EXHIBIT 1.1

                                 3,000,000 SHARES

                              KARRINGTON HEALTH, INC.

                                  COMMON SHARES

                              UNDERWRITING AGREEMENT

                                                                  July __, 1996

SMITH BARNEY INC. 
J.C. BRADFORD & CO.   
 AS REPRESENTATIVES OF THE SEVERAL UNDERWRITERS
c/o  SMITH BARNEY INC.
    388 Greenwich Street
    New York, New York 10013

Dear Sirs:

      Karrington Health, Inc., an Ohio corporation (the "Company"), proposes 
to issue and sell an aggregate of 2,350,000 of its common shares, no par 
value per share (the "Common Shares"), to the several Underwriters named in 
Schedule I hereto (the "Underwriters"), and JMAC, Inc. (the "Selling 
Shareholder") proposes to sell to the several Underwriters 650,000 Common 
Shares.  The 2,350,000 Common Shares to be issued and sold to the 
Underwriters by the Company and the 650,000 Common Shares to be sold to the 
Underwriters by the Selling Shareholder are hereinafter referred to as the 
"Firm Shares."  In addition, solely for the purpose of covering 
over-allotments, the Company and the Selling Shareholder each proposes to 
sell to the Underwriters, upon the terms and conditions set forth in Section 
2 hereof, up to an additional 225,000 Common Shares (the "Additional 
Shares").  The Firm Shares and the Additional Shares are hereinafter 
collectively referred to as the "Shares."  The Company and the Selling 
Shareholder are hereinafter sometimes referred to as the "Sellers."

      The Sellers wish to confirm as follows their agreement with you (the 
"Representatives") and the other several Underwriters on whose behalf you are 
acting, in connection with the several purchases of the Shares by the 
Underwriters. 

   1.  REGISTRATION STATEMENT AND PROSPECTUS.  The Company has prepared and 
filed with the Securities and Exchange Commission (the "Commission") in 
accordance with the provisions of the Securities Act of 1933, as amended, and 
the rules and regulations of the Commission thereunder (collectively, the 
"Act"), a registration statement on Form S-1 under the Act (the "registration 
statement"),



including a prospectus subject to completion, relating to the Shares.  
The term "Registration Statement" as used in this Agreement means the 
registration statement (including all financial schedules and exhibits) as 
amended at the time it becomes effective or, if the registration statement 
became effective prior to the execution of this Agreement, as supplemented or 
amended prior to the execution of this Agreement.  If it is contemplated, at 
the time this Agreement is executed, that a post-effective amendment to the 
registration statement will be filed and must be declared effective before 
the offering of the Shares may commence, the term "Registration Statement" as 
used in this Agreement means the registration statement as amended by said 
post-effective amendment.  If an abbreviated registration statement is 
prepared and filed with the Commission in accordance with Rule 462(b) under 
the Act (an " Abbreviated Registration Statement"), the term "Registration 
Statement" as used in this Agreement includes the Abbreviated Registration 
Statement.  The term "Prospectus" as used in this Agreement means the 
prospectus in the form included in the Registration Statement, or, if the 
prospectus included in the Registration Statement omits information in 
reliance on Rule 430A under the Act and such information is included in a 
prospectus filed with the Commission pursuant to Rule 424(b) under the Act, 
the term "Prospectus" as used in this Agreement means the prospectus in the 
form included in the Registration Statement as supplemented by the addition 
of the Rule 430A information contained in the prospectus filed with the 
Commission pursuant to Rule 424(b).  The term "Prepricing Prospectus" as used 
in this Agreement means the prospectus subject to completion in the form 
included in the registration statement at the time of the initial filing of 
the registration statement with the Commission, and as such prospectus shall 
have been amended from time to time prior to the date of the Prospectus.  

   2.  AGREEMENTS TO SELL AND PURCHASE.  Subject to such adjustments as you 
may determine in order to avoid fractional shares, the Company hereby agrees, 
subject to all the terms and conditions set forth herein, to issue and sell 
to each Underwriter and, upon the basis of the representations, warranties 
and agreements of the Sellers herein contained and subject to all the terms 
and conditions set forth herein, each Underwriter agrees, severally and not 
jointly, to purchase from the Company, at a purchase price of $       per 
share (the "Purchase Price Per Share"), that number of Firm Shares which 
bears the same proportion to the aggregate number of Firm Shares to be issued 
and sold by the Company as the number of Firm Shares set forth opposite the 
name of such Underwriter in Schedule I hereto (or such number of Firm Shares 
increased as set forth in Section 12 hereof) bears to the aggregate number of 
Firm Shares to be sold by the Sellers.

      Subject to such adjustments as you may determine in order to avoid 
fractional shares, the Selling Shareholder agrees, subject to all the terms 
and conditions set forth herein, to sell to each Underwriter and, upon the 
basis of the representations, warranties and agreements of the Sellers herein 
contained and subject to all the terms and conditions set forth herein, each 
Underwriter agrees to purchase from the Selling Shareholder at the Purchase 
Price Per Share that number of Firm Shares which bears the same proportion to 
the number of Firm Shares to be sold by the Selling Shareholder as the number 
of Firm Shares set forth opposite the name of such Underwriter in Schedule I 
hereto (or such number of Firm Shares increased as set forth in Section 12 
hereof) bears to the aggregate number of Firm Shares to be sold by the 
Sellers.

      The Company and the Selling Shareholder each also agrees, subject to 
all the terms and conditions set forth herein, to sell to the Underwriters, 
and, upon the basis of the representations, warranties and agreements of the 
Sellers herein contained and subject to all the terms and conditions set 
forth herein, the Underwriters shall have the right to purchase from each of 
the Company and the Selling Shareholder, at the purchase price per share, 
pursuant to an option (the "over-allotment option") which may be exercised at 
any time and from time to time prior to 9:00 P.M., New York City time, on the 
30th day after the date of the Prospectus (or, if such 30th day shall be a 
Saturday or Sunday or a holiday, on the next business day 

                                       2



thereafter when the New York Stock Exchange is open for trading), up to an 
aggregate of 225,000 Additional Shares.  Upon any exercise of the 
over-allotment option, each Underwriter, severally and not jointly, agrees to 
purchase from the Company and the Selling Shareholder, on a pro rata basis, 
the number of Additional Shares (subject to such adjustments as you may 
determine in order to avoid fractional shares) which bears the same 
proportion to the number of Additional Shares to be purchased by the 
Underwriters as the number of Firm Shares set forth opposite the name of such 
Underwriter in Schedule I hereto (or such number of Firm Shares increased as 
set forth in Section 12 hereof) bears to the aggregate number of Firm Shares.

      Certificates in transferable form for the Shares the Selling 
Shareholder agrees to sell pursuant to this Agreement have been placed in 
custody with National City Bank (the "Custodian") for delivery under this 
Agreement pursuant to a Custody Agreement and Power of Attorney (the "Custody 
Agreement") executed by the Selling Shareholder appointing Michael H. Thomas 
and John S. Christie as agents and attorneys-in-fact (the 
"Attorneys-in-Fact").  The Selling Shareholder agrees that (i) the Shares 
represented by the certificates held in custody pursuant to the Custody 
Agreement are subject to the interests of the Underwriters and the Company, 
(ii) the arrangements made by the Selling Shareholder for such custody are, 
except as specifically provided in the Custody Agreement, irrevocable and 
(iii) the obligations of the Selling Shareholder hereunder and under the 
Custody Agreement shall not be terminated by any act of the Selling 
Shareholder or by operation of law, whether by the dissolution, winding up, 
distribution of assets or other event affecting the legal existence of the 
Selling Shareholder or the occurrence of any other event.  If any event 
listed in the preceding sentence shall occur before the delivery of the 
Shares hereunder, certificates for the Shares to be sold by the Selling 
Shareholder shall be delivered to the Underwriters by the Attorneys-in-Fact 
in accordance with the terms and conditions of this Agreement and the Custody 
Agreement as if such event had not occurred, regardless of whether or not the 
Attorneys-in-Fact or any Underwriter shall have received notice of such 
event.  

   3.  TERMS OF PUBLIC OFFERING.  The Sellers have been advised by you that 
the Underwriters propose to make a public offering of their respective 
portions of the Shares as soon after the Registration Statement and this 
Agreement have become effective as in your judgment is advisable and 
initially to offer the Shares upon the terms set forth in the Prospectus. 

   4.  DELIVERY OF THE SHARES AND PAYMENT THEREFOR.  Delivery to the 
Underwriters of and payment for the Firm Shares shall be made at the office 
of Smith Barney Inc., 388 Greenwich Street, New York, New York 10013, at 
10:00 A.M., New York City time, on           , 1996 (the "Closing Date").  
The place of closing for the Firm Shares and the Closing Date may be varied 
by agreement between you, the Company and the Attorneys-in-Fact. 

      Delivery to the Underwriters of and payment for any Additional Shares 
to be purchased by the Underwriters shall be made at the aforementioned 
office of Smith Barney Inc. at such time on such date (the "Option Closing 
Date"), which may be the same as the Closing Date but shall in no event be 
earlier than the Closing Date nor earlier than two nor later than ten 
business days after the giving of the notice hereinafter referred to, as 
shall be specified in a written notice from you on behalf of the Underwriters 
to the Company and the Attorneys-in-Fact of the Underwriters' determination 
to purchase a number, specified in such notice, of Additional Shares.  The 
place of closing for any Additional Shares and the Option Closing Date for 
such Shares may be varied by agreement between you, the Company and the 
Attorneys-in-Fact.

                                       3



      Certificates for the Firm Shares and for any Additional Shares to be 
purchased hereunder shall be registered in such names and in such 
denominations as you shall request by written notice, it being understood 
that a facsimile transmission shall be deemed written notice, prior to 9:30 
A.M., New York City time, on the second business day preceding the Closing 
Date or any Option Closing Date, as the case may be.  Such certificates shall 
be made available to you in New York City for inspection and packaging not 
later than 9:30 A.M., New York City time, on the business day next preceding 
the Closing Date or the Option Closing Date, as the case may be.  The 
certificates evidencing the Firm Shares and any Additional Shares to be 
purchased hereunder shall be delivered to you on the Closing Date or the 
Option Closing Date, as the case may be, against payment of the purchase 
price therefor in immediately available funds.

   5. AGREEMENTS OF THE COMPANY.  The Company agrees with the several 
Underwriters as follows:

      (a)   If, at the time this Agreement is executed and delivered, it is 
necessary for the registration statement or a post-effective amendment 
thereto or any Abbreviated Registration Statement to be declared, or, in the 
case of an Abbreviated Registration Statement, to become effective before the 
offering of the Shares may commence, the Company will endeavor to cause the 
Registration Statement or such post-effective amendment or Abbreviated 
Registration Statement to become effective as soon as possible and will 
advise you promptly and, if requested by you, will confirm such advice in 
writing, when the Registration Statement or such post-effective amendment or 
Abbreviated Registration Statement has become effective. 

