INTEGRATED HEALTH SERVICES INC
SC 13D, 1996-08-09
SKILLED NURSING CARE FACILITIES
Previous: CREATIVE TECHNOLOGIES CORP, DEF 14A, 1996-08-09
Next: TYCO TOYS INC, 10-Q, 1996-08-09




<PAGE>

                                                  -----------------------------
                                                           OMB APPROVAL
                                                  -----------------------------
                                                  OMB Number:  3235-0145
                                                  Expires:  October 31, 1997
                                                  Estimated average burden
                                                  hours per response......14.90
                                                  -----------------------------



                                  UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                                  SCHEDULE 13D




                    Under the Securities Exchange Act of 1934
                             (Amendment No._______)*



                         CAPSTONE PHARMACY SERVICES, INC.
- --------------------------------------------------------------------------------
                                (Name of Issuer)


                     Common Stock, Par Value $.01 Per Share
- --------------------------------------------------------------------------------
                         (Title of Class of Securities)


                                    14066N101
- --------------------------------------------------------------------------------
                                 (CUSIP Number)

     Marshall A. Elkins, Esq., Executive Vice President and General Counsel
                        Integrated Health Services, Inc.
                             10065 Red Run Boulevard
                          Owings Mills, Maryland 21117
- --------------------------------------------------------------------------------
            (Name, Address and Telephone Number of Person Authorized
                     to Receive Notices and Communications)

                                  July 30, 1996
             -------------------------------------------------------
             (Date of Event which Requires Filing of this Statement)
                                  

If the filing person has previously  filed a statement on Schedule 13G to report
the  acquisition  which is the subject of this  Schedule 13D, and is filing this
schedule because of Rule 13d-1(b)(3) or (4), check the following box [ ].

Check the following box if a fee is being paid with the statement [X]. (A fee is
not required only if the reporting person:  (1) has a previous statement on file
reporting  beneficial  ownership  of more  than  five  percent  of the  class of
securities  described  in Item 1;  and (2) has  filed  no  amendment  subsequent
thereto reporting  beneficial  ownership of five percent or less of such class.)
(See Rule 13d-7.)

Note: Six copies of this statement, including all exhibits, should be filed with
the  Commission.  See Rule  13d-1(a) for other  parties to whom copies are to be
sent.

*The  remainder of this cover page shall be filled out for a reporting  person's
initial filing on this form with respect to the subject class of securities, and
for  any  subsequent   amendment   containing   information  which  would  alter
disclosures provided in a prior cover page.

The information required on the remainder of this cover page shall not be deemed
to be "filed" for the purpose of Section 18 of the  Securities  Exchange  Act of
1934 ("Act") or otherwise  subject to the liabilities of that section of the Act
but  shall be  subject  to all other  provisions  of the Act  (however,  see the
Notes).


<PAGE>

                                  SCHEDULE 13D


- ----------------------------                     -------------------------------
CUSIP No. 14066N101                                       Page 2 of 62 Pages
- ----------------------------                     -------------------------------

- --------------------------------------------------------------------------------
1       NAME OF REPORTING PERSON
        S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON

        Integrated Health Services, Inc.                          23-2428312

- --------------------------------------------------------------------------------
2       CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*               (a) [ ]
                                                                        (b) [ ]
- --------------------------------------------------------------------------------
3       SEC USE ONLY

- --------------------------------------------------------------------------------
4       SOURCE OF FUNDS*
        00
- --------------------------------------------------------------------------------
5       CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO
        ITEMS 2(d) or 2(e)                                                  [ ]

- --------------------------------------------------------------------------------
6       CITIZENSHIP OR PLACE OF ORGANIZATION
        Delaware
- --------------------------------------------------------------------------------
        NUMBER OF          7      SOLE VOTING POWER
         SHARES                        2,112,490
      BENEFICIALLY        -----------------------------------------------------
        OWNED BY           8      SHARED VOTING POWER
          EACH                         2,112,490
        REPORTING          -----------------------------------------------------
         PERSON            9      SOLE DISPOSITIVE POWER
          WITH                         2,112,490
                           -----------------------------------------------------
                           10     SHARED DISPOSITIVE POWER
                                       2,112,490
- --------------------------------------------------------------------------------
11      AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
           2,112,490
- --------------------------------------------------------------------------------
12      CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES*
                                                                            [ ]
- --------------------------------------------------------------------------------
13      PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
           10.5%
- --------------------------------------------------------------------------------
14      TYPE OF REPORTING PERSON*
           CO
- --------------------------------------------------------------------------------
                      *SEE INSTRUCTIONS BEFORE FILLING OUT!
          INCLUDE BOTH SIDES OF THE COVER PAGE, RESPONSES TO ITEMS 1-7
      (INCLUDING EXHIBITS) OF THE SCHEDULE, AND THE SIGNATURE ATTESTATION.

<PAGE>

CUSIP No.:  14066N101


                                  SCHEDULE 13D


Item 1.           Security and Issuer
                  -------------------

                  This  statement  relates to the common stock,  par value $0.01
per share (the "Common Stock"), of Capstone Pharmacy Services,  Inc., a Delaware
corporation  (the "Issuer"),  whose principal  executive  offices are located at
2930 Washington Boulevard, Baltimore, Maryland 21230.


Item 2.           Identity and Background
                  -----------------------

                  (a)      Name:  Integrated Health Services, Inc. ("IHS")
                           ----

                  The  following  persons are executive  officers,  directors or
controlling persons of IHS (the "Executive Officers and Directors"):

                               W. Bradley Bennett
                               Lawrence P. Cirka
                               E. Mac Crawford
                               Brian K. Davidson
                               Marshall A. Elkins
                               Robert N. Elkins, M.D.
                               Eleanor C. Harding
                               Marc B. Levin
                               Anthony R. Masso
                               Kenneth M. Mazik
                               Robert A. Mitchell
                               Charles W. Newhall, III
                               Timothy F. Nicholson
                               Scott W. Robertson
                               John L. Silverman
                               George H. Strong
                               C. Christian Winkle

                  (b) State of Organization or Citizenship:  IHS is incorporated
in the State of Delaware.  Each of the  Executive  Officers  and  Directors is a
citizen of the United States.




<PAGE>



                  (c)  Principal  Business or  Occupation:  IHS is a provider of
post-acute  healthcare  services.  The  principal  occupation  of  each  of  the
Executive Officers and Directors is as follows:

         -W. Bradley Bennett is Senior Vice President--Chief  Accounting Officer
of IHS.
         -Lawrence P. Cirka is President, Chief Operating Officer and a director
of IHS.
         -E. Mac Crawford is Chairman and CEO of Magellan Health  Services, Inc.
and a director of IHS.
         -Brian K. Davidson is Executive Vice  President--Office of the Chairman
of IHS.
         -Marshall A. Elkins is Executive Vice President and General  Counsel of
IHS.
         -Robert N. Elkins, M.D. is Chairman of the Board and CEO of IHS.
         -Eleanor C. Harding is Senior Vice President, Finance of IHS.
         -Marc B. Levin is Executive Vice President--Investor Relations of IHS.
         -Anthony R. Masso is Executive Vice  President--Post  Acute Development
of IHS.
         -Kenneth M. Mazik is Chairman, Jovius Foundation and a director of IHS.
         -Robert A. Mitchell is an attorney and a director of IHS.
         -Charles  W.  Newhall,  III is a  General  Partner  of  New  Enterprise
Associates and a director of IHS.
         -Timothy F. Nicholson is Chairman and CEO of Speciality Care, plc and a
director of IHS.
         -Scott W. Robertson is Executive Vice President--Office of the Chairman
of IHS.
         -John L.  Silverman is Chief  Executive  Officer of AsiaCare Inc. and a
director of IHS.
         -George H. Strong is a private investor and a director of IHS.
         -C. Christian Winkle is Executive Vice  President--Owned  Operations of
IHS.

                  (d)  Address of  Principal  Place of  Business  and  Principal
                       Office:
                       ---------------------------------------------------------

                           For:     IHS
                                    10065 Red Run Boulevard
                                    Owings Mills, Maryland 21117

                           For:     W. Bradley Bennett
                                    Brian K. Davidson
                                    Marshall A. Elkins
                                    Eleanor C. Harding
                                    Marc B. Levin
                                    Anthony R. Masso
                                    Scott W. Robertson
                                    C. Christian Winkle

                                    Integrated Health Services, Inc.
                                    10065 Red Run Boulevard
                                    Owings Mills, Maryland 21117



                                    

<PAGE>



                           For:     Lawrence A. Cirka
                                    Robert N. Elkins, M.D.

                                    Integrated Health Services, Inc.
                                    8889 Pelican Bay Boulevard
                                    Naples, Florida 33963

                           For:     E. Mac Crawford
                                    Magellan Health Services, Inc.
                                    3414 Peachtree Road, N.E.
                                    Atlanta, Georgia 30326

                           For:     Kenneth M. Mazik
                                    Jovius Foundation
                                    699 E. Fifth Avenue
                                    Mt. Dora, Florida  32757

                           For:     Robert A. Mitchell
                                    162 E. 64th Street
                                    New York, New York 10021

                           For:     Charles W. Newhall, III
                                    New Enterprise Associates
                                    1119 St. Paul Street
                                    Baltimore, Maryland 21202

                           For:     Timothy F. Nicholson
                                    Speciality Care plc
                                    Hamilton House, 1 Temple Avenue
                                    London EC4Y OHA
                                    England

                           For:     John L. Silverman
                                    AsiaCare Inc.
                                    Suite 28(B), 28th Floor
                                    Wisma Denmark
                                    86 Jalan Ampang
                                    50450 Kuala Lumpur, Malaysia

                           For:     George H. Strong
                                    946 Navesink River Road
                                    Locust, New Jersey 07760

                  (e)  Criminal  Convictions:  Neither  IHS  nor  any  Executive
Officer and  Director  has,  during the last five  years,  been  convicted  in a
criminal proceeding.



                                     


<PAGE>



                  (f) Civil  Proceedings:  Neither IHS nor any Executive Officer
and Director has, during the last five years, been a party to a civil proceeding
of a judicial or administrative body of competent jurisdiction which resulted in
a judgment,  decree or final order  enjoining IHS from future  violations of, or
prohibiting  or mandating  activities  subject to,  federal or state  securities
laws, or finding any violation with respect to such laws.


Item 3.           Source and Amount of Funds or Other Consideration
                  -------------------------------------------------

                  On July 30, 1996, IHS sold to the Issuer, pursuant to an Asset
Purchase  Agreement dated June 20, 1996 among IHS,  various of its  subsidiaries
and the Issuer, as amended (the "Asset Purchase  Agreement"),  substantially all
the assets and liabilities  constituting  IHS'  institutional  pharmacy services
division for $125 million in cash and  2,112,490  shares of the Issuer's  Common
Stock.


Item 4.           Purpose of Transaction
                  ----------------------

                  IHS received the 2,112,490 shares of the Issuer's Common Stock
in partial  payment of the purchase price for the assets and liabilities of IHS'
institutional  pharmacy  services  division  pursuant  to the terms of the Asset
Purchase Agreement.

                  Neither IHS nor any  Executive  Officer and  Director  has any
present plans or proposals which relate to or would result in:

                  (a)      The   acquisition   by  any   person  of   additional
                           securities  of  the  Issuer,  or the  disposition  of
                           securities of the Issuer,  except that depending upon
                           market conditions, IHS may choose to sell some or all
                           of the Issuer's Common Stock owned by it;

                  (b)      An  extraordinary  corporate  transaction,  such as a
                           merger, reorganization or liquidation,  involving the
                           Issuer or any of its subsidiaries;

                  (c)      A sale or transfer of a material  amount of assets of
                           the Issuer or any of its subsidiaries;

                  (d)      Any  change  in the  present  board of  directors  or
                           management  of the  Issuer,  including  any  plans or
                           proposals  to change the number or term of  directors
                           or to fill any existing vacancies on the board;

                  (e)      Any material change in the present  capitalization or
                           dividend policy of the Issuer;



                                     
<PAGE>



                  (f)      Any other material change in the Issuer's business or
                           corporate  structure including but not limited to, if
                           the  Issuer  is a  registered  closed-end  investment
                           company,  any plans or  proposals to make any changes
                           in its investment policy for which a vote is required
                           by section 13 of the Investment Company Act of 1940;

                  (g)      Changes   in  the   Issuer's   charter,   bylaws   or
                           instruments  corresponding  thereto or other  actions
                           which may  impede the  acquisition  of control of the
                           Issuer by any person;

                  (h)      Causing  a class of  securities  of the  Issuer to be
                           delisted  from a national  securities  exchange or to
                           cease  to  be   authorized   to  be   quoted   in  an
                           inter-dealer   quotation   system  of  a   registered
                           national securities association;

                  (i)      A class of equity  securities of the Issuer  becoming
                           eligible for termination of registration  pursuant to
                           Section 12(g)(4) of the Act; or

                  (j)      Any action similar to any of those enumerated above.

