such  Taxes for such periods and (iii) has
accrued for all Taxes for periods  commencing after the periods covered by  such
Tax Returns and ending prior to the date hereof.

    (b)  There are no material liens for Taxes upon the assets of the Company or
any of the Company Subsidiaries, except liens for taxes not yet due.

    (c) There are no  material deficiencies or adjustments  for Taxes that  have
been  proposed  or  assessed  and  which  remain  unpaid  (except  as heretofore
disclosed by the Company to Parent) by any Tax Authority against the Company  or
any of the Company Subsidiaries.

    (d)  Set  forth in  Section 5.12  of  the Company  Disclosure Schedule  is a
listing of the Federal income tax returns of the Company and each of the Company
Subsidiaries which are currently being examined by the Internal Revenue  Service
or  which are the subject of litigation.  Section 5.12 of the Company Disclosure
Letter sets forth  (i) all  taxable years  and periods  of the  Company and  the
Company  Subsidiaries that are presently under Audit  or in respect of which the
Company or any of the Company Subsidiaries  has been notified in writing by  the
relevant  Tax Authority that it  will be Audited, (ii)  the taxable years of the
Company and the Company Subsidiaries in respect of which the statutory period of
limitations for the assessment  of material Federal, state  and local income  or

                                      A-17

franchise  Taxes  has expired,  and (iii)  all  waivers extending  the statutory
period of limitation applicable to any material Tax Return filed by the  Company
or  any of the Company  Subsidiaries for any taxable  period ending prior to the
date of this Agreement.

    (e) Prior to the date hereof, the Company and the Company Subsidiaries  have
disclosed  all material  Tax sharing,  Tax indemnity,  or similar  agreements to
which the Company or any of the Company Subsidiaries is a party to, is bound by,
or has any obligation or liability for Taxes.

    (f) The  Company and  the Company  Subsidiaries have  not paid,  and do  not
expect  to pay,  in any  taxable year  commencing on  or after  January 1, 1994,
remuneration that would result in a  disallowance of any material amount of  tax
deductions  under section 162(m) of the  Code, PROVIDED, that certain plans must
be submitted to the Company's stockholders for approval by written consent or at
the next meeting of stockholders of the Company. There are no changes in the tax
accounting methods subject to section 481(a)  of the Code which have an  ongoing
material  effect on the Company or any of the Company Subsidiaries. No "consent"
within the meaning of section 341(f) of the Code has been filed with respect  to
the Company or any of the Company Subsidiaries.

    Section  5.13   TITLE TO  CERTAIN PROPERTIES;  ENCUMBRANCES.   Except as set
forth in  Section 5.13  of the  Company  Disclosure Letter,  no person  has  any
contractual  right or option to purchase or acquire, directly or indirectly, any
interest in, and there  are no contracts  pursuant to which  the Company or  any
Company  Subsidiary is  or may  be bound to  sell, lease,  transfer or otherwise
dispose of, any hospital owned by the Company or any Company Subsidiary.

    Section 5.14  COMPLIANCE  WITH APPLICABLE LAW.   Except as disclosed in  the
Company  SEC Reports,  each of  the Company and  the Company  Subsidiaries is in
compliance with all  applicable Laws,  except where the  failure to  be in  such
compliance  would not individually  or in the aggregate  have a Company Material
Adverse Effect.

    Section 5.15  MEDICARE PARTICIPATION/ACCREDITATION AND RECAPTURE.

    (a) All hospitals and significant  health care facilities owned or  operated
by  the  Company and  the Company  Subsidiaries  (the "Company  Facilities") are
certified for participation or enrollment in the Medicare, Medicaid and  CHAMPUS
programs, have a current and valid provider contract with the Medicare, Medicaid
and  CHAMPUS  programs,  are  in  substantial  compliance  with  the  terms  and
conditions of participation of such programs and have received all approvals  or
qualifications  necessary  for  capital reimbursement  of  the  Company's assets
except where the failure to  be so certified, to have  such contracts, to be  in
such   compliance  or  to  have  such  approvals  or  qualifications  would  not
individually or in the aggregate have a Company Material Adverse Effect. To  the
knowledge  of the  Company, the amount  established as  provisions for Medicare,
Medicaid or CHAMPUS adjustments and adjustments by any other third party  payors
on  the financial  statements of  the Company  and the  Company Subsidiaries are
sufficient in all material respects to pay any amounts for which the Company  or
any  of the Company Subsidiaries  may be liable. Neither  the Company nor any of
the Company Subsidiaries  has received  notice from  the regulatory  authorities
which enforce the statutory or regulatory provisions in respect of the Medicare,
Medicaid  or  CHAMPUS  programs  of any  pending  or  threatened investigations,
surveys or  decertification proceedings,  and  neither Company  nor any  of  the
Company  Subsidiaries has  any reason to  believe that  any such investigations,
surveys (other than routine surveys conducted by accreditation organizations) or
proceedings are pending, threatened or imminent which may individually or in the
aggregate have a Company Material Adverse Effect. Except as set forth in Section
5.15(a) of the Company Disclosure letter, all of the Company Facilities eligible
for such accreditation are accredited  by the Joint Commission on  Accreditation
of  Healthcare Organizations, the Commission  on Accreditation of Rehabilitation
or other  appropriate  accreditation  agency. Section  5.15(a)  of  the  Company
Disclosure  Letter sets forth a  complete and correct list  of all hospitals and
significant separately licensed health care facilities owned and operated by the
Company and the Company Subsidiaries and their respective accreditation.

                                      A-18

    (b) Each Company  Facility is  licensed by  the proper  state department  of
health  to conduct  its business in  substantially the manner  conducted by such
Company Facility  and is  authorized  to operate  the  number of  beds  utilized
therein. The Company Facilities are presently in substantial compliance with all
of  the  terms, conditions  and  provisions of  such  licenses. The  Company has
heretofore made available  to Parent  correct and  complete copies  of all  such
licenses.  The facilities,  equipment, staffing  and operations  of such Company
Facilities satisfy the applicable state  hospital licensing requirements in  all
material respects.

    (c)  No funds were received  on behalf of the Company  or any of the Company
Subsidiaries to construct, improve  or acquire any of  its facilities under  the
"Hill-Burton"  Act  as a  result  of which  the Company  or  any of  the Company
Subsidiaries are currently or will in the future be required to pay any  amounts
for  which there shall be any "recapture" as a result of the consummation of the
transactions contemplated by this Agreement.

    Section 5.16  LABOR  MATTERS.  Except  as set forth in  Section 5.16 of  the
Company   Disclosure  Letter,  neither  the  Company  nor  any  of  the  Company
Subsidiaries is a party  to, or bound by,  any collective bargaining  agreement,
contract  or  other  agreement or  understanding  with  a labor  union  or labor
organization. There is no unfair labor practice or labor arbitration  proceeding
pending  or, to the knowledge of the  Company, threatened against the Company or
the Company  Subsidiaries  relating  to  their business,  except  for  any  such
proceeding  which would not have individually or in the aggregate have a Company
Material Adverse  Effect.  To  the  knowledge  of  the  Company,  there  are  no
organizational  efforts with respect to the formation of a collective bargaining
unit presently being made  or threatened involving employees  of the Company  or
any  of the Company Subsidiaries. There is  no labor strike, dispute, slow down,
work stoppage, or lockout actually pending or, to the knowledge of the  Company,
threatened  against the Company or the Company Subsidiaries. To the knowledge of
the Company, there are  no labor union or  organization claims to represent  the
employees  of  the Company  or any  of  the Company  Subsidiaries, nor  does any
question concerning the representation of such  employees by any labor union  or
organization exist.

    Section 5.17  EMPLOYEE BENEFIT PLANS; ERISA.

    (a)  Section 5.17(a)  of the Company  Disclosure Letter contains  a true and
complete list  of each  bonus,  deferred compensation,  incentive  compensation,
stock  purchase, stock option, severance  or termination pay, hospitalization or
other medical,  life or  other  insurance, supplemental  unemployment  benefits,
profit-sharing,  pension, or retirement plan, program, agreement or arrangement,
and each other  employee benefit  plan, program, agreement  or arrangement  (the
"Company  Plans"), maintained or contributed to or required to be contributed to
by (i) the Company, (ii) any Company Subsidiary or (iii) any trade or  business,
whether  or not incorporated, that  together with the Company  would be deemed a
"single employer" within the meaning of ERISA (a "Company ERISA Affiliate"), for
the benefit  of any  employee or  former employee  of the  Company, any  Company
Subsidiary  or  any  Company ERISA  Affiliate.  Section 5.17(a)  of  the Company
Disclosure Letter identifies  each of  the Company  Plans that  is an  "employee
benefit  plan," as  that term is  defined in  Section 3(3) of  ERISA (such plans
being hereinafter referred to collectively as the "Company ERISA Plans").

    (b) With respect to  each of the Company  Plans, the Company has  heretofore
delivered to Parent true and complete copies of each of the following documents:
(i)  a copy of the Company Plan  (including all amendments thereto), (ii) a copy
of the annual report and actuarial report, if required under ERISA, with respect
to the Company  ERISA Plan  for the last  two years,  (iii) a copy  of the  most
recent  Summary  Plan  Description,  together  with  each  Summary  of  Material
Modifications, required under ERISA with respect to the Company ERISA Plan, (iv)
if the  Company Plan  is  funded through  a trust  or  any third  party  funding
vehicle,  a  copy  of  the  trust  or  other  funding  agreement  (including all
amendments thereto) and  the latest  financial statements thereof,  and (v)  the
most recent determination letter received from the Internal Revenue Service with
respect  to each Company ERISA Plan intended to qualify under Section 401 of the
Code.

                                      A-19

    (c) No liability under Title IV of  ERISA has been incurred by the  Company,
any  Company Subsidiary or any Company  ERISA Affiliate since the effective date
of ERISA that has not been satisfied in full, and except as disclosed in Section
5.17(c) of the Company  Disclosure Letter, no condition  exists that presents  a
material  risk  to the  Company,  any Company  Subsidiary  or any  Company ERISA
Affiliate of incurring any liability under such Title (other than liability  for
premiums  due to  PBGC). To the  extent this representation  applies to Sections
4064, 4069 or 4204 of Title IV of ERISA, it is made not only with respect to the
Company ERISA Plans but also with respect to any employee benefit plan, program,
agreement or arrangement subject to  Title IV of ERISA  to which the Company,  a
Company  Subsidiary or a Company ERISA Affiliate  made, or was required to make,
contributions during the five-year period ending on the date of this Agreement.

    (d) With respect to each Company ERISA Plan which is subject to Title IV  of
ERISA,  except as set forth in Section 5.17(d) of the Company Disclosure Letter,
the present value of accrued benefits under such plan, based upon the  actuarial
assumptions  used for financial reporting purposes  in the most recent actuarial
report prepared  by such  plan's actuary  with  respect to  such plan,  did  not
exceed, as of its latest valuation date, the then current value of the assets of
such plan allocable to such accrued benefits.

    (e)  No Company ERISA Plan or  any trust established thereunder has incurred
any "accumulated funding  deficiency" (as defined  in Section 302  of ERISA  and
Section  412 of the Code), whether or not waived, as of the last day of the most
recent fiscal year of each  Company ERISA Plan ended prior  to the date of  this
Agreement,  and  all  contributions required  to  be made  with  respect thereto
(whether pursuant to the  terms of any  Company ERISA Plan  or otherwise) on  or
prior to the date of this Agreement have been timely made.

    (f) Except as set forth in Section 5.17(f) of the Company Disclosure Letter,
no  Company ERISA Plan is a "multi-employer pension plan," as defined in section
3(37) of  Company ERISA,  nor is  any ERISA  Plan a  plan described  in  Section
4063(a) of ERISA.

    (g) Except as set forth in Section 5.17(g) of the Company Disclosure Letter,
each Company ERISA Plan intended to be "qualified" within the meaning of Section
401(a)  of the Code has been determined by the Internal Revenue Service to be so
qualified and the trusts maintained thereunder have been determined to be exempt
from taxation under Section 501(a) of the Code and, to the best knowledge of the
Company, no  event  has  occurred  nor does  any  condition  exist  which  would
adversely affect such qualification and exemption.

    (h) Except as set forth in Section 5.17(h) of the Company Disclosure Letter,
each  of the Company  Plans has been  operated and administered  in all material
respects in  accordance with  applicable laws,  including, but  not limited  to,
ERISA and the Code.

    (i) Except as set forth in Section 5.17(i) of the Company Disclosure Letter,
no amounts payable under the Company Plans or any other contract, arrangement or
agreement  will fail to be deductible for  federal income tax purposes by virtue
of Section 280G of the Code.

    (j)   Except as  set forth  in  Section 5.17(j)  of the  Company  Disclosure
Letter, no Company Plan provides benefits, including without limitation death or
medical  benefits (whether  or not insured),  with respect to  current or former
employees of the Company, any Company Subsidiary or any Company ERISA  Affiliate
beyond  such employees' retirement  or other termination  of service, other than
(i) coverage  mandated by  applicable  law, (ii)  death benefits  or  retirement
benefits  under any "employee pension plan," as  that term is defined in Section
3(2) of ERISA, (iii)  deferred compensation benefits  accrued as liabilities  on
the  books of the Company, any Company Subsidiary or any Company ERISA Affiliate
or (iv) benefits  the full cost  of which is  borne by such  employees or  their
beneficiaries.

    (k) Except as set forth in Section 5.17(k) of the Company Disclosure Letter,
the consummation of the transactions contemplated by this Agreement will not (i)
entitle  any current or former  employee or officer of  the Company, any Company
Subsidiary or  any  Company  ERISA  Affiliate  to  severance  pay,  unemployment
compensation  or  any  other  payment,  except  as  expressly  provided  in this
Agreement,

                                      A-20

(ii) accelerate the time of payment or  vesting, or increase the amount, of  any
compensation due any such employee or officer, or (iii) result in any prohibited
transaction  described in Section 406  of ERISA or Section  4975 of the Code for
which an exemption is not available.

