10-K

 
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                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549
 
                                   FORM 10-K
 
               [X] ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(D)
                     OF THE SECURITIES EXCHANGE ACT OF 1934
 
                  For the fiscal year ended September 30, 1998
 
                        COMMISSION FILE NUMBER 333-57191
 
                    EVEREST HEALTHCARE SERVICES CORPORATION
             (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)
 
                DELAWARE                               36-4045521
    (STATE OR OTHER JURISDICTION OF       (I.R.S. EMPLOYER IDENTIFICATION NO.)
     INCORPORATION OR ORGANIZATION)
 
 
                  AMARILLO ACUTE DIALYSIS SPECIALISTS, L.L.C.
             (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)
 
                 TEXAS                                 75-2600337
    (STATE OR OTHER JURISDICTION OF       (I.R.S. EMPLOYER IDENTIFICATION NO.)
     INCORPORATION OR ORGANIZATION)
 
 
                          CON-MED SUPPLY COMPANY, INC.
             (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)
 
                ILLINOIS                               36-3147024
    (STATE OR OTHER JURISDICTION OF       (I.R.S. EMPLOYER IDENTIFICATION NO.)
     INCORPORATION OR ORGANIZATION)
 
 
                         CONTINENTAL HEALTH CARE, LTD.
             (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)
 
                ILLINOIS                               36-3084746
    (STATE OR OTHER JURISDICTION OF       (I.R.S. EMPLOYER IDENTIFICATION NO.)
     INCORPORATION OR ORGANIZATION)
 
 
                 DIALYSIS SPECIALISTS OF CORPUS CHRISTI, L.L.C.
             (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)
 
                 TEXAS                                 74-2749663
    (STATE OR OTHER JURISDICTION OF       (I.R.S. EMPLOYER IDENTIFICATION NO.)
     INCORPORATION OR ORGANIZATION)
 
 
                  DIALYSIS SPECIALISTS OF SOUTH TEXAS, L.L.C.
             (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)
 
                 TEXAS                                 74-2749689
    (STATE OR OTHER JURISDICTION OF       (I.R.S. EMPLOYER IDENTIFICATION NO.)
     INCORPORATION OR ORGANIZATION)

 
                              DUPAGE DIALYSIS LTD.
             (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)
 
                ILLINOIS                               36-3029873
    (STATE OR OTHER JURISDICTION OF       (I.R.S. EMPLOYER IDENTIFICATION NO.)
     INCORPORATION OR ORGANIZATION)
 
 
                            EVEREST MANAGEMENT, INC.
             (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)
 
                DELAWARE                              APPLIED FOR
    (STATE OR OTHER JURISDICTION OF       (I.R.S. EMPLOYER IDENTIFICATION NO.)
     INCORPORATION OR ORGANIZATION)
 
 
                        HEMO DIALYSIS OF AMARILLO L.L.C.
             (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)
 
                 TEXAS                                 75-2592110
    (STATE OR OTHER JURISDICTION OF       (I.R.S. EMPLOYER IDENTIFICATION NO.)
     INCORPORATION OR ORGANIZATION)
 
 
                         HOME DIALYSIS OF AMERICA, INC.
             (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)
 
                ARIZONA                                86-0711476
    (STATE OR OTHER JURISDICTION OF       (I.R.S. EMPLOYER IDENTIFICATION NO.)
     INCORPORATION OR ORGANIZATION)
 
 
                         HOME DIALYSIS OF DAYTON, INC.
             (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)
 
                  OHIO                                 31-1423002
    (STATE OR OTHER JURISDICTION OF       (I.R.S. EMPLOYER IDENTIFICATION NO.)
     INCORPORATION OR ORGANIZATION)
 
 
                       LAKE AVENUE DIALYSIS CENTER, INC.
             (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)
 
                INDIANA                                36-3490713
    (STATE OR OTHER JURISDICTION OF       (I.R.S. EMPLOYER IDENTIFICATION NO.)
     INCORPORATION OR ORGANIZATION)
 
 
                          MERCY DIALYSIS CENTER, INC.
             (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)
 
               WISCONSIN                               39-1589773
    (STATE OR OTHER JURISDICTION OF       (I.R.S. EMPLOYER IDENTIFICATION NO.)
     INCORPORATION OR ORGANIZATION)

 
                       NEW YORK DIALYSIS MANAGEMENT, INC.
             (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)
 
                NEW YORK                               36-3702390
    (STATE OR OTHER JURISDICTION OF       (I.R.S. EMPLOYER IDENTIFICATION NO.)
     INCORPORATION OR ORGANIZATION)
 
 
                      NORTH BUCKNER DIALYSIS CENTER, INC.
             (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)
 
                DELAWARE                              APPLIED FOR
    (STATE OR OTHER JURISDICTION OF       (I.R.S. EMPLOYER IDENTIFICATION NO.)
     INCORPORATION OR ORGANIZATION)
 
 
                        NORTHWEST INDIANA DIALYSIS, INC.
             (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)
 
                INDIANA                                36-3372131
    (STATE OR OTHER JURISDICTION OF       (I.R.S. EMPLOYER IDENTIFICATION NO.)
     INCORPORATION OR ORGANIZATION)
 
 
                       OHIO VALLEY DIALYSIS CENTER, INC.
             (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)
 
                INDIANA                                36-3575844
    (STATE OR OTHER JURISDICTION OF       (I.R.S. EMPLOYER IDENTIFICATION NO.)
     INCORPORATION OR ORGANIZATION)
 
 
                          WSKC DIALYSIS SERVICES, INC.
             (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)
 
                ILLINOIS                               36-2668594
    (STATE OR OTHER JURISDICTION OF       (I.R.S. EMPLOYER IDENTIFICATION NO.)
     INCORPORATION OR ORGANIZATION)
 
 
                        EVEREST NEW YORK HOLDINGS, INC.
             (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)
 
                NEW YORK                              APPLIED FOR
    (STATE OR OTHER JURISDICTION OF       (I.R.S. EMPLOYER IDENTIFICATION NO.)
     INCORPORATION OR ORGANIZATION)
 
 
                             EVEREST ONE IPA, INC.
             (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)
 
                NEW YORK                               13-3988854
    (STATE OR OTHER JURISDICTION OF       (I.R.S. EMPLOYER IDENTIFICATION NO.)
     INCORPORATION OR ORGANIZATION)

 
                  101 NORTH SCOVILLE, OAK PARK, ILLINOIS 60302
              (ADDRESS OF PRINCIPAL EXECUTIVE OFFICES) (ZIP CODE)
 
       Registrant's telephone number, including area code: (708) 386-1000
 
        Securities registered pursuant to Section 12(b) of the Act: NONE
 
        Securities registered pursuant to Section 12(g) of the Act: NONE
 
  Indicate by check mark whether the registrant (1) has filed all reports
required to be filed by Section 13 or 15(d) of the Securities Exchange Act of
1934 during the preceding 12 months (or for such shorter period that the
registrant was required to file such reports), and (2) has been subject to such
filing requirements for the past 90 days. Yes [X] No [_]
 
  Indicate by check mark if disclosure of delinquent filers pursuant to Item
405 of Regulation S-K is not contained herein, and will not be contained, to
the best of registrant's knowledge, in definitive proxy or information
statements incorporated by reference in Part III of this Form 10-K or any
amendment to this Form 10-K. [_]
 
  As of December 17, 1998, there was no established public trading market for
the shares of the Common Stock of Everest Healthcare Services Corporation.
 
  As of December 17, 1998, the number of shares outstanding of the Common Stock
of Everest Healthcare Services Corporation, par value $.001 per share, was
12,884,720.
 
                      DOCUMENTS INCORPORATED BY REFERENCE
 
  None.
 
 
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                               TABLE OF CONTENTS
 


                                                                                                     PAGE
                                                                                                     ----
                                                                                               
PART I
Item  1.     Business...............................................................................   1
Item  2.     Properties.............................................................................  17
Item  3.     Legal Proceedings......................................................................  18
Item  4.     Submission of Matters to a Vote of Security Holders....................................  18
PART II
Item  5.     Market for Registrant's Common Equity and Related Stockholder Matters..................  19
Item  6.     Selected Financial Data................................................................  20
Item  7.     Management's Discussion and Analysis of Financial Condition and Results of Operations..  21
Item  7(a).  Quantitative and Qualitative Disclosures About Market Risk.............................  28
Item  8.     Financial Statements and Supplementary Data............................................  28
Item  9.     Changes in and Disagreements with Accountants on Accounting and Financial Disclosure...  28
PART III
Item 10.     Directors and Executive Officers of the Registrant.....................................  29
Item 11.     Executive Compensation.................................................................  32
Item 12.     Security Ownership of Certain Beneficial Owners and Management.........................  37
Item 13.     Certain Relationships and Related Transactions.........................................  38
PART IV
Item 14.     Exhibits, Financial Statement Schedules, and Reports on Form 8-K.......................  41


 
EVEREST HEALTHCARE SERVICES CORPORATION
101 North Scoville
Oak Park, Illinois 60302
(708) 386-2511
 
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                                     PART I
 
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             CAUTIONARY NOTICE REGARDING FORWARD-LOOKING STATEMENTS
 
  This Form contains certain "forward-looking statements" with respect to
results of operations and businesses of the Company. All statements other than
statements of historical facts included in this Form, including those regarding
market trends, the Company's financial position, business strategy, projected
costs, and plans and objectives of management for future operations, are
forward-looking statements. In general, such statements are identified by the
use of forward-looking words or phrases including, but not limited to,
"intended," "will," "should," "may," "expects," "expected," "anticipates," and
"anticipated" or the negative thereof or variations thereon or similar
terminology. These forward-looking statements are based on the Company's
current expectations. Although the Company believes that the expectations
reflected in such forward-looking statements are reasonable, there can be no
assurance that such expectations will prove to be correct. Because forward-
looking statements involve risks and uncertainties, the Company's actual
results could differ materially. See the "Risk Factors" section of the
Company's Registration Statement on Form S-4 (File No. 333-57191) for a
discussion of certain risks applicable to the Company and its business.
 
ITEM 1. BUSINESS
 
OVERVIEW
 
  Everest Healthcare Services Corporation is a leading provider of dialysis and
other blood treatment services. Founded in 1968 and principally owned by
nephrologists, the Company has a long-standing focus on developing strong
relationships with physicians to provide high-quality patient care. Everest is
the nation's sixth-largest provider of chronic dialysis outpatient services and
serves over 5,600 patients through 63 facilities in 12 states. Everest also
contracts with 102 hospitals in 11 states to provide a broad range of other
extracorporeal (outside-the-body) blood treatment services, including inpatient
acute dialysis, perfusion, apheresis and auto-transfusion (together, "Contract
Services"). Pursuant to management contracts, Everest provides management
services to (i) a physician practice group comprised of 26 nephrologists,
primarily in the Chicago and northwest Indiana areas, and (ii) certain
minority-owned or unaffiliated dialysis facilities. The Company derived 84.4%
of its net revenues for fiscal 1998 from chronic dialysis services, 13.7% from
Contract Services and 1.9% from management services.
 
  Everest's dialysis operations were founded in 1968 as a single dialysis
center and grew over the next three decades through a combination of de novo
facility development, acquisitions and internal growth. Everest has completed
11 acquisitions encompassing 26 facilities and developed 37 de novo centers
since its inception. Through geographic clustering of its outpatient dialysis
centers, the Company has created strong regional market positions, particularly
in the Midwest. The Company focuses on accelerating its growth within each
market by: (i) capitalizing on its strong physician and hospital relationships;
(ii) expanding capacity; and (iii) providing high-quality service which leads
to new patient referrals. Everest operates 51 full-service outpatient dialysis
centers which provide on-site dialysis services as well as training for home
dialysis patients. Everest also operates 12 home dialysis training and support
centers which provide services and equipment to home dialysis patients.
 
  Capitalizing on its strong hospital and physician relationships and its core
competencies in blood processing, Everest significantly expanded its Contract
Services business with the completion of three acquisitions in fiscal 1997. The
Company believes it is uniquely positioned as the only company currently
offering hospitals an outsourcing solution to all of their extracorporeal blood
treatment needs. The Company has contracts with 102 hospitals, and Everest acts
as the exclusive provider of extracorporeal blood treatment services for most
of these hospitals.
 
                                       1

 
DIALYSIS INDUSTRY OVERVIEW
 
  End-Stage Renal Disease. End-Stage Renal Disease ("ESRD") is a chronic
medical condition characterized by the irreversible loss of kidney function
which prevents the removal of waste products and excess water from the blood.
ESRD most commonly results from complications associated with diabetes,
hypertension, certain renal and hereditary diseases, old age and other factors.
In order to survive, ESRD patients must receive dialysis treatments for the
rest of their lives or undergo kidney transplantation. The number of kidney
transplants has been limited due to a shortage of suitable donors along with
growth in the number of ESRD patients, the incidence of rejection of
transplanted organs and the unsuitability of many ESRD patients for
transplantation based on age or health.
 
  Therapeutic Approaches for End-Stage Renal Disease. Currently, three
treatment options exist for patients with ESRD: (i) hemodialysis, which is
performed either in an outpatient dialysis facility, a hospital or a patient's
home; (ii) peritoneal dialysis, which is generally performed in the patient's
home; and (iii) kidney transplant surgery.
 
  Hemodialysis uses a dialyzer, or artificial kidney, to remove certain toxins,
fluids and chemicals from the patient's blood. The dialysis machine controls
external blood flow and monitors certain vital signs of the patient. The
screening process involves a semipermeable membrane that divides the dialyzer
into two chambers; while the blood is circulated through one chamber, a
premixed dialysis fluid is circulated through the adjacent chamber. The toxins
and excess fluid contained in the blood cross the membrane into the dialysis
fluid. Hemodialysis treatment is usually performed three times per week for
three to five hours.
 
  Peritoneal dialysis is generally performed by the patient at home and uses
the patient's peritoneal, or abdominal, cavity to eliminate fluids and toxins
in the patient's blood. There are several variations of peritoneal dialysis,
the most common of which are continuous ambulatory peritoneal dialysis ("CAPD")
and continuous cycling peritoneal dialysis ("CCPD"). CAPD utilizes a sterile
dialysis solution which is introduced through a surgically implanted catheter
into the patient's peritoneal cavity. Toxins in the blood continuously cross
the peritoneal membrane into the dialysis solution. After several hours, the
patient drains the used solution and replaces it with fresh solution. CCPD is
performed in a manner similar to CAPD, but utilizes a mechanical device to
cycle dialysis solution while the patient is sleeping or at rest. Patients
treated at home are monitored monthly at a designated full-service outpatient
facility or by a nurse from a home dialysis training and support facility.
 
  Kidney transplantation, when successful, is the most desirable treatment for
patients with ESRD. However, the shortage of suitable donors severely limits
the availability of this surgical procedure as a viable alternative for many
ESRD patients.
 
  New medical therapies that cure or mitigate the primary causative diseases
linked to kidney failure could potentially reduce the ESRD patient population
growth rate. Such new medical therapies include diet control, intensive
diabetes therapy, improved control of hypertension, improved treatment of
causative primary infections and techniques for widening blocked renal
arteries. The Company believes, however, that most of these therapies will only
provide benefits over an extended time horizon and will not, therefore,
significantly reduce the growth of the ESRD patient population in the near
term.
 
NON-DIALYSIS EXTRACORPOREAL SERVICES INDUSTRY OVERVIEW
 
  Non-dialysis extracorporeal services include perfusion, apheresis and auto-
transfusion.
 
  Perfusion Services. Cardiovascular perfusion is required during open-heart
surgery to replace the function of the heart and lungs using mechanical
devices. This technique maintains relatively normal physiologic equilibrium
during cardiovascular surgery by providing adequate circulation and
oxygenation. The patient's blood is routed through a system of disposable
extracorporeal circuits that oxygenate, filter, adjust temperature and then
return the blood to the patient.
 
                                       2

 
  Apheresis Services. Apheresis is the selective removal of a specific
component (plasma, platelets, or white or red blood cells) of a person's blood.
The two general categories of apheresis include: (i) donor apheresis, which is
the removal of a healthy component of the blood from a patient or third-party
donor for subsequent transfusion to a patient; and (ii) therapeutic apheresis,
which is the removal of a diseased or disease-producing component of a
patient's blood in order to arrest a disease process.
 
  The types of donor apheresis include Autologous Peripheral Blood Stem Cell
("PBSC") and Single Donor Platelets ("SDP"). PBSC is a procedure performed on
cancer patients, including those suffering from leukemia, Hodgkins disease and
breast cancer. These patients undergo intensive chemotherapy and/or radiation
to eliminate the patient's bone marrow. Bone marrow regeneration is
accomplished by the reinfusion of stem cells previously collected from the
patient. SDP is a procedure in which platelets are collected from a single
third-party donor and reinfused into a patient whose platelets have been
depleted through blood loss, cancer, or cancer treatment. Therapeutic apheresis
selectively removes unwanted substances from the blood. These substances
include toxins, metabolic residues and plasma components implicated in disease.
 
  Auto-Transfusion Services. Auto-transfusion is performed during surgery to
collect, filter, clean and reinfuse the patient's own blood as an alternative
to using donor blood. An auto-transfusion device may be utilized in a variety
of surgical procedures, such as open-heart, vascular or orthopedic surgery,
which typically entail blood loss of more than two units. Auto-transfusion
reduces the risks of transfusion error and infection associated with outside
donor blood.
 
CHRONIC DIALYSIS OPERATIONS
 
  Facility Information. The Company operates 63 outpatient dialysis facilities,
including 51 full-service dialysis facilities and 12 centers exclusively
providing home dialysis training and support. The facilities are located in
Illinois (14), Indiana (9), Kansas (1), Kentucky (2), New Jersey (3), New York
(6), Ohio (16), Oklahoma (2), Pennsylvania (1), South Dakota (2), Texas (6) and
Wisconsin (1).
 
  Everest's 51 full-service facilities offer on-site dialysis treatments as
well as home dialysis training and support services. As of September 30, 1998,
the Company operated a total of 864 dialysis stations, most of which are
available 16 hours a day, six days a week. As of September 30, 1998, the
Company's utilization rate for its then-existing stations was 77%. Each full-
service facility has patient examination rooms, staff areas and offices, water
treatment areas and amenities such as color televisions for the patients.
Everest also operates 12 facilities that exclusively provide the necessary
equipment, supplies, training and support services to those patients who prefer
and are able to receive their treatments at home.
 
  Organizational Structure. Of the Company's 63 facilities, 33 are operated as
wholly-owned subsidiaries, six are majority-owned, 15 are minority-owned, and
nine are unaffiliated and operated pursuant to management contracts in New
York, South Dakota, Texas, Ohio and New Jersey.
 
  The terms of these management contracts vary, but they generally extend for
five years with renewal options. Everest's compensation under these agreements
typically consists of a fixed fee plus a percentage of revenues; such
compensation does not include any capitation fee. Everest often enters into
joint ventures with physicians to facilitate the development of outpatient
facilities in new and existing markets.
 
  Everest's dialysis facilities are managed by the Company's Executive Vice
President and General Manager, who oversees seven regional directors. The
regional directors manage the operations of the facilities in their respective
regions and are responsible for staffing, quality outcomes and regional
profitability. Each facility has a facility manager who reports to the regional
director. Facility managers are responsible for facility staffing, quality
outcomes, patient satisfaction results, facility profitability and promoting
and maintaining a strong teamwork environment. Generally, key managers are
eligible to receive incentives based upon the achievement of certain quality
measurements, patient satisfaction results, financial performance goals and
teamwork objectives. See "--Human Resources," and "--Training and Development."
 
                                       3

 
  The Company has an expert team of dialysis specialists assigned to assist
each patient in designing a program to fit the patient's lifestyle and to help
patients and families adjust to the changes in their lives. Each team generally
consists of: (i) a nephrologist who oversees the medical care; (ii) a nurse who
assesses the medical condition and coordinates and implements the program;
(iii) a nutritionist who customizes the diet; (iv) a social worker who helps
the family with lifestyle changes and financial planning; and (v) technicians
who provide much of the routine patient care.
 
  Everest's medical directors and local and regional management teams market
the Company's outpatient dialysis services to hospitals, physicians, patients,
health plans and the community at large. In marketing its services, the Company
emphasizes its excellent reputation and tradition of providing high-quality,
consistent patient care, as well as its patient outcomes and the cost savings
that these outcomes can provide.
 
  Physician Relationships. The Company believes that its physician
relationships are a key factor in the success of its dialysis facilities. As
required by the Medicare ESRD program, each of the Company's dialysis
facilities is supervised by a qualified medical director who is a physician.
The medical director at each facility is responsible for patient care and
relationships with referring physicians. Generally, medical directors must be
board certified or board eligible in internal medicine and have at least twelve
months of training or experience in the care of patients at ESRD centers. In
all cases, the Company's medical directors refer patients to the Company's
centers. In most cases, the medical director is the sole or substantial source
of referrals to the centers served.
 
  Ancillary Services. In addition to dialysis services, ESRD patients require a
significant amount of ancillary services. The Company has developed a number of
ancillary services to complement its dialysis services to boost patient
satisfaction and to improve quality, facility growth and profitability. The
most significant of the Company's ancillary services is the administration of
Erythropoietin ("EPO") upon a physician's prescription. As the kidney
deteriorates, it loses the ability to regulate the red blood cell count,
causing anemia. EPO is a bio-engineered protein that stimulates the production
of red blood cells and is used in connection with all forms of dialysis to
treat anemia. A majority of the ESRD population requires EPO. Additionally, the
Company interacts with kidney centers nationwide to arrange treatments for
patients traveling in other areas and for non-Everest patients visiting areas
where Everest has facilities.
 
CONTRACT SERVICES OPERATIONS
 
  Everest significantly expanded its Contract Services business in fiscal 1997
with the acquisition of three Contract Services providers. Everest believes
that it can build on its core competencies in blood processing to market
extracorporeal blood services through its existing relationships and that it
can use relationships developed in its Contract Services business to market
dialysis services. The Contract Services business also provides the Company
with a business that is not directly dependent on government reimbursement.
 
  As of September 30, 1998, the Company had contracts with 102 hospitals in 11
states. Everest acts as the exclusive provider of extracorporeal blood services
for most of these hospitals. Contracts with customer hospitals generally
provide for a portfolio of services including professional staffing, disposable
supplies, inventory management services, clinical quality management services,
and capital equipment. The professional staffing required by the contracts may
include a perfusionist, a registered nurse, or a technician, who are on-call 24
hours a day. The Company typically owns or leases the equipment used in
providing these services, such as heart-lung machines, transfusion machines,
dialyzers and apheresis machines and supplies the necessary disposable
accessories for these machines and related equipment. This equipment is usually
stored at the hospital, but is operated and maintained by the Company. Everest
operates regional offices in Florida, Illinois, Indiana, Michigan and Texas,
where the Company provides centralized support services for Contract Services.
 
  The Company markets its extracorporeal services to hospital administrators,
physicians, operating room directors and blood banks. Sales contacts result
from referrals from physicians, vendors, current customers and
 
                                       4

 
employees. The Company also solicits direct sales, works closely with
pharmaceutical and equipment companies and cooperates with such companies in
regional workshops.
 
DIALYSIS QUALITY PROGRAMS
 
  The Company believes that it enjoys a reputation of providing high-quality
care to dialysis patients and that it achieves superior patient outcomes
compared to other providers due to its strong training program and focus on
quality assurance standards.
 
  Continuous Quality Improvement. Everest seeks to deliver high-quality
dialysis services to its patients and engages in systematic efforts to measure,
maintain and improve the quality of the services that it delivers. Quality
assurance and patient data are regularly collected, analyzed and reviewed by
management. An important part of Everest's quality assurance program is its
Continuous Quality Improvement ("CQI") program. The CQI program is overseen by
the Company's Corporate Quality Improvement Committee, whose purpose is to
evaluate quality of care data, set policy and procedures affecting quality,
encourage sharing of techniques and procedures and develop practice guidelines.
This Committee meets quarterly. The CQI Program monitors quality of care
indicators as well as patient satisfaction. The philosophy of CQI encourages
continual and consistent improvement in the quality of care. The Company sets
quality and patient satisfaction objectives, and progress toward such
objectives is routinely measured. The CQI committee at each facility meets
monthly to manage the CQI process for the various indicators.
 
  Outcomes Measurement. Everest's clinical patient data are entered into a
computerized medical record maintained at each local dialysis facility, and
patient chemistry data are downloaded directly from laboratories. Outcomes data
are transmitted to and maintained at Everest's corporate headquarters. The
Company tracks such data by patient, by facility and for the entire corporation
and distributes such data monthly to each facility. Adequacy in hemodialysis is
measured by the Urea Reduction Ratio (URR) and Kt/V and in peritoneal dialysis
by either the Kt/V or creatinine clearance. The Company monitors these data as
well as many other indicators of quality including nutrition, anemia, infection
rates, access patency, patient compliance, hospitalization rates and mortality
rates.
 
CONTRACT SERVICES QUALITY PROGRAMS
 
  The Company has applied its experience in developing quality assurance
programs for its dialysis services business to its Contract Services business,
and has developed software in furtherance of its commitment to provide high-
quality extracorporeal services. This software, which is currently being
implemented throughout the Company's perfusion operations, records
approximately 15 clinical indicators similar to those tracked by the Company's
CQI Committee with respect to the Company's dialysis services. The Company
believes that this software is a factor in its ability to achieve favorable
outcomes for its Contract Services patients. The Company's outcome projections
help predict the anticipated length of patients' stays and probable patient
outcomes, and the Company tracks actual patient outcomes to verify the accuracy
of such predictions. The Company's Contract Services quality assurance
personnel meet monthly to review outcomes data and analyze the Company's
performance. These data are also shared with physicians and hospitals on a
regular basis. The Company believes that the indicators tracked by its software
provide value assessments that can help reduce lengths of stay and improve the
utilization of blood products. The Company believes this software is the most
advanced system of its kind and that the Company's use of the system is a
substantial value-added service for its customers. The Company has similar
programs for its hemodialysis and peritoneal dialysis operations, and is in the
process of writing corresponding programs for use in its inpatient acute
dialysis operations.
 
MANAGEMENT INFORMATION SYSTEMS
 
  The Company maintains comprehensive management information systems for
financial systems and for patient care, quality assurance and outcome tracking
purposes, and is continually developing and upgrading such systems. The
Company's Client Tracking System, which keeps a record of each of the Company's
 
                                       5

 
patients, is currently available in almost all facilities and is being
implemented at the remainder of the facilities. The Company's chronic dialysis
units have systems that track clinical, administrative and financial activities
for a dialysis patient. These systems provide the patient's medical record and
the database for quality programs and performance indicators.
 
SOURCES OF REVENUE REIMBURSEMENT
 
  The following table provides information regarding the percentage of the
Company's net revenues provided: (i) with respect to chronic dialysis services,
by Medicare, Medicaid and other third-party payors such as indemnity insurers,
managed care companies, hospitals and others; and (ii) with respect to Contract
Services, by hospitals and, to a much lesser extent, other payors:
 


                                                FISCAL YEAR ENDED SEPTEMBER 30,
                                                --------------------------------
      PAYOR                                        1996       1997       1998
      -----                                     ---------- ---------- ----------
                                                             
      CHRONIC DIALYSIS:
        Medicare...............................      66.1%      57.5%      47.6%
        Medicaid...............................      11.6%       8.5%       7.6%
        Other payors...........................      20.0%      20.6%      29.2%
      CONTRACT SERVICES:
        Hospitals and other payors.............        --       11.1%      13.7%
        Management service fees................       2.3%       2.3%       1.9%
                                                ---------- ---------- ----------
                                                    100.0%     100.0%     100.0%

 
  Under the Medicare ESRD program, Medicare reimburses dialysis providers for
the treatment of individuals who are diagnosed with ESRD and are eligible for
participation in the Medicare program, regardless of age or financial
circumstances. As described in more detail below, for each treatment, Medicare
pays 80% of the amount set by the Medicare prospective reimbursement system. A
secondary payor, usually a Medicare supplemental insurer, a state Medicaid
program or, to a lesser extent, the patient or the patient's private insurer,
is responsible for paying any co-payment (typically 20%), other approved
services not paid by Medicare and the annual deductible. All of the states in
which the Company operates dialysis facilities provide Medicaid benefits to
qualified recipients to supplement their Medicare entitlement. The Medicare and
Medicaid programs are subject to statutory and regulatory changes,
administrative rulings, interpretations of policy and governmental funding
restrictions, some of which may have the effect of decreasing program payments,
increasing costs or modifying how the Company operates its dialysis business.
See "--Regulatory Matters."
 
  Assuming an ESRD patient is eligible for participation in the Medicare
program, the commencement date of Medicare benefits for ESRD patients electing
in-center hemodialysis (and not entering into a self-care training program) is
dependent on several factors. For ESRD patients 65 years of age or older and
already enrolled in the Medicare program due to age entitlement, Medicare
coverage for ESRD services begins immediately. ESRD patients under 65 years of
age who are not covered by an employer group health plan (for example, the
uninsured, those covered by Medicaid and those covered by an individual health
insurance policy) must wait until the first day of the third month after the
month in which a renal dialysis treatment program begins. During this three
month period, the patient, Medicaid or private insurers are responsible for
payment. In the case of the individual covered by private insurance, such
responsibility is limited to the terms of the policy with the patient being
responsible for the balance. ESRD patients under 65 years of age who are
covered by an employer group health plan must wait 30 or 33 months after
commencing dialysis treatments (depending on whether the patient has entered
into a self-care training program) before Medicare becomes the primary payor.
During the 30 to 33-month period, the employer group health plan is responsible
for payment at its negotiated rate or, in the absence of such a rate, at the
company's usual and customary rates, and the patient is responsible for
deductibles and co-payments applicable under the terms of the employer group
health plan.
 
  If an ESRD patient elects to enter into a self-care training program or home
dialysis training program during the first three months of dialysis, the three-
month waiting period is waived. In this case, if the patient
 
                                       6

 
has an employer group health plan, the period for which the health plan will be
the primary payor is 30 months. If the patient has only Medicare coverage,
Medicare immediately becomes the primary payor effective as of the initiation
of dialysis.
 
  Medicare Reimbursement. Each of the Company's dialysis facilities is
certified to participate in the Medicare program. The Company is reimbursed by
Medicare under a reimbursement system for chronic dialysis services provided to
ESRD patients. Under this system, the reimbursement rates are fixed in advance
and have been adjusted from time to time by Congress. Although this form of
reimbursement limits the allowable charge per treatment, it provides the
Company with predictable and recurring per treatment revenues and allows the
Company to retain any profit earned. Medicare has established a composite rate
set by HCFA that governs the Medicare reimbursement available for a designated
group of dialysis services, including the dialysis treatment, supplies used for
such treatment, certain laboratory tests and certain medications. When Medicare
assumes responsibility as the primary payor, it pays for dialysis and related
services (as described below) at 80% of the composite rate. The Medicare
composite rate is subject to regional differences based upon certain factors,
including regional differences in wage earnings. Certain other services and
items are eligible for separate reimbursement under Medicare and are not part
of the composite rate, including certain drugs (including EPO), blood (for
amounts in excess of three units per patient per year), and certain physician-
ordered tests provided to dialysis patients. Claims for Medicare reimbursement
must generally be presented within 15 to 27 months of treatment depending on
the month in which the service was rendered. The Company generally submits
claims monthly and is usually paid by Medicare within 30 days of the
submission. If, in the future, Medicare were to include in its composite
reimbursement rate any of the ancillary services presently reimbursed
separately, the Company would not be able to seek separate reimbursement for
these services, adversely affecting the Company's operating and financial
results.
 
  The Company receives reimbursement for outpatient dialysis services provided
to Medicare-eligible patients at rates that are currently between $117 and $139
per treatment for routine dialysis services, depending upon regional wage
variations. The Medicare reimbursement rate is subject to change by legislation
and recommendations by the Medicare Payment Advisory Commission ("MedPAC").
MedPAC is a new commission that was mandated by the Balanced Budget Act of 1997
to continue and expand upon the work of the Prospective Payment Assessment
Commission ("PROPAC"). The Medicare ESRD reimbursement rate was unchanged from
commencement of the program in 1972 until 1983. From 1983 through December 1990
numerous Congressional actions resulted in net reduction of the average
reimbursement rate from a fixed fee of $138 per treatment in 1983 to
approximately $125 per treatment in 1990. Congress increased the ESRD
reimbursement rate, effective January 1, 1991, resulting in an average ESRD
reimbursement rate of $126 per treatment. In 1990, Congress required that the
Department of Health and Human Services ("HHS") and PROPAC study dialysis costs
and reimbursement and make findings as to the appropriateness of ESRD
reimbursement rates. In March 1998, MedPAC recommended a 2.7% increase in the
reimbursement rate. Congress is not required to implement any recommendation,
has not implemented this increase and could either raise or lower the
reimbursement rate.
 
  On June 1, 1989, the FDA approved the production and sale of EPO, and HCFA
approved Medicare reimbursement for EPO's use by dialysis patients. EPO
stimulates the production of red blood cells and is beneficial in the treatment
of anemia, with the effect of reducing or eliminating the need for blood
transfusions for dialysis patients.
 
  From June 1, 1989 through December 31, 1990, the Medicare ESRD program
reimbursed for EPO at the fixed rate of $40.00 per administration of EPO in
addition to the dialysis facility's allowable composite rate for dosages of up
to 9,999 units per administration. For higher dosages, an additional $30.00 per
EPO administration was allowed. Effective January 1, 1991, the Medicare
allowable prescribed rate for EPO was changed to $11.00 per 1,000 units,
rounded to the nearest 100 units. Subsequently, legislation was enacted to
reduce the Medicare prescribed rate for EPO by $1.00 to $10.00 per 1,000 units
after December 31, 1993. President Clinton's proposed fiscal year 1999 budget
contains a further reduction in reimbursement for EPO from $10.00 to $9.00 per
1,000 units administered.
 
                                       7

 
  In September 1997, HCFA promulgated a policy that would deny Medicare
reimbursement for EPO where a patient's proportion of red blood cells to total
blood volume exceeds an average of 36.5% during a 90-day period. That rule was
modified effective March 10, 1998, to provide that, if a doctor provides
medical justification for the prescription, Medicare will continue to reimburse
for EPO even if a patient's red blood cell count exceeds the maximum level
otherwise allowed for reimbursement. Further, even if no medical justification
is provided, the reimbursement will be reduced rather than denied, to an amount
equal to the lower of the actual EPO dosage administered or 80% of the
allowable dosage for the previous month.
 
  Medicaid Reimbursement. The Company is a licensed ESRD Medicaid provider in
all states in which it does business. Medicaid programs are state-administered
programs partially funded by the federal government. These programs are
intended to provide coverage for patients whose income and assets fall below
state-defined levels or who are otherwise uninsured. The programs also serve as
supplemental insurance programs for the Medicare co-insurance portion and
provide certain coverage (e.g., oral medications) that is not provided by
Medicare. State regulations generally follow Medicare reimbursement levels and
coverage without any co-insurance amounts. Certain states, however, require
beneficiaries to pay a monthly share of the cost based upon levels of income or
assets.
 
  Private Reimbursement. Everest derives a portion of its revenues from
reimbursement provided by non-governmental third-party payors. A substantial
portion of third-party health insurance in the U.S. is now furnished through
some type of managed care plan, including HMOs. Managed care plans are
increasing their market share, and this trend may accelerate as a result of the
merger and consolidation of providers and payors in the health care industry,
as well as discussions among members of Congress and the executive branch
regarding ways to increase the number of Medicare and Medicaid beneficiaries
served through managed care plans.
 
  The Company generally is reimbursed for dialysis treatments at higher rates
by non-governmental payors than by governmental payors. However, managed care
plans are becoming more aggressive in selectively contracting with a smaller
number of providers willing to furnish services for lower rates and subject to
a variety of service restrictions. For example, managed care plans and
traditional indemnity third-party payors increasingly are demanding alternative
fee structures, such as capitation arrangements whereby a provider receives a
fixed payment per month per enrollee and bears the risk of loss if the costs of
treating such enrollee exceed the capitation payment. These market forces are
creating downward pressure on the reimbursement that Everest receives for its
services and products.
 
  Everest's ability to secure favorable rates with indemnity and managed care
plans has largely been due to the relatively small number of ESRD patients
enrolled in any single HMO. By regulation, ESRD patients have been prohibited
from joining an HMO unless they are otherwise eligible for Medicare coverage,
due to age or disability, and are members of a managed care plan when they
first experience kidney failure. HCFA has implemented a pilot project in which
several managed care companies were allowed to recruit ESRD patients beginning
in 1997 and which, if successful, could result in the opening of the ESRD
treatment market to many managed care companies thereafter. As Medicare HMO
enrollments increase and the number of ESRD patients in managed care plans also
increases, managed care plans may have increased leverage in negotiating lower
rates. In addition, an HMO may contract with another provider for, or may have
tighter utilization controls with respect to, certain ancillary services
typically provided by Everest to ESRD patients, which could limit Everest's
revenues from such services.
 
  As managed care companies expand their market share and gain greater
bargaining power vis-a-vis health care providers, there may be increasing
pressure to reduce the amounts paid for outpatient dialysis services and
products. These trends could be accelerated if future changes to the Medicare
ESRD program require private payors to assume a greater percentage of the cost
of care given to dialysis patients. Everest believes that the historically
higher rates of reimbursement paid by non-governmental payors may not be
maintained at such levels. Everest is presently seeking to expand the portion
of its revenues attributable to non-governmental
 
                                       8

 
private payors. However, if substantially more patients join managed care plans
or such plans reduce reimbursement levels, Everest's business and results of
operations could be materially adversely affected.
 
COMPETITION
 
  Dialysis Services Market. The dialysis industry is fragmented and highly
competitive, particularly with respect to competition for the acquisition of
existing dialysis centers. Because, in most cases, the prices of dialysis
services and products in the U.S. are directly or indirectly regulated by
Medicare, competition for patients is based primarily on quality and
accessibility of service and the ability to obtain referrals from physicians
and hospitals. Certain of the Company's competitors in the dialysis services
market have greater financial resources than the Company and compete with the
Company for the acquisition of centers in markets targeted by the Company.
Competition for acquisitions has increased the costs of acquiring dialysis
facilities. There is no assurance that the Company can continue to compete
effectively with existing and new competitors.
 
  Competition for recruiting qualified physicians to act as medical directors
is intense. In addition, the Company may experience competition from the
establishment of a facility by a former medical director or referring
physician. In cases where the Company has acquired a facility from one or more
physicians, or where one or more physicians own interests in facilities as
partners or co-shareholders with the Company, such physicians are generally
required to agree to refrain from owning interests in competing facilities for
various periods. Substantially all physicians who provide medical director
services to the Company have also executed non-competition agreements. Such
non-competition agreements may not be enforceable in certain jurisdictions.
 
  Contract Services Market. The Contract Services market is also fragmented and
highly competitive. The Company estimates there are approximately 3,000
perfusionists practicing in the U.S., the majority of whom are employed by
hospitals, with the balance practicing as sole proprietors or employed by
companies offering perfusion services. Most hospitals requiring perfusion
services use their own staff to provide such services and equipment and, as
such, are the largest source of competition for the Company. The Company also
competes in regional markets with other independent providers of perfusion
services and with perfusionists in private practice. The Company's principal
competitor in the perfusion services market is Baxter International Inc. The
Company competes with hospitals and blood banks in the provision of apheresis
and auto-transfusion services. The Company competes with other dialysis
providers and hospitals in the provision of acute dialysis services. Management
believes that the competitive factors in the Contract Services market are
primarily cost, quality and breadth of service. Certain of the Company's
competitors in the Contract Services market have greater financial resources
than the Company. There can be no assurance that Everest will be able to
compete effectively with its competitors or that additional competitors with
greater resources will not enter the Company's markets.
 
HUMAN RESOURCES
 
  As of September 30, 1998, the Company had approximately 1,730 employees,
including a professional staff of approximately 632 nurses, social workers,
dietitians and perfusionists, a corporate and regional staff of approximately
224 employees and a facilities support staff of approximately 874 employees.
The Company also contracts with numerous health care professionals, including
physicians, nurses, social workers, dietitians, perfusionists and technicians
who are not employees of Everest. Medical directors of the Company's dialysis
facilities are independent contractors rather than employees of the Company,
although some medical directors are employees of either Nephrology Associates
of Northern Illinois Ltd. ("NANI-IL") or Nephrology Associates of Northern
Indiana, P.C. ("NANI-IN"), each of which is owned by directors, officers and/or
shareholders of the Company. In these cases, professional service fees for the
medical directors are paid by the Company to NANI-IL and NANI-IN for medical
director services performed for such corporations' dialysis units. See "Certain
Relationships and Related Transactions." In the majority of cases, however, the
fees are payable directly by the Company to the medical directors (or their
physician practices) pursuant to individually negotiated contracts.
 
 
                                       9

 
  Perfusionists generally enter into written agreements with the Company which
specify their duties and establish their compensation. Such agreements are
terminable by either party on advance written notice.
 
  As of September 30, 1998, approximately 104 of the Company's employees were
members of unions. The Company believes that its relationships with its
employees are good.
 
TRAINING AND DEVELOPMENT
 
  The Company believes that its dialysis patient care staff, Contract Services
professionals, facility managers and regional directors represent its most
valuable corporate assets. Accordingly, Everest devotes substantial efforts and
resources to recruiting, training and retaining these individuals. The
Company's training emphasizes teamwork to facilitate an environment based upon
skilled individuals working together to provide high-quality care. The Company
trains its patient care staff and requires that such employees undertake
continuing education and meet with trainers who provide ongoing competency
testing. If such testing reveals skills that are below the level required for a
specific employee, the Company implements further training as required.
 
LIABILITY INSURANCE
 
  The Company maintains property and general liability insurance, professional
liability insurance and other insurance coverage in amounts deemed adequate by
management based upon historical claims and the nature and risks of the
business. The Company's property, casualty and worker's compensation insurance
is provided by an affiliated entity. See "Certain Relationships and Related
Transactions." The Company's professional liability insurance would provide
coverage, subject to policy limits, in the event the Company is held liable in
a lawsuit for professional malpractice against a physician, however, there can
be no assurance that future claims will not exceed applicable insurance
coverage, that malpractice and other liability insurance will be available at a
reasonable cost or that the Company will be able to maintain adequate levels of
malpractice insurance and other liability insurance in the future or that the
insurers will not be successful in denying claims. Physicians practicing at the
dialysis facilities are required to maintain their own malpractice insurance.
However, the Company maintains coverage for the activities of its medical
directors (but not for their individual private medical practices).
 
REGULATORY MATTERS
 
 General
 
  The Company is subject to extensive federal, state and local governmental
regulations. These regulations require the Company to meet various standards
relating to, among other things, the management of centers, personnel,
maintenance of proper records, equipment and quality assurance programs. The
Company's dialysis centers are subject to periodic inspection by state agencies
and other governmental authorities to determine if the premises, equipment,
personnel and patient care meet applicable standards. To receive Medicare and
Medicaid reimbursement, the Company's dialysis centers must be certified by
HCFA. All of the Company's dialysis centers are so certified.
 
  Any loss by the Company of its federal certifications, its authorization to
participate in the Medicare or Medicaid programs or its licenses under the laws
of any state or other governmental authority from which a substantial portion
of its revenues is derived or any change resulting from health care reform
reducing dialysis reimbursement or reducing or eliminating coverage for
dialysis services would have a material adverse effect on the Company's
operating and financial results. To date, the Company has maintained its
licenses and Medicare and Medicaid authorizations. The Company believes that
the health care services industry will continue to be subject to intense
regulation at the federal, state and local levels, the scope and effect of
which cannot be predicted. No assurance can be given that the activities of the
Company will not be reviewed and challenged by government regulators or that
health care reform will not result in a material adverse effect on the Company.
Furthermore, the Company could be held responsible for actions previously taken
by entities it
 
                                       10

 
has acquired. There can be no assurance that previous operating practices of
the Company or the entities it has acquired will not be reviewed and challenged
by governmental regulators or that the Company will not be liable for such
practices.
 
 Federal Fraud and Abuse
 
  The Company's operations are subject to the illegal remuneration provisions
of the Social Security Act (sometimes referred to as the "Anti-Kickback Law")
that impose criminal and civil sanctions on persons who knowingly and willfully
solicit, offer, receive or pay any remuneration, whether directly or
indirectly, in return for, or to induce, the referral of a patient for
treatment, or, among other things, the ordering, purchasing, or leasing, of
items or services that may be paid for in whole or in part by Medicare,
Medicaid or other federal health care programs. Additionally, federal
enforcement officials may attempt to impose civil false claims liability with
respect to claims resulting from an Anti-Kickback Law violation. Violations of
the federal Anti-Kickback Law are punishable by criminal penalties, including
imprisonment, fines and exclusion of the provider from future participation in
the Medicare or Medicaid programs. Civil penalties for violation of the federal
Anti-Kickback Law include assessments of $50,000 per improper claim for payment
plus three times the amount of such claim, as well as suspension from future
participation in Medicare and Medicaid. While the federal Anti-Kickback Law
expressly prohibits transactions that have traditionally had criminal
implications, such as kickbacks, rebates or bribes for patient referrals, its
language has been construed broadly and has not been limited to such obviously
wrongful transactions. Court decisions state that, under certain circumstances,
the Anti-Kickback Law is also violated where any part of the purpose (as
opposed to the "primary" or "material" purpose) of a payment is to induce
referrals. Congress has frequently considered federal legislation that would
expand the federal Anti-Kickback Law to include the same broad prohibitions to
all situations involving the inducement of referrals, regardless of payor
source.
 
  In July 1991, November 1992 and January 1996, the Secretary of Health and
Human Services ("HHS") published regulations that create exceptions or "safe
harbors" for certain business transactions. Transactions that satisfy the
criteria under applicable safe harbors will be deemed not to violate the
federal Anti-Kickback Law. Transactions that do not satisfy all elements of a
relevant safe harbor do not necessarily violate the statute, although such
transactions may be subject to scrutiny by enforcement agencies. The Company
seeks to structure its various business arrangements to satisfy as many safe
harbor elements as possible under the circumstances, although many of the
Company's arrangements do not satisfy all of the elements of a safe harbor.
Although the Company has never been challenged under the Anti-Kickback Law, and
the Company believes that it complies in all material respects with the federal
Anti-Kickback Law and all other applicable related laws and regulations, there
can be no assurance that the Office of Inspector General or other governmental
agency will not take a contrary position or that the Company will not be
required to change its practices or will not experience a material adverse
effect as a result of any such challenge or any sanction that might be imposed.
In recent years, new legislation and amendments to the existing federal fraud
and abuse laws have strengthened the government's enforcement powers, and there
has been a significant increase in the number of health care fraud and abuse
investigations and prosecutions. Some of these new investigations and
prosecutions scrutinize practices that have been widely utilized by health care
providers in the past. The Company is unable to predict whether the enforcement
agencies will ultimately prevail in their stepped-up enforcement activities or
what impact these enforcement activities may ultimately have on the
interpretation of the federal fraud and abuse laws.
 
  On July 21, 1994, the Secretary of HHS proposed a rule that would modify the
original set of safe harbor provisions to give greater clarity to the rule's
original intent. The proposed rule would make changes to the safe harbors on
personal services, management contracts, investment interests, and space
rentals, among others. The Company does not believe that its current
operations, as set forth above, would be materially impacted if the proposed
rule were adopted in the form proposed. However, the Company cannot predict the
outcome of the rule making process or whether changes in the safe harbors rule
will affect the Company's position with respect to the federal Anti-Kickback
Law.
 
 
                                       11

 
  Physician Ownership. A significant portion of the Company's issued stock is
presently owned or controlled by physicians. The Company has also issued stock
options to various individuals, including many of its medical directors.
Additionally, many of the Company's outpatient dialysis centers are owned on a
joint-venture basis between the Company, or one of its wholly owned
subsidiaries, and local physicians. Because many of these physicians refer
patients to the Company's facilities, the federal Anti-Kickback Law could be
found to apply to referrals by such physicians to the Company's facilities.
However, the Company believes these ownership relationships are in material
compliance with the federal Anti-Kickback Law. The Company believes that the
value of stock issued and options granted to physicians has been consistent
with the fair market value of assets transferred to, or services performed by
such physicians for the Company, and there is no intent to induce referrals to
the Company's facilities. There is a safe harbor for certain investments in
non-publicly traded entities such as the Company, and the Company believes that
its physician ownership and investment relationships meet some of the criteria
for this safe harbor. However, these relationships do not satisfy all of the
criteria for the safe harbor and there can be no assurance that these
relationships will not subject the Company to investigation or prosecution by
enforcement agencies.
 