      (b)   The Company will advise you promptly and, if requested by you, 
will confirm such advice in writing:  (i) of any request by the Commission 
for amendment of or a supplement to the Registration Statement, any 
Prepricing Prospectus or the Prospectus or for additional information; (ii) 
of the issuance by the Commission of any stop order suspending the 
effectiveness of the Registration Statement or of the suspension of 
qualification of the Shares for offering or sale in any jurisdiction or the 
initiation of any proceeding for such purpose; and (iii) within the period of 
time referred to in paragraph (f) below, of any change in the Company's 
condition (financial or other), business, prospects, properties, net worth or 
results of operations, or of the happening of any event, which in any of 
these cases makes any statement of a material fact made in the Registration 
Statement or the Prospectus (as then amended or supplemented) untrue or which 
requires the making of any additions to or changes in the Registration 
Statement or the Prospectus (as then amended or supplemented) in order to 
state a material fact required by the Act or the regulations thereunder to be 
stated therein or necessary in order to make the statements therein not 
misleading, or of the necessity to amend or supplement the Prospectus (as 
then amended or supplemented) to comply with the Act or any other law.  If at 
any time the Commission shall issue any stop order suspending the 
effectiveness of the Registration Statement, the Company will make every 
reasonable effort to obtain the withdrawal of such order at the earliest 
possible time. 

      (c)   The Company will furnish to you, without charge, three copies of 
the registration statement as originally filed with the Commission and of 
each amendment thereto, including, executed signature pages, financial 
statements and all exhibits to the registration statement and will also 
furnish to you, without charge, such number of conformed copies of the 
registration statement as originally filed and of each amendment thereto, but 
without exhibits, as you may reasonably request.

      (d)   The Company will not (i) file any amendment to the Registration 
Statement or make any amendment or supplement to the Prospectus of which you 
shall not previously have been advised or to which you shall reasonably 
object after being so advised or (ii) so long as, in the opinion of counsel 

                                       4



for the Underwriters, a prospectus is required to be delivered in connection 
with sales by any Underwriter or dealer, file any information, documents or 
reports pursuant to the Securities Exchange Act of 1934, as amended (the 
"Exchange Act"), without delivering a copy of such information, documents or 
reports to you, as Representatives of the Underwriters, prior to or 
concurrently with such filing.

      (e)   Prior to the execution and delivery of this Agreement, the 
Company has delivered or will deliver to you, without charge, in such 
quantities as you have reasonably requested or may hereafter reasonably 
request, copies of each form of the Prepricing Prospectus.  The Company 
consents to the use, in accordance with the provisions of the Act and with 
the securities or Blue Sky laws of the jurisdictions in which the Shares are 
offered by the several Underwriters and by dealers, prior to the date of the 
Prospectus, of each Prepricing Prospectus so furnished by the Company. 

      (f)   As soon after the execution and delivery of this Agreement as 
possible and thereafter from time to time for such period as in the 
reasonable opinion of counsel for the Underwriters a prospectus is required 
by the Act to be delivered in connection with sales by any Underwriter or 
dealer, the Company will expeditiously deliver to each Underwriter and each 
dealer, without charge, as many copies of the Prospectus (and of any 
amendment or supplement thereto) as you may reasonably request.  The Company 
consents to the use of the Prospectus (and of any amendment or supplement 
thereto) in accordance with the provisions of the Act and with the securities 
or Blue Sky laws of the jurisdictions in which the Shares are offered by the 
several Underwriters and by all dealers to whom Shares may be sold, both in 
connection with the offering and sale of the Shares and for such period of 
time thereafter as the Prospectus is required by the Act to be delivered in 
connection with sales by any Underwriter or dealer.  If during such period of 
time any event shall occur that in the judgment of the Company or in the 
reasonable opinion of counsel for the Underwriters is required to be set 
forth in the Prospectus (as then amended or supplemented) or should be set 
forth therein in order to make the statements therein, in the light of the 
circumstances under which they were made, not misleading, or if it is 
necessary to supplement or amend the Prospectus to comply with the Act or any 
other law, the Company will forthwith prepare and, subject to the provisions 
of paragraph (d) above, file with the Commission an appropriate supplement or 
amendment thereto and will expeditiously furnish copies thereof to the 
Underwriters and dealers in such quantities as you shall reasonably request.  
In the event that the Company and you, as Representatives of the several 
Underwriters, agree that the Prospectus should be amended or supplemented, 
the Company, if requested by you, will promptly issue a press release 
announcing or disclosing the matters to be covered by the proposed amendment 
or supplement.

      (g)   The Company will cooperate with you and with counsel for the 
Underwriters in connection with the registration or qualification of the 
Shares for offering and sale by the several Underwriters and by dealers under 
the securities or Blue Sky laws of such jurisdictions as you may designate 
and will file such consents to service of process or other documents 
necessary or appropriate in order to effect such registration or 
qualification; provided that in no event shall the Company be obligated to 
qualify to do business in any jurisdiction where it is not now so qualified 
or to take any action that would subject it to service of process in suits, 
other than those arising out of the offering or sale of the Shares, in any 
jurisdiction where it is not now so subject. 

      (h)   The Company will make generally available to its security holders 
a consolidated earnings statement, which need not be audited, covering a 
twelve-month period commencing after the effective date of the Registration 
Statement and ending not later than 15 months thereafter, as soon as 
practicable after the end of such period, which consolidated earnings 
statement shall satisfy the provisions of Section 11(a) of the Act.

                                       5



      (i)   During the period of five years hereafter, the Company will 
furnish to you (i) as soon as available, a copy of each report of the Company 
mailed to stockholders or filed with the Commission, and (ii) from time to 
time such other information concerning the Company as you may reasonably 
request.

      (j)   If this Agreement shall terminate or shall be terminated after 
execution pursuant to any provisions hereof (otherwise than pursuant to the 
second paragraph of Section 12 hereof or by notice given by you terminating 
this Agreement pursuant to Section 12 or Section 13 hereof) or if this 
Agreement shall be terminated by the Underwriters because of any failure or 
refusal on the part of the Company or the Selling Shareholder to comply with 
the terms or fulfill any of the conditions of this Agreement, the Company 
agrees to reimburse the Representatives for all out-of-pocket expenses 
(including reasonable fees and expenses of counsel for the Underwriters) 
incurred by you in connection herewith. 

      (k)   The Company will apply the net proceeds from the sale of the 
Shares substantially in accordance with the description set forth in the 
Prospectus. 

      (l)   If Rule 430A of the Act is employed, the Company will timely file 
the Prospectus pursuant to Rule 424(b) under the Act and will advise you of 
the time and manner of such filing. 

      (m)   Except as provided in this Agreement, the Company will not sell, 
offer to sell, contract to sell or otherwise transfer or dispose of any 
Common Shares (or any securities convertible into or exercisable or 
exchangeable for Common Shares), or grant any options or warrants to purchase 
Common Shares, for a period of 180 days after the date of the Prospectus, 
without the prior written consent of Smith Barney Inc., except for issuances 
of options pursuant to the Company's incentive stock plan (provided that such 
options shall not be exercisable for a period of 180 days after the date of 
the Prospectus).

      (n)   The Company has furnished or will furnish to you "lock-up" 
letters, in form and substance satisfactory to you, signed by each of its 
current officers and directors.

      (o)   Except as stated in this Agreement and in the Prepricing 
Prospectus and Prospectus, the Company has not taken, nor will it take, 
directly or indirectly, any action designed to or that might reasonably be 
expected to cause or result in stabilization or manipulation of the price of 
the Common Shares to facilitate the sale or resale of the Shares.

      (p)   The Company will use its best efforts to have the Common Shares 
approved for quotation, subject to notice of issuance, on the Nasdaq National 
Market prior to or concurrently with the effectiveness of the registration 
statement.

   6. AGREEMENTS OF THE SELLING SHAREHOLDER.  The Selling Shareholder agrees 
with the several Underwriters as follows:

      (a)   The Selling Shareholder will take all reasonable actions in 
cooperation with the Company and the Underwriters to cause the registration 
statement, any Abbreviated Registration Statement and any post-effective 
amendment thereto to become effective at the earliest possible time.

                                       6



      (b)   The Selling Shareholder will pay all federal and other taxes, if 
any, on the transfer or sale of any Shares that are sold by the Selling 
Shareholder to the Underwriters.

      (c)  The Selling Shareholder will do or perform all things required to 
be done or performed by the Selling Shareholder prior to the Closing Date or 
any Option Closing Date, as the case may be, to satisfy all conditions 
precedent to the delivery of the Shares by the Selling Shareholder pursuant 
to this Agreement.

      (d)   The Selling Shareholder will not offer, sell, contract to sell or 
otherwise dispose of, or grant any option to purchase, any Common Shares (or 
any securities convertible into or exercisable or exchangeable for Common 
Shares) owned by such Selling Shareholder, except for the sale of Shares to 
the Underwriters pursuant to this Agreement, or exercise any registration 
rights with respect to the sale of Common Shares, without the prior written 
consent of Smith Barney Inc. for a period of 180 days after the date of the 
Prospectus.

      (e)   Except as stated in this Agreement and in the Prepricing 
Prospectus and the Prospectus, the Selling Shareholder will not take, 
directly or indirectly, any action designed to or that might reasonably be 
expected to cause or result in stabilization or manipulation of the price of 
the Common Shares to facilitate the sale or resale of the Shares.

      (f)   The Selling Shareholder will advise you promptly, and if 
requested by you, will confirm such advice in writing, within the period of 
time referred to in Section 5(f) hereof, of any change in information 
relating to the Selling Shareholder and of any change in the Company's 
condition (financial or other), business, prospects, properties, net worth or 
results of operations or any other information relating to the Company or 
relating to any matter stated in the Prospectus or any amendment or 
supplement thereto that comes to the attention of the Selling Shareholder 
that suggests that any statement made in the Registration Statement (as then 
amended or supplemented, if amended or supplemented) is or may be untrue in 
any material respect or that the Registration Statement (as then amended or 
supplemented, if amended or supplemented) omits or may omit to state a 
material fact or a fact necessary to be stated therein in order to make the 
statements therein not misleading in any material respect or that any 
statement made in the Prospectus (as then amended or supplemented, if amended 
or supplemented) is or may be untrue in any material respect or that the 
Prospectus (as then amended or supplemented, if amended or supplemented) 
omits or may omit to state a material fact or a fact necessary to be stated 
therein in order to make the statements therein, in light of the 
circumstances under which they were made, not misleading in any material 
respect.

      (g)   In order to document the Underwriters' compliance with the 
reporting and withholding provisions of the Tax Equity and Fiscal 
Responsibility Act of 1982, as amended, with respect to the transactions 
herein contemplated, the Selling Shareholder agrees to deliver to you prior 
to or on the Closing Date a properly completed and executed United States 
Treasury Department Form W-9 (or other applicable form or statement specified 
by Treasury Department regulations in lieu thereof).

   7. REPRESENTATIONS AND WARRANTIES OF THE COMPANY.  The Company represents 
and warrants to each Underwriter that:

      (a)   Each Prepricing Prospectus included as part of the registration 
statement as originally filed or as part of any amendment or supplement 
thereto, or filed pursuant to Rule 424 under the 

                                       7

 

Act, complied when so filed in all material respects with the provisions of 
the Act.  The Commission has not issued any order preventing or suspending 
the use of any Prepricing Prospectus. 

      (b)   The registration statement in the form in which it became or 
becomes effective and also in such form as it may be when any post-effective 
amendment thereto or any Abbreviated Registration Statement shall become 
effective, and the Prospectus and any supplement or amendment thereto when 
filed with the Commission under Rule 424(b) under the Act, complied or will 
comply in all material respects with the provisions of the Act and, in the 
case of such registration statement or Abbreviated Registration Statement, 
did not or will not at any such times contain 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 not misleading, or in the case of 
such Prospectus, did not or will not contain 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 that this representation 
and warranty does not apply to statements in or omissions from the 
registration statement or the Prospectus made in reliance upon and in 
conformity with information relating to any Underwriter furnished to the 
Company in writing by or on behalf of any Underwriter through you expressly 
for use therein. 