    (l) With respect  to each Company  Plan that is  funded wholly or  partially
through  an insurance  policy, there  will be no  liability of  the Company, any
Company Subsidiary or  any Company ERISA  Affiliate, as of  the Effective  Time,
under  any such  insurance policy  or ancillary  agreement with  respect to such
insurance policy in the  nature of a retroactive  rate adjustment, loss  sharing
arrangement  or other actual or contingent liability arising wholly or partially
out of events occurring prior to the closing.

    (m) There are no pending, threatened  or anticipated claims by or on  behalf
of  any of the Company  Plans, by any employee  or beneficiary covered under any
such Company Plan,  or otherwise  involving any  such Company  Plan (other  than
routine claims for benefits).

    (n)  None  of  the  Company,  any  Company  Subsidiary,  any  Company  ERISA
Affiliate, any of the Company ERISA  Plans, any trust created thereunder or  any
trustee or administrator thereof has engaged in a transaction in connection with
which the Company, any Company Subsidiary or any Company ERISA Affiliate, any of
the  Company  ERISA  Plans, any  such  trust,  or any  trustee  or administrator
thereof, or any party  dealing with the  Company ERISA Plans  or any such  trust
could  be subject  to either  a material  civil liability  under Section  409 of
ERISA, Section 502(i) of  ERISA, or Section  502(l) of ERISA  or a material  tax
imposed pursuant to Section 4975 or 4976 of the Code.

    Section  5.18   PATENTS,  LICENSES, FRANCHISES  AND FORMULAS.   Each  of the
Company and  the  Company Subsidiaries  owns  all of  the  patents,  trademarks,
service  marks,  copyrights,  permits,  trade  names,  licenses,  franchises and
formulas, or rights with respect to the foregoing, and has obtained  assignments
of  all  such rights  and other  rights  of whatever  nature, necessary  for the
present conduct of its business, in  each case except as would not  individually
or in the aggregate have a Company Material Adverse Effect.

    Section 5.19  INSURANCE.  Section 5.19 of the Company Disclosure Letter sets
forth  a complete and correct list  of all material insurance policies currently
in force insuring against risks of the Company and the Company Subsidiaries. The
Company previously has delivered  to Parent true  and correct schedules  listing
the name of carrier, policy coverage, policy limits and deductibles with respect
to  the policies listed  in Section 5.19  of the Company  Disclosure Letter. The
Company and the Company  Subsidiaries are in compliance  with the terms of  such
policies  and except  as set  forth in  Section 5.19  of the  Company Disclosure
Letter, there are no claims  by the Company or  any of the Company  Subsidiaries
under  any such policy as to which any insurance company is denying liability or
defending under a reservation of rights clause, in each case except as would not
individually or in the aggregate result in a Company Material Adverse Effect.

    Section 5.20  BOARD  APPROVAL; OPINION OF FINANCIAL  ADVISOR.  The Board  of
Directors  of the Company  (at a meeting  duly called and  held) has unanimously
approved this Agreement and the  transactions contemplated hereby. The Board  of
Directors  of  the Company  has  received the  opinion  of Salomon  Brothers Inc
("SBI"), one of the  Company's financial advisors,  substantially to the  effect
that the Merger Consideration to be received in the Merger by the holders of the
Shares  is  fair  to such  stockholders  from  a financial  point  of  view (the
"Fairness Opinion").

    Section 5.21  BROKERS.  No  broker, finder or investment banker (other  than
SBI,  CS First  Boston and  GKH Partners,  L.P.) is  entitled to  any brokerage,
finder's fee or  other fee or  commission payable by  the Company in  connection
with  the transactions  contemplated by  this Agreement  based upon arrangements
made by and on behalf of the Company.

                                      A-21

                                   ARTICLE VI
                     CONDUCT OF BUSINESS PENDING THE MERGER

    Section 6.1  CONDUCT OF  BUSINESS BY THE COMPANY  PENDING THE MERGER.   From
the date hereof until the Effective Time, unless Parent shall otherwise agree in
writing, or except as set forth in the Company Disclosure Letter or as otherwise
contemplated  by this Agreement, the Company  and the Company Subsidiaries shall
conduct their business in the ordinary course consistent with past practice  and
shall  use  their  reasonable best  efforts  to preserve  intact  their business
organizations and relationships  with third  parties and to  keep available  the
services  of their present officers  and key employees, subject  to the terms of
this Agreement.  Except as  set forth  in the  Company Disclosure  Letter or  as
otherwise  provided in this Agreement, from  the date hereof until the Effective
Time, without the prior  written consent of Parent,  which consent shall not  be
unreasonably withheld:

    (a)  the Company will not adopt or  propose any change in its Certificate of
Incorporation or By-Laws;

    (b) the Company  will not, and  will not permit  any Company Subsidiary  to,
declare, set aside or pay any dividend or other distribution with respect to any
shares  of capital  stock of  the Company (except  as permitted  by Section 7.12
hereof), or any repurchase, redemption or other acquisition or investment by the
Company or any Company Subsidiary of any outstanding shares of capital stock  or
other securities of, or other ownership interests in, the Company or any Company
Subsidiary;

    (c)  the Company will  not, and will  not permit any  Company Subsidiary to,
merge or  consolidate with  any other  person or  acquire a  material amount  of
assets of any other person;

    (d)  the Company will  not, and will  not permit any  Company Subsidiary to,
sell, lease, license or  otherwise surrender, relinquish or  dispose of (i)  any
Company  Facility  or (ii)  any assets  or  property which  are material  to the
Company and the Company Subsidiaries, taken  as a whole, except (i) pursuant  to
existing  contracts or  commitments (the terms  of which have  been disclosed to
Parent prior to the  date hereof), or  (ii) in the  ordinary course of  business
consistent with past practice;

    (e)  the Company  will not  settle any  material Audit,  make or  change any
material Tax election or file amended Tax Returns;

    (f) the Company will not issue  any securities (except pursuant to  existing
obligations),  enter into any amendment of  any material term of any outstanding
security of the  Company or of  any Company Subsidiary,  incur any  indebtedness
except  pursuant to existing credit facilities or arrangements, fail to make any
required contribution to any Company ERISA Plan, increase compensation, bonus or
other benefits payable  to any  employee or former  employee or  enter into  any
settlement  or consent  with respect  to any  pending litigation,  except in the
ordinary course  of  business consistent  with  past practice  or  as  otherwise
permitted by this Agreement;

    (g)  the  Company will  not change  any method  of accounting  or accounting
practice by the Company or any Company Subsidiary, except for any such  required
change in GAAP;

    (h)  the Company will  not, and will  not permit any  Company Subsidiary to,
agree or commit to do any of the foregoing; and

    (i) except  to the  extent  necessary to  comply  with the  requirements  of
applicable  laws and regulations, the Company will  not, and will not permit any
Company Subsidiary to  (i) take, or  agree or  commit to take,  any action  that
would  make any representation and warranty  of the Company hereunder inaccurate
in any respect at, or as of any time prior to, the Effective Time or (ii)  omit,
or  agree or commit  to omit, to take  any action necessary  to prevent any such
representation or warranty  from being  inaccurate in  any respect  at any  such
time,  provided however that the  Company shall be permitted  to take or omit to
take such action which can (without any uncertainty) be cured at or prior to the
Effective Time.

                                      A-22

    Section 6.2  CONDUCT  OF BUSINESS BY  PARENT PENDING THE  MERGER.  From  the
date  hereof until the Effective Time,  unless the Company shall otherwise agree
in writing,  or except  as  set forth  in the  Parent  Disclosure Letter  or  as
otherwise  contemplated by this Agreement or previously disclosed to the Company
in writing, Parent and the Parent  Subsidiaries shall conduct their business  in
the  ordinary  course consistent  with past  practice and  shall use  their best
efforts to preserve intact their  business organizations and relationships  with
third  parties and to keep available the  services of their present officers and
key employees, subject to the  terms of this Agreement.  Except as set forth  in
the  Parent Disclosure Letter  or as otherwise provided  in this Agreement, from
the date hereof until the Effective  Time, without the prior written consent  of
the Company, which consent shall not be unreasonably withheld:

    (a)  Parent  will  not  adopt  or propose  any  change  in  its  Articles of
Incorporation or  By-Laws which  would  have an  adverse  effect on  the  Merger
Consideration;

    (b)  Parent will not, and will not permit any Parent Subsidiary to, declare,
set aside or pay any dividend or  other distribution with respect to any  shares
of  capital stock of Parent, or  any repurchase, redemption or other acquisition
or investment by Parent  or any Parent Subsidiary  of any outstanding shares  of
capital stock or other securities of, or other ownership interests in, Parent or
any Parent Subsidiary;

    (c)  Parent will not, and will not permit any Parent Subsidiary to, merge or
consolidate with any other person or acquire a material amount of assets of  any
other  person if, prior to the consummation  of such transaction, the Company is
advised by  SBI that,  as  a result  of such  transaction,  SBI is  required  to
withdraw  the Fairness Opinion unless  Parent permits the Company's stockholders
to receive, at the election of the Company, $6.88 in cash in lieu of the 0.42 of
a Parent Share to  be received as  part of the Merger  Consideration and, if  so
elected,  such  cash  consideration  together with  the  balance  of  the Merger
Consideration is received prior  to or simultaneously  with the consummation  of
such other transaction. The Company shall promptly notify Parent of its election
after receiving notice of any such transaction by Parent.

    (d)  Parent will not,  and will not  permit any Parent  Subsidiary to, sell,
lease, license or otherwise surrender, relinquish  or dispose of (i) any  Parent
Facility  or (ii) any  assets or property  which are material  to Parent and the
Parent Subsidiaries, taken as a whole, except (x) pursuant to existing contracts
or commitments (the terms of which have heretofore been disclosed to the Company
prior to the date hereof), or (y) in the ordinary course of business  consistent
with past practice;

    (e)  Parent will not, and  will not permit any  Parent Subsidiary to, settle
any material Audit, make or change any material Tax election or file amended tax
returns;

    (f) the  Parent  will  not  issue any  securities  or  indebtedness  (except
pursuant  to existing obligations or in transactions permitted by Section 6.2(c)
hereof), enter  into any  amendment  of any  material  term of  any  outstanding
security  or indebtedness of Parent or of any Parent Subsidiary which would have
an adverse effect on the Merger Consideration (or the ability of Parent to incur
indebtedness necessary to pay the Merger Consideration), incur any  indebtedness
except  pursuant to existing credit facilities or arrangements, fail to make any
required  contribution  to  any  Parent  ERISA  Plan,  materially  increase  any
compensation  or benefits  payable to any  employee or former  employee or enter
into any settlement or consent with respect to any pending litigation, except in
the ordinary course of  business consistent with past  practice or as  otherwise
contemplated or permitted by this Agreement;

    (g)  Parent will not change any  method of accounting or accounting practice
by Parent or any Parent Subsidiary, except for any such required change in GAAP;

    (h) Parent will not, and will not permit any Parent Subsidiary to, agree  or
commit to do any of the foregoing; and

    (i)  except  to the  extent  necessary to  comply  with the  requirements of
applicable laws and regulations, Parent will not, and will not permit any Parent
Subsidiary to (i) take, or agree or commit

                                      A-23

to take, any action  that would make any  representation and warranty of  Parent
hereunder  inaccurate  in  any respect  at,  or as  of  any time  prior  to, the
Effective Time or  (ii) omit, or  agree or commit  to omit, to  take any  action
necessary  to prevent any such representation  or warranty from being inaccurate
in any respect at any such time, provided however that Parent shall be permitted
to take or omit to take such action which can (without any uncertainty) be cured
at or prior to the Effective Time.

    Section 6.3   CONDUCT  OF BUSINESS  OF SUB.   From  the date  hereof to  the
Effective  Time, Sub shall not engage in  any activities of any nature except as
provided in or contemplated by this Agreement.

                                  ARTICLE VII
                             ADDITIONAL AGREEMENTS

    Section 7.1   ACCESS AND  INFORMATION.  The  Company and  Parent shall  each
afford  to  the other  and  to the  other's  financial advisors,  legal counsel,
accountants,   consultants,    financing   sources,    and   other    authorized
representatives  access during normal business hours throughout the period prior
to the  Effective Time  to all  of its  books, records,  properties, plants  and
personnel  and, during such period, each shall furnish promptly to the other (a)
a copy of  each report,  schedule and  other document  filed or  received by  it
pursuant  to the requirements of  federal or state securities  laws, and (b) all
other information as such other party  reasonably may request, provided that  no
investigation  pursuant to this Section 7.1  shall affect any representations or
warranties made herein or  the conditions to the  obligations of the  respective
parties  to  consummate the  Merger.  Each party  shall  hold in  confidence all
nonpublic information until such time as such information is otherwise  publicly
available  and, if this Agreement is terminated,  each party will deliver to the
other all documents, work papers and other materials (including copies) obtained
by such  party or  on  its behalf  from the  other  party as  a result  of  this
Agreement  or in  connection herewith, whether  so obtained before  or after the
execution hereof.

    Section 7.2  ACQUISITION PROPOSALS.

    (a) From the date hereof until  the termination hereof, the Company and  the
Company  Subsidiaries  will  not,  and  will  cause  their  respective officers,
directors, employees or other  agents not to, directly  or indirectly, (i)  take
any  action  to  solicit, initiate  or  encourage any  Acquisition  Proposal (as
hereinafter defined),  (ii) waive  any provision  of any  standstill or  similar
agreements  entered into  by the Company  or the Company  Subsidiaries, or (iii)
engage in negotiations with, or  disclose any nonpublic information relating  to
the  Company or  Company Subsidiaries, respectively,  or afford  access to their
respective properties, books or  records to any person  that may be  considering
making,  or has made, an Acquisition Proposal. Nothing contained in this Section
7.2 shall prohibit the Company  and its Board of  Directors from (i) taking  and
disclosing  a position with respect to a  tender offer by a third party pursuant
to Rules 14d-9 and 14e-2(a)  promulgated by the SEC  under the Exchange Act,  or
(ii)  furnishing information to, or entering  into negotiations with, any person
or entity that makes  an unsolicited bona fide  proposal to acquire the  Company
pursuant  to a merger, consolidation, share  exchange, purchase of a substantial
portion of the assets,  business combination or  other similar transaction,  if,
and  only to  the extent that,  (A) such  Board of Directors  determines in good
faith that such action is required for the Board of Directors to comply with its
fiduciary duties to stockholders  imposed by law, (B)  prior to furnishing  such
information  to, or entering into discussions  or negotiations with, such person
or entity,  the Company  provides written  notice  to the  other party  to  this
Agreement  to the effect that it is  furnishing information to, or entering into
discussions or negotiations with, such person or entity, and (C) subject to  any
confidentiality   agreement  with  such  person  or  entity  (which  such  party
determined in good faith was required to  be executed in order for the Board  of
Directors  to comply with  its fiduciary duties  to shareholders or stockholders
imposed by law), the Company  keeps Parent informed of  the status (but not  the
terms) of any such negotiations or discussions.

