As filed with the Securities and Exchange Commission on April 17, 1997

                                                      Registration No.  33-98018
================================================================================

                     U.S. SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549

                            ------------------------
                        POST-EFFECTIVE AMENDMENT NO. 1 TO
                                    FORM SB-2
                             REGISTRATION STATEMENT
                                      UNDER
                           THE SECURITIES ACT OF 1933
                            ------------------------

                    CONSOLIDATED HEALTH CARE ASSOCIATES, INC.
                 (Name of small business issuer in its charter)




          NEVADA                          8049                   91-1256470
- --------------------------------------------------------------------------------
(State or other jurisdiction of  (Primary standard industrial (I.R.S.  employer 
incorporation or organization)   classification code number)  identification 
                                                              number)        
                                                              

                                 38 POND STREET
                          FRANKLIN, MASSACHUSETTS 02038
                                 (508) 520-2422
                   (Address and telephone number of principal
               executive offices and principal place of business)

                                ROBERT M. WHITTY,
                                    PRESIDENT
                               CONSOLIDATED HEALTH
                              CARE ASSOCIATES, INC.
                                 38 POND STREET
                          FRANKLIN, MASSACHUSETTS 02038
                                 (508) 520-2422
                          (Name, address and telephone
                          number of agent for service)
                            ------------------------

                                   COPIES TO:

                              ARTHUR D. EMIL, ESQ.
                        KRAMER, LEVIN, NAFTALIS & FRANKEL
                                919 THIRD AVENUE
                            NEW YORK, NEW YORK 10022
                            TELEPHONE: (212) 715-9100

Approximate  date of  commencement  of proposed  sale to the public:  As soon as
practicable after the effective date of this Registration Statement.

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

THE REGISTRANT HEREBY AMENDS THIS  REGISTRATION  STATEMENT ON SUCH DATE OR DATES
AS MAY BE NECESSARY TO DELAY ITS EFFECTIVE DATE UNTIL THE REGISTRANT  SHALL FILE
A FURTHER AMENDMENT WHICH SPECIFICALLY  STATES THAT THIS REGISTRATION  STATEMENT
SHALL  THEREAFTER  BECOME  EFFECTIVE  IN  ACCORDANCE  WITH  SECTION  8(A) OF THE
SECURITIES  ACT OF 1933,  OR  UNTIL  THE  REGISTRATION  STATEMENT  SHALL  BECOME
EFFECTIVE ON SUCH DATE AS THE COMMISSION,  ACTING PURSUANT TO SAID SECTION 8(A),
MAY DETERMINE.




PROSPECTUS SUPPLEMENT
(TO PROSPECTUS DATED FEBRUARY 14, 1997)


                        6,047,017 SHARES OF COMMON STOCK

                    CONSOLIDATED HEALTH CARE ASSOCIATES, INC.

         This   Prospectus   Supplement  (the   "Supplement")   supplements  the
Prospectus of Consolidated  Health Care  Associates,  Inc. (the "Company") dated
February 14, 1997 (the "Prospectus")  with audited financial  statements for the
year ended  December 31, 1996.  This  Supplement  forms a part of, and should be
read in conjunction with, the Prospectus of the Company.

                                     EXPERTS

The  financial  statements  as of  December  31,  1995 and the year then  ended,
included in this  prospectus  have been so included in reliance on the report of
Price Waterhouse LLP,  independent  accountants,  given on the authority of said
firm as experts in auditing and accounting.  The financial  statements as of the
period ended December 31, 1996 included in this prospectus have been so included
in  reliance  on  the  report  of  Federman,  Lally  &  Remis  LLC,  independent
accountants,  given on the  authority  of said firm as experts in  auditing  and
accounting.


                   The Date of this Prospectus is April , 1997





                       Financial Statements and Schedules

                                Table of Contents



Consolidated Health Care Associates, Inc.
                                                                            Page
                                                                            ----

    The Report of Independent Accountants                                    S-3

    The Report of Independent Accountants                                    S-4

    Consolidated statements and notes as of December 31, 1996,
    and 1995 and for the years then ended:

        Consolidated Balance Sheets                                          S-5

        Consolidated Statements of Operations                                S-6

        Consolidated Statements of Stockholders' Equity                      S-7

        Consolidated Statements of Cash Flows                                S-8

        Notes to Consolidated Financial Statements                   S-9 to S-19


                                      S-2



                      THE REPORT OF INDEPENDENT ACCOUNTANTS

To the Board of Directors and Stockholders of
Consolidated Health Care Associates, Inc.

In our opinion, the accompanying  consolidated financial statements appearing on
pages S-4 through S-16 present fairly, in all material  respects,  the financial
position of Consolidated  Health Care  Associates,  Inc. and its subsidiaries at
December 31, 1995, and the results of their  operations and their cash flows for
the year, in conformity with generally  accepted  accounting  principles.  These
financial  statements are the  responsibility of the Company's  management;  our
responsibility  is to express an opinion on these financial  statements based on
our  audit.  We  conducted  our audit of these  statements  in  accordance  with
generally accepted auditing standards which require that we plan and perform the
audit to obtain reasonable  assurance about whether the financial statements are
free of material  misstatement.  An audit includes  examining,  on a test basis,
evidence  supporting the amounts and  disclosures  in the financial  statements,
assessing the  accounting  principles  used and  significant  estimates  made by
management,  and evaluating the overall  financial  statement  presentation.  We
believe  that our audit  provides a reasonable  basis for the opinion  expressed
above.

The  accompanying  financial  statements  have been  prepared  assuming that the
Company  will  continue  as a  going  concern.  As  described  in Note 15 to the
financial statements,  the Company's ability to meet all its obligations as they
become due is dependent on the continued  availability of financing arrangements
for factoring receivables and on the availability of other sources of financing.
These  financing  uncertainties  raise  substantial  doubt  about the  Company's
ability to continue as a going  concern.  Management's  plans in this regard are
described in Note 15. The financial  statements  do not include any  adjustments
that might result from the outcome of this uncertainty.



Price Waterhouse LLP

Providence, RI
April 5, 1996




                                      S-3




                      THE REPORT OF INDEPENDENT ACCOUNTANTS


To the Board of Directors and Stockholders of
Consolidated Health Care Associates, Inc.

We have audited the  accompanying  consolidated  balance  sheet of  Consolidated
Health Care  Associates,  Inc. and subsidiaries as of December 31, 1996, and the
related consolidated  statements of operations,  stockholders'  equity, and cash
flows for the year then ended. These consolidated  financial  statements are the
responsibility of the Company's management.  Our responsibility is to express an
opinion on these consolidated financial statements based on our audit.