  Medical Director Relationships. The conditions for coverage under the
Medicare ESRD program mandate that treatment at a dialysis center be under the
general supervision of a medical director who is a licensed physician.
Additionally, the medical director must be board certified or board eligible in
internal medicine or pediatrics and have had at least 12 months of experience
or training in the care of patients at ESRD centers. The medical directors
engaged by the Company typically exceed the Medicare requirements and are
generally board certified nephrologists. The Company has engaged medical
directors at each of its centers under contracts with physicians or their group
practices. The compensation of the medical directors and other physicians under
contract with the Company is separately negotiated and generally depends upon
competitive factors in the local market, the physician's professional
qualifications and responsibilities and the size of the center. The aggregate
compensation of the medical directors and other physicians under contract with
the Company is generally fixed in advance for periods of one year or more by
written agreement, is set to reflect the fair market value of the services
rendered and does not take into account the volume or value of patients
referred to the Company's facilities. Because in all cases the medical
directors and the other physicians under contract with the Company refer
patients to the Company's centers, the federal Anti-Kickback Law could be found
to apply. However, the Company believes that its contractual arrangements with
these physicians are in material compliance with the federal Anti-Kickback Law.
The Company seeks to comply with the requirements of the personal services and
management contract safe harbor when entering into agreements with its medical
directors and other physicians. See "Certain Relationships and Related
Transactions--NANI-IL and NANI-IN."
 
  Acute Inpatient Dialysis Services. Under the Company's acute inpatient
dialysis service arrangements, the Company agrees to provide a hospital with
supervised emergency and acute dialysis services, including qualified nursing
and technical personnel, technical services, supplies, and, in many cases,
equipment. Because physicians under contract with the Company, or who have an
ownership interest in the Company and/or its affiliates, may refer patients to
hospitals with which the Company has an acute dialysis service arrangement, the
federal Anti-Kickback Law could be found to apply, However, the Company
believes that its contractual arrangements with hospitals for acute inpatient
dialysis services are in material compliance with the federal Anti-Kickback
Law. In all instances, the Company seeks to comply with the requirements of the
personal services and management contract and equipment lease safe harbors when
entering into agreements or contracts for acute inpatient dialysis services.
 
  The Health Insurance Portability and Accountability Act of 1996. The Health
Insurance Portability and Accountability Act of 1996 ("HIPAA") was enacted in
August 1996 and substantively changed federal fraud and abuse laws by expanding
their reach to all federal health care programs, establishing new bases for
exclusions and mandating minimum exclusion terms, creating an additional
exception to the anti-kickback penalties for risk-sharing arrangements,
requiring the Secretary of HHS to issue advisory opinions, increasing civil
money penalties to $10,000 (formerly $2,000) per item or service and
assessments to three times (formerly twice) the amount claimed, creating a
specific health care offense and related health fraud crimes, and
 
                                       12

 
expanding investigative authority and sanctions applicable to health care
fraud. It also prohibits provider payments which could be deemed an inducement
to patient selection of a provider.
 
  In addition to establishing minimum periods of exclusion from government
health programs, the statute authorizes exclusion of an individual with a
direct or indirect ownership or control interest in a sanctioned entity if the
individual "knows or should know" of the activity leading to the conviction or
exclusion of the entity or where the individual is an officer or managing
employee of the entity. Significantly, the law expands criminal sanctions for
health care fraud involving any governmental or private health benefit program,
including freezing of assets and forfeiture of property traceable to commission
of a health care offense.
 
  Balanced Budget Act of 1997. In August 1997, President Clinton signed the
Balanced Budget Act of 1997 ("BBA") which contains sweeping adjustments to both
the Medicare and Medicaid programs, as well as further expansion of the fraud
and abuse laws. Specifically, the BBA created a civil monetary penalty for
violations of the federal anti-kickback statute whereby violations will result
in damages equal to three times the amount involved as well as a penalty of
$50,000 per violation. In addition, the new provisions expanded the exclusion
requirements so that any person or entity convicted of three health care
offenses is automatically excluded from federally funded health care programs
for life. Individuals or entities convicted of two offenses are subject to
mandatory exclusion of 10 years, while any provider or supplier convicted of
any felony may be denied entry into the Medicare program by the Secretary of
HHS if deemed to be detrimental to the best interests of the Medicare program
or its beneficiaries.
 
  The BBA also provides that any person or entity that arranges or contracts
with an individual or entity that has been excluded from a federally funded
health care program will be subject to civil monetary penalties if the
individual or entity "knows or should have known" of the sanction. In addition,
the BBA requires HCFA to issue advisory opinions in response to inquiries as to
whether physician referrals for designated health services are prohibited by
the Stark law (hereinafter described).
 
  Finally, the BBA creates a Medicare+Choice Program that is designed to
provide a variety of options to Medicare beneficiaries, almost all of whom may
enroll in a Medicare+Choice Plan. The options include provider sponsored
organizations, coordinated care plans, HMOs with and without point of service
options involving out-of-network providers, and medical savings accounts
offered as a demonstration project.
 
 Stark Law
 
  The federal prohibition against self-referral amendments to the Social
Security Act (commonly known as the "Stark" provisions) restricts physician
referrals for certain "designated health services" to entities with which a
physician or an immediate family member has a "financial relationship." The
Stark law was enacted by Congress in two parts, and is commonly referred to
individually as "Stark I" and "Stark II." The Stark I legislation, which became
effective in 1992, was only applicable to clinical laboratory services. The
Stark II legislation, which became effective January 1, 1995, expanded the
self-referral prohibition from only clinical laboratory services to all
"designated health services." Under the Stark provisions, an entity is
prohibited from claiming payment under the Medicare or Medicaid programs for
services rendered pursuant to a prohibited referral and is liable for the
refund of amounts received pursuant to prohibited claims. The Stark provisions
also set forth certain reporting requirements that require entities providing
services to Medicare beneficiaries to report certain ownership arrangements to
the Secretary of HHS. In addition to being obligated to refund any payments
received in violation of the Stark provisions, entities can also incur civil
penalties of up to $15,000 per improper claim, $10,000 per day for each day
that the entities fail to comply with the reporting obligations, and can be
excluded from participation in the Medicare and Medicaid programs.
 
  A "financial relationship" under Stark is defined as an ownership or
investment interest in an entity by a physician (or an immediate family
member), or a compensation arrangement between a physician (or an immediate
family member) and an entity. The Company has entered into compensation
agreements with its medical directors or their respective professional
corporations for the services such physicians provide as
 
                                       13

 
medical directors. Additionally, a number of physicians own shares of the
Company or its joint ventures, and options to purchase shares of stock in the
Company. Accordingly, physicians that have entered into such arrangements with
the Company, including its medical directors, may be deemed to have a
"financial relationship" with the Company for purposes of Stark.
 
  For purposes of Stark, "designated health services" include, among other
things: clinical laboratory services; parenteral and enteral nutrients,
equipment and supplies; prosthetics, orthotics, prosthetic devices and
supplies; physical and occupational therapy services; outpatient prescription
drugs; durable medical equipment and supplies; radiology services (including
MRI, CAT scans and ultrasound services); radiation therapy services and
supplies; home health services; and inpatient and outpatient hospital services.
Dialysis is not a designated health service under Stark. However, the
definition of "designated health services" includes items and services that are
components of dialysis or that may be provided to a patient in connection with
dialysis, if such items and services are considered separately rather than
collectively as dialysis. Under the final Stark I regulations published in
August 1995, HCFA provided an exception from Stark I for clinical laboratory
services reimbursed under the Medicare "composite rate" for dialysis. The
Company believes it likely that, when final Stark II regulations are published,
they will contain a similar exception for the various dialysis related items
that fall within the definition of "designated health services," but that are
reimbursed under the composite rate for dialysis. However, there can be no
assurance that HCFA will adopt such a position.
 
  On January 9, 1998, HCFA issued proposed Stark II regulations (the "1998
Proposed Regulations"). The 1998 Proposed Regulations provide that EPO and
other outpatient drugs used in connection with dialysis treatments, and home
health services and supplies used in home dialysis services are not considered
"designated health services" for purposes of Stark II. There can be no
assurance, however, that final Stark II regulations will adopt such a position.
With respect to the other items and services provided by the Company that are
likely to be deemed to be "designated health services" subject to the Stark II
prohibition, the language of the Stark II amendments and the Stark I final
regulations suggest that the Company will not be permitted to offer, or seek
reimbursement for, such services in the absence of a Stark II exception.
 
  Because physicians under contract with the Company may refer patients to
hospitals with which the Company has a Contract Services arrangement, Stark II
may be interpreted to apply to the Company's Contract Services arrangements
with hospitals. However, Stark II contains exceptions for certain equipment
rental, personal services and fair market value arrangements and the Company
believes that most of its Contract Services arrangements are in material
compliance with the requirements of such exceptions to Stark II. Moreover, the
1998 Proposed Regulations exclude from the definition of "inpatient hospital
services" acute dialysis services furnished by a physician-owned contractor
when the hospital is not certified to provide ESRD services. There can be no
assurance, however, that final Stark II regulations will adopt such a position.
 
  Stark II contains exceptions for ownership and compensation arrangements that
meet certain specific criteria set forth in the statute or in forthcoming
regulations. With respect to ownership, certain qualifying in-office physician
and ancillary services provided by or under the supervision of physicians in a
single group practice are exempt from both ownership and compensation
arrangement restrictions. With respect to compensation arrangements, the
exceptions available for certain qualifying arrangements include the following
areas: (i) bona fide employment relationships; (ii) personal service
arrangements; (iii) space and equipment leasing arrangements; (iv) certain
group practice arrangements with a hospital that were in existence prior to
December 1989; and (v) purchases by physicians of laboratory services, or other
items and services at fair market value. In order to be exempt from the Stark
II self-referral prohibition, it is necessary to meet all of the criteria of a
particular exception for each financial relationship existing between an entity
and a referring physician. Based on the existing regulations and the 1998
Proposed Regulations, the Company believes that many of its financial
relationships with referring physicians will not be subject to the Stark self-
referral prohibitions. Further, to the extent that some of the Company's
financial arrangements are subject to Stark, the Company believes that all such
financial arrangements meet the criteria for an exception under either the
existing regulations or the 1998 Proposed Regulations.
 
 
                                       14

 
  However, because of its broad language, Stark II may be interpreted to apply
to certain of the Company's operations. Consequently, Stark II may require the
Company to restructure certain existing compensation agreements with its
medical directors, or, in the alternative, to refuse to accept referrals for
designated health services from certain physicians. Moreover, since Stark II
prohibits Medicare or Medicaid reimbursement of items or services provided
pursuant to a prohibited referral, and imposes substantial civil monetary
penalties on entities which present or cause to be presented claims for
reimbursement in such cases, the Company could be required to repay amounts
reimbursed for items and services that HCFA determines to have been furnished
in violation of Stark II, and could be subject to substantial civil monetary
penalties, either or both of which could have a material adverse effect on the
Company's operations and financial results and condition. The Company believes
that if Stark II is interpreted to apply to the Company's operations, it is
likely that the Company will be able on a prospective basis to bring its
financial relationships with referring physicians into material compliance with
the provisions of Stark II, including relevant exceptions. However, prospective
compliance would not affect amounts or penalties determined to be owed for past
conduct, and there can be no assurance that such prospective compliance, if
possible, would not have a material adverse effect on the Company.
 
  The Company's certificate of incorporation (the "Certificate") has certain
provisions which are designed to comply with the requirements of the Stark Law.
The Certificate provides that if the holder of the Company's stock or an
immediate family member of the holder is a physician, then the stock will
represent no investment or ownership interest in any entity to which such
physician has made or is in a position to make referrals for designated health
services. The Certificate also contains dividend and transfer policies which
are designed to cure potential violations of the Stark Law which would occur
should a physician with an investment or ownership interest in the Company make
referrals to an entity and indirectly derive financial gain from such
activities. The transfer policies have the additional function of subjecting
future holders of the Company's stock to the same restrictions being imposed
upon current holders.
 
 Other Regulation
 
  False Claims. The Company is also subject to federal and state laws
prohibiting an individual or entity from knowingly and willfully presenting
claims for payment (by Medicare, Medicaid and certain other third-party payors)
that contain false or fraudulent information. These laws provide for both
criminal and civil penalties. Furthermore, providers found to have submitted
claims which they knew or should have known were false or fraudulent, or for
items or services that were not provided, may be excluded from Medicare and
Medicaid participation, required to repay previously collected amounts, and/or
subject to substantial civil monetary penalties, resulting in the possibility
of substantial financial penalties for small billing errors repeated over a
large number of claims, as each individual error may be deemed to be a separate
violation of the False Claims Act. Although false claim violations are
generally subject to investigation and prosecution by the applicable
governmental agency, violations of the federal False Claim Act can also be the
subject of Qui Tam (or whistle blower) litigation. In Qui Tam situations,
certain individuals with knowledge of False Claim Act violations can bring
suit, on behalf of the federal government, for such violations. As a "reward"
for bringing successful Qui Tam cases, Qui Tam plaintiffs are entitled to a
significant percentage of any penalties ultimately recovered by the federal
government as a result of the violations prosecuted in the Qui Tam action. The
number of health care Qui Tam cases is growing, and these cases increasingly
involve arguments that a violation of the Anti-Kickback and Stark Laws could
constitute a false claim under the federal False Claims Act, and thus subject
health care providers to Qui Tam actions for alleged Anti-Kickback and Stark
Law violations.
 
  Although dialysis centers are generally reimbursed by Medicare based on
prospective composite rates, the submission of Medicare cost reports and
requests for payment by dialysis centers are covered by these laws. The Company
believes that it has procedures to ensure the accurate completion of cost
reports and requests for payment. However, there can be no assurance that cost
reports or requests for payment filed by the Company will be materially
accurate or will not be subject to challenge under these laws. Furthermore,
there can be no assurance that cost reports or payment requests previously
submitted by any of the entities that the Company
 
                                       15

 
has acquired will not be challenged under these laws. Any such challenges,
including any related sanctions which might be assessed, could have a material
adverse effect on the Company.
 
  State Anti-Kickback Provisions. Many states have enacted statutes prohibiting
health care providers from providing kickbacks or other forms of remuneration
to individuals, including physicians, who induce, or refer patients, to the
provider. Many of these laws have proscriptions similar to the Anti-Kickback
Law, but apply more broadly to all patients, and not just those entitled to
reimbursement under Medicare, Medicaid or other federal health care programs.
The Company has no reason to believe that any of its arrangements with
physicians are not in material compliance with such state laws. However, given
the recent enactment of such state laws, there is an absence of definitive
interpretive guidance in many areas and there can be no assurance that one or
more of the practices of the Company or any of its acquired entities might not
be subject to challenge under such state laws. If one or more of such state
laws is interpreted to apply to the Company and the Company is determined to be
liable for violations of such state laws, the application of such state laws
could have a material adverse effect on the Company.
 
  State Self-Referral Provisions. Numerous states have enacted statutes
prohibiting physicians from holding financial interests in various types of
medical centers or providers to which they refer patients. Many of these laws
have proscriptions similar to the Stark law, but apply more broadly to all
patients, and not just those entitled to reimbursement under the Medicare and
Medicaid programs. The Company has no reason to believe that any of its
arrangements with physicians are not in material compliance with such state
laws. However, given the recent enactment of such state laws, there is an
absence of definitive interpretive guidance in many areas and there can be no
assurance that one or more of the practices of the Company or any of its
acquired entities might not be subject to challenge under such state laws. If
one or more of such state laws is interpreted to apply to the Company and the
Company is determined to be liable for violations of such state laws, the
application of such state laws could have a material adverse effect on the
Company.
 
  State Laws Regarding Provision of Medicine and Insurance. Although the
Company currently has a number of arrangements with insurance companies and
HMOs, these relationships do not account for a significant portion of the
Company's revenues. Notwithstanding these current arrangements, as the managed
care environment evolves, or if there is a legislative change requiring
Medicare ESRD beneficiaries to obtain their care through a managed care
arrangement, such as an HMO, the Company may be forced to revise its current
operations, structure and/or practices to adapt to such an environment. Such
changes may include the development of quasi-managed care entities that could
deliver both dialysis treatment and related physician services through an
integrated system that would share in the financial risk of the integrated
services it provides. However, because the laws of many states prohibit
physicians from splitting fees with non-physicians and prohibit non-physician
entities from practicing medicine, the Company's ability to structure such
arrangements may be severely restricted, if not prohibited. Further, because
most states also have laws regulating insurance companies and HMOs as well as
the ability to enter into certain types of risk spreading and risk sharing
arrangements, the Company may also be restricted in its ability to develop
quasi-managed care entities and/or enter into risk sharing types of
arrangements with payors. As a result of these regulatory constraints, the
Company may not be able to quickly respond or adapt to a rapidly changing
marketplace. If the Company is not able to quickly respond to such changes, it
may have a material adverse effect on the Company. Further, if the Company is
able to respond to such changes by restructuring its operations and/or
practices, the Company may be subject to new intense regulatory oversight which
may also have a material adverse effect on the Company.
 
  Health Care Reform. Members of Congress from both parties and the executive
branch are continuing to consider many health care proposals, some of which are
comprehensive and far-reaching in nature. As noted above, the Medicare+Choice
Program was developed as part of the amendments in the BBA. This program is
designed to expand the options for Medicare beneficiaries and may have a
significant impact on the manner in which health care is delivered in the
future. Several states are also currently considering health care proposals.
The Company is unable to predict what additional action, if any, the federal
government or any state may ultimately take with respect to health care reform
or when any such action will be taken. Health care reform
 
                                       16

 
may bring radical changes in the financing and regulation of the health care
industry, which could have a material adverse effect on the Company.
 
  Other Regulations. The Company's operations are subject to various state
hazardous waste disposal laws. Those laws, as currently in effect, do not
classify most of the waste produced during the provision of dialysis services
to be hazardous, although disposal of non-hazardous medical waste is also
subject to regulation. OSHA regulations require employers of workers who are
occupationally subject to blood or other potentially infectious materials to
provide those workers with certain prescribed protections against blood-borne
pathogens. These regulatory requirements apply to all health care centers,
including dialysis centers, and require employers to make a determination as to
which employees may be exposed to blood or other potentially infectious
materials and to have in effect a written exposure control plan. In addition,
employers are required to provide hepatitis B vaccinations, personal protective
equipment, infection control training, post-exposure evaluation and follow-up,
waste disposal techniques and procedures, and engineering and work practice
controls. Employers are also required to comply with certain record-keeping
requirements. The Company believes that it is in material compliance with the
foregoing laws and regulations.
 
  Some states have established certificate of need ("CON") programs regulating
the establishment or expansion of health care centers, including dialysis
centers. In those states where CON laws apply to dialysis centers, the Company
is required to go through a regulatory process that generally requires the
identification and documentation of "need" for dialysis services, prior to
being able to establish or expand its dialysis operations. The existence of CON
laws and their application by regulatory agencies could have a material impact
on the Company's ability to expand its dialysis operations in those states with
CON requirements.
 
  There can be no assurance that in the future the Company's business
arrangements, past or present, will not be the subject of an investigation or
prosecution by a federal or state governmental authority. Such investigation
could result in any, or any combination, of the penalties discussed above
depending upon the agency involved and such investigation and prosecution. None
of the Company's business arrangements with physicians, vendors, patients or
others have been the subject of investigation by any governmental authority.
The Company monitors legislative developments and would seek to restructure a
business arrangement if the Company determined that one or more of its business
relationships placed it in material noncompliance with applicable law. The
Company believes that in the near future the health care service industry will
continue to be subject to substantial regulation at the federal and state
levels, the scope and effect of which cannot be predicted by the Company. Any
loss by the Company of its various federal certifications, its authorization to
participate in the Medicare and Medicaid programs or its licenses under the
laws of any state or other governmental authority from which a substantial
portion of its revenues are derived would have a material adverse effect on its
operating and financial results.
 
ITEM 2. PROPERTIES
 
  The Company operates 63 dialysis centers, six of which are located in owned
facilities and the remainder of which are located in leased facilities. Such
facilities range from approximately 3,000 to 15,000 square feet. These leases
generally have terms of 10 years and typically contain renewal options. The
Company owns 13,800 square feet of office space in Oak Park, Illinois which is
used for its corporate headquarters. In addition, the Company leases
approximately 22,000 square feet of space in Bellwood, Illinois which houses
the acute dialysis team, corporate training, purchasing, biomedical, billing
and medical records. The Company also leases space for its regional offices in
Tucson, Arizona; Panama City, Florida; Dearborn, Michigan; and Houston, Texas.
The regional offices range in size from 230 square feet to approximately 3,500
square feet under leases with expiration dates through March 31, 2000.
 
  The Company considers its physical properties to be in good operating
condition and suitable for the purposes for which they are being used.
 
 
                                       17

 
ITEM 3. LEGAL PROCEEDINGS
 
  The Company is subject to claims and suits in the ordinary course of
business, including those arising from patient treatment. The Company believes
it will be covered by malpractice insurance with respect to these claims and
does not believe that the ultimate resolution of pending proceedings will have
a material adverse effect on the Company. However, claims against the Company,
regardless of their merit or eventual outcome, could require management to
devote time to matters unrelated to the operation of the Company's business,
and may also have a material adverse effect on the Company's ability to attract
patients or expand its business.
 
ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS
 
  No matters were submitted to a vote of security holders during the fourth
quarter of fiscal 1998.
 
                                       18

 
- - - - - - - - - - - - - - - - - - - - --------------------------------------------------------------------------------
                                    PART II
 
- - - - - - - - - - - - - - - - - - - - --------------------------------------------------------------------------------
 
ITEM 5. MARKET FOR REGISTRANT'S COMMON EQUITY AND RELATED STOCKHOLDER MATTERS
 
  There is no established public trading market for the common stock of the
Company.
 
  During fiscal 1998, the Company made the following sales of its unregistered
common stock: (i) in January, 1998, the Company issued 52,399 shares to owners
of Home Dialysis of Mt. Auburn, Inc. as consideration for the increase of its
investment in such business, which were valued at approximately $377,000; (ii)
in February, 1998, the Company issued 179,300 shares to owners of Dialysis
Specialists of South Texas, LLC as partial consideration for the increase of
its investment in such business, which were valued at approximately $1,300,000;
and (iii) in April, 1998, the Company issued 153,021 shares to owners of North
Buckner Dialysis Center as partial consideration for the acquisition of such
business, which were valued at approximately $1,100,000. All such sales were
effected in reliance on Section 4(2) of the Securities Act of 1933, as amended.
 
  On May 5, 1998, the Company sold (the "Initial Offering") its $100,000,000 9
3/4% Senior Subordinated Notes due 2008, Series A (the "Private Notes"). On
October 2, 1998, the Company delivered in exchange (the "Exchange") for the
Private Notes its $100,000,000 9 3/4% Senior Subordinated Notes due 2008,
Series B (the "Notes"). The net proceeds to the Company from the Initial
Offering were $95.2 million, after deducting the initial purchaser's discount
and offering expenses. The Company used $48.4 million of the net proceeds to
repay indebtedness under the Company's prior credit facility (the "Prior Credit
Facility") that bore interest at a weighted average rate of 8.99% per annum as
of June 30, 1998 and was to mature in May 2000. $7.2 million of the net
proceeds were used to repay loans made to the Company by certain of its
shareholders. $5.1 million of these loans bore interest at the prime rate plus
1% per annum and matured at various times throughout 1998. $2.1 million of
these loans bore interest at the prime rate plus 1% per annum and matured on
November 29, 2000. The Company used $19.2 million of net proceeds to acquire a
management services agreement and $4.7 million to acquire land and buildings.
Additionally, the Company used $3.0 million for working capital purposes. The
remaining $12.7 million of net proceeds will be used to finance future
acquisitions of dialysis facilities and Contract Services providers and for
working capital and general corporate purposes. Pending such uses, the net
proceeds have been and will be invested in cash and cash equivalents.
 
                                       19

 
ITEM 6. SELECTED FINANCIAL DATA
 
  The selected financial data for the Predessor represent the financial
position and results of operations of West Suburban Kidney Center, S.C. In
October 1995, the Predecessor and six affiliated companies were combined to
create the Company. These financial data should be read in conjunction with
"Management's Discussion and Analysis of Financial Condition and Results of
Operations" and the Consolidated Financial Statements and notes thereto
included elsewhere in this Report.
 


                               PREDECESSOR              THE COMPANY
                             ----------------  --------------------------------
                                  FISCAL YEAR ENDED SEPTEMBER 30,
                             ---------------------------------------------
                              1994     1995     1996      1997      1998
                             -------  -------  -------  --------  --------
                                      (DOLLARS IN THOUSANDS)
                                                          
STATEMENT OF OPERATIONS
 DATA:
 Net revenues............... $44,313  $47,276  $83,171  $113,808  $147,475
 Patient care costs.........  29,363   31,340   54,885    72,058    93,868
 General and administrative
  expenses..................  10,845   12,691   17,463    24,710    32,062
 Provision for bad debts ...   1,409      754    2,523       714     2,727
 Depreciation and
  amortization..............   1,103    1,271    3,401     4,939     6,927
                             -------  -------  -------  --------  --------
 Income from operations.....   1,593    1,220    4,899    11,387    11,891
 Interest expense, net......    (380)    (368)    (276)   (2,149)   (5,932)
 Equity in earnings of
  affiliates................     --       --       --        --      1,784
 Minority interests in
  earnings..................     --       --      (810)   (1,601)     (516)
 Gain on curtailment of
  pension benefits..........     --       --     3,044       --        --
 Other income, net..........     --       --        39       279       --
                             -------  -------  -------  --------  --------
 Income before income
  taxes.....................   1,213      852    6,896     7,916     7,227
 Income taxes...............    (480)    (325)  (2,800)   (3,689)   (3,541)
                             -------  -------  -------  --------  --------
 Net income................. $   733  $   527  $ 4,096  $  4,227  $  3,686
                             =======  =======  =======  ========  ========
BALANCE SHEET DATA:
 Working capital............ $ 7,462  $ 6,911  $ 8,514  $ 20,412  $ 36,965
 Total assets...............  20,863   20,937   64,711   102,208   198,695
 Long-term liabilities......   5,231    5,146   23,366    51,632   111,333
 Stockholders' equity.......   6,286    7,434   28,873    32,999    58,256

 
                                       20

 
ITEM 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
        OF OPERATIONS
 
  The following discussion and analysis of the financial condition and results
of operations of the Company should be read in conjunction with the more
detailed information contained in the Consolidated Financial Statements and
notes thereto appearing elsewhere in this Report.
 
OVERVIEW
 
  Everest is a leading provider of dialysis and other blood treatment services.
Founded in 1968 and principally owned by nephrologists, the Company has a long-
standing focus on developing strong relationships with physicians to provide
high-quality patient care. The Company is the nation's sixth-largest provider
of chronic dialysis outpatient services and serves approximately 5,600 patients
through 63 facilities in 12 states. Everest also contracts with 102 hospitals
in 11 states to provide a broad range of other extracorporeal blood treatment
services, including inpatient acute dialysis, perfusion, apheresis and auto-
transfusion (together, "Contract Services"). Pursuant to management contracts,
Everest provides management services to (i) a physician practice group
comprised of 26 nephrologists, primarily in the Chicago and northwest Indiana
areas, and (ii) certain minority-owned or unaffiliated dialysis facilities. For
fiscal 1998, the Company derived 84.4% of its net revenues from chronic
dialysis services, 13.7% from Contract Services and 1.9% from management
services.
 
SOURCES OF REVENUES
 
  The Company's net revenues from chronic dialysis services are derived from:
(i) in-center dialysis and home dialysis services including drugs and supplies;
and (ii) management contracts with hospital-based and other outpatient dialysis
programs. The majority of the Company's in-center and home dialysis services
are paid for under the Medicare ESRD program in accordance with rates
established by HCFA. Additional payments are provided by other third-party
payors (particularly by employer group health plans during the first thirty
months of treatment), generally at rates higher than those reimbursed by
Medicare. Everest is currently seeking to expand the portion of its revenues
attributable to non-government payors by entering into contracts with managed
care companies and other private payors. Because dialysis is an ongoing, life-
sustaining therapy used to treat a chronic condition, utilization of the
Company's chronic dialysis services is generally predictable and not subject to
seasonal or economic fluctuations. ESRD patients may receive up to 156 dialysis
treatments per year; however, due to hospitalization and no shows the Company's
average number of treatments per patient per year is 136. Unless the patient
moves to another dialysis facility, receives a kidney transplant or dies, the
revenues generated per patient per year can be estimated with reasonable
accuracy. See "Business--Sources of Revenue Reimbursement."
 
  The Company's Contract Services revenues are derived from acute dialysis,
perfusion, apheresis and auto-transfusion services provided to hospitalized
patients pursuant to contracts with hospitals. Rates paid for such services are
negotiated with individual hospitals. Because extracorporeal blood treatment
services are required for patients undergoing major surgical procedures,
utilization of the Company's Contract Services is not subject to seasonal or
economic fluctuations.
 
  The Company's revenues also include fees paid under management services
contracts. Management service fee revenue is recognized when earned. Management
service fees are based on contracted rates. The contracted rates are estimates
based upon the cost of services provided such as billing, accounting, technical
support, cash management and facilities management.
 
ACQUISITIONS
 
  Acquisitions of dialysis and Contract Services providers have been recorded
under purchase accounting with the purchase price being principally allocated
to fixed assets, accounts receivable and inventory based on
 
                                       21

 
respective estimated fair market values at the date of acquisition. Any excess
of the purchase price over the fair value of identifiable assets (including
identifiable intangible assets) is allocated to goodwill, which is amortized
over 25 years. The results of these acquisitions have been included in the
results of operations from their respective acquisition dates. The Company
regularly evaluates the potential acquisition of, and holds discussions with,
various potential acquisition candidates; as a general rule, the Company does
not intend to publicly announce such acquisitions until a definitive agreement
has been reached.
 
  During fiscal 1998, the Company acquired additional equity in three entities
in which it previously held a minority interest: (i) Hemo Dialysis of Amarillo,
L.L.C., which owns one outpatient and home dialysis facility located in
Amarillo, Texas (the Company's interest was increased from 30.0% to 100.0%);
(ii) Home Dialysis of Mount Auburn, Inc., which owns one home dialysis facility
located in Cincinnati, Ohio (the Company's interest was increased from 50.0% to
80.5%); and (iii) Dialysis Specialists of South Texas, L.L.C., which owns three
outpatient and home dialysis facilities in Corpus Christi, Texas (the Company's
interest was increased from 33.3% to 100.0%). In addition, effective April 1,
1998, the Company acquired 100.0% of North Buckner Dialysis Center, Inc., which
owns one outpatient dialysis facility in Dallas, Texas. These acquisitions
represented approximately 550 patients in the aggregate. Effective March 1,
1998, the Company acquired 70% of Perfusion Resource Association, L.L.C., a
Contract Services business with two hospitals under contract. In May 1998, the
Company developed and opened one outpatient dialysis facility located in Bronx,
New York.
 
  Pursuant to a Management Agreement with Montefiore Medical Center ("MMC"),
New York Dialysis Management, Inc., a wholly-owned subsidiary of the Company
("NYDM"), has been managing four dialysis facilities located in the Bronx, New
York (the "Facilities"). Under the original Management Agreement, NYDM had a
right of first refusal to purchase the Facilities and the right to operate them
(and in effect terminate the Management Agreement) in the event that MMC
received and proposed to accept a bona fide offer for the purchase of one or
all of the Facilities. After having been informed by MMC of the receipt of such
an offer earlier this year, NYDM exercised its right of first refusal and, as a
result, in July 1998, the parties entered into an Agreement to Amend and Not-
to-Compete (the "Agreement to Amend") and Amendment No. 3 to the Management
Agreement (the "Amendment"). Pursuant to the Agreement to Amend, NYDM paid an
amount equal to $19,216,000 to MMC in consideration for MMC's covenant not-to-
compete and other undertakings, including MMC's agreement to enter into the
Agreement. Contemporaneously with the execution of the Agreement to Amend and
the Amendment, MMC entered into a Medical Asset Purchase Agreement (the
"Purchase Agreement") pursuant to which it agreed to sell the Facilities'
medical assets to Everest Dialysis Services, Inc. ("EDS"), a corporation formed
for this purpose under the laws of the State of New York, and which is owned by
Craig Moore and Paul Balter. The parties have made the filings necessary to
obtain the approval of the New York Public Health Council required for the
consummation of the transactions contemplated under the Purchase Agreement and
the subsequent operation of the Facilities by EDS. If the parties are unable to
obtain such approval, at the option of NYDM, either NYDM and MMC will enter
into a forty-year Administrative Services Agreement or MMC will be required to
make certain payments to NYDM in exchange for the transfer by NYDM of the
Facilities' non-medical assets to MMC.
 
REORGANIZATION
 
  In November 1997, in order to simplify its ownership structure and better
position the Company for future growth, the shareholders of the Company entered
into a series of related transactions. Prior to such transactions, the Founding
Directors, who collectively owned approximately 70% of the equity in the
Company, held their equity interest through a limited liability company.
Following these transactions, the Founding Directors now directly hold
approximately 55% of the equity in the Company, and collectively own all of the
membership interests in Peak Liquidating, which in turn owns approximately 15%
of the equity in the Company. See "Certain Relationships and Related
Transactions" and "Security Ownership of Certain Beneficial Owners and
Management."
 
                                       22

 
RESULTS OF OPERATIONS
 
  The following table sets forth for the periods indicated the Company's
results of operations:
 


                              FISCAL YEAR ENDED
                                SEPTEMBER 30,
                          ---------------------------
                           1996      1997      1998
                          -------  --------  --------
                                   (IN THOUSANDS)
                                            
 Net revenues............ $83,171  $113,808  $147,475
 Patient care costs......  54,885    72,058    93,868
 General and
  administrative
  expenses...............  17,463    24,710    32,062
 Provision for bad
  debts..................   2,523       714     2,727
 Depreciation and
  amortization...........   3,401     4,939     6,927
                          -------  --------  --------
 Income from operations..   4,899    11,387    11,891
 Interest expense, net...    (276)   (2,149)   (5,932)
 Equity in earnings of
  affiliates.............     --        --      1,784
 Minority interests in
  earnings...............    (810)   (1,601)    (516)
 Gain on curtailment of
  pension benefits.......   3,044       --        --
 Other income, net.......      39       279       --
                          -------  --------  --------
 Income before income
  taxes..................   6,896     7,916     7,227
 Income taxes............  (2,800)   (3,689)   (3,541)
                          -------  --------  --------
 Net income.............. $ 4,096  $  4,227  $  3,686
                          =======  ========  ========

 
  The following table sets forth for the periods indicated certain statement of
operations items expressed as a percentage of net revenues for such periods:
 


                                                            FISCAL YEAR ENDED
                                                              SEPTEMBER 30,
                                                            -------------------
                                                            1996   1997   1998
                                                            -----  -----  -----
                                                                 
Net revenues............................................... 100.0% 100.0% 100.0%
Patient care costs.........................................  66.0   63.3   63.6
General and administrative expenses........................  21.0   21.7   21.7
Provision for bad debts....................................   3.0    0.7    1.8
Depreciation and amortization..............................   4.1    4.3    4.9
                                                            -----  -----  -----
Income from operations.....................................   5.9   10.0    8.0
Interest expense, net......................................  (0.3)  (1.9)  (4.0)
Equity in earnings of affiliates...........................   --     --     1.2
Minority interests in earnings.............................  (1.0)  (1.4)  (0.3)
Gain on curtailment of pension benefits....................   3.7    --     --
Other income, net..........................................   --     0.2    --
                                                            -----  -----  -----
Income before income taxes.................................   8.3    6.9    4.9
Income taxes...............................................  (3.4)  (3.2)  (2.4)
                                                            -----  -----  -----
Net income.................................................   4.9%   3.7%   2.5%
                                                            =====  =====  =====

 
FISCAL YEAR ENDED SEPTEMBER 30, 1998 COMPARED TO FISCAL YEAR ENDED SEPTEMBER
30, 1997
 
  Net Revenues. Net revenues increased $33.7 million or 29.6% to $147.5 million
for fiscal 1998 from $113.8 million for fiscal 1997. Approximately $18.4
million of the increase was attributable to an increase in the number of
treatments at existing dialysis facilities, a shift in revenues by payor and an
increase in the average net revenue per treatment to approximately $232 for
fiscal 1998 from $219 for fiscal 1997. The shift in revenues by payor and the
increase in the net revenue per treatment were associated with the commercial
price increase that went into effect in July 1997. This was offset by an
increase in the contractual allowance of approximately $3.0 million. The
contractual allowance represents the Company's estimate of potential
adjustments to invoiced amounts. Of the remaining $18.3 million of the
increase, approximately $4.8 million resulted from the acquisition of Contract
Services businesses in fiscal 1997 and $13.5 million was attributable to the
opening of de novo facilities in fiscal 1997 and 1998 and the acquisition of
six facilities in fiscal 1998.
 
                                       23

 
  Patient Care Costs. Patient care costs consist of costs directly related to
the care of patients, including direct and indirect labor, drugs and other
medical supplies and operational costs of the facilities. Patient care costs
increased $21.8 million or 30.2% to $93.9 million for fiscal 1998 from $72.1
million for fiscal 1997. Approximately $7.9 million of the increase was
attributable to the increase in the number of treatments at the existing
dialysis facilities. Of the remaining increase, $8.8 million is from the
opening of de novo facilities in fiscal 1997 and 1998 and the acquisition of
six facilities in fiscal 1998, and approximately $4.5 million was attributable
to the acquisition of Contract Services businesses in fiscal 1997.
 
  General and Administrative Expenses. General and administrative expenses
increased $7.4 million or 29.9% to $32.1 million for fiscal 1998 from $24.7
million for fiscal 1997. The increase was attributable to the growth of the
corporate infrastructure, including the expansion of information systems,
increased professional fees and increased administrative labor costs.
 
  Provision for Bad Debts. Provision for bad debts increased $2.0 million or
285.7% to $2.7 million for fiscal 1998 from $700,000 for fiscal 1997. The
increase was due to provisions established for specific receivables as a result
of price increases which may not be collectible from uninsured patients. The
price increases were applicable to commercial insurance carriers and went into
effect beginning July 1997.
 
  Depreciation and Amortization. Depreciation and amortization increased
approximately $2.0 million or 40.8% to $6.9 million for fiscal 1998 from $4.9
million for fiscal 1997. The increase was due to increased amortization of
goodwill as a result of business acquisitions (including the purchase of
minority interests) and to increased depreciation expense as a result of fixed
asset purchases.
 
  Income from Operations. Income from operations increased $500,000 or 4.4% to
$11.9 million for fiscal 1998 from $11.4 million for fiscal 1997. Income from
operations as a percentage of net revenues decreased to 8.1% for fiscal 1998 as
compared to 10.0% for fiscal 1997 due to the factors discussed above.
 
  Interest Expense, Net. Interest expense, net increased $3.8 million or 181%
to $5.9 million for fiscal 1998 from $2.1 million for fiscal 1997. The increase
was primarily attributable to an increase in the average debt outstanding of
approximately $48.6 million to $74.1 million in fiscal 1998 as compared to
$25.5 million in fiscal 1997. The increase is due to the issuance of senior
subordinated notes May 5, 1998.
 
  Equity in Earnings of Affiliates. Equity in earnings of affiliates represents
the Company's portion of earnings in unconsolidated joint ventures. The Company
recognized equity in earnings of affiliates of approximately $1.8 million in
fiscal 1998. In fiscal 1997, the joint venture entities were start up in nature
and as such, the Company did not recognize any earnings. Whereas, in fiscal
1998, the operations matured and started to produce income.
 
  Minority Interests in Earnings. In November 1997, the Company acquired the
minority interests in Everest, and therefore, there is no minority interest
expense relating to minority interests in Everest subsequent to the
acquisition. Accordingly, minority interest expense decreased $1.1 million or
68.8% to $500,000 for fiscal 1998 from $1.6 million in fiscal 1997.
 
  Income Taxes. Income taxes remained constant at approximately $3.6 million
for fiscal 1998 and fiscal 1997. This was mainly due to an increase in the
effective tax rate to approximately 49% for fiscal 1998 as compared to 46.6%
for fiscal 1997 due to an increase in non-deductible goodwill amortization
expense associated with acquisitions.
 
FISCAL YEAR ENDED SEPTEMBER 30, 1997 COMPARED TO FISCAL YEAR ENDED SEPTEMBER
30, 1996
 
  Net Revenues. Net revenues increased $30.6 million or 36.8% to $113.8 million
for fiscal 1997 from $83.2 million for fiscal 1996. The increase in net
revenues was attributable to (i) the acquisition of the Contract
 
                                       24

 
Services businesses in November 1996 which added net revenues of approximately
$12.4 million, (ii) three acquisitions of dialysis companies in the fourth
quarter of fiscal 1996 which incrementally added net revenues of approximately
$8.0 million in fiscal 1997, (iii) the opening of three de novo facilities in
the fourth quarter of fiscal 1996 which incrementally added net revenues of
approximately $3.4 million in fiscal 1997, and (iv) an increase in treatments
and the average revenue per treatment at existing facilities, which together
added approximately $6.8 million in net revenues in fiscal 1997. The average
revenue per treatment increased from $202 in fiscal 1996 to $219 in fiscal
1997.
 
  Patient Care Costs. Patient care costs increased $17.2 million or 31.3% to
$72.1 million for fiscal 1997 from $54.9 million for fiscal 1996. Approximately
$14.9 million of this increase was attributable to acquisitions of dialysis and
Contract Services businesses and the opening of de novo facilities. The
remaining $2.3 million resulted primarily from an increase in the number of
treatments at existing facilities.
 
  General and Administrative Expenses. General and administrative expenses
increased $7.2 million or 41.5% to $24.7 million for fiscal 1997 from $17.5
million for fiscal 1996. Approximately $4.9 million of this increase was
attributable to acquisitions of dialysis and Contract Services businesses and
to the opening of de novo facilities. The remaining $2.3 million of this
increase was attributable primarily to growth of the corporate infrastructure,
including increased corporate staff and expanded information systems, to
support a larger organization.
 
  Provision for Bad Debts. Provision for bad debts decreased $1.8 million or
72.0% to $700,000 for fiscal 1997 from $2.5 million for fiscal 1996. This
decrease resulted primarily from the reversal of a provision of $1.0 million
established in 1996 for specific state agency receivables which were
subsequently collected, offset by an increase in provision for bad debts as a
result of higher net revenues.
 
  Depreciation and Amortization. Depreciation and amortization increased $1.5
million or 45.2% to $4.9 million for fiscal 1997 from $3.4 million for fiscal
1996. The increase was due to increased goodwill amortization expense as a
result of acquisitions and an increase in depreciation expense related to fixed
asset purchases.
 
  Income from Operations. Income from operations increased $6.5 million or
132.4% to $11.4 million for fiscal 1997 from $4.9 million for fiscal 1996.
Income from operations as a percentage of net revenues increased to 10.3% for
fiscal 1997 from 6.2% for fiscal 1996.
 
  Interest Expense, Net. Interest expense, net increased $1.9 million or 678.7%
to $2.1 million for fiscal 1997 from $276,000 for fiscal 1996. The increase was
primarily attributable to additional borrowings under the Prior Credit Facility
related to acquisitions and working capital.
 
  Minority Interests in Earnings. Minority interests in earnings increased
$790,000 or 97.6% to $1.6 million for fiscal 1997 from $810,000 for fiscal
1996, as a result of increased profitability.
 
  Gain on Curtailment of Pension Benefits. In fiscal 1996, the Company ceased
funding its defined-benefit pension plan and no additional years of benefit
service were accrued by plan participants. The Company recognized a curtailment
gain of approximately $3.0 million.
 
  Income Taxes. Income taxes increased $889,000 or 31.8% to $3.7 million in
fiscal 1997 from $2.8 million in fiscal 1996. This increase was due to in part
to higher pretax income of $7.9 million in fiscal 1997 as compared to $6.9
million in fiscal 1996 as a result of the factors discussed above. In addition,
the effective tax rate was 46.6% in fiscal 1997 as compared to 40.6% in fiscal
1996 primarily due to an increase in non-deductible goodwill amortization
expense associated with acquisitions.
 
                                       25

 
YEAR 2000 COMPLIANCE BY THE COMPANY AND OTHERS
 
  Year 2000 compliance concerns the ability of certain computerized information
systems to properly recognize date-sensitive information, such as invoices for
the Company's services, as the year 2000 approaches. Systems that do not
recognize such information could generate erroneous data or cause systems to
fail; this problem may occur as early as calendar year 1999. The Company is at
risk both for its own Year 2000 compliance and for the Year 2000 compliance of
those with whom it does business, particularly third party payors.
 
  The Company has established a Year 2000 Task Force to study and address Year
2000 issues. The Task Force consists of Karen Gramigna-Warren, Director of
Technology and Chief Information Officer, and representatives from all major
areas of the Company. The task force meets weekly. The Company has hired four
consultants that devote full time attention to Year 2000 issues. The Year 2000
Group of PricewaterhouseCoopers Consultants has also been retained as an
advisor for Year 2000 issues.
 
  The Task Force has formulated and begun to implement a plan with six stages,
as follows: (i) awareness, (ii) inventory, (iii) impact analysis, (iv)
remediation, (v) testing and (vi) implementation. Phases (i) through (iv) are
currently in progress; the Company's goal is to complete all phases and be Year
2000 compliant by June 30, 1999.
 
  The Company has five major information technology systems, the present
compliance of which is described below:
 
    1. Client tracking system. This system is Year 2000 compliant.
 
    2. Accounting package. The existing accounting package is not Year 2000
  compliant. A Year 2000 upgrade will be available in the first quarter of
  1999 and will be installed at that time.
 
    3. Interim accounting package for Contract Services. This package is Year
  2000 compliant.
 
    4. Physician billing. The Company installed a new billing system which is
  Year 2000 compliant.
 
    5. Facilities billing. This system is not yet Year 2000 compliant. It has
  been analyzed, and arrangements are being made with the vendor to upgrade
  the system.
 
  These systems would have been upgraded or replaced to support Company growth
irrespective of the Year 2000 issue. The process of upgrading or replacing
these systems was not accelerated by Year 2000 considerations.
 
  The Company has started a full review of the Year 2000 compliance of its non-
information technology systems (i.e., embedded technology such as micro-
controllers).
 
  Management believes that the most significant risk to the Company of Year
2000 issues is the effect such issues may have on third-party payors, such as
Medicare. News reports have indicated that various agencies of the federal
government may have difficulty becoming fully Year 2000 compliant before the
year 2000. The Company has not yet undertaken to quantify the effects of such
noncompliance or to determine whether such a quantification is even possible. A
consideration of worst case scenarios and contingency plans to deal with those
scenarios have not yet been undertaken by the Task Force.
 
  There can be no assurance that Year 2000 issues will not have a material
adverse effect on the Company's business, results of operations and financial
condition.
 
LIQUIDITY AND CAPITAL RESOURCES
 
  The Company requires capital primarily for the acquisition and development of
dialysis centers and Contract Services businesses, the purchase of property and
equipment for existing centers and to finance working capital requirements. At
September 30, 1998, the Company's working capital was $36.9 million as compared
to $20.4 million at September 30, 1997.
 
                                       26

 
  The Company's net cash provided by operating activities was $7.3 million for
fiscal 1998 as compared to net cash provided by operating activities of $2.7
million for fiscal 1997. Cash provided by operating activities consists of net
income increased by non-cash expenses such as depreciation, amortization and
the provision for bad debts and adjusted by the changes in components of
working capital, primarily receivables and payables. For fiscal 1998, accounts
receivable increased approximately $13.5 million due to the price increases
implemented by the Company as well as an increase in the number of treatments.
Accounts payable and other accrued liabilities increased due to the fact that
the Company extended payment terms for several vendors from 30 to 60 days and
due to the accrued interest related to the senior subordinated notes. The
Company's net cash used in investing activities was $52.9 million for fiscal
1998 and $17.6 million for fiscal 1997. The Company's principal uses of cash
consist of investing activities related to acquisitions, purchases of new
equipment and leasehold improvements for existing dialysis centers, the
development of de novo dialysis centers and net advances due from affiliated
entities. During fiscal 1998, the Company (i) acquired additional equity in
three dialysis entities for approximately $10.9 million, (ii) acquired majority
ownership in a Contract Services business for approximately $1.4 million, (iii)
acquired 100% ownership in one dialysis facility for approximately $5.1 million
and (iv) acquired a management services agreement for approximately $19.5
million. Net cash provided by financing activities was $55.8 million for fiscal
1998 and $17.4 million for fiscal 1997. The primary sources and uses of cash
from financing activities during fiscal 1998 were the proceeds from the Initial
Offering as well as net borrowings or repayments under the Credit Facility.
 