                                      A-24

    (b)  The  term "Acquisition  Proposal"  as used  herein  means any  offer or
proposal for,  or any  indication of  interest in,  a merger  or other  business
combination  involving the Company or any  Company Subsidiary or the acquisition
of any equity interest in, or a  substantial portion of the assets of, any  such
party, other than the transactions contemplated by this Agreement.

    Section 7.3  REGISTRATION STATEMENT.  As promptly as practicable, Parent and
the  Company shall  cooperate and  promptly prepare  and file  with the  SEC the
Information Statement  and  Parent shall  prepare  and  file with  the  SEC  the
Registration   Statement   (collectively,   such   Information   Statement   and
Registration Statement,  being the  "Information Statement/Prospectus").  Parent
shall  use  its reasonable  best efforts,  and the  Company will  cooperate with
Parent, to have  the Registration  Statement declared  effective by  the SEC  as
promptly  as practicable. Parent  shall also use its  reasonable best efforts to
take any action required to be taken under state securities or blue sky laws  in
connection  with the issuance of the  Parent Shares pursuant hereto. The Company
shall furnish Parent with all information concerning the Company and the holders
of its capital stock and shall take  such other action as Parent reasonably  may
request  in connection with such  Information Statement/ Prospectus and issuance
of  the   Parent  Shares   hereunder.  Parent   agrees  that   the   Information
Statement/Prospectus  and each  amendment or supplement  thereto at  the time of
mailing thereof through twenty (20) business days thereafter, or, in the case of
the Registration Statement and each amendment or supplement thereto, at the time
it is filed  or becomes effective,  will not  include an untrue  statement of  a
material  fact or omit to state a material fact required to be stated therein or
necessary to make the  statements therein, in light  of the circumstances  under
which  they were  made, not  misleading; provided,  however, that  the foregoing
shall not apply to the extent that any such untrue statement of a material  fact
or  omission to state a material fact was made by Parent in reliance upon and in
conformity with written information concerning  the Company furnished to  Parent
by the Company specifically for use in the Information Statement/Prospectus. The
Company  agrees  that  the  information  provided by  it  for  inclusion  in the
Information Statement/Prospectus and  each amendment or  supplement thereto,  at
the time of mailing thereof through twenty (20) business days thereafter, or, in
the   case  of  information  provided  by  the  Company  for  inclusion  in  the
Registration Statement or any amendment or supplement thereto, at the time it is
filed or becomes effective, will not  include an untrue statement of a  material
fact or omit to state a material fact required to be stated therein or necessary
to  make the statements therein, in light  of the circumstances under which they
were made, not misleading. Except as otherwise required by law, no amendment  or
supplement to the Information Statement/Prospectus will be made by Parent or the
Company  without the  approval of  the other party,  which approval  will not be
unreasonably withheld.  Parent  will  advise  the  Company,  promptly  after  it
receives  notice thereof, of the time when the Registration Statement has become
effective or any  supplement or amendment  has been filed,  the issuance of  any
stop  order, the  suspension of the  qualification of Parent  Shares issuable in
connection with the  Merger for  offering or sale  in any  jurisdiction, or  any
request  by the SEC for amendment of the Information Statement/Prospectus or the
Registration Statement or comments thereon and responses thereto or requests  by
the SEC for additional information.

    Section  7.4  LISTING APPLICATION.  Parent shall promptly prepare and submit
to each of  the New York  Stock Exchange  and Pacific Stock  Exchange a  listing
application  covering  the Parent  Shares to  be issued  in connection  with the
Merger and this Agreement, and shall use its reasonable best efforts to  obtain,
prior  to the Effective  Time, approval for  the listing of  such Parent Shares,
subject to official notice of issuance.

    Section 7.5  INFORMATION STATEMENT AND STOCKHOLDER APPROVAL.

    (a) The Company, acting through its Board of Directors, shall, in accordance
with applicable  law  and  its  Certificate of  Incorporation  and  By-Laws  (i)
promptly  and duly, give  notice of, as  soon as practicable  following the date
upon   which   the   Registration   Statement   becomes   effective,   mail   to

                                      A-25

stockholders  of the Company the  Information Statement/Prospectus in accordance
with the requirements of  the DGCL and  Regulation 14C of  the Exchange Act  and
take  all lawful action necessary to provide notification of the written consent
of stockholders of the Company of the approval of the Merger as contemplated  by
Section 7.1(b) hereof.

    (b)  Promptly hereafter, but in no event  later than ten (10) days after the
execution of this Agreement by the parties hereto, stockholders representing the
requisite number of Shares necessary to approve the Merger will deliver  written
consents in accordance with Section 228 of the DGCL.

    Section  7.6  FILINGS;  OTHER ACTION.   Subject to the  terms and conditions
herein provided, as promptly as practicable, the Company, Parent and Sub  shall:
(i)  promptly make all filings  and submissions under the  HSR Act as reasonably
may  be  required  to  be  made  in  connection  with  this  Agreement  and  the
transactions  contemplated hereby, (ii) use  all reasonable efforts to cooperate
with each other in (A) determining which  filings are required to be made  prior
to  the Effective Time with, and  which material consents, approvals, permits or
authorizations are required  to be obtained  prior to the  Effective Time  from,
governmental  or regulatory authorities of the United States, the several states
or District  of  Columbia, and  foreign  jurisdictions in  connection  with  the
execution   and  delivery  of  this  Agreement   and  the  consummation  of  the
transactions contemplated  hereby and  (B) timely  making all  such filings  and
timely  seeking  all such  consents, approvals,  permits or  authorizations, and
(iii) use all reasonable efforts to take, or cause to be taken, all other action
and do,  or cause  to be  done, all  other things  necessary or  appropriate  to
consummate  the transactions contemplated by  this Agreement. In connection with
the foregoing, the Company will provide Parent and Sub, and Parent and Sub  will
provide  the Company, with  copies of correspondence,  filings or communications
(or memoranda setting forth the substance thereof) between such party or any  of
its  representatives, on the one hand,  and any governmental agency or authority
or members of their respective staffs, on  the other hand, with respect to  this
Agreement  and  the transactions  contemplated hereby.  Each  of Parent  and the
Company acknowledge that certain  actions may be necessary  with respect to  the
foregoing in making notifications and obtaining clearances, consents, approvals,
waivers or similar third party actions which are material to the consummation of
the  transactions contemplated hereby, and each  of Parent and the Company agree
to take such action  as is necessary to  complete such notifications and  obtain
such  clearances, approvals, waivers  or third party  actions, except where such
consequence, event or occurrence would have a Parent Material Adverse Effect  or
Company Material Adverse Effect, as the case may be.

    Section 7.7  PUBLIC ANNOUNCEMENTS.  Parent and Sub, on the one hand, and the
Company,  on the other hand, agree that they will not issue any press release or
otherwise make any public statement or respond to any press inquiry with respect
to this  Agreement or  the transactions  contemplated hereby  without the  prior
approval  of the other party (which approval will not be unreasonably withheld),
except as may be required by applicable law.

    Section 7.8   COMPANY  INDEMNIFICATION PROVISION.   Parent  agrees that  all
rights  to indemnification existing in favor of the present or former directors,
officers, employees, fiduciaries and agents of the Company or any of the Company
Subsidiaries (collectively,  the  "Indemnified  Parties")  as  provided  in  the
Company's Certificate of Incorporation or By-Laws or the certificate or articles
of  incorporation, by-laws  or similar  organizational documents  of any  of the
Company Subsidiaries as in effect as of the date hereof or pursuant to the terms
of any indemnification agreements  entered into between the  Company and any  of
the Indemnified Parties with respect to matters occurring prior to the Effective
Time  shall  survive the  Merger and  shall  continue in  full force  and effect
(without modification  or amendment,  except as  required by  applicable law  or
except  to  make changes  permitted by  law that  would enlarge  the Indemnified
Parties' right of indemnification),  to the fullest extent  and for the  maximum
term permitted by law, and shall be enforceable by the Indemnified Party against
both  the Company and Parent (which  shall also directly assume such obligations
at the Effective Time). Parent  shall cause to be  maintained in effect for  not
less  than  six  years from  the  Effective  Time the  current  policies  of the
directors' and officers' liability insurance maintained by the Company (provided
that

                                      A-26

Parent  may  substitute  therefor  policies  of  at  least  equivalent  coverage
containing  terms and conditions which are no less advantageous) with respect to
matters occurring prior to the Effective  Time, provided that in no event  shall
Parent or the Surviving Corporation be required to expend to maintain or procure
insurance  coverage pursuant to this Section 7.8  any amount per annum in excess
of 200% of the aggregate premiums paid  in 1994 on an annualized basis for  such
purpose. In the event the payment of such amount for any year is insufficient to
maintain such insurance or equivalent coverage cannot otherwise be obtained, the
Surviving  Corporation shall purchase as much  insurance as may be purchased for
the amount  indicated. The  provisions of  this Section  7.8 shall  survive  the
consummation  of the Merger  and expressly are  intended to benefit  each of the
Indemnified Parties.

    Section 7.9  REGISTRATION STATEMENT  FOR SECURITIES ACT AFFILIATES.   Parent
shall  enter  into a  Registration Rights  Agreement  substantially in  the form
attached as Exhibit B, providing for  the registration under the Securities  Act
covering  the Parent Shares receivable by  Securities Act Affiliates (as therein
defined),  which  registration  statement   will  permit  such  Securities   Act
Affiliates  and  their partners,  shareholders,  beneficiaries or  other similar
persons  to  whom  they  may  distribute  Parent  Shares  through  a   dividend,
partnership  distribution  or  other  similar  distribution  (collectively,  the
"Distributees") to sell such Parent Shares.

    Section 7.10  CERTAIN BENEFITS.

    (a) From and after the Effective Time, subject to applicable law and  except
as  contemplated  hereby,  Parent and  the  Parent Subsidiaries  will  honor, in
accordance with their terms, all Company Plans; provided, however, that  nothing
herein  shall preclude any change effected on a prospective basis in any Company
Plan from and after the Effective Time. Parent and the Parent Subsidiaries  will
provide  benefits to employees  of the Company and  the Company Subsidiaries who
become employees of  Parent and the  Parent Subsidiaries or  continue after  the
Effective  Time as  employees of the  Company or the  Company Subsidiaries which
will, in  the aggregate,  be no  less  favorable than  those provided  to  other
similarly  situated employees of Parent and the Parent Subsidiaries from time to
time. With respect  to the Parent  Plans, Parent and  the Surviving  Corporation
shall  grant all employees of the Company  and the Company Subsidiaries from and
after the Effective Time credit for all service with the Company and the Company
Subsidiaries, their affiliates and predecessors prior to the Effective Time  for
all  purposes  for which  such service  was  recognized by  the Company  and the
Company Subsidiaries. To the extent the  Parent Plans provide medical or  dental
welfare   benefits  after  the  Effective  Time,  such  plans  shall  waive  any
pre-existing conditions and actively-at-work  exclusions and shall provide  that
any  expenses  incurred on  or before  the  Effective Time  shall be  taken into
account under deductible, coinsurance and maximum out-of-pocket provisions.

    (b) Parent agrees that  it will cause  the Company to  comply with the  WARN
Act, to the extent applicable to the Company and its subsidiaries, in connection
with actions taken after the Effective Time.

    (c)  The provisions of  this Section 7.10 shall  survive the consummation of
the Merger.

    Section 7.11  DIRECTORS OF PARENT.  Prior to the date of the mailing of  the
Information  Statement/ Prospectus, the Company shall nominate three persons who
are acceptable to  Parent in its  reasonable judgment to  serve as directors  of
Parent  in accordance with the policies for directors of Parent and Parent shall
take such action as is  necessary to cause such  persons to become directors  of
Parent effective as of the Effective Time.

    Section  7.12  SPECIAL DIVIDEND.  Notwithstanding anything contained in this
Merger Agreement to the contrary,  the Board of Directors  of the Company on  or
prior  to Closing shall declare a special  dividend of $.10 per share payable to
holders of Shares on or prior to  the Effective Time. Payment of such  dividend,
which  shall be  made by  the Company's  transfer agent  in accordance  with the
requirements of applicable law and  subject to the rules  of the New York  Stock
Exchange  and  the SEC,  may  be funded  from  the Company's  available  cash or
borrowings under the Company's Revolving Credit Agreement.

                                      A-27

    Section  7.13  ADDITIONAL  AGREEMENTS.  Subject to  the terms and conditions
herein provided, each of the parties hereto agrees to use all reasonable efforts
to take, or cause to be  taken, all action and to do,  or cause to be done,  all
things  necessary, proper or advisable under  applicable laws and regulations to
consummate and make effective the  transactions contemplated by this  Agreement,
including using all reasonable efforts to obtain all necessary waivers, consents
and  approvals in connection  with the Governmental  Requirements, to effect all
necessary registrations and filings  and to obtain  all necessary financing.  In
case  at any time  after the Effective  Time any further  action is necessary or
desirable to  carry out  the purposes  of this  Agreement, the  proper  officers
and/or  directors of Parent, Sub  and the Company shall  take all such necessary
action.