We conducted our audit in accordance with generally accepted auditing standards.
Those standards  require that we plan and perform the audit to obtain reasonable
assurance  about  whether  the  consolidated  financial  statements  are free of
material  misstatement.  An audit includes examining,  on a test basis, evidence
supporting the amounts and disclosures in the consolidated financial statements.
An audit also includes assessing the accounting  principles used and significant
estimates  made by  management,  as well as  evaluating  the  overall  financial
statement  presentation.  We believe that our audit provides a reasonable  basis
for our opinion.

In our opinion, the consolidated  financial statements referred to above present
fairly, in all material respects,  the financial position of Consolidated Health
Care Associates,  Inc. and subsidiaries as of December 31, 1996, and the results
of their  operations  and their cash flows for the year then ended in conformity
with generally accepted accounting principles.

The accompanying  consolidated  financial statements have been prepared assuming
that the Company will continue as a going concern.  As described in Note 15, the
Company  has  suffered  recurring  losses,  including  a net loss in  excess  of
$473,000 for the year ended December 31, 1996, and has an accumulated deficit in
excess of $7,972,000  as of December 31, 1996,  which raises  substantial  doubt
about its ability to continue as a going concern.  Management's  plans regarding
these  matters  are also  described  in Note 15. The  accompanying  consolidated
financial  statements do not include any adjustments  that might result from the
outcome of this uncertainty.




Federman, Lally  & Remis LLC

Farmington, Connecticut
March 12, 1997



                                      S-4




=========================================================================================================================
                                      CONSOLIDATED HEALTH CARE ASSOCIATES, INC.
=========================================================================================================================
                              Consolidated Balance Sheets as of December 31, 1996 and 1995
=========================================================================================================================
                                                                                                          
ASSETS:                                                                                           1996               1995
- -------                                                                                           ----               ----
  Current assets:
      Cash                                                                                  $   37,141         $   85,557
      Accounts receivable (net of allowance of $977,000 in 1996 and $815,000 in
         1995)                                                                               1,817,036          2,016,846
      Other accounts receivable                                                                535,225            116,260
      Other current assets                                                                     176,403            102,056
                                                                                            ----------          ---------

      Total current assets                                                                   2,565,805          2,320,719
                                                                                            ----------          ---------

  Property and equipment, at cost:
      Equipment and leasehold improvements                                                   1,316,166          1,292,487
      Less accumulated depreciation and amortization                                          (862,305)          (694,903)
                                                                                            ----------          ---------
         Property and equipment, net                                                           453,861            597,584
                                                                                            ----------          ---------

  Other assets:
     Goodwill (net of accumulated amortization of $384,342 in 1996 and $309,290
         in 1995)                                                                            2,428,463          2,503,515
     Other                                                                                     132,437            144,979
                                                                                            ----------          ---------

     Total other assets                                                                      2,560,900          2,648,494
                                                                                            ----------          ---------

  TOTAL                                                                                     $5,580,566         $5,566,797
                                                                                           ===========         ==========

LIABILITIES AND STOCKHOLDERS' EQUITY:
  Current liabilities:
     Notes payable and current portion of long-term debt                                     $ 353,023          $ 521,248
     Accounts payable                                                                          778,358            799,888
     Accrued personnel costs                                                                   377,085            326,468
     Accrued expenses and other liabilities                                                    173,038            214,583
                                                                                            ----------          ---------

     Total current liabilities                                                               1,681,504          1,862,187

  Long-term debt                                                                             1,804,550          1,699,360
  Other liabilities                                                                                 -              26,998
                                                                                            ----------          ---------

  Total liabilities                                                                          3,486,054          3,588,545
                                                                                            ----------          ---------

  Commitments and contingencies (Notes 6 and 10))

  Stockholders' equity:
     Preferred stock, 10,000,000 shares authorized; issued and outstanding 1,727,305
     in 1996 and 1995                                                                        1,727,305          1,727,305
     Common stock, $.012 par value, 50,000,000 shares authorized; issued
     16,369,583 in 1996, and 14,702,306 in 1995                                                196,435            176,428
     Additional paid-in capital                                                              8,230,611          7,661,116
     Accumulated deficit                                                                    (7,972,339)        (7,499,097)
                                                                                            ----------          ---------
                                                                                             2,182,012          2,065,752
     Less-treasury stock, 700,000 shares of common stock, at cost                              (87,500)           (87,500)
                                                                                            ----------          ---------
   Total stockholders' equity                                                                2,094,512          1,978,252
                                                                                            ----------          ---------

  TOTAL                                                                                     $5,580,566         $5,566,797
                                                                                            ==========         ==========
- -------------------------------------------------------------------------------------------------------------------------
See notes to consolidated financial statements.
=========================================================================================================================


                                      S-5





===============================================================================================================
                                   CONSOLIDATED HEALTH CARE ASSOCIATES, INC.
===============================================================================================================
                                     Consolidated Statements of Operations
                                For the Years Ended December 31, 1996 and 1995
===============================================================================================================
                                                                                  1996                  1995
                                                                              ---------------------------------
                                                                                                      
Revenue, net                                                                  $ 8,799,431            $8,617,798
                                                                              -----------           -----------
Costs and expenses:
   Operating costs                                                              7,015,664             7,244,196
   Administrative and selling costs                                             1,771,723             1,641,099
   Depreciation and amortization                                                  242,454               230,115
                                                                              -----------           -----------

Total costs and expenses                                                        9,029,841             9,115,410
                                                                              -----------           -----------

Operating loss                                                                   (230,410)             (497,612)

Interest expense                                                                 (298,564)             (183,023)

Other income, net                                                                  86,562               81,780
                                                                              -----------           -----------

Loss before income tax provision                                                 (442,412)             (598,855)

Income tax provision                                                               30,830                10,000
                                                                              -----------           -----------

Net loss                                                                      $  (473,242)          $  (608,855)
                                                                              ===========           ===========

Net loss per share                                                                  $(.04)                $(.05)
                                                                              ===========           ===========

- ---------------------------------------------------------------------------------------------------------------
See notes to consolidated financial statements.
===============================================================================================================





                                      S-6




==================================================================================================================================
                                            CONSOLIDATED HEALTH CARE ASSOCIATES, INC.
==================================================================================================================================
                                         Consolidated Statements of Stockholders' Equity
                                          For the Years Ended December 31, 1996 and 1995
==================================================================================================================================
                                                                                                 Additional
                                             Preferred          Common           Treasury          Paid-In         Accumulated
                                               Stock             Stock            Stock            Capital           Deficit
==================================================================================================================================
                                                                                                          