      (c)   All the outstanding shares of capital stock of the Company have 
been duly authorized and validly issued, are fully paid and nonassessable, 
are free of any preemptive or similar rights and have been issued and sold in 
compliance with all federal and state securities laws; the Shares to be 
issued and sold by the Company have been duly authorized and, when issued and 
delivered to the Underwriters against payment therefor in accordance with the 
terms hereof, will be validly issued, fully paid and nonassessable and free 
of any preemptive or similar rights; and the capital stock of the Company 
conforms in all material respects to the description thereof in the 
Registration Statement and the Prospectus. 

      (d)  The Company is a corporation duly incorporated, validly existing 
and in good standing under the laws of the State of Ohio with full corporate 
power and authority to own, lease and operate its properties and to conduct 
its business as described in the Registration Statement and the Prospectus, 
and is duly registered and qualified to conduct its business and is in good 
standing in each jurisdiction or place where the nature of its properties or 
the conduct of its business requires such registration or qualification, 
except where the failure so to register or qualify would not have a material 
adverse effect on the condition (financial or other), business, prospects, 
properties, net worth or results of operations of the Company and the 
Subsidiaries (as hereinafter defined) taken as a whole (a "Material Adverse 
Effect").

      (e)  All the Company's subsidiaries (as defined in the Act), including, 
without limitation, the Partnerships (as defined below), are listed in 
Exhibit 21.1 to the Registration Statement and are referred to herein 
individually as a "Subsidiary" and collectively as the "Subsidiaries."  Each 
Subsidiary that is a corporation (a "Corporate Subsidiary") has been duly 
incorporated and is validly existing and in good standing in the jurisdiction 
of its incorporation, with full corporate power and authority to own, lease 
and operate its properties and to conduct its business as described in the 
Registration Statement and the Prospectus and is duly registered and 
qualified to conduct its business and is in good standing in each 
jurisdiction or place where the nature of its properties or the conduct of 
its business requires such registration or qualification, except where the 
failure so to register or qualify would not have a Material Adverse Effect.  
All the outstanding shares of capital stock of each Corporate Subsidiary have 
been duly authorized and validly issued, are fully paid and nonassessable, 
and are wholly-owned by the Company directly or indirectly through one or 
more of the other Subsidiaries, free and clear of any lien, adverse 

                                       8



claim, security interest, equity or other encumbrance, except as disclosed in 
the Registration Statement and the Prospectus (or any amendment or supplement 
thereto).

      (f)  Each of the partnerships in which the Company or a Subsidiary 
holds a general partnership interest or is the managing general partner 
(collectively, the "Partnerships") has been duly organized and is an existing 
partnership under the laws of the jurisdiction of its organization, with the 
partnership power and authority to own, lease and operate its properties and 
to conduct its business as currently operated and conducted and is duly 
qualified to conduct its business as a foreign partnership in each 
jurisdiction in which the nature of its properties or the conduct of its 
business requires such qualification, except where the failure so to qualify 
does not have a Material Adverse Effect.  The partnership interests held 
directly or indirectly by the Company are owned free and clear of any lien, 
adverse claim, security interest, equity or other encumbrance, except as 
disclosed in the Prospectus.  To the knowledge of the Company, each 
partnership agreement pursuant to which the Company or a Subsidiary holds a 
general partnership interest in a Partnership is in full force and effect and 
constitutes the legal, valid and binding agreement of the parties thereto, 
enforceable against such parties in accordance with the terms thereof, except 
as enforcement thereof may be limited by bankruptcy, insolvency or other 
similar laws affecting the enforcement of creditors' rights generally and by 
general equitable principles.  There has been no material breach of or 
default under, and no event which with notice or lapse of time would 
constitute a material breach of or default under, such agreements by the 
Company or any Subsidiary or, to the Company's knowledge, any other party to 
such agreements.

      (g)  There are no legal or governmental proceedings pending or, to the 
knowledge of the Company, threatened, against the Company or any of the 
Subsidiaries, or to which the Company or any of the Subsidiaries or any of 
their respective properties is subject, that are required to be described in 
the Registration Statement or the Prospectus but are not described as 
required.  There are no agreements, contracts, indentures, leases or other 
instruments that are required to be described in the Registration Statement 
or the Prospectus or to be filed as an exhibit to the Registration Statement 
that are not described or filed as required by the Act.  Neither the Company 
nor any of the Subsidiaries is involved in any strike, job action or labor 
dispute, and to the Company's knowledge, no such action or dispute is 
threatened.

      (h)  Neither the Company nor any of the Subsidiaries is (i) in 
violation of its articles of incorporation or regulations or other 
organizational documents, or of any law, ordinance, administrative or 
governmental rule or regulation applicable to the Company or any of the 
Subsidiaries or of any decree of any court or governmental agency or body 
having jurisdiction over the Company or any of the Subsidiaries, or (ii) in 
default in the performance of any material obligation, agreement or condition 
contained in any bond, debenture, note or any other evidence of indebtedness 
or in any material agreement, indenture, lease or other material instrument 
to which the Company or any of the Subsidiaries is a party or by which any of 
them or any of their respective properties is bound.

      (i)  Neither the issuance and sale of the Shares, the execution, 
delivery or performance of this Agreement by the Company nor the consummation 
by the Company of the transactions contemplated hereby (i) requires any 
consent, approval, authorization or other order of, or registration or filing 
with, any court, regulatory body, administrative agency or other governmental 
body, agency or official (except such as may be required for the registration 
of the Shares under the Act and the Exchange Act, all of which have been or 
will be effected in accordance with this Agreement, or such as are required 
under the securities or Blue Sky laws of various jurisdictions) or conflicts 
or will conflict with or constitutes or will constitute a breach of, or a 
default under, the articles of incorporation or regulations or other 
organizational documents of the Company or any of the Subsidiaries or (ii) 
conflicts or will conflict with or constitutes or will 

                                       9



constitute a breach of, or a default under, any agreement, indenture, lease 
or other instrument to which the Company or any of the Subsidiaries is a 
party or by which the Company or any of the Subsidiaries or any of their 
respective properties is bound which is material to the Company and its 
Subsidiaries taken as a whole, or violates or will violate any statute, law, 
regulation or filing or judgment, injunction, order or decree applicable to 
the Company or any of the Subsidiaries or any of their respective properties, 
or will result in the creation or imposition of any material lien, charge or 
encumbrance upon any property or assets of the Company or any of the 
Subsidiaries pursuant to the terms of any agreement or instrument to which 
any of them is a party or by which any of them may be bound or to which any 
of their respective properties or assets is subject.

      (j)  The accountants, Ernst & Young LLP and Deloitte & Touche LLP, who 
have certified or shall certify the financial statements filed or to be filed 
as part of the Registration Statement or the Prospectus (or any amendment or 
supplement thereto), are independent public accountants as required by the 
Act.

      (k)  The historical financial statements, together with related notes 
forming part of the Registration Statement and the Prospectus (and any 
amendment or supplement thereto), comply in all material respects with the 
requirements of the Act and present fairly, in all material respects, the 
consolidated financial position, results of operations and changes in 
partners' equity and cash flows of the Company and the Subsidiaries on the 
basis stated in the Registration Statement at the respective dates or for the 
respective periods to which they apply; such statements and related notes 
have been prepared in accordance with generally accepted accounting 
principles consistently applied throughout the periods involved, except as 
disclosed therein; and the other financial and statistical information and 
data set forth in the Registration Statement and the Prospectus (and any 
amendment or supplement thereto) are accurately presented in all material 
respects and prepared on a basis consistent with such financial statements 
and the books and records of the Company.

      (l)  The Company has all requisite corporate power and authority to 
execute, deliver and perform its obligations under this Agreement; the 
execution and delivery of, and the performance by the Company of its 
obligations under, this Agreement have been duly and validly authorized by 
the Company, and this Agreement has been duly executed and delivered by the 
Company and constitutes the valid and legally binding agreement of the 
Company, enforceable against the Company in accordance with its terms, except 
as rights to indemnity and contribution hereunder may be limited by federal 
or state securities laws or principles of public policy and subject to the 
qualification that the enforceability of the Company's obligations hereunder 
may be limited by bankruptcy, fraudulent conveyance, insolvency, 
reorganization, moratorium and other laws relating to or affecting creditors' 
rights generally and by general equitable principles.

      (m)  Except as disclosed in the Registration Statement and the 
Prospectus (or any amendment or supplement thereto), subsequent to the 
respective dates as of which such information is given in the Registration 
Statement and the Prospectus (or any amendment or supplement thereto), 
neither the Company nor any of the Subsidiaries has incurred any liability or 
obligation, direct or contingent, or entered into any transaction, that is 
material to the Company and the Subsidiaries taken as a whole, and there has 
not been any material change in the capital stock, or material increase in 
the short-term or long-term debt, of the Company or any of the Subsidiaries, 
or any material adverse change in the condition (financial or other), 
business, prospects, properties, net worth or results of operations of the 
Company and the Subsidiaries taken as a whole.

                                      10



      (n)  Each of the Company and the Subsidiaries has good and marketable 
title to all property (real and personal) described in the Prospectus as 
being owned by it, free and clear of all liens, claims, security interests or 
other encumbrances except such as are described in the Registration Statement 
and the Prospectus or in a document filed as an exhibit to the Registration 
Statement or such as (i) do not materially affect the value of such property 
or (ii) would not have a Material Adverse Effect, and all the property 
described in the Prospectus as being held under lease by the Company or any 
of the Subsidiaries is held by it under valid, subsisting and enforceable 
leases with such exceptions as do not materially interfere with the use made 
of such property. 

      (o)  The Company has not distributed and, prior to the later to occur 
of the Closing Date and completion of the distribution of the Shares, will 
not distribute any offering material in connection with the offering and sale 
of the Shares other than the Registration Statement, the Prepricing 
Prospectus, the Prospectus or other materials, if any, permitted by the Act. 

      (p)  Each of the Company and the Subsidiaries has such permits, 
licenses, franchises, authorizations and clearances ("Permits") of 
governmental and regulatory authorities as are necessary to own, lease and 
operate its properties and to conduct its business in the manner described in 
the Prospectus, including, without limitation, such Permits as are required 
under such federal and state healthcare laws as are applicable to the Company 
and the Subsidiaries and their respective businesses, subject to such 
qualifications as may be set forth in the Prospectus and except where the 
failure to have such Permits would not have a Material Adverse Effect; 
subject to such qualifications as may be set forth in the Prospectus, each of 
the Company and the Subsidiaries has fulfilled and performed all its material 
obligations with respect to the Permits, and no event has occurred which 
allows, or after notice or lapse of time would allow, revocation or 
termination thereof or results in any other material impairment of the rights 
of the holder of any Permit, subject in each case to such qualification as 
may be set forth in the Prospectus.  Except as described in the Prospectus, 
none of the Permits contains any restriction that is materially burdensome to 
the Company and the Subsidiaries taken as a whole.  The Company's and each 
Subsidiary's business practices do not violate any federal or state laws 
regarding physician ownership of (or financial relationship with) and 
referral to entities providing healthcare related goods or services, or laws 
requiring disclosure of financial interests held by physicians in entities to 
which they may refer patients for the provisions of health care related goods 
or services.