  The Company does not have any current material commitments for capital
expenditures.
 
  On May 18, 1998, the Company refinanced the Prior Credit Facility with the
same commercial bank that provided the Prior Credit Facility. The new credit
facility (the "New Credit Facility") consists of two separate facilities: (i) a
$35.0 million revolving credit facility maturing on May 15, 2001, which may be
extended for two one-year periods at the issuing bank's discretion (the
"Working Capital Facility"); and (ii) a $70.0 million acquisition financing
facility maturing on May 15, 1999 (the "Acquisition Facility"), which includes
the right to convert all or a portion of the borrowings outstanding thereunder
to one or more five-year term loans (the "Term Loans"). The total amount drawn
under the New Credit Facility may not exceed $100.0 million. The New Credit
Facility contains operating and financial covenants, including, without
limitation, requirements to maintain leverage and debt service coverage ratios
and minimum tangible net worth. In addition, the New Credit Facility includes
customary covenants relating to the delivery of financial statements, reports,
notices and other information, access to information and properties,
maintenance of insurance, payment of taxes, maintenance of assets, nature of
business, corporate existence and rights, compliance with applicable laws,
including environmental laws, transactions with affiliates, use of proceeds,
limitation on indebtedness, limitations on liens, limitations on certain
mergers and sales of assets, limitations on indebtedness, limitations on stock
repurchases, and limitations on debt payments and other distributions including
prepayment or redemption of the Notes. The New Credit Facility contains certain
events of default after expiration of applicable grace periods, including
defaults relating to: (i) nonpayment of principal, interest, fees or other
accounts; (ii) violation of covenants; (iii) material inaccuracy of
representations and warranties; (iv) bankruptcy; (v) material judgments; (vi)
certain ERISA liabilities; and (vii) actual or asserted invalidity of any loan
documents.
 
  In November 1996, the Company issued notes in the aggregate principal amount
of $7.0 million as part of the purchase price for its acquisition of The
Extracorporeal Alliance. The notes bear interest at a variable rate equal to
the five-year Treasury note rate plus three percent and mature on October 31,
2002.
 
  A significant component of the Company's growth strategy is the acquisition
and development of dialysis centers and the acquisition of Contract Services
businesses. The Company believes that the remaining net proceeds from the
Initial Offering, existing cash and funds from operations, together with funds
available under the New Credit Facility, will be sufficient to meet the
Company's acquisition, development, expansion, capital expenditure and working
capital needs for at least the next twelve months. In order to finance certain
strategic acquisition opportunities, the Company may from time to time incur
additional short and long-term bank
 
                                       27

 
indebtedness and may issue equity or debt securities, the availability and
terms of which will depend on market and other conditions. There can be no
assurance that the Company will be successful in implementing its growth
strategy or that adequate sources of capital will be available in the future as
needed on terms acceptable to the Company.
 
IMPACT OF INFLATION
 
  A substantial portion of the Company's net revenues is subject to
reimbursement rates that are regulated by the federal government and do not
automatically adjust for inflation. The Company is unable to increase the
amount it receives for the services provided by its dialysis businesses that
are reimbursed under the Medicare composite rate. Increased operating costs due
to inflation, such as labor and supply costs, without a corresponding increase
in reimbursement rates, may adversely affect the Company's earnings in the
future. However, part of the Company's growth strategy is to acquire additional
Contract Services businesses which are not directly dependent on reimbursement
from government agencies. In addition, the Company believes that the effect of
inflation is further mitigated by a recent change in current governmental
health care laws that extends the coordination of benefits period for ESRD
patients who are covered by an employer group health plan from 18 to 21 months
to 30 to 33 months before Medicare becomes the primary payor.
 
ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
 
  The Company does not engage in hedging or other market structure derivative
trading activities. Additionally, the Company's debt obligations are primarily
fixed-rate in nature and, as such, are not sensitive to changes in interest
rates. The Company does not believe that its market risk financial instruments
on September 30, 1998 would have a material effect on future operations or cash
flow.
 
ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA
 
  The financial statements and schedule of the Company are annexed to this
Report. An index to such materials appears on page F-1.
 
ITEM 9. CHANGE IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND
FINANCIAL DISCLOSURE
 
  Not applicable.
 
                                       28

 
- - - - - - - - - - - - - - - - - - - - --------------------------------------------------------------------------------
                                    PART III
 
- - - - - - - - - - - - - - - - - - - - --------------------------------------------------------------------------------
 
ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT
 
  The directors and executive officers of the Company are as follows:
 


NAME                      AGE                             POSITION
- - - - - - - - - - - - - - - - - - - - ----                      ---                             --------
                        
Craig W. Moore..........   54 Chairman of the Board of Directors, Chief Executive Officer
Arthur M. Morris, M.D...   59 President and Director
Martin Fox..............   44 Senior Vice President of Strategic Development and Director
Michael J. Carbon,
 M.D....................   58 Senior Vice President and Director
Nicki M. Norris.........   46 Executive Vice President and General Manager
James E. Becks..........   48 Chief Executive Officer (Contract Services division)
John B. Bourke..........   50 Chief Financial Officer
Paul Balter, M.D........   59 Secretary, Treasurer and Director
Thomas Creel............   51 Vice President of Business Development-Northern U.S. and Director
Alan Berry..............   54 Director
George Dunea, M.D.......   65 Director
Ashutosh Gupta, M.D.....   51 Director
Douglas Mufuka, M.D.....   58 Director

 
  Mr. Moore is Chairman of the Board of Directors and Chief Executive Officer
of the Company. He has served in those capacities since 1995. Mr. Moore joined
Everest in 1986 as an Executive Vice President. He holds a Bachelor of Arts in
Business and Finance from Adrian College and completed the Institute for
Management at Northwestern University in 1976. He has worked for U.S. Steel
Corporation, American Hospital Supply Corporation and Baxter Healthcare
Corporation in a variety of management assignments including Division President
of American Micro-Surgery Specialties. He served four years in the U.S. Navy as
a line officer. Mr. Moore is a member of the Board of Directors of Biologic
Systems Corporation.
 
  Dr. Morris is the President and a director of the Company. Dr. Morris joined
Everest in 1971. He received his medical degree from the State University of
New York at Buffalo in 1965 and completed a Fellowship in Renal Disease at
Rush-Presbyterian-St. Luke's Hospital in Chicago in 1971. Dr. Morris was board
certified in Internal Medicine in 1971 and in Nephrology in 1972. He has been
on the Board of Directors of the National Kidney Foundation of Illinois since
1973. From 1979 to 1981, he served as Chairman of the ESRD Network 15. In 1984
Dr. Morris was appointed by Governor Thompson to serve on the State of Illinois
Renal Disease Advisory Council, on which he continues to serve. Dr. Morris is a
Fellow in the American College of Physicians, has been a member of the board of
trustees at West Suburban Hospital Medical Center since 1990 and a member of
Loyola University Health System Board of Directors since 1996. He has been in
private practice since 1971.
 
  Mr. Fox is the Senior Vice President of Strategic Development and a director
of the Company. Mr. Fox joined Everest in 1996. He is a graduate of Northern
Arizona University where he earned a Bachelor of Science in Accounting and is a
Certified Public Accountant. Mr. Fox has over ten years of management
experience in the dialysis industry. He began his career in the dialysis
industry as the Chief Financial Officer of Southwest Kidney Institute and
later, beginning in 1992, was named Chief Executive Officer of HDA. Mr. Fox is
a former treasurer of the National Renal Administrators Association.
 
  Dr. Carbon is the Senior Vice President and a director of the Company. Dr.
Carbon joined Everest in 1979. Dr. Carbon received his M.D. from the University
of Illinois in 1965. He completed his fellowship in both Internal Medicine in
1970 and Nephrology in 1971 from the University of Miami, Miami, Florida.
Dr. Carbon served in the U.S. Army Medical Corps from 1966 to 1968. Dr. Carbon
has been in private practice
 
                                       29

 
since 1971 specializing in nephrology and hypertensive disease. Dr. Carbon has
been a board member of Central DuPage Hospital since 1994 and formerly served
as president of the hospital's medical staff. He is chief operating officer of
NANI-IL and NANI-IN and medical director of the Company's Contract Services
business.
 
  Ms. Norris is the Executive Vice President and General Manager of the Company
with responsibility for operations of the chronic dialysis centers. Ms. Norris
joined Everest in that capacity in 1996. She is a graduate of the University of
Illinois at Urbana--Champaign where she earned a Bachelor of Science in Finance
and a Masters in Business Administration. She received a Professional
Accounting Certificate from Northwestern University and is a Certified Public
Accountant. Ms. Norris has more than twenty years of business experience,
having worked for Baxter Healthcare Services Corporation ("Baxter"), a
subsidiary of Baxter International Inc., and Stone Container Corporation in
managerial positions in the areas of finance, operations, marketing, strategic
planning and human resources. Most recently, Ms. Norris was Vice President of
Business Process Innovation (strategic planning) at Baxter from 1994 to 1996.
 
  Mr. Becks is Chief Executive Officer of the Company's Contract Services
division and has served in that capacity since 1996. Mr. Becks joined Everest
in 1989. Mr. Becks is a registered nurse and a graduate of Northwestern
University where he earned a Bachelor of Science Degree. Mr. Becks served in
the U.S. Navy following which he worked for American V. Mueller, a division of
American Hospital Supply Corp., in a variety of sales, marketing, and
management assignments including Vice President of Business Development. Mr.
Becks was previously (from 1989 to 1996) a General Manager of the Company's
Continental Healthcare affiliate.
 
  Mr. Bourke is the Chief Financial Officer of the Company. Mr. Bourke joined
Everest in that capacity in 1996. He is a graduate of Denver University where
he earned his Bachelor of Science, Bachelor of Arts, majoring in Accounting.
Mr. Bourke received his Masters of Management from Northwestern University and
is also a Certified Public Accountant. Mr. Bourke's experience includes ten
years at Arthur Andersen & Company as Senior Audit Manager and, most recently,
fourteen years at George J. Ball, Inc. There he held various accounting,
operational and general management positions, the last of which from 1983 to
1996 was Senior Vice President and Chief Financial Officer for Ball Seed
Company.
 
  Dr. Balter is the Secretary/Treasurer and a director of the Company. He also
serves as chairman of the Company's Corporate Quality Improvement Committee.
Dr. Balter joined Everest in 1971. Dr. Balter received his M.D. from Yale
University in 1965 and completed his renal fellowship there in 1969. He served
as a nephrologist in the U.S. Army from 1969 to 1971, and served in the only
hemodialysis unit in Vietnam from 1970 to 1971. Dr. Balter was board certified
in Internal Medicine in 1972 and in Nephrology in 1974. Dr. Balter specializes
in systems applications of quality assurance. He has been in private practice
since 1971.
 
  Mr. Creel has been a member of the board of directors of Everest since 1997.
Mr. Creel received his Bachelor of Arts degree from the University of South
Florida. Following two years in the U.S. Army, Mr. Creel began his sales career
in health care with Parke-Davis Pharmaceutical Co. He later joined Baxter
Laboratories Renal Division where he became Vice President of Sales and
Service--U.S. He was one of the founders of Home Dialysis of America, Inc.,
where he served since 1992 as Managing Director of Business Development and
Operations. Since June of 1996, Mr. Creel has been the Vice President of
Business Development--North for Everest.
 
  Mr. Berry has been a member of the board of directors of Everest since 1996.
Mr. Berry received his Bachelor of Science degree in 1966 from the University
of Wisconsin and a Juris Doctor degree in 1969 from Boston University. Mr.
Berry is a Partner in the law firm of Katten Muchin & Zavis in Chicago,
Illinois, which he joined in 1974. He currently serves on the Board of
Directors of the National Kidney Foundation of Illinois. Mr. Berry also serves
on the board of directors of each of Abrix Group, Health Care Management
Consultants and MedOpSys.
 
 
                                       30

 
  Dr. Dunea has been a member of the board of directors of Everest since 1990.
He received his medical degree from University of Sydney Medical School in 1957
and completed nephrology fellowships at the Cleveland Clinic in 1965 and at
Presbyterian St. Luke's and University of Illinois Hospitals in 1966. Dr. Dunea
was board certified in Internal Medicine in 1973 and in Nephrology in 1974.
Since 1969 he has served as the Chairman of the Department of Nephrology-
Hypertension at the Cook County Hospital, a Professor of Clinical Medicine at
the Chicago campus of the University of Illinois College of Medicine and the
Scientific Director of the Hektoen Institute. In addition to an extensive
background of scientific publications including articles, book chapters and
books, Dr. Dunea serves as the editor of Kidney and the coordinating editor of
International Journal of Artificial Organs. Dr. Dunea is a Fellow in the Royal
College of Physicians (London and Edinburgh) and the Royal Society of Medicine
(London).
 
  Dr. Gupta has been a member of the Board of Directors of the Company since
1987. Dr. Gupta received his medical degree at the University of Delhi in
Delhi, India in 1970, and completed his nephrology fellowship at the University
of Chicago in 1978. Dr. Gupta was board certified in Internal Medicine in 1981
and in Nephrology in 1988. His professional memberships include the American
Society of Nephrology, the International Society of Nephrology and the American
Medical Association. He has been in private practice in Internal Medicine and
Nephrology since 1978. Dr. Gupta is a fellow of the American College of
Physicians and serves as an associate editor of Kidney.
 
  Dr. Mufuka has been a member of the board of directors of Everest since 1987.
He received his medical degree from the State University of New York in
Syracuse, New York in 1973 and completed his Nephrology Fellowship at
Northwestern University Medical Center in 1978. Dr. Mufuka is board certified
in Internal Medicine. His professional memberships include the American Society
of Nephrology, International Society of Nephrology, the American Medical
Association and the American College of Physicians. In addition, Dr. Mufuka is
a current director of WSKC Dialysis Services, Inc. He has been in private
practice since 1978.
 
  There is no family relationship among any of the officers and directors.
 
  Messrs. Creel and Fox are each entitled to a seat on the Board of Directors
pursuant to a Shareholders Agreement. See "Certain Relationships and Related
Transactions--Shareholders Agreements."
 
                                       31

 
ITEM 11. EXECUTIVE COMPENSATION
 
  The following table sets forth information with respect to the cash
compensation paid by the Company for services rendered during the fiscal years
ended September 30, 1998 and 1997 to the chief executive officer and the four
other most highly compensated executive officers (the "Named Executive
Officers") of the Company:
 
    SUMMARY COMPENSATION TABLE FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 1998
 


                                                           ANNUAL       LONG TERM
                                                        COMPENSATION   COMPENSATION
                                                      ---------------- ------------
                                                                        SECURITIES
                                                                        UNDERLYING   ALL OTHER
          NAME AND PRINCIPAL POSITION            YEAR  SALARY   BONUS  OPTIONS (#)  COMPENSATION
          ---------------------------            ---- -------- ------- -----------  ------------
                                                                     
Craig W. Moore,
 Chairman and Chief Executive Officer..........  1998 $416,000 $   --        --      $19,540(1)
                                                 1997  416,000  34,894    50,584      20,283(1)
Nicki M. Norris,
 Executive Vice President and General Manager..  1998  177,400  75,600       --       18,221(2)
                                                 1997  168,000  75,600    23,500      17,622(2)
John B. Bourke,
 Chief Financial Officer.......................  1998  170,000  72,908       --       19,474(3)
                                                 1997  152,000  72,908    23,500      20,283(3)
Martin Fox,
 Executive Vice President and General Manager..  1998  205,000  19,479       --       21,242(4)
                                                 1997  205,000  19,479       --       20,217(4)
Thomas Creel,
 Vice President of Business Development--
 Northern U.S..................................  1998  205,000  19,479       --       17,583(5)
                                                 1997  205,000  19,479       --       17,147(5)

- - - - - - - - - - - - - - - - - - - - --------
(1) Includes profit sharing plan contributions of $15,533 and 401(k) plan
    matching contributions of $4,007 and $4,750 in fiscal 1998 and 1997,
    respectively.
(2) Includes profit sharing plan contributions of $15,533 and 401(k) plan
    matching contributions of $2,688 and $2,089 in fiscal 1998 and 1997,
    respectively.
(3) Includes profit sharing plan contributions of $15,533 and 401(k) plan
    matching contributions of $3,941 and $4,750 in fiscal 1998 and 1997,
    respectively.
(4) Includes profit sharing plan contributions of $15,533 and 401(k) plan
    matching contributions of $5,709 and $4,684 in fiscal 1998 and 1997,
    respectively.
(5) Includes profit sharing plan contributions of $15,533 and 401(k) plan
    matching contributions of $2,050 and $1,614 in fiscal 1998 and 1997,
    respectively.
 
                                       32

 
  Certain executive officers of the Company, including Drs. Morris, Carbon and
Balter, are compensated by NANI. The Company pays fees to NANI for medical
director and other services provided by these physicians and other NANI
employees. See "Certain Relationships and Related Transactions--NANI-IL and
NANI-IN."
 
DIRECTOR COMPENSATION
 
  The Company has quarterly directors' meetings and pays each of its 10
directors $8,000 per year. Certain directors also provide consulting services
to the Company through NANI. See "Certain Relationships and Related
Transactions--NANI-IL and NANI-IN."
 
EMPLOYMENT AGREEMENTS
 
  The Company and Mr. Moore entered into an employment agreement effective
January 1, 1997 and continuing on a year-to-year basis thereafter, subject to
termination by either party on 48 hours' notice. The agreement provides for an
annual salary of $440,000 in addition to health insurance, disability insurance
and other standard benefits. If the agreement is terminated by the Company for
any reason or by Mr. Moore for any reason upon at least 45 days' prior notice,
Mr. Moore will be entitled to severance pay in the amount of $598,833, as well
as life, health and disability insurance and other benefits for nine months
after the termination date. The agreement contains restrictive covenants that
prohibit Mr. Moore from competing with the Company for a period of two years
following his termination of employment.
 
  In connection with the acquisition of Home Dialysis of America, Inc. ("HDA"),
the Company entered into employment agreements with Messrs. Fox and Creel. Each
of these agreements was effective June 20, 1996 and provides for an initial
term of three years, subject to (i) an automatic two-year extension if certain
revenue goals are achieved, and (ii) two-year extensions from time to time at
the option of the Company. Messrs. Fox and Creel are each entitled to receive
an annual salary of $205,000 for the first five years. The agreements provide
for a 10% salary increase if the agreement is extended on the fifth anniversary
of its effective date and a 6% salary increase if the agreement is extended on
the seventh or any later anniversary of the effective date. The agreements also
provide that Messrs. Fox and Creel are entitled to participate in Everest's
general bonus plan as well as a special incentive plan pursuant to which the
former shareholders of HDA (including Messrs. Fox and Creel) in the aggregate
may be entitled to receive up to 2% of Everest's common stock. The agreements
provide for insurance and other benefits commensurate with those generally
provided to officers of the Company. If either of these agreements is
terminated: (i) by the Company without cause (as defined); (ii) due to the
employee's permanent disability; or (iii) by the employee for good reason (as
defined), the employee will be entitled to receive as severance (A) his base
salary for the greater of one year or the then remaining employment period and
(B) if the employment agreement is terminated after the sixth month of any
fiscal year, his prorated bonus for such partial fiscal year; provided,
however, that if the agreement is terminated prior to June 20, 1999 by the
Company without cause or by the employee for good reason, the employee will be
entitled to receive his base salary through June 19, 2001 as well as the
amount, if any, payable pursuant to clause (A) above. If an agreement expires
on the fifth anniversary of the effective date and the Company has not offered
the employee an extension, the employee will be entitled to his base salary for
one year following the expiration date, in addition to any bonus payable in
accordance with the preceding sentence. The agreements contain restrictive
covenants that prohibit Messrs. Fox and Creel from competing with the Company
for at least two years following termination of employment.
 
  The Company and Mr. Bourke entered into an Employment and Non-Competition
Agreement dated August 10, 1998, but relating back to an effective date of
February 1, 1996. The contract covers a five-year period from the effective
date, subject to prior termination upon the employee's resignation, dismissal
or death (or, at the option of the Company, upon the employee's permanent
disability). The agreement calls for compensation at a base rate of $13,500 per
month, in addition to bonus compensation, insurance and other standard
benefits. The employee is also entitled to a .5% share in the value of Peak in
excess of $120,000,000 upon the final liquidation of Peak Liquidating. See
"Certain Relationships and Related Transactions--Peak."
 
                                       33

 
Upon termination of his employment, the employee is entitled to a severance
payment of 130% of his base salary for one year from the date of termination
plus certain other benefits. The agreement contains restrictive covenants that
prohibit the employee from competing with the Company for a period of two years
following the termination of employment.
 
  The Company and Ms. Norris entered into an Employment and Non-Competition
Agreement dated August 10, 1998, but relating back to an effective date of
April 17, 1996. The contract covers a five-year period from the effective date,
subject to prior termination upon the employee's resignation, dismissal or
death (or, at the option of the Company, upon the employee's permanent
disability). The agreement calls for compensation at a base rate of $14,000 per
month, in addition to bonus compensation, insurance and other standard
benefits. The employee is also entitled to a .5% share in the value of Peak in
excess of $120,000,000 upon the final liquidation of Peak Liquidating. See
"Certain Relationships and Related Transactions--Peak." Upon termination of her
employment, the employee is entitled to a severance payment of 130% of her base
salary for one year from the date of termination plus certain other benefits.
The agreement contains restrictive covenants that prohibit the employee from
competing with the Company for a period of two years following the termination
of employment.
 
  The Company and Mr. Becks entered into an Employment and Non-Competition
Agreement dated August 10, 1998, but relating back to an effective date of
November 1, 1996. The contract covers a five-year period from the effective
date, subject to prior termination upon the employee's resignation, dismissal
or death (or, at the option of the Company, upon the employee's permanent
disability). The agreement calls for compensation at a base rate of $10,542 per
month, in addition to bonus compensation, insurance and other standard
benefits. Upon termination of his employment, the employee is entitled to a
severance payment of 130% of his base salary for one year from the date of
termination plus certain other benefits. The agreement contains restrictive
covenants that prohibit the employee from competing with the Company for a
period of two years following the termination of employment.
 
STOCK OPTION PLANS
 
  Pursuant to the Company's 1998 Stock Award Plan (the "Plan"), the Company has
granted to certain employees and medical directors options to purchase shares
of the Company's common stock. As of September 30, 1998, options to purchase a
total of 1,198,400 shares of common stock had been granted and are outstanding
under the Plan at an exercise price of $9.10 per share, and options to purchase
a total of 140,000 shares of common stock had been granted under the Plan at an
exercise price of $13.05 per share. Such options vest in four equal increments
on each of the first four anniversaries of their respective grant dates. Such
options expire after a ten-year period, or earlier if an employee is terminated
for cause or voluntarily terminates employment other than through retirement.
The options will become fully exercisable upon termination of employment by
reason of death, disability or retirement or upon a change of control of the
Company. In the case of an employee whose employment is terminated for a reason
other than cause, the Company may in its sole discretion purchase the option
for an amount equal to the aggregate per share fair market value minus the
aggregate per share exercise price.
 
OPTION GRANTS IN LAST FISCAL YEAR
 
  There was no grant of stock options by the Company to the Named Executive
Officers during the fiscal year ended September 30, 1998. In connection with
the reorganization of the Company, certain options granted in a prior period
were reissued.
 
                                       34

 
                         FISCAL YEAR-END OPTION VALUES
 
  The following table contains information regarding the Named Executive
Officers' unexercised options as of September 30, 1998. None of the Named
Executive Officers exercised any options during the fiscal year ended September
30, 1998:
 


                         NUMBER OF SHARES UNDERLYING        VALUE OF UNEXERCISED IN-THE-
                          UNEXERCISED OPTIONS AS OF         MONEY OPTIONS AS OF SEPTEMBER
                         SEPTEMBER 30, 1998 (#) (1)                 30, 1998 ($)
                         -------------------------------    ----------------------------------
NAME                     EXERCISABLE      UNEXERCISABLE      EXERCISABLE        UNEXERCISABLE
- - - - - - - - - - - - - - - - - - - - ----                     -----------      -------------      -----------        -------------
                                                                   
Craig W. Moore(2).......          12,646            37,938                 --                   (3)
Nicki M. Norris.........           5,875            17,625                 --                   (3)
John B. Bourke..........           5,875            17,625                 --                   (3)
Martin Fox..............             --                --                  --                  --
Thomas Creel............             --                --                  --                  --

- - - - - - - - - - - - - - - - - - - - --------
(1) These options were originally issued in February 1997 and were subsequently
    terminated and replaced by options with identical terms on February 5, 1998
    pursuant to the reorganization of the Company. See "Management's Discussion
    and Analysis of Financial Condition and Results of Operation--
    Reorganization" and "Certain Relationships and Related Transactions--Peak."
(2) The options shown for Mr. Moore represent the maximum number of options
    indirectly granted to him through Peak Liquidating. The actual number of
    options Mr. Moore is entitled to receive will vary depending on the
    valuation of certain assets of Peak Liquidating or Peak.
(3) Everest is a privately held company. There is no market for its securities,
    and no valuation of Everest for the purpose of determining its value as of
    September 30, 1998 has been undertaken.
 
COMPENSATION COMMITTEE INTERLOCKS AND INSIDER PARTICIPATION
 
  The Compensation Committee of the Board of Directors, consisting of Craig
Moore, Martin Fox and Doctors Morris, Carbon and Balter, recommends to the
Board the policies that govern the annual and long-term compensation of the
executive officers of the Company. Mr. Moore and Mr. Fox do not participate in
decisions affecting their own compensation.
 
  Compensation Policies Toward Executive Officers. The Compensation Committee
aims to provide competitive levels of compensation that relate compensation
with the Company's annual and long-term performance goals, reward above average
corporate performance, recognize individual initiative and achievements, and
assist the Company in attracting and retaining qualified executives. The
Compensation Committee attempts to achieve these objectives through a
combination of base salary, stock options, and cash bonus awards. In making its
determination, the Compensation Committee utilizes outside information to
obtain compensation information concerning comparable companies in the dialysis
and blood services industry.
 
  Base Salary. The base salaries for the Named Executive Officers were governed
by the terms of their respective employment agreements with the Company.
 
  Incentive Stock Options. Stock options are granted to executive officers and
other employees of the Company as a means of providing long-term incentives.
The Compensation Committee believes that stock options encourage increased
performance by the Company's employees, including its officers, and align the
interests of the Company's employees with the interests of the Company's
stockholders. None of the Named Executive Officers received stock options in
fiscal 1998.
 
  Cash Bonus Awards. The Compensation Committee considers on an annual basis
whether to pay cash bonuses to some or all of the Company's employees,
including the Company's executive officers.
 
                                       35

 
  Chief Executive Officer's Compensation. The base salary for Mr. Moore
($416,000) for fiscal 1998 was governed by the terms of an employment agreement
effective January 1, 1997. See "--Employment Agreements." Mr. Moore received no
stock options or cash bonus during fiscal 1998.
 
                                          COMPENSATION COMMITTEE
 
                                          Arthur M. Morris, M.D.
                                          Paul Balter, M.D.
                                          Michael J. Carbon, M.D.
                                          Craig W. Moore
                                          Martin Fox
 
                                       36

 
ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT
 
  The following table sets forth the number of shares of common stock
beneficially owned as of December 17, 1998 by: (i) each person who is known by
the Company to beneficially own more than 5% of the outstanding common stock;
(ii) each director of the Company; (iii) each Named Executive Officer; and (iv)
all directors and executive officers of the Company as a group:
 


                                                            NUMBER OF  PERCENT
                                                              SHARES     OF
      NAME                                                    OWNED     TOTAL
      ----                                                  ---------  -------
                                                                 
      Peak Liquidating, L.L.C.(1)(2)(3)....................  2,615,025  19.0%
      Arthur M. Morris, M.D.(3)(4)(7)......................  1,966,901  14.3
      Paul Balter, M.D.(3)(4)(7)...........................    824,226   6.0
      Michael J. Carbon, M.D.(3)(4)(7).....................    811,043   5.9
      George Dunea, M.D. Revocable Trust(3)(4)(7)..........    811,043   5.9
      Ashutosh Gupta, M.D.(3)(4)(7)........................    811,043   5.9
      Douglas Mufuka, M.D.(3)(4)(7)........................    811,043   5.9
      Fox-McCarthy Family Limited Partnership, L.L.P.(5)...    797,500   5.8
      Thomas Creel(5)......................................    797,500   5.8
      AJ BCA, Ltd.(5)(6)...................................    780,000   5.7
      Craig W. Moore(3)(4)(7)..............................    615,201   4.5
      Alan M. Berry(8).....................................        --    --
      Nicki M. Norris(8)(9)................................      5,875     *
      James E. Becks(10)...................................     11,775     *
      John B. Bourke(8)(9).................................      5,875     *
      All executive officers and directors as a
       group(11)(12)....................................... 10,883,550  79.2

- - - - - - - - - - - - - - - - - - - - --------
*   Less than 1.0%.
 (1) The members of Peak Liquidating are Arthur M. Morris, M.D., Paul Balter,
     M.D., Michael J. Carbon, M.D., George Dunea, M.D. Revocable Trust,
     Ashutosh Gupta, M.D., Douglas Mufuka, M.D., and Craig W. Moore.
 (2) Includes options to purchase 615,025 shares which are exercisable.
 (3) Subject to the Shareholders Agreement dated as of November 30, 1997 and
     the Restricted Stock Agreement dated as of November 30, 1997. See "Certain
     Relationships and Related Transactions--Shareholders Agreements."
 (4) Does not include shares beneficially owned by Peak Liquidating, of which
     shares the members of Peak Liquidating share voting and dispositive
     control and may be deemed to be beneficial owners.
 (5) Subject to the Shareholders Agreement dated as of November 30, 1997. See
     "Certain Relationships and Related Transactions--Shareholders Agreements."
 (6)AJ BCA, Ltd. is a nominee of Anthony Unruh.
 (7) Does not include options to purchase shares indirectly granted through
     Peak Liquidating.
 (8) Excludes participations in value of Peak Liquidating to which such person
     may be entitled pursuant to an agreement with members of Peak Liquidating.
 (9) Includes options to purchase 5,875 shares which are exercisable.
 
                                       37

 
(10) Includes options to purchase 11,775 shares which are exercisable within 60
     days of the date of this Prospectus.
(11) Includes shares held indirectly through Peak Liquidating.
(12) Includes options to purchase 638,050 shares which are exercisable within
     60 days of the date of this Prospectus.
 
ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS
 
  The Company is subject to various actual and potential conflicts of interest
arising out of its relationships and related transactions with the Company's
directors and officers and other entities controlled by them. While the Company
believes these transactions generally provide for financial terms that would be
obtainable from an unaffiliated third party, the agreements and transactions
described below were not the result of arm's-length negotiations.
 
  Peak. In November 1997, in order to simplify its ownership structure and
better position the Company for future growth, the shareholders of the Company
entered into a series of related transactions. See "Management's Discussion and
Analysis--Reorganization" and "Security Ownership of Certain Beneficial Owners
and Management." Peak sold Continental Healthcare, Ltd. ("Continental") to the
Company. See "--Continental Healthcare." The members of Peak (Arthur Morris,
Paul Balter, Michael Carbon, Douglas Mufuka, Ashutosh Gupta, George Dunea and
Craig W. Moore, referred to herein as the "Founding Directors") contributed
their membership interests in Peak to a new limited liability company, Peak
Liquidating, in exchange for all of its outstanding membership interests. Peak
Liquidating contributed all of its interest in Peak to a newly formed
corporation, Everest Healthcare II, Inc. ("EHII"), in exchange for common stock
of EHII. The shareholders of Everest Healthcare Services Corporation other than
Peak exchanged all of their shares for shares of EHII, and Peak Liquidating
distributed to its members approximately 55% of the outstanding common stock of
EHII. Peak was then liquidated. In March 1998, Everest Healthcare Services
Corporation was merged with and into EHII, which changed its name to "Everest
Healthcare Services Corporation."
 
  Peak Notes. Through 1995, the Founding Directors advanced funds to the
Company's predecessor evidenced by promissory notes which the Founding
Directors contributed to Peak in 1995. The Founding Directors also contributed
funds to Peak which were advanced to Everest. The aggregate principal amount of
these advances (the "Peak Notes") was $5,118,809. In connection with the 1997
reorganization, the Peak Notes (together with the note issued in connection
with the purchase of Continental described below) were distributed by Peak to
the Founding Directors individually (in the principal amount of (i) $767,822
each to Drs. Morris, Balter, Carbon, Dunea, Gupta and Mufuka, and (ii) $511,877
to Mr. Moore). The Peak Notes bore interest at the prime rate plus 1% per annum
and matured at various times throughout 1998. The Company repaid the Peak Notes
with a portion of the net proceeds of the Initial Offering. See "Market for
Registrant's Common Equity and Related Stockholder Matters."
 
  NANI-IL and NANI-IN. Nephrology Associates of Northern Indiana, P.C. ("NANI-
IN") and Nephrology Associates of Northern Illinois, Ltd. ("NANI-IL" and,
together with NANI-IN, "NANI") are medical service corporations which employ
physicians and personnel to engage in the business of providing dialysis and
dialysis related services. The shareholders of NANI are the Founding Directors,
excluding Mr. Moore. On January 1, 1997, Mr. Moore, who was previously an
employee of NANI, became an employee of the Company.
 
  The Company and NANI-IL have entered into a medical director and
administrative services agreement (the "Administrative Services Agreement").
Under the terms of the Administrative Services Agreement, NANI-IL provides
services to the Company relating to the development and implementation of
medical policies and procedures, as well as medical director services to
certain chronic dialysis facilities operated by the Company and its
subsidiaries. The Company pays NANI-IL an annual consulting fee of $1,284,920,
plus an incentive amount for medical director services not greater than $80,080
(25% of the calculated value of the medical director component) in any year in
the event the medical directors cause the facilities for which they
 
                                       38

 
provide medical director services to meet certain quality, utilization and
other performance measurements. Additionally, individual NANI physicians have
their Everest medical director fees paid directly to NANI. In fiscal 1998, the
total of the above fees paid to NANI-IL was $1,939,000.
 
  Pursuant to a management service agreement (the "Management Agreement"), the
Company provides certain administrative and accounting services to NANI-IL,
including services related to billing and collections. Under the terms of the
Management Agreement, NANI-IL pays the Company an annual fee of $825,000, plus
a fixed fee for each acute treatment billed and administered by the Company on
behalf of NANI-IL. In fiscal 1998, NANI-IL paid the Company $1,536,000 pursuant
to the terms of the Management Agreement.
 
  Each of the above-described agreements between the Company and NANI-IL is for
a period of five years, renewable for consecutive one-year periods thereafter.
After the initial five-year period which will end on October 1, 2002, the
agreements may be terminated upon 90 days' notice by either party. NANI-IL also
has an outstanding loan payable to the Company of approximately $8,409,000 as
of September 30, 1998. The loan payable bears interest at prime plus 1% and is
due on demand.
 
  Pursuant to a lease assigned to the Company in June 1998, the Company leases
2,284 square feet of office space to NANI-IL at an annual rent of $38,348,
payable monthly. The lease term expires in December 1999.
 
  Pursuant to a letter agreement originally dated October 1, 1995, as amended
and restated as of November 30, 1997, the Founding Directors have agreed that
as soon as practicable and as permitted by law, they will cause the business of
providing dialysis services to hospital patients to be sold by NANI-IL to the
Company at fair market value.
 
  Continental Healthcare. On November 30, 1997 Peak, which was wholly owned by
the Founding Directors, sold all of the stock of Continental to the Company for
a promissory note in the amount of $2,090,000 and cash in the amount of
$110,000. The Note was to mature on November 29, 2000 with interest to be paid
at the prime rate plus 1% per annum. The Company repaid such note with a
portion of the net proceeds of the Initial Offering. See "Market for
Registrant's Common Equity and Related Stockholder Matters." Continental owns
and leases dialysis equipment to the Company.
 
  ARE Partnership. The Founding Directors, together with Sandra Gadson and
Thomas Golubski, two shareholders of the Company, are also partners in ARE
Partnership, an Illinois general partnership ("ARE"). Prior to June 1998, ARE
owned real property and improvements which it leased to the Company and certain
of its subsidiaries, and which are used primarily for the corporate
headquarters and certain dialysis facilities. In fiscal 1998 the Company and
its subsidiaries paid ARE $491,519. In June 1998, the Company and its
Subsidiaries purchased substantially all of ARE's assets for approximately
$4,800,000.
 
  Three M&L Partnership. Three M&L Partnership, an Illinois general partnership
("3M&L"), owns various properties on which certain dialysis facilities of the
Company and its subsidiaries are located. The partners of 3M&L are Arthur
Morris, the President and a director of the Company, and Robert Muehrcke, a
shareholder of the Company. Pursuant to the terms of the lease arrangements
with 3M&L, the Company and its subsidiaries, in fiscal 1998, collectively paid
3M&L $124,150. All leases are currently in month-to-month renewal periods.
 
  Security General. An Illinois general partnership, Security General
Partnership ("Security General") is owned collectively by the Founding
Directors and John Bourke, the Company's Chief Financial Officer. Security
General owns a 6.67% interest in Infinity Insurance, Ltd., an entity which
provides property and casualty and workers compensation insurance to the
Company and its subsidiaries. The annual premiums paid by the Company and its
subsidiaries to Infinity in the last policy year were $479,870.
 
  Shareholders Agreements. The Shareholders Agreement, dated as of November 30,
1997, by and among EHII, Peak Liquidating, the Founding Directors and Martin
Fox, individually, and as agent for the HDA
 
                                       39

 
shareholders, Thomas Creel, Paul Zabetakis and Anthony Unruh (collectively, the
"HDA Shareholders"), established certain rights and restrictions with respect
to the management of the Company and the voting and transfer of the Company's
common stock. A five member voting committee was established consisting of
Craig Moore, Arthur Morris, M.D., Michael Carbon, M.D. and Paul Balter, M.D.,
and one designee of the HDA Shareholders, Martin Fox. The members of the Voting
Committee, aside from the designee of the HDA Shareholders, are obligated to
vote in accordance with any other agreements among the Founding Directors,
including the Operating Agreement of Peak Liquidating described below.
Decisions of the Voting Committee are binding upon the remaining shareholders
signatory to the agreement. The agreement also sets forth various share
transfer restrictions. Upon the termination of an HDA Shareholder's employment
with the Company, each share held by such HDA Shareholder is subject to
repurchase by, in order of priority, the other HDA Shareholders, Peak
Liquidating, the Founding Directors and the Company.
 
  Under a Restricted Stock Agreement dated as of November 30, 1997 by and among
the Founding Directors and the Company, and the Operating Agreement of Peak
Liquidating, the Founding Directors have agreed to vote their shares together
with respect to certain corporate transactions or events including mergers,
dispositions, a public offering, other issuances of securities, distributions,
indebtedness and liens, liquidation and related party transactions. The
approval of Dr. Morris is required for any sale of Peak Liquidating to a third
party, or any sale of the Company to a third party for consideration less than
a specified amount. In addition, the approval of Dr. Morris and two other
voting members is required for a merger or consolidation of the Company, a
disposition of more than 10% of its stock, a public offering and certain other
specified events.
 
  All shareholders of the Company, other than Paul Zabetakis, Anthony Unruh and
the Company's directors, are party to one or more restricted stock agreements
which grant the Company a right of first refusal with respect to any proposed
transfer of Company shares by such shareholders. Such restricted stock
agreements also grant the Company a repurchase right upon the occurrence of
certain events. Such restricted stock agreements also contain provisions
requiring the shareholder to cooperate and consent to any sale of the Company
to a third party.
 
                                       40

 
- - - - - - - - - - - - - - - - - - - - --------------------------------------------------------------------------------
                                    PART IV
 
- - - - - - - - - - - - - - - - - - - - --------------------------------------------------------------------------------
 
ITEM 14. EXHIBITS, FINANCIAL STATEMENT SCHEDULES, AND REPORTS ON FORM 8-K
 
(a) The financial statements and schedule (Schedule II; Valuation & Qualifying
Accounts) filed as part of this report are listed in the accompanying Index to
Financial Statements and Schedule.
 
(b) The exhibits filed as a part of this report are listed in the accompanying
Index to Exhibits.
 
(c) No reports on Form 8-K were filed by the Company during the last quarter of
the period covered by this report.
 
                                       41

 
                                   SIGNATURES
 
  Pursuant to the requirements of Section 13 or 15(d) of the Securities
Exchange Act of 1934, the Registrant has duly caused this Report to be signed
on its behalf by the undersigned, thereunto duly authorized, on the 29th day of
December, 1998.
 
                                          Everest Healthcare Services
                                           Corporation
 
                                                   /s/ Craig W. Moore
                                          By: _________________________________
                                                      Craig W. Moore
                                          Chairman and Chief Executive Officer
 
  Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned, thereunto duly authorized.
 


             SIGNATURE                           TITLE                    DATE
             ---------                           -----                    ----
 
 
                                                             
       /s/ Craig W. Moore            Chairman of the Board,        December 29, 1998
____________________________________  Chief Executive Officer
           Craig W. Moore             (principal executive
                                      officer)
 
      /s/ Arthur W. Morris           Director                      December 29, 1998
____________________________________
       Arthur M. Morris, M.D.
 
         /s/ Martin Fox              Director                      December 29, 1998
____________________________________
             Martin Fox
 
      /s/ Michael J. Carbon          Director                      December 29, 1998
____________________________________
      Michael J. Carbon, M.D.
 
       /s/ John B. Bourke            Chief Financial Officer       December 29, 1998
____________________________________  (principal financial
           John B. Bourke             officer and accounting
                                      officer)
 
         /s/ Paul Balter             Director                      December 29, 1998
____________________________________
         Paul Balter, M.D.
 
        /s/ Thomas Creel             Director                      December 29, 1998
____________________________________
            Thomas Creel
 
         /s/ Alan Berry              Director                      December 29, 1998
____________________________________
             Alan Berry
 
        /s/ George Dunea             Director                      December 29, 1998
____________________________________
         George Dunea, M.D.
 
       /s/ Ashutosh Gupta            Director                      December 29, 1998
____________________________________
        Ashutosh Gupta, M.D.
       /s/ Douglas Mufuka            Director                      December 29, 1998
____________________________________
        Douglas Mufuka, M.D.

 
                                       42

 
                                   SIGNATURES
 
  Pursuant to the requirements of Section 13 or 15(d) of the Securities
Exchange Act of 1934, the Registrant has duly caused this Report to be signed
on its behalf by the undersigned, thereunto duly authorized, on the 29th day of
December, 1998.
 
                                          Amarillo Acute Dialysis Specialists,
                                           L.L.C.
 
                                                   /s/ Craig W. Moore
                                          By: _________________________________
                                                       Craig W. Moore
                                                Chairman and Chief Executive
                                                           Officer
 
  Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned, thereunto duly authorized.
 


             SIGNATURE                           TITLE                    DATE
             ---------                           -----                    ----
 
 
                                                             
       /s/ Craig W. Moore            Chairman of the Board, Chief  December 29, 1998
____________________________________  Executive Officer
           Craig W. Moore             (principal executive
                                      officer)
 
       /s/ John B. Bourke            Chief Financial Officer       December 29, 1998
____________________________________  (principal financial
           John B. Bourke             officer and accounting
                                      officer)
 

 
                                       43

 
                                   SIGNATURES
 
  Pursuant to the requirements of Section 13 or 15(d) of the Securities
Exchange Act of 1934, the Registrant has duly caused this Report to be signed
on its behalf by the undersigned, thereunto duly authorized, on the 29th day of
December, 1998.
 
                                          Con-Med Supply Company, Inc.
 
                                                  /s/ Craig W. Moore
                                          By: _________________________________
                                                      Craig W. Moore
                                               Chairman and Chief Executive
                                                          Officer
 
  Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned, thereunto duly authorized.
 


             SIGNATURE                           TITLE                    DATE
             ---------                           -----                    ----
 
 
                                                             
       /s/ Craig W. Moore            Chairman of the Board, Chief  December 29, 1998
____________________________________  Executive Officer
           Craig W. Moore             (principal executive
                                      officer)
 
       /s/ John B. Bourke            Chief Financial Officer       December 29, 1998
____________________________________  (principal financial
           John B. Bourke             officer and accounting
                                      officer)
 
        /s/ Paul Balter              Director                      December 29, 1998
____________________________________
         Paul Balter, M.D.

 
                                       44

 
                                   SIGNATURES
 
  Pursuant to the requirements of Section 13 or 15(d) of the Securities
Exchange Act of 1934, the Registrant has duly caused this Report to be signed
on its behalf by the undersigned, thereunto duly authorized, on the 29th day of
December, 1998.
 
                                          Continental Health Care, Ltd.
 
                                                   /s/ Craig W. Moore
                                          By: _________________________________
                                                       Craig W. Moore
                                                Chairman and Chief Executive
                                                           Officer
 
  Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned, thereunto duly authorized.
 


             SIGNATURE                           TITLE                    DATE
             ---------                           -----                    ----
 
 
                                                             
       /s/ Craig W. Moore            Chairman of the Board, Chief  December 29, 1998
____________________________________  Executive Officer
           Craig W. Moore             (principal executive
                                      officer)
 
       /s/ John B. Bourke            Chief Financial Officer       December 29, 1998
____________________________________  (principal financial
           John B. Bourke             officer and accounting
                                      officer)
 
        /s/ Paul Balter              Director                      December 29, 1998
____________________________________
         Paul Balter, M.D.
 

 
                                       45

 
                                   SIGNATURES
 
  Pursuant to the requirements of Section 13 or 15(d) of the Securities
Exchange Act of 1934, the Registrant has duly caused this Report to be signed
on its behalf by the undersigned, thereunto duly authorized, on the 29th day of
December, 1998.
 
                                          Dialysis Specialists of Corpus
                                           Christi, L.L.C.
 
                                                   /s/ Craig W. Moore
                                          By: _________________________________
                                                       Craig W. Moore
                                                Chairman and Chief Executive
                                                           Officer
 
  Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned, thereunto duly authorized.
 


             SIGNATURE                           TITLE                    DATE
             ---------                           -----                    ----
 
 
                                                             
        /s/ Craig W. Moore           Chairman of the Board, Chief  December 29, 1998
____________________________________  Executive Officer
           Craig W. Moore             (principal executive
                                      officer)
 
        /s/ John B. Bourke           Chief Financial Officer       December 29, 1998
____________________________________  (principal financial
           John B. Bourke             officer and accounting
                                      officer)
 

 
                                       46

 
                                   SIGNATURES
 
  Pursuant to the requirements of Section 13 or 15(d) of the Securities
Exchange Act of 1934, the Registrant has duly caused this Report to be signed
on its behalf by the undersigned, thereunto duly authorized, on the 29th day of
December, 1998.
 
                                          Dialysis Specialists of South Texas,
                                           L.L.C.
 
                                                   /s/ Craig W. Moore
                                          By: _________________________________
                                                       Craig W. Moore
                                                Chairman and Chief Executive
                                                           Officer
 
  Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned, thereunto duly authorized.
 


             SIGNATURE                           TITLE                    DATE
             ---------                           -----                    ----
 
 
                                                             
       /s/ Craig W. Moore            Chairman of the Board, Chief  December 29, 1998
____________________________________  Executive Officer
           Craig W. Moore             (principal executive
                                      officer)
 
       /s/ John B. Bourke            Chief Financial Officer       December 29, 1998
____________________________________  (principal financial
           John B. Bourke             officer and accounting
                                      officer)
 

 
                                       47

 
                                   SIGNATURES
 
  Pursuant to the requirements of Section 13 or 15(d) of the Securities
Exchange Act of 1934, the Registrant has duly caused this Report to be signed
on its behalf by the undersigned, thereunto duly authorized, on the 29th day of
December, 1998.
 
                                          DuPage Dialysis Ltd.
 
                                                  /s/ Craig W. Moore
                                          By: _________________________________
                                                       Craig W. Moore
                                               Chairman and Chief Executive
                                                          Officer
 
  Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned, thereunto duly authorized.
 


             SIGNATURE                           TITLE                    DATE
             ---------                           -----                    ----
 
 
                                                             
       /s/ Craig W. Moore            Chairman of the Board, Chief  December 29, 1998
____________________________________  Executive Officer
           Craig W. Moore             (principal executive
                                      officer)
 
       /s/ John B. Bourke            Chief Financial Officer       December 29, 1998
____________________________________  (principal financial
           John B. Bourke             officer and accounting
                                      officer)
 
        /s/ Paul Balter              Director                      December 29, 1998
____________________________________
         Paul Balter, M.D.