Balance, January 1, 1995                    $1,727,305          $159,268        $(87,500)        $7,337,382        $(6,890,242)

Common stock issued                                               17,160                            323,734

Net loss for the year                                                                                                 (608,855)
                                            ----------          --------        --------         ----------        ----------- 

Balance, December 31, 1995                  $1,727,305          $176,428        $(87,500)        $7,661,116        $(7,499,097)

Common stock issued                                               20,007                            569,495

Net loss for the year                                                                                                 (473,242)
                                            ----------          --------        --------         ----------        ----------- 

Balance, December 31, 1996                  $1,727,305          $196,435        $(87,500)        $8,230,611        $(7,972,339)
                                            ==========          ========        ========         ==========        ============

- ----------------------------------------------------------------------------------------------------------------------------------
See notes to consolidated financial statements.
==================================================================================================================================



                                      S-7




===========================================================================================================
                                 CONSOLIDATED HEALTH CARE ASSOCIATES, INC.
===========================================================================================================
                                   Consolidated Statements of Cash Flows
                              For the Years Ended December 31, 1996 and 1995
===========================================================================================================
                                                                                1996               1995
- -----------------------------------------------------------------------------------------------------------
                                                                                                  
Cash Flows From Operating Activities:

  Net loss                                                                    $(473,242)         $(608,855)

  Adjustments to reconcile net loss to net cash from operating activities:
     Depreciation                                                               167,402            156,000
     Amortization of goodwill                                                    75,052             74,115
     Loss on disposal of fixed assets                                                 -              2,500
     Gain on debt restructuring                                                 (89,231)           (31,372)
     Non-cash interest expense                                                   21,434             18,277
     Non-cash expense for 401K contribution                                      53,935             79,500
     Non-cash compensation expenses                                             118,750                  -
    (Increase) decrease in accounts receivable                                 (179,155)           139,319
    (Increase) decrease in other current assets                                 (13,191)          (151,643)
    (Increase) decrease in other assets                                          41,002             93,017
     Increase (decrease) in accounts payable, accrued personnel  costs,
     accrued expenses, and other liabilities                                    168,507            203,504
                                                                            -----------          ---------

  Net cash used for operating activities                                       (108,737)           (25,638)
                                                                            -----------          ---------
Cash Flows From Investing Activities:

  Purchases of equipment                                                        (23,679)          (138,075)
                                                                            -----------          ---------

Cash Flows From Financing Activities:

  Proceeds from issuance of debt                                                340,000            335,000
  Proceeds from issuance of common stock                                         10,000            125,000
  Principal payments on debt                                                   (266,000)          (423,871)
                                                                            -----------          ---------

  Net cash provided by financing activities                                      84,000             36,129
                                                                            -----------          ---------

  Net decrease in cash                                                          (48,416)          (127,584)

  Cash, beginning of year                                                        85,557            213,141
                                                                            -----------          ---------

  Cash, end of year                                                         $    37,141          $  85,557
                                                                            ===========          =========

- -----------------------------------------------------------------------------------------------------------
See notes to consolidated financial statements.
===========================================================================================================





                                      S-8


Consolidated Health Care Associates, Inc.
Notes to Consolidated Financial Statements
December 31, 1996 and 1995

1.       Summary of Significant Accounting Policies

Consolidated Health Care Associates, Inc. (the Company or CHCA) is a provider of
therapeutic rehabilitation services including physical,  occupational and speech
therapy.  Services are provided on a local and regional  basis through a network
of outpatient clinics, as well as through managed rehabilitation  contracts. The
Company  owns  and  operates  ten  clinics,   five  in  Massachusetts,   one  in
Pennsylvania,  three in Delaware and one in Florida.  The Company also  provides
managed ancillary health care rehabilitation services through contract staffing,
principally in Massachusetts, Pennsylvania, Florida, Delaware and New York.

The following is a summary of significant  accounting  policies  followed by the
Company in the preparation of the consolidated financial statements.

Principles of Consolidation

The accompanying  consolidated  financial statements include the accounts of the
Company and its wholly-owned  subsidiaries,  Consolidated Imaging Systems, Inc.,
Associated Billing Corporation,  PTS Rehab, Inc. and Consolidated Rehabilitation
Services, Inc. All significant intercompany  transactions and balances have been
eliminated.

Revenues and Accounts Receivable

Revenues are recorded when services are provided at the estimated net realizable
amounts  from   patients,   third  party  payors  and   contracted   agreements.
Substantially all of the Company's accounts  receivable are due from third-party
insurance companies or government agencies.

Property and Equipment

Property and equipment is recorded at cost. Depreciation is determined utilizing
the straight-line method over the estimated useful lives of equipment, furniture
and fixtures, and leasehold improvements as follows:

                    Equipment                          5 - 7 years
                    Furniture and fixtures             5 - 7 years
                    Leasehold improvements                10 years

When  property or equipment  is retired or  otherwise  disposed of, the cost and
related accumulated depreciation is removed from the accounts with any resulting
gain or loss  reflected in net income.  Maintenance  and repairs are expensed as
incurred.

Goodwill

The  excess  of the  purchase  price  over the fair  value of the net  assets of
acquired  physical  therapy  clinics has been  recorded as goodwill and is being
amortized over 27-40 years using the straight-line  method.  Management believes
this  amortization   period  is  reasonable  for  its  clinics  with  profitable
operations.  When  adverse  events or changes  in  circumstances  indicate  that
previously anticipated cash flows warrant reassessment,  the Company reviews the
recoverability of goodwill by comparing estimated undiscounted future cash flows
from clinical  activities to the carrying value of goodwill.  If such cash flows
are less than the carrying value of the goodwill, an impairment loss is measured
as the amount by which  goodwill  exceeds the present  value of  estimated  cash
flows using a discount rate commensurate with the risks involved.

Income Taxes

Income taxes are provided  utilizing the asset and liability method.  Under this
method,  deferred tax assets and  liabilities  are  recognized for the estimated
future tax  consequences  attributable  to  differences  between  the  financial
statement  carrying  amounts  of  existing  assets  and  liabilities  and  their
respective  tax bases.  Deferred tax assets and  liabilities  are measured using
enacted tax rates in effect for the year in which those differences are expected
to be recovered or settled.


                                      S-9



Use of Estimates

The preparation of financial  statements in conformity  with generally  accepted
accounting principles requires management to make estimates and assumptions that
affect  reported  amounts of assets and liabilities and disclosure of contingent
assets and liabilities at the date of the financial  statements and revenues and
expenses  during the period  reported.  Actual  results  could differ from those
estimates.  Estimates  are used  when  accounting  for  allowance  for  doubtful
accounts, depreciation and amortization, employee benefit plans, taxes, deferred
taxes and contingencies.