Item 5.           Interest in Securities of the Issuer
                  ------------------------------------

                  (a) See Items 11 and 13 of the cover page of this Schedule 13D
for the aggregate  number and  percentage  of the Issuer's  Common Stock held by
IHS. The Executive  Officers and Directors do not own any shares of the Issuer's
Common Stock.

                  (b) See Items 7-10 of the cover page of this  Schedule 13D for
the number of shares of the  Issuer's  Common Stock held by IHS in which IHS has
the sole or shared power to vote or direct the vote and the sole or shared power
to dispose or direct the disposition.  No Executive Officer and Director has the
sole or shared  power to vote or direct the vote and the sole or shared power to
dispose or direct the  disposition  of any shares of the Issuer's  Common Stock,
except that the Board of Directors of IHS may be deemed to have the shared power
to vote or  direct  the vote and the  shared  power to  dispose  or  direct  the
disposition of shares of the Issuer's Common Stock.

                  (c) On July 30,  1996,  IHS received  2,112,490  shares of the
Issuer's  Common  Stock  pursuant  to the Asset  Purchase  Agreement  in partial
payment  of  the  purchase  price  for  the  assets  and   liabilities  of  IHS'
institutional pharmacy services division.

                  (d)      None.

                  (e)      Not applicable.



                                       


<PAGE>



Item 6.           Contracts, Arrangements, Understandings or Relationships
                  with Respect to Securities of the Issuer
                  ---------------------------------------------------------

                  Pursuant to the Asset Purchase Agreement, the 2,112,490 shares
of the Issuer's  Common Stock are entitled to the benefit of certain  demand and
piggyback registration rights. IHS has the right at any time, subject to certain
limitations,  to include the shares of the Issuer's  Common Stock owned by it in
any registered  offering of the Issuer's Common Stock.  In addition,  unless the
shares of the Issuer's Common Stock owned by IHS have been  registered  pursuant
to a "piggyback"  registration by October 28, 1996, the Issuer must,  unless IHS
elects,  in its  sole  discretion  to delay or  defer  the  process,  as soon as
practicable,  but in any event no later than December 31, 1996, prepare and file
with the Securities and Exchange  Commission,  and thereafter use its reasonable
best efforts to have  declared  effective as soon as  possible,  a  registration
statement covering the resale of the Issuer's Common Stock owned by IHS. IHS may
elect not to include all  2,112,490  shares of the Issuer  Common  Stock in such
initial  registration,  in which event the Issuer shall be obligated to effect a
registration of some or all of the remaining shares at the request of IHS at any
time on or before July 30, 1998.

Item 7.           Material to Be Filed as Exhibits
                  --------------------------------

         1.       Asset  Purchase  Agreement,  dated as of June 20, 1996,  among
                  Integrated Health Services,  Inc., Symphony Pharmacy Services,
                  Inc.,  various  of its  Subsidiaries,  Sellers,  and  Capstone
                  Pharmacy Services, Inc., Buyer, as amended.




                                       


<PAGE>



                                    SIGNATURE

         After reasonable  inquiry and to the best of my knowledge and belief, I
certify that the information  set forth in this statement is true,  complete and
correct.

Dated:  August 8, 1996

                                  INTEGRATED HEALTH SERVICES, INC.


                                  By: /s/ W. BRADLEY BENNETT
                                     --------------------------------
                                          W. Bradely Bennett
                                          Senior Vice President-Chief Accounting
                                          Officer


                                       



                     ---------------------------------------
- -
                            ASSET PURCHASE AGREEMENT

                            Dated as of June 20, 1996

                                      among

                        INTEGRATED HEALTH SERVICES, INC.,

                        SYMPHONY PHARMACY SERVICES, INC.,

                      VARIOUS OF ITS SUBSIDIARIES, SELLERS

                                       and

                     CAPSTONE PHARMACY SERVICES, INC., BUYER

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







<PAGE>



                                TABLE OF CONTENTS
                                -----------------
                                                                           Page

ARTICLE I: PURCHASE AND SALE OF ASSETS; ASSUMPTION OF CERTAIN
LIABILITIES; CONTRACTS......................................................-2-
       1.1      Assets......................................................-2-
       1.2      Excluded Assets.............................................-2-
       1.3      Liabilities.................................................-3-
       1.4      Contracts...................................................-4-

ARTICLE II: PURCHASE PRICE..................................................-5-
       2.1      Determination and Payment of Purchase Price.................-5-
       2.2      Adjustment to the Purchase Price............................-5-
       2.3      Allocation of Purchase Price................................-6-
       2.4      ............................................................-6-
       2.5      Registration Rights.........................................-6-
       2.6      Registration Expenses.......................................-7-
       2.7      Registration Procedures, etc................................-7-
       2.8      Indemnification Procedures, Etc............................-10-

ARTICLE III: THE CLOSING...................................................-12-
       3.1      Time and Place of Closing..................................-12-
       3.2      Buyer's Financing..........................................-12-

ARTICLE IV: REPRESENTATIONS AND WARRANTIES OF SELLERS AND IHS..............-12-
       4.1      Organization and Standing..................................-12-
       4.2      Authority..................................................-13-
       4.3      Binding Effect.............................................-13-
       4.4      Absence of Conflicting Agreements..........................-13-
       4.5      Consents...................................................-14-
       4.6      Contracts..................................................-14-
       4.7      Financial Statements.......................................-15-
       4.8      Licenses; Permits; Certificates of Need....................-15-
       4.9      Title, Condition to Personal Property......................-16-
       4.10     Leased Real Properties.....................................-17-
       4.11     Legal Proceedings..........................................-17-
       4.12     Collective Bargaining, Labor Contracts, Employment 
                    Practices, etc.........................................-17-
       4.13     ERISA......................................................-18-
       4.14     Insurance and Surety Agreements............................-18-
       4.15     Assets Comprising the Business.............................-19-
       4.16     Absence of Certain Events..................................-19-
       4.17     Compliance with Laws.......................................-20-
       4.18     Medicare and Medicaid Programs.............................-21-
       4.19     Encumbrances Created by this Agreement.....................-21-

                                       (i)

<PAGE>



       4.20     Finders....................................................-21-
       4.21     Patents, Trademarks, Trade Names, Trade Secrets 
                    and Copyrights.........................................-21-
       4.22     Environmental Matters......................................-22-
       4.23     Tax Returns................................................-22-
       4.24     Employees..................................................-22-
       4.25     No Untrue Statement........................................-23-
       4.26     Related Transactions.......................................-23-
       4.27     Restricted Stock...........................................-23-

ARTICLE V: REPRESENTATIONS AND WARRANTIES OF BUYER.........................-23-
       5.1      Organization and Standing..................................-23-
       5.2      Power and Authority........................................-23-
       5.3      Binding Agreement..........................................-24-
       5.4      Absence of Conflicting Agreements..........................-24-
       5.5      Consents...................................................-24-
       5.6      Finders....................................................-24-

ARTICLE VI: INFORMATION AND RECORDS CONCERNING THE SELLERS
       6.1      Access to Information and Records before Closing...........-24-

ARTICLE VII: OBLIGATIONS OF THE PARTIES UNTIL CLOSING......................-25-
       7.1      Conduct of Business Pending Closing........................-25-
       7.2      Negative Covenants of Sellers..............................-25-
       7.3      Affirmative Covenants of Sellers...........................-26-
       7.4      Pursuit of Consents and Approvals..........................-26-
       7.5      Supplementary Financial Information........................-26-
       7.6      H-S-R Act..................................................-27-
       7.7      Excluded Services..........................................-27-
       7.8      Nondisclosure of Confidential Information..................-27-
       7.9      Employment Agreement with David Graft......................-27-
       7.10     Exclusivity................................................-27-
       7.11     Notice of Breach...........................................-27-

ARTICLE VIII: CONDITIONS PRECEDENT TO OBLIGATIONS OF BUYER.................-28-
       8.1      Representations and Warranties.............................-28-
       8.2      Performance of Covenants...................................-28-
       8.3      Delivery of Closing Certificate............................-28-
       8.4      Opinions of Counsel........................................-28-
       8.5      Legal Matters..............................................-28-
       8.6      Authorization Documents....................................-29-
       8.7      Material Adverse Effect....................................-29-
       8.8      Consents to Assignments of Employment Agreements...........-29-
       8.9      Bill of Sale and Assignment................................-29-
       8.10     Non-Competition Agreements.................................-29-

                                      (ii)

<PAGE>



       8.11     Hart-Scott Rodino Act......................................-31-
       8.12     Employment Agreements......................................-31-
       8.13     Non-solicitation Agreements with Certain Persons...........-31-
       8.14     Documents..................................................-31-

ARTICLE IX: CONDITIONS PRECEDENT TO THE OBLIGATIONS OF SELLERS AND IHS.....-32-
       9.1      Representations and Warranties.............................-32-
       9.2      Performance of Covenants...................................-32-
       9.3      Delivery of Closing Certificate............................-32-
       9.4      Opinions of Counsel........................................-32-
       9.5      Legal Matters..............................................-32-
       9.6      Authorization Documents....................................-33-
       9.7      Undertaking................................................-33-
       9.8      Hart-Scott Rodino Act......................................-33-
       9.9      Lender Consent.............................................-33-
       9.10     Other Documents............................................-33-

ARTICLE X:  OBLIGATIONS OF THE PARTIES AFTER CLOSING.......................-33-
       10.1     Survival of Representations and Warranties.................-33-
       10.2     Indemnification............................................-34-
       10.3     Restrictions...............................................-36-
       10.4     Delivery of Records........................................-37-
       10.5     Access to Records..........................................-37-
       10.6     Employees..................................................-37-
       10.7     Temporary License..........................................-38-
       10.8     Licensure Power of Attorney................................-38-
       10.9     Billing and Collection.....................................-38-
       10.10    Financial Consolidation Software...........................-39-
       10.11    Enforcement of Non-competes................................-39-
       10.12    Cooperation - Further Assistance...........................-39-
       10.13    Introductions..............................................-39-

ARTICLE XI: TERMINATION....................................................-39-
       11.1     Termination................................................-39-
       11.2     Effect of Termination......................................-40-
       11.3     Break-up Fee...............................................-40-

ARTICLE XII: MISCELLANEOUS.................................................-40-
       12.1     Costs and Expenses.........................................-40-
       12.2     Benefit and Assignment.....................................-40-
       12.3     Effect and Construction of this Agreement..................-40-
       12.4     Notices....................................................-40-
       12.5     Waiver, Discharge, Etc.....................................-41-
       12.6     Rights of Persons Not Parties..............................-42-
       12.7     Governing Law..............................................-42-
       12.8     Public Announcements.......................................-42-

                                      (iii)

<PAGE>





                                    SCHEDULES
                                    ---------

Schedule 4.4      -        Absence of Conflicting Agreements
Schedule 4.5      -        Consents
Schedule 4.6(b)   -        Contracts
Schedule 4.6(c)   -        Contracts
Schedule 4.7      -        Financial Statements
Schedule 4.8      -        Material Changes
Schedule 4.9      -        Licenses; Permits, Certificates of Need
Schedule 4.12     -        Legal Proceedings
Schedule 4.13     -        Collective Bargaining, Labor Contracts, Employment 
                              Practices, etc. 
Schedule 4.15     -        Insurance and Surety Agreements  
Schedule 4.17     -        Absence of Certain  Events  
Schedule 4.18     -        Compliance  with Laws 
Schedule 4.22     -        Patents, Trade Marks, Trade Names,  Trade Secrets and
                              Copyrights  
Schedule 4.24(a)  -        Tax Returns 
Schedule 4.25     -        Employees 
Schedule 5.5      -        Consents



                                    EXHIBITS
                                    --------


Exhibit 8.9-1     -        Bill of Sale
Exhibit 8.9-2     -        Assignment of Contracts
Exhibit 9.7       -        Undertaking
Exhibit 10.9      -        Billing and Collection Agreement

                                      (iv)

<PAGE>




                          -----------------------------
                            
                            ASSET PURCHASE AGREEMENT

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




                  This Asset Purchase  Agreement (the "Agreement") is made as of
the 20th day of June, 1996, among INTEGRATED  HEALTH SERVICES,  INC., a Delaware
corporation  and  SYMPHONY  HEALTH  SERVICES,   INC.,  a  Delaware   corporation
(collectively,  "IHS"), SYMPHONY PHARMACY SERVICES, INC., a Delaware corporation
and a  wholly  owned  subsidiary  of IHS  ("Symphony  Pharmacy"),  PATIENT  CARE
PHARMACY,  INC.,  a California  corporation  and a wholly  owned  subsidiary  of
Symphony Pharmacy ("PCPI"),  AMCARE, INC., a California corporation and a wholly
owned  subsidiary of Symphony  Pharmacy  ("AI"),  AMCARE SANTA BARBARA,  INC., a
California  corporation  and a wholly  owned  subsidiary  of  Symphony  Pharmacy
("ASBI"),  AMCARE HEALTH SERVICES, INC., a Pennsylvania corporation and a wholly
owned  subsidiary  of  Symphony  Pharmacy  ("AHSI"),  PATIENT  CARE  PHARMACY OF
COLORADO SPRINGS, INC., a Delaware corporation and a wholly-owned  subsidiary of
Symphony Pharmacy  ("PCPCSI"),  PHARMACEUTICAL  DOSE SERVICES,  INC., a Delaware
corporation  and a  wholly  owned  subsidiary  of  Symphony  Pharmacy  ("PDSI"),
HEALTHCARE  PHARMACY  SERVICES OF FLORIDA,  INC.,  a Florida  corporation  and a
wholly owned  subsidiary of Symphony  Pharmacy  ("HPSFI"),  HEALTHCARE  PHARMACY
SERVICES OF  PENNSYLVANIA,  INC., a Pennsylvania  corporation and a wholly owned
subsidiary  of Symphony  Pharmacy  ("HPSPI"),  HEALTHCARE  PHARMACY  SERVICES OF
TEXAS,  INC.,  a Texas  corporation  and a wholly owned  subsidiary  of Symphony
Pharmacy ("HPSTI"),  and SUNCOAST PHARMACY SERVICES, INC., a Florida corporation
and a wholly owned  subsidiary  of Symphony  Pharmacy  ("SPSI" and together with
Symphony Pharmacy,  PCPI, AI, ASBI, AHSI, PCPCSI, PDSI, HPSFI, HPSPI, and HPSTI,
the  "Sellers"  and each a "Seller")  and CAPSTONE  PHARMACY  SERVICES,  INC., a
Delaware corporation ("Buyer").