 
                                       48

 
                                   SIGNATURES
 
  Pursuant to the requirements of Section 13 or 15(d) of the Securities
Exchange Act of 1934, the Registrant has duly caused this Report to be signed
on its behalf by the undersigned, thereunto duly authorized, on the 29th day of
December, 1998.
 
                                          DuPage Dialysis Ltd.
 
                                                  /s/ Craig W. Moore
                                          By: _________________________________
                                                       Craig W. Moore
                                               Chairman and Chief Executive
                                                          Officer
 
  Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned, thereunto duly authorized.
 


             SIGNATURE                           TITLE                    DATE
             ---------                           -----                    ----
 
 
                                                             
       /s/ Craig W. Moore            Chairman of the Board, Chief  December 29, 1998
____________________________________  Executive Officer
           Craig W. Moore             (principal executive
                                      officer)
 
       /s/ John B. Bourke            Chief Financial Officer       December 29, 1998
____________________________________  (principal financial
           John B. Bourke             officer and accounting
                                      officer)
 
        /s/ Paul Balter              Director                      December 29, 1998
____________________________________
         Paul Balter, M.D.

 
                                       49

 
                                   SIGNATURES
 
  Pursuant to the requirements of Section 13 or 15(d) of the Securities
Exchange Act of 1934, the Registrant has duly caused this Report to be signed
on its behalf by the undersigned, thereunto duly authorized, on the 29th day of
December, 1998.
 
                                          Everest Management, Inc.
 
                                                  /s/ Craig W. Moore
                                          By: _________________________________
                                                       Craig W. Moore
                                               Chairman and Chief Executive
                                                          Officer
 
  Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned, thereunto duly authorized.
 


             SIGNATURE                           TITLE                    DATE
             ---------                           -----                    ----
 
 
                                                             
       /s/ Craig W. Moore            Chairman of the Board, Chief  December 29, 1998
____________________________________  Executive Officer
           Craig W. Moore             (principal executive
                                      officer)
 
       /s/ John B. Bourke            Chief Financial Officer       December 29, 1998
____________________________________  (principal financial
           John B. Bourke             officer and accounting
                                      officer)
 
        /s/ Paul Balter              Director                      December 29, 1998
____________________________________
         Paul Balter, M.D.

 
                                       50

 
                                   SIGNATURES
 
  Pursuant to the requirements of Section 13 or 15(d) of the Securities
Exchange Act of 1934, the Registrant has duly caused this Report to be signed
on its behalf by the undersigned, thereunto duly authorized, on the 29th day of
December, 1998.
 
                                          Hemo Dialysis of Amarillo, L.L.C.
 
                                                   /s/ Craig W. Moore
                                          By: _________________________________
                                                       Craig W. Moore
                                                Chairman and Chief Executive
                                                           Officer
 
  Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned, thereunto duly authorized.
 


             SIGNATURE                           TITLE                    DATE
             ---------                           -----                    ----
 
 
                                                             
       /s/ Craig W. Moore            Chairman of the Board, Chief  December 29, 1998
____________________________________  Executive Officer
           Craig W. Moore             (principal executive
                                      officer)
 
       /s/ John B. Bourke            Chief Financial Officer       December 29, 1998
____________________________________  (principal financial
           John B. Bourke             officer and accounting
                                      officer)
 

 
                                       51

 
                                   SIGNATURES
 
  Pursuant to the requirements of Section 13 or 15(d) of the Securities
Exchange Act of 1934, the Registrant has duly caused this Report to be signed
on its behalf by the undersigned, thereunto duly authorized, on the 29th day of
December, 1998.
 
                                          Home Dialysis of America, Inc.
 
                                                  /s/ Craig W. Moore
                                          By: _________________________________
                                                       Craig W. Moore
                                               Chairman and Chief Executive
                                                          Officer
 
  Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned, thereunto duly authorized.
 


             SIGNATURE                           TITLE                    DATE
             ---------                           -----                    ----
 
 
                                                             
       /s/ Craig W. Moore            Chairman of the Board, Chief  December 29, 1998
____________________________________  Executive Officer
           Craig W. Moore             (principal executive
                                      officer)
 
       /s/ John B. Bourke            Chief Financial Officer       December 29, 1998
____________________________________  (principal financial
           John B. Bourke             officer and accounting
                                      officer)
 
        /s/ Paul Balter              Director                      December 29, 1998
____________________________________
         Paul Balter, M.D.

 
                                       52

 
                                   SIGNATURES
 
  Pursuant to the requirements of Section 13 or 15(d) of the Securities
Exchange Act of 1934, the Registrant has duly caused this Report to be signed
on its behalf by the undersigned, thereunto duly authorized, on the 29th day of
December, 1998.
 
                                          Home Dialysis of Dayton, Inc.
 
                                                  /s/ Craig W. Moore
                                          By: _________________________________
                                                       Craig W. Moore
                                               Chairman and Chief Executive
                                                          Officer
 
  Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned, thereunto duly authorized.
 


             SIGNATURE                           TITLE                    DATE
             ---------                           -----                    ----
 
 
                                                             
       /s/ Craig W. Moore            Chairman of the Board, Chief  December 29, 1998
____________________________________  Executive Officer
           Craig W. Moore             (principal executive
                                      officer)
 
       /s/ John B. Bourke            Chief Financial Officer       December 29, 1998
____________________________________  (principal financial
           John B. Bourke             officer and accounting
                                      officer)
 
        /s/ Paul Balter              Director                      December 29, 1998
____________________________________
         Paul Balter, M.D.

 
                                       53

 
                                   SIGNATURES
 
  Pursuant to the requirements of Section 13 or 15(d) of the Securities
Exchange Act of 1934, the Registrant has duly caused this Report to be signed
on its behalf by the undersigned, thereunto duly authorized, on the 29th day of
December, 1998.
 
                                          Lake Avenue Dialysis Center, Inc.
 
                                                  /s/ Craig W. Moore
                                          By: _________________________________
                                                       Craig W. Moore
                                               Chairman and Chief Executive
                                                          Officer
 
  Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned, thereunto duly authorized.
 


             SIGNATURE                           TITLE                    DATE
             ---------                           -----                    ----
 
 
                                                             
       /s/ Craig W. Moore            Chairman of the Board, Chief  December 29, 1998
____________________________________  Executive Officer
           Craig W. Moore             (principal executive
                                      officer)
 
       /s/ John B. Bourke            Chief Financial Officer       December 29, 1998
____________________________________  (principal financial
           John B. Bourke             officer and accounting
                                      officer)
 
        /s/ Paul Balter              Director                      December 29, 1998
____________________________________
         Paul Balter, M.D.

 
                                       54

 
                                   SIGNATURES
 
  Pursuant to the requirements of Section 13 or 15(d) of the Securities
Exchange Act of 1934, the Registrant has duly caused this Report to be signed
on its behalf by the undersigned, thereunto duly authorized, on the 29th day of
December, 1998.
 
                                          Mercy Dialysis Center, Inc.
 
                                                  /s/ Craig W. Moore
                                          By: _________________________________
                                                       Craig W. Moore
                                               Chairman and Chief Executive
                                                          Officer
 
  Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned, thereunto duly authorized.
 


             SIGNATURE                           TITLE                    DATE
             ---------                           -----                    ----
 
 
                                                             
       /s/ Craig W. Moore            Chairman of the Board, Chief  December 29, 1998
____________________________________  Executive Officer
           Craig W. Moore             (principal executive
                                      officer)
 
       /s/ John B. Bourke            Chief Financial Officer       December 29, 1998
____________________________________  (principal financial
           John B. Bourke             officer and accounting
                                      officer)
 
        /s/ Paul Balter              Director                      December 29, 1998
____________________________________
         Paul Balter, M.D.

 
                                       55

 
                                   SIGNATURES
 
  Pursuant to the requirements of Section 13 or 15(d) of the Securities
Exchange Act of 1934, the Registrant has duly caused this Report to be signed
on its behalf by the undersigned, thereunto duly authorized, on the 29th day of
December, 1998.
 
                                          New York Dialysis Management, Inc.
 
                                                   /s/ Craig W. Moore
                                          By: _________________________________
                                                       Craig W. Moore
                                                Chairman and Chief Executive
                                                           Officer
 
  Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned, thereunto duly authorized.
 


             SIGNATURE                           TITLE                    DATE
             ---------                           -----                    ----
 
 
                                                             
       /s/ Craig W. Moore            Chairman of the Board, Chief  December 29, 1998
____________________________________  Executive Officer
           Craig W. Moore             (principal executive
                                      officer)
 
       /s/ John B. Bourke            Chief Financial Officer       December 29, 1998
____________________________________  (principal financial
           John B. Bourke             officer and accounting
                                      officer)
 
        /s/ Paul Balter              Director                      December 29, 1998
____________________________________
         Paul Balter, M.D.
 

 
                                       56

 
                                   SIGNATURES
 
  Pursuant to the requirements of Section 13 or 15(d) of the Securities
Exchange Act of 1934, the Registrant has duly caused this Report to be signed
on its behalf by the undersigned, thereunto duly authorized, on the 29th day of
December, 1998.
 
                                          North Buckner Dialysis Center, Inc.
 
                                                   /s/ Craig W. Moore
                                          By: _________________________________
                                                       Craig W. Moore
                                                Chairman and Chief Executive
                                                           Officer
 
  Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned, thereunto duly authorized.
 


             SIGNATURE                           TITLE                    DATE
             ---------                           -----                    ----
 
 
                                                             
       /s/ Craig W. Moore            Chairman of the Board, Chief  December 29, 1998
____________________________________  Executive Officer
           Craig W. Moore             (principal executive
                                      officer)
 
       /s/ John B. Bourke            Chief Financial Officer       December 29, 1998
____________________________________  (principal financial
           John B. Bourke             officer and accounting
                                      officer)
 
        /s/ Paul Balter              Director                      December 29, 1998
____________________________________
         Paul Balter, M.D.
 

 
                                       57

 
                                   SIGNATURES
 
  Pursuant to the requirements of Section 13 or 15(d) of the Securities
Exchange Act of 1934, the Registrant has duly caused this Report to be signed
on its behalf by the undersigned, thereunto duly authorized, on the 29th day of
December, 1998.
 
                                          Northwest Indiana Dialysis, Inc.
 
                                                   /s/ Craig W. Moore
                                          By: _________________________________
                                                       Craig W. Moore
                                                Chairman and Chief Executive
                                                           Officer
 
  Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned, thereunto duly authorized.
 


             SIGNATURE                           TITLE                    DATE
             ---------                           -----                    ----
 
 
                                                             
       /s/ Craig W. Moore            Chairman of the Board, Chief  December 29, 1998
____________________________________  Executive Officer
           Craig W. Moore             (principal executive
                                      officer)
 
       /s/ John B. Bourke            Chief Financial Officer       December 29, 1998
____________________________________  (principal financial
           John B. Bourke             officer and accounting
                                      officer)
 
        /s/ Paul Balter              Director                      December 29, 1998
____________________________________
         Paul Balter, M.D.
 

 
                                       58

 
                                   SIGNATURES
 
  Pursuant to the requirements of Section 13 or 15(d) of the Securities
Exchange Act of 1934, the Registrant has duly caused this Report to be signed
on its behalf by the undersigned, thereunto duly authorized, on the 29th day of
December, 1998.
 
                                          Ohio Valley Dialysis Center, Inc.
 
                                                   /s/ Craig W. Moore
                                          By: _________________________________
                                                       Craig W. Moore
                                                Chairman and Chief Executive
                                                           Officer
 
  Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned, thereunto duly authorized.
 


             SIGNATURE                           TITLE                    DATE
             ---------                           -----                    ----
 
 
                                                             
       /s/ Craig W. Moore            Chairman of the Board, Chief  December 29, 1998
____________________________________  Executive Officer
           Craig W. Moore             (principal executive
                                      officer)
 
       /s/ John B. Bourke            Chief Financial Officer       December 29, 1998
____________________________________  (principal financial
           John B. Bourke             officer and accounting
                                      officer)
 
        /s/ Paul Balter              Director                      December 29, 1998
____________________________________
         Paul Balter, M.D.
 

 
                                       59

 
                                   SIGNATURES
 
  Pursuant to the requirements of Section 13 or 15(d) of the Securities
Exchange Act of 1934, the Registrant has duly caused this Report to be signed
on its behalf by the undersigned, thereunto duly authorized, on the 29th day of
December, 1998.
 
                                          WSKC Dialysis Services, Inc.
 
                                                   /s/ Craig W. Moore
                                          By: _________________________________
                                                       Craig W. Moore
                                                Chairman and Chief Executive
                                                           Officer
 
  Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned, thereunto duly authorized.
 


             SIGNATURE                           TITLE                    DATE
             ---------                           -----                    ----
 
 
                                                             
       /s/ Craig W. Moore            Chairman of the Board, Chief  December 29, 1998
____________________________________  Executive Officer
           Craig W. Moore             (principal executive
                                      officer)
 
       /s/ John B. Bourke            Chief Financial Officer       December 29, 1998
____________________________________  (principal financial
           John B. Bourke             officer and accounting
                                      officer)
 
        /s/ Paul Balter              Director                      December 29, 1998
____________________________________
         Paul Balter, M.D.
 

 
                                       60

 
                                   SIGNATURES
 
  Pursuant to the requirements of Section 13 or 15(d) of the Securities
Exchange Act of 1934, the Registrant has duly caused this Report to be signed
on its behalf by the undersigned, thereunto duly authorized, on the 29th day of
December, 1998.
 
                                          Everest New York Holdings, Inc.
 
                                                   /s/ Craig W. Moore
                                          By: _________________________________
                                                       Craig W. Moore
                                                Chairman and Chief Executive
                                                           Officer
 
  Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned, thereunto duly authorized.
 


             SIGNATURE                           TITLE                    DATE
             ---------                           -----                    ----
 
 
                                                             
       /s/ Craig W. Moore            Chairman of the Board, Chief  December 29, 1998
____________________________________  Executive Officer
           Craig W. Moore             (principal executive
                                      officer)
 
       /s/ John B. Bourke            Chief Financial Officer       December 29, 1998
____________________________________  (principal financial
           John B. Bourke             officer and accounting
                                      officer)
 
        /s/ Paul Balter              Director                      December 29, 1998
____________________________________
         Paul Balter, M.D.
 

 
                                       61

 
                                   SIGNATURES
 
  Pursuant to the requirements of Section 13 or 15(d) of the Securities
Exchange Act of 1934, the Registrant has duly caused this Report to be signed
on its behalf by the undersigned, thereunto duly authorized, on the 29th day of
December, 1998.
 
                                          Everest One IPA, Inc.
 
                                                   /s/ Craig W. Moore
                                          By: _________________________________
                                                       Craig W. Moore
                                                Chairman and Chief Executive
                                                           Officer
 
  Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned, thereunto duly authorized.
 


             SIGNATURE                           TITLE                    DATE
             ---------                           -----                    ----
 
 
                                                             
       /s/ Craig W. Moore            Chairman of the Board, Chief  December 29, 1998
____________________________________  Executive Officer
           Craig W. Moore             (principal executive
                                      officer)
 
       /s/ John B. Bourke            Chief Financial Officer       December 29, 1998
____________________________________  (principal financial
           John B. Bourke             officer and accounting
                                      officer)
 
        /s/ Paul Balter              Director                      December 29, 1998
____________________________________
         Paul Balter, M.D.
 

 
                                       62

 
                               INDEX TO EXHIBITS
 
       
  3.1      Certificate of Incorporation of the Company.*
  3.2      By-laws of the Company, as amended.*
  3.3      Articles of Organization of Amarillo Acute Dialysis Specialists,
           L.L.C.*
  3.4      Operating Agreement of Amarillo Acute Dialysis Specialists, L.L.C.*
  3.5      Articles of Incorporation of Con-Med Supply Company, Inc.*
  3.6      By-laws of Con-Med Supply Company, Inc.*
  3.7      Articles of Incorporation of Continental Health Care, Ltd.*
  3.8      By-laws of Continental Health Care, Ltd.*
  3.9      Articles of Organization of Dialysis Specialists of Corpus Christi,
           L.L.C.*
  3.10     Operating Agreement of Dialysis Specialists of Corpus Christi,
           L.L.C.*
  3.11     Articles of Organization of Dialysis Specialists of South Texas,
           L.L.C.*
  3.12     Operating Agreement of Dialysis Specialists of South Texas, L.L.C.*
  3.13     Articles of Incorporation of DuPage Dialysis, Ltd.*
  3.14     By-laws of DuPage Dialysis, Ltd.*
  3.15     Certificate of Incorporation of Everest Management, Inc.*
  3.16     By-laws of Everest Management, Inc.*
  3.17     Articles of Organization of Hemo Dialysis of Amarillo, L.L.C.*
  3.18     Operating Agreement of Hemo Dialysis of Amarillo, L.L.C.*
  3.19     Articles of Incorporation of Home Dialysis of America, Inc.*
  3.20     By-laws of Home Dialysis of America, Inc.*
  3.21     Articles of Incorporation of Home Dialysis of Dayton, Inc.*
  3.22     By-laws of Home Dialysis of Dayton, Inc.*
  3.23     Articles of Incorporation of Lake Avenue Dialysis Center, Inc.*
  3.24     By-laws of Lake Avenue Dialysis Center, Inc.*
  3.25     Articles of Incorporation of Mercy Dialysis Center Inc.*
  3.26     By-laws of Mercy Dialysis Center, Inc.*
  3.27     Articles of Incorporation of New York Dialysis Management, Inc.*
  3.28     By-laws of New York Dialysis Management, Inc.*
  3.29     Certificate of Incorporation of North Buckner Dialysis Center, Inc.*
  3.30     By-laws of North Buckner Dialysis Center, Inc.*
  3.31     Articles of Incorporation of Northwest Indiana Dialysis, Inc.*
  3.32     By-laws of Northwest Indiana Dialysis, Inc.*
  3.33     Articles of Incorporation of Ohio Valley Dialysis Center, Inc.*
  3.34     By-laws of Ohio Valley Dialysis Center, Inc.*
  3.35     Articles of Incorporation of WSKC Dialysis Services, Inc.*
  3.36     By-laws of WSKC Dialysis Services, Inc.*
  3.37     Certificate of Incorporation of Everest New York Holdings, Inc.*
  3.38     By-laws of Everest New York Holdings, Inc.*

 
 
 
                                       63

 
                                                                     
  3.39     Certificate of Incorporation of Everest One IPA, Inc.*
  3.40     By-laws of Everest One IPA, Inc.*
  4.1      Indenture dated as of May 5, 1998, among the Company, the
           Subsidiary Guarantors and American National Bank and Trust
           Company of Chicago, as Trustee.*
  4.2      Purchase Agreement dated April 30, 1998, among the Company,
           the Subsidiary Guarantors and BT Alex. Brown Incorporated.*
  4.3      Registration Rights Agreement dated May 5, 1998, among the
           Company, the Subsidiary Guarantors and BT Alex. Brown
           Incorporated.*
  4.4      Form of Exchange Note (included in Exhibit 4.1).*
  4.5      Form of Guarantee (included in Exhibit 4.1).*
  4.6      Second Amended and Restated Credit Agreement dated as of May
           18, 1998, among the Company, Harris Trust and Savings Bank,
           and the Lenders identified therein.*
  4.7      Revolving Credit Note, between the Company and Harris Trust
           and Savings Bank.*
  4.8      Acquisition Financing Note, between the Company and Harris
           Trust and Savings Bank.*
  4.9      Supplemental Revolving Credit Note, between the Company and
           Harris Trust and Savings Bank.*
  4.10     Amended and Restated Security Agreement, by and among the
           Company, the Debtors (as defined therein) and Harris Trust and
           Savings Bank.*
  4.11     Amended and Restated Guaranty Agreement, by and among the
           Guarantors (as defined therein) and Harris Trust and Savings
           Bank.*
  4.12     Amended and Restated Pledge Agreement, by and among the
           Company, the Pledgors (as defined therein) and Harris Trust
           and Savings Bank.*
  9        Restricted Stock Agreement dated as of November 30, 1997.*
 10.1      Employment Agreement with Craig W. Moore dated January 1,
           1997.*
 10.2      Employment Agreement with Martin Fox dated June 20, 1996.*
 10.3      Employment Agreement with Thomas Creel dated June 20, 1996.*
 10.4      Stock Award Plan dated January 15, 1997.*
           Peak Liquidating, L.L.C. Operating Agreement dated November
 10.5      30, 1997.*
           Administrative Services Agreement dated October 1, 1997,
 10.6      between the Company and NANI-IL.*
           Management Agreement dated October 1, 1997, between the
 10.7      Company and NANI-IL.*
 10.8      Shareholders Agreement dated as of November 30, 1997.*
 10.9      Form of Individual Restricted Stock Agreements.*
           Agreement to Provide Management Services for Dialysis
 10.10     Facilities.*
 10.11     Agreement to Amend and Not-to-Compete.*
           Amendment No. 3 to the Agreement to Provide Management
 10.12     Services for Dialysis Facilities.*
 10.13     Medical Asset Purchase Agreement.*
           Employment and Non-Competition Agreement with John B. Bourke
 10.14     dated August 10, 1998.
           Employment and Non-Competition Agreement with James E. Becks
 10.15     dated August 10, 1998.
           Employment and Non-Competition Agreement with Nicki M. Norris
 10.16     dated August 10, 1998.
 10.17     1998 Stock Award Plan.
 12        Computation of ratio of earnings to fixed charges.
 21        Subsidiaries of the Company.*
 24        Power of Attorney.*
 27        Financial Data Schedule.

 
- - - - - - - - - - - - - - - - - - - - --------
*Previously filed with the Securities Exchange Commission as an Exhibit to the
   registrants' Registration Statement on Form S-4, File No. 333-57191, and
   incorporated herein by reference.
 
                                       64

 
                    EVEREST HEALTHCARE SERVICES CORPORATION
 
                   INDEX TO CONSOLIDATED FINANCIAL STATEMENTS
 
                 YEARS ENDED SEPTEMBER 30, 1996, 1997 AND 1998
 
                                                                          
Report of Independent Auditors.............................................. F-2
Consolidated Financial Statements
Consolidated Balance Sheets................................................. F-3
Consolidated Statements of Income........................................... F-4
Consolidated Statements of Stockholders' Equity............................. F-5
Consolidated Statements of Cash Flows....................................... F-6
Notes to Consolidated Financial Statements.................................. F-7


 
                                      F-1

 
                         REPORT OF INDEPENDENT AUDITORS
 
Board of Directors
Everest Healthcare Services Corporation
 
  We have audited the accompanying consolidated balance sheets of Everest
Healthcare Services Corporation and subsidiaries (the Company) as of September
30, 1997 and 1998, and the related consolidated statements of income,
stockholders' equity, and cash flows for each of the three years in the period
ended September 30, 1998. Our audits also included the financial statement
schedule listed in the Index at Item 14(a). These financial statements and
schedule are the responsibility of the Company's management. Our responsibility
is to express an opinion on these financial statements and schedule based on
our audits.
 
  We conducted our audits in accordance with generally accepted auditing
standards. Those standards 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. 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 audits provide a reasonable basis
for our opinion.
 
  In our opinion, the consolidated financial statements referred to above
present fairly, in all material respects, the consolidated financial position
of Everest Healthcare Services Corporation and subsidiaries at September 30,
1997 and 1998, and the consolidated results of their operations and their cash
flows for each of the three years in the period ended September 30, 1998, in
conformity with generally accepted accounting principles. Also, in our opinion,
the related financial statement schedule, when considered in relation to the
basic financial statements taken as a whole, presents fairly in all material
respects the information set forth therein.
 
Chicago, Illinois
December 22, 1998
 
                                      F-2

 
                    EVEREST HEALTHCARE SERVICES CORPORATION
 
                          CONSOLIDATED BALANCE SHEETS
 


                                                            SEPTEMBER 30,
                                                      -------------------------
                                                          1997         1998
                                                      ------------ ------------
ASSETS
- - - - - - - - - - - - - - - - - - - - ------
                                                             
Current assets:
  Cash and cash equivalents.......................... $  2,456,669 $ 12,525,567
  Patient accounts receivable, less allowance of
   $2,791,000 and $6,481,000                            30,464,607   41,473,765
  Refundable income taxes............................      383,592    2,417,085
  Other receivables..................................    1,922,716    2,971,214
  Medical supplies inventories.......................    2,640,442    2,812,244
  Deferred income taxes..............................          --     3,152,000
  Prepaid expenses and other.........................      120,477      719,556
                                                      ------------ ------------
    Total current assets.............................   37,988,503   66,071,431
Property and equipment, net..........................   14,974,172   27,734,949
Goodwill, net........................................   32,061,954   58,815,302
Deferred financing costs, net........................      901,641    6,111,653
Other intangible assets, net.........................    1,212,818   20,335,068
Amounts due from affiliates..........................   12,690,130   16,643,738
Investments in affiliated companies..................      827,118    1,689,677
Prepaid pension cost.................................      790,160      790,160
Other assets.........................................      761,150      503,481
                                                      ------------ ------------
                                                      $102,207,646 $198,695,459
                                                      ============ ============

LIABILITIES AND STOCKHOLDERS' EQUITY
- - - - - - - - - - - - - - - - - - - - ------------------------------------
                                                             
Current liabilities:
  Accounts payable................................... $  6,094,306 $  8,845,097
  Accrued liabilities................................    9,626,258   19,148,881
  Deferred income taxes..............................      108,000          --
  Current portion of long-term debt..................      795,492      606,624
  Current portion of capital lease obligations.......      952,779      506,058
                                                      ------------ ------------
    Total current liabilities........................   17,576,835   29,106,660
Long term debt, less current portion ................   36,196,436  108,146,981
Capital lease obligations, less current portion......      630,920      311,408
Deferred income taxes................................          --     1,500,000
Minority interests...................................   14,804,806    1,374,764
Stockholders' equity:
  Common stock, $.001 par value, 20,000,000 shares
   authorized; 12,884,720 shares issued and
   outstanding.......................................          --        12,885
  Additional paid-in capital.........................          --    55,171,224
  Retained earnings..................................          --     3,071,537
  Equity interests ..................................   32,998,649          --
                                                      ------------ ------------
    Total stockholders' equity.......................   32,998,649   58,255,646
                                                      ------------ ------------
                                                      $102,207,646 $198,695,459
                                                      ============ ============

 
                See notes to consolidated financial statements.
 
                                      F-3

 
                    EVEREST HEALTHCARE SERVICES CORPORATION
 
                       CONSOLIDATED STATEMENTS OF INCOME
 


                                             YEAR ENDED SEPTEMBER 30,
                                       ---------------------------------------
                                          1996          1997          1998
                                       -----------  ------------  ------------
                                                         
Net revenues:
  Dialysis services................... $83,013,309  $ 99,143,315  $125,800,929
  Contract services...................     157,905    14,664,981    21,674,428
                                       -----------  ------------  ------------
    Total net revenues................  83,171,214   113,808,296   147,475,357
Operating expenses:
  Patient care costs..................  54,884,784    72,057,929    93,868,160
  General and administrative..........  17,462,670    24,710,169    32,062,531
  Provision for bad debts.............   2,523,354       714,166     2,726,624
  Depreciation and amortization.......   3,400,994     4,939,481     6,926,626
                                       -----------  ------------  ------------
    Total operating expenses..........  78,271,802   102,421,745   135,583,941
                                       -----------  ------------  ------------
Income from operations................   4,899,412    11,386,551    11,891,416
Nonoperating income (expense):
  Interest expense....................  (1,012,727)   (2,961,528)   (7,884,288)
  Interest income.....................     736,822       813,006     1,951,643
  Equity in earnings of affiliates....         --            --      1,784,470
  Minority interests in earnings......    (810,314)   (1,600,784)     (516,397)
  Gain on curtailment of pension
   benefits...........................   3,043,628           --            --
  Other...............................      39,288       278,849           --
                                       -----------  ------------  ------------
                                         1,996,697    (3,470,457)   (4,664,572)
                                       -----------  ------------  ------------
Income before income taxes............   6,896,109     7,916,094     7,226,844
Income taxes..........................   2,800,000     3,689,000     3,541,000
                                       -----------  ------------  ------------
Net income............................ $ 4,096,109  $  4,227,094  $  3,685,844
                                       ===========  ============  ============

 
 
                See notes to consolidated financial statements.
 
                                      F-4

 
                    EVEREST HEALTHCARE SERVICES CORPORATION
 
                CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY
 


                                  ADDITIONAL
                          COMMON    PAID-IN    RETAINED    EQUITY
                           STOCK    CAPITAL    EARNINGS   INTERESTS      TOTAL
                          ------- ----------- ---------- -----------  -----------
                                                       
Balance at October 1,
 1995...................  $   --  $       --  $      --  $23,150,063  $23,150,063
Capital contributions...      --          --         --    1,656,425    1,656,425
Distributions to
 members................      --          --         --      (29,495)     (29,495)
Net income..............      --          --         --    4,096,109    4,096,109
                          ------- ----------- ---------- -----------  -----------
Balance at September 30,
 1996...................      --          --         --   28,873,102   28,873,102
Distributions to
 members................      --          --         --     (101,547)    (101,547)
Net income..............      --          --         --    4,227,094    4,227,094
                          ------- ----------- ---------- -----------  -----------
Balance at September 30,
 1997...................      --          --         --   32,998,649   32,998,649
Distributions to
 members................      --          --         --   (7,808,831)  (7,808,831)
Net income October 1,
 1997 to
 November 30, 1997......      --          --         --      614,307      614,307
Reorganization..........    8,750  25,795,375        --  (25,804,125)         --
Acquisition of minority
 interests..............    3,750  26,606,250        --          --    26,610,000
Issuance of common stock
 for acquisitions.......      385   2,769,599        --          --     2,769,984
Net income December 1,
 1997 to September 30,
 1998...................      --          --   3,071,537         --     3,071,537
                          ------- ----------- ---------- -----------  -----------
Balance at September 30,
 1998...................  $12,885 $55,171,224 $3,071,537 $       --   $58,255,646
                          ======= =========== ========== ===========  ===========

 
 
                See notes to consolidated financial statements.
 
                                      F-5

 
                    EVEREST HEALTHCARE SERVICES CORPORATION
 
                     CONSOLIDATED STATEMENTS OF CASH FLOWS
 


                                            YEAR ENDED SEPTEMBER 30,
                                         1996          1997          1998
                                     ------------  ------------  -------------
                                                        
OPERATING ACTIVITIES
Net income.........................  $  4,096,109  $  4,227,094  $   3,685,844
Adjustments to reconcile net income
 to net cash provided by operating
 activities:
  Provision for bad debts..........     2,523,354       714,166      2,726,624
  Depreciation and amortization....     3,400,994     4,939,481      6,926,626
  Gain on curtailment of pension
   benefits........................    (3,043,628)          --             --
  Deferred income taxes............       194,000       531,000     (1,760,000)
  Equity in earnings of
   affiliates......................           --            --      (1,784,470)
  Minority interests in earnings...       810,314     1,600,784        516,397
  Changes in operating assets and
   liabilities (net of effect of
   acquisitions):
    Patient and other accounts
     receivable....................      (970,893)  (14,321,410)   (13,549,481)
    Medical supply inventories,
     prepaid expenses, and other
     assets........................       115,083    (1,553,942)       (32,632)
    Cash overdraft, accounts
     payable, accrued liabilities,
     and other liabilities.........      (930,482)    6,515,211     10,575,476
                                     ------------  ------------  -------------
Net cash provided by operating
 activities........................     6,194,851     2,652,384      7,304,384
INVESTING ACTIVITIES
Capital expenditures...............    (1,441,890)   (7,757,161)   (12,164,496)
Acquisition of intangible assets...           --            --     (19,507,054)
Acquisition of businesses, net of
 cash acquired.....................    (3,201,756)   (5,041,736)   (17,370,952)
Increase in amounts due from
 affiliates........................    (8,268,297)   (4,771,052)    (3,953,608)
                                     ------------  ------------  -------------
Net cash used in investing
 activities........................   (12,911,943)  (17,569,949)   (52,996,110)
FINANCING ACTIVITIES
Proceeds from long term debt.......    12,779,088    69,260,975    191,531,287
Payments on long term debt.........    (5,891,256)  (50,845,655)  (129,194,396)
Payments on capital lease
 obligations.......................    (1,797,670)      (37,898)      (766,233)
Deferred financing costs...........           --       (901,641)    (5,210,012)
Capital contributions..............     1,656,425           --             --
Distributions to members...........       (29,495)     (101,547)      (600,022)
                                     ------------  ------------  -------------
Net cash provided by financing
 activities........................     6,717,092    17,374,234     55,760,624
                                     ------------  ------------  -------------
Increase in cash and cash
 equivalents.......................           --      2,456,669     10,068,898
Cash and cash equivalents at
 beginning of year.................           --            --       2,456,669
                                     ------------  ------------  -------------
Cash and cash equivalents at end of
 year..............................  $        --   $  2,456,669  $  12,525,567
                                     ============  ============  =============

 
                See notes to consolidated financial statements.
 
                                      F-6

 
                    EVEREST HEALTHCARE SERVICES CORPORATION
 
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
 
                          SEPTEMBER 30, 1997 AND 1998
 
1. BASIS OF PRESENTATION AND REORGANIZATION
 
  Peak Healthcare, L.L.C. (Peak or the Company) was formed, as a limited
liability company, on October 1, 1995. Peak issued its membership units in
exchange for the ownership interests of certain of the owners of seven kidney
dialysis companies and Continental Healthcare, Ltd. (Continental) on October 1,
1995. West Suburban Kidney Center, S.C. (WSKC), was designated as the
accounting acquirer and the transaction was accounted for as a purchase. WSKC
was determined to be the accounting acquirer due to, as of the date of
combination: (i) its fair value represented approximately 65% of the fair value
of the combined companies, (ii) it was the most significant of the combined
companies, and (iii) its controlling shareholder obtained the largest interest
holding in the newly-formed company. The entities acquired by WSKC were New
York Dialysis Management, Inc., Northwest Indiana Dialysis Center, Inc., DuPage
Dialysis, Ltd. (d/b/a LaGrange Dialysis Center), Lake Avenue Dialysis Center,
P.C., Ohio Valley Dialysis Center, Inc., and Mercy Dialysis Center, Inc. Upon
completion of this exchange, Peak and the other owners of the seven kidney
dialysis companies contributed their ownership interests in such companies for
common stock of Everest Healthcare Services Corporation (Everest), a newly
formed company. Upon completion of this transaction, Peak owned 88% of Everest
and 100% of Continental. Peak is a holding company with no independent assets
or operations.
 
  In June 1996, Everest issued 2,500,000 shares of its common stock for the
acquisition of Home Dialysis of America (Note 7), which reduced Peak's
ownership in Everest to approximately 70%.
 
  Effective November 30, 1997, Peak was reorganized whereby the following
transactions occurred simultaneously. The members of Peak contributed all of
their interests in Peak for an equal number of membership interests in Peak
Liquidating, L.L.C. (Peak Liquidating), a newly formed limited liability
company. The operating agreement and number and classes of interests of Peak
Liquidating were identical to Peak. Upon the exchange, Peak Liquidating, the
sole member of Peak, contributed its interests in Peak for shares of common
stock of Everest Healthcare II, Inc, (Everest II) a newly-formed subchapter C
Corporation. The number of shares of common stock of Everest II received by
Peak Liquidating was equal to the number of shares of Everest held by Peak. The
number and class of authorized shares of Everest II upon formation was
identical to that of Everest. Following the exchange, Peak was liquidated. Upon
the consummation of these transactions, Everest II issued shares of common
stock, representing approximately 30% of the shares of the Company, to the
minority interest holders in Everest in exchange for their shares of Everest
common stock. The acquisition of minority interest was treated as a purchase in
accordance with generally accepted accounting principles and goodwill of
approximately $12.4 million was recognized. Upon the consummation of these
transactions, Everest became a wholly owned subsidiary of Everest II. In March
1998, Everest was merged into Everest II. Upon the merger, Everest II (the
surviving entity) changed its name to Everest Healthcare Services Corporation.
 
  All references to the Company or Everest refer collectively to Peak and its
subsidiaries prior to the reorganization, and Everest and its subsidiaries
subsequent to the reorganization.
 
2. EQUITY INTERESTS
 
  Prior to the Company's reorganization (see Note 1), Peak was organized under
the provisions of the Delaware Limited Liability Company Act. The Company had
seven classes of interests all having the same rights, preferences, and
obligations except for distributions made from operations or upon liquidation
of the Company. The original issuance of interests in Peak was made to certain
of the owners of the underlying companies described in Note 1. Each of these
owners received interests in Peak (in each class) based upon the
 
                                      F-7

 
                    EVEREST HEALTHCARE SERVICES CORPORATION
 
            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS--(CONTINUED)
 
fair value of their interests in the underlying companies exchanged.
Preferences upon distribution are set forth below (in order of A through F),
with 100% of the distributions to a specific class of interest being required
to be made before distributions are made to the next class. All interest
holders in each class receive a pro rata share of the distribution to the class
of interest. Interests outstanding and distribution rights were as follows:
 


      CLASS OF                                           INTERESTS  DISTRIBUTION
      INTEREST                                          OUTSTANDING  PREFERENCE
      --------                                          ----------- ------------
                                                              
      A...............................................  $12,791,939 $12,791,939
      B1..............................................    2,809,331   2,809,331
      B2..............................................    3,729,291   3,729,291
      C...............................................   43,142,803  43,142,803
      D...............................................   21,626,250  21,626,250
      E...............................................   86,505,000  86,505,000
      F...............................................          700  Thereafter

 
3. NATURE OF BUSINESS
 
  The Company operates in two business segments, as a provider of chronic
dialysis services and as a contract service provider. The operations of the
chronic dialysis segment principally involve the delivery of health care
services, primarily outpatient dialysis treatments. The contract services
segment principally involves acute dialysis, perfusion, apheresis, and auto-
transfusion treatments for hospitalized patients. Hospitals pay for these
services at contracted rates.
 
4. SIGNIFICANT ACCOUNTING POLICIES
 
 Basis of Consolidation
 
  The consolidated financial statements include the accounts and transactions
of Everest Healthcare Services Corporation and its subsidiaries. All
intercompany accounts and transactions are eliminated in consolidation. The
Company also performs certain administrative services under management
agreements with affiliated and unaffiliated entities. The Company does not have
a controlling financial interest in the entities for which it has management
contracts and, as such, the Company does not consolidate these entities.
 
 Cash and Cash Equivalents
 
  The Company considers all highly liquid investments with original maturities
of three months or less to be cash equivalents.
 
 Medical Supplies Inventories
 
  Medical supplies inventories consist of drugs, supplies, and parts used in
treatments and are stated at the lower of cost or market. Cost is determined
principally on a first in, first out (FIFO) basis.
 
 Property and Equipment
 
  Property and equipment are stated at cost. Depreciation is calculated on the
straight-line method over the estimated useful lives of the assets. Medical
equipment and furniture and fixtures are depreciated over five to seven years.
Buildings are depreciated over 40 years. Leasehold improvements are amortized
over the respective lease terms or the service lives of the improvements,
whichever is shorter. Depreciation and amortization expense was $2,519,000,
$3,485,000, and $4,213,000 for the years ended September 30, 1996, 1997, and
1998, respectively.
 
                                      F-8

 
                    EVEREST HEALTHCARE SERVICES CORPORATION
 
            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS--(CONTINUED)
 
 
 Goodwill
 
  Goodwill represents the excess of the purchase price over the estimated fair
value of the net assets acquired in the Company's business combinations. The
amounts are being amortized over the estimated remaining economic lives of 25
years. Accumulated amortization of goodwill amounted to approximately
$2,063,000 and $4,334,000 at September 30, 1997 and 1998, respectively.
 
 Other Intangible Assets
 
  Other intangible assets is comprised primarily of a management service
agreement and a covenant not to compete. The management service agreement is
being amortized over a period of 25 years. The covenant not to compete is being
amortized over the period of the agreement, which is 10 years.
 
 Deferred Financing Costs
 
  The costs of obtaining financing are capitalized and are being amortized as
interest expense over the term of the related financing. Accumulated
amortization was $54,000 and $386,000 as of September 30, 1997 and 1998,
respectively.
 
 Income Taxes
 
  Deferred taxes have been recognized for the tax consequences of temporary
differences by applying the enacted statutory income tax rates applicable to
future years of differences between the financial statement carrying amounts
and the tax bases of the existing assets and liabilities. Deferred taxes have
been recognized for the timing of these differences for financial reporting and
income tax reporting purposes.
 
 Stock Options
 
  The Company accounts for stock options in accordance with Accounting
Principles Board Opinion No. 25, "Accounting for Stock Issued to Employees"
(APB 25). In accordance with APB 25, compensation expense is recognized based
upon the excess of fair value of the underlying stock over the option exercise
price on the measurement date, the date at which both the exercise price and
the number of shares to be issued are known. The Company has elected to
continue to measure compensation expense under the provisions of APB 25;
however, in accordance with Statement of Financial Accounting Standards No.
123, "Accounting for Stock Based Compensation" (SFAS 123), an estimate of the
fair value of the stock options has been made by the Company to determine the
pro forma effect on earnings had the provisions of SFAS 123 been applied in the
financial statements (see Note 15).
 
 Revenue Recognition
 
  Revenue is recognized upon the delivery of health care services. Management
service fee revenue is recognized as services are performed. These fees are
based on contracted rates and are invoiced monthly. The contracted rates are
estimates based upon the cost of services provided such as billing, accounting,
technical support, cash management, and facilities management.
 
 Use of Estimates
 
  The preparation of financial statements in conformity with generally accepted
accounting principles requires management to make estimates and assumptions
that affect the amounts reported in the financial statements and accompanying
notes. Actual results could differ from those estimates.
 
                                      F-9

 
                    EVEREST HEALTHCARE SERVICES CORPORATION
 
            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS--(CONTINUED)
 
 
 Fair Value of Financial Instruments
 
  The carrying amounts reported in the Company's balance sheets for variable-
rate long-term debt approximate fair value, as the underlying long-term debt
instruments are comprised of notes that are repriced on a short-term basis. The
carrying amounts of the amounts due to and from affiliated companies bear
interest at prime plus 1% and approximate fair value. The fair value of the
Company's 9 3/4% Senior Subordinated Notes, Series B was $98.0 million at
September 30, 1998 based upon trading in the public debt market.
 
 Long-Lived Assets
 
  The Company evaluates its long-lived assets (including goodwill) on an
ongoing basis. Identifiable intangibles are reviewed for impairment wherever
events or changes in circumstances indicate that the carrying amount of the
related asset may not be recoverable. Recoverability of assets to be held and
used is measured by a comparison of the carrying amount of the asset to future
undiscounted cash flows expected to be generated by the asset. If the asset is
determined to be impaired, the impairment recognized is measured by the amount
by which the carrying value of the asset exceeds its fair value.
 
 Concentration of Credit Risk
 
  The Company derives a significant portion of its revenues from Medicare and
Medicaid (or comparable state benefits) and as such, a significant portion of
patient accounts receivable is from those payors. The Company is reimbursed for
dialysis services primarily at fixed rates established in advance under the
Medicare End-Stage Renal Disease Program. All of the states in which the
Company operates provide Medicaid or comparable benefits to qualified
recipients. The Medicare and Medicaid programs are subject to statutory and
regulatory changes, administrative rulings, interpretation of policy and
government funding restrictions, all of which may have the effect of decreasing
program payments. The Company believes that risks associated with the Medicare
and Medicaid programs are related to future revenues and that the concentration
of credit risk within current patient accounts receivable is limited.
 
  At September 30, 1997 and 1998, the Company maintained cash deposits with
certain financial institutions which were in excess of federally insured
limits.
 
 New Accounting Standards
 
  In June 1997, the Financial Accounting Standards Board issued Statement of
Financial Accounting Standards No. 131, "Disclosures About Segments of an
Enterprise and Related Information" (SFAS 131). The provisions of SFAS 131
establish standards for the way companies report information about operating
segments in annual financial statements and require that such companies report
selected information about operating segments in interim financial reports
issued to shareholders. The provisions of SFAS 131 require the disclosure of
segment information be based on a "management approach" whereby disclosures are
made of information that is available and evaluated regularly by the chief
decision makers of the Company in deciding how to allocate resources and
assessing performance. Application of the provisions of SFAS 131 will be
required for fiscal year 1999. The Company operates in two business segments;
as a provider of chronic dialysis services and as a contract service provider
of extracorporeal services including perfusion, apheresis, and autotransfusion.
The Company believes that the adoption of SFAS 131 will not have a material
impact on its future disclosure requirements.
 
  In February 1998, the Financial Accounting Standards Board issued Statement
of Financial Accounting Standards No. 132 (SFAS 132), "Employers' Disclosures
about Pensions and Other Postretirement Benefits." SFAS 132 revises the
previous disclosure requirements of pension and postretirement plans. The
Statement does not change the recognition or measurement of pension plans. The
Company is evaluating the disclosure requirements of SFAS 132 and believes that
its adoption will not have a material impact on its future disclosure
requirements.
 
                                      F-10

 
                    EVEREST HEALTHCARE SERVICES CORPORATION
 
            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS--(CONTINUED)
 
 
 Reclassifications
 
  Certain reclassifications have been made to prior years' financial statements
to conform to the 1998 presentation.
 
5. NET REVENUES
 
  The Company provides dialysis and perfusion services to certain patients
under government-sponsored programs such as Medicare and Medicaid, as well as
other insurance reimbursement arrangements. Provision has been made in the
financial statements for the estimated contractual adjustment, representing the
difference between the Company's standard charges for services and the
estimated payments from the various third-party payors. Gross and net patient
service revenues for the year ended September 30 include the following:
 


                                             1996         1997         1998
                                         ------------ ------------ ------------
                                                          
Medicare/Medicaid....................... $ 64,624,033 $ 75,113,476 $ 81,406,397
Other...................................  109,888,335  121,211,827   77,327,471
                                         ------------ ------------ ------------
Gross revenues..........................  174,512,368  196,325,303  158,733,868
Contractual allowances..................   93,328,650   84,747,325   14,143,559
                                         ------------ ------------ ------------
Net revenues............................ $ 81,183,718 $111,577,978 $144,590,309
                                         ============ ============ ============

 
  In addition, the Company has included in net revenues, nonpatient related
revenues representing management fees earned for administrative services
performed for nonconsolidated affiliated companies and nonaffiliated companies.
These revenues amounted to approximately $1,987,000, $2,230,000, and $2,885,000
for the years ended September 30, 1996, 1997, and 1998, respectively.
 
6. INVESTMENTS IN AFFILIATED COMPANIES
 
  The Company uses the equity method of accounting for its investments in the
common stock of various companies. Investments in these companies at September
30, 1997, and 1998, amounted to approximately $827,000, and $1,690,000
respectively. The percentages of ownership in these companies range from 10% to
50%. In addition, the Company has advanced funds to certain of these companies
(Note 16). Aggregate balance sheet information of these companies at September
30 is as follows:
 


                                                           1997        1998
                                                        ----------- -----------
                                                              
      Current assets................................... $7,7354,591 $11,542,580
      Noncurrent assets................................   5,671,391   4,250,144
      Current liabilities..............................   4,230,407   9,929,085
      Noncurrent liabilities...........................   7,379,372   2,429,496

 
  Aggregate statement of income information of these companies is as follows
for the year ended September 30:
 


                                              1996        1997         1998
                                           ----------- -----------  -----------
                                                           
      Net revenues........................ $12,266,966 $19,993,511  $24,063,439
      Income (loss) from operations.......     947,649    (220,413)   4,466,156
      Net income (loss)...................     947,649     (29,190)   3,472,557

 
                                      F-11

 
7. BUSINESS COMBINATIONS
 
  Effective June 20, 1996, Everest purchased Home Dialysis of America, Inc.
(HDA), by issuing 2,500,000 shares of common stock, with a fair value of
$8,891,000, in exchange for 100% of the stock of HDA. Goodwill of $7,370,000
was recognized in the acquisition. This transaction was accounted for as a
purchase and, as such, HDA's results of operations subsequent to the date of
acquisition are included in the consolidated statement of operations.
 
  Effective July 1, 1996, Everest purchased certain assets and operations of
Saint Anthony Dialysis Centers, LLC for $1,400,000. This transaction was
accounted for as a purchase resulting in the recording of goodwill of
$1,331,000. Results of operations subsequent to the date of acquisition are
included in the consolidated statement of operations.
 