Fair Value of Financial Instruments

The carrying amounts of cash,  accounts  receivable,  accounts payable,  accrued
personnel costs,  other accrued  expenses,  and other liabilities are reasonable
estimates  of  their  fair  value  because  of  the  short   maturity  of  those
instruments.  It is not  practical for the Company to estimate the fair value of
long-term debt without the Company incurring excessive costs.

New Accounting Pronouncements

The Financial  Accounting Standards Board (the FASB) issued Financial Accounting
Standard  No.121,  "Accounting  for the  Impairment of  Long-Lived  Assets to be
Disposed of" (FAS 121) in March 1995.  FAS 121 requires that  long-lived  assets
and certain  indefinite  intangible  assets be reviewed for impairment  whenever
changes in  circumstances  indicate that the carrying amount of an asset may not
be  recoverable.  The entity must  estimate  the future  cash flows  expected to
result from the use of the asset and its eventual disposition,  and to recognize
an impairment loss for any  differences  between the fair value of the asset and
the  carrying  amount of the asset.  The Company  adopted  FAS 121 in 1996.  The
effect on the  Company's  financial  position  or  results  of  operations  from
adoption of FAS 121 is not material.

The  FASB  issued  Financial   Accounting  Standard  No.  123,  "Accounting  for
Stock-Based  Compensation"  (FAS  123)  in  October  1995  effective  for  years
beginning after December 15, 1995. FAS 123 was implemented by the Company during
1996.  FAS 123,  establishes a fair  value-based  method of accounting for stock
options and other  equity  instruments.  It requires  the use of that method for
transactions  with other than employees and encourages its use for  transactions
with  employees.  Under  provisions  of FAS 123,  the Company is not required to
change its method of accounting for stock based  compensation and management has
retained its current method of accounting.

The FASB issued Financial Accounting Standard No. 125, "Accounting for Transfers
and Servicing of Financial Assets and  Extinguishment  of Liabilities" (FAS 125)
in June of 1996. The effective date of FAS 125 was December 31, 1996, and was to
be applied prospectively to transfers and servicing of assets and extinguishment
of liabilities  occurring after that date. The FASB issued Financial  Accounting
Standard No. 127,  "Deferral of the Effective Date of Certain Provisions of FASB
Statement No. 125" (FAS 127) in December of 1996. FAS 127 delays the application
of FAS 125 until  December  31,  1997.  The  effect on the  Company's  financial
position or results of  operations  from the adoption of FAS 125 is not expected
to be material.

Reclassifications

Certain 1995 amounts have been reclassified to agree with the 1996 presentation.

2.            Accounts Receivable Financing

Substantially all of the Company's accounts  receivable are due from third-party
insurance  companies or  government  agencies.  Beginning  in 1995,  the Company
factors  with  recourse  all  of  the  accounts   receivable   of   Consolidated
Rehabilitation Services, Inc. and certain accounts receivable of PTS Rehab, Inc.
Subsequent to year end, the Company  renegotiated  its factoring  arrangement to
increase the credit line from $1,250,000 to $2,000,000, as set forth in Note 16.

The Company accounts for these factoring arrangements as sales. During the years
ended  December  31,  1996  and  1995  the  Company   received   $2,938,000  and
$1,377210,000   of  proceeds   from  the   factoring  of  accounts   receivable,
respectively. At December 31, 1996 and 1995, the Company was contingently liable
for  approximately  $1,407,000  and  $327,000  of such  accounts,  respectively.
Reserves are included in the allowance for doubtful accounts in the accompanying
balance  sheet to provide for the  estimated  uncollectible  portion of accounts
receivable  with  recourse.  Service fees charged by the factoring  agent during
1996 and 1995  totaled  $45,000 and $18,700  respectively,  and are  included as
interest expense on the accompanying  consolidated statements of operations.  At
December 31, 1996 and 1995, the Company had transferred  accounts  receivable in
excess of the  proceeds it received  from its factor of $535,225  and  $116,216,
respectively,  which are  reflected  as other  receivables  in the  accompanying
consolidated balance sheets.

In November 1995,  Joel Friedman,  then the Chairman and Chief  Executive of the
Company,  and Robert M.  Whitty,  the  President  of the  Company,  jointly  and
severally  guaranteed those accounts receivable of the Company that were pledged
to Capital  Factors,  Inc., a lender to the  Company.  The amount of the line of
credit secured by the Company's accounts receivable


                                      S-10



is $500,000.  In January 1996,  additional  guarantees  were provided by Messrs.
Friedman and Whitty in connection  with an additional  line of credit secured by
receivables in the amount of $750,000.  Subsequent to Mr. Friedman's resignation
on November 1, 1996 as the Company's  Chairman and as an officer of the Company,
Mr. Friedman's guarantees were released.


3.       Goodwill

Goodwill  was recorded  during the period from 1991 through 1993 in  conjunction
with the Company's  acquisitions of physical  therapy clinics in  Massachusetts,
Pennsylvania, Delaware and Florida during that period. Since these acquisitions,
the Company has experienced  lower than  anticipated  patient volumes at certain
clinics which it attributes to utilization  constraints  imposed by managed care
and third party  payers and the impact of new  competitors  in these  geographic
markets.  Revenues at these  facilities  have also  declined  from  management's
original   expectations  at  the  time  of  the  acquisitions   because  of  the
unanticipated  increase in customers covered by managed care. Revenues have also
been  adversely  affected by  reductions  in workers  compensation  and personal
injury reimbursement rates.

These trends,  which are expected to continue in the  foreseeable  future,  have
adversely impacted the Company's profitability in its Pennsylvania, Delaware and
Florida  clinics.  As a  consequence,  during  the fourth  quarter of 1994,  the
Company revised its original projections developed at the time of acquisition to
more  accurately  reflect the effects of these trends.  The resulting  cash flow
projections   indicated   that  the  Company  would  not  recover  the  goodwill
attributable  to certain of its clinics.  Accordingly,  the Company  recorded an
impairment  charge of $3,209,439 during the fourth quarter of 1994. The majority
of the clinics to which this  impairment  charge  relates were acquired in 1993.
Although the patient  volumes and,  therefore,  revenues at these clinics during
the first  several  months of 1994 were  lower than  anticipated  when they were
acquired,   such  shortfalls  were  initially   attributed  to  adverse  weather
conditions and other nonrecurring factors and, therefore,  were considered to be
a temporary  phenomenon.  In the fourth quarter of 1994 it was  determined  that
there were also factors of a more permanent nature, related primarily to managed
health care and  competition,  to which a portion of these  shortfalls  at these
clinics could be attributed.  No such  impairment  charges were incurred  during
1996 or 1995.