       (q)  The Company and the Subsidiaries own or possess all patents, 
trademarks, trademark registrations, service marks, service mark 
registrations, trade names, copyrights, licenses, inventions, trade secrets 
and rights described in the Prospectus as being owned by any of them or 
necessary for the conduct of their respective businesses, and the Company is 
not aware of any claim to the contrary or any challenge by any other person 
to the rights of the Company and the Subsidiaries with respect to the 
foregoing.

      (r)  The property, assets and operations of the Company and the 
Subsidiaries comply in all material respects with all applicable federal, 
state and local laws, rules, orders, decrees, judgments, injunctions, 
licenses, permits or regulations relating to environmental matters (the 
"Environmental Laws"), except to the extent that the lack of compliance with 
such Environmental Laws would not, singularly or in the aggregate, have a 
Material Adverse Effect.  To the Company's knowledge, none of the Company's 
or any Subsidiary's property, assets or operations is the subject of any 
federal, state or local investigation evaluating whether any remedial action 
is needed to respond to a release of any substance regulated by or form the 
basis of liability under any Environmental Laws (a "Hazardous Material") into 
the environment.  Neither the Company nor any Subsidiary has received any 
notice or claim, nor are there any pending or, to the Company's best 
knowledge, threatened or reasonably anticipated lawsuits against it with 
respect to 

                                      11



violations of an Environmental Law or in connection with the release of any 
Hazardous Material into the environment.  Neither the Company nor any 
Subsidiary has any material contingent liability in connection with any 
release of Hazardous Material into the environment.

      (s)  The Company and the Subsidiaries are insured by insurers of 
recognized financial responsibility against such losses and risks and in such 
amounts as are customary in the businesses in which they are engaged; all 
policies of insurance insuring the Company or any of the Subsidiaries or 
their respective businesses, assets, employees, officers and directors are in 
full force and effect; the Company and the Subsidiaries are in compliance 
with the terms of such policies and instruments in all material respects; and 
there are no material claims by the Company or any of the Subsidiaries under 
any such policy or instrument as to which any insurance company is denying 
liability or defending under a reservation of rights clause.

      (t)  The Company maintains a system of internal accounting controls 
sufficient to provide reasonable assurances that (i) transactions are 
executed in accordance with management's general or specific authorization; 
(ii) transactions are recorded as necessary to permit preparation of 
financial statements in conformity with generally accepted accounting 
principles and to maintain accountability for assets; (iii) access to assets 
is permitted only in accordance with management's general or specific 
authorization; and (iv) the recorded accountability for assets is compared 
with existing assets at reasonable intervals and appropriate action is taken 
with respect to any differences. 

      (u)  Neither the Company nor any Subsidiary nor, to the Company's 
knowledge, any employee or agent of the Company or any Subsidiary has made 
any payment of funds of the Company or any Subsidiary or received or retained 
any funds in violation of any law, rule or regulation, which payment, receipt 
or retention of funds is of a character required to be disclosed in the 
Prospectus. 

      (v)  The Company and the Subsidiaries have filed all federal, state, 
local and foreign tax returns and tax forms required to be filed, other than 
those filings being contested in good faith; such returns and forms are 
complete and correct in all material respects; and all taxes shown by such 
returns or otherwise assessed that are due or payable have been paid, except 
such taxes as are being contested in good faith and as to which adequate 
reserves have been provided.  All payroll withholdings required to be made by 
the Company with respect to employees have been made.  The charges, accruals 
and reserves on the books of the Company and the Subsidiaries in respect of 
any tax liability for any year not finally determined are adequate to meet 
any assessments or reassessments for additional taxes; and there have been no 
tax deficiencies asserted and, to the knowledge of the Company, no tax 
deficiency might be reasonably asserted or threatened against the Company or 
any of the Subsidiaries that could, singularly or in the aggregate, have a 
Material Adverse Effect. 

      (w)  No holder of any security of the Company has any right to require 
registration of Common Shares or any other security of the Company because of 
the filing of the registration statement or the consummation of the 
transactions contemplated by this Agreement and, except as disclosed in the 
Prospectus under the caption "Description of Capital Stock -- Registration 
Rights Agreement," no person has the right to require registration under the 
Act of any Common Shares or other securities of the Company.  No person has 
the right, contractual or otherwise, to cause the Company to permit such 
person to underwrite the sale of any of the Shares.  Except as described in 
or contemplated by the Prospectus, there are no outstanding options, warrants 
or other rights calling for the issuance of, and there are no commitments, 
plans or arrangements to issue, any shares of capital stock of the Company or 
any

                                      12



Subsidiary or any security convertible into or exchangeable or exercisable 
for capital stock of the Company or any Subsidiary.

      (x)  Neither the Company nor any of the Subsidiaries is, nor upon the 
sale of the Shares to be issued and sold by the Company hereunder and 
application of the net proceeds from such sale as described in the Prospectus 
under the caption "Use of Proceeds" will be, an "investment company" within 
the meaning of the Investment Company Act of 1940, as amended.

      (y)  The Company is in compliance with all provisions of Florida 
Statutes Section 517.075 and the regulations thereunder relating to issuers 
doing business with Cuba.

   8. REPRESENTATIONS AND WARRANTIES OF THE SELLING SHAREHOLDER.  The Selling 
Shareholder represents and warrants to each Underwriter that:

      (a)   The Selling Shareholder now has or has the right to acquire, and 
on the Closing Date and any Option Closing Date will have, valid and 
marketable title to the Shares to be sold by the Selling Shareholder, free 
and clear of any lien, claim, security interest or other encumbrance, 
including, without limitation, any restriction on transfer or other defect in 
title.

      (b)   The Selling Shareholder now has, and on the Closing Date will 
have, full legal right, power and authorization, and any approval required by 
law (except such as may be required under the Act, the Exchange Act or state 
securities or Blue Sky laws governing the purchase and distribution of the 
Shares), to sell, assign, transfer and deliver such Shares in the manner 
provided in this Agreement, and upon delivery of and payment for such Shares 
hereunder, the several Underwriters will acquire valid and marketable title 
to such Shares, free and clear of any lien, claim, security interest, or 
other encumbrance, restriction on transfer or other defect in title.

      (c)   This Agreement and the Custody Agreement have been duly 
authorized, and in the case of this Agreement, when executed and delivered on 
behalf of the Selling Shareholder in accordance with the Custody Agreement, 
have been duly executed and delivered by or on behalf of the Selling 
Shareholder and are the valid and binding agreements of the Selling 
Shareholder enforceable against the Selling Shareholder in accordance with 
their respective terms, except as rights to indemnity and contribution 
hereunder may be limited by federal or state securities laws or principles of 
public policy and except as enforcement hereof and thereof may be limited by 
bankruptcy, fraudulent conveyance, insolvency, reorganization, moratorium and 
other laws relating to or affecting creditors' rights generally and by 
general equitable principles.

      (d)   Neither the execution and delivery of this Agreement or the 
Custody Agreement by or on behalf of the Selling Shareholder nor the 
consummation of the transactions herein or therein contemplated by or on 
behalf of the Selling Shareholder requires any consent, approval, 
authorization or order of, or filing or registration with, any court, 
regulatory body, administrative agency or other governmental body, agency or 
official (except such as may be required under the Act, the Exchange Act or 
state securities or Blue Sky laws governing the purchase and distribution of 
the Shares) or conflicts or will conflict with or constitutes or will 
constitute a material breach of, or default under, or violates or will 
violate, any material agreement, indenture or other instrument to which the 
Selling Shareholder is a party or by which the Selling Shareholder is or may 
be bound or to which any of the Selling Shareholder's property or assets is 
subject, or any statute, law, rule, regulation, ruling, judgement, 
injunction, order or decree applicable to the Selling Shareholder or to any 
property or assets of the Selling Shareholder.

                                      13



      (e)   The Selling Shareholder has reviewed the Registration Statement 
and the Prospectus.  The Registration Statement does 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 not misleading, 
and the Prospectus and any amendment or supplement thereto does 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 statements therein, in 
light of the circumstances under which they were made, not misleading. 

      (f)   The representation and warranties of the Selling Shareholder in 
the Custody Agreement are, and on the Closing Date will be, true and correct.

      (g)   The Selling Shareholder has not taken, directly or indirectly, 
any action designed to or that might reasonably be expected to cause or 
result in stabilization or manipulation of the price of the Common Shares to 
facilitate the sale or resale of the Shares, except for the lock-up 
arrangements described in the Prospectus.

   9.  INDEMNIFICATION AND CONTRIBUTION.  (a) The Company agrees to indemnify 
and hold harmless each of you and each other Underwriter and each person, if 
any, who controls any Underwriter within the meaning of Section 15 of the Act 
or Section 20 of the Exchange Act from and against any and all losses, 
claims, damages, liabilities and expenses (including reasonable costs of 
investigation) arising out of or based upon any untrue statement or alleged 
untrue statement of a material fact contained in any Prepricing Prospectus or 
in the Registration Statement or the Prospectus or in any amendment or 
supplement thereto, or arising out of or based upon any omission or alleged 
omission to state therein a material fact required to be stated therein or 
necessary to make the statements therein not misleading, except insofar as 
such losses, claims, damages, liabilities or expenses arise out of or are 
based upon any untrue statement or omission or alleged untrue statement or 
omission which has been made therein or omitted therefrom in reliance upon 
and in conformity with the information relating to such Underwriter furnished 
in writing to the Company by or on behalf of any Underwriter through you 
expressly for use in connection therewith; PROVIDED, HOWEVER, that the 
indemnification contained in this paragraph (a) with respect to any 
Prepricing Prospectus shall not inure to the benefit of any Underwriter (or 
to the benefit of any person controlling such Underwriter) on account of any 
such loss, claim, damage, liability or expense arising from the sale of 
Shares by such Underwriter to any person if (i) a copy of the Prospectus 
shall not have been delivered or sent to such person within the time required 
by the Act and the untrue statement or alleged untrue statement or omission 
or alleged omission of a material fact contained in such Prepricing 
Prospectus was corrected in the Prospectus and (ii) the Company has delivered 
the Prospectus to the several Underwriters in requisite quantity on a timely 
basis to permit such delivery or sending.  The foregoing indemnity agreement 
shall be in addition to any liability which the Company may otherwise have. 