  Effective August 30, 1996, Everest purchased an 80% interest in Saint
Margaret Mercy Dialysis Centers, LLC. The Company contributed $2,060,000 and
the minority stockholder contributed $419,000 towards the total purchase price
of $2,479,000. This transaction was accounted for as a purchase resulting in
the recording of goodwill of $2,386,000. Results of operations subsequent of
the date of acquisition are included in the consolidated statement of
operations.
 
  Effective November 1, 1996, Everest purchased an 80% interest in The
Extracorporeal Alliance, LLC (Alliance). Alliance performs blood oxygenation
services for hospitalized patients. The purchase price of the acquisition was
approximately $12,042,000, including a $7,000,000 note payable. The acquisition
was accounted for as a purchase, and as such, the results of operations of
Alliance subsequent to the date of acquisition have been included in the
Company's consolidated results of operations. In connection with the
acquisition, the Company recognized goodwill of approximately $10,815,000.
Effective September 1, 1997, Alliance acquired a 51% interest in Tri-State
Perfusion, LLC (Tri-State). Alliance acquired its interest in Tri-State, a
newly formed joint venture, in exchange for the use of its expertise in
performing perfusion services as well as to provide additional service
capabilities.
 
  Effective November 30, 1997, Peak transferred its interests in its wholly
owned subsidiary, Continental, to Everest for $2,200,000. The price was
comprised of $110,000 in cash and a note payable in the amount of $2,090,000.
As a transfer of interests among companies under common control, the transfer
was made at historical book value.
 
  In January 1998, the Company acquired the remaining outstanding equity
interests that it previously had not owned in Hemo Dialysis of Amarillo, LLC
(Amarillo), an outpatient and home dialysis facility located in Amarillo,
Texas. Prior to the acquisition, the Company owned a 30% interest in Amarillo
and accounted for the investment under the equity method of accounting. The
purchase price of the acquisition, including costs of the transaction, was
approximately $2.9 million. Goodwill recognized in the acquisition was
approximately $2.5 million.
 
  In January 1998, the Company increased its investment in Home Dialysis of
Mount Auburn, Inc. (Mount Auburn), a home dialysis facility located in
Cincinnati, Ohio, in exchange for the issuance of 52,399 shares of common stock
of Everest Healthcare Services Corporation with a fair value of approximately
$377,000. Through the purchase, the Company increased its investment in Mount
Auburn from 50% to 80.5%. Prior to the acquisition, the Mount Auburn investment
was accounted for under the equity method of accounting. Goodwill in the
acquisition was approximately $266,000.
 
  In February 1998, the Company acquired the remaining outstanding equity
interests that it previously had not owned in Dialysis Specialist of South
Texas, LLC (South Texas), which owns and operates three outpatient and home
dialysis facilities in Corpus Christi, Texas. Prior to the acquisition, the
Company owned a 33% interest in South Texas and accounted for the investment
under the equity method of accounting. The purchase price of the acquisition
was $7.6 million, including costs of the transaction. The consideration for the
purchase
 
                                      F-12

 
                    EVEREST HEALTHCARE SERVICES CORPORATION
 
            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS--(CONTINUED)
 
price of the acquisition was financed through the issuance of 179,300 shares of
common stock of Everest Healthcare Services Corporation with a fair value of
approximately $1.3 million and cash of approximately $6.3 million. Goodwill
recognized in the acquisition was approximately $7.1 million.
 
  In March 1998, the Company acquired, through its subsidiary, The
Extracorporeal Alliance, LLC (Alliance), a 70% interest in Perfusion Resource
Association LLC (PRA), a contract services provider located in Tampa, Florida.
The purchase price of the acquisition, including costs of the transaction, was
approximately $1.4 million. Goodwill recognized in the acquisition was
approximately $1.3 million.
 
  In April 1998, the Company acquired North Buckner Dialysis Center, a dialysis
service provider located in Dallas, Texas. The purchase price of the
acquisition was approximately $5.1 million, including costs of the transaction.
The consideration for the purchase price of the acquisition was financed
through the issuance of 153,021 shares of common stock of Everest Healthcare
Services Corporation with a fair value of approximately $1.1 million and cash
of $4 million. Goodwill recognized in the acquisition was approximately $4.1
million.
 
8. LEASES AND RELATED PARTY TRANSACTIONS
 
 Capital Leases
 
  Property under capital leases at September 30 are as follows:
 


                                                             1997       1998
                                                          ---------- ----------
                                                               
      Furniture and fixtures............................. $1,439,304 $1,423,010
      Medical equipment..................................  8,065,178  6,913,631
                                                          ---------- ----------
                                                           9,504,482  8,336,641
      Less: Accumulated depreciation.....................  5,339,326  5,879,793
                                                          ---------- ----------
                                                          $4,165,156 $2,456,848
                                                          ========== ==========

 
  Interest rates on the capital lease obligations ranged from 8.0% to 14.0%.
Future minimum payments under capital leases with initial or remaining terms of
one year or more consisted of the following at September 30, 1998:
 
                                                              
      1999............................................................ $563,674
      2000............................................................  207,616
      2001............................................................   50,752
      2002............................................................   45,428
      2003............................................................    7,572
                                                                       --------
      Total minimum lease payments....................................  875,042
      Amounts representing interest...................................   57,576
                                                                       --------
      Present value of minimum lease payments.........................  817,466
      Less: Current portion...........................................  506,058
                                                                       --------
                                                                       $311,408
                                                                       ========

      
 
 
                                      F-13

 
                    EVEREST HEALTHCARE SERVICES CORPORATION
 
            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS--(CONTINUED)
 
 Operating Leases
 
  Prior to June 1998, the Company leased land and building space under
operating leases for some of its dialysis centers, its corporate offices, and
its supplies warehouse from ARE Partnership and Three M&L Partnership, related
parties with common ownership. For the years ended September 30, 1996, 1997,
and 1998, rents of approximately $871,000, $952,000, and $616,000,
respectively, were paid to these related parties. In June 1998, the Company
purchased the land and buildings from ARE Partnership. Additionally, all
current leases with Three M&L Partnership are in month-to-month renewal
periods.
 
  Additionally, the Company leases land and building space under operating
leases from unaffiliated entities for certain of its dialysis facilities. For
the years ended September 30, 1996, 1997, and 1998, approximately $1,619,000,
$2,072,000, and $5,067,000, respectively, was recorded as rent expense for such
leases. Expiration dates for these leases continue through July 2005.
 
  Approximate minimum rental payments under operating leases are as follows:
 
                                                            
      1999.......................................................... $ 2,880,479
      2000..........................................................   2,763,993
      2001..........................................................   2,363,839
      2002..........................................................   1,678,288
      2003..........................................................   1,546,858
      2004 and thereafter...........................................   4,654,387
                                                                     -----------
                                                                     $15,887,844
                                                                     ===========

      
 
9. PROPERTY AND EQUIPMENT
 
  Property and equipment consist of the following at September 30:
 


                                                          1997        1998
                                                       ----------- -----------
                                                             
      Leasehold improvements.......................... $ 7,704,607 $12,818,019
      Medical equipment...............................  11,940,791  16,262,968
      Furniture and fixtures..........................   7,799,119   9,744,431
      Building........................................     140,121   4,892,216
      Land............................................      40,048     328,048
      Construction-in-progress........................   1,917,397   2,535,512
                                                       ----------- -----------
      Less: Accumulated depreciation and
       amortization...................................  29,542,083  46,581,194
                                                        14,567,911  18,846,245
                                                       ----------- -----------
                                                       $14,974,172 $27,734,949
                                                       =========== ===========

 
10. OTHER INTANGIBLE ASSETS
 
  Other intangibles consist of the following at September 30:
 


                                                            1997       1998
                                                         ---------- -----------
                                                              
      Management service agreement...................... $      --  $17,598,265
      Covenant not to compete...........................        --    1,908,789
      Other.............................................  1,212,818     828,014
                                                         ---------- -----------
                                                         $1,212,818 $20,335,068
                                                         ========== ===========

 
 
                                      F-14

 
                    EVEREST HEALTHCARE SERVICES CORPORATION
 
            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS--(CONTINUED)
 
  Pursuant to a management service agreement, New York Dialysis Management,
Inc. (NYDM), a wholly owned subsidiary of the Company, had been managing
dialysis facilities located in the Bronx, New York for Montefiore Medical
Center (MMC). In July, 1998, the Company exercised its right to purchase MMC's
license to operate in the state of New York (pending the approval of the New
York Public Health Council) for a purchase price of $19.5 million including
transaction costs of approximately $291,000. The operating license was
purchased by Everest Dialysis Services, Inc., a newly-formed corporation formed
for this purpose under the laws of the State of New York. EDS is affiliated
with the Company as it is owned by two of the Company's stockholders. The
Company entered into a management service agreement with EDS to operate the
facilities for a period of 40 years and which allows the Company to retain the
earnings from the operation of the facilities. In addition to the operating
license, the Company also received a covenant not to compete from MMC. The
purchase price was allocated approximately $17.6 million and approximately $1.9
million to the management service agreement and covenant not to compete,
respectively.
 
  Accumulated amortization on the management service agreement and covenant not
to compete of September 30, 1998 were $117,236 and $12,811, respectively.
Accumulated amortization on other intangibles was $3,233,683 and $3,849,606 as
of September 30, 1997 and 1998, respectively.
 
11. EMPLOYEE BENEFIT PLANS
 
  The Company maintains three defined-benefit pension plans (defined-benefit
plans), a money purchase defined-contribution pension plan (money purchase
plan), and an employee savings and profit-sharing plan.
 
  The defined-benefit plans cover all employees of the Company and a related
party with common ownership, Nephrology Associates of Northern Illinois, Ltd.
(NANI), who meet certain eligibility requirements. Retirement benefit payments
are based on years of credited service and average compensation over the final
five years of employment. The funding policy was to contribute annually amounts
which were deductible for federal income tax purposes. Effective May 16, 1996,
all participant benefits in the defined-benefit plans were frozen. The Company
and NANI ceased funding the defined-benefit plans as of May 16, 1996, and no
additional years of benefit service were accrued by plan participants
subsequent to that date. The net assets remaining in the plan have not been
distributed subsequent to May 16, 1996, other than for normal benefits paid to
participants. The Company recognized a curtailment gain of approximately $3.4
million for the year ended September 30, 1996, relating to this event.
 
  The following table sets forth the funded status of the defined-benefit plans
at September 30:
 


                                                             1997        1998
                                                          ----------  ----------
                                                                
Actuarial present value of benefit obligations:
  Accumulated benefit obligations, including vested
   benefits (1997--$6,720,000; 1998--$7,309,000)......... $7,370,000  $7,309,000
                                                          ==========  ==========
Projected benefit obligation for service rendered to
 date.................................................... $7,370,000  $7,309,000
Plan assets at fair value................................  7,247,000   7,326,000
                                                          ----------  ----------
Funded status............................................   (123,000)     17,000
Unrecognized net loss....................................    913,160     773,160
                                                          ----------  ----------
Prepaid pension cost..................................... $  790,160  $  790,160
                                                          ==========  ==========

 
                                      F-15

 
                    EVEREST HEALTHCARE SERVICES CORPORATION
 
            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS--(CONTINUED)
 
 
  Net periodic pension cost of the defined-benefit plans for the years ended
September 30 included the following components:
 


                                                             1997       1998
                                                           ---------  ---------
                                                                
      Interest cost on projected benefit obligation....... $ 510,447  $ 530,700
      Actual return on plan assets........................  (575,573)  (127,967)
      Net amortization and deferral.......................    65,126   (402,733)
                                                           ---------  ---------
      Net pension income expense.......................... $     --   $     --
                                                           =========  =========

 
  Key assumptions used for the defined-benefit plans at September 30 are as
follows:
 


                                                                     1997  1998
                                                                     ----  ----
                                                                     
      Discount rate................................................. 7.25% 6.50%
      Long-term rate of return on assets............................  8.4   N/A

 
  The assets of the defined-benefit plans primarily consist of mutual funds,
corporate bonds, and real estate holdings.
 
  The Company has a money purchase plan that covers substantially all employees
hired prior to July 1, 1987. Prior to fiscal year 1996, contributions to the
money purchase pension plan were equal to 10% of each eligible participant's
compensation. The money purchase plan was amended on May 16, 1996, to eliminate
future contributions.
 
  The employee savings and profit-sharing plan covers substantially all
employees. Under the savings component of this plan, the Company matches 50% of
employee contributions up to a maximum of 6% of each eligible participant's
compensation. The profit-sharing plan component of this plan became effective
on January 1, 1996. Under this component of the plan, the Company's annual
contribution is dependent on various factors, including the Company's
profitability for the fiscal year. Contributions to the employee savings and
profit-sharing plan amounted to approximately $702,000, $765,000, and
$1,000,000 for the years ended September 30, 1996, 1997, and 1998,
respectively.
 
12. ACCRUED EXPENSES
 
  Accrued expenses consist of the following at September 30:
 


                                                            1997       1998
                                                         ---------- -----------
                                                              
      Compensation and benefits......................... $5,557,200 $ 8,088,883
      Reimbursements to third party payors..............  2,063,547   4,555,783
      Interest..........................................    340,227   3,954,734
      Professional fees.................................    446,672   1,751,848
      Other.............................................  1,218,612     797,633
                                                         ---------- -----------
                                                         $9,626,258 $19,148,881
                                                         ========== ===========

 
                                      F-16

 
                    EVEREST HEALTHCARE SERVICES CORPORATION
 
            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS--(CONTINUED)
 
 
13. LONG-TERM DEBT
 
  Long-term debt consists of the following at September 30:
 


                                                        1997         1998
                                                     ----------- ------------
                                                           
      9 3/4% senior subordinated notes due 2008,
       Series B..................................... $       --  $100,000,000
      Revolving credit facility.....................  11,553,813          --
      Acquisition funding facility..................  17,276,000          --
      Acquisition term notes........................   7,000,000    7,000,000
      Installment notes payable.....................     928,457    1,753,605
      Other.........................................     233,658          --
                                                     ----------- ------------
                                                      36,991,928  108,753,605
      Less: Current maturities......................     795,492      606,624
                                                     ----------- ------------
                                                     $36,196,436 $108,146,981
                                                     =========== ============

 
9 3/4% SENIOR SUBORDINATED NOTES DUE 2008, SERIES B
 
  On May 5, 1998, the Company completed a private placement issuance of $100
million in principal amount of 9 3/4% Senior Subordinated Notes due 2008 (the
Offering). The Offering was made to qualified institutional buyers pursuant to
Rule 144A of the Securities and Exchange Commission (SEC). Effective September
2, 1998 the Company registered the senior subordinated notes with the SEC. Upon
the effectiveness of the registration, the Company exchanged 9 3/4% Senior
Subordinated Notes due 2008, Series B for the notes sold in the Offering.
 
  The 9 3/4% Senior Subordinated Notes, Series B (the Notes) mature on May 1,
2008. Interest is payable semi-annually in arrears each November 1 and May 1,
commencing November 1, 1998. On or after May 1, 2003, the Notes may be redeemed
at the option of the Company, in whole or in part, at specified redemption
prices plus accrued and unpaid interest:
 


                                                                      REDEMPTION
      YEAR                                                              PRICE
      ----                                                            ----------
                                                                   
      2003...........................................................  104.875%
      2004...........................................................  103.250%
      2005...........................................................  101.625%
      2006 and thereafter............................................  100.000%

 
  In addition, at any time on or prior to May 1, 2001, the Company may, subject
to certain requirements, redeem up to $35.0 million aggregate principal amount
of the Notes with the net cash proceeds of one or more public equity offerings,
at a price equal to 109.75% of the principal amount to be redeemed plus accrued
and unpaid interest. In the event of a change in control, the Company would be
required to offer to repurchase the Notes at a price equal to 101.0% of the
principal amount plus accrued and unpaid interest.
 
  The Notes are general obligations of the Company, sub-ordinated in right of
payment to all existing and future senior debt and are guaranteed by the
Company's wholly-owned subsidiaries (the Guarantor Subsidiaries). Each of the
Guarantor Subsidiaries' guarantees of the Notes are full, unconditional, and
joint and several. The Company may incur additional indebtedness, including
borrowings under its Credit Facility (see below), subject to certain
limitations. See Note 20 for financial information as of September 30, 1997 and
1998.
 
  The indenture under which the Notes were issued contains certain covenants
that were met at September 30, 1998.
 
                                      F-17

 
                    EVEREST HEALTHCARE SERVICES CORPORATION
 
            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS--(CONTINUED)
 
 
CREDIT FACILITIES
 
  The Company has a revolving credit facility which matures on May 15, 2001.
The revolving credit facility allows aggregate borrowings of $35 million
including Letters of Credit of up to approximately $529,000. The borrowings are
limited to 75% of eligible accounts receivable. Interest is payable at the
Company's option of either the bank's prime rate (8.50% at September 30, 1998),
or the London Interbank Offered Rate (LIBOR) (5.312% at September 30, 1998)
plus 1.75%-2.25%. Commitment fees of .375% of the unused portion of the line of
credit are payable quarterly. No amounts were drawn on the revolving credit
facility at September 30, 1998.
 
  The acquisition funding facility allows borrowings of up to $70 million.
Interest is payable at the Company's option of either the bank's prime rate
plus .25%-.50% or LIBOR plus 1.75%-2.25%. Commitment fees on the unused balance
of the acquisition funding facility of 0.5% are payable quarterly. No amounts
were drawn on the acquisition funding facility at September 30, 1998.
 
  The credit agreements covering the revolving credit facility and the
acquisition funding facility contain covenants, which among other things,
require the Company to maintain certain financial ratios and minimum levels of
net worth. The facilities are collateralized by a lien on assets of the
Company. The credit agreements are also secured by an assignment of key-man
life insurance for a period of not less than three years, with the amount of
such insurance to be not less than $7.5 million through December 31, 1998, and
$5 million through December 31, 1999.
 
  The total amount of borrowings available to be drawn under the revolving
credit facility and the acquisition funding facility are limited to an
aggregate of $100 million.
 
ACQUISITION TERM NOTES
 
  In connection with the acquisition of Alliance (Note 7), the Company incurred
$7 million in notes payable to the former owners of Alliance. These notes
mature on October 31, 2002, and bear interest at the 5-year Treasury Note rate
(5.79% as of September 30, 1998) (as determined on November 1 of each year)
plus 3.0%. Interest is payable monthly.
 
INSTALLMENT NOTES PAYABLE
 
  The Company has entered into various installment notes payable which are
payable to a vendor of medical equipment through September 2001, and bear
interest at 9.5% per annum. The notes are collateralized by medical equipment.
 
  Maturities of long term debt at September 30, 1998, are as follows:
 
                                                           
      1999......................................................... $    606,624
      2000.........................................................      666,834
      2001.........................................................      480,147
      2002.........................................................          --
      2003.........................................................    7,000,000
      2004 and thereafter..........................................  100,000,000
                                                                    ------------
                                                                    $108,753,605
                                                                    ============

      
 
14. INCOME TAXES
 
  Deferred income taxes reflect the net effects of temporary differences
between carrying amounts of assets and liabilities for financial reporting
purposes and the amounts used for income tax purposes. Significant components
of deferred income taxes at September 30 were as follows:
 
                                      F-18

 
                    EVEREST HEALTHCARE SERVICES CORPORATION
 
            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS--(CONTINUED)
 
 


                                                         1997         1998
                                                      -----------  -----------
                                                             
      Allowance for uncollectible accounts........... $ 1,109,000  $ 2,347,000
      Accrued vacation...............................     511,000      792,000
      Net operating loss carryforwards...............      29,000       29,000
                                                      -----------  -----------
      Total deferred tax assets......................   1,649,000    3,168,000
      Patient accounts receivable basis difference...  (1,740,000)  (1,384,000)
      Other..........................................     (17,000)    (132,000)
                                                      -----------  -----------
      Total deferred tax liabilities.................  (1,757,000)  (1,516,000)
                                                      -----------  -----------
      Net deferred tax asset (liability)............. $  (108,000) $ 1,652,000
                                                      ===========  ===========

 
  Income taxes consist of the following at September 30:
 


                                                  1996       1997       1998
                                               ---------- ---------- ----------
                                                            
      Current:
        Federal............................... $2,106,000 $2,555,000 $4,120,000
        State.................................    500,000    603,000  1,181,000
      Deferred................................    194,000    531,000 (1,760,000)
                                               ---------- ---------- ----------
                                               $2,800,000 $3,689,000 $3,541,000
                                               ========== ========== ==========

 
  Federal income taxes at the statutory rate are reconciled with the Company's
income tax provision at September 30 as follows:
 


                                                               1996  1997  1998
                                                               ----  ----  ----
                                                                  
      Federal statutory rate.................................. 34.0% 34.0% 34.0%
      State income taxes, net of federal benefit..............  4.4   5.0   7.0
      Nondeductible goodwill amortization.....................  2.5   5.5  10.1
      Other, net..............................................  (.3)  2.1  (2.1)
                                                               ----  ----  ----
                                                               40.6% 46.6% 49.0%
                                                               ====  ====  ====

 
15. STOCK OPTIONS
 
  The Company has stock options outstanding as follows:
 


                                                                     EXERCISE
                                                         OPTIONS      PRICE
                                                        ---------  ------------
                                                             
      Balance at October 1, 1995.......................       --   $        --
      Granted..........................................   526,500          7.50
                                                        ---------
      Balance at September 30, 1996....................   526,500          7.50
      Granted.......................................... 1,229,600          9.10
                                                        ---------
      Balance at September 30, 1997.................... 1,756,100     7.50-9.10
      Granted..........................................   140,000         13.05
      Forfeitures......................................   (31,200)         9.10
                                                        ---------
                                                        1,864,900  $7.50-$13.05
                                                        =========

 
                                      F-19

 
                    EVEREST HEALTHCARE SERVICES CORPORATION
 
            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS--(CONTINUED)
 
 
  Included in the stock options outstanding are 526,500 stock options issued on
October 1, 1995 to Peak (the predecessor of the Company), and 354,100 stock
options issued in 1997. These options had not been included in prior periods as
they represented the parent company's ownership of stock options in its
subsidiary. In connection with the reorganization on November 30, 1997, these
880,600 stock options were issued to Peak Liquidating, LLC (a shareholder of
the Company) and, as such, have been reflected as outstanding in all periods
subsequent to their original grant. The 526,500 options were issued upon the
formation of the Company and are currently exercisable. The remaining 1,338,400
options outstanding were issued under the Everest Healthcare Services
Corporation 1996 Stock Award Plan (the 1996 Plan). The 1996 Plan permits the
granting of stock options to certain key executive, managerial, and
administrative employees of the Company to purchase shares of the Company's
common stock. The stock options awarded vest ratably over a four year period in
25% increments. The stock options awarded expire ten years from the date of
grant. Of the stock options outstanding under the 1996 Plan, 299,600 are
exercisable at September 30, 1998.
 
  In connection with the Company's reorganization, the Company cancelled all
stock options outstanding and subsequently reissued them under the Everest
Healthcare Services Corporation 1998 Stock Award Plan (the 1998 Plan). The 1998
Plan contains the same provisions as the 1996 Plan and the reissuance of stock
options had no effect on the options previously issued.
 
  The Company accounts for its stock options in accordance with Accounting
Principles Board Opinion No. 25, "Accounting for Stock Issued to Employees"
(APB25), as permitted in accordance with Statement of Financial Accounting
Standards No. 123, "Accounting for Stock Based Compensation" (SFAS 123). Had
the provisions of SFAS 123 been used in the calculation of compensation expense
(calculated using the minimum value method for nonpublic companies), pro forma
net income would have been approximately $35,000 and $211,000 lower than the
net income reported in the statement of operations for the years ended
September 30, 1997 and 1998, respectively.
 
16. RELATED PARTY TRANSACTIONS
 
  The Company provides administrative and purchasing services to several of its
unconsolidated affiliates, all of which are owned, or substantially owned, by
the majority equity holders of the Company. Fees charged to affiliates for
services were approximately $1,579,000, $1,295,000, and $1,939,000 during the
years ended September 30, 1996, 1997, and 1998, respectively, and are included
in the accompanying consolidated statement of operations. In addition, the
Company provides advances to certain affiliates. Amounts due from
unconsolidated affiliates at September 30 were as follows:
 


                                                         1997        1998
                                                      ----------- -----------
                                                            
      Nephrology Associates of Northern Illinois,
       Ltd........................................... $ 7,642,675 $ 8,408,654
      Unconsolidated Joint Ventures..................   4,735,816   8,210,084
      Others.........................................     311,639      25,000
                                                      ----------- -----------
                                                      $12,690,130 $16,643,738
                                                      =========== ===========

 
  Nephrology Associates of Northern Illinois, Ltd., an unconsolidated affiliate
substantially owned by the majority equity holders of the Company, provides
management and physician supervisory services to the Company's outpatient
maintenance dialysis operations. Total fees incurred for such services amounted
to approximately $2,369,000, $1,883,000, and $1,536,000 during the years ended
September 30, 1996, 1997, and 1998, respectively, and are included in the
accompanying consolidated statement of operations.
 
  The Company earned interest on outstanding balances due from unconsolidated
affiliates of approximately $748,000, $1,368,000, and $1,261,000 during the
years ended September 30, 1996, 1997, and 1998, respectively.
 
17. SIGNIFICANT VENDOR
 
  For the years ended September 30, 1996, 1997, and 1998, purchases from two
vendors accounted for 55%, 49%, and 46% of total purchases, respectively.
 
                                      F-20

 
                    EVEREST HEALTHCARE SERVICES CORPORATION
 
            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS--(CONTINUED)
 
 
18. SUPPLEMENTAL CASH FLOW INFORMATION
 
  The following table provides supplemental cash flow data in addition to the
information provided in the consolidated statements of cash flows for the years
ended September 30:
 


                                                  1996       1997       1998
                                               ---------- ---------- -----------
                                                            
Cash paid for:
  Income taxes...............................  $2,134,000 $2,068,000 $ 7,176,064
  Interest...................................   1,262,978  2,706,479   4,246,470
SUPPLEMENTAL DISCLOSURE OF NON-CASH ACTIVITY:
Fair value of common stock issued in business
 acquisitions................................   8,891,055        --    2,769,984
Debt issued for acquisition of business......         --   7,000,000         --
Fair value of common stock issued in
 connection with the acquisition of minority
 interests...................................         --         --   26,610,000
Distribution of notes receivable to members..         --         --    7,208,809

 
19. SEGMENT INFORMATION
 
  The following table presents the Company's financial information by its
business segments. Included in the dialysis services segment are revenues from
management fees earned for administrative services.
 


                                                     ADJUSTMENTS
                              DIALYSIS    CONTRACT       AND
                              SERVICES    SERVICES   ELIMINATIONS CONSOLIDATED
                            ------------ ----------- ------------ ------------
                                                      
Year ended September 30,
 1996:
Net revenues............... $ 83,013,309 $   157,905   $    --    $ 83,171,214
Depreciation and
 amortization..............    3,399,203       1,791        --       3,400,994
Income from operations.....    4,882,264      17,148        --       4,899,412
Total assets...............   64,265,311     445,432        --      64,710,743
Capital expenditures.......    1,298,573     143,317        --       1,441,890
Year ended September 30,
 1997:
Net revenues............... $ 99,172,280 $14,664,981   $(28,965)  $113,808,296
Depreciation and
 amortization..............    4,369,519     569,962        --       4,939,481
Income from operations.....   10,242,699   1,143,852        --      11,386,551
Total assets...............   87,033,825  15,173,821        --     102,207,646
Capital expenditures.......    7,547,556     209,605        --       7,757,161
Year ended September 30,
 1998:
Net revenues............... $125,800,929 $21,674,428   $    --    $147,475,357
Depreciation and
 amortization..............    6,292,119     634,507        --       6,926,626
Income from operations.....    9,561,822   2,329,594        --      11,891,416
Total assets...............  180,930,282  17,765,177        --     198,695,459
Capital expenditures.......   11,716,259     448,237        --      12,164,496

 
                                      F-21

 
                    EVEREST HEALTHCARE SERVICES CORPORATION
 
            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS--(CONTINUED)
 
 
20. OTHER FINANCIAL INFORMATION
 
  The Company is a holding company with no independent assets or operations.
Therefore, the Company relies primarily upon payment from its subsidiaries for
the funds necessary to meet its obligations, including the payment of interest.
The ability of the subsidiaries to fund the obligations is subject to
significant restrictions, will be dependent upon the earnings of the
subsidiaries, and will be subject to applicable laws and approval by the
subsidiaries. Full separate statements of the Guarantor Subsidiaries have not
been presented as the guarantors are wholly owned subsidiaries of the Company.
Management does not believe that inclusion of such financial statements would
be material to investors. The guarantees of the Guarantor Subsidiaries are
full, unconditional, and joint and several.
 
                                      F-22

 
                    EVEREST HEALTHCARE SERVICES CORPORATION
 
            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS--(CONTINUED)
 
 
  The following sets forth the financial data at September 30, 1998 and for
year then ended:
 


                                                         NON-
                            PARENT      GUARANTOR     GUARANTOR
                           COMPANY     SUBSIDIARIES  SUBSIDIARIES  ELIMINATIONS  CONSOLIDATED
                         ------------  ------------  ------------  ------------  ------------
                                                                  
STATEMENT OF OPERATIONS
 DATA
Net revenues............ $        --   $118,926,604  $28,548,753   $        --   $147,475,357
Patient care costs......          --     73,870,853   19,997,307            --     93,868,160
General and
 administrative
 expenses...............    4,508,847    23,257,024    4,296,660            --     32,062,531
Provision for bad
 debts..................          --      2,461,348      265,276            --      2,726,624
Depreciation and
 amortization...........      595,059     5,183,321    1,148,246            --      6,926,626
                         ------------  ------------  -----------   ------------  ------------
Income (loss) from
 operations.............   (5,103,906)   14,154,058    2,841,264            --     11,891,416
Interest expense, net...   (3,727,134)   (1,025,039)  (1,180,472)           --     (5,932,645)
Equity in earnings of
 affiliates.............          --      1,784,470          --             --      1,784,470
Minority interests in
 (earnings) loss........     (315,000)     (237,410)      36,013            --       (516,397)
                         ------------  ------------  -----------   ------------  ------------
Income before income
 taxes..................   (9,146,040)   14,676,079    1,696,805            --      7,226,844
Income tax expense......          --      3,367,530      173,470            --      3,541,000
                         ------------  ------------  -----------   ------------  ------------
Net income (loss)....... $ (9,146,040) $ 11,308,549  $ 1,523,335   $        --   $  3,685,844
                         ============  ============  ===========   ============  ============
BALANCE SHEET DATA
Assets:
Cash and cash
 equivalents............ $ 10,730,611  $    240,193  $ 1,554,763   $        --   $ 12,525,567
Patient accounts
 receivable and other...       50,000    40,271,344    7,299,162       (758,442)   46,862,064
Other current assets....          --      5,598,471    1,085,329            --      6,683,800
Property and equipment,
 net....................    5,127,947    20,241,354    2,365,648            --     27,734,949
Goodwill, net...........   13,149,081    31,319,747   14,346,474            --     58,815,302
Amounts due from
 affiliates.............   37,398,980           --           --     (20,755,242)   16,643,738
Investment in
 affiliates.............   46,189,558     1,689,677          --     (46,189,558)    1,689,677
Other assets............    5,645,820    20,972,928    1,647,264       (525,650)   27,740,362
                         ------------  ------------  -----------   ------------  ------------
Total assets............ $118,291,997  $120,333,714  $28,298,640   $(68,228,892) $198,695,459
                         ============  ============  ===========   ============  ============
LIABILITIES AND
 STOCKHOLDERS' EQUITY
Current liabilities..... $  5,384,381  $ 20,774,387  $ 3,706,334   $   (758,442) $ 29,106,660
Long-term liabilities...  100,000,000    17,854,123   14,759,922    (21,280,892)  111,333,153
Total stockholders'
 equity.................   12,907,616    81,705,204    9,832,384    (46,189,558)   58,255,646
                         ------------  ------------  -----------   ------------  ------------
Total liabilities and
 stockholders' equity... $118,291,997  $120,333,714  $28,298,640   $(68,228,892) $198,695,459
                         ============  ============  ===========   ============  ============

 
                                      F-23

 
                    EVEREST HEALTHCARE SERVICES CORPORATION
 
            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS--(CONTINUED)
 


                                                           NON-
                             PARENT       GUARANTOR     GUARANTOR
                             COMPANY     SUBSIDIARIES  SUBSIDIARIES  ELIMINATIONS CONSOLIDATED
                          -------------  ------------  ------------  ------------ -------------
                                                                   
STATEMENT OF CASH FLOWS
 DATA
Operating activities:
Net income (loss).......  $  (9,146,040) $ 11,308,549  $ 1,523,335       $--      $   3,685,844
Adjustments to reconcile
 net income (loss) to
 net cash provided by
 (used in) operating
 activities:
Provision for bad
 debts..................            --      2,461,348      265,276        --          2,726,624
Depreciation and
 amortization...........        595,059     5,183,321    1,148,246        --          6,926,626
Deferred income taxes...            --     (1,760,000)         --         --         (1,760,000)
Equity in earnings of
 affiliates.............            --     (1,784,470)         --         --         (1,784,470)
Minority interests in
 (earnings) loss........        315,000       237,410      (36,013)       --            516,397
Net change in operating
 assets and liabilities
 (net of effect of
 acquisitions)..........     (1,702,425)      668,745   (1,972,957)       --         (3,006,637)
                          -------------  ------------  -----------       ----     -------------
Net cash provided by
 (used in) operating
 activities.............     (9,938,406)   16,314,903      927,887        --          7,304,384
Investing activities:
Capital expenditures....     (4,834,045)   (6,633,474)    (696,977)       --        (12,164,496)
Acquisition of
 intangible assets......            --    (19,507,054)         --         --        (19,507,054)
Acquisition of
 businesses, net of cash
 acquired...............            --    (17,370,952)         --         --        (17,370,952)
Increase in amounts due
 from affiliates........    (32,112,171)   28,158,563          --         --         (3,953,608)
                          -------------  ------------  -----------       ----     -------------
Net cash used in
 investing activities...    (36,946,216)  (15,352,917)    (696,977)       --        (52,996,110)
Financing activities:
Proceeds from long term
 debt...................    191,531,287           --           --         --        191,531,287
Payments on long term
 debt...................   (128,922,419)     (271,977)         --         --       (129,194,396)
Payment on capital lease
 obligations............            --       (766,233)         --         --           (766,233)
Distributions to
 members................       (600,022)          --           --         --           (600,022)
Deferred financing
 costs..................     (5,210,012)          --           --         --         (5,210,012)
                          -------------  ------------  -----------       ----     -------------
Net cash provided by
 (used in) financing
 activities.............     56,798,834    (1,038,210)         --         --         55,760,624
                          -------------  ------------  -----------       ----     -------------
Increase (decrease) in
 cash and cash
 equivalents............      9,914,212       (76,224)     230,910        --         10,068,898
Cash and cash
 equivalents at
 beginning of year......        816,398       316,418    1,323,853        --          2,456,669
                          -------------  ------------  -----------       ----     -------------
Cash and cash
 equivalents at end of
 year...................  $  10,730,610  $    240,194  $ 1,554,763       $--      $  12,525,567
                          =============  ============  ===========       ====     =============

 
                                      F-24

 
                    EVEREST HEALTHCARE SERVICES CORPORATION
 
            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS--(CONTINUED)
 
 
  The following sets forth the financial data at September 30, 1997 and for the
year ended:
 


                                                       NON-
                           PARENT     GUARANTOR     GUARANTOR
                           COMPANY   SUBSIDIARIES  SUBSIDIARIES  ELIMINATIONS  CONSOLIDATED
                         ----------- ------------  ------------  ------------  ------------
                                                                
STATEMENT OF OPERATIONS
 DATA
Net revenues...........  $       --  $94,991,665   $19,115,941   $   (299,310) $113,808,296
Patient care costs.....          --   58,095,256    13,962,673            --     72,057,929
General and
 administrative
 expenses..............          --   21,776,465     2,933,704            --     24,710,169
Provision for bad
 debts.................          --      578,049       136,117            --        714,166
Depreciation and
 amortization..........          --    4,158,861       780,620            --      4,939,481
                         ----------- -----------   -----------   ------------  ------------
Income from
 operations............          --   10,383,034     1,302,827       (299,310)   11,386,551
Interest (expense)
 income, net...........      423,561  (2,199,787)     (671,606)       299,310    (2,148,522)
Minority interests in
 earnings..............          --   (1,600,784)          --             --     (1,600,784)
Other income, net......          --      278,849           --             --        278,849
                         ----------- -----------   -----------   ------------  ------------
Income before income
 taxes.................      423,561   6,861,312       631,221            --      7,916,094
Income taxes...........          --    3,689,000           --             --      3,689,000
                         ----------- -----------   -----------   ------------  ------------
Net income ............  $   423,561 $ 3,172,312   $   631,221   $        --   $  4,227,094
                         =========== ===========   ===========   ============  ============
BALANCE SHEET DATA
Assets:
Cash and cash
 equivalents...........  $   816,398 $   316,418   $ 1,323,853   $        --   $  2,456,669
Patient accounts
 receivable and other..      116,875  28,725,143     3,928,897            --     32,770,915
Other current assets...          --    4,445,030       945,951     (2,630,062)    2,760,919
Property and equipment,
 net...................          --   12,733,522     2,240,650            --     14,974,172
Goodwill, net..........          --   19,200,708    12,861,246            --     32,061,954
Amounts due from (due
 to) affiliates........    5,286,809  17,882,635    (2,680,108)    (7,799,206)   12,690,130
Investment in
 affiliates............   19,845,583     828,118           --     (19,846,583)      827,118
Other assets...........          --    3,198,338       467,431            --      3,665,769
                         ----------- -----------   -----------   ------------  ------------
Total assets...........  $26,065,665 $87,329,912   $19,087,920   $(30,275,851) $102,207,646
                         =========== ===========   ===========   ============  ============
LIABILITIES AND STOCKHOLDERS'
 EQUITY
Current liabilities....  $       --  $15,483,844   $ 3,423,258   $ (1,330,267) $ 17,576,835
Long-term liabilities..      653,758  50,881,785     9,195,620     (9,099,001)   51,632,162
Stockholders' equity...   25,411,907  20,964,283     6,469,042    (19,846,583)   32,998,649
                         ----------- -----------   -----------   ------------  ------------
Total liabilities and
 stockholders' equity..  $26,065,665 $87,329,912   $19,087,920   $(30,275,851) $102,207,646
                         =========== ===========   ===========   ============  ============

 
                                      F-25

 
                    EVEREST HEALTHCARE SERVICES CORPORATION
 
            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS--(CONTINUED)
 


                                                    NON-
                          PARENT   GUARANTOR     GUARANTOR
                         COMPANY  SUBSIDIARIES  SUBSIDIARIES ELIMINATIONS CONSOLIDATED
                         -------- ------------  ------------ ------------ ------------
                                                           
STATEMENT OF CASH FLOWS
 DATA
Operating activities:
  Net income ........... $423,561 $ 3,172,312    $  631,221      $--      $ 4,227,094
  Adjustments to
   reconcile net income
   to net cash provided
   by operating
   activities:
    Provision for bad
     debts..............      --      578,049       136,117       --          714,166
    Depreciation and
     amortization.......      --    4,158,861       780,620       --        4,939,481
    Deferred income
     taxes..............      --      531,000           --        --          531,000
    Minority interests
     in earnings........      --    1,600,784           --        --        1,600,784
    Net change in
     operating assets
     and liabilities
     (net of effect of
     acquisition).......  392,837  (9,528,873)     (224,105)      --       (9,360,141)
                         -------- -----------    ----------      ----     -----------
    Net cash provided by
     operating
     activities.........  816,398     512,133     1,323,853       --        2,652,384
Investing activities:
  Additions to property
   and equipment........      --   (7,757,161)          --        --       (7,757,161)
  Acquisition of
   businesses, net of
   cash acquired........      --   (5,041,736)          --        --       (5,041,736)
  Increase in amounts
   due from affiliates..      --   (4,771,052)          --        --       (4,771,052)
                         -------- -----------    ----------      ----     -----------
  Net cash used in
   investing
   activities...........      --  (17,569,949)          --        --      (17,569,949)
Financing activities:
  Proceeds from long
   term debt............      --   69,260,975           --        --       69,260,975
  Payments on long term
   debt.................      --  (50,845,655)          --        --      (50,845,655)
  Payments on capital
   lease obligations....      --      (37,898)          --        --          (37,898)
  Distribution to
   members..............      --     (101,547)          --        --         (101,547)
  Deferred financing
   costs................      --     (901,641)          --        --         (901,641)
                         -------- -----------    ----------      ----     -----------
  Net cash provided by
   financing
   activities...........      --   17,374,234           --        --       17,374,234
                         -------- -----------    ----------      ----     -----------
Increase in cash and
 cash equivalents.......  816,398     316,418     1,323,853       --        2,456,669
Cash and cash
 equivalents at
 beginning of year......      --          --            --        --              --
                         -------- -----------    ----------      ----     -----------
Cash and cash
 equivalents at end of
 year................... $816,398 $   316,418    $1,323,853      $--      $ 2,456,669
                         ======== ===========    ==========      ====     ===========

 
                                      F-26

 
                    EVEREST HEALTHCARE SERVICES CORPORATION
 
            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS--(CONTINUED)
 
  The following sets forth the financial data at September 30, 1996 and for the
year ended:
 


                           PARENT    GUARANTOR    NON-GUARANTOR
                          COMPANY   SUBSIDIARIES  SUBSIDIARIES  ELIMINATIONS CONSOLIDATED
                          --------  ------------  ------------- ------------ ------------
STATEMENT OF OPERATIONS
DATA:
                                                              
 Net Revenues...........  $    --   $82,985,918     $ 584,847    $(399,551)  $83,171,214
 Patient care costs.....       --    54,462,884       421,900          --     54,884,784
 General and
  administrative
  expenses..............       --    17,239,945       222,725          --     17,462,670
 Provision for bad
  debts.................       --     2,472,534        50,820          --      2,523,354
 Depreciation and
  amortization..........       --     3,394,384         6,610          --      3,400,994
                          --------  -----------     ---------    ---------   -----------
 Income (loss) from
  operations............       --     5,416,171      (117,208)    (399,551)    4,899,412
 Interest (expense)
  income, net...........   355,169   (1,013,668)      (16,957)     399,551      (275,905)
 Minority interests in
  earnings..............       --      (810,314)          --           --       (810,314)
 Gain on curtailment of
  pension benefits......       --     3,043,628           --           --      3,043,628
 Other income (expense),
  net...................      (581)      39,869           --           --         39,288
                          --------  -----------     ---------    ---------   -----------
 Income (loss) before
  income taxes..........   354,588    6,675,686      (134,165)         --      6,896,109
 Income taxes...........     1,024    2,798,976           --           --      2,800,000
                          --------  -----------     ---------    ---------   -----------
 Net income (loss)......  $353,564  $ 3,876,710     $(134,165)   $     --    $ 4,096,109
                          ========  ===========     =========    =========   ===========

STATEMENT OF CASH FLOWS
DATA:
                                                              
 Operating activities:
 Net income (loss)......  $353,564  $ 3,876,710     $(134,165)   $     --    $ 4,096,109
 Adjustments to
  reconcile net income
  (loss) to net cash
  provided by (used in)
  operating activities:
 Provision for bad
  debts.................       --     2,472,534        50,820          --      2,523,354
 Depreciation and
  amortization..........       --     3,394,384         6,610          --      3,400,994
 Gain on curtailment of
  pension benefits......       --    (3,043,628)          --           --     (3,043,628)
 Deferred income taxes..       --       194,000           --           --        194,000
 Minority interests in
  earnings..............       --       810,314           --           --        810,314
 Net change in operating
  assets and liabilities
  (net of effect of
  acquisitions).........  (353,564)  (1,509,463)       76,735          --     (1,786,292)
                          --------  -----------     ---------    ---------   -----------
 Net cash provided by
  operating activities..       --     6,194,851           --           --      6,194,851
 Investing Activities:
 Additions to property
  and equipment.........       --    (1,441,890)          --           --     (1,441,890)
 Acquisitions of
  business, net of cash
  acquired..............       --    (3,201,756)          --           --     (3,201,756)
 Increase in amounts due
  from affiliates.......       --    (8,268,297)          --           --     (8,268,297)
                          --------  -----------     ---------    ---------   -----------
 Net cash used in
  investing activities..       --   (12,911,943)          --           --    (12,911,943)
 Financing Activities:
 Proceeds from long term
  debt..................  $    --   $12,779,088     $     --     $     --    $12,779,088
 Payments on long term
  debt..................       --    (7,688,926)          --           --     (7,688,926)
 Other..................       --     1,626,930           --           --      1,626,930
                          --------  -----------     ---------    ---------   -----------
 Net cash provided by
  financing activities..       --     6,717,092           --           --      6,717,092
                          --------  -----------     ---------    ---------   -----------
 Increase in cash and
  cash equivalents......       --           --            --           --            --
 Cash and cash
  equivalents ..........       --           --            --           --            --
                          --------  -----------     ---------    ---------   -----------
 Cash and cash
  equivalents at end of
  year..................  $    --   $       --      $     --     $     --    $       --
                          ========  ===========     =========    =========   ===========

 
                                      F-27

 
                                                                     SCHEDULE II
 
                        VALUATION & QUALIFYING ACCOUNTS
                    EVEREST HEALTHCARE SERVICES CORPORATION
 
                                 (IN THOUSANDS)
 


                                               ADDITIONS
                                            ----------------
                                   BALANCE                              BALANCE
                                     AT     CHARGED CHARGED             AT END
                                  BEGINNING   TO    TO OTHER              OF
                                  OF PERIOD EXPENSE ACCOUNTS RECOVERIES PERIOD
                                  --------- ------- -------- ---------- -------
                                                         
Year ended September 30, 1998
Deducted from asset accounts:
  Allowance for patient accounts
   receivable....................  $2,791   $2,727   3,258     $2,295   $6,481
                                   ------   ------   -----     ------   ------
    Total........................  $2,791   $2,727   3,258     $2,295   $6,481
                                   ======   ======   =====     ======   ======
Year ended September 30, 1997
Deducted from asset accounts:
  Allowance for patient accounts
   receivable....................  $3,014   $  714   $  --     $  937   $2,791
                                   ------   ------   -----     ------   ------
    Total........................  $3,014   $  714   $  --     $  937   $2,791
                                   ======   ======   =====     ======   ======
Year ended September 30, 1996
Deducted from asset accounts:
  Allowance for patient accounts
   receivable....................  $   --   $2,523   $ 491     $   --   $3,014
                                   ------   ------   -----     ------   ------
    Total........................  $   --   $2,523   $ 491     $   --   $3,014
                                   ======   ======   =====     ======   ======

 
                                       1

EX-10.14

 
                                                                   Exhibit 10.14


                    EMPLOYMENT AND NON-COMPETITION AGREEMENT
                    ----------------------------------------


     THIS EMPLOYMENT AND NON-COMPETITION AGREEMENT (this "Agreement"), is
entered into as of August 10, 1998 by and between JOHN B. BOURKE, an Illinois
resident ("Employee"), and EVEREST HEALTHCARE SERVICES CORPORATION, a Delaware
corporation (the "Company").

     WHEREAS, the Company provides dialysis and other services to patients and
other clients through its subsidiaries, and provides management, operational and
other services to its subsidiaries and various other entities; and

     WHEREAS, the Company desires to employ Employee, and Employee desires to be
so employed, in accordance with the terms hereof.

     NOW, THEREFORE, in consideration of the mutual agreements and
understandings set forth herein and for other good and valuable consideration,
the receipt and adequacy of which are hereby acknowledged, the Company and the
Employee hereby agree as follows:

1.   Employment.
     ---------- 

     1.1  Engagement of Employee.  The Company agrees to employ Employee as
Chief Financial Officer of the Company, and Employee accepts such employment by
the Company, during the period beginning the date hereof and ending on the fifth
anniversary of the Effective Date (the "Expiration Date"), unless sooner
terminated pursuant to Section 3 hereof (the "Employment Period").  Employee's
employment by the Company commenced on February 1, 1996 (the "Effective Date").