                  WHEREAS,  Sellers  are engaged in the  business of  dispensing
pharmacy  products  and services to long-term  care  facilities  such as skilled
nursing  facilities and assisted  living  facilities,  including  long-term care
facilities  owned,  managed or leased by IHS and/or  various of its  directly or
indirectly owned subsidiaries ("IHS LTC Facilities") (the "Business"); and

                  WHEREAS,  Buyer wishes to purchase from  Sellers,  and Sellers
wish to sell to Buyer  substantially all of the Assets (as hereinafter  defined)
of Sellers relating to the Business upon the terms and subject to the conditions
set forth in this Agreement;

                  NOW,  THEREFORE,  in  consideration  of the premises and other
good and valuable consideration, the receipt and sufficiency of which are hereby
acknowledged,  IHS,  Sellers and Buyer  intending to be legally bound,  agree as
follows:



<PAGE>



          ARTICLE I: PURCHASE AND SALE OF ASSETS; ASSUMPTION OF CERTAIN
          -------------------------------------------------------------
                             LIABILITIES; CONTRACTS
                             ----------------------

                   1.1     Assets.
                          
                           Subject to the terms and conditions of this Agreement
at the Closing (as  hereinafter  defined),  and in reliance upon the  covenants,
representations  and warranties of the other parties hereto,  Sellers will sell,
assign,  convey,  transfer  and deliver to Buyer free and clear of all Liens (as
such term is hereinafter  defined in Section 4.9) other than Permitted Liens (as
such term is  hereinafter  defined in Section 4.9),  and Buyer will purchase and
acquire  from  Sellers,  all of the  assets of  Sellers  which now or  hereafter
comprise,  all of each Seller's  right,  title and interest in and to:  accounts
receivable,  the proceeds  collected  from any  Non-Assignable  Receivables  (as
defined below);  useable and saleable items of pharmaceutical product inventory,
including controlled substances,  dangerous drugs and prescription files, office
supplies, contents and other packaging materials; pharmacy equipment, medication
and treatment carts; books, records and other data relating to the Assets or the
business or operations of the Business,  including payroll,  personnel and other
employee records; facsimile machines,  computers,  furniture and fixtures; motor
vehicles;  Contracts  (as  hereinafter  defined in Section  4.6),  and all other
contracts,   leases,   commitments,   licenses,   and  permits;  trade  secrets,
tradenames,  trademarks,  the  goodwill  relating to the  Business,  each of the
corporate names listed on Schedule 4.21 hereto, and customer and supplier lists;
prepaid expenses,  taxes or deposits,  and cash; and all other real and personal
property,  rights and assets in each case, which now or hereafter  comprise,  or
which are now or hereafter  used or useful in connection  with the operation of,
the Business (the "Assets").  Notwithstanding  the foregoing or anything else to
the  contrary  contained  in this  Agreement,  the Assets  shall not include the
Excluded  Assets as defined in Section 1.2 below.  The services  currently being
performed  by Sellers  consist of  pharmaceutical  dispensing  and  distribution
services and pharmaceutical products,  including intravenous products,  supplies
and services,  and related  equipment  (including  without  limitation,  medical
carts,  telefacsimile  machines,  treatment carts,  emergency boxes,  convenient
boxes,  automated  dispensing  cabinets,  automated  medical supply cabinets and
other new technology) and committed,  scheduled training and education programs,
pharmacy consulting  services,  and medical records consulting.  Notwithstanding
the foregoing, the said services do not include the Excluded Services.

                  1.2     Excluded Assets; Excluded Services.

                  (a)     The Assets shall  not include inventory  and  supplies
disposed  of  after  the date  hereof  and  prior to  Closing  as  permitted  in
accordance  with  Article VII hereof;  obsolete  equipment  disposed of for fair
consideration,  if any,  after the date hereof and prior to  Closing;  licenses,
permits and Medicaid provider numbers which may not be transferred in accordance
with applicable  Governmental  Requirements (as such term is hereinafter defined
in Section 4.4); claims against third parties,  including  insurance  companies,
for  reimbursement,  indemnification or under any warranties with respect to the
payment or  satisfaction  by any Seller of any Excluded  Liabilities;  contracts
covering or relating solely to Excluded Services;  Plans (as hereinafter defined
in Section 4.13); each

                                       -2-

<PAGE>



rebate,  wholesaler  and group  purchasing  agreement of any Seller which is not
assignable  and which is subject to  non-disclosure  provisions  as indicated on
Schedule  4.6  (b);  use  of  the  acquisition,  accounting,  legal,  management
information  service,  human  resource,  risk  management  and  other  corporate
functions provided by IHS and the agreements,  contracts, leases and commitments
set forth on Schedule 4.15 hereto except to the extent same  constitute  Subject
IHS Leases (as such term is defined in Section  1.4(b) below);  tax refunds,  if
any in respect of tax  periods  ending on or prior to  Closing;  cash  expended,
disbursed or transferred after the date hereof and prior to Closing as permitted
in accordance with Article VII hereof;  subject to Section 10.7 below,  the name
"Symphony"  and the goodwill  related  thereto;  the capital stock of any Seller
and, unless otherwise  elected by Buyer prior to the Closing,  the capital stock
of Comprehensive  Pharmacy Network of California,  Inc.; any agreements to which
Comprehensive  Pharmacy Network of California,  Inc. is a party; all receivables
of  Sellers  from  governmental   payors  which  by  law  may  not  be  assigned
("Non-Assignable  Receivables");  the assets used solely in connection  with the
provision of Excluded  Services (as defined  below);  the assets and business of
Greenline Services, Inc. ("Greenline"); and the minute books, stock record books
and stock ledgers and any other books,  records or other data relating solely to
Excluded Assets or Excluded Liabilities (as such term is defined in Section 1.3)
of each Seller (collectively, the "Excluded Assets"). "Excluded Services" means:
(a) the  provision to  facilities  operated by IHS,  Community  Care of America,
Inc.,  Integrated  Living  Communities,  Inc. ("ILC") or any entity which now or
hereafter is one of their respective subsidiaries (by reason of ownership, lease
or management agreement) of enteral, ostomy, colostomy, urological or wound care
product  dispensing and distributing  services and all services related thereto;
and (b)  management  of  healthcare  networks  which  include  management of the
provision of pharmacy  dispensing and distribution  services (provided that same
shall not include  actual  provision  of pharmacy  dispensing  and  distribution
services),  other  than with  respect  to the  Walker  Joint  Venture  or Senior
Dimensions Pharmacy, Inc. Management Agreements.

                   1.3     Liabilities.  At  Closing,  Buyer  shall  assume  and
undertake to perform all (a) Adjusted  Current  Liabilities  (as defined below),
(b) all  amounts  that  otherwise  would be  obligations  of any  Seller but are
expressly  stated to be payable by Buyer under Section 12.1 hereof,  and (c) all
of each Seller's  liabilities,  obligations  and debts arising under each of the
Contracts  identified  on  Schedule  4.6,  and  the  other  leases,   contracts,
commitments, licenses and permits included in the Assets to the extent (and only
to the extent) that they relate to the Assets or the  Business,  are incident to
the performance in accordance with the terms of such  agreements,  and relate to
periods on or after the Closing (collectively,  all of the foregoing included in
subsections (a), (b) and (c) above,  being the "Assumed  Liabilities").  As used
herein,  "Adjusted  Current  Liabilities"  means  the  aggregate  amount  of all
operating  trade  payables and  operating  expenses of Symphony  Pharmacy,  on a
consolidated  basis with the other Sellers,  that would be classified as current
liabilities  on a balance  sheet of Symphony  Pharmacy  as of the  Closing  Date
prepared in  accordance  with GAAP applied on a basis  consistent  with the most
recent audited financial  statements of Symphony  Pharmacy;  provided,  however,
that Adjusted Current Liabilities shall not include any working capital loans or
other amounts  (including,  without  limitation,  interest thereon payable to or
from IHS or any of its direct or indirect  subsidiaries  including  Sellers,  or
federal,  state and local  income  taxes  payable by any Seller.  Except for the
Assumed Liabilities, Buyer


                                       -3-

<PAGE>



shall not assume any liabilities,  debts or obligations of any of Sellers or IHS
of any kind, character or description,  whether accrued, absolute, contingent or
otherwise,  arising out of or resulting  from  Sellers'  ownership,  possession,
operation or use of the Business (or any predecessor  business) or the Assets or
otherwise,  including without limitation,  any of the following such liabilities
or obligations to the extent not constituting Assumed Liabilities (the "Excluded
Liabilities"):  (i) any  liability  with  respect to the  Business to the extent
arising from any accident,  occurrence,  misconduct, or breach of fiduciary duty
occurring  prior to the Closing (but not to the extent caused by Buyer after the
Closing),  (ii) any liability for Taxes (as such term is hereinafter  defined in
Section 4.23 (b)),  including any liability for income taxes arising as a result
of the  transactions  contemplated  by this  Agreement;  (iii) any  liability or
obligation arising out of any Excluded Assets or Excluded Services; and (iv) any
liability  or  obligation  incurred  in  connection  with  (A) the  negotiation,
execution or performance of this Agreement and the other agreements contemplated
hereby, including any and all legal, accounting, lenders' and other professional
fees and expenses, or (B) any other effort(s) to sell or dispose of the Assets.

                   1.4    Contracts.

                          (a) At  Closing,  Sellers  shall  assign  all of their
respective rights,  title, and interest under each Contract and under each other
contract,  lease,  commitment,  license and permit of any Seller  comprising any
part of the Assets to Buyer.  Notwithstanding anything to the contrary contained
in this  Agreement,  Sellers make no  representations  or  warranties  as to the
assignability  of the  Contracts  (other  than as to the  employment  agreements
referred to on Schedule  4.6(a)(i)-A  (the  "Employment  Agreements")) or of any
such  other  contracts,  leases,  commitments,  licenses  or  permits  which are
included within the Assets,  and Buyer shall assume all of the same as aforesaid
regardless  of whether the same are by their terms  assignable  and,  upon their
receipt thereof, Sellers shall deliver to Buyer any benefits received by Sellers
arising out of services  rendered or products supplied by Buyer under any of the
same after the Closing.

                          (b) Set  forth on  Schedule 1.4(b) hereto  are certain
equipment,  motor vehicle and other personal property leases to which IHS or one
of its subsidiaries (other than any of the Sellers) is a party (the "Subject IHS
Leases").  IHS agrees to use its commercially  reasonable  efforts to assign the
portion  of such  Subject  IHS Leases  which  pertain  to the  operation  of the
Business  to  Buyer  at or  after  the  Closing.  Buyer  shall  assume  all  the
obligations  of IHS or its  subsidiaries  under such  Subject  IHS Leases to the
extent such Subject IHS Leases are assigned to Buyer and relate to periods on or
after such assignment.

                          (c) At  Closing, IHS  shall assign  to Buyer and Buyer
shall assume the Consulting Agreement, dated as of October 12, 1994, between IHS
and Jack E. Sassone, as amended by amendments of June 23, 1995, October 10, 1995
and January 1, 1996 (the "Sassone Contract") to the extent it relates to periods
on or after Closing.  In addition,  Buyer shall assume at Closing the obligation
to pay any  earn-out  which  becomes  payable to Sassone  after the Closing Date
pursuant to Section 2.5 of the Asset Purchase  Agreement,  dated October , 1994,
among IHS,  Sassone,  Edith Sassone,  and  Pharmaceutical  Dose Services of La.,
Inc., but only to the extent that

                                       -4-

<PAGE>



such earn-out was credited to Sassone in respect of Qualifying  Beds (as defined
in the said  Asset  Purchase  Agreement)  which  were  contracted  for after the
Closing Date. IHS shall  continue to be responsible  for any such payments which
are based upon  Qualifying  Beds that were  contracted  for prior to the Closing
Date.