      (b)   If any action, suit or proceeding shall be brought against any 
Underwriter or any person controlling any Underwriter in respect of which 
indemnity may be sought against the Company, such Underwriter or such 
controlling person shall promptly notify the Company, and the Company shall 
assume the defense thereof, including the employment of counsel and payment 
of all fees and expenses.  Such Underwriter or any such controlling person 
shall have the right to employ separate counsel in any such action, suit or 
proceeding and to participate in the defense thereof, but the fees and 
expenses of such counsel shall be at the expense of such Underwriter or such 
controlling person unless (i) the Company has agreed in writing to pay such 
fees and expenses, (ii) the Company has failed to assume the defense and 
employ counsel or (iii) the named parties to any such action, suit or 
proceeding (including any impleaded parties) include both such Underwriter or 
such controlling person and the Company and such Underwriter

                                      14



or such controlling person shall have been advised by its counsel that 
representation of such indemnified party and the Company by the same counsel 
would be inappropriate under applicable standards of professional conduct 
(whether or not such representation by the same counsel has been proposed) 
due to actual or potential differing interests between them (in which case 
the Company shall not have the right to assume the defense of such action, 
suit or proceeding on behalf of such Underwriter or such controlling person). 
 It is understood, however, that if the Company is obligated to pay the fees 
and expenses of Underwriters' counsel under the preceding sentence, then the 
Company shall, in connection with any one such action, suit or proceeding or 
separate but substantially similar or related actions, suits or proceedings 
in the same jurisdiction arising out of the same general allegations or 
circumstances, be liable for the reasonable fees and expenses of only one 
separate firm of attorneys (in addition to no more than one local counsel per 
jurisdiction) at any time for all such Underwriters and controlling persons 
not having actual or potential differing interests with you or among 
themselves, which firm shall be designated in writing by Smith Barney Inc. 
and shall be reasonably acceptable to the Company, and that all such fees and 
expenses shall be reimbursed as they are incurred.  The Company shall not be 
liable for any settlement of any such action, suit or proceeding effected 
without its written consent, but if settled with such written consent, or if 
there be a final judgment for the plaintiff in any such action, suit or 
proceeding, the Company agrees to indemnify and hold harmless any Underwriter 
and any such controlling person, to the extent provided in the preceding 
paragraph, from and against any loss, claim, damage, liability or expense by 
reason of such settlement or judgment.

      (c)   The Selling Shareholder agrees to indemnify and hold harmless 
each Underwriter and each person, if any, who controls any Underwriter within 
the meaning of Section 15 of the Act or Section 20 of the Exchange Act to the 
same extent as the indemnity from the Company to each Underwriter set forth 
in Section 9(a) hereof (but subject to Section 9(g) hereof).  In case any 
action or claim shall be brought or asserted against any Underwriter or any 
such controlling person in respect of which indemnity may be sought against 
the Selling Shareholder pursuant to this paragraph (c), the Selling 
Shareholder shall have the rights and duties given to the Company, and each 
Underwriter and any such controlling person shall have the rights and duties 
given to the Underwriters, under paragraph (b) above.  The foregoing 
indemnity agreement shall be in addition to any liability which the Selling 
Shareholder may otherwise have.

      (d)   Each Underwriter agrees, severally and not jointly, to indemnify 
and hold harmless the Company, its directors, its officers who sign the 
Registration Statement, the Selling Shareholder and any person who controls 
the Company within the meaning of Section 15 of the Act or Section 20 of the 
Exchange Act, to the same extent as the indemnity from the Company to each 
Underwriter set forth in Section 9(a) hereof, but only with respect to 
information relating to such Underwriter furnished in writing to the Company 
by or on behalf of such Underwriter through you expressly for use in the 
Registration Statement, the Prospectus or any Prepricing Prospectus, or any 
amendment or supplement thereto.  If any action, suit or proceeding shall be 
brought against the Company, any of its directors, any such officer, the 
Selling Shareholder or any such controlling person based on the Registration 
Statement, the Prospectus or any Prepricing Prospectus, or any amendment or 
supplement thereto, and in respect of which indemnity may be sought against 
any Underwriter pursuant to this paragraph (d), such Underwriter shall have 
the rights and duties given to the Company by paragraph (b) above (except 
that if the Company shall have assumed the defense thereof such Underwriter 
shall not be required to do so, but may employ separate counsel therein and 
participate in the defense thereof, but the fees and expenses of such counsel 
shall be at such Underwriter's expense), and the Company, its directors, any 
such officer, the Selling Shareholder and any such controlling person shall 
have the rights and duties given to the Underwriters by paragraph (b) above.  
The foregoing indemnity agreement shall be in addition to any liability which 
the Underwriters may otherwise have. 

                                      15



      (e)   If the indemnification provided for in this Section 9 is 
unavailable to an indemnified party under paragraphs (a), (c) or (d) hereof 
in respect of any losses, claims, damages, liabilities or expenses referred 
to therein, then an indemnifying party, in lieu of indemnifying such 
indemnified party, shall contribute to the amount paid or payable by such 
indemnified party as a result of such losses, claims, damages, liabilities or 
expenses (i) in such proportion as is appropriate to reflect the relative 
benefits received by the Company and the Selling Shareholder on the one hand 
and the Underwriters on the other hand from the offering of the Shares, or 
(ii) if the allocation provided by clause (i) above is not permitted by 
applicable law, in such proportion as is appropriate to reflect not only the 
relative benefits referred to in clause (i) above but also the relative fault 
of the Company and the Selling Shareholder on the one hand and the 
Underwriters on the other hand in connection with the statements or omissions 
that resulted in such losses, claims, damages, liabilities or expenses, as 
well as any other relevant equitable considerations.  The relative benefits 
received by the Company and the Selling Shareholder on the one hand and the 
Underwriters on the other hand shall be deemed to be in the same proportion 
as the total net proceeds from the offering (before deducting expenses) 
received by the Company and the Selling Shareholders bear to the total 
underwriting discounts and commissions received by the Underwriters, in each 
case as set forth in the table on the cover page of the Prospectus; provided 
that, in the event that the Underwriters shall have purchased any Additional 
Shares hereunder, any determination of the relative benefits received by the 
Company and the Selling Shareholder, and the Underwriters from the offering 
of the Shares shall include the net proceeds (before deducting expenses) 
received by the Company and the Selling Shareholder, and the underwriting 
discounts and commissions received by the Underwriters, from the sale of such 
Additional Shares, in each case computed on the basis of the respective 
amounts set forth in the notes to the table on the cover page of the 
Prospectus.  The relative fault of the Company and the Selling Shareholder on 
the one hand and the Underwriters on the other hand shall be determined by 
reference to, among other things, whether the untrue or alleged untrue 
statement of a material fact or the omission or alleged omission to state a 
material fact relates to information supplied by the Company and the Selling 
Shareholder on the one hand or the Underwriters on the other hand  and the 
parties' relative intent, knowledge, access to information and opportunity to 
correct or prevent such statement or omission. 

      (f)   The Company, the Selling Shareholders and the Underwriters agree 
that it would not be just and equitable if contribution pursuant to this 
Section 9 were determined by a pro rata allocation (even if the Underwriters 
were treated as one entity for such purpose) or by any other method of 
allocation that does not take account of the equitable considerations 
referred to in paragraph (e) above.  The amount paid or payable by an 
indemnified party as a result of the losses, claims, damages, liabilities and 
expenses referred to in paragraph (e) above shall be deemed to include, 
subject to the limitations set forth above, any legal or other expenses 
reasonably incurred by such indemnified party in connection with 
investigating any claim or defending any such action, suit or proceeding.  
Notwithstanding the provisions of this Section 9, no Underwriter shall be 
required to contribute any amount in excess of the amount by which the total 
price of the Shares underwritten by it and distributed to the public exceeds 
the amount of any damages which such Underwriter has otherwise been required 
to pay by reason of such untrue or alleged untrue statement or omission or 
alleged omission.  No person guilty of fraudulent misrepresentation (within 
the meaning of Section 11(f) of the Act) shall be entitled to contribution 
from any person who was not guilty of such fraudulent misrepresentation.  The 
Underwriters' obligations to contribute pursuant to this Section 9 are 
several in proportion to the respective numbers of Firm Shares set forth 
opposite their names in Schedule I hereto (or such numbers of Firm Shares 
increased as set forth in Section 12 hereof) and not joint.

      (g)   Notwithstanding any other provision of this Section 9, the 
liability of the Selling Shareholder for indemnification or contribution 
under this Section 9 shall not exceed an amount equal to 

                                      16



the number of Shares sold by the Selling Shareholder hereunder multiplied by 
the purchase price per share set forth in Section 2 hereof.

      (h)   No indemnifying party shall, without the prior written consent of 
the indemnified party, effect any settlement of any pending or threatened 
action, suit or proceeding in respect of which any indemnified party is or 
could have been a party and indemnity could have been sought hereunder by 
such indemnified party, unless such settlement includes an unconditional 
release of such indemnified party from all liability on claims that are the 
subject matter of such action, suit or proceeding.

      (i)   Any losses, claims, damages, liabilities or expenses for which an 
indemnified party is entitled to indemnification or contribution under this 
Section 9 shall be paid by the indemnifying party to the indemnified party as 
such losses, claims, damages, liabilities or expenses are incurred.  The 
indemnity and contribution agreements contained in this Section 9 and the 
representations and warranties of the Company and the Selling Shareholder, 
respectively, set forth in this Agreement shall remain operative and in full 
force and effect, regardless of (i) any investigation made by or on behalf of 
any Underwriter or any person controlling any Underwriter, the Company, its 
directors or officers, the Selling Shareholder or any person controlling the 
Company, (ii) acceptance of any Shares and payment therefor hereunder, and 
(iii) any termination of this Agreement.  A successor to any Underwriter or 
any person controlling any Underwriter, or to the Company, its directors or 
officers, the Selling Shareholder or any person controlling the Company, 
shall be entitled to the benefits of the indemnity, contribution and 
reimbursement agreements contained in this Section 9.

   10.   CONDITIONS OF UNDERWRITERS' OBLIGATIONS.  The several obligations of 
the Underwriters to purchase the Firm Shares hereunder are subject to the 
following conditions:

      (a)   If, at the time this Agreement is executed and delivered, it is 
necessary for the registration statement or a post-effective amendment 
thereto or an Abbreviated Registration Statement to be declared effective 
before the offering of the Shares may commence, the registration statement or 
such post-effective amendment or Abbreviated Registration Statement shall 
have become effective not later than 5:30 P.M., New York City time, on the 
date hereof, or at such later date and time as shall be consented to in 
writing by you, and all filings, if any, required by Rules 424 and 430A under 
the Act shall have been timely made. 

      (b)   Subsequent to the effective date of this Agreement, there shall 
not have occurred (i) any change, or any development involving a prospective 
change, in or affecting the condition (financial or other), business, 
properties, net worth, or results of operations of the Company not 
contemplated by the Prospectus, which in your reasonable opinion, as 
Representatives of the several Underwriters, would materially adversely 
affect the market for the Shares, or (ii) any event or development relating 
to or involving the Company, any officer or director of the Company or the 
Selling Shareholder, which makes any statement made in the Prospectus untrue 
or which, in the reasonable opinion of the Company and its counsel or the 
Underwriters and their counsel, requires the making of any addition to or 
change in the Prospectus in order to state a material fact required by the 
Act or any other law to be stated therein or necessary in order to make the 
statements therein not misleading, if amending or supplementing the 
Prospectus to reflect such event or development would, in your reasonable 
opinion, as Representatives of the several Underwriters, materially adversely 
affect the market for the Shares.