                                  ARTICLE VIII
                    CONDITIONS TO CONSUMMATION OF THE MERGER

    Section  8.1    CONDITIONS  TO   EACH  PARTY'S  OBLIGATION  TO  EFFECT   THE
MERGER.   The respective obligations of each party to effect the Merger shall be
subject to the satisfaction at or prior  to the Effective Time of the  following
conditions:

        (a)  Any waiting  period applicable  to the  consummation of  the Merger
    under the HSR Act shall have expired or been terminated, and no action shall
    have  been  instituted  by  the  Department  of  Justice  or  Federal  Trade
    Commission  challenging  or  seeking  to  enjoin  the  consummation  of this
    transaction, which action shall have not been withdrawn or terminated.

        (b) The Registration Statement shall have become effective in accordance
    with the provisions of the Securities  Act and no stop order suspending  the
    effectiveness  of  the  Registration Statement  shall  be in  effect  and no
    proceeding for such  purpose shall be  pending before or  threatened by  the
    SEC.

        (c)  This Agreement and the  transactions contemplated hereby shall have
    been approved and adopted by the  requisite vote of the stockholders of  the
    Company  respectively in accordance  with and subject  to applicable law and
    twenty (20)  business  days shall  have  passed  since the  mailing  of  the
    Information Statement/Prospectus to the Company's stockholders.

        (d)  No statute,  rule, regulation,  executive order,  decree, ruling or
    preliminary or  permanent  injunction  shall  have  been  enacted,  entered,
    promulgated  or  enforced  by any  federal  or state  court  or governmental
    authority which prohibits, restrains, enjoins or restricts the  consummation
    of the Merger.

        (e)  Each of  the Company and  Parent shall have  obtained such permits,
    authorizations,  consents,  or  approvals,  required  by  the   Governmental
    Requirements to consummate the transactions contemplated hereby.

    Section  8.2    CONDITIONS  TO  OBLIGATION  OF  THE  COMPANY  TO  EFFECT THE
MERGER.  The obligation of the Company to effect the Merger shall be subject  to
the  satisfaction at or prior to the  Effective Time of the following additional
conditions:

        (a) Each of Parent and Sub shall have performed in all material respects
    its obligations under this  Agreement required to be  performed by it at  or
    prior to the Effective Time and the representations and warranties of Parent
    and  Sub contained  in this  Agreement which  are qualified  with respect to
    materiality  shall  be  true   and  correct  in   all  respects,  and   such
    representations  and warranties that are not  so qualified shall be true and
    correct in  all material  respects, in  each case  as of  the date  of  this
    Agreement  and at and as of the Effective Time  as if made at and as of such
    time, except  as  contemplated  by  the Parent  Disclosure  Letter  or  this
    Agreement, and the Company shall have received a certificate of the Chairman
    of  the Board,  the President,  an Executive  Vice President,  a Senior Vice
    President or the Chief Financial Officer of Parent as to the satisfaction of
    this condition.

                                      A-28

        (b) The Company shall  have received a "comfort"  letter from KPMG  Peat
    Marwick,  L.L.P., Parent's independent accountants, dated the Effective Time
    and addressed to the Company, of  the kind contemplated by the Statement  on
    Auditing  Standards with respect  to Letters to  Underwriters promulgated by
    the  American  Institute  of   Certified  Public  Accountants  (the   "AICPA
    Statement"),  in form  reasonably acceptable  to the  Company, in connection
    with the procedures undertaken by KPMG Peat Marwick, L.L.P., with respect to
    the financial statements  of Parent included  in the Registration  Statement
    and  the other matters  contemplated by the  AICPA Statement and customarily
    included in comfort letters relating to transactions similar to the Merger.

        (c) From the date  of this Agreement through  the Effective Time,  there
    shall  not have  occurred any change  in the  financial condition, business,
    operations or prospects of  Parent and the Parent  Subsidiaries, taken as  a
    whole,  that  would have  or would  be  reasonably likely  to have  a Parent
    Material Adverse Effect, other than any such change that affects both Parent
    and the Company in a substantially similar manner.

        (d) The Company  shall have  received an  opinion from  Scott M.  Brown,
    Senior  Vice President,  Secretary and  General Counsel  of Parent,  or from
    Skadden, Arps, Slate, Meagher & Flom,  special counsel to Parent, dated  the
    Effective  Time, in substantially the form set forth as Exhibit C hereto. As
    to any matter  in such  opinion which involves  matters of  fact or  matters
    relating  to laws other  than federal securities  or Delaware corporate law,
    such counsel may  rely upon the  certificates of officers  and directors  of
    Parent  and  Sub and  of  public officials  and  opinions of  local counsel,
    reasonably acceptable to the Company.

        (e) The listing application referred to  in Section 7.4 shall have  been
    approved  by  the New  York Stock  Exchange  and the  registration statement
    referred to in Section 7.9 hereof shall have been declared effective and  no
    stop order shall have been issued with respect thereto.

    Section  8.3   CONDITIONS TO  OBLIGATIONS OF  PARENT AND  SUB TO  EFFECT THE
MERGER.  The obligations of Parent and Sub to effect the Merger shall be subject
to the  satisfaction  at  or  prior  to the  Effective  Time  of  the  following
additional conditions:

        (a)  The  Company  shall have  performed  in all  material  respects its
    obligations under this Agreement required to be performed by it at or  prior
    to  the Effective Time and the representations and warranties of the Company
    contained in this Agreement which are qualified with respect to  materiality
    shall  be true  and correct  in all  respects, and  such representations and
    warranties that  are not  so qualified  shall  be true  and correct  in  all
    material  respects, in each case as of the date of this Agreement and at and
    as of the  Effective Time  as if  made at  and as  of such  time, except  as
    contemplated  by the Company Disclosure Letter or this Agreement, and Parent
    and Sub shall have received a Certificate of the Chairman of the Board,  the
    President,  an Executive Vice President, Senior  Vice President or the Chief
    Financial Officer of the Company as to the satisfaction of this condition.

        (b) Parent and Sub shall have received a letter from Price Waterhouse  &
    Co.,  the Company's  independent accountants,  dated the  Effective Time and
    addressed to Parent and Sub,  in form and substance reasonably  satisfactory
    to  Parent in connection with the procedures undertaken by them with respect
    to the financial statements and  other financial information of the  Company
    and the Company Subsidiaries contained in the Registration Statement and the
    other  matters contemplated  by the AICPA  Statement No.  72 and customarily
    included in comfort letters relating to transactions similar to the Merger.

        (c) Parent  and  Sub shall  have  received  an opinion  from  Thomas  J.
    Sabatino,  Jr.,  General  Counsel of  the  Company,  or from  Neal  Gerber &
    Eisenberg, special  counsel to  the Company,  dated the  Effective Time,  in
    substantially  the form set forth  as Exhibit D hereto.  As to any matter in
    such opinion which  involves matters  of fact  or matters  relating to  laws
    other than federal

                                      A-29

    securities  or  Delaware  corporate  law, such  counsel  may  rely  upon the
    certificates of  officers  and  directors  of  the  Company  and  of  public
    officials and opinions of local counsel, reasonably acceptable to Parent and
    Sub.

        (d)  From the  date of the  Agreement through the  Effective Time, there
    should not have occurred  any change in  the financial condition,  business,
    operations or prospects of the Company and the Company's Subsidiaries, taken
    as  a whole, that would have or would be reasonably likely to have a Company
    Material Adverse Effect, other  than any such change  that affects both  the
    Company and Parent in a substantially similar manner.

                                   ARTICLE IX
                       TERMINATION, AMENDMENT AND WAIVER

    Section  9.1    TERMINATION  BY  MUTUAL  CONSENT.    This  Agreement  may be
terminated at any  time prior  to the Effective  Time, whether  before or  after
approval  by the stockholders of the Company by mutual written consent of Parent
and the Company.

    Section 9.2  TERMINATION  BY EITHER PARENT OR  THE COMPANY.  This  Agreement
may  be terminated  and the Merger  may be abandoned  by action of  the Board of
Directors of either Parent or the Company if (a) the Merger shall not have  been
consummated  on or before May 31, 1995, or  (b) a United States federal or state
court of competent jurisdiction or United States federal or state  governmental,
regulatory  or administrative agency  or commission shall  have issued an order,
decree or ruling or taken any other action permanently restraining, enjoining or
otherwise prohibiting the transactions contemplated  by this Agreement and  such
order,   decree,  ruling   or  other   action  shall   have  become   final  and
non-appealable; provided, that  the party  seeking to  terminate this  Agreement
pursuant  to this clause  (b) shall have  used all reasonable  efforts to remove
such injunction, order or decree.

    Section 9.3  TERMINATION BY THE  COMPANY.  This Agreement may be  terminated
and  the Merger may be abandoned at any time prior to the Effective Time, before
or after the adoption and approval  by the stockholders of the Company  referred
to in Section 7.5(b), by action of the Board of Directors of the Company, if (a)
in  the exercise of  its good faith judgment  as to its  fiduciary duties to its
stockholders imposed by law,  the Board of Directors  of the Company  determines
that  such termination is  required by reason of  an Acquisition Proposal having
been made  to it,  or (b)  there has  been  a breach  by Parent  or Sub  of  any
representation or warranty contained in this Agreement which would have or would
be  likely to  have a Parent  Material Adverse Effect,  or (c) there  has been a
material breach  of  any  of the  covenants  or  agreements set  forth  in  this
Agreement  on the part of Parent, which breach is not curable or, if curable, is
not cured within thirty (30) days after  written notice of such breach is  given
by the Company to Parent or (d) Parent shall have been unable to obtain prior to
the  Effective Time  financing to provide  for consummation of  the Merger other
than as a result of  a material breach by the  Company of any representation  or
warranty  contained  in this  Agreement,  the nonsatisfaction  of  the condition
contained in Section  8.3(d) or a  material breach  of any of  the covenants  or
agreements set forth in this Agreement on the part of the Company.

    Section  9.4  TERMINATION BY  PARENT.  This Agreement  may be terminated and
the Merger may be abandoned at any time prior to the Effective Time by action of
the Board of Directors of Parent, if (a) there has been a breach by the  Company
of  any representation or warranty contained  in this Agreement which would have
or would be reasonably likely to have a Company Material Adverse Effect, or  (b)
there has been a material breach of any of the covenants or agreements set forth
in this Agreement on the part of the Company, which breach is not curable or, if
curable,  is not  cured within  thirty (30)  days after  written notice  of such
breach is given by Parent to the Company.

    Section 9.5  EFFECT OF TERMINATION AND ABANDONMENT.

    (a) (i)  If this  Agreement is  terminated by  (A) the  Company pursuant  to
Sections  9.3(b) through  9.3(d), then  in any such  event the  Company shall be
entitled to receive from Parent the Termination Fee, and (ii) if this  Agreement
is  terminated  by  (A)  Parent  pursuant  to  Sections  9.4(a)  and  9.4(b), or

                                      A-30

(B) by the Company  pursuant to Section  9.3(a), then in  any such event  Parent
shall  be entitled to receive from the  Company the Termination Fee, provided in
the case of a termination by the Company pursuant to Section 9.3(a) hereof,  the
Termination  Fee shall  be reduced  by the  amount of  any payments  received by
Parent under the Stockholder Voting and Profit Sharing Agreements. If Parent has
received payment under the Stockholder Voting and Profit Sharing Agreement,  the
Company agrees to promptly reimburse in full the persons making such payments to
Parent, but in any event such reimbursement shall not exceed $75,000,000.

    (b)  Within three business days following any termination event described in
Section 9.5(a)  above,  the  party entitled  to  compensation  thereunder  shall
receive  a payment  in the  amount of $75,000,000  (less any  amount received by
Parent under the  Stockholder Voting  and Profit  Sharing Agreement  as of  such
date)  in the event this  Agreement is terminated pursuant  to Section 9.3(a) or
$150,000,000 in the  event this Agreement  is terminated pursuant  to any  other
termination event described in Section 9.5(a) above (the "Termination Fee") from
the  party whose action or  failure to take action shall  have given rise to the
right to such payment, it being understood and agreed by the parties hereto that
the Termination Fee is intended to constitute liquidated damages, except in  the
case  of fraud or  a deliberate and wilful  breach by a  party hereto, since the
actual amount  of damages  which would  be sustained  by a  non-breaching  party
hereunder  as a result of  such termination is difficult,  if not impossible, of
ascertainment and that the agreement of  the parties with regard to the  payment
of  the foregoing sum  as liquidated damages  represents a good  faith effort by
each of the parties to establish the reasonable amount of restitution  necessary
to  provide for recovery  of all costs  and expenses associated  with efforts to
consummate the Merger, including, without limitation, opportunity costs.

    (c) In the event of termination of the Agreement and the abandonment of  the
Merger  pursuant  to  this Article  IX,  all  obligations of  the  parties shall
terminate, except the obligations  of the parties pursuant  to this Section  9.5
and  except for the  provisions of Sections  4.20, 5.21, 10.4  and 10.6, and the
last sentence of Section 7.1 hereof.

                                   ARTICLE X
                               GENERAL PROVISIONS

    Section 10.1  SURVIVAL  OF REPRESENTATIONS, WARRANTIES  AND AGREEMENTS.   No
representations  or warranties in this Agreement  or in any instrument delivered
pursuant to this Agreement shall survive beyond the Effective Time. This Section
10.1 shall not limit any covenant or agreement after the Effective Time.

    Section  10.2     NOTICES.     All  notices,  claims,   demands  and   other
communications  hereunder shall be in writing and shall be deemed given upon (a)
confirmation of receipt of a facsimile transmission, (b) confirmed delivery by a
standard overnight carrier or  when delivered by hand  or (c) the expiration  of
five  business days after  the day when  mailed by registered  or certified mail
(postage prepaid, return receipt requested), addressed to the respective parties
at the  following addresses  (or such  other address  for a  party as  shall  be
specified by like notice):

    (a) If to Parent or Sub, to:
      National Medical Enterprises, Inc.
      2700 Colorado Boulevard
      Santa Monica, California 90404
      Attention: General Counsel
      with a copy to:
      Skadden, Arps, Slate, Meagher & Flom
      300 South Grand Avenue, Suite 3400
      Los Angeles, California 90071
      Attention: Brian J. McCarthy

                                      A-31

    (b) if to the Company, to:
American Medical Holdings, Inc.
      14001 Dallas Parkway
      Dallas, Texas 75240
      Attention: General Counsel
      with a copy to:
      Neal, Gerber & Eisenberg
      Two LaSalle Street
      Chicago, Illinois 60602
      Attention: Charles Gerber

    Section  10.3    DESCRIPTIVE  HEADINGS.    The  headings  contained  in this
Agreement are for reference purposes  only and shall not  affect in any way  the
meaning or interpretation of this Agreement.