                            ARTICLE II: PURCHASE PRICE
                            --------------------------

                  2.1      Determination and Payment of Purchase Price.  Subject
to adjustment as provided in this Agreement,  the aggregate purchase price to be
paid to Sellers for the Assets (the  "Purchase  Price") shall be ONE HUNDRED AND
FIFTY MILLION and 00/100 ($150,000,000.00) DOLLARS. Such Purchase Price shall be
payable by Buyer at the Closing as follows:

                           (a)      One    Hundred    Twenty-Five        Million
($125,000,000.00)  Dollars in cash by wire  transfer  of  immediately  available
funds to the account designated in writing by IHS to Buyer at least two business
days prior to the Closing; and

                           (b)      Twenty-Five Million ($25,000,000.00) Dollars
by the delivery to Sellers of that number of newly  issued  shares of the common
stock,  $.01 par value,  of Buyer ("Buyer  Stock") as shall be equal in value to
$25,000,000  based upon the average  closing  NASDAQ price of such stock for the
twenty (20)  trading day period which ends on a date which is three (3) business
days prior to the Closing Date.

                           (c)      To  the extent  that  the  price  per  share
calculated in (b) above would result in the issuance of shares of Buyer Stock to
the  Sellers  which  would  equal or exceed  twenty  (20%)  percent  of the then
outstanding  shares of Buyer  Stock,  the  parties  agree to reduce the value of
Buyer  Stock to be issued to  Sellers to the amount  which  would  result in the
issuance to Sellers of less than twenty (20%) percent of the outstanding  shares
of Buyer Stock, and the cash portion of the Purchase Price shall be increased by
the amount of the reduction in the value of the Buyer Stock issued to Sellers.

                  2.2  Adjustment to the Purchase  Price.  In the event that the
Closing  Date Bed Count  (as  defined  below)  shall be less  than  36,500,  the
Purchase  Price shall be reduced by an amount equal to Three  Thousand  ($3,000)
Dollars,  multiplied by the  difference  between 36,500 and the Closing Date Bed
Count.  As used  herein,  "Closing  Date Bed Count" means the number of licensed
beds immediately prior to the Closing in (a) nursing homes, (b) residential care
facilities, (c) hospice care facilities, and (d) homes for the mentally retarded
receiving or under contract to receive pharmaceutical products and services from
any of Sellers,  or from the Walker Joint Venture, or pursuant to the Management
Agreement between Senior Dimensions  Pharmacy,  Inc. and Symphony  Pharmacy,  in
each  case,  whether or not such beds are  occupied.  Beds in  facilities  which
receive only medical  records or  consulting  services,  are not included in the
Closing Date Bed Count.



                                       -5-

<PAGE>



                  2.3  Allocation  of  Purchase  Price.  The  Purchase  Price as
adjusted  pursuant to Section 2.2 (and all other  capitalizable  costs) shall be
allocated  among the  various  categories  of  Assets,  and the  Non-Competition
Agreement (as such term is defined in Section  8.10),  as shall be determined by
Buyer, subject to the consent of Seller with respect to the allocation among the
entities  and  to  the  Non-Competition   Agreement  (which  consent  shall  not
unreasonably  be withheld or delayed),  in  accordance  with Section 1060 of the
Internal  Revenue  Code of 1986,  as amended (the  "Code").  Each of the parties
hereto  agrees to prepare  and file all tax returns  (including  Form 8594) in a
manner  consistent  with such  allocation  and to report  this  transaction  for
Federal and state income tax purposes in accordance  with such allocation of the
Purchase Price and shall use their reasonable efforts to sustain such allocation
in any subsequent tax audit or dispute.

                  2.4      [This Section intentionally left blank]

                  2.5      Registration Rights.  IHS  will  have  the  following
registration  rights with respect to the shares of Buyer Stock issued as part of
the Purchase Price:

                           (a)      Initial Registration. Unless Buyer Stock has
been registered pursuant to the terms of Section 2.5(b) as soon as is reasonably
practicable but in any event within ninety (90) days following the Closing Date,
Buyer will cause to be  prepared,  filed,  and will use its best efforts to have
declared effective by the Securities and Exchange Commission (the "Commission"),
a  registration  of the Buyer Stock on Form S-3 or its equivalent and such other
documents,  including a  prospectus,  as may be necessary in the opinion of both
counsel  for Buyer and counsel for the holders of Buyer Stock in order to comply
with the provisions of the  Securities Act of 1933, as amended (the  "Securities
Act"),  so as to permit a public  offering  and sale by the Sellers of the Buyer
Stock.  The Buyer will not include any securities other than Buyer Stock in such
Registration  Statement if such inclusion would adversely impact registration of
Buyers Stock.

                           (b)      Piggyback Registration Rights.  If the Buyer
shall at any time propose to file a registration  statement under the Securities
Act for any  sales  of  securities  of the  Buyer  on  behalf  of the  Buyer  or
otherwise,  the Buyer shall give to Sellers written notice of such  registration
no later than thirty (30) days before its filing with the Commission;  provided,
that  registrations  relating  solely to securities to be issued by the Buyer in
connection  with any  acquisition,  employee  stock  option  or  employee  stock
purchase  or  savings or similar  plan on Form S-4 or S-8 (or  successor  Forms)
under the Securities Act shall not be subject to this Section 2.5(b). If Sellers
so request  within  fifteen (15) days of the sending of such  notice,  the Buyer
shall  include all of the Buyer  Stock in any such  registration.  However,  the
Buyer shall not be obligated to include any portion (or all) of such Buyer Stock
to the extent any underwriter or underwriters of such securities being otherwise
registered by the Buyer shall determine in good faith that the inclusion of such
Buyer Stock or any portion thereof) would jeopardize the successful sale of such
other  securities  proposed  to be  sold by such  underwriter  or  underwriters;
provided,  however that if such offering  includes  securities being offered for
resale by other  sellers of the Buyer,  then the Buyer  Stock may be  eliminated
from such offering only to the extent that the securities  being offered by such
other sellers also are eliminated on a pari passu basis.



                                       -6-

<PAGE>



                  2.6      Registration   Expenses.      Buyer  shall  bear  all
reasonable expenses related to any registration referred to in Section 2.5. Such
costs and expenses shall include,  without  limitation,  all  underwriters'  and
brokers' expenses exclusive of discounts and commissions applicable to the Buyer
Stock,  the fees and  expenses of counsel for the Buyer and of its  accountants,
all other  costs,  fees and expenses of the Buyer  incident to the  preparation,
printing,  registration  and filing under the Securities Act of the registration
statement and all amendments and supplements  thereto,  the fees and expenses of
one counsel to the Sellers relating to such registration, the cost of furnishing
copies of each preliminary prospectus,  each final prospectus and each amendment
or supplement thereto to underwriters,  dealers and Sellers. Notwithstanding the
foregoing,  if the net proceeds per share to Sellers are less than the price per
share as  determined  under  Section  2.1(b),  Buyer shall pay any  underwriting
discount to the extent  necessary  to cause such net proceeds to equal the price
per shares as determined under Section 2.1(b).

                  2.7      Registration Procedures, etc.  In connection with the
registration  rights  granted to the Sellers  with respect to the Buyer Stock as
provided in Section 2.5, Buyer covenants and agrees to:

                           (a)      use  its   best   efforts  to   cause   each
registration  under Section 2.5 to be declared effective and to remain effective
(and in compliance  with the Securities  Act) by such action as may be necessary
or  appropriate  for a period of two (2) years  (plus an amount of time equal to
the number of days during  which  sales of Buyer  Stock under such  registration
statement  shall  have  been  prohibited  in  any  jurisdiction  in  which  such
securities  are  registered  for sale by applicable  law, court order or similar
compulsion)  after the effective  date of such  registration  statement,  or, if
sooner,  until  an  exemption  from  registration  of the  Buyer  Stock  becomes
available   to   Sellers,   including,   without   limitation,   the  filing  of
post-effective  amendments  and  supplements  to any  registration  statement or
prospectus necessary to keep the registration  statement current and the further
qualification  under any applicable  Blue Sky or other state  securities laws to
permit such sale or  distribution,  all as  requested by holders of Buyer Stock.
The Buyer will  immediately  notify  holders  of Buyer  Stock at any time when a
prospectus relating to a registration statement under Section 2.5 is required to
be delivered under the Securities Act, of the happening of any event as a result
of which the  prospectus  included in such  registration  statement,  as then in
effect,  includes an untrue  statement of a material  fact or omits to state any
material fact required to be stated  therein or necessary to make the statements
therein not misleading in light of the circumstances then existing.

                           (b)      furnish, at least five  business days before
filing a  registration  statement  that registers such Buyer Stock, a prospectus
relating   thereto  or  any  amendments  or  supplements   relating  to  such  a
registration  statement or  prospectus,  to one counsel  selected by the persons
holding a majority  of the Buyer  Stock being so  registered  (the  "Stockholder
Counsel"),  copies  of  all  such  documents  proposed  to be  filed  (it  being
understood  that such  five-business-day  period  need not  apply to  successive
drafts  of the same  document  proposed  to be filed so long as such  successive
drafts are supplied to the Sellers in advance of the proposed filing by a period
of time that is customary and reasonable under the circumstances);




                                       -7-

<PAGE>



                           (c)      notify in writing (which notice may be  sent
via fax or  overnight  courier)  the Sellers  promptly (i) of the receipt by the
Buyer of any  notification  with respect to any comments by the Commission  with
respect  to such  registration  statement  or  prospectus  or any  amendment  or
supplement  thereto  or any  request  by the  Commission  for  the  amending  or
supplementing thereof or for additional information with respect thereto, to the
extent that such comments or  requirements  relate to information  regarding the
Company or the persons  selling  Buyer Stock (ii) of the receipt by the Buyer of
any  notification  with  respect to the issuance by the  Commission  of any stop
order suspending the effectiveness of such registration  statement or prospectus
or any amendment or supplement  thereto or the  initiation or threatening of any
proceeding  for that  purpose  and  (iii)  of the  receipt  by the  Buyer of any
notification  with respect to the suspension of the  qualification of such Buyer
Stock for sale in any  jurisdiction  or the  initiation  or  threatening  of any
proceeding for such purposes;

                           (d)      use  its  best  efforts  to obtain the with-
drawal of any order suspending the effectiveness of such registration statement,
or the  lifting  of  any  suspension  of the  qualification  or  exemption  from
qualification  of any of the Buyer  Stock for sale in any  jurisdiction,  at the
earliest possible time;

                           (e)      use its  best efforts to register or qualify
such  Buyer  Stock  under  such  other  securities  or  blue  sky  laws  of such
jurisdictions as the Sellers selling Buyer Stock reasonably  request and any and
all other acts and things  which may be  reasonably  necessary  or  advisable to
enable such persons to consummate the disposition in such  jurisdictions  of the
Buyer Stock;  provided,  however, that the Buyer will not be required to qualify
generally  to do  business,  subject  itself to general  taxation  or consent to
general service of process in any  jurisdiction  where it would not otherwise be
required to do so but for this paragraph (e);

                           (f)      furnish  to  the persons selling Buyer Stock
such number of copies of a summary  prospectus or other prospectus,  including a
preliminary  prospectus,  in conformity with the  requirements of the Securities
Act, and such other documents as such persons may reasonably request in order to
facilitate the public sale or other disposition of such Buyer Stock;

                           (g)      use its best efforts  to  cause  such  Buyer
Stock to be registered with or approved by such other  governmental  agencies or
authorities  as may be necessary by virtue of the business and operations of the
Buyer to enable the persons selling Buyer Stock to consummate the disposition of
such Buyer Stock;

                           (h)      notify the persons selling  Buyer Stock on a
timely  basis at any time when a  prospectus  relating  to such  Buyer  Stock is
required to be delivered  under the Securities Act of the happening of any event
as a result of which the prospectus included in such registration  statement, as
then in effect,  includes  an untrue  statement  of a material  fact or omits to
state a material  fact  required to be stated  therein or  necessary to make the
statements  therein not misleading in light of the  circumstances  then existing
and, at the  request of such  persons,  prepare  and  furnish to such  persons a
reasonable number of copies of a supplement to or an amendment


                                      -8-

<PAGE>



of such  prospectus as may be necessary so that, as thereafter  delivered to the
offerees of such shares,  such prospectus  shall not include an untrue statement
of a  material  fact or omit to state a  material  fact  required  to be  stated
therein or necessary to make the  statements  therein not misleading in light of
the circumstances then existing;