Changes in goodwill during 1996 and 1995 are summarized as follows:


===========================================================================
                                               1996                1995
- ---------------------------------------------------------------------------
Balance, January 1,                         $2,503,515          $2,577,630
Goodwill amortization                          (75,052)            (74,115)
                                            ---------           ----------

Balance, December 31,                       $2,428,463          $2,503,515
                                            ==========          ==========

===========================================================================


4.              Revenue, Net

Revenue is reported net of allowances as follows:



==================================================================================================
                                                                   1996                  1995
==================================================================================================
                                                                                        
Revenue                                                         $12,003,250           $11,659,001
Allowances for contractual and other adjustments                 (3,203,819)           (3,041,203)
                                                                -----------           -----------

Revenue, net                                                    $ 8,799,431           $ 8,617,798
                                                                ===========           ===========

=================================================================================================




                                      S-11




5.   Supplemental  Disclosure  of Cash  Flows  and  Noncash  Investing  and
     Financing Activities

During 1996,  the Company  issued  419,342  shares of common stock to reduce the
outstanding principal of long-term debt by $182,802.  Additionally,  the Company
issued 180,000 shares of common stock,  valued at $53,935, to the Company's 401K
plan,  210,400  shares  of  common  stock,  valued  at  $65,750  to a vendor  in
satisfaction  of an obligation in the same amount,  and 501,778 shares of common
stock,  valued at $154,812 to noteholders as consideration for certain financing
activities on behalf of the Company.  In addition,  $108,000 of accounts payable
were converted to term debt.

During 1995, the Company issued  1,310,000  shares of common stock to reduce the
outstanding principal of long-term debt by $345,688.  Additionally,  the Company
issued 120,000 shares of common stock,  valued at $79,500, to the Company's 401K
plan.


6.   Lease Commitments

The Company  leases clinic  facilities  under several  non-cancelable  operating
leases  expiring at various times between 1996 and 2000.  Rent expense for these
operating leases was $542,600 in 1996 and $543,600 in 1995.

Future minimum payments under  non-cancelable  facility operating leases for the
five years subsequent to December 31, 1996 are:



                                                      Operating
                                                        Leases
================================================================
1997                                                  $505,491
1998                                                   245,948
1999                                                    56,207
2000                                                    30,296
2001                                                    31,825
                                                      --------

Total minimum lease payments                          $869,767
                                                      -------

================================================================




                                      S-12





7.       Notes Payable and Long-Term Debt

Notes payable and long-term debt consists of:



                                                                                           1996               1995
                                                                                           ----               ----
                                                                                                           
Convertible promissory notes (convertible into 292,184 shares of CHCA                    $702,530           $900,858
common stock) with interest rate of 7-10% issued in connection with business
acquisitions, payable in monthly installments through 2002

Convertible promissory notes (convertible into 238,474 of CHCA common                     461,251            502,968
stock) with interest rate of 7-10% issued to employees in connection with
business acquisitions, payable in monthly installments through 2001

Promissory notes to Renaissance Capital Partners and other stockholders with              340,000                  -
interest at 10%, payable in full in April 1999

Promissory notes issued in connection with business acquisitions, with average            297,262            396,600
interest rate of 7-10%, payable monthly through 2001

Convertible promissory notes (convertible into 160,000 shares of CHCA                     120,000            120,000
common stock) bearing interest of 10%, issued to a Director; principal payable
in full September 1998

Non-interest bearing note payable with monthly payments through 1997                       84,750             25,000

Convertible promissory notes (convertible into 80,000 shares of CHCA                       60,000             60,000
common stock) bearing interest of 10% payable monthly; principal payable in
full September 1998

Promissory note with interest rate of 12%, payable in monthly installments                 49,781             65,750
through 1999

Promissory notes with average interest rates of  9-11% payable in monthly                  41,999                  -
installments through 1999

Demand notes with interest paid monthly at prime rate plus 4%                                   -             89,432

Non-interest bearing loan payable to officers; paid in January 1996                             -             60,000
                                                                                       ----------         ----------

Total long-term debt                                                                    2,157,573          2,220,608

Less:   current portion of debt                                                          (353,023)          (521,248)
                                                                                       ----------         ----------
Long-term debt                                                                         $1,804,550         $1,699,360
                                                                                       ==========         ==========


Substantially all of the Company's assets are security for the above debt.

At December  31, 1996 and 1995,  the Company was in default for  non-payment  of
principal  and  interest  on  one  or  more  of its  note  payable  obligations.
Subsequently,  the Company cured these defaults by  renegotiating  and extending
the payment terms of these  obligations,  by issuing new convertible  promissory
notes and by remitting past-due payments of principal and interest.



                                      S-13



In January 1996, pursuant to an arbitration agreement,  the Company entered into
a three-year 12% note payable agreement for $65,750 with a vendor. Additionally,
the Company  issued  $65,750 worth of the Company's  common stock to the vendor,
based upon the market price of the stock at the time of the agreement.

In February 1996, the Company  renegotiated a convertible  promissory note and a
promissory  note,  both of which  were  issued  in  connection  with a  business
acquisition.  Under the  renegotiated  agreements,  the interest  rate for these
notes was  increased to 9.5% and the term of the notes was extended to 2002.  In
consideration, the Company issued warrants to the note holder to purchase 83,333
shares of the  Company's  common  stock at $0.30 per share.  The warrants may be
exercised anytime for a period of 3 years.  Additionally,  the Company issued to
the note holder  $50,000 worth of the  Company's  common stock based upon market
prices in effect as of the date of the renegotiated agreements.

In April 1996, the Company renegotiated a convertible promissory note held by an
employee issued in connection with a business acquisition,  which was originally
due in  1996.  The new  renegotiated  note was  extended  for  five  years  with
interest-only payments at 10% to be made in 1996 and 1997. In consideration, the
Company  released the employee from  non-compete  agreements  and issued $30,000
worth of the Company's common stock based upon market prices in effect as of the
date of the agreement.