    Section  10.4  ENTIRE AGREEMENT; ASSIGNMENT.   This Agreement (including the
Exhibits,  Parent  Disclosure  Letter,  Company  Disclosure  Letter  and   other
documents  and  instruments  referred  to  herein)  (a)  constitutes  the entire
agreement and supersedes  all other prior  agreements and understandings  (other
than  that certain  confidentiality letter  agreement between  the parties dated
June 2, 1994, as thereafter supplemented by letter dated August 25, 1994,  which
are  hereby incorporated by  reference herein), both written  and oral among the
parties or any of  them, with respect to  the subject matter hereof,  including,
without  limitation, any transaction between or among the parties hereto; (b) is
not intended to confer upon any  other person any rights or remedies  hereunder;
and  (c) shall not be  assigned by operation of  law or otherwise, provided that
Parent or Sub may  assign its rights  and obligations hereunder  to a direct  or
indirect  subsidiary of Parent,  but no such assignment  shall relieve Parent or
Sub, as the case may be, of its obligations hereunder.

    Section 10.5   GOVERNING  LAW.   This  Agreement shall  be governed  by  and
construed  in accordance with the  laws of the State  of Delaware without giving
effect to the provisions thereof relating to conflicts of law.

    Section 10.6  EXPENSES.  Whether or not the Merger is consummated, all costs
and expenses incurred  in connection  with this Agreement  and the  transactions
contemplated  hereby  and thereby  shall  be paid  by  the party  incurring such
expenses, except that those  expenses incurred in  connection with printing  the
Information  Statement/Prospectus, as  well as  the filing  fee relating  to the
Registration Statement, will be shared equally by Parent and the Company.

    Section 10.7  AMENDMENT.  This Agreement  may be amended by action taken  by
Parent,  Sub and the Company at any time  before or after approval hereof by the
stockholders of the Company, but, after any such approval, no amendment shall be
made which  alters the  Merger  Consideration or  which  in any  way  materially
adversely  affects the rights of such stockholders, without the further approval
of such stockholders. This Agreement may not be amended except by an  instrument
in writing signed on behalf of each of the parties hereto.

    Section  10.8  WAIVER.  At any time prior to the Effective Time, the parties
hereto may (a) extend the time for the performance of any of the obligations  or
other  acts  of the  other parties  hereto,  (b) waive  any inaccuracies  in the
representations and warranties  contained herein  or in  any document  delivered
pursuant  hereto  and  (c)  waive  compliance  with  any  of  the  agreements or
conditions contained herein. Any agreement on the part of a party hereto to  any
such  extension or waiver shall  be valid only if set  forth in an instrument in
writing signed on behalf of such party.

    Section 10.9  COUNTERPARTS; EFFECTIVENESS.   This Agreement may be  executed
in two or more counterparts, each of which shall be deemed to be an original but
all  of which shall constitute one and  the same agreement. This Agreement shall
become effective with each party hereto shall have received counterparts thereof
signed by all of the other parties hereto.

    Section 10.10    SEVERABILITY;  VALIDITY;  PARTIES  IN  INTEREST.    If  any
provision  of  this  Agreement, or  the  application  thereof to  any  person or
circumstance   is   held   invalid   or   unenforceable,   the   remainder    of

                                      A-32

this  Agreement,  and the  application  of such  provision  to other  persons or
circumstances, shall not be affected thereby, and to such end, the provisions of
this Agreement are agreed to be severable. Except as provided in Section 7.8 and
the last sentence of Section 9.5(a)  hereof, nothing in this Agreement,  express
or  implied, is intended to confer upon  any other person any rights or remedies
of any nature whatsoever under or by reason of this Agreement.

    Section 10.11   ENFORCEMENT OF  AGREEMENT.   The parties  hereto agree  that
irreparable  damage would occur in the event  that any of the provisions of this
Agreement was  not  performed in  accordance  with  its specific  terms  or  was
otherwise  breached. It is accordingly agreed that the parties shall be entitled
to an injunction  or injunctions to  prevent breaches of  this Agreement and  to
enforce specifically the terms and provisions hereof in any Delaware Court, this
being  in addition to any other  remedy to which they are  entitled at law or in
equity.

    IN WITNESS WHEREFORE, each  of Parent, Sub and  the Company has caused  this
Agreement  to  be executed  on its  behalf  by its  officers thereunder  to duly
authorized, all as of the date first above written.

                                          NATIONAL MEDICAL ENTERPRISES, INC.

                                          By: /s/ JEFFREY BARBAKOW

                                             -----------------------------------
                                              Name: Jeffrey Barbakow
                                             Title: Chairman and Chief Executive
                                              Officer

                                          AMH ACQUISITION CO.

                                          By: /s/ JEFFREY BARBAKOW

                                             -----------------------------------
                                              Name: Jeffrey Barbakow
                                             Title: Chairman and Chief Executive
                                              Officer

                                          AMERICAN MEDICAL HOLDINGS, INC.

                                          By: /s/ ROBERT W. O'LEARY

                                             -----------------------------------
                                              Name: Robert W. O'Leary
                                             Title: Chairman and Chief Executive
                                              Officer

                                      A-33

                                                                       EXHIBIT A

                STOCKHOLDER VOTING AND PROFIT SHARING AGREEMENT

    THIS  STOCKHOLDER VOTING AND PROFIT  SHARING AGREEMENT (this "Agreement") is
made and  entered into  as of  this  10th day  of October,  1994, by  and  among
National  Medical Enterprises, Inc.  a Nevada corporation  ("Acquiror"), and the
stockholder named  on the  signature page  hereto ("Stockholder").  On the  date
hereof  the Stockholder Beneficially  Owns (as defined  in Section 13(a) hereof)
the shares of common stock, par value $.01 per share (the "Company Shares"),  of
American  Medical Holdings, Inc., a  Delaware corporation ("Company"), set forth
next to the Stockholder's name on the signature page hereto.

    WHEREAS, Acquiror and the Company concurrently herewith are entering into an
Agreement and  Plan  of  Merger,  dated  as of  the  date  hereof  (the  "Merger
Agreement"),  providing for, among other things,  the merger (the "Merger") of a
wholly owned subsidiary of Acquiror with  and into the Company with the  Company
as the surviving corporation; and

    WHEREAS,  as an inducement to Acquiror's  execution of the Merger Agreement,
Acquiror has  requested that  the  Stockholder agree,  and the  Stockholder  has
agreed,  to grant  to Acquiror  certain rights (i)  to receive  payment from the
Stockholder in the event  that an Alternate Transaction  (as defined in  Section
1(a)  hereof) is consummated; and  (ii) to vote (or  consent with regard to) all
Company Shares as to which the Stockholder has voting power as provided herein.

    NOW, THEREFORE, in  consideration of the  premises and the  representations,
warranties,  covenants  and  agreements  contained  herein  and  in  the  Merger
Agreement, and  for  other good  and  valuable consideration,  the  receipt  and
sufficiency of which is hereby acknowledged, the parties hereto, intending to be
legally bound hereby, agree as follows:

    1.  PAYMENTS TO ACQUIROR UPON CERTAIN EVENTS.

    (a)  ALTERNATE TRANSACTION PAYMENT.

        (i)  If a person  other than Acquiror  or its Affiliates  (as defined in
    Section 13(c) hereof) (an "Acquiring Person"):

           (A) acquires Beneficial Ownership  of any or  all of the  Stockholder
       Shares (as hereinafter defined); or

           (B) consummates a merger, consolidation or other business combination
       with, or purchases all or substantially all of the assets of, the Company
       (each transaction specified in the foregoing clause (A) or in this clause
       (B),  an "Alternate Transaction"), the  Stockholder shall pay to Acquiror
       an amount (the "Alternate Transaction  Payment") equal to the product  of
       (x)  the  excess  of  the  Alternate  Transaction  Price  (as hereinafter
       defined), over $25.88,  or, if the  Alternate Transaction is  consummated
       after  March 31, 1995, $26.13 (the "Base  Price") times (y) the number of
       Stockholder Shares, if any, sold or transferred by the Stockholder to  an
       Acquiring  Person or received by a  Stockholder by virtue of an Alternate
       Transaction which is consummated, or  with respect to which an  agreement
       is  entered into, on or prior to June 30, 1995 (the "Outside Date"). Such
       payment shall  be made  promptly following  the transfer  of  Stockholder
       Shares  to an Acquiring  Person. In the event  that the consideration for
       the Stockholder Shares  consists in whole  or in part  of property  other
       than  cash, the Alternate Transaction Payment shall be made by delivering
       to the Acquiror a percentage of each type of property received determined
       by dividing the amount of the Alternate Transaction Payment (expressed on
       a per share basis) by the Alternate Transaction Price.

        (ii) "Alternate  Transaction  Price" shall  mean,  with respect  to  any
    Stockholder  Shares, the price per share  paid by any Acquiring Person after
    the date  hereof  for  such  Stockholder  Shares  which  shall  include,  if
    applicable, the fair market value of securities or other property other than

                                      A-34

    cash  exchanged for Stockholder Shares or received for the Company's assets,
    calculated as a  per share price,  as determined by  the investment  banking
    firm retained by the Company to evaluate such proposal.

       (iii) "Stockholder Shares" shall mean the Shares of Company capital stock
    (including without limitation the Company Shares) Beneficially Owned by such
    Stockholder as of the date hereof.

       (iv) For purposes of determining whether an Alternate Transaction exists,
    an  Acquiring Person shall be deemed to have acquired "Beneficial Ownership"
    of any Stockholder Shares (x) which such person or any of its Affiliates  or
    Associates  (as defined in Section 13(c) hereof) Beneficially Owns, directly
    or indirectly; (y) which such person or any of its Affiliates or  Associates
    has,  directly or indirectly (A) the right to acquire (whether such right is
    exercisable immediately or subject only to the passage of time), pursuant to
    any agreement,  arrangement,  or  understanding  or  upon  the  exercise  of
    conversion  rights, exchange rights,  warrants or options,  or otherwise, or
    (B)  the  right  to   vote  pursuant  to   any  agreement,  arrangement   or
    understanding;  or (z) which are Beneficially Owned, directly or indirectly,
    by any other  person with  which such  person or  any of  its Affiliates  or
    Associates  has any agreement, arrangement  or understanding for the purpose
    of acquiring, holding, voting or disposing of any Company Shares (other than
    the Company Shares owned  by other persons that  are parties to the  Amended
    and  Restated Stockholder  Agreement, dated as  of July 30,  1991, among the
    Stockholder, the Company  and certain other  stockholders (the  "Stockholder
    Agreement").

    (b)  ADJUSTMENT UPON CERTAIN CHANGES IN CAPITALIZATION.  In the event of any
change  in  the Company  Shares  by reason  of  a stock  dividend,  stock split,
split-up,  recapitalization,  combination,   exchange  of   shares  or   similar
transaction,  the  type  and  number of  shares  or  securities  that constitute
Stockholder Shares hereunder,  and the  Base Price therefor,  shall be  adjusted
appropriately.

    2.  VOTING RIGHTS.

    (a)    VOTING AGREEMENT.   The  Stockholder agrees  to vote  all Stockholder
Shares on matters as to which the  Stockholder is entitled to vote at a  meeting
of the Stockholders of the Company, or by written consent without a meeting with
respect  to all  Stockholder Shares  as follows:  (i) in  favor of  approval and
adoption of  the Merger  Agreement and  all related  matters; (ii)  against  any
action or agreement that would result in a breach in any material respect of any
covenant, representation or warranty or any other obligation or agreement of the
Company  under the Merger  Agreement; and (iii) against  any action or agreement
(other than the Merger Agreement or the transactions contemplated thereby)  that
would  impede,  interfere with,  delay, postpone  or  attempt to  discourage the
Merger.

    (b)  GRANT OF  PROXY.  The Stockholder  hereby appoints Acquiror, with  full
power  of substitution (Acquiror and its substitutes being referred to herein as
the "Proxy"), as attorneys and proxies to vote all Stockholder Shares on matters
as to which Stockholder is entitled to vote at a meeting of the stockholders  of
the  Company or  to which  they are  entitled to  express consent  or dissent to
corporate action in writing without a meeting, in the Proxy's absolute, sole and
binding  discretion  on  the  matters  specified  in  Section  2(a)  above.  The
Stockholder agrees that the Proxy may, in such Stockholder's name and stead, (i)
attend any annual or special meeting of the stockholders of the Company and vote
all  Stockholder Shares at any such annual  or special meeting as to the matters
specified  in  Section  2(a)  above,  and  (ii)  execute  with  respect  to  all
Stockholder  Shares any  written consent to,  or dissent  from, corporate action
respecting any matter specified in Section 2(a) above. The Stockholder agrees to
refrain from (A) voting at any annual or special meeting of the stockholders  of
the  Company, (B)  executing any  written consent  in lieu  of a  meeting of the
stockholders of the Company, (C) exercising  any rights of dissent with  respect
to  the Stockholder Shares, and  (D) granting any proxy  or authorization to any
person with respect to the voting of the Stockholder Shares, except pursuant  to
this  Agreement, or taking any action contrary  to or in any manner inconsistent
with the terms  of this  Agreement. The Stockholder  agrees that  this grant  of
proxy is irrevocable and coupled with an

                                      A-35

interest  and agrees that the person designated  as Proxy pursuant hereto may at
any time name any other person as its substituted Proxy to act pursuant  hereto,
either  as to  a specific matter  or as  to all matters.  The Stockholder hereby
revokes any  proxy previously  granted by  it with  respect to  its  Stockholder
Shares  as to the  matters specified in  Section 2(a) above.  In discharging its
powers under  this Agreement,  the Proxy  may  rely upon  advice of  counsel  to
Acquiror,  and any vote made or action taken  by the Proxy in reliance upon such
advice of counsel shall be deemed to have been made in good faith by the Proxy.