                                      17



      (c)  You shall have received on the Closing Date an opinion of Vorys, 
Sater, Seymour and Pease, counsel for the Company, JMAC Properties, Inc. 
("JMAC Properties") and the Selling Shareholder, dated the Closing Date and 
addressed to you, as Representatives of the several Underwriters, that:

         (i)   The Company is a corporation duly incorporated and validly 
    existing in good standing under the laws of the State of Ohio with full 
    corporate power and authority to own, lease and operate its properties and 
    to conduct its business as described in the Registration Statement and the 
    Prospectus (and any amendment or supplement thereto); 

         (ii)  JMAC Properties is a corporation duly incorporated and validly 
    existing and in good standing under the laws of the State of Ohio, with 
    full corporate power and authority to own, lease and operate its properties
    and to conduct its business as described in the Registration Statement and 
    the Prospectus (and any amendment or supplement thereto); and all the 
    outstanding shares of capital stock of JMAC Properties have been duly 
    authorized and validly issued, are fully paid and nonassessable, and are 
    owned of record by the Company, free and clear of any perfected security 
    interest or, to such counsel's knowledge, any other lien, adverse claim, 
    equity or other encumbrance, except as disclosed in the Registration 
    Statement and the Prospectus (or any amendment or supplement thereto);

         (iii) The partnership interests in the Partnerships held by JMAC 
    Properties are, to such counsel's knowledge, owned free and clear of any 
    lien, adverse claim, security interest, equity or other encumbrance, except
    as disclosed in the Prospectus.  To such counsel's knowledge, each 
    partnership agreement pursuant to which JMAC Properties holds a general 
    partnership interest in a Partnership constitutes the legal, valid and 
    binding agreement of JMAC Properties enforceable against JMAC Properties in 
    accordance with the terms thereof, except as enforcement thereof may be 
    limited by bankruptcy, insolvency or other similar laws affecting 
    creditors' rights generally and by general equitable principles;

         (iv)  The authorized capital stock of the Company is as set forth 
    under the caption "Capitalization" in the Prospectus, and the authorized 
    capital stock of the Company conforms in all material respects as to legal 
    matters to the description contained in the Prospectus under the caption 
    "Description of Capital Stock";

         (v)   All the shares of capital stock of the Company outstanding 
    prior to the issuance of the Shares have been duly authorized and validly 
    issued, are fully paid and nonassessable and were issued and sold in 
    compliance with all applicable federal and state securities laws;

         (vi)   The Shares to be issued and sold to the Underwriters by the 
    Company have been duly authorized and, when issued and delivered to the 
    Underwriters against payment therefor in accordance with the terms hereof, 
    will be validly issued, fully paid and nonassessable and free of (A) any 
    preemptive rights arising under the Company's articles of incorporation or 
    the Ohio General Corporation Law or (B) to the knowledge of such counsel, 
    similar rights that entitle or will entitle any person to acquire any 
    shares of capital stock of the Company upon the issuance and sale of the 
    Shares by the Company;

         (vii) The form of certificate for the Shares conforms in all 
    material respects to the requirements of the Ohio General Corporation Law;

                                      18



          (viii)   The Registration Statement and all post-effective 
    amendments, if any, have become effective under the Act and, to the 
    knowledge of such counsel, no stop order suspending the effectiveness of 
    the Registration Statement has been issued and no proceedings for that 
    purpose are pending before or contemplated by the Commission; and any 
    required filing of the Prospectus pursuant to Rule 424(b) has been made in 
    accordance with Rule 424(b);

         (ix)  The Company has the corporate power and authority to enter 
    into this Agreement and to issue, sell and deliver the Shares to be sold 
    by it to the Underwriters as provided herein, and this Agreement has been 
    duly authorized, executed and delivered by the Company and is a valid, 
    legal and binding agreement of the Company, enforceable against the 
    Company in accordance with its terms, except as enforcement of rights to 
    indemnity or contribution hereunder may be limited by federal or state 
    securities laws or principles of public policy and subject to the 
    qualification that the enforceability of the Company's obligations 
    hereunder may be limited by bankruptcy, fraudulent conveyance, insolvency, 
    reorganization, moratorium and other laws relating to or affecting 
    creditors' rights generally or by general equitable principles;

         (x)  To the knowledge of such counsel, neither the Company nor JMAC 
    Properties is in violation of its articles of incorporation or regulations 
    or other organizational documents or in default in the performance of any 
    material obligation, agreement or condition contained in any bond, 
    debenture, note or other evidence of indebtedness made an exhibit to the 
    Registration Statement;

         (xi)  Neither the offer, sale or delivery of the Shares, the 
    execution, delivery or performance of this Agreement, compliance by the 
    Company with the provisions hereof nor consummation by the Company of the 
    transactions contemplated hereby conflicts or will conflict with or 
    constitutes or will constitute a breach of, or a default under, the 
    articles of incorporation or regulations or other organizational documents 
    of the Company or JMAC Properties or any agreement, indenture, lease or 
    other instrument to which the Company or JMAC Properties is a party or by 
    which the Company or JMAC Properties or any of their respective properties 
    is bound that is an exhibit to the Registration Statement or to the 
    knowledge of such counsel will result in the creation or imposition of any 
    material lien, charge or encumbrance upon any property or assets of the 
    Company or JMAC Properties, nor will any such action result in any 
    violation of any existing law, regulation, ruling (assuming compliance 
    with all applicable state securities and Blue Sky laws), judgment, 
    injunction, order or decree known to such counsel and applicable to the 
    Company or JMAC Properties or any of their respective properties;

         (xii) No consent, approval, authorization or other order of, or 
    registration or filing with, any court, regulatory body, administrative 
    agency or other governmental body, agency or official is required on the 
    part of the Company (except such as have been obtained under the Act and 
    the Exchange Act or such as may be required under state securities or Blue 
    Sky laws governing the purchase and distribution of the Shares) for the 
    valid issuance and sale of the Shares to the Underwriters as contemplated 
    by this Agreement;

         (xiii)   The Registration Statement and the Prospectus and any 
    supplements or amendments thereto (except for the financial statements and 
    the notes thereto and the schedules and other financial and statistical 
    data included therein, as to which such counsel need not express any 
    opinion) comply as to form in all material respects with the requirements 
    of the Act;

                                      19



          (xiv)  To the knowledge of such counsel, (A) there are no legal or 
    governmental proceedings pending or threatened against the Company or JMAC 
    Properties or to which the Company or JMAC Properties or any of their 
    respective properties is subject, which are required to be described in 
    the Registration Statement or Prospectus (or any amendment or supplement 
    thereto) that are not described as required and (B) there are no 
    agreements, contracts, indentures, leases or other instruments to which the 
    Company or JMAC Properties is a party that are required to be described in 
    the Registration Statement or the Prospectus (or any amendment or 
    supplement thereto) or to be filed as an exhibit to the Registration 
    Statement that are not described or filed as required, as the case may be;

         (xv)  Each of the Company and JMAC Properties has full corporate 
    power and authority and all necessary Permits (except where the failure 
    to so have any such Permits, individually or in the aggregate, would not 
    have a Material Adverse Effect) to own its properties and to conduct its 
    business as now being conducted as described in the Prospectus;

         (xvi) The statements in the Registration Statement and Prospectus 
    under the captions "History and Organization--Reorganization Transactions," 
    "Management--Incentive Stock Plan," "Description of Capital Stock" and 
    "Shares Eligible for Future Sale," insofar as they are descriptions of 
    contracts, agreements or other legal documents, or refer to statements of 
    law or legal conclusions, are accurate in all material respects and present 
    fairly the information required to be shown;

         (xvii)   Except as described in the Prospectus, such counsel does 
    not know of any holder of any securities of the Company or any other person 
    who has the right, contractual or otherwise, to cause the Company to sell 
    or otherwise issue to them, or to permit them to underwrite the sale of, 
    any of the Shares or the right to have any Common Shares or other securities
    of the Company included in the Registration Statement or the right, as a 
    result of the filing of the Registration Statement, to require the Company 
    to register under the Act any Common Shares or other securities of the 
    Company;

         (xviii)  Neither the Company nor JMAC Properties is an "investment 
    company" or a person "controlled" by an "investment company" within the 
    meaning of the Investment Company Act of 1940, as amended;

         (xix)  This Agreement and the Custody Agreement have each been duly 
    executed and delivered by or on behalf of the Selling Shareholder and are 
    valid and binding agreements of the Selling Shareholder, enforceable 
    against the Selling Shareholder in accordance with their terms, except (A) 
    as enforcement of rights to indemnity or contribution hereunder and 
    thereunder may be limited by federal or state securities laws or principles 
    of public policy and (B) subject to the qualification that the 
    enforceability of its obligations hereunder and thereunder may be limited 
    by bankruptcy, fraudulent conveyance, insolvency, reorganization, moratorium
    and other laws relating to or affecting creditors' rights generally or by 
    general equitable principles;

         (xx)  To the knowledge of such counsel, the Selling Shareholder has 
    the corporate power and authority to execute this Agreement and the Custody 
    Agreement and to perform its agreements hereunder and thereunder; and the 
    Selling Shareholder owns the Shares to be sold by it pursuant to this 
    Agreement free and clear of any adverse claim; and

                                      20



        (xxi) To the knowledge of such counsel, the execution and delivery 
    of this Agreement and the Custody Agreement by the Selling Shareholder and 
    the consummation of the transactions contemplated hereby and thereby will 
    not conflict with, violate, result in a breach of or constitute a default 
    under the terms or provisions of any material agreement, indenture, 
    mortgage or other instrument known such counsel to which the Selling 
    Shareholder is a party or by which it or any of its assets or property is 
    bound, or any court order or decree or any law, rule, or regulation known 
    to such counsel to be applicable to the Selling Shareholder or to any of 
    the property or assets of the Selling Shareholder.

      In addition, such counsel shall state that although such counsel has 
not undertaken, except as otherwise indicated in their opinion, to determine 
independently, and does not assume any responsibility for, the accuracy, 
completeness or fairness of the statements in the Registration Statement, 
such counsel has participated in the preparation of the Registration 
Statement and the Prospectus, including review and discussion of the contents 
thereof, and nothing has come to the attention of such counsel that has 
caused it to believe that the Registration Statement, at the time the 
Registration Statement became effective, contained an untrue statement of a 
material fact or omitted to state a material fact required to be stated 
therein or necessary to make the statements therein not misleading, or that 
the Prospectus, as of its date and as of the Closing Date or the Option 
Closing Date, as the case may be, contained an untrue statement of a material 
fact or omitted or omits to state a material fact necessary in order to make 
the statements therein, in the light of the circumstances under which they 
were made, not misleading, or that any amendment or supplement to the 
Prospectus, as of its date, and as of the Closing Date or the Option Closing 
Date, as the case may be, contained or contains an untrue statement of a 
material fact or omitted or omits to state a material fact necessary in order 
to make the statements therein, in light of the circumstances under which 
they were made, not misleading (it being understood that such counsel need 
express no opinion with respect to the financial statements and the notes 
thereto and the schedules and other financial and statistical data included 
in the Registration Statement or the Prospectus).

      In rendering their opinion as aforesaid, counsel may rely upon (A) an 
opinion or opinions, each dated the Closing Date, of other counsel retained 
by them or the Company as to laws of any jurisdiction other than the federal 
laws of the United States or the State of Ohio provided that (1) each such 
local counsel is acceptable to the Representatives, (2) such reliance is 
expressly authorized by each opinion so relied upon and a copy of each such 
opinion is delivered to the Representatives and is, in form and substance, 
reasonably satisfactory to them and counsel for the Underwriters and (3) 
counsel shall state in their opinion that they believe that they and the 
Underwriters are justified in relying thereon and (B) as to matters of fact, 
to the extent they deem proper, certificates of responsible officers of the 
Company, JMAC Properties, the Selling Shareholder and public officials; and 
such opinion may state that such counsel has assumed for the purposes of the 
opinions in paragraphs (ix) and (xix) above as to this Agreement being the 
valid, binding and enforceable obligation of the Company and this Agreement 
and the Custody Agreement being the valid, binding and enforceable 
obligations of the Selling Shareholder that the internal laws of the State of 
New York and the judicial interpretations thereof (which law this Agreement 
and the Custody Agreement specify as the governing law with respect hereto 
and thereto) do not differ, in any respect material to such opinion, from the 
internal laws of the State of Ohio and the judicial interpretations thereof.