                           (i)      make available for inspection by the persons
selling Buyer Stock, any underwriter  participating in any disposition  pursuant
to such  registration  statement  and any  attorney,  accountant  or other agent
retained by such persons or underwriter  (collectively,  the "Inspectors"),  all
pertinent  financial  and  other  records,  pertinent  corporate  documents  and
properties of the Buyer  (collectively,  the "Records"),  as shall be reasonably
necessary to enable them to exercise  their due  diligence  responsibility,  and
cause the Buyer's  officers,  directors and employees and any person  possessing
such information on behalf of the Buyer to supply all information (together with
the Records,  the "Information")  reasonably  requested by any such Inspector in
connection  with  such  registration   statement;   provided  that  any  of  the
Information which the Buyer determines in good faith to be confidential,  and of
which  determination  the Inspectors are so notified,  shall not be disclosed by
the  Inspectors  unless (i) the  disclosure of such  Information is necessary to
avoid or correct a misstatement or omission in the registration statement,  (ii)
the release of such Information is ordered pursuant to a subpoena or other order
from a court or  government  agency  of  competent  jurisdiction  or (iii)  such
Information has been made generally available to the public; provided,  however,
that each such person agrees that it will, upon learning that disclosure of such
Information is sought in a court of competent  jurisdiction,  give notice to the
Buyer and allow the Buyer, at its expense,  to undertake  appropriate  action to
prevent disclosure of the Information deemed confidential;

                           (j)      use  its  best efforts  to  obtain  from its
independent certified public accountants "cold comfort" letters addressed to IHS
and each person selling Buyer Stock in customary form and at customary times and
covering matters of the type customarily covered by cold comfort letters;

                           (k)      use its  best  efforts  to  obtain  from its
counsel an opinion or  opinions  addressed  to IHS in  customary  form  covering
matters of the type customarily covered by such opinions;

                           (l)      provide  a  transfer   agent  and  registrar
(which may be the same entity and which may be the Buyer) for such Buyer Stock;

                           (m)      issue  to  any   underwriter  to  which  the
Sellers  selling  Buyer  Stock  may sell  shares in such  offering  certificates
evidencing such Buyer Stock (following surrender of any existing certificate for
such securities);

                           (n)      otherwise  use its best  efforts  to  comply
with all applicable  rules and  regulations of the Commission and make available
to the Buyer's security  holders,  as soon as reasonably  practicable,  publicly
available earnings statements (which need not be audited)


                                       -9-

<PAGE>



covering a period of twelve (12) months  beginning within three (3) months after
the effective date of the  Registration  Statement,  which  earnings  statements
shall satisfy the provisions of Section 11(a) of the Securities Act; and

                           (o)      use its best efforts to take all other steps
necessary to effect the registration of such Buyer Stock contemplated hereby.

                  2.8      Indemnification Procedures, Etc.

                           (a)  The  information  included  or  incorporated  by
reference in the registration statements filed pursuant to Section 2.5 will not,
at the time any such  registration  statement  becomes  effective,  contain  any
untrue statement of a material fact, or omit to state any material fact required
to be stated  therein as necessary in order to make the statements  therein,  in
light of the  circumstances  under  which  they were  made,  not  misleading  or
necessary to correct any  statement in any earlier  filing of such  registration
statement or any amendments thereto. The registration  statements will comply in
all material  respects with the  provisions of the  Securities Act and the rules
and regulations thereunder. The Buyer shall indemnify the holders of Buyer Stock
to be sold pursuant to any registration statement, their successors and assigns,
and each person, if any, who controls such holders within the meaning of section
15 of the  Securities  Act or section  20(a) of the  Securities  Exchange Act of
1934, as amended (the "Exchange Act") against any and all loss,  claim,  damage,
expense  or   liability   (including   all  expenses   reasonably   incurred  in
investigating, preparing or defending against any claim whatsoever) to which any
of them may become  subject  under the  Securities  Act, the Exchange Act or any
other statute, common law or otherwise,  arising out of or based upon any untrue
statement  or alleged  untrue  statement  of a material  fact  contained in such
registration  statement  executed  by Buyer or based  upon  written  information
furnished by Buyer filed in any jurisdiction in order to qualify the Buyer Stock
under the  securities  laws  thereof  or filed  with the  Commission,  any state
securities  commission  or  agency,  NYSE  or any  securities  exchange;  or the
omission or alleged omission  therefrom of a material fact required to be stated
therein or necessary to make the statements  contained  therein not  misleading,
unless such  statement or omission was made in reliance  upon and in  conformity
with  written  information  furnished  to Buyer by the  holder or its  affiliate
seeking indemnification  expressly for use in such registration  statement,  any
amendment or supplement  thereto or any application,  as the case may be. If any
action is brought against the holders or any  controlling  person of the holders
in respect of which  indemnity  may be sought  against  Buyer  pursuant  to this
subsection 2.8(a), the holders or such controlling person shall promptly, and in
any event,  within  thirty (30) days  (provided  that the failure to give prompt
notice  shall  not  relieve  the  indemnifying  party  of  its   indemnification
obligation but such obligation  shall be reduced by any damages suffered by such
party  resulting from a failure to give prompt notice) after the receipt thereby
of a summons or complaint,  notify Buyer in writing of the  institution  of such
action  and Buyer  shall  assume  the  defense of such  actions,  including  the
employment  and payment of reasonable  fees and expenses of counsel  (reasonably
satisfactory  to the holders or such  controlling  person).  The holders or such
controlling  person  shall have the right to employ its or their own  counsel in
any such case, but the fees and expenses of such counsel shall be at the expense
of the holders or such


                                      -10-

<PAGE>



controlling  person  unless (A) the  employment  of such counsel shall have been
authorized in writing by Buyer in connection with the defense of such action, or
(B) Buyer shall not have promptly employed counsel to have charge of the defense
of such action,  or (C) such indemnified  party or parties shall have reasonably
concluded that there may be defenses available to it or them which are different
from or additional to those  available to Buyer (in which case,  Buyer shall not
have the right to direct the defense of such action on behalf of the indemnified
party or parties),  in any of which events the  reasonable  fees and expenses of
not more than one  additional  principal  firm of attorneys  (and, if necessary,
applicable  firms to  serve  as  local  counsel)  for the  holders  and/or  such
controlling person shall be borne by Buyer.  Except as expressly provided in the
previous  sentence,  in the event that Buyer shall have  assumed the defenses of
any such action or claim,  Buyer shall not  thereafter be liable to such holders
or such  controlling  person for their expenses in  investigating,  preparing or
defending  any such  action or  claim,  except  for  reimbursement  of  expenses
incurred at Buyer's request (e.g.,  attending  depositions  etc.).  Buyer agrees
promptly  to  notify  the  holders  of the  commencement  or any  litigation  or
proceedings  against  Buyer or any of its  officers,  directors  or  controlling
persons in connection  with the resale of the Buyer Stock or in connection  with
such registration statement.

                           (b)  Each  holder  of  the  Buyer  Stock  to be  sold
pursuant to a registration  statement,  and his  successors  and assigns,  shall
severally,  and not jointly,  indemnify  Buyer,  any  underwriter,  its or their
officers  and  directors  and each person,  if any,  who  controls  Buyer or any
underwriter  within the meaning of section 15 of the  Securities  Act or section
20(a) of the Exchange Act against any and all loss, claim, damage, or expense or
liability   (including  all  expenses   reasonably  incurred  in  investigating,
preparing or defending  against any claim  whatsoever)  to which they may become
subject under the Securities Act, the Exchange Act or any other statute,  common
law or otherwise,  arising from information containing any untrue statement of a
material  fact  furnished  in  writing  by or on behalf of such  holder,  or his
successors  or assigns for specific  inclusion in such  registration  statement.
However,  in no event shall the obligation of a seller of Buyer Stock  hereunder
exceed the price received by such seller for such shares.

                           (c)      If the indemnification  provided for in this
Section 2.8 is held by a court of competent jurisdiction to be unavailable to an
indemnified party with respect to any loss, claim, damage, expense, liability or
action referred to herein,  then the indemnifying party, in lieu of indemnifying
such  indemnified  party  hereunder,  shall  contribute  to the amounts  paid or
payable  by such  indemnified  party as a result of such  loss,  claim,  damage,
expense, liability or action in such proportion as is appropriate to reflect the
relative fault of the indemnifying party on the one and of the indemnified party
on the other in  connection  with the statement or omissions  which  resulted in
such loss,  claim,  damage,  expense,  liability  or action as well as any other
relevant equitable considerations.  The relevant fault of the indemnifying party
and of the  indemnified  party shall be  determined by reference to, among other
things, whether the untrue or alleged untrue statement of a material fact or the
omission or alleged  omission to state a material  fact  relates to  information
supplied by the indemnifying  party or by the indemnified party and the parties'
relative intent, knowledge,  access to information and opportunity to correct or
prevent such statement or omission. However, in no event shall the obligation of
a seller of Buyer Stock  hereunder  exceed the price received by such seller for
such shares.



                                      -11-

<PAGE>



                              ARTICLE III: THE CLOSING
                              ------------------------

                     3.1    Time  and  Place  of  Closing.   The  closing   (the
"Closing") of the transactions  contemplated by this Agreement shall take place,
at the offices of Sellers,  on the date which is two business days following the
date on which all of the conditions to each party's  obligations  hereunder have
been satisfied or waived or such other date as the parties may agree in writing,
but in any event not later  than the date  which is thirty  (30) days  after the
date of this Agreement,  except to the extent expressly provided in Section 8.5,
8.11, 9.5 or 9.8,  below,  and provided that, for accounting  purposes only, the
Closing  shall in any event be effective as of June 30, 1996.  The date on which
the Closing is held is hereinafter referred to as the "Closing Date."

                     3.2    Buyer's Financing.  The parties mutually acknowledge
that Buyer requires financing of approximately $100,000,000 in order to complete
the  transaction  hereunder  (the  "Financing"),  although the completion of the
Financing  is  not a  condition  to  Buyer's  obligation  to  close  under  this
Agreement.  In the event that the Financing does not close by August 1, 1996, it
is agreed that the Closing  Date shall be extended  for up to one hundred  (100)
days in order to enable Buyer to develop alternative  financing sources.  During
this period, IHS shall cooperate with Buyer and provide reasonable assistance in
identifying  potential  sources of the Financing.  Also during this period,  the
parties  will  make  such  reasonable  adjustments  to  the  structure  of  this
transaction as may be necessary to complete the  Financing,  provided that in no
event shall any party hereto be required to agree to any such modification which
would affect  negatively the economic or business benefits to be derived by such
party under this  Agreement.  In any event, if the Closing does not occur by the
expiration  of the said  100-day  period due to Buyer's  failure to complete the
Financing,  the break-up fee described in Section 11.3 shall be due and payable,
subject to the conditions stated in Section 11.3.


           ARTICLE IV: REPRESENTATIONS AND WARRANTIES OF SELLERS AND IHS
           -------------------------------------------------------------

                  Each of the  Sellers  and IHS  hereby  jointly  and  severally
represents and warrants to Buyer as follows:

                  4.1  Organization  and  Standing.  Each  Seller  and  IHS is a
corporation duly organized, validly existing and in good standing under the laws
of the State of its  incorporation.  Copies of such  corporation's  Articles  of
Incorporation  and  By-Laws  and all  amendments  thereof  to  date,  have  been
delivered to Buyer,  and are  complete and correct.  Each Seller and IHS has the
power  and  authority  to own the  property  and  assets  now owned by it and to
conduct the business  currently  being conducted by it. Each Seller is qualified
to do business as a foreign corporation in each state where the failure to be so
qualified would have a Material Adverse Effect.  Except as set forth on Schedule
4.1, no Seller nor IHS with respect to the Ownership or use of the Assets, files
franchise,  income or other  Tax  returns  in any  jurisdiction  based  upon the
ownership or use of its property therein or its derivation of income  therefrom.
For purposes of this Agreement, any event, circumstance or set of facts shall be
deemed to have a "Material Adverse Effect" if it has,


                                      -12-

<PAGE>



a material  adverse  effect on the value of the  Assets or  Assumed  Liabilities
taken as a whole or on the ability of Sellers to operate the Business consistent
with past practice or on the  consolidated  financial  position of Sellers or on
the results of the operations of Sellers on a consolidated basis with respect to
the period then ended.

                  4.2 Authority.  Each Seller and IHS has full  corporate  power
and authority to own, lease and operate its assets,  properties and business and
to carry on its business as it is now being  conducted.  Each Seller and IHS has
the full  corporate  power and authority to make,  execute,  deliver and perform
this  Agreement,  including  all Schedules  and Exhibits  hereto,  and the other
agreements,  instruments,  certificates  and documents  required or contemplated
hereby or  thereby  to be  executed  or  delivered  by it  ("Seller  Transaction
Documents") and all of the transactions  contemplated  hereby and thereby.  Such
execution,  delivery,  performance and consummation have been duly authorized by
all necessary action,  corporate or otherwise,  on the part of each Seller, IHS,
its respective directors and, if applicable,  shareholders. Sellers and IHS each
have  delivered  to  Buyer  copies  of  (a)  its   Certificate  or  Articles  of
Incorporation,  (b) its Bylaws,  and (c)  resolutions of its Boards of Directors
and, if applicable,  its shareholders authorizing the transactions  contemplated
by this  Agreement,  in each case certified as true and correct by the corporate
secretary of such corporation.

                  4.3 Binding Effect.  This Agreement and the Seller Transaction
Documents  executed  by each  Seller and IHS  constitute  the  legal,  valid and
binding obligations of such Seller and IHS,  enforceable against each Seller and
IHS in  accordance  with  their  respective  terms,  except  (a) as  limited  by
applicable bankruptcy, insolvency, reorganization, moratorium, and other laws of
general  application  affecting  enforcement  of creditors'  rights,  and (b) as
limited by the  application of legal  principles  affecting the  availability of
specific performance, injunctive relief, and other equitable remedies.