In April 1996, the Company executed a promissory note in favor of Renaissance in
connection with a $500,000 line of credit.  Pursuant to the promissory note, the
Company is obligated to pay interest on the unpaid  monthly  balance of the line
of credit at the rate of 10% per annum,  computed  in  arrears,  with the entire
principal  balance plus any unpaid interest due in full on April 17, 1999. As of
December  31,  1996,  $340,000  had been  advanced  to the  Company  under these
arrangements.  Of this  amount,  $265,000  was  loaned by  Renaissance,  and the
balance  by the  following  persons  participating  in the loan:  Alan  Mantell,
$15,000;  Joel  Friedman,  $15,000;  Goodhue  Smith,  a member  of the  Board of
Directors,  $20,000;  and Duncan-Smith Co., an entity affiliated with Mr. Smith,
$25,000.  In September and December 1996, the Company issued to Renaissance  and
the other  participants in the Renaissance credit line shares of common stock in
consideration of their loans to the Company,  as follows:  Renaissance,  159,000
shares; Mr. Mantell, 9,000 shares; Mr. Friedman, 9,000 shares; Mr. Smith, 12,000
shares; and Duncan-Smith Co., 15,000 shares.

In July 1996, the holder of a convertible  promissory  note issued in connection
with a business acquisition  converted the note and certain accounts payable due
the note holder to common stock. The note,  which had an outstanding  balance of
$182,305 and the accounts  payable in the amount of $6,399 were  converted  into
419,342 shares of common stock at a price of $.45 per share.

In December 1996, the Company  determined  that a demand note payable,  which it
had assumed in connection  with a previous  business  acquisition  in 1991,  the
outstanding  balance of which was $89,231 would not have to be repaid. This loan
was originally  payable to a bank that is now defunct,  the assets of which were
taken over by the Federal Deposit Insurance Corporation ("FDIC").  The FDIC sold
the  loan  to a  third  party  which  subsequently  determined  the  loan  to be
uncollectible.  The third party returned the then deemed  uncollectible  loan to
the FDIC in April  1995.  The  Company  has not made any  principal  or interest
payments on the loan since 1991 and has not been contacted by the FDIC regarding
repayment of the loan since that time. Management has no plans to repay the loan
and  believes  that  it  is  unlikely  that  the  FDIC  will  demand  repayment.
Accordingly,  the Company  wrote-off  the  remaining  balance  under the loan of
$89,231,   which  has  been  reflected  as  other  income  in  the  accompanying
consolidated statement of operations for the year ended December 31, 1996.

In December 1994 and January  1995,  the Company  issued  $500,000 of short-term
notes, payable in September 1995. In connection with this financing, the Company
issued  warrants to purchase  300,000  shares of the  Company's  common stock at
$0.75 per share. These warrants may be exercised at any time for a period of two
years.  During August and September  1995,  certain  holders of these short term
notes  exchanged  $375,000 of the  outstanding  obligations  for  three-year 10%
convertible promissory notes, payable on September 15, 1998. In conjunction with
this transaction,  $195,000 of these notes were converted into 780,000 shares of
the Company's  common stock.  Additionally,  the Company repaid $125,000 to note
holders and raised  equivalent  funds by issuing 500,000 shares of the Company's
common stock.

During 1995, a holder of a convertible  promissory  note,  issued in conjunction
with a business acquisition,  exchanged approximately $26,000 of the outstanding
obligation for 30,000 shares of the Company's common stock.



                                      S-14



Aggregate annual long-term debt maturities for the next five years are:


          =============================================================
          Year Ending December 31,

          1997                                                 $353,023

          1998                                                 $410,719

          1999                                                 $569,982

          2000                                                 $241,002

          2001                                                 $283,075

          2002 and thereafter                                  $299,772
                                                             ----------

          Total                                              $2,157,573
                                                             ==========

          =============================================================


8.       Stockholders' Equity

Preferred Stock and Common Stock

At December 31, 1996 and 1995, the Company had  outstanding  shares of preferred
and common stock as follows:

                                        Preferred    Preferred        Common
                                         Series A     Series B         Stock

Balance, January 1, 1995                1,227,305      500,000      13,272,306

Number of shares issued for
    Reduction of debt                           0            0       1,310,000
    Contribution to 401(k) plan                 0            0         120,000
                                        ---------     --------      ----------
Total of shares issued                          0            0       1,430,306
                                        ---------     --------      ----------

Balance, December 31, 1995              1,227,305      500,000      14,702,306
                                        ---------     --------      ----------

Number of shares issued for
    Reduction of debt                           0            0       1,187,277
    Contribution to 401(k) plan                 0            0         180,000
    Directors' compensation                     0            0         300,000
                                        ---------     --------      ----------
Total of shares issued                          0            0       1,667,277
                                        ---------     --------      ----------

Balance, December 31, 1996              1,227,305      500,000      16,369,583
                                        =========      =======      ==========

In connection  with the exchange of  convertible  debt as of June  30,1994,  the
Company issued 1,227,305 shares of Series A preferred  stock.  Additionally,  on
October 24, 1994 the Company issued 500,000 shares of Series B preferred  stock.
The  holders of the  preferred  stock have the right to convert  such stock into
Company  common stock at a conversion  price of $.75 per share (1.333  shares of
common  stock for each  share of Series  A) and $.33 per  share  (3.0  shares of
common  stock  for  each  share  of  Series  B)  for  Series  A  and  Series  B,
respectively.  The preferred stock requires cumulative  dividends at the rate of
6% per annum.  Cumulative  dividends in arrears totaled $259,096 and $155,458 at
December 31, 1996 and 1995, respectively.  No dividends were declared in 1996 or
1995;  therefore,  cumulative  dividends  in  arrears  are not  recorded  in the
accompanying  consolidated  balance  sheets.  In the event the Company raises in
excess of $1.5 million additional equity at a per share price in excess of $.75,
the holders of Series A and B  preferred  stock are  required  to convert  their
preferred stock into common stock.

Options

The Company has stock options  outstanding to participants  under the 1994 Stock
Option Plan (the 1994 Plan) approved by stockholders on June 20, 1995, effective
November  3, 1994.  The 1994 Plan  provides  the  Company  the  ability to grant
options to purchase an aggregate of 3,000,000  shares of common stock.  Types of
grants under the 1994 Plan include non-statutory stock


                                      S-15


options,  incentive  (performance)  stock options and  restricted  stock awards.
Options  granted under the Plan will be exercisable as determined by the Options
Committee of the Board of Directors (the Committee). The Committee may prescribe
the options granted become exercisable in installments or provide that an option
may be exercisable in full immediately upon the date of the grant.