      (d)  You shall have received on the Closing Date an opinion of Bricker 
and Eckler, counsel for the Subsidiaries other than JMAC Properties, dated 
the Closing Date and addressed to you, as Representatives of the several 
Underwriters, that:

                                      21



      (i)  Each Subsidiary other than JMAC Properties, with respect to which 
    no opinion is given, that is a corporation is a corporation duly 
    incorporated and validly existing and in good standing under the laws 
    of the jurisdiction of its organization, with full corporate power and 
    authority to own, lease and operate its properties and to conduct its 
    business as described in the Registration Statement and the Prospectus 
    (and any amendment or supplement thereto); and all the outstanding shares 
    of capital stock of each of the Subsidiaries other than JMAC Properties, 
    as to which no opinion is given, that is a corporation have been duly 
    authorized and validly issued, are fully paid and nonassessable, and are 
    owned of record by the Company directly, or indirectly through one or more
    of the other Subsidiaries, free and clear of any perfected security interest
    or, to such counsel's knowledge, any other lien, adverse claim, equity or 
    other encumbrance, except as disclosed in the Registration Statement and 
    the Prospectus (or any amendment or supplement thereto);

      (ii)  Each Subsidiary that is a Partnership has been duly organized and 
    is an existing partnership under the laws of the jurisdiction of its 
    organization, with the partnership power and authority to own, lease and 
    operate its properties and to conduct its business as currently operated 
    and conducted.  The partnership interests in the Partnerships held 
    directly or indirectly by any Subsidiary are, to such counsel's knowledge, 
    owned free and clear of any lien, adverse claim, security interest, equity 
    or other encumbrance, except as disclosed in the Prospectus.  To such 
    counsel's knowledge, each partnership agreement pursuant to which a 
    Subsidiary holds a general partnership interest in a Partnership is in full 
    force and effect and constitutes the legal, valid and binding agreement of 
    such Subsidiary, enforceable against such Subsidiary in accordance with the 
    terms thereof, except as enforcement thereof may be limited by bankruptcy, 
    insolvency or other similar laws affecting creditors' rights generally and 
    by general equitable principles;

      (iii)  To the knowledge of such counsel, none of the Subsidiaries other 
    than JMAC Properties, with respect to which no opinion is given, is in 
    violation of its articles of incorporation or regulations or other 
    organizational documents or in default in the performance of any material 
    obligation, agreement or condition contained in any bond, debenture, note 
    or other evidence of indebtedness made an exhibit to the Registration 
    Statement;

      (iv)  Neither the offer, sale or delivery of the Shares, the execution, 
    delivery or performance of this Agreement, compliance by the Company with 
    the provisions hereof nor consummation by the Company of the transactions 
    contemplated hereby conflicts or will conflict with or constitutes or will 
    constitute a breach of, or a default under, the articles of incorporation 
    or regulations or other organizational documents of any of the Subsidiaries 
    other than JMAC Properties, with respect to which no opinion is given, or 
    any agreement, indenture, lease or other instrument to which any of the 
    Subsidiaries other than JMAC Properties, with respect to which no opinion 
    is given, is a party or by which any of the Subsidiaries other than JMAC 
    Properties, with respect to which no opinion is given, or any of their 
    respective properties is bound that is an exhibit to the Registration 
    Statement or to the knowledge of such counsel will result in the creation 
    or imposition of any material lien, charge or encumbrance upon any property 
    or assets of any of the Subsidiaries other than JMAC Properties, with 
    respect to which no opinion is given, nor will any such action result in 
    any violation of any existing law, regulation, ruling (assuming compliance 
    with all applicable state securities and Blue Sky laws), judgment, 
    injunction, order or decree known to such counsel and applicable to any of 
    the Subsidiaries other than JMAC Properties, with respect to which no 
    opinion is given, or any of their respective properties; 

                                      22



      (v)  To the knowledge of such counsel, (A) there are no legal or 
    governmental proceedings pending or threatened against any of the 
    Subsidiaries other than JMAC Properties, with respect to which no opinion 
    is given, or to which any of the Subsidiaries other than JMAC Properties, 
    with respect to which no opinion is given, or any of their respective 
    properties is subject, which are required to be described in the 
    Registration Statement or Prospectus (or any amendment or supplement 
    thereto) that are not described as required and (B) there are no 
    agreements, contracts, indentures, leases or other instruments to which 
    any of the Subsidiaries other than JMAC Properties, with respect to which 
    no opinion is given, are a party that are required to be described in the 
    Registration Statement or the Prospectus (or any amendment or supplement 
    thereto) or to be filed as an exhibit to the Registration Statement that 
    are not described or filed as required, as the case may be;

      (vi)  Each of the Subsidiaries other than JMAC Properties, with respect 
    to which no opinion is given, has full corporate power and authority and 
    all necessary Permits (except where the failure to so have any such 
    Permits, individually or in the aggregate, would not have a Material Adverse
    Effect) to own its properties and to conduct its business as now being 
    conducted as described in the Prospectus;

      (vii)  None of the Subsidiaries other than JMAC Properties, with 
    respect to which no opinion is given, is an "investment company" or a 
    person "controlled" by an "investment company" within the meaning of the 
    Investment Company Act of 1940, as amended; and

      (viii)  The statements in the Registration Statement and Prospectus 
    under the captions "History and Organization - History," "Management's 
    Discussion and Analysis of Financial Condition and Results of 
    Operations - Liquidity and Capital Resources," "Business - Regulations" 
    and "Certain Transactions," insofar as they are descriptions of contracts, 
    agreements or other legal documents, or refer to statements of law or legal
    conclusions, are accurate in all material respects and present fairly the 
    information required to be shown.

      In addition, such counsel shall state that although such counsel has 
not undertaken, except as otherwise indicated in their opinion, to determine 
independently, and does not assume any responsibility for, the accuracy, 
completeness or fairness of the statements in the Registration Statement, 
such counsel has participated in the preparation of the Registration 
Statement and the Prospectus, including review and discussion of the contents 
thereof, and nothing has come to the attention of such counsel that has 
caused it to believe that the Registration Statement, at the time the 
Registration Statement became effective, contained an untrue statement of a 
material fact or omitted to state a material fact required to be stated 
therein or necessary to make the statements therein not misleading, or that 
the Prospectus, as of its date and as of the Closing Date or the Option 
Closing Date, as the case may be, contained an untrue statement of a material 
fact or omitted or omits to state a material fact necessary in order to make 
the statements therein, in the light of the circumstances under which they 
were made, not misleading, or that any amendment or supplement to the 
Prospectus, as of its date, and as of the Closing Date or the Option Closing 
Date, as the case may be, contained or contains an untrue statement of a 
material fact or omitted or omits to state a material fact necessary in order 
to make the statements therein, in light of the circumstances under which 
they were made, not misleading (it being understood that such counsel need 
express no opinion with respect to the financial statements and the notes 
thereto and the schedules and other financial and statistical data included 
in the Registration Statement or the Prospectus).

                                      23



      In rendering their opinion as aforesaid, counsel may rely upon (A) an 
opinion or opinions, each dated the Closing Date, of other counsel retained 
by the Company as to laws of any jurisdiction other than the federal laws of 
the United States or the State of Ohio PROVIDED that (1) each such local 
counsel is acceptable to the Representatives, (2) such reliance is expressly 
authorized by each opinion so relied upon and a copy of each such opinion is 
delivered to the Representatives and is, in form and substance, reasonably 
satisfactory to them and counsel for the Underwriters and (3) counsel shall 
state in their opinion that they believe that they and the Underwriters are 
reasonably justified in relying thereon and (B) as to matters of fact, to the 
extent they deem proper, certificates of responsible officers of the Company, 
the Subsidiaries, the Selling Shareholder and public officials.

      (e)  You shall have received on the Closing Date an opinion of Dewey 
Ballantine, counsel for the Underwriters, dated the Closing Date and 
addressed to you, as Representatives of the several Underwriters, with 
respect to the matters referred to in clauses (vi) (other than subclause (B) 
thereof), (viii), (ix), (xiii) and the penultimate paragraph of Section 10(c) 
hereof and such other related matters as you may request.  In rendering their 
opinion, Dewey Ballantine may rely as to matters of Ohio law upon the opinion 
of Vorys, Sater, Seymour and Pease.

      (f)  You shall have received letters addressed to you and dated the 
date hereof from Ernst & Young LLP and Deloitte & Touche LLP, independent 
certified public accountants, substantially in the forms heretofore approved 
by you, and you shall have received a letter addressed to you and dated the 
Closing Date from Ernst & Young LLP, independent certified public 
accountants, substantially in the form heretofore approved by you.

      (g)(i)  No stop order suspending the effectiveness of the Registration 
Statement shall have been issued and no proceedings for that purpose shall 
have been instituted or, to the knowledge of the Company, contemplated by the 
Commission at or prior to the Closing Date and any request of the Commission 
for additional information (to be included in the registration statement or 
the prospectus or otherwise) shall have been complied with; (ii) there shall 
not have been any material change in the capital stock of the Company nor any 
material increase in the short-term or long-term debt of the Company from 
that set forth or contemplated in the Registration Statement or the 
Prospectus (or any amendment or supplement thereto); (iii) there shall not 
have been, since the respective dates as of which information is given in the 
Registration Statement and the Prospectus (or any amendment or supplement 
thereto), except as may otherwise be stated in the Registration Statement and 
Prospectus (or any amendment or supplement thereto), any material adverse 
change in the condition (financial or other), business, prospects, 
properties, net worth or results of operations of the Company; (iv) the 
Company and the Subsidiaries shall not have any liabilities or obligations, 
direct or contingent (whether or not in the ordinary course of business), 
that are material to the Company and the Subsidiaries, taken as a whole, 
other than those reflected in or contemplated by the Registration Statement 
or the Prospectus (or any amendment or supplement thereto); and (v) all the 
representations and warranties of the Company contained in this Agreement 
shall be true and correct in all material respects on and as of the date 
hereof and on and as of the Closing Date as if made on and as of the Closing 
Date, and you shall have received a certificate, dated the Closing Date and 
signed by the chief executive officer and the chief financial officer of the 
Company (or such other officers as are acceptable to you), as to the matters 
set forth in this Section 10(g) and in Section 10(h) hereof. 

      (h)  The Company shall have performed or complied in all material 
respects with all of its agreements herein contained and required to be 
performed or complied with by it hereunder at or prior to the Closing Date.

                                      24



      (i)  You shall have received a certificate dated the Closing Date 
signed by the chief accounting officer of the Company substantially in the 
form heretofore approved by you, respecting the Company's compliance with the 
financial covenants contained in financing agreements to which the Company is 
a party.

      (j)  All the representations and warranties of the Selling Shareholder 
contained in this Agreement shall be true and correct in all material 
respects on and as of the date hereof and on and as of the Closing Date as if 
made on and as of the Closing Date, and you shall have received a certificate,
dated the Closing Date and signed by or on behalf of the Selling Shareholder
as to the matters set forth in this Section 10(j) and in Section 10(k) hereof.