                  4.4 Absence of Conflicting  Agreements.  Neither the execution
or delivery of this Agreement or any of the Seller Transaction  Documents by any
Seller  or IHS nor the  performance  by any  Seller  or IHS of the  transactions
contemplated hereby and thereby, conflicts with, or constitutes a breach of or a
default  (or an  event  which  with  notice  or  lapse  of time or  both,  would
constitute a breach or default)  under:  (a) such Seller's or IHS's  Articles of
Incorporation  or  By-Laws;  or (b)  any  resolution  adopted  by the  Board  of
Directors or the shareholders of IHS or such Seller; or (c) any judgment, order,
writ,  injunction,  or decree of any court applicable to IHS or such Seller;  or
(d) any Federal,  state, local or other governmental laws or ordinances,  or any
applicable  order,  rule  or  regulation  ("Governmental  Requirements")  of any
Federal,  state,  local  or  other  governmental  department  or  court or other
authority having jurisdiction over it ("Governmental Authorities") or applicable
to such Seller or IHS except as set forth in Schedule 4.4 or as would not have a
Material Adverse Effect; or (e) any agreement, indenture, contract or instrument
to which such Seller or IHS is now a party or by which any of them or any of the
Assets is bound, except for conflicts,  breaches,  or defaults arising solely by
reason of the assignment of any Contracts which are not Employment Agreements at
Closing, and except as set forth in Schedule 4.4 or as would not have a Material
Adverse Effect.


                                      -13-

<PAGE>




                  4.5 Consents.  Except as reflected in Schedule 4.5, except for
licenses and permits which constitute  Excluded Assets,  and except as would not
have a Material  Adverse  Effect if not  obtained,  no  authorization,  consent,
approval, license, exemption by filing or registration by any Seller or IHS with
any Governmental  Authority or with the employee under any Employment Agreement,
is  necessary  in  connection  with the  entry  into,  execution,  delivery  and
performance of this Agreement or any of the Seller Transaction  Documents by any
Seller or IHS, or for the consummation of the transactions  contemplated  hereby
and thereby.

                  4.6      Contracts.

                           (a)      Schedule  4.6 (a)  sets  forth  a  true  and
correct list of each of the following contracts  (written or oral) to which  any
Seller  is  a  party or is bound  (together  with  the  contracts  set  forth on
Schedule 4.6(b), the "Contracts"):

                                    (i)     each     employment,      collective
         bargaining,  termination  or consulting  agreement  with any directors,
         officers,  employees  or  consultants  earning in excess of $50,000 per
         year;

                                    (ii)    each   agreement   restricting   the
         conduct of business anywhere in the world for any period of time or the
         use or disclosure of any confidential or proprietary information;

                                    (iii)   each  partnership,  joint venture or
         management  contract or similar arrangement or agreement which involves
         a right to  share  profits  or  future  payments  with  respect  to the
         Business or any portion  thereof or the business of any other person or
         entity;

                                    (iv)    each agreement pursuant to which the
         services and products of the Business are  provided,  but excluding any
         of the same which cover or relate solely to Excluded Services;

                                    (v)     each   agreement,   lease  or  other
         instrument granting a leasehold interest to any Seller in real property
         together with any and all non-disturbance agreements with mortgagees or
         deed of trust  beneficiaries  which relate to the real property covered
         by such leases (the "Real Property Leases");

                                    (vi)    each agreement (whether evidenced by
         one  document  or a series of related  documents  with the same  party)
         involving past, present, or future consideration in excess of $50,000.



                                      -14-

<PAGE>



                           (b)      Schedule  4.6(b)  sets forth  each  material
oral or written  contract  relating to the Assets or the Business not  otherwise
listed on Schedule 4.6(a) hereto.  Except to the extent that same would not have
a  Material  Adverse  Effect,  each  Contract  was  entered  into  and  requires
performance in the ordinary course of business,  is in full force and effect and
constitutes  a legal,  valid and  binding  obligation  enforceable  against  the
applicable Seller in accordance with its terms, except (a) as enforceability may
be limited by applicable bankruptcy, insolvency, reorganization,  moratorium and
other laws of general application  affecting  enforcement of creditors's rights,
(b) as limited by the application of legal principles affecting the availability
of specific performance, injunctive relief and other equitable remedies, and (c)
as  limited  by other  applicable  law.  Sellers  are not in  default  under any
provision  of any  contract  set  forth on  Schedule  4.6(a)  or  4.6(b)  and no
condition exists which (with notice or lapse of time or both) would constitute a
default by any Seller thereunder,  in each case, except to the extent same would
not have a Material Adverse Effect,  and to the knowledge of Sellers and IHS, no
other party to any of such  contracts is in default  under any  provision of any
such  contract  except to the  extent  such  default  would not have a  Material
Adverse  Effect.  The Sellers  previously  have  delivered  true,  correct,  and
complete   copies  of  each  written   Contract,   including   all   amendments,
modifications, renewals, supplements, and extensions thereto (except as to those
which  are  indicated  on  Schedule  4.6 as being  unavailable),  and a  written
description of each oral contract currently in effect.

                  4.7      Financial Statements.

                           (a)      Attached  hereto as Schedule  4.7(a) are the
audited  financial  statements  of Symphony  Pharmacy and the other Sellers on a
consolidated  basis for the fiscal year ended  December 31, 1995 (the  "12/31/95
Financial  Statements").  The Financial Statements  (including any related notes
thereto)  are true and correct in all material  respects and present  fairly the
financial condition and results of operations of Symphony Pharmacy and the other
Sellers  reflected on a  consolidated  basis as, at and for the periods  therein
specified  and  were  prepared  in  accordance  with  GAAP  applied  on a  basis
consistent with prior periods.

                           (b)      Attached  hereto as Schedule  4.7(b) are the
unaudited income statement and balance sheet of Symphony  Pharmacy and the other
Sellers on a consolidated basis for the fiscal quarter ended March 31, 1996 (the
"Interim Financial  Statements"),  which quarterly financial statements are true
and correct in all material respects and present fairly the financial  condition
and results of operations of Symphony  Pharmacy and the other Sellers  reflected
on a consolidated  basis as, at and for the periods  therein  specified and were
prepared  in  accordance  with GAAP  applied  on a basis  consistent  with prior
periods.

                  4.8 Licenses; Permits; Certificates of Need. Schedule 4.8 sets
forth a complete and accurate list of and copy of each material license or other
permit or approval of any Governmental  Authority  necessary to the operation of
the Business  heretofore obtained and that is now in effect  (collectively,  the
"Licenses")  including any such licenses,  permits, or approvals required by the
Federal Food and Drug Administration ("FDA"), the Federal Drug Enforcement


                                      -15-

<PAGE>



Agency ("DEA"), the State Pharmacy Boards ("State Boards"),  and the Medicare or
Medicaid programs. Each Seller owns, possesses or has the legal right to use its
Licenses.  No Seller is in default under any such  License,  which default would
have a Material Adverse Effect.

                  4.9      Title, Condition to Personal Property.

                           (a)      Sellers   own,   or  have   good  and  valid
leasehold  interests or licenses in, all of the personal property comprising the
Assets and has good and valid title to all such personal property  (tangible and
intangible) (or in the case of personal  property which is leased or licensed to
it, Seller has the right to use such personal  property superior in right to all
others), subject to no liens, claims, security interests, mortgages, pledges, or
encumbrances of any kind or nature  whatsoever  ("Liens"),  other than Permitted
Liens (as defined below) or Liens which shall be removed at or prior to Closing.
Except to the extent it would not have a Material  Adverse  Effect,  all of such
personal  property  comprising  equipment,  improvements,  furniture  and  other
tangible  personal  property,  whether  owned or  leased,  is in good  operating
condition and repair except for normal wear and tear, and is functioning, in all
respects,  in the manner and for the purpose for which it was  intended,  and is
suitable  to enable  Buyer to operate  the  Business  in a normal and  efficient
manner. None of Sellers nor IHS has granted any option or other right to acquire
any material  portion of the Assets or the Business  other than pursuant to this
Agreement or with respect to inventory in the ordinary course of business, which
option or right is in effect on the date hereof. There are no pending or, to the
knowledge of Sellers and IHS, threatened  condemnation  proceedings  relating to
any of Sellers' leased properties used in connection with the Business.

                           (b)      "Permitted Liens" means:

                                    (i)     each  lien  set  forth  on  Schedule
         4.9(b) hereto;

                                    (ii)    carriers',           warehouseman's,
         mechanics,  materialmen's,  repairmen's  or other like liens arising in
         the  ordinary  course of  business  which do not exceed  $50,000 in the
         aggregate;

                                    (iii)   deposits  to secure the  performance
         of bids,  trade  contracts  (other than for  borrowed  money),  leases,
         statutory obligations,  surety and appeal bonds,  performance bonds and
         other  obligations  of like nature  incurred in the ordinary  course of
         business,  provided  that each such  deposit  shall be  included in the
         Assets;

                                    (iv)    pledges or  deposits  in  connection
         with worker's compensation,  unemployment  insurance,  and other social
         security legislation; and

                                    (v)     judgment   liens   which,   in   the
         aggregate,  secure  amounts  not in excess of $50,000  and which are in
         existence  less than thirty (30) days after the entry thereof and which
         are being contested in good faith and with respect to which adequate


                                      -16-

<PAGE>



         cash reserves have been established and with respect to which execution
         has been stayed or the payment of which is covered in full  (subject to
         a reasonable and customary deductible) by insurance.

                  4.10 Leased Real Properties.  No Seller owns any real property
or, other than the Real Property  Leases,  has a leasehold  interest in any real
property.  Each Seller has a valid leasehold  interest in each of the properties
covered by the Real  Property  Leases to which it is a party.  The Real Property
Leases represent all leasehold  interests currently used in the operation of the
Business.  Each of the Sellers has the right to quiet  enjoyment of the premises
covered by the Real Property  Leases leased by it as tenant for the full term of
the lease thereof to the extent provided in such Real Property Lease,  except to
the extent same would not have a Material Adverse Effect.

                  4.11 Legal  Proceedings.  Other than as  reflected on Schedule
4.11, there are no disputes, claims, actions, suits or proceedings, arbitrations
or  investigations,  either  administrative  or  judicial,  pending,  or, to the
knowledge of Sellers and IHS,  threatened or contemplated,  against or affecting
any Seller or any of the Assets or such  Seller's or IHS' rights  therein or the
conduct or operation of the Business or the  transactions  contemplated  by this
Agreement,  at law  or in  equity  or  otherwise,  before  or by  any  court  or
governmental  agency or body, in any case,  which would have a Material  Adverse
Effect.

                  4.12  Collective  Bargaining,   Labor  Contracts,   Employment
Practices,  etc. No employees of the Business (the  "Employees") are represented
by any labor union or similar organization except as set forth on Schedule 4.12,
there are no  pending or to the  knowledge  of IHS and each  Seller,  threatened
activities the purpose of which is to achieve such representation of all or some
of such Employees.  To the knowledge of Sellers, except as set forth in Schedule
4.12,  (a) the Business is operating  and has been operated in compliance in all
respects with all  Government  Requirements  covering  employment and employment
practices, terms and conditions of employment and wages and hours, including the
Immigration  Reform and  Control  Act,  the  Worker  Adjustment  and  Retraining
Notification  Act of 1988 (the "WARN  Act"),  any such  Government  Requirements
respecting  employment  discrimination,  equal opportunity,  affirmative action,
employee  privacy,  wrongful or  unlawful  termination,  workers'  compensation,
occupational  safety and health  requirements,  labor/management  relations  and
unemployment  insurance,  or  related  matters  and there are no  threatened  or
pending  claims  relating  thereto,  in each  case,  except to the  extent  such
noncompliance or claims would not have a Material  Adverse Effect,  (b) there is
no labor strike, dispute,  slowdown or stoppage pending or threatened against or
affecting the Business,  and Sellers have not  experienced  any work stoppage or
other labor difficulty  affecting the Business in the last year which would have
a Material Adverse Effect, and (c) in the event of termination of the employment
of any Employee (other than any Employee  referred to on Schedule  4.6(a)(i)-A),
Buyer will not, pursuant to any agreement with any Seller or IHS or by reason of
any  representation  made or plan  adopted  by any  Seller  or IHS  prior to the
Closing,  be liable to any Employee for  so-called  "severance  pay",  parachute
payments  or  any  other  similar  payments  or  benefits,   including,  without
limitation,  post-employment  healthcare  (other  than  pursuant  to  COBRA)  or
insurance benefits, except as shall be included in the Assumed Liabilities.



                                      -17-

<PAGE>



                  4.13     ERISA.

                           (a)      No  Seller  nor  IHS  maintains,   or  makes
contributions  to,  and no Seller  nor IHS has at any time in the past two years
maintained or made  contributions to, any employee benefit plan which is subject
to the minimum funding  standards of Employee  Retirement Income Security Act of
1974,  as amended  ("ERISA")  or  subject  to the terms of the  Multi-  employer
Pension Plan Amendment Act of 1980.