    3.   DIVIDENDS.   The  Stockholder agrees  that if  a  record date  for  any
dividend  or distribution  to be  paid (whether  in cash  or property, including
without limitation securities) on the Stockholder Shares occurs during the  term
hereof (other than the cash dividend of $.10 per share permitted by Section 7.12
of  the  Merger Agreement),  Acquiror and  the Stockholder  shall enter  into an
escrow arrangement  pursuant  to which  any  payment  of any  such  dividend  or
distribution  shall  be  held  in escrow.  Upon  consummation  of  any Alternate
Transaction, such dividend or distribution made on such Stockholder Shares shall
be delivered to Acquiror together with the Alternate Transaction Payment.

    4.  TERMINATION.

    (a) This Agreement  shall terminate  upon the earlier  to occur  of (i)  the
Outside  Date,  PROVIDED, that,  if the  Merger Agreement  is terminated  by the
Company in accordance with  Section 9.3(b), (c) or  (d) thereof, this  Agreement
shall  terminate  on  the  effective  date of  such  termination  of  the Merger
Agreement; (ii)  the  Effective  Time  of  the  Merger;  and  (iii)  immediately
following  the  making  of  an  Alternate Transaction  Payment  for  all  of the
Stockholder Shares; PROVIDED, that, in the  case of any termination pursuant  to
clause (i), this Agreement shall continue with respect to all Stockholder Shares
with  respect to which  an agreement is  entered into prior  to such termination
until payment of the  Alternate Transaction Payment for  such shares is made  or
such agreement is terminated.

    (b)  Upon termination, this Agreement shall have no further force or effect,
except for  Section 9  which shall  continue to  apply to  any case,  action  or
proceeding relating to the enforcement of this Agreement.

    5.   REPRESENTATIONS AND WARRANTIES OF  STOCKHOLDER.  The Stockholder hereby
represents and warrants to Acquiror as follows:

    (a)  DUE  AUTHORIZATION.   The Stockholder has  the legal  capacity and  all
necessary  corporate, partnership and  trust power and  authority to execute and
deliver this Agreement and to  consummate the transactions contemplated  hereby.
The  Stockholder Beneficially Owns  all of the Stockholder  Shares listed on the
signature page hereof  and specified  as so owned  with no  restrictions on  the
voting  rights or rights of disposition  pertaining thereto, except as set forth
in the Stockholder Agreement, which  constitute all Company Shares  Beneficially
Owned  by such  Stockholder. Assuming this  Agreement has been  duly and validly
authorized, executed and  delivered by  Acquiror, this  Agreement constitutes  a
valid  and binding agreement of the  Stockholder, enforceable in accordance with
its terms, except as  enforceability may be  limited by bankruptcy,  insolvency,
moratorium or other similar laws affecting creditors' rights generally or by the
principles governing the availability of equitable remedies.

    (b)  NO CONFLICTS.  Neither the execution and delivery of this Agreement nor
the consummation by the Stockholder of the transactions contemplated hereby will
conflict  with  or constitute  a  violation of  or  default under  any contract,
commitment, agreement,  arrangement or  restriction  of any  kind to  which  the
Stockholder is a party or by which the Stockholder is bound.

    6.   REPRESENTATIONS AND WARRANTIES OF ACQUIROR.  Acquiror hereby represents
and warrants to the Stockholder as follows:

    (a)  DUE  AUTHORIZATION.   Acquiror has  the requisite  corporate power  and
authority to enter into and perform this Agreement. This Agreement has been duly
authorized  by all necessary  corporate action on  the part of  Acquiror and has
been   duly   executed   by   a    duly   authorized   officer   of    Acquiror.

                                      A-36

Assuming  this Agreement has been duly and validly executed and delivered by the
Stockholder, this  Agreement  constitutes  a  valid  and  binding  agreement  of
Acquiror,  enforceable  against  it  in accordance  with  its  terms,  except as
enforceability may be  limited by  bankruptcy, insolvency,  moratorium or  other
similar  laws  affecting  creditors'  rights  generally  or  by  the  principles
governing the availability of equitable remedies.

    7.  NO TRANSFER.

    (a) The  Stockholder hereby  agrees, without  the prior  written consent  of
Acquiror,  except  pursuant to  the  terms hereof,  not  to (i)  sell, transfer,
assign, pledge or  otherwise dispose of  or hypothecate any  of its  Stockholder
Shares;  (ii) grant  any proxies, deposit  any Stockholder Shares  into a voting
trust or enter into a voting agreement with respect to any Stockholder Shares as
to any matter specified  in Section 2(a);  or (iii) take  any action that  would
make  any representation or warranty of  the Stockholder contained herein untrue
or incorrect  in  any material  respect  or have  the  effect of  preventing  or
disabling  the Stockholder from performing its obligations under this Agreement.
Any permitted  transferee of  Stockholder Shares  must become  a party  to  this
Agreement and any purported transfer of Stockholder Shares to a person or entity
that has not become a party hereto shall be null and void.

    (b)  Until the earlier of the Outside Date and the termination of the Merger
Agreement in accordance with its terms, the Stockholder will not, and will cause
its officers, directors, employees  and agents not  to, directly or  indirectly,
(i)  take any action to solicit,  initiate or encourage any Acquisition Proposal
(as defined in the  Merger Agreement), or (ii)  engage in negotiations with,  or
disclose  any nonpublic information relating to the Company or its subsidiaries,
or afford access to their respective properties, books or records to, any person
that may  be considering  making,  or has  made,  an Acquisition  Proposal  (but
nothing  in this Section  7(b) shall prohibit  any such person,  solely in their
capacity as a director of the Company, from participating in deliberations at  a
meeting  of the board of directors of the  Company or voting with respect to any
Acquisition Proposal, provided,  that no  representatives of  any person  making
such Acquisition Proposal are present).

    8.    ENTIRE  AGREEMENT.    This  Agreement  (including  the  documents  and
instruments referred to herein) (a)  constitutes the entire agreement among  the
parties  hereto with  respect to  the subject  matter hereof  and supersedes all
other prior  agreements and  understandings, both  written and  oral, among  the
parties,  or any of them,  with respect to the  subject matter hereof; (b) shall
not be  assigned by  operation of  law or  otherwise without  the prior  written
consent  of the other  parties hereto, except  that Acquiror may  assign, in its
sole discretion, all or any of  its rights, interests and obligations  hereunder
to  any direct or indirect wholly owned subsidiary of Acquiror; (c) shall not be
amended, altered  or modified  in any  manner whatsoever,  except by  a  written
instrument  executed by  the parties  hereto; and (d)  shall be  governed in all
respects, including  validity, interpretation  and effect,  by the  laws of  the
State  of Delaware (without giving effect  to the provisions thereof relating to
conflicts of law).

    9.  REMEDIES.  The  parties acknowledge that it  would be impossible to  fix
money  damages for  violations of this  Agreement and that  such violations will
cause irreparable injury for which adequate remedy at law is not available  and,
therefore, this Agreement must be enforced by specific performance or injunctive
relief.  The parties hereto  agree that any  party may, in  its sole discretion,
apply to  any  court  of  competent jurisdiction  for  specific  performance  or
injunctive  or such other relief as such court may deem just and proper in order
to enforce this  Agreement or prevent  any violation hereof  and, to the  extent
permitted  by applicable law, each party waives  any objection or defense to the
imposition of such  relief. Nothing herein  shall be construed  to prohibit  any
party from bringing any action for damages in addition to an action for specific
performance or an injunction for a breach of this Agreement.

                                      A-37

    10.   LEGENDS  ON CERTIFICATES.   Until  such time  as this  Agreement shall
terminate  pursuant  to   Section  4  hereof,   all  certificates   representing
Stockholder Shares shall bear the following legend:

        THE SHARES REPRESENTED BY THIS CERTIFICATE ARE SUBJECT TO THE TERMS OF A
    STOCKHOLDER  VOTING AND  PROFIT SHARING AGREEMENT,  DATED AS  OF OCTOBER 10,
    1994, BY AND BETWEEN NATIONAL MEDICAL ENTERPRISES, INC. AND THE STOCKHOLDER.
    ANY TRANSFEREE OF THESE SHARES TAKES SUBJECT TO THE TERMS OF SUCH AGREEMENT,
    COPIES OF WHICH  ARE ON FILE  AT THE OFFICES  OF AMERICAN MEDICAL  HOLDINGS,
    INC., 14001 DALLAS PARKWAY, SUITE 200, DALLAS, TEXAS 76380.

    11.  PARTIES IN INTEREST.  Subject to the provisions of Section 8(b) hereof,
this  Agreement  shall  be binding  upon  and inure  to  the benefit  of  and be
enforceable by the  parties hereto  and their  respective successors,  permitted
assigns,  heirs, executors, administrators and  other legal representatives, and
nothing in this Agreement,  express or implied, is  intended to confer upon  any
other  person any rights or remedies of any nature whatsoever under or by reason
of this Agreement.

    12.   COUNTERPARTS.    This  Agreement  may  be  executed  in  two  or  more
counterparts,  each of which shall be deemed to be an original, but all of which
shall constitute one and the same agreement.

    13.   DEFINITIONS.   Unless the  context otherwise  requires, the  following
terms shall have the following respective meanings:

    (a)  "Beneficial Owner" has the meaning set forth in Rule 13d-3 of the Rules
and Regulations to the Exchange Act, and "Beneficially Owned" and  "Beneficially
Owns"  shall have correlative meanings; PROVIDED,  HOWEVER, that for purposes of
this Agreement a person shall  be deemed to be  the Beneficial Owner of  Company
Shares that may be acquired pursuant to the exercise of an option or other right
regardless of when such option is exercisable.

    (b)  "person" means a corporation,  association, partnership, joint venture,
organization, business, individual, trust, estate  or any other entity or  group
(within the meaning of Section 13(d)(3) of the Exchange Act).

    (c)  The  terms  "Affiliates"  and  "Associate"  shall  have  the respective
meanings ascribed to  such terms in  Rule 12b-2  under the Exchange  Act, as  in
effect  on the date hereof (the term  "registrant" in said Rule 12b-2 meaning in
this case the Company).

    14.  NOTICES.   All notices and other  communications hereunder shall be  in
writing  and shall be deemed given if delivered personally, telecopied (which is
confirmed) or mailed by registered or certified mail (return receipt  requested)
to  the parties at the following addresses (or at such other address for a party
as shall be specified by like notice):

    (a) If to Acquiror to:
    National Medical Enterprises, Inc.
    2700 Colorado Boulevard
    Santa Monica, California 90404
    Attention: General Counsel
    with a copy to:
    Skadden, Arps, Slate, Meagher & Flom
    300 South Grand Avenue, Suite 3400
    Los Angeles, California 90071
    Telecopy No. (213) 687-5600
    Attention: Thomas C. Janson, Jr.

    (b) If to the Stockholder, to the  address set forth on the signature  page,
hereto.

                                      A-38

    15.    INTERPRETATION.   The headings  contained in  this Agreement  are for
reference purposes  only  and  shall  not  affect in  any  way  the  meaning  or
interpretation  of this Agreement.  Whenever the words  "include," "includes" or
"including" are used in this Agreement, they  shall be deemed to be followed  by
the words "without limitation."

    16.  SEVERABILITY.  Any term or provision of this Agreement which is invalid
or  unenforceable  in  any  jurisdiction  shall,  as  to  that  jurisdiction, be
ineffective to  the  extent  of  such  invalidity  or  unenforceability  without
rendering  invalid or unenforceable  the remaining terms  and provisions of this
Agreement or affecting  the validity or  enforceability of any  of the terms  or
provisions of this Agreement in any other jurisdiction. If any provision of this
Agreement is so broad as to be unenforceable, the provision shall be interpreted
to be only so broad as is enforceable.

    17.   FURTHER  ASSURANCES.   The Stockholder  further agrees  to execute all
additional writings, consents and authorizations as may be reasonably  requested
by Acquiror to evidence the agreements herein or the powers granted to the Proxy
hereby or to enable the Proxy to exercise those powers.

    18.   GOVERNING LAW.   This Agreement shall be  governed by and construed in
accordance with  the  laws  of the  State  of  Delaware without  regard  to  the
principles of conflicts of laws thereof.

    IN  WITNESS WHEREOF, the  parties hereto have executed  this Agreement as of
the date first above written.

                                          NATIONAL MEDICAL ENTERPRISES, INC.
                                          By

                                             -----------------------------------
                                             Name:
                                             Title:

                                          STOCKHOLDER:

                                          By

                                             -----------------------------------
                                             Name:
                                             Title:

                                          No. of Shares Beneficially Owned:

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

                                          Address for Notices:

                                          [                                    ]

                                      A-39

                                                                       EXHIBIT B

                         REGISTRATION RIGHTS AGREEMENT

    This  REGISTRATION RIGHTS  AGREEMENT (the  "Agreement") is  made and entered
into as of October   , 1994, by and among National Medical Enterprises, Inc.,  a
Nevada  corporation  (together with  its permitted  successors and  assigns, the
"Company"), and the persons  whose signatures appear on  the execution pages  of
this Agreement (the "Stockholders").

    This  Agreement is made pursuant to the  Agreement and Plan of Merger by and
among the Company, AMH Acquisition Co. and American Medical Holdings, Inc. dated
as of  October  10,  1994  (the  "Merger  Agreement"),  pursuant  to  which  the
Stockholders  will  receive shares  of Common  Stock (as  defined below)  of the
Company.

    The parties hereto,  for good  and valuable consideration,  the receipt  and
sufficiency of which is hereby acknowledged, intending to be bound hereby, agree
as follows:

    1.  DEFINITIONS.

    As  used in  this Agreement,  the following  terms shall  have the following
meanings:

    ADVICE: See Section 4 hereof.

    AFFILIATE means,  with respect  to any  specified person,  any other  person
directly  or indirectly controlling or controlled by or under direct or indirect
common control with such specified person. For the purposes of this  definition,
"control"  when used  with respect  to any specified  person means  the power to
direct the  management and  policies  of such  person, directly  or  indirectly,
whether  through the ownership  of voting securities,  by contract or otherwise;
and the terms "CONTROLLING"  and "CONTROLLED" have  meanings correlative to  the
foregoing.