     1.2  Duties and Powers.  During the Employment Period, Employee will serve
as Chief Financial Officer of the Company, and will have such responsibilities,
duties and authorities as outlined on Exhibit A hereto and rendering such other
services of an executive and administrative character to the Company, its
subsidiaries and its affiliates, as the chief executive officer of the Company
or Board of Directors of the Company (the "Board") may from time to time direct.
Employee will devote his best efforts and his full business time and attention
(except for permitted vacation periods and reasonable periods of illness or
other incapacity) to the business and affairs of the Company, and shall perform
the duties and carry out the responsibilities assigned to him, to the best of
his ability, in a diligent, businesslike and efficient manner, and in a manner
which does not violate any fiduciary duties Employee owes the Company under
common or statutory law, for the purpose of advancing the Company. Employee
acknowledges that his duties and responsibilities will require his full-time
business efforts and agrees that during the Employment Period he will not engage
in any other business activity or have any business pursuits or interests except
insignificant activities or interests which do not conflict or compete with the
business of the Company and its subsidiaries or interfere with the performance
of Employee's duties hereunder.

 
2.   Compensation.
     ------------ 

     2.1  Base Salary.  During the Employment Period, the Company will pay
Employee a base salary at the rate of $13,500 per month, or a greater amount as
determined by the Board in its sole discretion (the base salary in effect from
time to time is hereinafter referred to as the "Base Salary"), payable in
regular installments in accordance with the Company's general payroll practices
for salaried officers.  Employee shall be reviewed annually and may receive, but
the Company is not obligated to provide, increases in base salary depending on
the Employee's performance.

     2.2  Bonus Plan.  Employee shall be eligible to receive bonus compensation,
in the sole discretion of the Board, after each fiscal year of the Company
ending during the Employment Period based on the Company's performance during
such fiscal year and Employee's contributions to such performance and in an
amount equal to up to forty-five percent (45%) of his annual Base Salary during
such fiscal year.  Bonuses in excess of forty-five percent (45%) of Base Salary
may be paid at the Company's sole discretion for performance that exceeds
targeted objectives.

     2.3  Benefits.  In addition to the compensation payable to Employee
hereunder, Employee will be entitled to the following benefits during the
Employment Period, which benefits are provided to officers of the Company
generally as of the date hereof and shall only be modified to the extent
required to provide Comparable Benefits (as defined below):

          (a) participation in any plan, arrangement or policy of the Company
     relating to profit sharing, pensions, life insurance, disability, health
     care coverage or education, that the Company has adopted for the benefit of
     its officers generally, as such benefits may be changed by the Company from
     time to time during the term of this Agreement;

          (b) paid vacation each year with salary, consistent with Company
     policy for all salaried officers, but in no event less than four weeks paid
     vacation and five company holidays each year;

          (c) reimbursement for reasonable out-of-pocket business expenses
     incurred by Employee in the ordinary course of his duties, subject to the
     Company's policies in effect from time to time with respect to travel,
     entertainment and other expenses, including, without limitation,
     requirements with respect to reporting and documentation of such expenses;
     and

          (d) a personal expense account, funded at the employee's discretion
     from a designated portion of the Employee's salary, to be used for
     legitimate business expenses, provided all monies not used in the account
     at each year end will be returned to the Employee or his salary.

                                       2

 
     2.4  Peak Participation.

          (a) Employee shall be entitled, as provided herein, to a .5% share of
     the Peak Value (as hereinafter defined) in excess of $120,000,000 (the
     "Peak Participation").

          (b) The Peak Participation is an obligation of Peak Liquidating LLC
     and will be paid to Employee by Peak Liquidating LLC when and as Peak
     Liquidating LLC makes a final liquidating distribution to its members (the
     "Distribution Date).  Peak Liquidating LLC may pay the Peak Participation
     in cash or securities or any combination of the two as it determines.

          (c) The "Peak Value" equals the value at the Distribution Date of Peak
     Liquidating LLC, plus the value of all assets previously distributed to the
     members of either Peak Healthcare LLC or Peak Liquidating LLC.  For these
     purposes, the value of any notes distributed to the members shall be valued
     at their face amount at the time of distribution, unless events
     subsequently occurred which would require the value of the notes to be
     discounted, and the value of any marketable securities that were or will be
     distributed shall equal their quoted bid prices on the date of
     distribution, or in the case of the Company's initial public offering the
     gross price of the Company's common stock paid by the underwriters.

     2.5  Stock Options.  As an executive officer of the Company, Employee shall
be eligible to receive, but the Company is not obligated to grant, the right and
option to purchase shares of the Company's common stock (the "Option").  The
grant of the Option, number of shares, price and any other term or condition
regarding any Option shall be determined solely by the Compensation Committee of
the Company.

     2.6  Success Bonus.  In the event (i) the Company enters into a definitive
binding agreement for the sale of the Company (whether pursuant to a merger, a
sale of substantially all of the assets or all the common stock, or otherwise)
to a third party pursuant to which the shareholders of the Company receive cash
or marketable securities in exchange for the Company's stock (a "Sale") prior to
December 31, 2000, (ii) such Sale closes, and (iii) Employee is employed by the
Company at the time of the closing, the Company will pay to Employee an
additional bonus of $400,000 no later than 30 days following the closing of the
Sale.

3.   Termination.
     ----------- 

     3.1  Termination By Employee or the Company.  The Employment Period (i)
shall automatically terminate immediately upon Employee's resignation or death,
or (ii) may be terminated by the Company upon written notice delivered to
Employee or by reason of Employee's Permanent Disability.

     "Permanent Disability" shall mean, with respect to the Employee (i) the
suffering of any mental or physical illness, disability or incapacity to the
extent that the Employee shall be

                                       3

 
unable to perform his duties for a period of three months during any six-month
period, or (ii) the absence of the Employee from his employment by reason of any
mental or physical illness, disability or incapacity for a period of three
months during any six-month period; provided, however, in either case, that such
illness, disability or incapacity shall be determined to be of a permanent
nature by a licensed physician selected by the Board and reasonably acceptable
to the Employee.  The Employment Period shall end in the case of clause (i) and
(ii) on the last day of such three-month period.  Notwithstanding the foregoing,
a condition shall not be a Permanent Disability if it is the result of (i) a
willfully self-inflicted injury or willfully self-inflicted sickness or (ii) an
injury or disease contracted, suffered, or incurred while participating in a
criminal offense.  "Affiliated Entity" shall mean any entity which, directly or
indirectly controls, is controlled by or is under common control with, the
Company.

     3.2  Compensation After Termination or Expiration.

          (a) If the Employment Period is terminated, Employee (or his
     designated beneficiary) shall be entitled to receive (A) as severance pay
     payments equal to 130% of the Base Salary for one year from the date of
     such termination, in regular installments in accordance with the Company's
     regular payroll practices for salaried officers as of the date hereof, (B)
     reimbursement for the cost of outplacement services up to a maximum of
     $30,000, and (C) health and life insurance for up to 12 months from the
     date of termination on the same basis as provided to Employee prior to
     termination.

          (b) The Employee hereby agrees that the Company may dismiss him
     without any liability except for the payments required to be made by this
     Section 3.2 and except as otherwise set forth in Section 3.3(d), and
     without regard to any general or specific policies (whether written or
     oral) of the Company relating to the employment or termination of its
     employees.  The Company and the Employee acknowledge that it would be
     impractical or extremely difficult to fix the Employee's actual damages in
     the case of any such termination.  Therefore, the Company and Employee
     agree that the payments to be paid as provided for in this Section 3.2 and
     Section 3.3(d) shall constitute liquidated damages; provided, however, that
     the Employee shall be under no duty to mitigate such liquidated damages.
     In return for tendering payment of such liquidated damages, regardless of
     whether after tender of such payment Employee accepts it, Employee for
     himself and his heirs, executors, administrators and assigns (collectively,
     the "Releasors") does hereby remise, release, and forever discharge as to
     the Company and any of its Affiliated Entities and their respective agents,
     officers, directors and employees, heirs, successors, assigns
     (collectively, the "Releasees"), all manners of action, cause and causes of
     action, suits, debts, dues, accounts, liabilities, covenants, contracts,
     agreements, claims, obligations, damages, injuries and demands
     (collectively, the "Actions") whatsoever of any kind and nature, whether
     foreseen or unforeseen, contingent or actual, liquidated or unliquidated,
     in law or in equity, which any Releasor has or may have against any
     Releasee except for claims for breaches by the Company of express
     provisions of Section 3.2 or Section 3.3(d) of this Agreement. The Employee
     hereby covenants not to sue any Releasee relating to any Action.

                                       4

 
          (c) Notwithstanding any provision hereof other than Section 3.3(d),
     after termination or expiration of the Employment Period (i) the Company
     shall continue to have all of its rights hereunder (including, without
     limitation, all rights under Section 4 hereof at law or in equity), and
     (ii) Employee shall continue to have all of his rights under Sections 3.2
     and 3.3 hereof.

     3.3  Obligations On Termination.

          (a) Upon the expiration or termination of the Employment Period for
     any reason, Employee shall be deemed to have resigned from all offices,
     directorships, trusteeships, or other positions he may then hold with the
     Company or an Affiliated Entity.  Such resignation shall be deemed
     effective immediately thereupon, without the requirement that a written
     resignation be delivered.

          (b) Employee agrees that following the expiration or termination of
     the Employment Period for any reason, he will provide any service which the
     Company may reasonably require to discharge its continuing obligations to
     its clients with respect to services performed by Employee for a period not
     to exceed 60 days (and so long as such services do not interfere with any
     new position or employment of Employee), and in such events Employee will
     be entitled to compensation on a per diem basis at his then customary rate
     for such services in addition to all other payments due the Employee by the
     Company in accordance with the terms hereof.  Such rate shall be negotiated
     between the parties in good faith, or if they are unable to agree shall be
     200% of Employee's Base Salary divided by 365.

          (c) The Employee hereby acknowledges and agrees that all personal
     property and equipment furnished to or prepared by the Employee in the
     course of or incident to his employment belong to the Company and shall be
     promptly returned to the Company upon termination of the Employment Period.
     "Personal property" includes, without limitation, all books, manuals,
     records, reports, notes, contracts, lists, blueprints, and other documents,
     or materials, or copies thereof, and all other proprietary information
     relating to the business of the Company; provided, however, that nothing
     shall preclude the Employee from retaining or removing (i) his personal
     rolodex, calendars, personal files of business processes, personal
     education and general business materials ("Personal Files"); (ii)
     information not containing Confidential Information (as hereinafter defined
     in Section 4.5) or a trade secret obtained while in the employ of the
     Company; or (iii) the Employee's personal computer provided all
     Confidential Information is deleted.  The Employee cannot retain or remove
     personal property that is or contains Confidential Information or a trade
     secret obtained while in the employ of the Company.  Prior to retaining or
     removing any personal property other than his Personal Files, the Employee
     will inform the Company of what personal property he intends to retain or
     remove. If a dispute arises between the Company and the Employee regarding
     the right of Employee to remove any such personal property, the parties
     shall arbitrate such dispute in a manner mutually agreeable to them.
     Following termination, the Employee will not retain any written or other
     tangible

                                       5

 
     material containing any Confidential Information or trade secrets, except
     as described above.

          (d) In the event the Employment Period expires or is terminated (other
     than due to the resignation or termination by Employee for the failure of
     the Company to (i) pay his Base Salary in accordance with Section 2.1 or
     bonus in accordance with Section 2.2, or (ii) pay or make available
     Comparable Benefits (as defined below) (the failures included in clauses
     (i) and (ii) are hereinafter collectively referred to as the "Termination
     Events")), the Company's sole liability to Employee shall be limited to,
     and Employee shall only be entitled to sue the Company for, the
     compensation due to him in accordance with Section 3.2.  In the event the
     Employment Period is terminated due to the resignation by Employee for the
     occurrence of any Termination Event, Employee shall have the right to
     exercise any rights he has in law or equity, including the right to sue for
     damages and to render this Agreement of no further force or effect.
     "Comparable Benefits" means, for purposes of this Agreement, all employee
     benefits including, but not limited to, vacation, disability, death
     benefits, healthcare, pension and 401K plans, those benefits provided in
     Section 2.3, and other fringe benefits provided to other similarly situated
     Company executives ("Company Benefits") with respect to both the financial
     effect of such benefits to Employee and the terms and provisions of such
     benefits (which benefits must be within a range of no less than 90% of the
     Company Benefits).

4.   Covenant Not to Compete.
     ----------------------- 

     4.1  Employee's Knowledge.  Employee acknowledges and agrees that he has
occupied and will continue to occupy a position of trust and confidence with the
Company and has and will become familiar with the Company's trade secrets and
other proprietary and confidential information concerning the Company.  Employee
acknowledges and agrees that his services are of a special, unique and
extraordinary value to the Company and that the Company would be irreparably
damaged if Employee were to provide similar services to any person or entity in
violation of the provisions of this Agreement.  Employee further acknowledges
that the Company's relationships with its clients and other business partners
are among its most valuable assets which in many cases have been created over a
long period of time and, if lost, could not be replaced.

     4.2  Non-Compete.  As consideration for the Company entering into this
Agreement, and in recognition of the Company's proprietary interest in its
business, Employee agrees that he shall not, during the Restricted Period (as
defined below), directly or indirectly, as employee, agent, consultant,
stockholder, director, co-partner or in any other individual or representative
capacity, own, operate, manage, control, engage in, invest in or participate in
any manner in, act as a consultant or adviser to, render services for (alone or
in association with any person, firm, corporation or entity), or otherwise
assist, any person that engages in or owns, invests in, operates, manages or
controls any venture or enterprise engaging or proposing to engage in the
Business (as defined below) anywhere in the Territory (as defined below).
"Business" shall mean the performance of activities related to:

                                       6

 
        (i) the provision of dialysis treatments or services utilized in 
            connection with any dialysis treatment;

       (ii) the purchase, sale or establishment of dialysis operations and 
            facilities;

      (iii) practice management for any physician or entity practice which 
            provides nephrology or renal dialysis services; or

       (iv) extracorporeal blood handling as provided by the Company or any 
            Affiliated Entity as of the date hereof.

Notwithstanding the foregoing to the contrary, the Employee may engage in
activities related to (x) practice management under clause (iii) for any
practice management company or managed care company other than any company the
principal business of which is providing management services for nephrology or
renal dialysis practices and (y) the sale of products used in dialysis
treatments or extracorporeal blood handling.  "Restricted Period" shall mean the
period commencing on the Effective Date hereof and ending on the date which is
the second anniversary of the first to occur of the Expiration Date and the date
Employee's employment with the Company is terminated for any reason.

     The Restricted Period shall be automatically extended for a period equal to
any period that Employee is in breach of the restrictive covenants set forth in
this Section 4 (the "Restrictive Covenants").  "Territory" shall mean the area
included within a 20 mile radius of any Medicare certified outpatient renal
dialysis facility or any other facility providing any services or engaging in
any activities of the Business and either (x) owned, operated or managed by the
Company or any Affiliated Entity on the Expiration Date or the date on which the
Employment Period is otherwise terminated or at any time during the 18 months
preceding such date, or (y) for which the Company or any Affiliated Entity
during the nine months preceding the Expiration Date or the date on which the
Employment Period is otherwise terminated, was actively engaged in efforts to
establish, acquire, manage or operate (each such facility is hereinafter
referred to as a "Facility").  With respect to the Territory, Employee
specifically acknowledges that the Company plans to conduct the Business
throughout the United States and to undertake to expand the Business throughout
the United States.  If Employee's employment with the Company is terminated
within the six months following a Change of Control (as defined below), the term
"Facility," as defined for these purposes, shall not include those facilities
which are owned, managed, or operated by an Affiliated Entity which became an
Affiliated Entity as a result of the transaction which also resulted in the
Change of Control.  "Change of Control" shall mean any person or entity, other
than a shareholder of the Company on the date hereof acquiring in excess of
fifty percent (50%) of the assets or issued and outstanding voting stock of the
Company other than as a result of, or after the occurrence of, a sale, in an
underwritten public offering registered under the Securities Act of 1933, as
amended, of shares of the Company's common stock in which the price per share
paid by the public for such securities will be at least $10, reflecting a post-
offering market capitalization for the Company of at least $150 million.

                                       7

 
     4.3  Non-Solicitation.  Without limiting the generality of the provisions
of Section 4.2 hereof, Employee hereby agrees that, during the Restricted
Period, he will not, directly or indirectly, solicit, or participate as
employee, agent, consultant, stockholder, director, partner or in any other
individual or representative capacity, in any business which solicits business
from any person, firm, corporation or other entity which was a client or other
business partner of the Company during the term of this Agreement or any
referring physician or any owner of facilities operated by the Company or its
Affiliated Entities and, in each instance, who or which is located in the
Territory, or from any successor in interest to any such person, firm,
corporation or other entity who or which is located in the Territory, for the
purpose of securing business relationships or contracts related to the Business;
provided, however, that nothing contained herein shall be construed to prohibit
or restrict Employee from soliciting business from any such parties on behalf of
the Company in performance of his duties as an employee of the Company required
under and as specifically contemplated by Section 1 above.

     4.4  Interference with Relationships.  During the Restricted Period,
Employee shall not, directly or indirectly, as employee, agent, consultant,
stockholder, director, co-partner or in any other individual or representative
capacity:  (i) except on behalf of the Company, employ or engage, recruit or
solicit for employment or engagement, any person who is or becomes employed or
engaged by the Company or its Affiliated Entities during the Restricted Period
or during the eighteen month period preceding the Restricted Period, or
otherwise seek to influence or alter any such person's relationship with the
Company or its Affiliated Entities, or (ii) solicit or encourage any client or
other business partner of the Company or its Affiliated Entities or any
referring physician or any owner of facilities operated or managed by the
Company or its Affiliated Entities to terminate or otherwise alter his
relationship with the Company or its Affiliated Entities.

     4.5  Confidential Information.  The Employee agrees that during the
Employment Period or at all times thereafter, he shall not disclose to any
person or entity not employed by the Company and not engaged to render services
to the Company or otherwise use any Confidential Information obtained while in
the employ of the Company, except on behalf of the Company in accordance with
its policies or as such disclosure may be required by law or a court order.  As
used in this Agreement, "Confidential Information" shall mean any information
relating to the business or affairs of the Company, Peak Healthcare, L.L.C., a
limited liability company formed under the laws of the State of Delaware
("Peak"), any Affiliated Entities, or any of their clients or other business
partners, including but not limited to information relating to financial
statements, client or other business partner identities, potential clients,
employees, information, analyses, or other proprietary information used by the
Company, Peak, or any Affiliated Entities in connection with their businesses;
provided, however, that Confidential Information shall not include any
information which is in the public domain or becomes known in the industry
through no wrongful act on the part of Employee or is approved for disclosure by
the Company.  Employee acknowledges that the Confidential Information is vital,
sensitive, confidential and proprietary to the Company, Peak and the Affiliated
Entities.

                                       8

 
     4.6  Blue-Pencil.  If any court of competent jurisdiction shall at any time
deem the term of this Agreement or any particular Restrictive Covenant too
lengthy or the Territory too extensive, the other provisions of this Section 4
shall nevertheless stand, the Restricted Period herein shall be deemed to be the
longest period permissible by law under the circumstances and the Territory
herein shall be deemed to comprise the largest territory permissible by law
under the circumstances.  The court in each case shall reduce the time period
and/or Territory to permissible duration or size.

     4.7  Remedies.

          (a) Employee has carefully considered the nature and extent of the
     restrictions upon him and the rights and remedies conferred upon the
     Company under this Agreement, and Employee hereby acknowledges and agrees
     that such restrictions, rights and remedies are reasonable in time and
     territory, are designed to eliminate competition which otherwise would be
     unfair to the Company, do not stifle the inherent skill and experience of
     Employee, would not operate as a bar to Employee's sole means of support,
     are fully required to protect the legitimate interests of the Company and
     do not confer a benefit upon the Company disproportionate to the detriment
     to Employee.

          (b) Employee acknowledges and agrees that the Restrictive Covenants
     are reasonable and necessary for the protection of the Company's business
     interests, that irreparable injury will result to the Company if Employee
     breaches any of the terms of said Restrictive Covenants, and that in the
     event of Employee's actual or threatened breach of any such Restrictive
     Covenants, the Company will have no adequate remedy at law.  Employee
     accordingly agrees that in the event of any actual or threatened breach by
     him of any of the Restrictive Covenants, the Company shall be entitled,
     upon three days' notice to Employee, to immediate temporary injunctive and
     other equitable relief, without bond and without the necessity of showing
     actual monetary damages, subject to a hearing as soon thereafter as
     possible.  Nothing contained herein shall be construed as prohibiting the
     Company from pursuing any other remedies available to it for such breach or
     threatened breach, including the recovery of any damages which it is able
     to prove.

                                       9

 
5.   Miscellaneous.
     ------------- 

     5.1  Notices, Consents, etc.  Any notices, consents or other communication
required to be sent or given hereunder by any of the parties shall in every case
be in writing and shall be deemed properly served if (a) delivered personally,
(b) sent by registered or certified mail, in all such cases with first class
postage prepaid, return receipt requested, (c) delivered by a recognized
overnight courier service, or (d) sent by facsimile transmission (along with a
copy sent by first-class mail) to the parties at the addresses as set forth
below or at such other addresses as may be furnished in writing.

          If to Company:   Everest Healthcare Services Corporation
                           101 North Scoville
                           Oak Park, Illinois 60302
                           Attention: Craig W. Moore
                           Fax: 708/386-1711

          With copies to:  Katten Muchin & Zavis
                           525 West Monroe Street, Suite 1600
                           Chicago, Illinois 60661-3693
                           Attention: Alan Berry and
                                      Matthew S. Brown
                           Fax: 312/902-1061

          If to Employee:  John B. Bourke
                           642 N. Arlington Heights Road
                           Arlington Heights, Illinois 60004

Date of service of such notice shall be (w) the date such notice is personally
delivered, (x) three (3) days after the date of mailing if sent by certified or
registered mail, (y) one (1) day after date of delivery to the overnight courier
if sent by overnight courier or (z) the next succeeding business day after
transmission by facsimile.

     5.2  Severability.  The unenforceability or invalidity of any provision of
this Agreement shall not affect the enforceability or validity of any other
provision.

     5.3  Entire Agreement.  This Agreement and those documents expressly
referred to herein embody the complete agreement and understanding among the
parties and supersede and preempt any prior (or contemporaneous) understandings,
agreements or representations by  or among the parties, written or oral, which
may have related to the subject matter hereof in any way, and may not be
contradicted by evidence of any prior or contemporaneous agreement. The parties
further intend that this Agreement shall constitute the complete and exclusive
statement of its terms and that no extrinsic evidence whatsoever may be
introduced in any judicial, administrative, or other legal proceeding involving
this Agreement.

                                       10

 
     5.4  Counterparts.  This Agreement may be executed on separate
counterparts, each of which is deemed to be an original and all of which taken
together constitute one and the same agreement.

     5.5  Assignment.  This Agreement will be binding upon and inure to the
benefit of the parties hereto and their respective successors and permitted
assigns, but will not be assignable or delegable by any party without the prior
written consent of the other parties, except it will be assignable by the
Company in connection with a sale of the Company's business.  Notwithstanding
anything to the contrary contained herein, Employee may not assign any of his
rights or delegate any of his responsibilities, liabilities or obligations under
this Agreement, without the written consent of the Company.

     5.6  No Strict Construction.  The language used in this Agreement will be
deemed to be the language chosen by the parties hereto to express their mutual
intent, and no rule of strict construction will be applied against any party
hereto.

     5.7  Amendment and Waiver.  Any provision of this Agreement may be amended,
or any provision of this Agreement may be waived, provided that any such
amendment or waiver will be binding on Employee or the Company, only if such
amendment or waiver is set forth in a writing executed by Employee or the
Company, respectively.  The waiver by any party hereto of a breach of any
provision of this Agreement shall not operate or be construed as a waiver of any
other breach.

     5.8  Construction.  This Agreement shall be construed and enforced in
accordance with, and all questions concerning the construction, validity,
interpretation and performance of this Agreement shall be governed by, the laws
of the State of Illinois, without giving effect to provisions thereof regarding
conflict of laws.

     5.9  Consent to Jurisdiction and Service of Process.  The Company and
Employee hereby consent to the jurisdiction of any state or federal court
located within the County of Cook, State of Illinois and irrevocably agree that
subject to the Company's election, all actions or proceedings arising out of or
relating to this Agreement shall be litigated in such courts. Employee accepts
for himself and in connection with his properties, generally and
unconditionally, the nonexclusive jurisdiction of the aforesaid courts and
waives any defense of forum non conveniens, and irrevocably agrees to be bound
by any judgment rendered thereby in connection with this Agreement.  Service of
all process in any such proceeding in any such court shall be mailed by
registered mail to Employee, except that unless otherwise provided by applicable
law, any failure to mail such copy shall not affect the validity of service of
process. Employee hereby agrees that service upon him by certified mail shall
constitute sufficient notice.  Nothing herein shall affect the right to serve
process in any other manner permitted by law or shall limit the right of the
Company to bring proceedings against Employee in the courts of any other
jurisdiction.

     5.10  Employee Acknowledgment.  The Employee acknowledges (a) that he has
consulted with or has had the opportunity to consult with independent counsel of
his own

                                       11

 
choice concerning this Agreement and has been advised to do so by the Company,
and (b) that he has read and understands the Agreement, is fully aware of its
legal effect, and has entered into it freely based on his own judgment.

     5.11  Mediation.  The Company and Employee agree that in the event of any
dispute between the Company and Employee concerning the terms of this Agreement,
unless equitable relief is sought, the parties will submit the matter to
mediation prior to the commencement of legal action.

     5.12  D&O Insurance.  The Company shall maintain insurance which would
cover Employee in connection with any liability asserted against Employee for
performance of his duties hereunder or as a result of being an employee of the
Company, whether the Company would be permitted to indemnify the Employee
against such liability under applicable law to the same extent it maintains such
insurance for other officers of the Company.

     5.13  Successors/Binding Agreement.

          (a) The Company shall require any successor (whether direct or
     indirect, by purchase, merger, consolidation or otherwise) to all or
     substantially all of the business and/or assets of the Company to expressly
     assume and agree to perform this Agreement in the same manner and to the
     same extent that the Company would be required to perform if no such
     succession had taken place.  As used in this Agreement, "Company" shall
     mean the Company as herein before defined and any successor to it's
     business and/or assets as aforesaid which assumes and agrees to perform
     this Agreement by operation of law, or otherwise.

          (b) This Agreement shall inure to the benefit of and be enforceable by
     the Employee and Employee's personal or legal representatives, executors,
     administrators, successors, heirs, distributees, devisees and legatees.  In
     the event of Employee's death, all amounts otherwise payable to Employee
     hereunder shall, unless otherwise provided herein, be paid in accordance
     with the terms of this Agreement to Employee's devisee, legatee or other
     designee or, if there is no such designee, to Employee's estate.

                            [signature page follows]

                                       12

 
     IN WITNESS WHEREOF, the parties have executed this Agreement on the day and
year first above written.


                              THE COMPANY:
                              ----------- 

                              EVEREST HEALTHCARE SERVICES
                               CORPORATION


                              By: /s/ Craig W. Moore
                                 -------------------------------------
                                 Craig W. Moore



                              EMPLOYEE:
                              -------- 


                              /s/ John B. Bourke
                              ----------------------------------------
                                  John B. Bourke

                                       13

EX-10.15

 
                                                                   Exhibit 10.15


                    EMPLOYMENT AND NON-COMPETITION AGREEMENT


     THIS EMPLOYMENT AND NON-COMPETITION AGREEMENT (this "Agreement"), is
entered into as of August 10, 1998 by and between JAMES E. BECKS, an Illinois
resident ("Employee"), and EVEREST HEALTHCARE SERVICES CORPORATION, a Delaware
corporation (the "Company").

     WHEREAS, the Company provides dialysis and other services to patients and
other clients through its subsidiaries, and provides management, operational and
other services to its subsidiaries and various other entities; and

     WHEREAS, the Company desires to employ Employee, and Employee desires to be
so employed, in accordance with the terms hereof.

     NOW, THEREFORE, in consideration of the mutual agreements and
understandings set forth herein and for other good and valuable consideration,
the receipt and adequacy of which are hereby acknowledged, the Company and the
Employee hereby agree as follows:

1.   Employment.
     ---------- 

     1.1.  Engagement of Employee.  The Company agrees to employ Employee as 
Chief Executive Officer of The Extracorporeal Alliance, L.L.C. (the "Alliance"),
and Employee accepts such employment by the Company, during the period beginning
the date hereof and ending on the fifth anniversary of the Effective Date (the
"Expiration Date"), unless sooner terminated pursuant to Section 3 hereof (the
"Employment Period"). Employee's employment by the Company commenced on November
1, 1996 (the "Effective Date").

     1.2  Duties and Powers.  During the Employment Period, Employee will serve 
as Chief Executive Officer of the Alliance, and will have such responsibilities,
duties and authorities as outlined on Exhibit A hereto and rendering such other
services of an executive and administrative character to the Company, its
subsidiaries and its affiliates, as the chief executive officer of the Company
or Board of Directors of the Company (the "Board") may from time to time direct.
Employee will devote his best efforts and his full business time and attention
(except for permitted vacation periods and reasonable periods of illness or
other incapacity) to the business and affairs of the Company, and shall perform
the duties and carry out the responsibilities assigned to him, to the best of
his ability, in a diligent, businesslike and efficient manner, and in a manner
which does not violate any fiduciary duties Employee owes the Company under
common or statutory law, for the purpose of advancing the Company. Employee
acknowledges that his duties and responsibilities will require his full-time
business efforts and agrees that during the Employment Period he will not engage
in any other business activity or have any business pursuits or interests except
insignificant activities or interests which do not conflict or compete with the
business of the Company and its subsidiaries or interfere with the performance
of Employee's duties hereunder.

 
2.   Compensation.
     ------------ 

     2.1  Base Salary.  During the Employment Period, the Company will pay
Employee a base salary at the rate of $10,542 per month, or a greater amount as
determined by the Board in its sole discretion (the base salary in effect from
time to time is hereinafter referred to as the "Base Salary"), payable in
regular installments in accordance with the Company's general payroll practices
for salaried officers.  Employee shall be reviewed annually and may receive, but
the Company is not obligated to provide, increases in base salary depending on
the Employee's performance.

     2.2  Bonus Plan.  Employee shall be eligible to receive bonus compensation,
in the sole discretion of the Board, after each fiscal year of the Company
ending during the Employment Period based on the Company's performance during
such fiscal year and Employee's contributions to such performance and in an
amount equal to up to forty-five percent (45%) of his annual Base Salary during
such fiscal year. Bonuses in excess of forty-five percent (45%) of Base Salary
may be paid at the Company's sole discretion for performance that exceeds
targeted objectives.

     2.3  Benefits.  In addition to the compensation payable to Employee
hereunder, Employee will be entitled to the following benefits during the
Employment Period, which benefits are provided to officers of the Company
generally as of the date hereof and shall only be modified to the extent
required to provide Comparable Benefits (as defined below):

          (a) participation in any plan, arrangement or policy of the Company
     relating to profit sharing, pensions, life insurance, disability, health
     care coverage or education, that the Company has adopted for the benefit of
     its officers generally, as such benefits may be changed by the Company from
     time to time during the term of this Agreement;

          (b) paid vacation each year with salary, consistent with Company
     policy for all salaried officers, but in no event less than four weeks paid
     vacation and five company holidays each year;

          (c) reimbursement for reasonable out-of-pocket business expenses
     incurred by Employee in the ordinary course of his duties, subject to the
     Company's policies in effect from time to time with respect to travel,
     entertainment and other expenses, including, without limitation,
     requirements with respect to reporting and documentation of such expenses;
     and

          (d) a personal expense account, funded at the employee's discretion
     from a designated portion of the Employee's salary, to be used for
     legitimate business expenses, provided all monies not used in the account
     at each year end will be returned to the Employee or his salary.

     2.4  Stock Options.  As an executive officer of the Company, Employee shall
be eligible to receive, but the Company is not obligated to grant, the right and
option to purchase shares of

                                       2

 
the Company's common stock (the "Option").  The grant of the Option, number of
shares, price and any other term or condition regarding any Option shall be
determined solely by the Compensation Committee of the Company.

     2.5  Success Bonus.  In the event (i) the Company enters into a definitive
binding agreement for the sale of the Company (whether pursuant to a merger, a
sale of substantially all of the assets or all the common stock, or otherwise)
to a third party pursuant to which the shareholders of the Company receive cash
or marketable securities in exchange for the Company's stock (a "Sale") prior to
December 31, 2000, (ii) such Sale closes, and (iii) Employee is employed by the
Company at the time of the closing, the Company will pay to Employee an
additional bonus of $150,000 no later than 30 days following the closing of the
Sale.

3.   Termination.
     ----------- 

     3.1  Termination By Employee or the Company.  The Employment Period (i)
shall automatically terminate immediately upon Employee's resignation or death,
or (ii) may be terminated by the Company upon written notice delivered to
Employee or by reason of Employee's Permanent Disability.

     "Permanent Disability" shall mean, with respect to the Employee (i) the
suffering of any mental or physical illness, disability or incapacity to the
extent that the Employee shall be unable to perform his duties for a period of
three months during any six-month period, or (ii) the absence of the Employee
from his employment by reason of any mental or physical illness, disability or
incapacity for a period of three months during any six-month period; provided,
however, in either case, that such illness, disability or incapacity shall be
determined to be of a permanent nature by a licensed physician selected by the
Board and reasonably acceptable to the Employee.  The Employment Period shall
end in the case of clause (i) and (ii) on the last day of such three-month
period.  Notwithstanding the foregoing, a condition shall not be a Permanent
Disability if it is the result of (i) a willfully self-inflicted injury or
willfully self-inflicted sickness or (ii) an injury or disease contracted,
suffered, or incurred while participating in a criminal offense.  "Affiliated
Entity" shall mean any entity which, directly or indirectly controls, is
controlled by or is under common control with, the Company.

     3.2  Compensation After Termination or Expiration.

          (a) If the Employment Period is terminated Employee (or his designated
     beneficiary) shall be entitled to receive (A) as severance pay payments
     equal to 130% of the Base Salary for one year from the date of such
     termination, in regular installments in accordance with the Company's
     regular payroll practices for salaried officers as of the date hereof, (B)
     reimbursement for the cost of outplacement services up to a maximum of
     $30,000, and (C) health and life insurance for up to 12 months from the
     date of termination on the same basis as provided to Employee prior to
     termination.

          (b) The Employee hereby agrees that the Company may dismiss him
     without any liability except for the payments required to be made by this
     Section 3.2 and except

                                       3

 
     as otherwise set forth in Section 3.3(d), and without regard to any general
     or specific policies (whether written or oral) of the Company relating to
     the employment or termination of its employees.  The Company and the
     Employee acknowledge that it would be impractical or extremely difficult to
     fix the Employee's actual damages in the case of any such termination.
     Therefore, the Company and Employee agree that the payments to be paid as
     provided for in this Section 3.2 and Section 3.3(d) shall constitute
     liquidated damages; provided, however, that the Employee shall be under no
     duty to mitigate such liquidated damages.  In return for tendering payment
     of such liquidated damages, regardless of whether after tender of such
     payment Employee accepts it, Employee for himself and his heirs, executors,
     administrators and assigns (collectively, the "Releasors") does hereby
     remise, release, and forever discharge as to the Company and any of its
     Affiliated Entities and their respective agents, officers, directors and
     employees, heirs, successors, assigns (collectively, the "Releasees"), all
     manners of action, cause and causes of action, suits, debts, dues,
     accounts, liabilities, covenants, contracts, agreements, claims,
     obligations, damages, injuries and demands (collectively, the "Actions")
     whatsoever of any kind and nature, whether foreseen or unforeseen,
     contingent or actual, liquidated or unliquidated, in law or in equity,
     which any Releasor has or may have against any Releasee except for claims
     for breaches by the Company of express provisions of Section 3.2 or Section
     3.3(d) of this Agreement.  The Employee hereby covenants not to sue any
     Releasee relating to any Action.

          (c) Notwithstanding any provision hereof other than Section 3.3(d),
     after termination or expiration of the Employment Period (i) the Company
     shall continue to have all of its rights hereunder (including, without
     limitation, all rights under Section 4 hereof at law or in equity), and
     (ii) Employee shall continue to have all of his rights under Sections 3.2
     and 3.3 hereof.

     3.3  Obligations On Termination.

          (a) Upon the expiration or termination of the Employment Period for
     any reason, Employee shall be deemed to have resigned from all offices,
     directorships, trusteeships, or other positions he may then hold with the
     Company or an Affiliated Entity. Such resignation shall be deemed effective
     immediately thereupon, without the requirement that a written resignation
     be delivered.

          (b) Employee agrees that following the expiration or termination of
     the Employment Period for any reason, he will provide any service which the
     Company may reasonably require to discharge its continuing obligations to
     its clients with respect to services performed by Employee for a period not
     to exceed 60 days (and so long as such services do not interfere with any
     new position or employment of Employee), and in such events Employee will
     be entitled to compensation on a per diem basis at his then customary rate
     for such services in addition to all other payments due the Employee by the
     Company in accordance with the terms hereof.  Such rate shall be negotiated
     between the parties in good faith, or if they are unable to agree shall be
     200% of Employee's Base Salary divided by 365.

                                       4

 
          (c) The Employee hereby acknowledges and agrees that all personal
     property and equipment furnished to or prepared by the Employee in the
     course of or incident to his employment belong to the Company and shall be
     promptly returned to the Company upon termination of the Employment Period.
     "Personal property" includes, without limitation, all books, manuals,
     records, reports, notes, contracts, lists, blueprints, and other documents,
     or materials, or copies thereof, and all other proprietary information
     relating to the business of the Company; provided, however, that nothing
     shall preclude the Employee from retaining or removing (i) his personal
     rolodex, calendars, personal files of business processes, personal
     education and general business materials ("Personal Files"); (ii)
     information not containing Confidential Information (as hereinafter defined
     in Section 4.5) or a trade secret obtained while in the employ of the
     Company; or (iii) the Employee's personal computer provided all
     Confidential Information is deleted.  The Employee cannot retain or remove
     personal property that is or contains Confidential Information or a trade
     secret obtained while in the employ of the Company.  Prior to retaining or
     removing any personal property other than his Personal Files, the Employee
     will inform the Company of what personal property he intends to retain or
     remove. If a dispute arises between the Company and the Employee regarding
     the right of Employee to remove any such personal property, the parties
     shall arbitrate such dispute in a manner mutually agreeable to them.
     Following termination, the Employee will not retain any written or other
     tangible material containing any Confidential Information or trade secrets,
     except as described above.

          (d) In the event the Employment Period expires or is terminated (other
     than due to the resignation or termination by Employee for the failure of
     the Company to (i) pay his Base Salary in accordance with Section 2.1 or
     bonus in accordance with Section 2.2, or (ii) pay or make available
     Comparable Benefits (as defined below) (the failures included in clauses
     (i) and (ii) are hereinafter collectively referred to as the "Termination
     Events")), the Company's sole liability to Employee shall be limited to,
     and Employee shall only be entitled to sue the Company for, the
     compensation due to him in accordance with Section 3.2.  In the event the
     Employment Period is terminated due to the resignation by Employee for the
     occurrence of any Termination Event, Employee shall have the right to
     exercise any rights he has in law or equity, including the right to sue for
     damages and to render this Agreement of no further force or effect.
     "Comparable Benefits" means, for purposes of this Agreement, all employee
     benefits including, but not limited to, vacation, disability, death
     benefits, healthcare, pension and 401K plans, those benefits provided in
     Section 2.3, and other fringe benefits provided to other similarly situated
     Company executives ("Company Benefits") with respect to both the financial
     effect of such benefits to Employee and the terms and provisions of such
     benefits (which benefits must be within a range of no less than 90% of the
     Company Benefits).

4.   Covenant Not to Compete.
     ----------------------- 

     4.1  Employee's Knowledge.  Employee acknowledges and agrees that he has
occupied and will continue to occupy a position of trust and confidence with the
Company and has and will become familiar with the Company's trade secrets and
other proprietary and confidential

                                       5

 
information concerning the Company.  Employee acknowledges and agrees that his
services are of a special, unique and extraordinary value to the Company and
that the Company would be irreparably damaged if Employee were to provide
similar services to any person or entity in violation of the provisions of this
Agreement.  Employee further acknowledges that the Company's relationships with
its clients and other business partners are among its most valuable assets which
in many cases have been created over a long period of time and, if lost, could
not be replaced.

     4.2  Non-Compete.  As consideration for the Company entering into this
Agreement, and in recognition of the Company's proprietary interest in its
business, Employee agrees that he shall not, during the Restricted Period (as
defined below), directly or indirectly, as employee, agent, consultant,
stockholder, director, co-partner or in any other individual or representative
capacity, own, operate, manage, control, engage in, invest in or participate in
any manner in, act as a consultant or adviser to, render services for (alone or
in association with any person, firm, corporation or entity), or otherwise
assist, any person that engages in or owns, invests in, operates, manages or
controls any venture or enterprise engaging or proposing to engage in the
Business (as defined below) anywhere in the Territory (as defined below).
"Business" shall mean the performance of activities related to:

        (i) the provision of dialysis treatments or services utilized in 
            connection with any dialysis treatment;

       (ii) the purchase, sale or establishment of dialysis operations and 
            facilities;

      (iii) practice management for any physician or entity practice which 
            provides nephrology or renal dialysis services; or

       (iv) extracorporeal blood handling as provided by the Company or any 
            Affiliated Entity as of the date hereof.

Notwithstanding the foregoing to the contrary, the Employee may engage in
activities related to (x) practice management under clause (iii) for any
practice management company or managed care company other than any company the
principal business of which is providing management services for nephrology or
renal dialysis practices and (y) the sale of products used in dialysis
treatments or extracorporeal blood handling.  "Restricted Period" shall mean the
period commencing on the Effective Date hereof and ending on the date which is
the second anniversary of the first to occur of the Expiration Date and the date
Employee's employment with the Company is terminated for any reason.

     The Restricted Period shall be automatically extended for a period equal to
any period that Employee is in breach of the restrictive covenants set forth in
this Section 4 (the "Restrictive Covenants").  "Territory" shall mean the area
included within a 20 mile radius of any Medicare certified outpatient renal
dialysis facility or any other facility providing any services or engaging in
any activities of the Business and either (x) owned, operated or managed by the
Company or any Affiliated Entity on the Expiration Date or the date on which the
Employment Period is

                                       6

 
otherwise terminated or at any time during the 18 months preceding such date, or
(y) for which the Company or any Affiliated Entity during the nine months
preceding the Expiration Date or the date on which the Employment Period is
otherwise terminated, was actively engaged in efforts to establish, acquire,
manage or operate (each such facility is hereinafter referred to as a
"Facility"). With respect to the Territory, Employee specifically acknowledges
that the Company plans to conduct the Business throughout the United States and
to undertake to expand the Business throughout the United States.  If Employee's
employment with the Company is terminated within the six months following a
Change of Control (as defined below), the term "Facility," as defined for these
purposes, shall not include those facilities which are owned, managed, or
operated by an Affiliated Entity which became an Affiliated Entity as a result
of the transaction which also resulted in the Change of Control.  "Change of
Control" shall mean any person or entity, other than a shareholder of the
Company on the date hereof acquiring in excess of fifty percent (50%) of the
assets or issued and outstanding voting stock of the Company other than as a
result of, or after the occurrence of, a sale, in an underwritten public
offering registered under the Securities Act of 1933, as amended, of shares of
the Company's common stock in which the price per share paid by the public for
such securities will be at least $10, reflecting a post-offering market
capitalization for the Company of at least $150 million.

     4.3  Non-Solicitation.  Without limiting the generality of the provisions
of Section 4.2 hereof, Employee hereby agrees that, during the Restricted
Period, he will not, directly or indirectly, solicit, or participate as
employee, agent, consultant, stockholder, director, partner or in any other
individual or representative capacity, in any business which solicits business
from any person, firm, corporation or other entity which was a client or other
business partner of the Company during the term of this Agreement or any
referring physician or any owner of facilities operated by the Company or its
Affiliated Entities and, in each instance, who or which is located in the
Territory, or from any successor in interest to any such person, firm,
corporation or other entity who or which is located in the Territory, for the
purpose of securing business relationships or contracts related to the Business;
provided, however, that nothing contained herein shall be construed to prohibit
or restrict Employee from soliciting business from any such parties on behalf of
the Company in performance of his duties as an employee of the Company required
under and as specifically contemplated by Section 1 above.

     4.4  Interference with Relationships.  During the Restricted Period,
Employee shall not, directly or indirectly, as employee, agent, consultant,
stockholder, director, co-partner or in any other individual or representative
capacity:  (i) except on behalf of the Company, employ or engage, recruit or
solicit for employment or engagement, any person who is or becomes employed or
engaged by the Company or its Affiliated Entities during the Restricted Period
or during the eighteen month period preceding the Restricted Period, or
otherwise seek to influence or alter any such person's relationship with the
Company or its Affiliated Entities, or (ii) solicit or encourage any client or
other business partner of the Company or its Affiliated Entities or any
referring physician or any owner of facilities operated or managed by the
Company or its Affiliated Entities to terminate or otherwise alter his
relationship with the Company or its Affiliated Entities.

     4.5  Confidential Information.  The Employee agrees that during the
Employment Period or at all times thereafter, he shall not disclose to any
person or entity not employed by the

                                       7

 
Company and not engaged to render services to the Company or otherwise use any
Confidential Information obtained while in the employ of the Company, except on
behalf of the Company in accordance with its policies or as such disclosure may
be required by law or a court order.  As used in this Agreement, "Confidential
Information" shall mean any information relating to the business or affairs of
the Company, Peak Healthcare, L.L.C., a limited liability company formed under
the laws of the State of Delaware ("Peak"), any Affiliated Entities, or any of
their clients or other business partners, including but not limited to
information relating to financial statements, client or other business partner
identities, potential clients, employees, information, analyses, or other
proprietary information used by the Company, Peak, or any Affiliated Entities in
connection with their businesses; provided, however, that Confidential
Information shall not include any information which is in the public domain or
becomes known in the industry through no wrongful act on the part of Employee or
is approved for disclosure by the Company.  Employee acknowledges that the
Confidential Information is vital, sensitive, confidential and proprietary to
the Company, Peak and the Affiliated Entities.

     4.6  Blue-Pencil.  If any court of competent jurisdiction shall at any time
deem the term of this Agreement or any particular Restrictive Covenant too
lengthy or the Territory too extensive, the other provisions of this Section 4
shall nevertheless stand, the Restricted Period herein shall be deemed to be the
longest period permissible by law under the circumstances and the Territory
herein shall be deemed to comprise the largest territory permissible by law
under the circumstances.  The court in each case shall reduce the time period
and/or Territory to permissible duration or size.

     4.7  Remedies.

          (a) Employee has carefully considered the nature and extent of the
     restrictions upon him and the rights and remedies conferred upon the
     Company under this Agreement, and Employee hereby acknowledges and agrees
     that such restrictions, rights and remedies are reasonable in time and
     territory, are designed to eliminate competition which otherwise would be
     unfair to the Company, do not stifle the inherent skill and experience of
     Employee, would not operate as a bar to Employee's sole means of support,
     are fully required to protect the legitimate interests of the Company and
     do not confer a benefit upon the Company disproportionate to the detriment
     to Employee.

          (b) Employee acknowledges and agrees that the Restrictive Covenants
     are reasonable and necessary for the protection of the Company's business
     interests, that irreparable injury will result to the Company if Employee
     breaches any of the terms of said Restrictive Covenants, and that in the
     event of Employee's actual or threatened breach of any such Restrictive
     Covenants, the Company will have no adequate remedy at law. Employee
     accordingly agrees that in the event of any actual or threatened breach by
     him of any of the Restrictive Covenants, the Company shall be entitled,
     upon three days' notice to Employee, to immediate temporary injunctive and
     other equitable relief, without bond and without the necessity of showing
     actual monetary damages, subject to a hearing as soon thereafter as
     possible.  Nothing contained herein shall be construed as prohibiting the

                                       8

 
     Company from pursuing any other remedies available to it for such breach or
     threatened breach, including the recovery of any damages which it is able
     to prove.

5.   Miscellaneous.
     ------------- 

     5.1  Notices, Consents, etc.  Any notices, consents or other communication
required to be sent or given hereunder by any of the parties shall in every case
be in writing and shall be deemed properly served if (a) delivered personally,
(b) sent by registered or certified mail, in all such cases with first class
postage prepaid, return receipt requested, (c) delivered by a recognized
overnight courier service, or (d) sent by facsimile transmission (along with a
copy sent by first-class mail) to the parties at the addresses as set forth
below or at such other addresses as may be furnished in writing.