     At the end of 1994 the Company  granted  1,800,000  options to its officers
and directors to acquire the Company's stock at $.97 per share,  the fair market
value at the date of grant. At the time of the grant,  600,000 were  immediately
vested with  1,000,000 of the balance to be vested only upon the  achievement of
certain future  performance  goals and 200,000  options  ratably vested over the
next four  years.  During  1995,  666,667 of these  options  expired  due to the
non-achievement   of  certain   goals  and  the   termination   of  an  officer.
Additionally,  50,000  options  became  vested  in 1995 in  accordance  with the
vesting schedule.  The Company also has stock options outstanding under the 1989
Stock  Incentive Plan ( the Plan).  The Company grants awards of common stock to
those  persons  determined by the Board of Directors to be key employees who are
responsible for the management and growth of the Company.  The size of the award
is  generally  determined  on the  basis of the level of  responsibility  of the
employee. Types of awards include non-statutory stock options, incentive options
(qualifying  under  Section  422A of the  Internal  Revenue  Code of  1986)  and
restricted stock awards.  Options generally expire ten years from the grant date
and unless  otherwise  provided,  are  exercisable  on a  cumulative  basis with
respect to 20% of the optioned  shares on each of the five  anniversaries  after
the grant date.  Restrictions  on restricted  stock awards  generally lapse with
respect to 20% of the shares  subject to the award after the  expiration of each
year  following  the  grant  date and the  portions  of such  awards  for  which
restrictions  have not lapsed are  subject to  forfeiture  upon  termination  of
employment.  The Company may grant  options to purchase an  aggregate of 500,000
shares of common stock under the Plan, 380,000 of which are currently  available
for grant.  No stock options or other awards under the Plan were granted  during
1996.

The Company also has other option awards. Of these, due to the termination of an
officer,  204,584  options  issued to the officer  prior to 1994,  were canceled
during 1995.

Stock option transactions during 1996 and 1995 were as follows:




- -------------------------------------------------------------------------------------------------------------------------------
                                      1989 Stock       Weighted       1994 Stock         Weighted        Other         Weighted
                                      Option Plan      Average        Option Plan        Average         Option         Average
                                                       Exercise                          Exercise        Plans         Exercise
                                                       Price                             Price                            Price
- -------------------------------------------------------------------------------------------------------------------------------
                                                                                                          
Balance January 1, 1995                 120,000           $1.31        1,800,000           $0.97        668,084           $0.48
- -------------------------------------------------------------------------------------------------------------------------------
     Granted                                  0                                0                              0
- -------------------------------------------------------------------------------------------------------------------------------
     Expired                                  0                         (416,667)          $0.97              0
- -------------------------------------------------------------------------------------------------------------------------------
     Canceled                          (100,000)          $1.31         (250,000)          $0.97       (104,584)          $0.45
- -------------------------------------------------------------------------------------------------------------------------------
     Exercised                                0                                0                              0
- -------------------------------------------------------------------------------------------------------------------------------
Balance December 31, 1995                20,000           $1.31        1,133,333           $0.97        563,500           $0.49
- -------------------------------------------------------------------------------------------------------------------------------
     Granted                                  0                        2,357,000           $0.38        333,333           $0.36
- -------------------------------------------------------------------------------------------------------------------------------
     Expired                                  0                       (1,000,000)          $0.38       (563,500)
- -------------------------------------------------------------------------------------------------------------------------------
     Canceled                                 0                         (933,333)          $0.97       (250,000)          $0.45
- -------------------------------------------------------------------------------------------------------------------------------
     Exercised                                0                          (35,714)          $0.28              0
- -------------------------------------------------------------------------------------------------------------------------------
Balance December 31, 1996                20,000           $1.31        1,521,286           $0.45         83,333           $0.30
                                      =========                        =========                     ==========
- -------------------------------------------------------------------------------------------------------------------------------


In accordance  with the terms of APB No. 25, the Company records no compensation
expense for its stock option awards. However, the majority of all options can be
forfeited  based  upon the  discretion  of the Board of  Directors,  if in their
opinion  expectations  have not been met, which currently the Board of Directors
has not defined.  Therefore  there is no material pro forma effect that would be
disclosed. Additionally, the weighted average recurring contractual lives of the
options cannot be determined.


                                      S-16


Warrants

Warrants  were  issued  in  conjunction  with  various  placements  of stock and
refinancing of debt. A summary of warrants outstanding is as follows:

                                                   1996           1995
                                                   ----           ----

Balance outstanding, January 1,                  881,000         581,000

         Issued                                        0         300,000

         Expired                                 431,000               0
                                                 -------         -------

Balance outstanding, December 31,                450,000         881,000
                                                 =======         =======

Exercise price range for warrants             $0.75 - $2.08    $0.75 - $2.08


9.       Net Loss Per Share

Net loss per share is computed by dividing  the net loss for the year,  adjusted
for undeclared cumulative preferred dividends, by the weighted average number of
common  shares  issued  during  each  year.  The  number of  shares  used in the
computation  for the years ended  December 31, 1996 and 1995 is  15,834,220  and
13,771,855 respectively.

10.      Litigation

There are actions  pending against the Company arising out of the normal conduct
of business.  In the opinion of  management  the amounts,  if any,  which may be
awarded as a result of these claims would not have a  significant  impact on the
Company's consolidated financial position and results of operations.

11.      Related Parties

During  1996,  the Company  retained  the  services of a  management  consultant
company which is affiliated with a current director of the Company.  The Company
incurred  approximately  $20,520  in  consulting  fees in  connection  with  the
services  rendered by this  company,  the entire  amount of which is included in
accounts payable in the accompanying  consolidated  balance sheet as of December
31, 1996.  During 1995, the Company retained legal services from the law firm of
a former director of the Company, for which it was paid $32,937.

As set forth in Note 7, during 1996 the Company was advanced  $340,000  under an
arrangement  with  Renaissance,  a major  stockholder  of the Company.  Interest
expense related to this loan was $10,600 for 1996.

The Company rents rehabilitation clinics from an employee.  Total rental expense
of $133,520 was paid by the Company in 1996 and 1995.

12.      Employee Costs and Benefit Plan

Effective  March 1,1992,  the Company adopted the 401(k) Savings Plan (the Plan)
of its subsidiary  company,  PTS Rehab,  Inc., for all eligible employees of the
Company and its  subsidiaries.  Under the  provisions  of the Plan,  the Company
matches 100% of the first 3% of employee  contributions.  All employees who have
reached 21 years of age and have completed one year of service with a minimum of
1,000  hours  worked  per year are  eligible  to  participate  in the Plan.  The
Company's  expense in 1996 and 1995 related to the plan was $50,100 and $79,500,
respectively. During 1996 and 1995 the Company issued 180,000 and 120,000 shares
of common stock to the Plan reflecting the Company's  matching  contribution for
employee's contributions during 1995 and 1994, respectively.