    BUSINESS  DAY means  any day  that is not  a Saturday,  a Sunday  or a legal
holiday on which banking institutions in the State of New York are not  required
to be open.

    COMMON  STOCK means  the Common  Stock, par  value $.075  per share,  of the
Company, or any other  shares of capital  stock of the  Company into which  such
stock  shall be reclassified or  changed (by operation of  law or otherwise). If
the Common Stock has been so reclassified  or changed, or if the Company pays  a
dividend or makes a distribution on its Common Stock in shares of capital stock,
or  subdivides  (or combines)  its  outstanding shares  of  Common Stock  into a
greater (or smaller) number of shares of  Common Stock, a share of Common  Stock
shall be deemed to be such number of shares of capital stock and amount of other
securities  to which a holder of a share of Common Stock outstanding immediately
prior to such reclassification, exchange, dividend, distribution, subdivision or
combination would be entitled.

    DELAY PERIOD: See Section 2(b) hereof.

    DISTRIBUTEE: See Section 6.4 hereof.

    EFFECTIVENESS PERIOD: See Section 2(b) hereof.

    EXCHANGE ACT means the Securities Exchange Act of 1934, as amended.

    PERSON  means  any  individual,  corporation,  partnership,  joint  venture,
association,   joint-stock  company,   trust,  unincorporated   organization  or
government or any agency or political subdivision thereof.

    PROSPECTUS means  the  prospectus  included in  any  Registration  Statement
(including,   without  limitation,  a   prospectus  that  discloses  information
previously omitted from a prospectus filed as part of an effective  registration
statement  in  reliance  upon Rule  430A),  as  amended or  supplemented  by any
prospectus supplement, with respect to the terms of the offering of any  portion
of the Registrable

                                      A-40

Shares  covered  by such  Registration Statement  and  all other  amendments and
supplements to  the prospectus,  including  post-effective amendments,  and  all
material  incorporated by reference or deemed to be incorporated by reference in
such Prospectus.

    REGISTRABLE  SHARES  means  the  shares  of  Common  Stock  issued  to   the
Stockholders  pursuant to the Merger Agreement  or thereafter distributed by the
Stockholder to a Distributee,  until in the  case of any such  share (i) it  has
been  effectively registered under Section 5  of the Securities Act and disposed
of pursuant to  an effective  registration statement under  the Securities  Act,
(ii)  it has  been transferred other  than pursuant  to Rule "4(1  1/2)" (or any
similar private transfer exemption) under the Securities Act or (iii) it may  be
transferred  by a  holder without  registration pursuant  to Rule  144 under the
Securities Act or  any successor rule  without regard to  the volume  limitation
contained in such rule.

    REGISTRATION  STATEMENT means any registration statement of the Company that
covers any  of  the  Registrable  Shares pursuant  to  the  provisions  of  this
Agreement,   including  the  Prospectus,  amendments  and  supplements  to  such
registration statement, including post-effective  amendments, all exhibits,  and
all material incorporated by reference or deemed to be incorporated by reference
in such registration statement.

    SEC means the Securities and Exchange Commission.

    SECURITIES ACT means the Securities Act of 1933, as amended.

    SHELF REGISTRATION: See Section 2(a) hereof.

    STOCKHOLDERS: See the introductory clauses hereof.

    UNDERWRITTEN  REGISTRATION OR UNDERWRITTEN OFFERING  means a registration in
which securities of the Company are sold to or through one or more  underwriters
for reoffering or sale to the public.

    2.  SHELF REGISTRATION.

    (a)  The Company shall file  with, and shall cause  to be declared effective
by, the SEC prior to the Effective Time (as defined in the Merger Agreement),  a
Registration  Statement  under the  Securities Act  relating to  the Registrable
Shares, which Registration Statement shall provide  for the sale by the  holders
thereof  of the Registrable Shares from time  to time on a delayed or continuous
basis pursuant to Rule 415 under the Securities Act (a "Shelf Registration").

    (b) The Company  agrees to  use its best  efforts to  keep the  Registration
Statement filed pursuant to this Section 2 continuously effective and usable for
the  resale of Registrable Shares for a period  ending on the earlier of (i) two
years from the Effective Time (as defined in the Merger Agreement) and (ii)  the
first   date  on  which  all  the  Registrable  Shares  covered  by  such  Shelf
Registration have  been  sold  pursuant  to  such  Registration  Statement.  The
foregoing  notwithstanding,  the  Company  shall  have  the  right  in  its sole
discretion, based on any valid business purpose (including without limitation to
avoid the  disclosure of  any  corporate development  that  the Company  is  not
otherwise  obligated to disclose  or to coordinate  such distribution with other
shareholders that have registration rights with respect to any securities of the
Company or with other distributions of  the Company (whether for the account  of
the Company or otherwise)), to suspend the use of the Registration Statement for
a  reasonable length of time (a "Delay Period") and from time to time; PROVIDED,
that (i) the  aggregate number of  days in  all Delay Periods  occurring in  any
period  of twelve consecutive  months shall not  exceed 90 and  (ii) the Company
shall not have  the right to  commence any Delay  Period prior to  the 90th  day
after  the  Effective Time.  The Company  shall provide  written notice  to each
holder of Registrable Shares covered by each Shelf Registration of the beginning
and end  of each  Delay Period  and  such holders  shall cease  all  disposition
efforts with respect to Registrable Shares held by them immediately upon receipt
of  notice of the  beginning of any Delay  Period. The two  year time period for
which the Company is required to maintain the effectiveness of the  Registration
Statement shall be extended by the aggregate number of days of all Delay Periods
and  such two  year period  or the extension  thereof required  by the preceding
sentence is hereafter referred to as the "Effectiveness Period."

                                      A-41

    (c) The Company  may, in its  sole discretion, include  other securities  in
such  Shelf Registration (whether  for the account of  the Company or otherwise,
including without  limitation any  securities of  the Company  held by  security
holders, if any, who have piggyback registration rights with respect thereto) or
otherwise  combine the offering  of the Registrable Shares  with any offering of
other securities  of the  Company (whether  for the  account of  the Company  or
otherwise).

    3.  HOLD-BACK AGREEMENT.

    Each  holder of Registrable Shares agrees, if such holder is requested by an
underwriter in an underwritten offering for the Company (whether for the account
of the Company or otherwise), not to  effect any public sale or distribution  of
any  of the Company's equity  securities, including a sale  pursuant to Rule 144
(except as part  of such  underwritten registration), during  the 10-day  period
prior  to, and during the  80-day period beginning on,  the closing date of such
underwritten offering; PROVIDED,  that neither the  Company nor any  underwriter
may  request a holder not to effect any such sales or distributions prior to the
90th day after the Effective Time.

    4.  REGISTRATION PROCEDURES.

    In connection with the registration  obligations of the Company pursuant  to
and  in accordance with  Section 2 hereof  (and subject to  the Company's rights
under Section  2),  the  Company  will  use its  best  efforts  to  effect  such
registration  to permit the  sale of such Registrable  Shares in accordance with
the intended method or  methods of disposition thereof  (other than pursuant  to
any  underwritten registration  or underwritten offering),  and pursuant thereto
the Company shall as expeditiously as possible:

    (a) prepare and file with the SEC such amendments (including  post-effective
amendments)   to  the  Registration  Statement,  and  such  supplements  to  the
Prospectus, as  may  be  required  by the  rules,  regulations  or  instructions
applicable  to the Securities Act or the rules and regulations thereunder during
the applicable period in accordance with the intended methods of disposition  by
the  sellers thereof  (other than pursuant  to any  underwritten registration or
underwritten offering) and cause the Prospectus  as so supplemented to be  filed
pursuant to Rule 424 under the Securities Act;

    (b)  notify  the  selling holders  of  Registrable Shares  promptly  and (if
requested by  any  such person)  confirm  such notice  in  writing, (i)  when  a
Prospectus  or any  Prospectus supplement  or post-effective  amendment has been
filed, and,  with respect  to  a Registration  Statement or  any  post-effective
amendment,  when the same has  become effective, (ii) of  any request by the SEC
for amendments or supplements to a Registration Statement or related  Prospectus
or  for additional information  regarding such holder, (iii)  of the issuance by
the SEC  of  any stop  order  suspending  the effectiveness  of  a  Registration
Statement  or the initiation  of any proceedings  for that purpose,  (iv) of the
receipt by the Company of any notification with respect to the suspension of the
qualification or exemption from qualification  of any of the Registrable  Shares
for  sale in any jurisdiction or the initiation or threatening of any proceeding
for such purpose, and (v) of the happening of any event that requires the making
of any changes in such Registration  Statement, Prospectus or documents so  that
they  will not contain any untrue statement of  a material fact or omit to state
any material  fact  required to  be  stated therein  or  necessary to  make  the
statements therein not misleading;

    (c)  use commercially  reasonable efforts  to obtain  the withdrawal  of any
order suspending the effectiveness of  a Registration Statement, or the  lifting
of any suspension of the qualification or exemption from qualification of any of
the Registrable Shares for sale in any jurisdiction in the United States;

    (d)  if requested by the selling holders, furnish to counsel for the selling
holders of  Registrable  Shares, without  charge,  one conformed  copy  of  each
Registration   Statement  as  declared   effective  by  the   SEC  and  of  each
post-effective amendment thereto,  in each case  including financial  statements
and  schedules  and  all  exhibits  and reports  incorporated  or  deemed  to be
incorporated therein by reference; and such number of copies of the  preliminary
prospectus, each amended preliminary

                                      A-42

prospectus,   each  final  Prospectus  and   each  post-effective  amendment  or
supplement thereto, as the  selling holders may reasonably  request in order  to
facilitate   the  disposition  of   the  Registrable  Shares   covered  by  each
Registration Statement in  conformity with  the requirements  of the  Securities
Act;

    (e)  prior to any public offering  of Registrable Shares register or qualify
such Registrable Shares for offer and sale under the securities or Blue Sky laws
of such  jurisdictions  in  the  United  States  as  any  selling  holder  shall
reasonably  request in  writing; and  do any  and all  other reasonable  acts or
things  necessary  or  advisable  to  enable  such  holders  to  consummate  the
disposition  in such  jurisdictions of  such Registrable  Shares covered  by the
Registration Statement; PROVIDED, HOWEVER, that the Company shall in no event be
required to qualify generally to  do business as a  foreign corporation or as  a
dealer  in any  jurisdiction where  it is  not at  the time  so qualified  or to
execute or file a general consent to service of process in any such jurisdiction
where it has not theretofore done so or to take any action that would subject it
to general service of process or taxation  in any such jurisdiction where it  is
not then subject;

    (f)  except  during  any Delay  Period,  upon  the occurrence  of  any event
contemplated by paragraph  4(b)(ii) or  4(b)(v) above, prepare  a supplement  or
post-effective amendment to each Registration Statement or related Prospectus or
any  document incorporated or deemed to  be incorporated therein by reference or
file any  other  required document  so  that,  as thereafter  delivered  to  the
purchasers of the Registrable Shares being sold thereunder, such Prospectus will
not contain an untrue statement of a material fact or omit to state any material
fact  required to be stated therein or necessary to make the statements therein,
in light of the circumstances under which they were made, not misleading; and

    (g) cause all Registrable Shares covered by the Registration Statement to be
listed on each securities exchange, if  any, on which similar securities  issued
by the Company are then listed.

    The  Company may require each  seller of Registrable Shares  as to which any
registration is  being  effected  to  furnish  such  information  regarding  the
distribution  of such Registrable  Shares and as  to such seller  as it may from
time to time  reasonably request. If  any such information  with respect to  any
seller  is not furnished prior to the  filing of the Registration Statement, the
Company may  exclude such  seller's Registrable  Shares from  such  Registration
Statement.

    Each  holder  of  Registrable  Shares  (including,  without  limitation, any
Distributee) agrees by acquisition of such Registrable Shares that, upon receipt
of any  notice from  the Company  of  the happening  of any  event of  the  kind
described  in Section  4(b)(ii), 4(b)(iii), 4(b)(iv)  or 4(b)(v)  hereof or upon
notice of the  commencement of  any Delay  Period, such  holder shall  forthwith
discontinue  disposition of such Registrable Shares covered by such Registration
Statement or  Prospectus  until such  holder's  receipt  of the  copies  of  the
supplemented or amended Prospectus contemplated by Section 4(f) hereof, or until
it  is advised  in writing  (the "Advice") by  the Company  that the  use of the
applicable Prospectus may be resumed, and has received copies of any amended  or
supplemented  Prospectus  or any  additional or  supplemental filings  which are
incorporated, or deemed to be incorporated, by reference in such Prospectus and,
if requested by the Company,  such holder shall deliver  to the Company (at  the
expense  of the Company)  all copies, other  than permanent file  copies then in
such holder's possession, of the Prospectus covering such Registrable Shares  at
the time of receipt of such request.

    Each holder of Registrable Shares further agrees not to utilize any material
other  than the applicable current Prospectus in connection with the offering of
Registrable Shares pursuant to the Shelf Registration.

    5.  REGISTRATION EXPENSES.

    Whether or not  any Registration  Statement becomes  effective, the  Company
shall  pay all costs, fees and expenses incident to the Company's performance of
or compliance  with  this  Agreement  including,  without  limitation,  (i)  all
registration  and  filing  fees,  (ii)  fees  and  expenses  of  compliance with
securities or  Blue  Sky  laws,  (iii)  printing  expenses  (including,  without
limitation, expenses of

                                      A-43

printing  of prospectuses  if the printing  of prospectuses is  requested by the
holders of a  majority of the  Registrable Shares included  in any  Registration
Statement), (iv) fees and disbursements of counsel for the Company, (v) fees and
disbursements of all independent certified public accountants of the Company and
all  other Persons retained  by the Company in  connection with the Registration
Statement and (vi) the fees and expenses (not to exceed $50,000) for one counsel
on behalf  of all  of the  holders of  Registrable Shares.  Notwithstanding  the
foregoing,  the fees and expenses  of counsel to, or  any other Persons retained
by,  any  holder  of  Registrable   Shares,  and  any  discounts,   commissions,
underwriting  or  advisory fees,  brokers' fees  or  fees of  similar securities
industry  professional  (including   any  "qualified  independent   underwriter"
retained  for the  purpose of  Section 3  of Schedule  E of  the By-laws  of the
National Association of Securities Dealers,  Inc.) relating to the  distribution
of  the Registrable Shares, will be payable  by such holder and the Company will
have no obligation to pay any such amounts.

