ADDENDUM TO LEASE That certain Lease dated September 1, 1994 between DIANNE R. MARTZ as "Landlord" and HORIZON HEALTH SYSTEMS, INC. as "Tenant" is amended as follows: i. Paragraph 1 is amended to provide that the Premises contain approximately 23, 709...

                                                                Exhibit 10.24




                                 ADDENDUM TO LEASE



     That certain Lease dated September 1, 1994 between XXXXXX X. XXXXX as 
"Landlord" and HORIZON HEALTH SYSTEMS, INC. as "Tenant" is amended as follows:

     i.    Paragraph 1 is amended to provide that the Premises contain 
           approximately 23, 709 square feet.

     ii.   Paragraph 1 is amended to provide that the annual rental is 
           $302,277.00 payable in monthly installments of $25,189.75 each.

     In all other respects, said Lease will remain in full force and effect.



                                        /s/ Xxxxxx X. Xxxxx
Date: March 1, 1997                     ------------------------------
                                        XXXXXX X. XXXXX




                                        HORIZON HEALTH SYSTEMS, INC.


Date: March 1, 1997                     By:  /s/ Xxxx X. Xxxxxxxx
                                            ---------------------------
                                        Title:  Secretary, Board of Directors