                                      S-17



13.      Accrued Expenses and Other Liabilities

Components of accrued expenses and other liabilities are as follows:

                                             1996                  1995
                                             ----                  ----
Accrued expenses                           $129,038              $214,583
Accrued corporate taxes                      44,000                     -
                                           --------              --------
Total                                      $173,038              $214,583
                                           ========              ========


14.      Income Taxes and Deferred Income Taxes

The provision for income taxes on income from continuing  operations in 1996 and
1995 is  comprised of minimum  taxes due to various  states in which the Company
operates.  The tax effects of temporary  differences  that give rise to deferred
tax assets and liabilities are as follows:

                                            1996                  1995
                                            ----                  ----
Deferred tax assets:
  Net operating loss carry forwards      $1,108,000              $809,000
  Goodwill                                1,231,000             1,249,000
  Provision for doubtful accounts           391,000               326,000
  Other (investment tax credits)              4,000                 4,000
                                         ----------             ---------
                                          2,734,000             2,388,000
                                         ----------             ---------

                                         
Deferred tax liabilities:
    Fixed assets                            (80,000)              (81,000)
    Cash to accrual Section 481A
      Adjustment                            (60,000)              (89,000)
                                         ----------            ----------
                                           (140,000)             (170,000)
                                         ----------            ---------- 
                                          2,594,000             2,218,000
  Valuation allowance                    (2,594,000)           (2,218,000)
                                         ----------            ----------

  Net deferred tax asset                 $        -            $        -
                                         ==========            ==========

A valuation  allowance must be established  for deferred tax assets if, based on
the weight of available  evidence,  it is more likely than not that some portion
or all of  the  deferred  tax  asset  will  not be  realized.  The  Company  has
determined  that a valuation  allowance is required since it is not certain that
the results of future  operations  will generate  sufficient  taxable  income to
realize the deferred  tax asset.  During the year ended  December 31, 1996,  the
valuation  allowance  increased  by  $376,000  which  included a decrease in the
beginning-of-the-year  valuation  allowance  caused by a change in circumstances
that caused a change in judgment about the  realizability of deferred tax assets
of $517,000.  During the year ended December 31, 1995,  the valuation  allowance
increased by $100,000.

At December 31, 1996,  the Company has Federal net operating loss carry forwards
available to reduce future  taxable  income of  approximately  $2,770,000.  This
carry forward expires in varying amounts from  approximately  1999 through 2011.
It is  the  Company's  understanding  that a  substantial  change  in  ownership
occurred during 1994 as defined under Section 382 of the Internal  Revenue Code.
In general, a substantial change in ownership may significantly limit the future
utilization of tax loss carry forwards incurred prior to an ownership change. As
of December 31, 1996, approximately $451,000 of the Company's net operating loss
carry  forward  continues  to be limited  under  Section 382.  This  limitation,
itself,  will expire  during 1997.  Accordingly,  for tax year 1997,  all of the
Company's net operating loss carry forwards should be available to reduce future
income.

15.      Liquidity

The  Company  has  suffered  recurring  losses in each of the past  four  years,
including a net loss of $473,242 and  $608,855 for the years ended  December 31,
1996 and 1995,  respectively.  The Company  also has an  accumulated  deficit of
$7,972,339 as of December 31, 1996. As a result,  during both 1996 and 1995, the
Company was unable to make certain scheduled  principal and interest payments to
note  holders and was required to negotiate  extended  payment  terms in certain
cases and issue convertible


                                      S-18


promissory  notes in exchange for short-term  notes in other cases. In addition,
the Company is dependent  upon its factoring  arrangements  pursuant to which it
assigned  a  substantial   portion  of  its  accounts  receivable  to  meet  its
obligations.  These matters raise  substantial doubt about the Company's ability
to continue as a going concern.

However,  as described in Note 16,  subsequent  to December 31, 1996 the Company
successfully  negotiated a new  agreement  with its accounts  receivable  factor
under which the maximum  borrowing were increased from $1,250,000 to $2,000,000.
The Company  also sold three of its four  Pennsylvania  clinics for  $900,000 in
cash, $150,000 in notes receivable, and the assumption of approximately $230,000
in associated liabilities. Management intends to use the proceeds of the sale of
these clinics to reduce its outstanding debt and for continued operating needs.

The  accompanying   consolidated   financial   statements  do  not  include  any
adjustments that might result from the outcome of this uncertainty.

16.      Subsequent Events

In  January  1997,  the  Company  executed  a new  agreement  with its  accounts
receivable  factor.  The new  agreement  increases  the maximum  borrowing  from
$1,250,000 to $2,000,000.

In February  1997, the Company sold three of its four  Pennsylvania  clinics for
$900,000 in cash and $150,000 in notes  receivable.  The purchaser  also assumed
approximately $230,000 in liabilities.  Approximately 22% of the Company's total
1996 revenues were attributable to these clinics.  The proceeds from the sale of
these clinics are intended to be used to reduce the Company's  outstanding  debt
and to fund current operations.



                                      S-19



                                   SIGNATURES


In  accordance  with  the  requirements  of  the  Securities  Act of  1933,  the
registrant certifies that it has reasonable grounds to believe that it meets all
of the requirements of filing on Form SB-2 and authorized this Amendment to this
Registration  Statement  to be signed on its behalf by the  undersigned,  in the
City of Franklin, Commonwealth of Massachusetts, on the 17TH DAY OF APRIL, 1997.


                                       CONSOLIDATED HEALTH CARE ASSOCIATES, INC.




                                       By:/s/ Robert M. Whitty 
                                          -------------------- 
                                              ROBERT M. WHITTY, President


In  accordance  with  the  requirements  of the  Securities  Act of  1933,  this
Registration  Statement on Form SB-2 was signed by the following  persons in the
capacities and on the dates stated:




       SIGNATURE                                TITLE                                 DATE



                                                                         
/s/ Raymond L. LeBlanc         Treasurer, Chief Financial Officer              January 14, 1997 
- ----------------------         and Chief Accounting Officer                                     
RAYMOND L. LEBLANC                                                                                      

                                       
                                                                 
Date: April 17, 1997           *
                               ------------------------------------------
                               JAMES W. KENNEY
                               Chairman and Director

Date: April 17, 1997           *
                               ------------------------------------------
                               SIDNEY DWORKIN
                               Director

Date: April 17, 1997           *
                               ------------------------------------------
                               PAUL FRANKEL
                               Director


Date: April 17, 1997           *
                               ------------------------------------------
                               JOEL FRIEDMAN
                               Director


                                       i




Date: April 17, 1997           *
                               ------------------------------------------
                               GOODHUE W. SMITH III
                               Director



*By:/s/ Robert M. Whitty  
    --------------------  
         Robert M. Whitty
         Attorney-in-Fact


                                     - ii -