    6.  MISCELLANEOUS.

    6.1   TERMINATION.   This  Agreement  and  the obligations  of  the  Company
hereunder  shall terminate  on the earliest  of (i)  the first date  on which no
Registrable Shares remain  outstanding, and (ii)  the close of  business on  the
last day of the Effectiveness Period.

    6.2   AMENDMENTS AND  WAIVERS.  The provisions  of this Agreement, including
the provisions of this sentence, may  not be amended, modified or  supplemented,
and  waivers or  consents to  departures from the  provisions hereof  may not be
given,  unless  the  Company  has  obtained  the  written  consent  of   holders
representing   a  majority  of  the   Registrable  Shares.  Notwithstanding  the
foregoing, a waiver or consent to depart from the provisions hereof with respect
to a matter which  relates exclusively to the  rights of holders of  Registrable
Shares  whose securities are being sold pursuant to a Registration Statement and
that does  not  directly or  indirectly  affect the  rights  of a  holder  whose
securities  are not  being sold pursuant  to such Registration  Statement may be
given by holders  of a majority  of the  Registrable Shares being  sold by  such
holders;  PROVIDED,  HOWEVER, that  the provision  of this  sentence may  not be
amended, modified, or supplemented except  in accordance with the provisions  of
the immediately preceding sentence.

    6.3    NOTICES.   All notices,  requests,  demands and  other communications
required or permitted hereunder shall be  in writing and shall be deemed  given:
when  delivered  personally;  one  Business Day  after  being  deposited  with a
next-day air courier;  five Business  Days after  being deposited  in the  mail,
postage  prepaid, if mailed; when  answered back if telexed  and when receipt is
acknowledged, if  telecopied, in  each  case to  the  parties at  the  following
addresses  (or at such other  address for a party as  shall be specified by like
notice; PROVIDED that  notices of a  change of address  shall be effective  only
upon receipt thereof):

        (i)  if to a holder, at the most current address given by such holder to
    the Company in  accordance with the  provisions of this  Section 6.3,  which
    address  initially is with respect to each  holder, the address set forth on
    the signature pages hereto; and

        (ii) if  to the  Company, initially  at 2700  Colorado Boulevard,  Santa
    Monica,  California  90404, Attention:  Scott Brown,  Esq.,  with a  copy to
    Skadden, Arps, Slate, Meagher & Flom,  300 South Grand Avenue, Los  Angeles,
    California 90071, Attention: Thomas C. Janson, Jr.

    6.4   SUCCESSORS AND ASSIGNS.  This  Agreement shall inure to the benefit of
and be binding upon the successors and assigns of each of the parties;  PROVIDED
that the holders may not assign their rights hereunder except to an Affiliate of
such  holder or a Distributee  (as defined below) and  no person (other than any
such Affiliate or  Distributee) who  acquires Registrable Shares  from a  holder
shall  have  any rights  hereunder.  For purposes  of  this Agreement,  the term
"Distributee" shall  mean any  person that  is  a stockholder  or partner  of  a
Stockholder, or any person that is a stockholder or partner of a Distributee, to
which  Registrable Shares are transferred or  distributed by such Stockholder or
Distributee. This Agreement shall survive any transfer of Registrable Shares  to
a Distributee and shall inure to the benefit of such Distributee.

                                      A-44

    6.5    COUNTERPARTS.   This  Agreement  may  be executed  in  any  number of
counterparts and by the parties hereto  in separate counterparts, each of  which
when  so executed  shall be  deemed to  be an  original and  all of  which taken
together shall constitute one and the same agreement.

    6.6   HEADINGS.   The headings  in  this Agreement  are for  convenience  of
reference only and shall not limit or otherwise affect the meaning hereof.

    6.7   GOVERNING LAW.   THIS AGREEMENT SHALL BE  GOVERNED BY AND CONSTRUED IN
ACCORDANCE WITH THE INTERNAL LAWS OF THE STATE OF DELAWARE WITHOUT GIVING EFFECT
TO THE PROVISIONS THEREOF GOVERNING CONFLICT OF LAWS PRINCIPLES.

    6.8  SEVERABILITY.  If any term, provision, covenant or restriction of  this
Agreement  is held by a court of  competent jurisdiction to be invalid, illegal,
void or unenforceable,  the remainder  of the terms,  provisions, covenants  and
restrictions set forth herein shall remain in full force and effect and shall in
no  way be affected, impaired  or invalidated, and the  parties hereto shall use
their best efforts to find and employ  an alternative means to achieve the  same
or  substantially the same result as  that contemplated by such term, provision,
covenant or  restriction.  It  is  hereby stipulated  and  declared  to  be  the
intention  of the  parties that  they would  have executed  the remaining terms,
provisions, covenants and restrictions without including any of such that may be
hereafter declared invalid, illegal, void or unenforceable.

    6.9  ENTIRE AGREEMENT.  This Agreement is intended by the parties as a final
expression of their  agreement and  a complete  and exclusive  statement of  the
agreement  and understanding  of the  parties hereto  in respect  of the subject
matter contained  herein. There  are no  restrictions, promises,  warranties  or
undertakings,  other than those set forth or referred to herein, with respect to
the registration rights granted by the  Company with respect to the  Registrable
Shares  issued pursuant to  the Merger Agreement.  This Agreement supersedes all
prior agreements and  understandings between  the parties with  respect to  such
subject matter.

    6.10    CALCULATION OF  TIME PERIODS.   Except  as otherwise  indicated, all
periods of time  referred to  herein shall  include all  Saturdays, Sundays  and
holidays;  PROVIDED, that if the date to perform the act or give any notice with
respect to this Agreement shall  fall on a day other  than a Business Day,  such
act or notice may be timely performed or given if performed or given on the next
succeeding Business Day.

    IN  WITNESS WHEREOF, the parties have executed this Agreement as of the date
first written above.

                                          NATIONAL MEDICAL ENTERPRISES, INC.
                                          By ___________________________________
                                          Name:
                                          Title:

                                          STOCKHOLDER:
                                          ______________________________________
                                          Name:
                                          Address for Notice:

                                          Number of Shares:

                                      A-45

                                                                       EXHIBIT C

                            FORM OF LEGAL OPINION OF
                     SKADDEN, ARPS, SLATE, MEAGHER & FLOM,

COUNSEL FOR PARENT

    1.    Parent and  each of  the  Parent Subsidiaries  that is  a "significant
subsidiary" within the meaning of Rule 1-01 of Regulation S-X under the Exchange
Act is a corporation validly existing and in good standing under the laws of its
respective jurisdiction of incorporation.

    2.  The shares of Parent common stock to be issued in the Merger will,  upon
the  issuance thereof in accordance  with the terms of  the Merger Agreement, be
validly issued, fully paid and nonassessable and free of preemptive rights.

    3.   Each of  the  Parent and  Sub has  the  corporate power  and  corporate
authority  to enter into the Merger Agreement and to consummate the transactions
contemplated thereby. The execution and delivery of the Merger Agreement by each
of Parent and Sub and the consummation of the transactions contemplated  thereby
have  been duly authorized by the requisite corporate action on the part of each
of Parent and Sub. The Merger Agreement has been executed and delivered by  each
of  Parent  and Sub  and (assuming  it  has been  duly authorized,  executed and
delivered by the Company) is  a valid and binding  obligation of each of  Parent
and Sub, enforceable against Parent and Sub in accordance with its terms, except
(i)  to the extent  that enforcement thereof  may be limited  by (a) bankruptcy,
insolvency, reorganization, moratorium or other similar laws not or hereafter in
effect relating to  creditors' rights  generally and (b)  general principles  of
equity  (regardless of whether  enforceability is considered  in a proceeding at
law or  in  equity)  and  (ii)  we  express  no  opinion  with  respect  to  the
enforceability of Section 9.5 of the Merger Agreement.

    4.   The execution, delivery and performance of the Merger Agreement by each
of Parent and Sub will not result in  a breach or violation of any provision  of
the charter or by-laws of either Parent or Sub.

    5.   The Registration Statement  as of the effective  date thereof and as of
the date  hereof appeared  on its  face to  be appropriately  responsive in  all
material  respects to the applicable requirements  of the Securities Act and the
rules and  regulations thereunder,  except that,  in each  case, we  express  no
opinion  or belief as to the financial statements, schedules and other financial
and statistical data included or incorporated, or deemed to be incorporated,  by
reference  therein or excluded  therefrom, any information to  the extent it was
furnished by  or relates  to the  Company or  the exhibits  to the  Registration
Statement,   and  we  do  not  assume   any  responsibility  for  the  accuracy,
completeness or  fairness  of  the  statements  contained  in  the  Registration
Statement.

    In  addition, we  have participated in  conferences with  officers and other
representatives of Parent, representatives of the independent public accountants
of Parent, officers and  other representatives of the  Company, counsel for  the
Company  and  representatives  of  the  independent  public  accountants  of the
Company, at  which the  contents of  the Registration  Statement, including  the
Prospectus included therein, and related matters were discussed and, although we
are  not passing upon, and  do not assume any  responsibility for, the accuracy,
completeness or  fairness  of  the  statements  contained  in  the  Registration
Statement  or the Prospectus and have  made no independent check or verification
thereof, on the basis of the foregoing, no facts have come to our attention that
have led us to believe that, insofar  as it relates to Parent, the  Registration
Statement,  at the time it became effective,  contained an untrue statement of a
material fact  or omitted  to state  any  material fact  required to  be  stated
therein  or necessary  to make  the statements  therein not  misleading or that,
insofar as it relates  to Parent, the  Prospectus, as of its  date and the  date
hereof, contained an untrue statement of a material fact or omitted to state any
material  fact required to be stated therein or necessary to make the statements
therein, in  light  of  the  circumstances  under  which  they  were  made,  not
misleading,

                                      A-46

except  that we express no  opinion or belief with  respect to (a) the financial
statements, schedules and other financial and statistical data incorporated,  or
deemed  to be  incorporated, by reference  in the Registration  Statement or the
Prospectus, (b) statements in or omissions from any documents or the information
incorporated, or deemed  to be  incorporated, by reference  in the  Registration
Statement  or the  Prospectus or  (c) information  contained or  incorporated by
reference in the  Registration Statement or  the Prospectus to  the extent  such
information was furnished by or relates to the Company.

                                      A-47

                                                                       EXHIBIT D

                            FORM OF LEGAL OPINION OF
                            NEAL, GERBER & EISENBERG

COUNSEL FOR THE COMPANY

    1.   The Company and each of the Company Subsidiaries that is a "significant
subsidiary" within the meaning of Rule 1-01 of Regulation S-X under the Exchange
Act is a corporation validly existing and in good standing under the laws of its
respective jurisdiction of incorporation.

    2.  The  Company has the  corporate power and  corporate authority to  enter
into  the  Merger  Agreement  and to  consummate  the  transactions contemplated
thereby. The execution and delivery of  the Merger Agreement by the Company  and
the  consummation  of  the  transactions  contemplated  thereby  have  been duly
authorized by all  requisite corporate action  on the part  of the Company.  The
Merger Agreement has been executed and delivered by the Company and (assuming it
has  been duly authorized, executed and delivered  by Parent and Sub) is a valid
and binding  obligation  of the  Company,  enforceable against  the  Company  in
accordance with its terms, except (i) to the extent that enforcement thereof may
be  limited by (a)  bankruptcy, insolvency, reorganization,  moratorium or other
similar laws not or hereafter in effect relating to creditors' rights  generally
and  (b) general principles  of equity (regardless  of whether enforceability is
considered in a proceeding at law or in equity), and (ii) we express no  opinion
with respect to the enforceability of Section 9.5 of the Merger Agreement.

    3.   The execution, delivery and performance  of the Merger Agreement by the
Company will not result in a breach or violation of any provision of the charter
or by-laws of the Company.

    4.  The Information Statement of the Company as of the date it was mailed to
stockholders of the Company and as of the date hereof appeared on its face to be
appropriately responsive in all material respects to the applicable requirements
of the Exchange Act  and the rules and  regulations thereunder, except that,  in
each  case, we  express no  opinion or  belief as  to the  financial statements,
schedules and other financial and statistical data included or incorporated,  or
deemed  to be  incorporated, by reference  therein or excluded  therefrom or any
information to the extent it was furnished  by or relates to the Parent, and  we
do  not assume any responsibility for  the accuracy, completeness or fairness of
the statements contained in the Information Statement.

    In addition, we  have participated  in conferences with  officers and  other
representatives  of  the  Company,  representatives  of  the  independent public
accountants of the Company,  officers and other  representatives of the  Parent,
counsel for the Parent and representatives of the independent public accountants
of  the Parent, at which  the contents of the  Information Statement and related
matters were discussed and, although we are not passing upon, and do not  assume
any responsibility for, the accuracy, completeness or fairness of the statements
contained  in the  Information Statement and  have made no  independent check or
verification thereof, on the basis of the  foregoing, no facts have come to  our
attention  that  have led  us  to believe  that, insofar  as  it relates  to the
Company, the  Information  Statement,  as  of its  date  and  the  date  hereof,
contained  an  untrue statement  of  a material  fact  or omitted  to  state any
material fact required to be stated therein or necessary to make the  statements
therein,  in  light  of  the  circumstances  under  which  they  were  made, not
misleading, except that we express no opinion or belief with respect to (a)  the
financial  statements,  schedules  and  other  financial  and  statistical  data
included or incorporated,  or deemed  to be  incorporated, by  reference in  the
Information  Statement, (b)  statements in  or omissions  from any  documents or
information incorporated,  or deemed  to be  incorporated, by  reference in  the
Information  Statement or (c) information included or incorporated, or deemed to
be incorporated, by reference  in the Information Statement  to the extent  such
information was furnished by or relates to the Parent.

                                      A-48