<PAGE>                                                                          
                        REVIEW AND RENEWAL OF CONTRACT                          
                                                                                
                                   BETWEEN                                      
                                                                                
                         BETH ABRAHAM HEALTH SERVICES                           
                                                                                
                      LONG TERM HOME HEALTH CARE PROGRAM                        
                                                                                
                                     AND                                        
                                                                                
                      COMMUNITY MEDICAL TRANSPORT, INC.                         
                                                                                
                                                                                
                    CONTRACT REVIEWED AND CONTINUED FROM:                       
                                                                                
                      JANUARY 1998 THROUGH DECEMBER 1998                        
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
/s/ Dean L. Sloane                           /s/ Susan Aldrich                  
-----------------                            -----------------                  
Dean L. Sloane                               Susan Aldrich                      
CEO                                          Senior Vice President, Managed Care
Community Ambulette Service                  Beth Abraham Health Services       
                                                                                
<PAGE>                                                                          
                        REVIEW AND RENEWAL OF CONTRACT                          
                                                                                
                                   BETWEEN                                      
                                                                                
                   BETH ABRAHAM CERTIFIED HOME HEALTH AGENCY                    
                                                                                
                                     AND                                        
                                                                                
                          COMMUNITY AMBULETTE SERVICE                           
                                                                                
                                                                                
                    CONTRACT REVIEWED AND CONTINUED FROM:                       
                                                                                
                      JANUARY 1998 THROUGH DECEMBER 1998                        
                                                                                
                                                                                
                                                                                
                                                                                
/S/ DEAN SLOAN                               /S/ GERRY POLONY                   
-----------------                            -----------------                  
DEAN SLOAN                                   GERRY POLONY                       
CEO                                          VICE PRESIDENT                     
COMMUNITY AMBULETTE                          BETH ABRAHAM                       
SERVICE                                      HOME CARE SERVICES                 
<PAGE>                                                                          
                                                                                
                                                                                
                        REVIEW AND RENEWAL OF CONTRACT                          
                                                                                
                                   BETWEEN                                      
                                                                                
                         BETH ABRAHAM HEALTH SERVICES                           
                                                                                
                       ADULT DAY HEALTH CENTER (BRONX)                          
                                                                                
                                     AND                                        
                                                                                
                          COMMUNITY AMBULETTE SERVICE                           
                                                                                
                                                                                
                                                                                
                    CONTRACT REVIEWED AND CONTINUED FROM:                       
                                                                                
                      JANUARY 1998 THROUGH DECEMBER 1998                        
                                                                                
                                                                                
                                                                                
/s/ Dean Sloane                                      /S/ Gerry Polony Terry     
-----------------                                   ----------------------      
Dean Sloane                                         Gerry Polony Terry          
CEO                                                 Vice President              
Community Ambulette Service                         Beth Abraham Health Services