      (k)  The Selling Shareholder shall have performed or complied in all 
material respects with all of its agreements herein contained and required to 
be performed or complied with by it hereunder at or prior to the Closing Date.

      (l)  The Shares shall have been approved for quotation subject to 
notice of issuance on the Nasdaq National Market.

      (m)  The Sellers shall have furnished or caused to be furnished to you 
such further certificates and documents as you shall have reasonably 
requested. 

      All such opinions, certificates, letters and other documents will be in 
compliance with the provisions hereof only if they are reasonably 
satisfactory in form and substance to you, as Representatives of the 
Underwriters, and counsel for the Underwriters.

      Any certificate or document signed by any officer of the Company or by 
or on behalf of the Selling Shareholder and delivered to you, as 
Representatives  of the several Underwriters, or to counsel for the 
Underwriters, shall be deemed a representation or warranty by the Company or 
the Selling Shareholder, as the case may be, to each Underwriter as to the 
statements made therein. 

      The several obligations of the Underwriters to purchase Additional 
Shares hereunder are subject to the satisfaction on and as of any Option 
Closing Date of the conditions set forth in this Section 10, except that, if 
any Option Closing Date is other than the Closing Date, the certificates, 
opinions and letters referred to in paragraphs (c) through (g) and paragraphs 
(i), (j) and (m) shall be dated the Option Closing Date in question and the 
opinions called for by paragraphs (c), (d) and (e) shall be revised to 
reflect the sale of Additional Shares. 

   11.   EXPENSES.  The Company agrees to pay the following costs and 
expenses and all other costs and expenses incident to the performance by it 
of its obligations hereunder:  (i) the preparation, printing or reproduction, 
and filing with the Commission of the registration statement (including 
financial statements and exhibits thereto), each Prepricing Prospectus, the 
Prospectus, and each amendment or supplement to any of them; (ii) the 
printing (or reproduction) and delivery (including postage, air freight 
charges and charges for counting and packaging) of such copies of the 
registration statement, each Prepricing Prospectus, the Prospectus, and all 
amendments or supplements to any of them as may be reasonably requested for 
use in connection with the offering and sale of the Shares; (iii) the 
preparation, printing, authentication, issuance and delivery of certificates 
for the Shares, including any stamp taxes in connection with the offering of 
the Shares; (iv) the printing (or reproduction) and delivery of this 
Agreement, the preliminary and supplemental Blue Sky Memoranda and all other 
agreements or documents 

                                      25



printed (or reproduced) and delivered in connection with the offering of the 
Shares; (v) the registration of the Common Shares under the Exchange Act and 
the listing of the Shares on the Nasdaq National Market; (vi) the 
registration or qualification of the Shares for offer and sale under the 
securities or Blue Sky laws of the several states as provided in Section 5(g) 
hereof (including the reasonable fees (not to exceed $15,000 in the 
aggregate, including fees paid pursuant to (vii) below), expenses and 
disbursements of counsel for the Underwriters relating to the preparation, 
printing or reproduction, and delivery of the preliminary and supplemental 
Blue Sky Memoranda and such registration and qualification); (vii) the filing 
fees and the reasonable fees (not to exceed $15,000 in the aggregate, 
including fees paid pursuant to (vi) above) and expenses of counsel for the 
Underwriters in connection with any filings required to be made with the 
National Association of Securities Dealers, Inc. in connection with the 
offering; and (viii) the transportation and other expenses incurred by or on 
behalf of representatives of the Company (other than employees of Smith 
Barney Inc., J.C. Bradford & Co. or any other Underwriter) in connection with 
presentations to prospective purchasers of the Shares; (ix) the fees and 
expenses of the Company's accountants and the fees and expenses of counsel 
(including local and special counsel) for the Company and the Selling 
Shareholder; and (x) the performance by the Company of its other obligations 
under this Agreement.

   12.   EFFECTIVE DATE OF AGREEMENT.  This Agreement shall become effective: 
(i) upon the execution and delivery hereof by the parties hereto; or (ii) 
if, at the time this Agreement is executed and delivered, it is necessary for 
the registration statement or a post-effective amendment thereto or an 
Abbreviated Registration Statement to be declared effective before the 
offering of the Shares may commence, when notification of the effectiveness 
of the registration statement or such post-effective amendment or Abbreviated 
Registration Statement has been released by the Commission.  Until such time 
as this Agreement shall have become effective, it may be terminated by the 
Company, by notifying you, or by you, as Representatives of the several 
Underwriters, by notifying the Company. 

      If any one or more of the Underwriters shall fail or refuse to purchase 
Shares which it or they have agreed to purchase hereunder, and the aggregate 
number of Shares which such defaulting Underwriter or Underwriters agreed but 
failed or refused to purchase is not more than one-tenth of the aggregate 
number of Shares which the Underwriters are obligated to purchase on the 
Closing Date, each non-defaulting Underwriter shall be obligated, severally, 
in the proportion which the number of Firm Shares set forth opposite its name 
in Schedule I hereto bears to the aggregate number of Firm Shares set forth 
opposite the names of all non-defaulting Underwriters or in such other 
proportion as you may specify in accordance with Section 20 of the Master 
Agreement Among Underwriters of Smith Barney, Harris Upham & Co. Incorporated 
(predecessor of Smith Barney Inc.), to purchase the Shares which such 
defaulting Underwriter or Underwriters agreed, but failed or refused, to 
purchase.  If any Underwriter or Underwriters shall fail or refuse to 
purchase Shares which it or they are obligated to purchase on the Closing 
Date and the aggregate number of Shares with respect to which such default 
occurs is more than one-tenth of the aggregate number of Shares which the 
Underwriters are obligated to purchase on the Closing Date and arrangements 
satisfactory to you and the Company for the purchase of such Shares by one or 
more non-defaulting Underwriters or other party or parties approved by you 
and the Company are not made within 36 hours after such default, this 
Agreement will terminate without liability on the part of any non-defaulting 
Underwriter or any Seller.  In any such case which does not result in 
termination of this Agreement, either you or the Company shall have the right 
to postpone the Closing Date, but in no event for longer than seven days, in 
order that the required changes, if any, in the Registration Statement and 
the Prospectus or any other documents or arrangements may be effected.  Any 
action taken under this paragraph shall not relieve any defaulting 
Underwriter from liability in respect of any such default of any such 
Underwriter under this Agreement.  The term "Underwriter" as used in this 
Agreement includes, for all purposes of this Agreement, any party not listed 
in Schedule I hereto who, with your approval and the 

                                      26



approval of the Company, purchases Shares which a defaulting Underwriter
agreed, but failed or refused, to purchase.

      Any notice under this Section 12 may be given by telegram, telecopy or 
telephone but shall be subsequently confirmed by letter. 

   13.   TERMINATION OF AGREEMENT.  This Agreement shall be subject to 
termination in your absolute discretion, without liability on the part of any 
Underwriter to the Sellers, by notice to the Company and the 
Attorneys-in-Fact, if prior to the Closing Date or any Option Closing Date 
(if different from the Closing Date and then only as to the Additional 
Shares), as the case may be, (i) trading in securities generally on the New 
York Stock Exchange, the American Stock Exchange or the Nasdaq National 
Market shall have been suspended or materially limited, (ii) a general 
moratorium on commercial banking activities in New York shall have been 
declared by either federal or state authorities, or (iii) there shall have 
occurred any outbreak or escalation of hostilities or other international or 
domestic calamity, crisis or change in political, financial or economic 
conditions, the effect of which on the financial markets of the United States 
is such as to make it, in your reasonable judgment, impracticable or 
inadvisable to commence or continue the offering of the Shares at the 
offering price to the public set forth on the cover page of the Prospectus or 
to enforce contracts for the resale of the Shares by the Underwriters.  
Notice of such termination may be given by telegram, telecopy or telephone 
and shall be subsequently confirmed by letter. 

   14.   INFORMATION FURNISHED BY THE UNDERWRITERS.  The statements set forth 
in the last paragraph on the cover page, the stabilization legend on the 
inside front cover page and the statements in the first and third paragraphs 
under the caption "Underwriting" in any Prepricing Prospectus and in the 
Prospectus constitute the only information furnished by or on behalf of the 
Underwriters through you as such information is referred to in Sections 7(b) 
and 9 hereof.  

   15.   MISCELLANEOUS.  Except as otherwise provided in Sections 5, 12 and 
13 hereof, notice given pursuant to any provision of this Agreement shall be 
in writing and shall be delivered (i) if to the Company, at the office of the 
Company at 919 Old Henderson Road, Columbus, Ohio 43220, Attention:  Alan B. 
Satterwhite, with a copy to Vorys, Sater, Seymour and Pease, 52 East Gay 
Street, Columbus, Ohio 43215, Attention:  Susan E. Brown, Esq.; (ii) if to 
the Selling Shareholder, at 150 E. Wilson, Bridge Road, Suite 230, 
Worthington, Ohio 43085 Attention:  Michael H. Thomas, with a copy to Vorys, 
Sater, Seymour and Pease, 52 East Gay Street, Columbus, Ohio 43215, 
Attention: Russell R. Rosler; or (iii) if to you, as Representatives of the 
several Underwriters, care of Smith Barney Inc., 388 Greenwich Street, New 
York, New York 10013, Attention: Manager, Investment Banking Division, with a 
copy to Dewey Ballantine, 1301 Avenue of the Americas, New York, New York 
10019, Attention: Frederick W. Kanner, Esq.

                                      27



      This Agreement has been and is made solely for the benefit of the 
several Underwriters, the Company, its directors, its officers who sign the 
Registration Statement, the Selling Shareholder and the controlling persons 
referred to in Section 9 hereof and, to the extent provided herein, their 
respective successors and assigns and no other person shall acquire or have 
any right under or by virtue of this Agreement.  Neither the term "successor" 
nor the term "successors and assigns" as used in this Agreement shall include 
a purchaser from any Underwriter of any of the Shares in his status as such 
purchaser. 

   16.   APPLICABLE LAW; COUNTERPARTS.  This Agreement shall be governed by 
and construed in accordance with the laws of the State of New York applicable 
to contracts made and to be performed within the State of New York.

      This Agreement may be signed in various counterparts which together 
constitute one and the same instrument.  If signed in counterparts, this 
Agreement shall not become effective unless at least one counterpart hereof 
shall have been executed and delivered on behalf of each party hereto.

                                      28



      Please confirm that the foregoing correctly sets forth the agreement 
between the Company and the several Underwriters. 

                                       Very truly yours,

                                       KARRINGTON HEALTH, INC. 

                                       By: ___________________________________

                                       JMAC, INC.

                                       By: ___________________________________

Confirmed as of the date first
above-mentioned on behalf of
themselves and the other several 
Underwriters named in Schedule I 
hereto. 

SMITH BARNEY INC. 
J.C. BRADFORD & CO.

 AS REPRESENTATIVES OF THE SEVERAL UNDERWRITERS

By:  SMITH BARNEY INC.

By: ___________________________________
    Managing Director

                                      29



                                  SCHEDULE I

                           KARRINGTON HEALTH, INC.

                                                          Number of
      Underwriter                                        Firm Shares
      -----------                                        -----------
      Smith Barney Inc. . . . . . . . . . . . . . . . . . 
      J.C. Bradford & Co. . . . . . . . . . . . . . . . .



                                                           ---------
          Total . . . . . . . . . . . . . . . . . . . . .  3,000,000
                                                           ---------
                                                           ---------