                           (b)      Except   for  the   Employment   Agreements,
Schedule 4.13(b) sets forth each severance agreement,  and each plan, agreement,
arrangement  or plan,  bonus plan,  deferred  compensation  agreement,  employee
pension,  profit sharing,  savings or retirement  plan, group life,  health,  or
accident  insurance or other employee  benefit plan,  agreement,  arrangement or
commitment,   including,   without  limitation,  any  commitment  arising  under
severance, holiday, vacation, Christmas or other bonus plans (including, but not
limited  to,  "employee  benefit  plans",  as defined  in Section  3(3) of ERISA
maintained  by Seller or IHS for any  Employees or with respect to which Sellers
or IHS  have  liability  with  respect  to any  Employees,  or  make  or have an
obligation to make  contributions  on behalf of Employees  ("Plans").  Each Plan
that covers only Employees has been identified as such on Schedule 4.13(b).

                           (c)      The IHS Retirement Savings Plan has received
a favorable  determination  letter from the Internal Revenue Service and nothing
has occurred to adversely affect such qualification.

                           (d)      Schedule 4.13(d) identifies all Employees on
leave of absence  eligible  to  receive  health  benefits,  as  required  by the
continuation  health care  coverage  provisions  of Section 4980B of the Code or
Section 601 through 608 of ERISA ("COBRA").  Notice of the availability of COBRA
coverage  has been  provided  to all  Employees  on leave  of  absence  entitled
thereto,  and all persons  electing  such  coverage are being (or have been,  if
applicable) provided such coverage.

                  4.14 Insurance and Surety Agreements. Schedule 4.14 sets forth
a true and  complete  list of policies of fire,  liability,  property,  workers'
compensation  and other forms of insurance held or owned by any Seller or IHS or
otherwise  in  force  and  providing  coverage  for the  Business  or any of the
property covered by the Real Property Leases or Assets.  The insurance  policies
listed on Schedule 4.14 are in full force and effect, (i) all premiums due on or
before the Closing Date have been or will be paid on or before the Closing Date,
(ii) are carried by insurers of recognized responsibility,  (iii) are sufficient
for compliance in all material respects with all requirements of applicable law,
and (iv) insure the  Business and the Assets  against the types of  liabilities,
claims  and risks  against  which  similarly  situated  businesses  in  Seller's
industry  customarily  insure.  Each  Seller  and  IHS is in  compliance  in all
material  respects  with the  provisions of such policies and, no Seller nor IHS
has been advised by any of its  insurance  carriers of an intention to terminate
or modify any such policies.




                                      -18-

<PAGE>



                  4.15 Assets Comprising the Business.  The Assets represent all
of the real and personal property, licenses,  intellectual property, permits and
authorizations, contracts, leases and other agreements that are necessary to the
operation  of the  Business as now  operated,  except for the  Excluded  Assets.
Except as set forth on  Schedule  4.15 or except for  Excluded  Assets,  IHS (as
opposed to Sellers) does not own any personal property,  licenses,  intellectual
property,  permits or  authorizations,  and has not entered into any  contracts,
leases or other  agreements  that are necessary to the operation of the Business
as now operated,  except as otherwise expressly set forth in this Agreement. The
quantities of inventory  items included in the Assets are reasonable in light of
the present and  anticipated  volume of the Business and the  inventory is good,
usable,  merchantable,  and saleable in the ordinary course of Business, in each
case, as determined by Sellers in good faith and consistent  with past practice.
The accounts  receivable  of Sellers are  reflected  properly on their books and
records in accordance with GAAP and have been billed or invoiced in the ordinary
course of business consistent with past practice

                  4.16  Absence  of  Certain  Events.  Except  as set  forth  on
Schedule 4.16 or as  contemplated or permitted by this Agreement or as reflected
in the  12/31/95  Financial  Statements  (including  the notes  thereto)  or the
Interim Financial  Statements (the "Financial  Statements"),  since December 31,
1995:

                           (a)      there   has  been  no   acquisition,   sale,
transfer,  or  other  disposition  (including  any  dividend,  distribution,  or
extraordinary  disbursement or expenditure) of any material properties or assets
owned by Sellers  (individually  or in the aggregate) or used in the Business as
conducted  during the period  prior to the Balance  Sheet  Date,  except for the
acquisition,  sale,  expenditure,  transfer,  or other disposition of inventory,
cash,  or other  property  or assets in the  ordinary  course  of  business  and
consistent with past practice,  including funding to and from IHS and its direct
or indirect subsidiaries;

                           (b)      there  has been no  change  in any  Seller's
accounting  methods  or  practices  (including  any  change in  depreciation  or
amortization policies or rates), except as required by GAAP;

                           (c)      the  Business  has  been  conducted  in  the
ordinary course consistent with past practice;

                           (d)      Sellers and IHS have not mortgaged, pledged,
encumbered  or  subjected  any of the Assets to any Lien  other  than  Permitted
Liens;

                           (e)      except in the  ordinary  course of  business
consistent  with past  practice,  or  otherwise  to comply  with any  applicable
minimum  wage law,  there has not been any  increase  in the  salaries  or other
compensation now or hereafter  payable to any Employees,  or increase in, or any
additions  to, other  benefits to which any of such  Employees  may be entitled,
including,  without limitation,  bonus, incentive compensation or service awards
or other like benefit;


                                      -19-

<PAGE>



                           (f)      there  has  not  been  any   settlement   or
agreement to settle any  litigation,  action or  proceeding  before any court or
governmental  body  relating to any Seller or their  property  and no Seller has
received any threat thereof which,  in any case,  would have a Material  Adverse
Effect;

                           (g)      there has been no cancellation, termination,
or express waiver of any contract,  agreement,  lease  (including  real property
leases),  or other instrument,  or any rights or claims thereunder,  relating to
the Business other than such cancellations, or terminations, as would not have a
Material  Adverse  Effect when  aggregated  with new  contracts,  agreements  or
instruments relating to the Business;

                           (h)      there  has not been any loss of  service  of
any Employee that would have a Material Adverse Effect;

                           (i)      there    has   not   been    any    material
extraordinary  item  of  loss,  or  incurrence  of  any  material  extraordinary
obligation or liability;

                           (j)      there   has  not  been  any   other   event,
circumstance  or set of facts  which is not covered by the  representations  and
warranties set forth in  subsections  (a) through (i) above and which has had or
would have a Material Adverse Effect; and

                           (k)      there   has   not   been   any    agreement,
arrangement or understanding to do any of the foregoing.

                  4.17 Compliance with Laws.  Sellers and, to the extent related
to the  Business,  IHS,  each  licensed  Employee  are, in  compliance  with all
applicable  statutes,  laws,  ordinances,  rules,  orders and regulations of any
Governmental  Authority  (including without  limitation,  Environmental Laws (as
such term is  hereinafter  defined in Section  4.22) and  Section  1320a-7b  and
Section  1395nn  of  Title  42 of the  United  States  Code  or the  regulations
promulgated  thereunder,  or related  state or local  statutes or  regulations),
applicable to the Business, except where noncompliance would not have a Material
Adverse Effect. Except as set forth in Schedule 4.17, during the two-year period
ending on the date  hereof,  neither  Sellers nor IHS has,  received any written
notice or other written communication from a Governmental Authority that alleges
that the  Business or any of the Assets is not in  compliance  with any Federal,
state,  local or foreign  statute,  law,  ordinance,  rule, order or regulations
(including without  limitation,  Environmental  Laws), which noncompliance would
have a Material  Adverse  Effect.  To the  knowledge  of Sellers,  Sellers  have
maintained  all records  required  to be  maintained  by the FDA,  DEA and State
Boards of Pharmacy and the Medicare and Medicaid  programs as required so as not
to have a Material Adverse Effect and Sellers have no knowledge of any presently
existing  circumstances  which are  likely to result in  violations  of any such
regulations  which would have a Material Adverse Effect.  Neither Sellers or, to
the extent related to the Business, IHS or nor any officer, director,  employee,
agent,  or other  representative  of Sellers  or, to the  extent  related to the
Business,  IHS or any person acting on behalf of Sellers has made, directly,  or
indirectly, any


                                      -20-

<PAGE>



illegal bribes,  kickbacks,  or political  contributions  with corporate  funds,
illegal  payments  from  corporate  funds  to  governmental  officials  in their
individual  capacities,  or illegal  payments from corporate  funds to obtain or
retain  business  either  within the United  States or abroad which would have a
Material Adverse Effect.

                  4.18 Medicare and Medicaid  Programs.  Sellers,  to the extent
necessary to conduct the Business in a manner consistent with past practice, are
qualified for  participation in the Medicare and Medicaid programs except to the
extent same would not have a Material  Adverse  Effect.  Except as  reflected on
Schedule 4.18 or the Financial Statements, (a) no Seller or IHS has received any
notice of recoupment with respect to the Business from the Medicaid programs, or
any  other  third  party  reimbursement  source  (b)  there is no basis  for the
assertion  after the Closing Date of any such  recoupment  claim  against  Buyer
which arose out of any  transactions on the part of Sellers prior to the Closing
or against any Seller for which Buyer will be liable  except as reflected in the
Financial  Statements,  and (c) to the knowledge of Sellers and IHS, no Medicare
or Medicaid  investigation,  survey or audit is pending,  threatened or imminent
with respect to the operation of the Business prior to the Closing.

                  4.19  Encumbrances  Created  by this  Agreement.  Neither  the
execution and delivery of this Agreement by Sellers or IHS nor the execution and
delivery  of  any  of  the  Seller  Transaction   Documents  creates,   and  the
consummation of the transactions contemplated hereby or thereby will not create,
any Liens on any of the Assets in favor of third parties.

                  4.20 Finders.  No broker or finder has acted for any Seller or
IHS in connection  with the  transactions  contemplated by this Agreement and no
broker or finder is entitled to any broker's or finder's fee or other commission
in  respect  thereof  based  in  any  way  on  agreements,   understandings   or
arrangements with any Seller or IHS.

                  4.21  Patents,  Trademarks,  Trade  Names,  Trade  Secrets and
Copyrights.  Schedule  4.21  contains a complete and accurate list of all United
States and foreign patents and patent  applications,  trademarks,  service marks
(registered or as to which registration has been applied for),  registered trade
names, and registered  copyrights  including,  without  limitation,  proprietary
computer software, owned in whole or in part by any Seller or used by any Seller
in the  Business  and that,  in each case,  is material  to the  Business of the
Sellers  as  currently  conducted  ("Protected  Material").  There  has  been no
infringement  or  misappropriation,  actual or  claimed,  by the  Sellers of any
Protected  Material or trade  secrets  owned by others,  or other  adverse claim
(including  judicial or adversary  proceedings)  against Sellers with respect to
their usage of Protected  Material or trade  secrets  owned by others or, to the
knowledge of Sellers and IHS, by others of any  Protected  Material  owned by or
licensed to the  Sellers or IHS,  which  would have a Material  Adverse  Effect.
Except as set forth in Schedule  4.21,  none of the Sellers or IHS is in default
under any agreement  pursuant to which it is licensing  Protected  Material of a
third party or granting licenses to its own Protected Material,  except for such
defaults which would not have a Material Adverse Effect.



                                      -21-

<PAGE>



                  4.22  Environmental  Matters.  To the  knowledge  of  Sellers,
Sellers are in  compliance in all respects  with all  environmental  and related
Governmental  Requirements  applicable to Sellers, the Business,  the Assets and
the real  property  covered  by the Real  Property  Leases,  including,  but not
limited to, the Resource  Conservation and Recovery Act of 1976, as amended, the
Comprehensive  Environmental Response Compensation and Liability Act of 1980, as
amended,  the Federal Water Pollution Control Act, as amended by the Clean Water
Act, and subsequent  amendments,  the Federal Toxic  Substances  Control Act, as
amended,  and the Clean Air Act,  as  amended,  with  respect  to  environmental
matters, public or workplace health or safety, or hazardous, toxic or infectious
wastes,   materials  or  substances  (including  medical  wastes)  or  petroleum
products,  materials or wastes or radioactive substances or wastes (collectively
"Environmental  Laws"),  except  to the  extent  noncompliance  would not have a
Material Adverse Effect.  The foregoing  representation  and warranty applies to
the  operation  of the  Business  and the use of the Assets  including,  but not
limited to, the use, handling, treatment,  storage,  transportation and disposal
of any hazardous,  toxic or infectious waste,  material or substance  (including
medical  waste)  or  petroleum  products,   material  or  waste  or  radioactive
substances or waste whether  performed on any of the  properties  covered by the
Real Property Leases or at any other  location.  To the knowledge of Sellers and
IHS, no  investigation  or review is pending or threatened  by any  Governmental
Authority or other party with respect to any alleged violation by Sellers or the
Business of any Environmental Law, the need for any work, repairs, or demolition
by any Seller, on or in connection with any property in order to comply with any
Environmental  Law,  or any actual or  threatened  release  (including,  but not
limited to, any spill, discharge,  leak, emission,  ejection, escape or dumping)
or inadequate  storage of, or contamination  caused by, any hazardous,  toxic or
infectious waste,  material or substance  (including medical waste) or petroleum
product,  material  or waste or  radioactive  substance  or  waste,  or any such
constituent which would have a Material Adverse Effect.