          If to Company:   Everest Healthcare Services Corporation
                           101 North Scoville
                           Oak Park, Illinois 60302
                           Attention: Craig W. Moore
                           Fax: 708/386-1711

          With copies to:  Katten Muchin & Zavis
                           525 West Monroe Street, Suite 1600
                           Chicago, Illinois 60661-3693
                           Attention: Alan Berry and
                                      Matthew S. Brown
                           Fax: 312/902-1061

          If to Employee:  James E. Becks
                           25187 North Edwards Lane
                           Barrington, Illinois 60010

Date of service of such notice shall be (w) the date such notice is personally
delivered, (x) three (3) days after the date of mailing if sent by certified or
registered mail, (y) one (1) day after date of delivery to the overnight courier
if sent by overnight courier or (z) the next succeeding business day after
transmission by facsimile.

     5.2  Severability.  The unenforceability or invalidity of any provision of
this Agreement shall not affect the enforceability or validity of any other
provision.

     5.3  Entire Agreement.  This Agreement and those documents expressly
referred to herein embody the complete agreement and understanding among the
parties and supersede and preempt any prior (or contemporaneous) understandings,
agreements or representations by  or among the parties, written or oral, which
may have related to the subject matter hereof in any way, and may not be
contradicted by evidence of any prior or contemporaneous agreement.  The parties
further intend that this Agreement shall constitute the complete and exclusive
statement of

                                       9

 
its terms and that no extrinsic evidence whatsoever may be introduced in any
judicial, administrative, or other legal proceeding involving this Agreement.

     5.4  Counterparts.  This Agreement may be executed on separate
counterparts, each of which is deemed to be an original and all of which taken
together constitute one and the same agreement.

     5.5  Assignment.  This Agreement will be binding upon and inure to the
benefit of the parties hereto and their respective successors and permitted
assigns, but will not be assignable or delegable by any party without the prior
written consent of the other parties, except it will be assignable by the
Company in connection with a sale of the Company's business.  Notwithstanding
anything to the contrary contained herein, Employee may not assign any of his
rights or delegate any of his responsibilities, liabilities or obligations under
this Agreement, without the written consent of the Company.

     5.6  No Strict Construction.  The language used in this Agreement will be
deemed to be the language chosen by the parties hereto to express their mutual
intent, and no rule of strict construction will be applied against any party
hereto.

     5.7  Amendment and Waiver.  Any provision of this Agreement may be amended,
or any provision of this Agreement may be waived, provided that any such
amendment or waiver will be binding on Employee or the Company, only if such
amendment or waiver is set forth in a writing executed by Employee or the
Company, respectively.  The waiver by any party hereto of a breach of any
provision of this Agreement shall not operate or be construed as a waiver of any
other breach.

     5.8  Construction.  This Agreement shall be construed and enforced in
accordance with, and all questions concerning the construction, validity,
interpretation and performance of this Agreement shall be governed by, the laws
of the State of Illinois, without giving effect to provisions thereof regarding
conflict of laws.

     5.9  Consent to Jurisdiction and Service of Process.  The Company and
Employee hereby consent to the jurisdiction of any state or federal court
located within the County of Cook, State of Illinois and irrevocably agree that
subject to the Company's election, all actions or proceedings arising out of or
relating to this Agreement shall be litigated in such courts. Employee accepts
for himself and in connection with his properties, generally and
unconditionally, the nonexclusive jurisdiction of the aforesaid courts and
waives any defense of forum non conveniens, and irrevocably agrees to be bound
by any judgment rendered thereby in connection with this Agreement.  Service of
all process in any such proceeding in any such court shall be mailed by
registered mail to Employee, except that unless otherwise provided by applicable
law, any failure to mail such copy shall not affect the validity of service of
process.  Employee hereby agrees that service upon him by certified mail shall
constitute sufficient notice.  Nothing herein shall affect the right to serve
process in any other manner permitted by law or shall limit the right of the
Company to bring proceedings against Employee in the courts of any other
jurisdiction.

                                       10

 
     5.10  Employee Acknowledgment.  The Employee acknowledges (a) that he has
consulted with or has had the opportunity to consult with independent counsel of
his own choice concerning this Agreement and has been advised to do so by the
Company, and (b) that he has read and understands the Agreement, is fully aware
of its legal effect, and has entered into it freely based on his own judgment.

     5.11  Mediation.  The Company and Employee agree that in the event of any
dispute between the Company and Employee concerning the terms of this Agreement,
unless equitable relief is sought, the parties will submit the matter to
mediation prior to the commencement of legal action.

     5.12  D&O Insurance.  The Company shall maintain insurance which would
cover Employee in connection with any liability asserted against Employee for
performance of his duties hereunder or as a result of being an employee of the
Company, whether the Company would be permitted to indemnify the Employee
against such liability under applicable law to the same extent it maintains such
insurance for other officers of the Company.

     5.13  Successors/Binding Agreement.

          (a) The Company shall require any successor (whether direct or
     indirect, by purchase, merger, consolidation or otherwise) to all or
     substantially all of the business and/or assets of the Company to expressly
     assume and agree to perform this Agreement in the same manner and to the
     same extent that the Company would be required to perform if no such
     succession had taken place.  As used in this Agreement, "Company" shall
     mean the Company as herein before defined and any successor to it's
     business and/or assets as aforesaid which assumes and agrees to perform
     this Agreement by operation of law, or otherwise.

          (b) This Agreement shall inure to the benefit of and be enforceable by
     the Employee and Employee's personal or legal representatives, executors,
     administrators, successors, heirs, distributees, devisees and legatees.  In
     the event of Employee's death, all amounts otherwise payable to Employee
     hereunder shall, unless otherwise provided herein, be paid in accordance
     with the terms of this Agreement to Employee's devisee, legatee or other
     designee or, if there is no such designee, to Employee's estate.

                            [signature page follows]

                                       11

 
     IN WITNESS WHEREOF, the parties have executed this Agreement on the day and
year first above written.


                              THE COMPANY:
                              ----------- 

                              EVEREST HEALTHCARE SERVICES
                               CORPORATION


                              By: /s/ Craig W. Moore
                                 ---------------------------------------
                                 Craig W. Moore



                              EMPLOYEE:
                              -------- 


                              /s/ James E. Becks
                              ------------------------------------------
                                  James E. Becks

                                       12

EX-10.16

 
                                                                   Exhibit 10.16



                    EMPLOYMENT AND NON-COMPETITION AGREEMENT
                    ----------------------------------------


     THIS EMPLOYMENT AND NON-COMPETITION AGREEMENT (this "Agreement"), is
entered into as of August 10, 1998 by and between NICKI M. NORRIS, an Illinois
resident ("Employee"), and EVEREST HEALTHCARE SERVICES CORPORATION, a Delaware
corporation (the "Company").

     WHEREAS, the Company provides dialysis and other services to patients and
other clients through its subsidiaries, and provides management, operational and
other services to its subsidiaries and various other entities; and

     WHEREAS, the Company desires to employ Employee, and Employee desires to be
so employed, in accordance with the terms hereof.

     NOW, THEREFORE, in consideration of the mutual agreements and
understandings set forth herein and for other good and valuable consideration,
the receipt and adequacy of which are hereby acknowledged, the Company and the
Employee hereby agree as follows:

1.   Employment.
     ---------- 

     1.1  Engagement of Employee.  The Company agrees to employ Employee as
Executive Vice President and General Manager of the Company, and Employee
accepts such employment by the Company, during the period beginning the date
hereof and ending on the fifth anniversary of the Effective Date (the
"Expiration Date"), unless sooner terminated pursuant to Section 3 hereof (the
"Employment Period").  Employee's employment by the Company commenced on April
17, 1996 (the "Effective Date").

     1.2  Duties and Powers.  During the Employment Period, Employee will serve
as Executive Vice President and General Manager of the Company, and will have
such responsibilities, duties and authorities as outlined on Exhibit A hereto
and rendering such other services of an executive and administrative character
to the Company, its subsidiaries and its affiliates, as the chief executive
officer of the Company or Board of Directors of the Company (the "Board") may
from time to time direct.  Employee will devote her best efforts and her full
business time and attention (except for permitted vacation periods and
reasonable periods of illness or other incapacity) to the business and affairs
of the Company, and shall perform the duties and carry out the responsibilities
assigned to her, to the best of her ability, in a diligent, businesslike and
efficient manner, and in a manner which does not violate any fiduciary duties
Employee owes the Company under common or statutory law, for the purpose of
advancing the Company.  Employee acknowledges that her duties and
responsibilities will require her full-time business efforts and agrees that
during the Employment Period she will not engage in any other business activity
or have any business pursuits or interests except insignificant activities or
interests which do not

 
conflict or compete with the business of the Company and its subsidiaries or
interfere with the performance of Employee's duties hereunder.

2.   Compensation.
     ------------ 

     2.1  Base Salary.  During the Employment Period, the Company will pay
Employee a base salary at the rate of $14,000 per month, or a greater amount as
determined by the Board in its sole discretion (the base salary in effect from
time to time is hereinafter referred to as the "Base Salary"), payable in
regular installments in accordance with the Company's general payroll practices
for salaried officers.  Employee shall be reviewed annually and may receive, but
the Company is not obligated to provide, increases in base salary depending on
the Employee's performance.

     2.2  Bonus Plan.  Employee shall be eligible to receive bonus compensation,
in the sole discretion of the Board, after each fiscal year of the Company
ending during the Employment Period based on the Company's performance during
such fiscal year and Employee's contributions to such performance and in an
amount equal to up to forty-five percent (45%) of her annual Base Salary during
such fiscal year.  Bonuses in excess of forty-five percent (45%) of Base Salary
may be paid at the Company's sole discretion for performance that exceeds
targeted objectives.

     2.3  Benefits.  In addition to the compensation payable to Employee
hereunder, Employee will be entitled to the following benefits during the
Employment Period, which benefits are provided to officers of the Company
generally as of the date hereof and shall only be modified to the extent
required to provide Comparable Benefits (as defined below):

          (a) participation in any plan, arrangement or policy of the Company
     relating to profit sharing, pensions, life insurance, disability, health
     care coverage or education, that the Company has adopted for the benefit of
     its officers generally, as such benefits may be changed by the Company from
     time to time during the term of this Agreement;

          (b) paid vacation each year with salary, consistent with Company
     policy for all salaried officers, but in no event less than four weeks paid
     vacation and five company holidays each year;

          (c) reimbursement for reasonable out-of-pocket business expenses
     incurred by Employee in the ordinary course of her duties, subject to the
     Company's policies in effect from time to time with respect to travel,
     entertainment and other expenses, including, without limitation,
     requirements with respect to reporting and documentation of such expenses;
     and

          (d) a personal expense account, funded at the employee's discretion
     from a designated portion of the Employee's salary, to be used for
     legitimate business expenses, provided all monies not used in the account
     at each year end will be returned to the Employee or her salary.

                                       2

 
     2.4  Peak Participation.

          (a) Employee shall be entitled, as provided herein, to a .5% share of
     the Peak Value (as hereinafter defined) in excess of $120,000,000 (the
     "Peak Participation").

          (b) The Peak Participation is an obligation of Peak Liquidating LLC
     and will be paid to Employee by Peak Liquidating LLC when and as Peak
     Liquidating LLC makes a final liquidating distribution to its members (the
     "Distribution Date).  Peak Liquidating LLC may pay the Peak Participation
     in cash or securities or any combination of the two as it determines.

          (c) The "Peak Value" equals the value at the Distribution Date of Peak
     Liquidating LLC, plus the value of all assets previously distributed to the
     members of either Peak Healthcare LLC or Peak Liquidating LLC.  For these
     purposes, the value of any notes distributed to the members shall be valued
     at their face amount at the time of distribution, unless events
     subsequently occurred which would require the value of the notes to be
     discounted, and the value of any marketable securities that were or will be
     distributed shall equal their quoted bid prices on the date of
     distribution, or in the case of the Company's initial public offering the
     gross price of the Company's common stock paid by the underwriters.

     2.5  Stock Options.  As an executive officer of the Company, Employee shall
be eligible to receive, but the Company is not obligated to grant, the right and
option to purchase shares of the Company's common stock (the "Option").  The
grant of the Option, number of shares, price and any other term or condition
regarding any Option shall be determined solely by the Compensation Committee of
the Company.

     2.6  Success Bonus.  In the event (i) the Company enters into a definitive
binding agreement for the sale of the  Company (whether pursuant to a merger, a
sale of substantially all of the assets or all the common stock, or otherwise)
to a third party pursuant to which the shareholders of the Company receive cash
or marketable securities in exchange for the Company's stock (a "Sale") prior to
December 31, 2000, (ii) such Sale closes, and (iii) Employee is employed by the
Company at the time of the closing, the Company will pay to Employee an
additional bonus of $200,000 no later than 30 days following the closing of the
Sale.

3.   Termination.
     ----------- 

     3.1  Termination By Employee or the Company.  The Employment Period (i)
shall automatically terminate immediately upon Employee's resignation or death,
or (ii) may be terminated by the Company upon written notice delivered to
Employee or by reason of Employee's Permanent Disability.

     "Permanent Disability" shall mean, with respect to the Employee (i) the
suffering of any mental or physical illness, disability or incapacity to the
extent that the Employee shall be unable to perform her duties for a period of
three months during any six-month period, or (ii) the absence

                                       3

 
of the Employee from her employment by reason of any mental or physical illness,
disability or incapacity for a period of three months during any six-month
period; provided, however, in either case, that such illness, disability or
incapacity shall be determined to be of a permanent nature by a licensed
physician selected by the Board and reasonably acceptable to the Employee.  The
Employment Period shall end in the case of clause (i) and (ii) on the last day
of such three-month period.  Notwithstanding the foregoing, a condition shall
not be a Permanent Disability if it is the result of (i) a willfully self-
inflicted injury or willfully self-inflicted sickness or (ii) an injury or
disease contracted, suffered, or incurred while participating in a criminal
offense.  "Affiliated Entity" shall mean any entity which, directly or
indirectly controls, is controlled by or is under common control with, the
Company.

     3.2  Compensation After Termination or Expiration.

          (a) If the Employment Period is terminated, Employee (or her
     designated beneficiary) shall be entitled to receive (A) as severance pay
     payments equal to 130% of the Base Salary for one year from the date of
     such termination, in regular installments in accordance with the Company's
     regular payroll practices for salaried officers as of the date hereof, (B)
     reimbursement for the cost of outplacement services up to a maximum of
     $30,000, and (C) health and life insurance for up to 12 months from the
     date of termination on the same basis as provided to Employee prior to
     termination.

          (b) The Employee hereby agrees that the Company may dismiss her
     without any liability except for the payments required to be made by this
     Section 3.2 and except as otherwise set forth in Section 3.3(d), and
     without regard to any general or specific policies (whether written or
     oral) of the Company relating to the employment or termination of its
     employees.  The Company and the Employee acknowledge that it would be
     impractical or extremely difficult to fix the Employee's actual damages in
     the case of any such termination.  Therefore, the Company and Employee
     agree that the payments to be paid as provided for in this Section 3.2 and
     Section 3.3(d) shall constitute liquidated damages; provided, however, that
     the Employee shall be under no duty to mitigate such liquidated damages.
     In return for tendering payment of such liquidated damages, regardless of
     whether after tender of such payment Employee accepts it, Employee for
     herself and her heirs, executors, administrators and assigns (collectively,
     the "Releasors") does hereby remise, release, and forever discharge as to
     the Company and any of its Affiliated Entities and their respective agents,
     officers, directors and employees, heirs, successors, assigns
     (collectively, the "Releasees"), all manners of action, cause and causes of
     action, suits, debts, dues, accounts, liabilities, covenants, contracts,
     agreements, claims, obligations, damages, injuries and demands
     (collectively, the "Actions"), whatsoever of any kind and nature, whether
     foreseen or unforeseen, contingent or actual, liquidated or unliquidated,
     in law or in equity, which any Releasor has or may have against any
     Releasee except for claims for breaches by the Company of express
     provisions of Section 3.2 or Section 3.3(d) of this Agreement.  The
     Employee hereby covenants not to sue any Releasee relating to any Action.

                                       4

 
          (c) Notwithstanding any provision hereof other than Section 3.3(d),
     after termination or expiration of the Employment Period (i) the Company
     shall continue to have all of its rights hereunder (including, without
     limitation, all rights under Section 4 hereof at law or in equity), and
     (ii) Employee shall continue to have all of her rights under Sections 3.2
     and 3.3 hereof.

     3.3  Obligations On Termination.

          (a) Upon the expiration or termination of the Employment Period for
     any reason, Employee shall be deemed to have resigned from all offices,
     directorships, trusteeships, or other positions she may then hold with the
     Company or an Affiliated Entity.  Such resignation shall be deemed
     effective immediately thereupon, without the requirement that a written
     resignation be delivered.

          (b) Employee agrees that following the expiration or termination of
     the Employment Period for any reason, she will provide any service which
     the Company may reasonably require to discharge its continuing obligations
     to its clients with respect to services performed by Employee for a period
     not to exceed 60 days (and so long as such services do not interfere with
     any new position or employment of Employee), and in such events Employee
     will be entitled to compensation on a per diem basis at her then customary
     rate for such services in addition to all other payments due the Employee
     by the Company in accordance with the terms hereof.  Such rate shall be
     negotiated between the parties in good faith, or if they are unable to
     agree shall be 200% of Employee's Base Salary divided by 365.

          (c) The Employee hereby acknowledges and agrees that all personal
     property and equipment furnished to or prepared by the Employee in the
     course of or incident to her employment belong to the Company and shall be
     promptly returned to the Company upon termination of the Employment Period.
     "Personal property" includes, without limitation, all books, manuals,
     records, reports, notes, contracts, lists, blueprints, and other documents,
     or materials, or copies thereof, and all other proprietary information
     relating to the business of the Company; provided, however, that nothing
     shall preclude the Employee from retaining or removing (i) her personal
     rolodex, calendars, personal files of business processes, personal
     education and general business materials ("Personal Files"); (ii)
     information not containing Confidential Information (as hereinafter defined
     in Section 4.5) or a trade secret obtained while in the employ of the
     Company; or (iii) the Employee's personal computer provided all
     Confidential Information is deleted.  The Employee cannot retain or remove
     personal property that is or contains Confidential Information or a trade
     secret obtained while in the employ of the Company.  Prior to retaining or
     removing any personal property other than her Personal Files, the Employee
     will inform the Company of what personal property she intends to retain or
     remove. If a dispute arises between the Company and the Employee regarding
     the right of Employee to remove any such personal property, the parties
     shall arbitrate such dispute in a manner mutually agreeable to them.
     Following termination, the Employee will not retain any

                                       5

 
     written or other tangible material containing any Confidential Information
     or trade secrets, except as described above.

          (d) In the event the Employment Period expires or is terminated (other
     than due to the resignation or termination by Employee for the failure of
     the Company to (i) pay her Base Salary in accordance with Section 2.1 or
     bonus in accordance with Section 2.2, or (ii) pay or make available
     Comparable Benefits (as defined below) (the failures included in clauses
     (i) and (ii) are hereinafter collectively referred to as the "Termination
     Events")), the Company's sole liability to Employee shall be limited to,
     and Employee shall only be entitled to sue the Company for, the
     compensation due to her in accordance with Section 3.2.  In the event the
     Employment Period is terminated due to the resignation by Employee for the
     occurrence of any Termination Event, Employee shall have the right to
     exercise any rights she has in law or equity, including the right to sue
     for damages and to render this Agreement of no further force or effect.
     "Comparable Benefits" means, for purposes of this Agreement, all employee
     benefits including, but not limited to, vacation, disability, death
     benefits, healthcare, pension and 401K plans, those benefits provided in
     Section 2.3, and other fringe benefits provided to other similarly situated
     Company executives ("Company Benefits") with respect to both the financial
     effect of such benefits to Employee and the terms and provisions of such
     benefits (which benefits must be within a range of no less than 90% of the
     Company Benefits).

4.   Covenant Not to Compete.
     ----------------------- 

     4.1  Employee's Knowledge.  Employee acknowledges and agrees that she has
occupied and will continue to occupy a position of trust and confidence with the
Company and has and will become familiar with the Company's trade secrets and
other proprietary and confidential information concerning the Company.  Employee
acknowledges and agrees that her services are of a special, unique and
extraordinary value to the Company and that the Company would be irreparably
damaged if Employee were to provide similar services to any person or entity in
violation of the provisions of this Agreement.  Employee further acknowledges
that the Company's relationships with its clients and other business partners
are among its most valuable assets which in many cases have been created over a
long period of time and, if lost, could not be replaced.

     4.2  Non-Compete.  As consideration for the Company entering into this
Agreement, and in recognition of the Company's proprietary interest in its
business, Employee agrees that she shall not, during the Restricted Period (as
defined below), directly or indirectly, as employee, agent, consultant,
stockholder, director, co-partner or in any other individual or representative
capacity, own, operate, manage, control, engage in, invest in or participate in
any manner in, act as a consultant or adviser to, render services for (alone or
in association with any person, firm, corporation or entity), or otherwise
assist, any person that engages in or owns, invests in, operates, manages or
controls any venture or enterprise engaging or proposing to engage in the
Business (as defined below) anywhere in the Territory (as defined below).
"Business" shall mean the performance of activities related to:

                                       6

 
        (i) the provision of dialysis treatments or services utilized in
            connection with any dialysis treatment;

       (ii) the purchase, sale or establishment of dialysis operations and 
            facilities;

      (iii) practice management for any physician or entity practice which 
            provides nephrology or renal dialysis services; or

       (iv) extracorporeal blood handling as provided by the Company or any 
            Affiliated Entity as of the date hereof.

Notwithstanding the foregoing to the contrary, the Employee may engage in
activities related to (x) practice management under clause (iii) for any
practice management company or managed care company other than any company the
principal business of which is providing management services for nephrology or
renal dialysis practices and (y) the sale of products used in dialysis
treatments or extracorporeal blood handling.  "Restricted Period" shall mean the
period commencing on the Effective Date hereof and ending on the date which is
the second anniversary of the first to occur of the Expiration Date and the date
Employee's employment with the Company is terminated for any reason.

     The Restricted Period shall be automatically extended for a period equal to
any period that Employee is in breach of the restrictive covenants set forth in
this Section 4 (the "Restrictive Covenants").  "Territory" shall mean the area
included within a 20 mile radius of any Medicare certified outpatient renal
dialysis facility or any other facility providing any services or engaging in
any activities of the Business and either (x) owned, operated or managed by the
Company or any Affiliated Entity on the Expiration Date or the date on which the
Employment Period is otherwise terminated or at any time during the 18 months
preceding such date, or (y) for which the Company or any Affiliated Entity
during the nine months preceding the Expiration Date or the date on which the
Employment Period is otherwise terminated, was actively engaged in efforts to
establish, acquire, manage or operate (each such facility is hereinafter
referred to as a "Facility"). With respect to the Territory, Employee
specifically acknowledges that the Company plans to conduct the Business
throughout the United States and to undertake to expand the Business throughout
the United States.  If Employee's employment with the Company is terminated
within the six months following a Change of Control (as defined below), the term
"Facility," as defined for these purposes, shall not include those facilities
which are owned, managed, or operated by an Affiliated Entity which became an
Affiliated Entity as a result of the transaction which also resulted in the
Change of Control.  "Change of Control" shall mean any person or entity, other
than a shareholder of the Company on the date hereof acquiring in excess of
fifty percent (50%) of the assets or issued and outstanding voting stock of the
Company other than as a result of, or after the occurrence of, a sale, in an
underwritten public offering registered under the Securities Act of 1933, as
amended, of shares of the Company's common stock in which the price per share
paid by the public for such securities will be at least $10, reflecting a post-
offering market capitalization for the Company of at least $150 million.

     4.3  Non-Solicitation.  Without limiting the generality of the provisions
of Section 4.2 hereof, Employee hereby agrees that, during the Restricted
Period, she will not, directly or

                                       7

 
indirectly, solicit, or participate as employee, agent, consultant, stockholder,
director, partner or in any other individual or representative capacity, in any
business which solicits business from any person, firm, corporation or other
entity which was a client or other business partner of the Company during the
term of this Agreement or any referring physician or any owner of facilities
operated by the Company or its Affiliated Entities and, in each instance, who or
which is located in the Territory, or from any successor in interest to any such
person, firm, corporation or other entity who or which is located in the
Territory, for the purpose of securing business relationships or contracts
related to the Business; provided, however, that nothing contained herein shall
be construed to prohibit or restrict Employee from soliciting business from any
such parties on behalf of the Company in performance of her duties as an
employee of the Company required under and as specifically contemplated by
Section 1 above.

     4.4  Interference with Relationships.  During the Restricted Period,
Employee shall not, directly or indirectly, as employee, agent, consultant,
stockholder, director, co-partner or in any other individual or representative
capacity: (i) except on behalf of the Company, employ or engage, recruit or
solicit for employment or engagement, any person who is or becomes employed or
engaged by the Company or its Affiliated Entities during the Restricted Period
or during the eighteen month period preceding the Restricted Period, or
otherwise seek to influence or alter any such person's relationship with the
Company or its Affiliated Entities, or (ii) solicit or encourage any client or
other business partner of the Company or its Affiliated Entities or any
referring physician or any owner of facilities operated or managed by the
Company or its Affiliated Entities to terminate or otherwise alter her
relationship with the Company or its Affiliated Entities.

     4.5  Confidential Information.  The Employee agrees that during the
Employment Period or at all times thereafter, she shall not disclose to any
person or entity not employed by the Company and not engaged to render services
to the Company or otherwise use any Confidential Information obtained while in
the employ of the Company, except on behalf of the Company in accordance with
its policies or as such disclosure may be required by law or a court order.  As
used in this Agreement, "Confidential Information" shall mean any information
relating to the business or affairs of the Company, Peak Healthcare, L.L.C., a
limited liability company formed under the laws of the State of Delaware
("Peak"), any Affiliated Entities, or any of their clients or other business
partners, including but not limited to information relating to financial
statements, client or other business partner identities, potential clients,
employees, information, analyses, or other proprietary information used by the
Company, Peak, or any Affiliated Entities in connection with their businesses;
provided, however, that Confidential Information shall not include any
information which is in the public domain or becomes known in the industry
through no wrongful act on the part of Employee or is approved for disclosure by
the Company.  Employee acknowledges that the Confidential Information is vital,
sensitive, confidential and proprietary to the Company, Peak and the Affiliated
Entities.

     4.6  Blue-Pencil.  If any court of competent jurisdiction shall at any time
deem the term of this Agreement or any particular Restrictive Covenant too
lengthy or the Territory too extensive, the other provisions of this Section 4
shall nevertheless stand, the Restricted Period herein shall be deemed to be the
longest period permissible by law under the circumstances and the Territory
herein shall be deemed to comprise the largest territory permissible by law
under the

                                       8

 
circumstances.  The court in each case shall reduce the time period and/or
Territory to permissible duration or size.

     4.7  Remedies.

          (a) Employee has carefully considered the nature and extent of the
     restrictions upon her and the rights and remedies conferred upon the
     Company under this Agreement, and Employee hereby acknowledges and agrees
     that such restrictions, rights and remedies are reasonable in time and
     territory, are designed to eliminate competition which otherwise would be
     unfair to the Company, do not stifle the inherent skill and experience of
     Employee, would not operate as a bar to Employee's sole means of support,
     are fully required to protect the legitimate interests of the Company and
     do not confer a benefit upon the Company disproportionate to the detriment
     to Employee.

          (b) Employee acknowledges and agrees that the Restrictive Covenants
     are reasonable and necessary for the protection of the Company's business
     interests, that irreparable injury will result to the Company if Employee
     breaches any of the terms of said Restrictive Covenants, and that in the
     event of Employee's actual or threatened breach of any such Restrictive
     Covenants, the Company will have no adequate remedy at law. Employee
     accordingly agrees that in the event of any actual or threatened breach by
     her of any of the Restrictive Covenants, the Company shall be entitled,
     upon three days' notice to Employee, to immediate temporary injunctive and
     other equitable relief, without bond and without the necessity of showing
     actual monetary damages, subject to a hearing as soon thereafter as
     possible.  Nothing contained herein shall be construed as prohibiting the
     Company from pursuing any other remedies available to it for such breach or
     threatened breach, including the recovery of any damages which it is able
     to prove.

5.   Miscellaneous.
     ------------- 

     5.1  Notices, Consents, etc.  Any notices, consents or other communication
required to be sent or given hereunder by any of the parties shall in every case
be in writing and shall be deemed properly served if (a) delivered personally,
(b) sent by registered or certified mail, in all such cases with first class
postage prepaid, return receipt requested, (c) delivered by a recognized
overnight courier service, or (d) sent by facsimile transmission (along with a
copy sent by first-class mail) to the parties at the addresses as set forth
below or at such other addresses as may be furnished in writing.

          If to Company:   Everest Healthcare Services Corporation
                           101 North Scoville
                           Oak Park, Illinois 60302
                           Attention: Craig W. Moore
                           Fax: 708/386-1711

          With copies to:  Katten Muchin & Zavis
                           525 West Monroe Street, Suite 1600

                                       9

 
                           Chicago, Illinois 60661-3693
                           Attention: Alan Berry and
                                      Matthew S. Brown
                           Fax: 312/902-1061

          If to Employee:  Nicki M. Norris
                           408 Palmer Court
                           Riverwoods, Illinois 60015

Date of service of such notice shall be (w) the date such notice is personally
delivered, (x) three (3) days after the date of mailing if sent by certified or
registered mail, (y) one (1) day after date of delivery to the overnight courier
if sent by overnight courier or (z) the next succeeding business day after
transmission by facsimile.

     5.2  Severability.  The unenforceability or invalidity of any provision of
this Agreement shall not affect the enforceability or validity of any other
provision.

     5.3  Entire Agreement.  This Agreement and those documents expressly
referred to herein embody the complete agreement and understanding among the
parties and supersede and preempt any prior (or contemporaneous) understandings,
agreements or representations by  or among the parties, written or oral, which
may have related to the subject matter hereof in any way, and may not be
contradicted by evidence of any prior or contemporaneous agreement.  The parties
further intend that this Agreement shall constitute the complete and exclusive
statement of its terms and that no extrinsic evidence whatsoever may be
introduced in any judicial, administrative, or other legal proceeding involving
this Agreement.

     5.4  Counterparts.  This Agreement may be executed on separate
counterparts, each of which is deemed to be an original and all of which taken
together constitute one and the same agreement.

     5.5  Assignment.  This Agreement will be binding upon and inure to the
benefit of the parties hereto and their respective successors and permitted
assigns, but will not be assignable or delegable by any party without the prior
written consent of the other parties, except it will be assignable by the
Company in connection with a sale of the Company's business.  Notwithstanding
anything to the contrary contained herein, Employee may not assign any of her
rights or delegate any of her responsibilities, liabilities or obligations under
this Agreement, without the written consent of the Company.

     5.6  No Strict Construction.  The language used in this Agreement will be
deemed to be the language chosen by the parties hereto to express their mutual
intent, and no rule of strict construction will be applied against any party
hereto.

     5.7  Amendment and Waiver.  Any provision of this Agreement may be amended,
or any provision of this Agreement may be waived, provided that any such
amendment or waiver will be binding on Employee or the Company, only if such
amendment or waiver is set forth in a

                                       10

 
writing executed by Employee or the Company, respectively.  The waiver by any
party hereto of a breach of any provision of this Agreement shall not operate or
be construed as a waiver of any other breach.

     5.8  Construction.  This Agreement shall be construed and enforced in
accordance with, and all questions concerning the construction, validity,
interpretation and performance of this Agreement shall be governed by, the laws
of the State of Illinois, without giving effect to provisions thereof regarding
conflict of laws.

     5.9  Consent to Jurisdiction and Service of Process.  The Company and
Employee hereby consent to the jurisdiction of any state or federal court
located within the County of Cook, State of Illinois and irrevocably agree that
subject to the Company's election, all actions or proceedings arising out of or
relating to this Agreement shall be litigated in such courts. Employee accepts
for herself and in connection with her properties, generally and
unconditionally, the nonexclusive jurisdiction of the aforesaid courts and
waives any defense of forum non conveniens, and irrevocably agrees to be bound
by any judgment rendered thereby in connection with this Agreement.  Service of
all process in any such proceeding in any such court shall be mailed by
registered mail to Employee, except that unless otherwise provided by applicable
law, any failure to mail such copy shall not affect the validity of service of
process.  Employee hereby agrees that service upon her by certified mail shall
constitute sufficient notice.  Nothing herein shall affect the right to serve
process in any other manner permitted by law or shall limit the right of the
Company to bring proceedings against Employee in the courts of any other
jurisdiction.

     5.10  Employee Acknowledgment.  The Employee acknowledges (a) that she has
consulted with or has had the opportunity to consult with independent counsel of
her own choice concerning this Agreement and has been advised to do so by the
Company, and (b) that she has read and understands the Agreement, is fully aware
of its legal effect, and has entered into it freely based on her own judgment.

     5.11  Mediation.  The Company and Employee agree that in the event of any
dispute between the Company and Employee concerning the terms of this Agreement,
unless equitable relief is sought, the parties will submit the matter to
mediation prior to the commencement of legal action.

     5.12  D&O Insurance.  The Company shall maintain insurance which would
cover Employee in connection with any liability asserted against Employee for
performance of her duties hereunder or as a result of being an employee of the
Company, whether the Company would be permitted to indemnify the Employee
against such liability under applicable law to the same extent it maintains such
insurance for other officers of the Company.

     5.13  Successors/Binding Agreement.

          (a) The Company shall require any successor (whether direct or
     indirect, by purchase, merger, consolidation or otherwise) to all or
     substantially all of the business and/or assets of the Company to expressly
     assume and agree to perform this Agreement

                                       11

 
     in the same manner and to the same extent that the Company would be
     required to perform if no such succession had taken place.  As used in this
     Agreement, "Company" shall mean the Company as herein before defined and
     any successor to it's business and/or assets as aforesaid which assumes and
     agrees to perform this Agreement by operation of law, or otherwise.

          (b) This Agreement shall inure to the benefit of and be enforceable by
     the Employee and Employee's personal or legal representatives, executors,
     administrators, successors, heirs, distributees, devisees and legatees.  In
     the event of Employee's death, all amounts otherwise payable to Employee
     hereunder shall, unless otherwise provided herein, be paid in accordance
     with the terms of this Agreement to Employee's devisee, legatee or other
     designee or, if there is no such designee, to Employee's estate.

                            [signature page follows]

                                       12

 
     IN WITNESS WHEREOF, the parties have executed this Agreement on the day and
year first above written.


                              THE COMPANY:
                              ----------- 

                              EVEREST HEALTHCARE SERVICES
                               CORPORATION


                              By: /s/ Craig W. Moore
                                 --------------------------------------
                                 Craig W. Moore



                              EMPLOYEE:
                              -------- 


                              /s/ Nicki M. Norris
                              -----------------------------------------
                                  Nicki M. Norris

                                       13

EX-10.17

 
                                                                   Exhibit 10.17







                    EVEREST HEALTHCARE SERVICES CORPORATION

                             1998 STOCK AWARD PLAN

 
                               TABLE OF CONTENTS


 
                                                              Page
                                                              ----
                                                        
 
ARTICLE I    ESTABLISHMENT....................................  1

        1.1  Purpose..........................................  1

ARTICLE II   DEFINITIONS......................................  1

        2.1  "Agreement" or "Award Agreement".................  1
        2.2  "Award"..........................................  1
        2.3  "Beneficiary"....................................  1
        2.4  "Board of Directors" or "Board"..................  1
        2.5  "Cause"..........................................  1
        2.6  "Code" or "Internal Revenue Code"................  2
        2.7  "Commission".....................................  2
        2.8  "Committee"......................................  2
        2.9  "Common Stock"...................................  2
       2.10  "Company"........................................  2
       2.11  "Company Affiliate"..............................  2
       2.12  "Disability".....................................  2
       2.13  "Effective Date".................................  3
       2.14  "Exchange Act"...................................  3
       2.15  "Fair Market Value"..............................  3
       2.16  "Grant Date".....................................  3
       2.17  "Incentive Stock Option".........................  3
       2.18  "Non-Qualified Stock Option".....................  3
       2.19  "Option".........................................  3
       2.20  "Option Period"..................................  3
       2.21  "Option Price"...................................  3
       2.22  "Participant"....................................  3
       2.23  "Plan"...........................................  4
       2.24  "Representative".................................  4
       2.25  "Restricted Stock"...............................  4
       2.26  "Retirement".....................................  4
       2.27  "Rule 144".......................................  4
       2.28  "Rule 16b-3"and "Rule 16a-1(c)(3)"...............  4
       2.29  "Securities Act".................................  4
       2.30  "Stock Option"...................................  5
       2.31  "Subscription Agreement".........................  5
       2.33  "Transfer".......................................  5

ARTICLE III  ADMINISTRATION...................................  5

        3.1  Committee Structure and Authority................  5


 

  
                                                             Page
                                                             -----
                                                       
ARTICLE IV    STOCK SUBJECT TO PLAN..........................   8

         4.1  Number of Shares...............................   8
         4.2  Release of Shares..............................   8
         4.3  Restrictions on Shares.........................   8
         4.4  Stockholder Rights.............................   9
         4.5  Anti-Dilution..................................   9

ARTICLE V     ELIGIBILITY....................................  10

         5.1  Eligibility....................................  10

ARTICLE VI    STOCK OPTIONS..................................  10

         6.1  Grant of Stock Options to Participants.........  10
         6.2  Terms and Conditions...........................  11
         6.3  Termination by Reason of Death.................  14
         6.4  Termination by Reason of Disability............  14
         6.5  Other Termination..............................  14
         6.6  Certain Rights upon Termination of Employment
              Prior to a Public Offering.....................  14

ARTICLE VII   RESTRICTED STOCK...............................  14

         7.1  General........................................  14
         7.2  Awards and Certificates........................  15
         7.3  Terms and Conditions...........................  15

ARTICLE VIII  PROVISIONS APPLICABLE TO STOCK
              ACQUIRED UNDER THE PLAN........................  16

         8.1  Restriction on Disposition.....................  16
         8.2  Subscription Agreement.........................  17
         8.3  No Company Obligation..........................  17
         8.4  Limited Transfer During Offering...............  17

ARTICLE IX    CHANGE IN CONTROL PROVISIONS...................  17

         9.1  Impact of Event................................  17
         9.2  Sale of the Company............................  18

ARTICLE X     MISCELLANEOUS..................................  19
 


                                     -ii-


 
 
                                                              Page
                                                              ----
                                                        
        10.1  Amendments and Termination.....................  19
        10.2  Form and Timing of Payment Under Awards;
              Deferrals......................................  19
        10.3  Status of Awards Under Code Section 162(m).....  20
        10.4  Unfunded Status of Plan; Limits on
              Transferability................................  20
        10.5  General Provisions.............................  20
        10.6  Mitigation of Excise Tax.......................  22
        10.7  Rights with Respect to Continuance of
              Employment.....................................  22
        10.8  Awards in Substitution for Awards Granted
              by Other Corporations..........................  23
        10.9  Procedure for Adoption.........................  23
       10.10  Procedure for Withdrawal.......................  23
       10.11  Delay..........................................  23
       10.12  Headings.......................................  23
       10.13  Severability...................................  23
       10.14  Successors and Assigns.........................  24
       10.15  Entire Agreement...............................  24








                                     -iii-

 
                    EVEREST HEALTHCARE SERVICES CORPORATION
                             1998 STOCK AWARD PLAN


                                   ARTICLE I
                                   ---------

                                 ESTABLISHMENT
                                 -------------

      1.1 Purpose.

     The Everest Healthcare Services Corporation 1998 Stock Award Plan ("Plan")
is hereby established by Everest Healthcare Services Corporation ("Company")
effective as of March 5, 1998.  The purpose of the Plan is to promote the
overall financial objectives of the Company and its stockholders by motivating
those persons selected to participate in the Plan to achieve long-term growth in
stockholder equity in the Company and by retaining the association of those
individuals who are instrumental in achieving this growth.


                                   ARTICLE II
                                   ----------

                                  DEFINITIONS
                                  -----------

     For purposes of the Plan, the following terms are defined as set forth
below:

      2.1 "Agreement" or "Award Agreement" means, individually or collectively,
any agreement entered into pursuant to the Plan pursuant to which an Award is
granted to a Participant.

      2.2 "Award" means any Option or Restricted Stock, together with any other
right or interest, granted to a Participant under the Plan.

      2.3 "Beneficiary" means any person, trust or other entity which has been
designated by a Participant in his or her most recent written beneficiary
designation filed with the Committee to receive the benefits specified under the
Plan upon such Participant's death or to which Awards or other rights are
transferred if and to the extent permitted hereunder.  If, upon a Participant's
death, there is no designated Beneficiary or surviving designated Beneficiary,
then the term Beneficiary means the person, trust or other entity entitled by
will or the laws of descent and distribution to receive such benefits.

      2.4 "Board of Directors" or "Board" means the Board of Directors of the
Company.

      2.5 "Cause" shall mean, for purposes of whether and when a Participant has
incurred a Termination of Employment for Cause, any act or an act of omission
which permits the Company or a Company Affiliate to terminate the employment of
the 

 
Participant by the Company or a Company Affiliate for "cause" as defined in
such agreement or arrangement, or in the event there is no such agreement or
arrangement or the agreement or arrangement does not define the term "cause" or
a substantially equivalent term, then Cause shall mean (a) any act or failure to
act deemed to constitute cause under the Company's practices, policies or
guidelines applicable to the Participant or (b) the Participant's act or an act
of omission which constitutes gross misconduct with respect to the Company or a
Company Affiliate in any material respect, including, without limitation, an
act, or act of omission, of a criminal nature, the result of which is
detrimental to the interests of the Company or a Company Affiliate, or conduct,
or the omission of conduct, which constitutes a material breach of a duty the
Participant owes to the Company or a Company Affiliate.

      2.6 "Code" or "Internal Revenue Code" means the Internal Revenue Code of
1986, as amended, Treasury Regulations (including proposed regulations)
thereunder and any subsequent Internal Revenue Code.

      2.7 "Commission" means the Securities and Exchange Commission or any
successor agency.

      2.8 "Committee" means the person or persons appointed to administer this
Plan as further described herein.

      2.9 "Common Stock" means the shares of the regular voting Common Stock,
$.001 par value per share, of the Company, whether presently or hereafter
issued, and any other stock or security resulting from adjustment thereof as
described hereinafter or the common stock of any successor to the Company which
is designated for the purpose of the Plan.

      2.10 "Company" means Everest Healthcare Services Corporation, a
Delaware corporation, and includes any successor or assignee corporation or
corporations into which the Company may be merged, changed or consolidated, any
corporation for whose securities all or substantially all of the securities of
the Company shall be exchanged, and any assignee of or successor to all or
substantially all of the assets of the Company.

      2.11 "Company Affiliate" means any individual, corporation, partnership,
limited liability company, association, joint-stock company, trust,
unincorporated association or other entity (other than the Company) that
directly, or indirectly through one or more intermediaries, controls, is
controlled by, or is under common control with, the Company including, without
limitation, any member of an affiliated group of which the Company is a common
parent corporation as provided in Section 1504 of the Code.

      2.12 "Disability" means any mental or physical illness, disability or
incapacity to the extent that the Participant shall be unable to perform his or
her duties, or the 

                                      -2-

 
absence of the Participant with the Company or a Company Affiliate employment by
reason of any mental or physical illness, disability or incapacity for a period
of three months during any six-month period; provided, however, in either case,
that such illness, disability or incapacity shall be determined to be of a
permanent nature by a licensed physician selected by the Committee and
reasonably acceptable to the Participant. Notwithstanding the foregoing, a
Disability shall not qualify under this Plan if it is the result of (i) a
willfully self-inflicted injury or willfully self-induced sickness; or (ii) an
injury or disease contracted, suffered, or incurred while participating in a
criminal offense. The determination of Disability shall be made by the
Committee. The determination of Disability for purposes of this Plan shall not
be construed to be an admission of disability for any other purpose.

      2.13 "Effective Date" means March 5, 1998.

      2.14 "Exchange Act" means the Securities Exchange Act of 1934, as
amended, and the rules and regulations promulgated thereunder.

      2.15 "Fair Market Value" means (a) prior to the date the Common Stock
is traded on a regular securities market, the fair market value as determined in
the sole discretion of the Committee; and (b) after the date the Common Stock is
traded on a regular securities market, unless otherwise determined by the
Committee, the fair market value per share of Common Stock as of any given date
shall be the closing sale price per share reported on a consolidated basis for
stock listed on the principal stock exchange or market on which Common Stock is
traded on the date as of which such value is being determined or, if there is no
sale on that date, then on the last previous day on which a sale was reported.

      2.16 "Grant Date" means the date as of which an Award is granted
pursuant to the Plan.

      2.17 "Incentive Stock Option" means any Stock Option intended to be
and designated as an "incentive stock option" within the meaning of Section 422
of the Code.

      2.18 "Non-Qualified Stock Option" means an Option to purchase Common
Stock in the Company granted under the Plan, the taxation of which is pursuant
to Section 83 of the Code.

      2.19 "Option" means a right, granted to a Participant under Section
6.1 hereof, to purchase Common Stock at a specified price during specified time
periods, or at a time based upon criteria determined by the Committee.

      2.20 "Option Period" means the period during which an Option shall be
exercisable in accordance with the related Agreement and Article VI.

                                      -3-

 
      2.21 "Option Price" means the price at which the Common Stock may be
purchased under an Option as provided in Section 6.3(b).

      2.22 "Participant" means a person who satisfies the eligibility
conditions of Article V and to whom an Award has been granted by the Committee
under the Plan, and in the event a Representative is appointed for a Participant
or another person becomes a Representative, then the term "Participant" shall
mean such Representative.  The term shall also include a trust for the benefit
of the Participant, a partnership the interest of which is held by or for the
benefit of the Participant, the Participant's parents, spouse or descendants, or
a custodian under a uniform gifts to minors act or similar statute for the
benefit of the Participant's descendants, to the extent permitted by the
Committee and not inconsistent with Rule 16b-3 (if relevant) or the status of
the Option as an Incentive Stock Option, if intended. Notwithstanding the
foregoing, the term "Termination of Employment" shall mean the Termination of
Employment of the person to whom the Award was originally granted.

      2.23 "Plan" means the Everest Healthcare Services Corporation 1998
Stock Award Plan, as herein set forth and as may be amended from time to time.

      2.24 "Representative" means (a) the person or entity acting as the
executor or administrator of a Participant's estate pursuant to the last will
and testament of a Participant or pursuant to the laws of the jurisdiction in
which the Participant had the Participant's primary residence at the date of the
Participant's death; (b) the person or entity acting as the guardian or
temporary guardian of a Participant; (c) the person or entity which is the
Beneficiary of the Participant upon or following the Participant's death; or (d)
any person who has acquired any right, title or interest in or to the Common
Stock or an Option whether pursuant to community property law or other laws of
any jurisdiction by reason of the death of the Participant, or to whom an Option
has been transferred with the permission of the Committee or by operation of
law; provided, that only one of the foregoing shall be the Representative at any
point in time as determined under applicable law and recognized by the
Committee.

      2.25 "Restricted Stock" means Common Stock granted to a Participant
under Section 7.1 hereof that is subject to certain restrictions and to a risk
of forfeiture.

      2.26 "Retirement" means the Participant's Termination of Employment
after attaining either the normal retirement age or the early retirement age as
defined in the principal (as determined by the Committee) tax-qualified plan of
the Company or a Company Affiliate, if the Participant is covered by such a
plan, or if the Participant is not covered by such a plan, then age 65, or age
55 with the accrual of 10 years of service.

      2.27 "Rule 144" means Rule 144 promulgated under the Securities Act.

                                      -4-

 
      2.28 "Rule 16b-3"and "Rule 16a-1(c)(3)" mean Rule 16b-3 and Rule 16a-
1(c)(3), as from time to time in effect and applicable to the Plan and
Participants, promulgated by the Securities and Exchange Commission under
Section 16 of the Exchange Act.

      2.29 "Securities Act" means the Securities Act of 1933, as amended,
and the rules and regulations promulgated thereunder.

      2.30 "Stock Option" means a right, granted to a Participant under Section
6.1 hereof to purchase Common Stock.

      2.31 "Subscription Agreement" means an agreement, the execution of
which is a condition precedent to the Participant's receipt of any shares of
Common Stock hereunder.

     2.32 "Termination of Employment" means the occurrence of any act or event,
whether pursuant to an employment agreement or otherwise, that actually or
effectively causes or results in the person's ceasing, for whatever reason, to
be an officer, independent contractor, director or employee of the Company or of
any Company Affiliate, or to be an officer, independent contractor, director or
employee of any entity that provides services to the Company or a Company
Affiliate, including, without limitation, death, Disability, dismissal,
severance at the election of the Participant, Retirement, or severance as a
result of the discontinuance, liquidation, sale or transfer by the Company or
Company Affiliates of all businesses owned or operated by the Company or Company
Affiliates.  With respect to any person who is not an employee with respect to
the Company or a Company Affiliate, the Agreement shall establish what act or
event shall constitute a Termination of Employment for purposes of the Plan.  A
transfer of employment from the Company to a Company Affiliate, or from a
Company Affiliate to the Company, will not be a Termination of Employment,
unless expressly determined by the Committee.  A Termination of Employment shall
occur for an employee who is employed by a Company Affiliate if the Company
Affiliate shall cease to be a Company Affiliate and the Participant shall not
immediately thereafter become an employee of the Company or a Company Affiliate.

      2.33 "Transfer" means any sale, disposition, assignment, pledge,
hypothecation, encumbrance, transfer, conveyance, gift, alienation or other
transfer.

     In addition, certain other terms used herein have definitions given to them
in the first place in which they are used.

                                      -5-

 
                                  ARTICLE III
                                  -----------

                                 ADMINISTRATION
                                 --------------

      3.1 Committee Structure and Authority.  Prior to the date of the first
registration of an equity security of the Company under the Exchange Act (the
"Registration Date"), the Plan shall be administered by the Board of Directors
or a committee of one or more persons appointed to administer the Plan by the
Board of Directors.  From and after the Registration Date, the Plan shall be
administered by a committee comprised of one or more persons, which committee
shall be the compensation committee of the Board of Directors, unless such
committee does not exist or the Board establishes or identifies another
committee whose purpose is the administration of this Plan.  Only those members
of the Committee who participate in the decision relative to Awards under this
Plan shall be deemed to be the "Committee" for purposes of this Plan.  A
majority of the Committee shall constitute a quorum at any meeting thereof
(including by telephone conference) and the acts of a majority of the members
present, or acts approved in writing by a majority of the entire Committee
without a meeting, shall be the acts of the Committee for purposes of this Plan.
The Committee may authorize any one or more of its members or an officer of the
Company to execute and deliver documents on behalf of the Committee. A member of
the Committee shall not exercise any discretion with respect to himself or
herself under the Plan.  The Board shall have the authority to remove, replace
or fill any vacancy of any member of the Committee upon notice to the Committee
and the affected member.  Any member of the Committee may resign upon notice to
the Board.  The Committee may allocate among one or more of its members, or may
delegate to one or more of its agents, such duties and responsibilities as it
determines.

     Among other things, the Committee shall have the authority, subject to the
terms of this Plan (including, without limitation, Section 9.1):

          (a) to select those persons to whom Awards may be granted from time to
     time;

          (b) to determine whether and to what extent Awards or any combination
     thereof are to be granted hereunder;

          (c) to determine the number of shares of Common Stock to be covered by
     each Award granted hereunder;

          (d) to determine the terms and conditions of any Award granted
     hereunder (including, but not limited to, the Option Price, the Option
     Period, any exercise restriction or limitation and any exercise
     acceleration, forfeiture or waiver regarding any Award, any shares of
     Common Stock relating thereto, any performance criteria and the
     satisfaction of each criteria);

                                      -6-

 
          (e) to adjust the terms and conditions, at any time or from time to
     time, of any Award, subject to the limitations of Section 10.1;

          (f) to determine to what extent and under what circumstances Common
     Stock and other amounts payable with respect to an Award shall be deferred;

          (g) to determine under what circumstances an Award may be settled in
     cash or Common Stock;

          (h) to provide for the forms of Agreements to be utilized in
     connection with the Plan;

          (i) to determine whether a Participant has a Disability or a
     Retirement;

          (j) to determine what securities law requirements are applicable to
     the Plan, Awards and the issuance of shares of Common Stock under the Plan
     and to require of a Participant that appropriate action be taken with
     respect to such requirements;

          (k) to cancel, with the consent of the Participant or as otherwise
     provided in the Plan or an Agreement, outstanding Awards;

          (l) to interpret and make final determinations with respect to the
     remaining number of shares of Common Stock available under this Plan;

          (m) to require, as a condition of the exercise of an Award or the
     issuance or transfer of a certificate of Common Stock, the withholding from
     a Participant of the amount of any Federal, state or local taxes as may be
     necessary in order for the Company or any other employer to obtain a
     deduction or as may be otherwise required by law;

          (n) to determine whether and with what effect a Participant has
     incurred a Termination of Employment;

          (o) to determine whether the Company or any other person has a right
     or obligation to purchase Common Stock from a Participant and, if so, the
     terms and conditions on which such Common Stock is to be purchased;

          (p) to determine the restrictions or limitations on the transfer of
     Common Stock obtained under the Plan;

          (q) to determine whether an Award is to be adjusted, modified or
     purchased, or is to become fully exercisable, under the Plan or the terms
     of an Agreement;

                                      -7-

 
          (r) to determine the permissible methods of Award exercise and
     payment, including cashless exercise arrangements;

          (s) to adopt, amend and rescind such rules and regulations as, in its
     opinion, may be advisable in the administration of the Plan; and

          (t) to appoint and compensate agents, counsel, auditors or other
     specialists to aid it in the discharge of its duties.

     The Committee shall have the authority to adopt, alter and repeal such
administrative rules, guidelines and practices governing the Plan as it shall,
from time to time, deem advisable, to interpret the terms and provisions of the
Plan, any Award issued under the Plan and any Subscription Agreement and to
otherwise supervise the administration of the Plan.  The Committee's policies
and procedures may differ with respect to Awards granted at different times or
to different Participants.

     Any determination made by the Committee pursuant to the provisions of the
Plan shall be made in its sole discretion, and in the case of any determination
relating to an Award, may be made at the time of the grant of the Award or,
unless in contravention of any express term of the Plan, an Agreement or
Subscription Agreement, at any time thereafter.  All decisions made by the
Committee pursuant to the provisions of the Plan shall be final and binding on
all persons, including the Company and Participants.  No determination shall be
subject to de novo review if challenged in court.


                                   ARTICLE IV
                                  -----------

                             STOCK SUBJECT TO PLAN
                             ---------------------

      4.1 Number of Shares.  Subject to the adjustment under Section 4.5, the
total number of shares of Common Stock reserved and available for distribution
pursuant to Awards under the Plan shall be 1.5 million shares of Common Stock
authorized for issuance on the Effective Date.  Such shares may consist, in
whole or in part, of authorized and unissued shares or treasury shares.

      4.2 Release of Shares.  Subject to the limitation of Section 4.1, the
Committee shall have full authority to determine the number of shares of Common
Stock available for Award, and in its discretion may include (without
limitation) as available for distribution any shares of Common Stock that have
ceased to be subject to an Award, any shares of Common Stock subject to any
Award that are forfeited, any shares of Common Stock subject to any Stock Option
Award that otherwise terminates without issuance of shares of Common Stock being
made to the Participant, or any shares (whether or not restricted) of Common
Stock that are received by the Company in connection with the exercise of an
Award, including the 

                                      -8-

 
satisfaction of any tax liability or the satisfaction of a tax withholding
obligation. If any shares could not again be available for Options to a
particular Participant under applicable law, such shares shall be available
exclusively for Options to Participants who are not subject to such limitations.

      4.3 Restrictions on Shares.  Shares of Common Stock issued upon exercise
of a Stock Option as or in conjunction with an Award shall be subject to the
terms and conditions specified herein and to such other terms, conditions and
restrictions as the Committee in its discretion may determine or provide in the
Award Stock Option Agreement or Subscription Agreement.  The Company shall not
be required to issue or deliver any certificates for shares of Common Stock,
cash or other property prior to (a) the listing of such shares on any stock
exchange or NASDAQ (or other public market) on which the Common Stock may then
be listed (or regularly traded), (b) the completion of any registration or
qualification of such shares under Federal or state law, or any ruling or
regulation of any government body which the Committee determines to be necessary
or advisable, and (c) the satisfaction of any applicable withholding obligation
in order for the Company or a Company Affiliate to obtain a deduction with
respect to the exercise of a Stock Option or as may otherwise be required by
law, and (d) the satisfaction of all other conditions under this Plan, an Award
Agreement or Subscription Agreement.  The Company may cause any certificate for
any share of Common Stock to be delivered to be properly marked with a legend or
other notation reflecting the limitations on transfer of such Common Stock as
provided in this Plan or as the Committee may otherwise require.  The Committee
may require any person exercising an Award to make such representations and
furnish such information as it may consider appropriate in connection with the
issuance or delivery of the shares of Common Stock in compliance with applicable
law or otherwise.  All shares of Common Stock issued to a Participant in
connection with an Award shall be subject to the Subscription Agreement.  No
person shall have any right regarding the registration of shares of Common Stock
except and only to the extent expressly provided in the Subscription Agreement
and subject to any requirement or condition imposed by the Company or an
underwriter managing an offering of the Company's securities.  Fractional shares
shall not be delivered, but shall be rounded to the next lower whole number of
shares with appropriate payment for such fractional shares as shall reasonably
be determined by the Committee.

      4.4 Stockholder Rights.  No person shall have any rights of a stockholder
as to shares of Common Stock subject to an Award until, after proper exercise of
the Award and execution of a Subscription Agreement or other action required,
such shares shall have been recorded on the Company's official stockholder
records as having been issued and transferred.  Upon exercise of the Award or
any portion thereof, the Company will have a reasonable time in which to issue
the shares, and the Participant will not be treated as a stockholder for any
purpose whatsoever prior to such issuance.  No adjustment shall be made for cash
dividends or other rights for which the record date is prior to the date such
shares are recorded as issued and 

                                      -9-

 
transferred in the Company's official stockholder records, except as provided
herein or in an Agreement.

      4.5 Anti-Dilution.  In the event of any Company stock dividend, stock
split, reverse stock split, combination or exchange of shares, recapitalization
or other change in the capital structure of the Company, corporate separation or
division of the Company (including, but not limited to, a split-up, spin-off,
split-off or distribution to Company stockholders other than a normal cash
dividend), sale by the Company of all or a substantial portion of its assets
(measured on either a stand-alone or consolidated basis), reorganization, rights
offering, a partial or complete liquidation, or any other corporate transaction,
Company stock offering or event involving the Company and having an effect
similar to any of the foregoing, then the Committee may adjust or substitute, as
the case may be, the number of shares of Common Stock available for Awards under
the Plan, the number of shares of Common Stock covered by outstanding Awards,
the maximum number of Awards available for grant to any Participant for a stated
period of time (including the maximum number of Stock Appreciation Rights), the
exercise price per share of outstanding Awards, and performance conditions and
any other characteristics or terms of the Awards as the Committee shall deem
necessary or appropriate to reflect equitably the effects of such changes to the
Participants; provided, however, that the Committee may limit any such
adjustment so as to maintain the deductibility of the Awards under Section
162(m) of the Code and that any fractional shares resulting from such adjustment
shall be eliminated by rounding to the next lower whole number of shares with
appropriate payment for such fractional shares as shall reasonably be determined
by the Committee.


                                   ARTICLE V
                                   ---------

                                  ELIGIBILITY
                                  -----------

      5.1 Eligibility.  Except as herein provided, the persons who shall be
eligible to participate in the Plan and be granted Awards shall be those persons
who are directors, officers, employees, independent contractors, or consultants
of the Company or any subsidiary of the Company or professional corporations or
the equivalent owned by such persons, who shall be in a position, in the opinion
of the Committee, to make contributions to the growth, management, protection
and success of the Company and its subsidiaries.  Of those persons described in
the preceding sentence, the Committee may, from time to time, select persons to
be granted Awards and shall determine the terms and conditions with respect
thereto. In making any such selection and in determining the form of the Award
with respect to Participants, the Committee may give consideration to the
person's functions and responsibilities, the person's contributions to the
Company and its subsidiaries, the value of the individual's service to the
Company and its subsidiaries and such other 

                                      -10-

 
factors deemed relevant by the Committee. The Committee may designate in writing
any person who is not eligible to participate in the Plan if such person would
otherwise be eligible to participate in this Plan.


                                   ARTICLE VI
                                  -----------

                                 STOCK OPTIONS
                                 -------------

      6.1 Grant of Stock Options to Participants.  The Committee shall have
authority to grant Stock Options under the Plan at any time or from time to time
to each Participant as the Committee determines.  The grant of a Stock Option to
such Participants shall occur as of the date the Committee determines.  Stock
Options may be either Incentive Stock Options or Non-Qualified Stock Options.
An Option shall entitle such Participant to receive shares of Common Stock upon
exercise of such Option, subject to the Participant's satisfaction in full of
any conditions, restrictions or limitations imposed in accordance with the Plan
or an Agreement (the terms and provisions of which may differ from other
Agreements), including, without limitation, payment of the Option Price.  On or
after the date which Section 162(m) of the Code is applicable to the Company,
during any calendar year, Options to purchase no more than 750,000 shares of
Common Stock (subject to adjustment under Section 4.5) shall be granted to any
Participant during any fiscal year.

     Each Option granted under this Plan shall be evidenced by an Agreement, in
a form approved by the Committee, which shall embody the terms and conditions of
such Option and which shall be subject to the express terms and conditions set
forth in the Plan.  Such Agreement shall become effective upon execution by the
Participant.  Only a person who is a common-law employee of the Company, any
parent corporation of the Company or a subsidiary (as such terms are defined in
Section 424 of the Code) on the date of grant shall be eligible to be granted an
Option which is intended to be and is an Incentive Stock Option.  To the extent
that any Stock Option is not designated as an Incentive Stock Option or even if
so designated does not qualify as an Incentive Stock Option, it shall constitute
a Non-Qualified Stock Option.

      6.2 Terms and Conditions.  Stock Options shall be subject to such terms
and conditions as shall be determined by the Committee, including the following:

          (a) Option Period.  The Option Period of each Stock Option shall be
     fixed by the Committee; provided that no Stock Option shall be exercisable
     more than ten (10) years after the date the Stock Option is granted.  In
     the case of an Incentive Stock Option granted to an individual who owns
     more than ten percent (10%) of the combined voting power of all classes of
     stock of the Company, a corporation which is a parent corporation of the
     Company or any subsidiary of the Company (each as defined in Section 424 of
     the 

                                      -11-

 
     Code), the Option Period shall not exceed five (5) years from the date
     of grant. No Option which is intended to be an Incentive Stock Option shall
     be granted more than ten (10) years from the date the Plan is adopted by
     the Company or the date the Plan is approved by the stockholders of the
     Company, whichever is earlier.

          (b) Option Price.  The Option Price per share of the Common Stock
     purchasable under an Option shall be determined by the Committee; provided,
     however, that the Option Price per share of an Incentive Stock Option shall
     be not less than the Fair Market Value per share on the date the Option is
     granted. If an Option is intended to qualify as an Incentive Stock Option
     and is granted to an individual who owns or who is deemed to own stock
     possessing more than ten percent (10%) of the combined voting power of all
     classes of stock of the Company, a corporation which is a parent
     corporation of the Company or any subsidiary of the Company (each as
     defined in Section 424 of the Code), the Option Price per share shall not
     be less than one hundred ten percent (110%) of such Fair Market Value per
     share.

          (c) Exercisability.  Stock Options shall be exercisable at such time
     or times and subject to such terms and conditions as shall be determined by
     the Committee.  Subject to the Plan and unless otherwise provided in an
     Agreement, an Option shall be exercisable only during the Option Period,
     and only to the extent the Option is fully exercisable as provided in the
     Option Agreement.  Unless otherwise provided in an Agreement, an Option
     shall be exercisable only if the Participant does not incur a Termination
     of Employment prior to the date or dates established by the Committee and
     set forth in an Agreement except if, the Participant dies or incurs a
     Disability prior to a Termination of Employment, and the Participant
     satisfies all other conditions in the Plan or an Agreement.  If the
     Committee provides that any Stock Option is exercisable only in
     installments, the Committee may at any time waive such installment exercise
     provisions, in whole or in part.  In addition, the Committee may at any
     time accelerate the exercisability of any Stock Option or provide for
     acceleration on the satisfaction of performance standards.  If the
     Committee intends that an Option be an Incentive Stock Option, the
     Committee may, in its discretion, provide that the aggregate Fair Market
     Value (determined at the Grant Date) of the Common Stock as to which such
     Incentive Stock Option which is exercisable for the first time during any
     calendar year shall not exceed $100,000.

          (d) Method of Exercise.  Subject to the provisions of this Article VI,
     a Participant may exercise Stock Options, in whole or in part, at any time
     during the Option Period by the Participant's giving written notice of
     exercise on a form provided by the Committee (if available) to the Company
     specifying the number of shares of Common Stock subject to the Stock Option
     to be purchased and such other information as requested.  Except when
     waived by 

                                      -12-

 
     the Committee, such notice shall be accompanied by payment in full of the
     purchase price by cash or check or such other form of payment as the
     Company may accept. If approved by the Committee (including approval at the
     time of exercise), payment in full or in part may also be made (i) by
     delivering Common Stock already owned by the Participant having a total
     Fair Market Value on the date of such delivery equal to the Option Price;
     (ii) by the execution and delivery of a note or other evidence of
     indebtedness (and any security agreement thereunder) satisfactory to the
     Committee and permitted in accordance with Section 6.2(e); (iii) by
     authorizing the Company to retain shares of Common Stock which would
     otherwise be issuable upon exercise of the Option having a total Fair
     Market Value on the date of delivery equal to the Option Price; (iv) by the
     delivery of cash or the extension of credit by a broker-dealer to whom the
     Participant has submitted a notice of exercise or otherwise indicated an
     intent to exercise an Option (in accordance with Part 220, Chapter II,
     Title 12 of the Code of Federal Regulations, so-called "cashless"
     exercise); (v) by certifying ownership of Common Stock owned by the
     Participant to the satisfaction of the Committee for latter delivery to the
     Company as specified by the Committee; or (vi) by any combination of the
     foregoing or by any other method permitted by the Committee. If payment of
     the Option Price of a Stock Option is made in whole or in part in the form
     of Restricted Stock, the number of shares of Common Stock to be received
     upon such exercise that is equal to the number of shares of Restricted
     Stock used for payment of the Option Price shall be subject to the same
     forfeiture restrictions or deferral limitations to which such Restricted
     Stock was subject, unless otherwise determined by the Committee. In the
     case of an Incentive Stock Option, the right to make a payment in the form
     of already owned shares of Common Stock of the same class as the Common
     Stock subject to the Stock Option may be authorized only at the time the
     Stock Option is granted. No shares of Common Stock shall be issued until
     full payment therefor, as determined by the Committee, has been made.
     Subject to any forfeiture restrictions or deferral limitations that may
     apply if a Stock Option is exercised using Restricted Stock, a Participant
     shall have all of the rights of a stockholder of the Company holding the
     class of Common Stock that is subject to such Stock Option (including, if
     applicable, the right to vote the shares and the right to receive
     dividends), when the Participant has given written notice of exercise, has
     paid in full for such shares and such shares have been recorded on the
     Company's official stockholder records as having been issued and
     transferred.

          (e) Company Loan or Guarantee.  Upon the exercise of any Option and
     subject to the pertinent Agreement and the discretion of the Committee, the
     Company may at the request of the Participant:

               (1) lend to the Participant an amount equal to such portion of
         the Option Price as the Committee may determine; or

                                      -13-

 
               (2) guarantee a loan obtained by the Participant from a third-
         party for the purpose of tendering the Option Price.

     The terms and conditions of any loan or guarantee, including the term,
     interest rate and any security interest thereunder and whether the loan
     shall be with recourse, shall be determined by the Committee, except that
     no extension of credit or guarantee shall obligate the Company for an
     amount to exceed the lesser of the aggregate Fair Market Value per share of
     the Common Stock on the date of exercise, less the par value of the shares
     of Common Stock to be purchased upon the exercise of the Award, or the
     amount permitted under applicable laws or the regulations and rules of the
     Federal Reserve Board and any other governmental agency having
     jurisdiction.

          (f) Non-transferability of Options.  Except as provided herein or in
     an Agreement and then only consistent with the intent that the Option be an
     Incentive Stock Option, no Stock Option or interest therein shall be
     transferable by the Participant other than by will or by the laws of
     descent and distribution or by a designation of Beneficiary effective upon
     the death of the Participant.

      6.3 Termination by Reason of Death.  Unless otherwise provided in an
Agreement or determined by the Committee, if a Participant incurs a Termination
of Employment due to death, any unexpired and unexercised Stock Option held by
such Participant shall thereafter be fully exercisable for a period of ninety
(90) days following the date of the appointment of a Representative or until the
expiration of the Option Period, whichever period is the shorter.

      6.4 Termination by Reason of Disability.  Unless otherwise provided in an
Agreement or determined by the Committee, if a Participant incurs a Termination
of Employment due to a Disability, any unexpired and unexercised Stock Option
held by such Participant shall thereafter be fully exercisable by the
Participant for the period of ninety (90) days immediately following the date of
such Termination of Employment or until the expiration of the Option Period,
whichever period is shorter, and the Participant's death at any time following
such Termination of Employment due to Disability shall not affect the foregoing.
In the event of Termination of Employment by reason of Disability, if an
Incentive Stock Option is exercised after the expiration of the exercise periods
that apply for purposes of Section 422 of the Code, such Stock Option will
thereafter be treated as a Non-Qualified Stock Option.

      6.5 Termination for Cause.  Unless otherwise agreed to in writing by the
Committee, if the Participant incurs a Termination of Employment for Cause, any
Option granted to the Participant and outstanding shall be cancelled
immediately, no payment of any kind shall be made in respect of the Option and
the Participant shall have no further rights with respect to the Option.

                                      -14-

 
      6.6 Other Termination.  Unless otherwise provided in an Agreement or
determined by the Committee, if a Participant incurs a Termination of Employment
for any reason other than death, Disability or Cause, any Stock Option held by
such Participant shall thereupon terminate, except that such Stock Option, to
the extent then exercisable, may be exercised for the lesser of the ninety (90)
day period commencing with the date of such Termination of Employment or until
the expiration of the Option Period.  Unless otherwise provided in an Agreement
or determined by the Committee, the death or Disability of a Participant after a
Termination of Employment otherwise provided herein shall not extend the time
permitted to exercise an Option.

      6.7 Certain Rights upon Termination of Employment.  Each Option Agreement
may provide that the Company shall have the right to purchase all or part (as
determined by the Committee) of any Option held by the Participant, upon such
terms and conditions as are set forth in the Option Agreement or as agreed to by
the Committee and the Participant.  Unless otherwise provided in an Agreement or
determined by the Committee, if the Participant violates any covenant regarding
proprietary information or noncompetition, the Option shall be cancelled and no
value shall or may be paid in respect of such Option and the Participant shall
have no further rights with respect to the Option.


                                   ARTICLE VII
                                  ------------

                                RESTRICTED STOCK
                                ----------------

      7.1 General.  The Committee shall have authority to grant Restricted Stock
under the Plan at any time or from time to time.  Shares of Restricted Stock may
be awarded either alone or in addition to other Awards granted under the Plan.
Restricted Stock may be either granted currently or on a deferred delivery
basis.  The Committee shall determine the persons to whom and the time or times
at which grants of Restricted Stock will be awarded, the number of shares of
Restricted Stock to be awarded to any Participant, the time or times within
which such Awards may be subject to forfeiture and any other terms and
conditions of the Awards.  Each Award shall be confirmed by, and be subject to
the terms of, an Agreement.  The Committee may condition the grant of Restricted
Stock upon the attainment of specified performance goals by the Participant or
by the Company or a Company Affiliate (including a division or department of the
Company or a Company Affiliate) for or within which the Participant is primarily
employed or upon such other factors or criteria as the Committee shall
determine.  The provisions of Restricted Stock Awards need not be the same with
respect to each Participant.

      7.2 Awards and Certificates.  Notwithstanding the limitations on issuance
of shares of Common Stock otherwise provided in the Plan, each Participant
receiving an Award of Restricted Stock shall be issued a certificate in respect
of such shares 

                                      -15-

 
of Restricted Stock. Such certificate shall be registered in the name of such
Participant and shall bear an appropriate legend referring to the terms,
conditions, and restrictions applicable to such Award as determined by the
Committee. The Committee may require that the certificates evidencing such
shares be held in custody by the Company until the restrictions thereon shall
have lapsed and that, as a condition of any Award of Restricted Stock, the
Participant shall have delivered a stock power, endorsed in blank, relating to
the Common Stock covered by such Award.

      7.3 Terms and Conditions.  Shares of Restricted Stock shall be subject to
the following terms and conditions:

          (a) Limitations on Transferability.  Subject to the provisions of the
     Plan and the Agreement, during a period set by the Committee commencing
     with the date of such Award (the "Restriction Period"), the Participant
     shall not be permitted to sell, dispose of, assign, transfer, pledge,
     hypothecate, convey, gift, alienate, encumber or otherwise transfer any
     interest in shares of Restricted Stock.

          (b) Rights.  Restricted stock may be granted for any price or no
     price. Except as provided in Section 7.3(a), the Participant shall have,
     with respect to the shares of Restricted Stock, all of the rights of a
     stockholder of the Company holding the class of Common Stock that is the
     subject of the Restricted Stock, including, if applicable, the right to
     vote the shares and the right to receive any cash dividends.  Unless
     otherwise determined by the Committee and subject to the Plan, cash
     dividends on the class of Common Stock that is the subject of the
     Restricted Stock shall be automatically deferred and reinvested in
     additional Restricted Stock, and dividends on the class of Common Stock
     that is the subject of the Restricted Stock payable in Common Stock shall
     be paid in the form of Restricted Stock of the same class as the Common
     Stock on which such dividend was paid.

          (c) Acceleration.  Based on service, performance by the Participant or
     by the Company or a Company Affiliate, including any division or department
     for which the Participant is employed, or such other factors or criteria as
     the Committee may determine, the Committee may provide for the lapse of
     restrictions in installments and may accelerate the vesting of all or any
     part of any Award and waive the restrictions for all or any part of such
     Award.

          (d) Forfeiture.  Unless otherwise provided in an Agreement or
     determined by the Committee, if the Participant incurs a Termination of
     Employment during the Restriction Period due to death or Disability, the
     restrictions shall lapse and the Participant shall be fully vested in the
     Restricted Stock.  Except to the extent otherwise provided in the
     applicable Agreement and the Plan, upon a Participant's Termination of
     Employment for any reason 

                                      -16-

 
     during the Restriction Period other than death or Disability, all shares of
     Restricted Stock still subject to restriction shall be forfeited by the
     Participant, except that the Committee shall have the discretion to waive
     in whole or in part any or all remaining restrictions with respect to any
     or all of such Participant's shares of Restricted Stock.

          (e) Delivery.  If and when the Restriction Period expires without a
     prior forfeiture of the Restricted Stock subject to such Restriction
     Period, unlegended certificates (other than applicable securities law
     legends) for such shares shall be delivered to the Participant, except that
     the Award may provide for deferred delivery.

          (f) Election.  A Participant may elect to further defer receipt of the
     Restricted Stock for a specified period or until a specified event, subject
     in each case to the Committee's approval and to such terms as are
     determined by the Committee.  Subject to any exceptions adopted by the
     Committee, such election must be made one (1) year prior to completion of
     the Restriction Period.

                                  ARTICLE VIII
                                 -------------

             PROVISIONS APPLICABLE TO STOCK ACQUIRED UNDER THE PLAN
             ------------------------------------------------------

      8.1 Restriction on Disposition. Other than in accordance with the terms
and conditions of this Plan, an Agreement or a Subscription Agreement, any
attempted sale, transfer, conveyance, gift, assignment, pledge, encumbrance,
hypothecation, alienation or other disposition of a Stock Option or any of the
shares of Common Stock by the Participant is void and transfers no right, title,
or interest in or to such Stock Option or shares of Common Stock, or any portion
of them, to the purported buyer, transferee, donee, assignee, pledgee or
encumbrance holder.  Upon written consent of the Committee (which consent will
not be unreasonably withheld), the Participant may transfer the Option or some
or all of the shares of Common Stock (or any interest therein) to his or her
Representative; provided, however, prior to any such transfer, the Participant
and any such Representative shall execute and deliver to the Company a
counterpart of the Stock Option Agreement or Subscription Agreement indicating
the Representative's consent to be bound by its terms to the same extent as the
Participant and the Representative shall be deemed to be bound by the terms and
conditions of the Stock Option Agreement or Subscription Agreement to the same
extent as the Participant.

      8.2 Subscription Agreement. Shares of Common Stock issued upon the
exercise of an Option shall be subject to the terms and conditions of the
Subscription Agreement which may contain such terms as the Committee may
determine.  The Committee may in its sole discretion include in any Subscription
Agreement an obligation that the Participant sell to the Company the
Participant's shares of Common 

                                      -17-

 
Stock received upon the exercise of an Option, upon such terms and conditions as
the Committee may determine and set forth in a Subscription Agreement.
Notwithstanding any provision herein to the contrary, the Company may upon
determination by the Committee assign its right to purchase shares of Common
Stock, whereupon the assignee of such right shall have all the rights, duties
and obligations of the Company with respect to the purchase of the shares of
Common Stock.

      8.3 No Company Obligation.  None of the Company, a Company Affiliate or
the Committee shall have any duty or obligation to affirmatively disclose to a
record or beneficial holder of Common Stock or an Award, and such holder shall
have no right to be advised of any material information regarding the Company or
any Company Affiliate at any time prior to, upon or in connection with receipt
or the exercise of an Award or the Company's purchase of Common Stock or an
Award from such holder in accordance with the terms hereof.

      8.4 Limited Transfer During Offering.  In the event there is an effective
registration statement under the Securities Act pursuant to which shares of
Common Stock shall be offered for sale in an underwritten offering, a
Participant shall not, during the period requested by the underwriters managing
the registered public offering, effect any public sale or distribution of shares
received directly or indirectly pursuant to the exercise of an Award.


                                   ARTICLE IX
                                  -----------

                          CHANGE IN CONTROL PROVISIONS
                          ----------------------------

      9.1 Impact of Event.  Notwithstanding any other provision of the Plan to
the contrary, unless otherwise provided in an Agreement, in the event of any
transaction between the Company and any Person pursuant to which such Person
acquires (i) a majority of the issued and outstanding shares of Common Stock, or
(ii) all or substantially all of the Company's assets on a consolidated basis (a
"Sale of the Company") the Committee shall have full discretion to do any or all
of the following with respect to an Award:

          (a) to provide that any Stock Options outstanding as of the date of
     such Sale of the Company and not then exercisable shall become fully
     exercisable to the full extent of the original grant.

          (b) to cause the restrictions and deferral limitations applicable to
     any Restricted Stock to lapse, and for such Restricted Stock to become free
     of all restrictions and become fully vested and transferable to the full
     extent of the original grant.

                                      -18-

 
          (c) to cause any Award to be cancelled, provided notice of at least 15
     days thereof is provided before the date of cancellation;

          (d) to provide that the securities of another entity be substituted
     hereunder for the Common Stock and to make equitable adjustment with
     respect thereto;

          (e) to grant the Participant, by giving notice during a pre-set
     period, the right to surrender all or part of a stock-based Award to the
     Company and to receive cash in an amount equal to the amount by which the
     "Sale of the Company Price" (as defined in Section 9.2) per share of Common
     Stock on the date of such election shall exceed the amount which the
     Participant must pay to exercise the Award per share of Common Stock (the
     "Spread") multiplied by the number of shares of Common Stock granted under
     the Award;

          (f) to require the assumption of the obligation of the Company under
     the Plan subject to appropriate adjustment; and

          (g) to take any other action the Committee determines to take.

      9.2 Sale of the Company.  For purposes of the Plan, "Sale of the Company
Price" means the higher of (a) prior to the date the Common Stock is traded on a
regular securities market, the value per share of Common Stock to be received in
connection with the Sale of the Company, and (b) after the date the Common Stock
is traded on a regular securities market (i) the highest reported sales price of
a share of Common Stock in any transaction reported on the principal exchange on
which such shares are listed or on NASDAQ during the 60-day period prior to and
including the date of such sale or (ii) if the Sale of the Company is the result
of a tender or exchange offer, merger, consolidation, liquidation or sale of all
or substantially all of the assets of the Company (in each case a "Corporate
Transaction"), the highest price per share of Common Stock paid in such
Corporate Transaction, except that, in the case of Incentive Stock Options, such
price shall be based only on the Fair Market Value of the Common Stock on the
date any such Incentive Stock Option is exercised.  To the extent that the
consideration paid in any such Corporate Transaction consists all or in part of
securities or other non-cash consideration, the value of such securities or
other non-cash consideration shall be determined in the sole discretion of the
Committee.


                                    ARTICLE X
                                   ----------

                                 MISCELLANEOUS
                                 -------------

      10.1     Amendments and Termination.  The Board may amend, alter or
discontinue the Plan at any time, but no amendment, alteration or
discontinuation 

                                      -19-

 
shall be made which would impair the rights of a Participant under an Award
theretofore granted without the Participant's consent, except such an amendment
(a) made to avoid an expense charge to the Company or a Company Affiliate, (b)
made to cause the Plan to qualify for the exemption provided by Rule 16b-3, (c)
to prevent the Plan from being disqualified from the exemption provided by Rule
16b-3 or (d) made to permit the Company or a Company Affiliate a deduction under
the Code.

     The Committee may amend the Plan at any time, provided that an amendment
shall be subject to the same limitations (and the exceptions to the limitations
as apply to any amendment by the Board), and any amendment shall be subject to
the approval of the Board.

     The Committee may amend the terms of any Award theretofore granted,
prospectively or retroactively, but no such amendment shall impair the rights of
any Participant without the Participant's consent or reduce an Option Price,
except such an amendment (a) made to avoid an expense charge to the Company or a
Company Affiliate, (b) made to cause the Plan to qualify for the exemption
provided by Rule 16b-3, (c) to prevent the Plan from being disqualified from the
exemption provided by Rule 16b-3 or (d) made to permit the Company or a Company
Affiliate a deduction under the Code.

     Notwithstanding anything in the Plan to the contrary, if any right under
this Plan would cause a transaction to be ineligible for pooling of interest
accounting that would, but for the right hereunder, be eligible for such
accounting treatment, the Committee may modify or adjust the right so that
pooling of interest accounting shall be available, including the substitution of
Common Stock having a Fair Market Value equal to the cash otherwise payable
hereunder for the right which caused the transaction to be ineligible for
pooling of interest accounting.

     10.2 Form and Timing of Payment Under Awards; Deferrals.  Subject to the
terms of the Plan and any applicable Agreement, payments to be made by the
Company or a Company Affiliate upon the exercise of an Award or settlement of an
Award may be made in such forms as the Committee shall determine, including,
without limitation, cash, Common Stock, other Awards or other property, and may
be made in a single payment or transfer, in installments, or on a deferred
basis.  The settlement of any Award may be accelerated, and cash paid in lieu of
Common Stock in connection with such settlement, in the discretion of the
Committee or upon occurrence of one or more specified events.  Installment or
deferred payments may be required by the Committee or permitted at the election
of the Participant.

      10.3     Status of Awards Under Code Section 162(m).  After Section 162(m)
of the Code applies to the Company, it is the intent of the Company that Awards
granted to persons who are Covered Employees within the meaning of Code Section
162(m) shall constitute "qualified performance-based compensation" satisfying
the requirements of Code Section 162(m).  Accordingly, the provisions of 

                                      -20-

 
the Plan shall be interpreted in a manner consistent with Code Section 162(m).
If any provision of the Plan or any agreement relating to such an Award does not
comply or is inconsistent with the requirements of Code Section 162(m), such
provision shall be construed or deemed amended to the extent necessary to
conform to such requirements.

      10.4     Unfunded Status of Plan; Limits on Transferability.  It is
intended that the Plan be an "unfunded" plan for incentive and deferred
compensation.  The Committee may authorize the creation of trusts or other
arrangements to meet the obligations created under the Plan to deliver Common
Stock or make payments; provided, however, that, unless the Committee otherwise
determines, the existence of such trusts or other arrangements is consistent
with the "unfunded" status of the Plan. Unless otherwise provided in this Plan
or in an Agreement, no Award shall be subject to the claims of Participant's
creditors and no Award may be transferred, assigned, alienated or encumbered in
any way other than by will or the laws of descent and distribution or to a
Representative upon the death of the Participant.

      10.5     General Provisions.

          (a) Representation.  The Committee may require each person purchasing
     or receiving shares pursuant to an Award to represent to and agree with the
     Company in writing that such person is acquiring the shares without a view
     to the distribution thereof.  The certificates for such shares may include
     any legend which the Committee deems appropriate to reflect any
     restrictions on transfer.

          (b) No Additional Obligation.  Nothing contained in the Plan shall
     prevent the Company or a Company Affiliate from adopting other or
     additional compensation arrangements for its employees.  The grant of an
     Award shall in no way affect the right of the Company to adjust,
     reclassify, reorganize or otherwise change its capital or business
     structure or to merge, consolidate, dissolve, liquidate or sell or transfer
     all or any part of its business or assets.

          (c) Withholding.  No later than the date as of which an amount first
     becomes includible in the gross income of the Participant for Federal
     income tax purposes with respect to any Award, the Participant shall pay to
     the Company (or other entity identified by the Committee), or make
     arrangements satisfactory to the Company or other entity identified by the
     Committee regarding the payment of, any Federal, state, local or foreign
     taxes of any kind required by law to be withheld with respect to such
     amount required in order for the Company or an Affiliate to obtain a
     current deduction.  Unless otherwise determined by the Committee,
     withholding obligations may be settled with Common Stock, including Common
     Stock that is part of the Award that gives rise to the withholding
     requirement provided that any applicable requirements under Section 16 of
     the Exchange Act are satisfied.  The 

                                      -21-

 
     obligations of the Company under this Plan shall be conditional on such
     payment or arrangements, and the Company and Company Affiliates shall, to
     the extent permitted by law, have the right to deduct any such taxes from
     any payment otherwise due to the Participant. If the Participant disposes
     of shares of Common Stock acquired pursuant to an Incentive Stock Option in
     any transaction considered to be a disqualifying transaction under the
     Code, the Participant must give written notice of such transfer and the
     Company shall have the right to deduct any taxes required by law to be
     withheld from any amounts otherwise payable to the Participant. The
     obligations of the Company under the Plan shall be conditional on such
     payment or arrangements, and the Company and Company Affiliates shall, to
     the extent permitted by law, have the right to deduct any such taxes from
     any payment otherwise due to the Participant.

          (d) Reinvestment.  The reinvestment of dividends in additional
     Restricted Stock at the time of any dividend payment shall be permissible
     only if sufficient shares of Common Stock are available under the Plan for
     such reinvestment (taking into account then outstanding Options and other
     Awards).

          (e) Representation.  The Committee shall establish such procedures as
     it deems appropriate for a Participant to designate a Representative to
     whom any amounts payable in the event of the Participant's death are to be
     paid.

          (f) Controlling Law.  The Plan and all Awards made and actions taken
     thereunder shall be governed by and construed in accordance with the laws
     of the State of Illinois (other than its law respecting choice of law)
     except to the extent the general corporation law of the State of Delaware
     or Federal law would be applicable.  The Plan shall be construed to comply
     with all applicable law and to avoid liability to the Company, a Company
     Affiliate or a Participant, including, without limitation, liability under
     Section 16(b) of the Exchange Act.

          (g) Offset.  Any amounts owed to the Company or a Company Affiliate by
     the Participant of whatever nature may be offset by the Company from the
     value of any shares of Common Stock, cash or other thing of value under
     this Plan or an Agreement to be transferred to the Participant, and no
     shares of Common Stock, cash or other thing of value under this Plan or an
     Agreement shall be transferred unless and until all disputes between the
     Company and the Participant have been fully and finally resolved and the
     Participant has waived all claims to such against the Company or a Company
     Affiliate.

          (h) Fail Safe.  With respect to persons subject to Section 16 of the
     Exchange Act, transactions under this Plan are intended to comply with all
     applicable conditions of Rule 16b-3 or Rule 16a-1(c)(3), as applicable.  To
     the extent any provision of the Plan or action by the Committee fails to so
     comply, 

                                      -22-

 
     it shall be deemed null and void, to the extent permitted by law and deemed
     advisable by the Committee. Moreover, in the event the Plan does not
     include a provision required by Rule 16b-3 or Rule 16a-1(c)(3) to be stated
     herein, such provision (other than one relating to eligibility requirements
     or the price and amount of Awards) shall be deemed to be incorporated by
     reference into the Plan with respect to Participants subject to Section 16.

          (i) Right to Capitalize.  The grant of an Award shall in no way affect
     the right of the Company to adjust, reclassify, reorganize or otherwise
     change its capital or business structure or to merge, consolidate,
     dissolve, liquidate, sell or transfer all or any part of its business or
     assets.

      10.6  Mitigation of Excise Tax.  Subject to any agreement between the
Participant and the Company or a Company Affiliate, if any payment or right
accruing to a Participant under this Plan (without the application of this
Section 10.6), either alone or together with other payments or rights accruing
to the Participant from the Company or a Company Affiliate ("Total Payments"),
would constitute a "parachute payment" (as defined in Section 280G of the Code
and regulations thereunder), such payment or right shall be reduced to the
largest amount or greatest right that will result in no portion of the amount
payable or right accruing under the Plan being subject to an excise tax under
Section 4999 of the Code or being disallowed as a deduction under Section 280G
of the Code.  The determination of whether any reduction in the rights or
payments under this Plan is to apply shall be made by the Committee in good
faith after consultation with the Participant, and such determination shall be
conclusive and binding on the Participant.  The Participant shall cooperate in
good faith with the Committee in making such determination and providing the
necessary information for this purpose.  The foregoing provisions of this
Section 10.6 shall apply with respect to any person only if, after reduction for
any applicable Federal excise tax imposed by Section 4999 of the Code and
Federal income tax imposed by the Code, the Total Payments accruing to such
person would be less than the amount of the Total Payments as reduced, if
applicable, under the foregoing provisions of the Plan and after reduction for
only Federal income taxes.

      10.7  Rights with Respect to Continuance of Employment.  Nothing
contained herein shall be deemed to alter the relationship between the Company
or a Company Affiliate and a Participant, or the contractual relationship
between a Participant and the Company or a Company Affiliate if there is a
written contract regarding such relationship.  Nothing contained herein shall be
construed to constitute a contract of employment between the Company or a
Company Affiliate and a Participant.  The Company or a Company Affiliate and
each of the Participants continue to have the right to terminate the employment
or service relationship at any time for any reason, except as provided in a
written contract.  The Company or a Company Affiliate shall have no obligation
to retain the Participant in its employ or service as a result of this Plan.
There shall be no inference as to the length of employment or service hereby,
and the Company or a Company Affiliate reserves the same rights to terminate the

                                      -23-

 
Participant's employment or service as existed prior to the individual's
becoming a Participant in this Plan.

      10.8  Awards in Substitution for Awards Granted by Other Corporations.
Awards (including cash in respect of fractional shares) may be granted under the
Plan from time to time in substitution for awards held by employees, directors
or service providers of other entities who are about to become officers,
directors or employees of the Company or a Company Affiliate.

      10.9  Procedure for Adoption.  Any Company Affiliate may by resolution
of such Company Affiliate's board of directors, with the consent of the Board of
Directors and subject to such conditions as may be imposed by the Board of
Directors, adopt the Plan for the benefit of its employees as of the date
specified in the board resolution.

      10.10  Procedure for Withdrawal.  Any Company Affiliate which has
adopted the Plan may, by resolution of the board of directors of such Company
Affiliate, with the consent of the Board of Directors and subject to such
conditions as may be imposed by the Board of Directors, terminate its adoption
of the Plan.

      10.11  Delay.  If at the time a Participant incurs a Termination of
Employment (other than due to Cause) or if at the time of a Sale of the Company,
the Participant is subject to "short-swing" liability under Section 16 of the
Exchange Act, any time period provided for under the Plan or an Agreement to the
extent necessary to avoid the imposition of liability shall be suspended and
delayed during the period the Participant would be subject to such liability,
but not more than six (6) months and one (1) day and not to exceed the Option
Period, whichever is shorter.  The Company shall have the right to suspend or
delay any time period described in the Plan or an Agreement if the Committee
shall determine that the action may constitute a violation of any law or result
in liability under any law to the Company, a Company Affiliate or a stockholder
of the Company until such time as the action required or permitted shall not
constitute a violation of law or result in liability to the Company, a Company
Affiliate or a stockholder of the Company.  The Committee shall have the
discretion to suspend the application of the provisions of the Plan required
solely to comply with Rule 16b-3 if the Committee shall determine that Rule 16b-
3 does not apply to the Plan.

      10.12  Headings.  The headings contained in this Plan are for reference
purposes only and shall not affect the meaning or interpretation of this Plan.
Except as otherwise indicated by the context, words in the masculine gender used
in the Plan include the feminine and neuter gender, the singular shall indicate
the plural, and the plural shall include the singular.

      10.13  Severability.  If any provision of this Plan shall for any reason
be held to be invalid or unenforceable, such invalidity or unenforceability
shall not effect 

                                      -24-

 
any other provision hereby, and this Plan shall be construed as if such invalid
or unenforceable provision were omitted.

      10.14  Successors and Assigns.  This Plan shall inure to the benefit of
and be binding upon each successor and assign of the Company.  All obligations
imposed upon a Participant, and all rights granted to the Company hereunder,
shall be binding upon the Participant's heirs, legal representatives and
successors.

      10.15  Entire Agreement.  This Plan and the Agreement constitute the
entire agreement with respect to the subject matter hereof and thereof, provided
that in the event of any inconsistency between the Plan and the Agreement, the
terms and conditions of this Plan shall control.

     Executed this 5th day of March, 1998.


                              EVEREST HEALTHCARE SERVICES
                              CORPORATION



                              By: /s/ Craig W. Moore
                                 --------------------------------

                              Its: Chairman of the Board, CEO
                                  -------------------------------

                                      -25-

EX-12

 
Exhibit 12. Computation of Earnings to Fixed Charges



                                                   Predecessor                      The Company
                                           ------------------------       -------------------------------
                                           Year ended September 30,          Year ended September 30,
                                             1994            1995           1996       1997        1998
                                           --------        --------       --------   --------   ---------
                                                                                 
Fixed charges:
  Interest expense                         $    380        $    723       $  1,013   $  2,962   $   7,884
  Portion of rental expense
   representative of interest                   167             465            883      1,267       1,689
                                           --------        --------       --------   --------   ---------
Total fixed charges                             547           1,188          1,896      4,229       9,573
                                           ========        ========       ========   ========   =========
 Earnings:
  Income before income taxes               $  1,213        $    852       $  6,896   $  7,916   $   7,227
  Fixed charges                                 547           1,188          1,896      4,229       9,573
                                           --------        --------       --------   --------   ---------
Total earnings                                1,760           2,040          8,792     12,145      16,800
                                           ========        ========       ========   ========   =========
Ratio of earnings to fixed charges         3.2 to 1        1.7 to 1       4.6 to 1   2.9 to 1   1.75 to 1

EX-27

 


 
<ARTICLE> 5
       
                             
<CIK> 0001058560
<NAME> EVEREST HEALTHCARE CORP                          
<PERIOD-TYPE>                   YEAR
<FISCAL-YEAR-END>                         SEP-30-1998
<PERIOD-END>                              SEP-30-1998
<CASH>                                     12,525,567
<SECURITIES>                                        0         
<RECEIVABLES>                              53,343,064
<ALLOWANCES>                              (6,481,000)
<INVENTORY>                                 2,812,244
<CURRENT-ASSETS>                           66,071,431
<PP&E>                                     46,581,194
<DEPRECIATION>                           (18,846,245)
<TOTAL-ASSETS>                            198,695,460
<CURRENT-LIABILITIES>                      30,606,661
<BONDS>                                   100,000,000
<PREFERRED-MANDATORY>                               0
<PREFERRED>                                         0
<COMMON>                                       12,885
<OTHER-SE>                                 58,242,761
<TOTAL-LIABILITY-AND-EQUITY>              198,695,460
<SALES>                                   147,475,357 
<TOTAL-REVENUES>                          147,475,357
<CGS>                                      93,868,160         
<TOTAL-COSTS>                              93,868,160 
<OTHER-EXPENSES>                           32,062,531
<LOSS-PROVISION>                            2,726,624
<INTEREST-EXPENSE>                          7,884,288
<INCOME-PRETAX>                             7,226,844
<INCOME-TAX>                                3,541,000
<INCOME-CONTINUING>                                 0
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<EXTRAORDINARY>                                     0
<CHANGES>                                           0 
<NET-INCOME>                                3,685,844
<EPS-PRIMARY>                                       0
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