                  4.23     Tax Returns.

                           (a)      Except as set forth in Schedule 4.23(a), (i)
all Tax (as defined below) returns, statements,  reports and forms or extensions
with respect thereto required to be filed with any Governmental  Authority on or
before the Closing  Date by or on behalf of any Seller  (collectively,  the "Tax
Returns"),  have been or will be timely  filed on or before the Closing  Date in
accordance   in  all  material   respects  with  all   applicable   Governmental
Requirements; and (ii) each Seller has timely paid all Taxes payable by it.

                           (b)      For purposes of this Agreement,  "Tax" means
any net income, gross income, sales, use, franchise,  personal, or real property
tax.

                  4.24  Employees.  Attached hereto as Schedule 4.24 is the most
recent payroll of the Sellers,  indicating the names and  compensation  of their
employees. All of such information is materially correct as of such date. To the
knowledge of Sellers,  none of the Employees,  while in the employ of any of the
Sellers, has ever had his or her professional  license or certification  denied,
suspended,  revoked,  terminated,  or voluntarily  relinquished  under threat of
disciplinary


                                      -22-

<PAGE>



action,  or has ever been restricted in any way from performing the duties he or
she is to  provide  for the  Sellers,  and there is no  proceeding  pending,  or
threatened, pursuant to which any of the foregoing may occur.

                  4.25 No  Untrue  Statement.  None of the  representations  and
warranties in this Article IV contains any untrue  statement of material fact or
omits to state a material fact  necessary,  in light of the  circumstance  under
which it was made, in order to make any such  representation  not  misleading in
any material respect.

                  4.26  Related  Transactions.  Except  for  transfers  of  cash
pursuant to IHS's customary corporate treasury and cash management functions, no
transaction has been  consummated or committed to between any Sellers or between
any Seller and IHS on other than fair market or arms length terms.

                  4.27 Restricted  Stock. All shares of Buyer Stock to be issued
hereunder  will be newly issued  shares of Buyer.  Each of the  Sellers,  by its
acceptance of the Buyer Stock  issuable  hereunder,  represents  and warrants to
Buyer that the Buyer Stock being issued hereunder is being acquired, and will be
acquired,  by such holder for investment for its own account and not with a view
to or for sale in connection with any distribution thereof within the meaning of
the  Securities  Act  or  the  applicable  state  securities  law;  such  holder
acknowledges that the Buyer Stock constitutes  restricted  securities under Rule
144 promulgated by the Commission pursuant to the Securities Act, may have to be
held  indefinitely  and may  not be  sold,  transferred,  assigned,  pledged  or
otherwise disposed of except pursuant to an effective  registration statement or
an  exemption  from  registration  under  the  Securities  Act and the rules and
regulations  thereunder.  Each  Seller  has  the  knowledge  and  experience  in
financial and business matters, is capable of evaluating the merits and risks of
the investment,  and is able to bear the economic risk of such investment.  Each
Seller has been  provided  with such  materials  as are  generally  provided  to
shareholders  of the Buyer and has had the  opportunity to make inquiries of and
obtain from  representatives  and employees of the Buyer such other  information
about the Buyer as they deem necessary in connection with such investment.


               ARTICLE V: REPRESENTATIONS AND WARRANTIES OF BUYER

                  Buyer  represents  and  warrants  to IHS  and the  Sellers  as
follows:

                  5.1      Organization  and  Standing.   Buyer  has  been  duly
incorporated  and is validly  existing and is in good standing under the laws of
the State of Delaware.

                  5.2      Power and Authority.  Buyer has full corporate  power
and authority to own, lease and operate its assets,  properties and business and
to carry on its business as it is now being  conducted.  Buyer has the corporate
power and authority to make,  execute and deliver this  Agreement  including all
Schedules and Exhibits hereto, and all of the instruments and agreements


                                      -23-

<PAGE>



required  to  be  delivered  by  it  to  IHS  or  any  Seller  at  the  Closing,
(collectively the "Buyer Transaction Documents"),  and to perform and consummate
all of the transactions  contemplated hereby and thereby. Buyer has delivered to
IHS,  (i)  its  Certificate  of  Incorporation,   (ii)  its  Bylaws,  and  (iii)
resolutions  of  its  Board  of  Directors,  and,  if  applicable,  shareholders
authorizing the transactions  contemplated by this Agreement,  certified as true
and correct by the corporate secretary of Buyer.

                  5.3 Binding  Agreement.  This Agreement has been duly executed
and  delivered by Buyer.  This  Agreement is, and when executed and delivered by
Buyer at the Closing,  each of the Buyer Transaction Documents executed by Buyer
will be, the legal, valid and binding  obligations of Buyer enforceable  against
Buyer in  accordance  with  their  respective  terms,  except  (a) as limited by
applicable bankruptcy, insolvency, reorganization, moratorium, and other laws of
general  application  affecting  enforcement  of creditors'  rights,  and (b) as
limited by the  application of legal  principles  affecting the  availability of
specific performance, injunctive relief, and other equitable remedies.

                  5.4 Absence of Conflicting  Agreements.  Neither the execution
or delivery of this  Agreement or of any of the Buyer  Transaction  Documents by
Buyer nor the performance by Buyer of the transactions  contemplated  hereby and
thereby,  conflicts  with, or constitutes a breach of or a default under (a) the
Articles of Incorporation or By-Laws of Buyer; or (b) any resolution  adopted by
the Board of Directors or  shareholders  of Buyer;  or (c) any judgment,  order,
writ,  injunction,  or  decree  of any court  applicable  to  Buyer;  or (c) any
Governmental  Requirement applicable to Buyer; or (d) any agreement,  indenture,
contract  or  instrument  to which Buyer is now a party or by which it or any of
its assets are bound and except as would not have a Material Adverse Effect.

                  5.5 Consents. Except as reflected in Schedule 5.5 or which the
failure to obtain would not have a Material  Adverse Effect,  no  authorization,
consent,  approval,  license,  exemption  by  filing  or  registration  with any
Governmental  Authority,  is  necessary  in  connection  with  the  entry  into,
execution,  delivery  and  performance  of this  Agreement  or any of the  Buyer
Transaction  Documents  by  Buyer,  or for  the  consummation  by  Buyer  of the
transactions contemplated hereby and thereby.

                  5.6  Finders.  No  broker  or  finder  has  acted for Buyer in
connection with the transactions  contemplated by this Agreement,  and no broker
or finder is entitled to any  broker's or finder's  fee or other  commission  in
respect thereof based in any way on agreements,  understandings  or arrangements
with Buyer.


           ARTICLE VI: INFORMATION AND RECORDS CONCERNING THE SELLERS
           ----------------------------------------------------------

                  6.1 Access to Information and Records before Closing. Prior to
the Closing Date,  Buyer may make, or cause to be made,  such  investigation  of
Sellers'  financial and legal condition as Buyer deems necessary or advisable to
familiarize  itself with Sellers  and/or  matters  relating to their  history or
operation. Upon reasonable prior notice, each Seller and IHS shall


                                      -24-

<PAGE>



permit Buyer and its  authorized  representatives  (including  legal counsel and
accountants),  to have full access to such  Seller's  books and  records  during
normal  business  hours,  and each Seller and IHS will  furnish,  or cause to be
furnished,  to Buyer such financial and operating data and other information and
copies of documents with respect to such Seller's products, services, operations
and assets as Buyer shall from time to time  reasonably  request and as shall be
in the  possession  or control of IHS or such Seller or which IHS or such Seller
shall have the ability to obtain with reasonable efforts.


              ARTICLE VII: OBLIGATIONS OF THE PARTIES UNTIL CLOSING
              -----------------------------------------------------

                  7.1 Conduct of Business Pending  Closing.  Between the date of
this  Agreement  and the  Closing,  IHS shall cause  Sellers  and Sellers  shall
conduct the Business  diligently and in the ordinary course consistent with past
practice.

                  7.2       Negative  Covenants  of  Sellers.  Without the prior
written  approval of Buyer,  which approval shall not be unreasonably  withheld,
delayed or  conditioned,  no Seller  shall and,  to the extent  relating  to any
Assets or any  portion  of the  Business,  IHS shall  not,  except as  otherwise
contemplated  or  permitted  by this  Agreement  between the date hereof and the
Closing:

                           (a)       cause or permit (to the  extent  within the
control  of the  applicable  Seller  or  IHS)  to  occur  any of the  events  or
occurrences  described  in Section  4.16  (Absence  of  Certain  Events) of this
Agreement;

                           (b)       take any action that would prevent  Sellers
or IHS from consummating the transactions contemplated by this Agreement;

                           (c)       cancel any material  debts or claims due to
it,  except in the  ordinary  course of business or as would not have a Material
Adverse Effect;

                           (d)       fail to comply  with any laws,  ordinances,
regulations or other governmental  restrictions applicable in any respect to the
Business or any of the Assets which would have a Material Adverse Effect;

                           (e)       except  as shall  be  within  the  ordinary
course of the Business consistent with prior practice,  enter into any contract,
lease, order,  commitment or other obligation in any one case requiring payments
or expenditures in excess of $50,000 that would constitute an Asset;

                           (f)       except  as shall  be  within  the  ordinary
course of the Business consistent with prior practice,  and except for transfers
of cash  pursuant to IHS's  customary  corporate  treasury  and cash  management
functions,  create,  incur,  guarantee,  assume,  or otherwise  become liable or
obligated with respect to any indebtedness,  nor make any loan or advance to, or
any investment in, any person or entity, nor create any lien, security interest,
mortgage, right or encumbrance in any of the Assets.



                                      -25-

<PAGE>



                           (g)       enter into any  agreement,  arrangement  or
commitment to do any of the things described in any of (a) through (d) above.

                  7.3      Affirmative  Covenants  of Sellers.  Between the date
hereof and the Closing,  each Seller and to the extent relating to any Assets or
any portion of the Business, IHS, shall:

                           (a)       maintain  the Assets in  substantially  the
state of repair, order and condition as on the date hereof,  reasonable wear and
tear or loss by insured casualty  excepted,  except to the extent same would not
have a Material Adverse Effect;

                           (b)       maintain  in  full  force  and  effect  all
Licenses;  and shall use its commercially  reasonable  efforts to perform in all
material  respects all of its  obligations  under the  Contracts and Licenses as
such obligations come due;

                           (c)       maintain  in  full  force  and  effect  the
insurance  policies and binders currently in effect with respect to Sellers,  or
replacements thereof;

                           (d)       use its commercially reasonable efforts: to
preserve  intact their present  business  operations and  organization;  to keep
available the services of their present employees and agents; and maintain their
relations and good will with patients,  suppliers,  vendors,  employees, and any
others having business relating to the Business; and

                           (e)       provide Buyer with an  affidavit,  stating,
under penalty of perjury, its United States taxpayer  identification  number and
that it is not a foreign person, pursuant to Section 1445(b)(2) of the Code.

                  7.4 Pursuit of Consents and Approvals. Promptly upon execution
of this Agreement, Buyer shall use commercially reasonable efforts to obtain, at
its own cost and expense, all approvals and consents of Governmental Authorities
to the transfer of all transferable  Licenses to Buyer and consents of any third
parties to the assignment of the Employment  Agreements to Buyer.  Sellers shall
fully  cooperate  with Buyer in respect  thereof.  The parties  agree that Buyer
shall not be required  to obtain  consent or  approval  for the  transfer of any
Medicare  provider numbers prior to Closing.  Buyer agrees to obtain, as soon as
possible,   all  licenses,   permits  and   approvals   required  by  applicable
Governmental   Requirements  to  purchase  and  resell  all  of  the  controlled
substances and dangerous drugs constituting Assets.

                  7.5 Supplementary  Financial  Information.  Within twenty-five
(25)  days  after  the end of  each  calendar  month  between  the  date of this
Agreement  and the  Closing  Date,  Symphony  Pharmacy  shall  provide  to Buyer
unaudited  financial  statements  (including at the minimum income statement and
balance  sheet)  for such  month  then  ended  that  shall  present  fairly  the
consolidated  results  of the  operations  of  Symphony  Pharmacy  and the other
Sellers at such date and for the period covered thereby,  all in accordance with
GAAP applied on a basis consistent with prior periods,  in each case,  certified
as true and correct in all material  respects by the chief financial  officer of
Symphony Pharmacy.


                                      -26-

<PAGE>



                  7.6 H-S-R Act.  Buyer and Sellers  shall,  on the date hereof,
make their respective filings under the Hart-Scott-Rodino Antitrust Improvements
Act of 1976 (the "H-S-R Act") with respect to the  transactions  contemplated by
this  Agreement,  and thereafter  shall make any other  required  submissions in
connection  therewith.  Each party  shall use its best  efforts to obtain  early
termination  of  the  waiting  period  under  the  H-S-R  for  the  transactions
contemplated by this Agreement.  Each party represents and warrants to the other
that it has no  reason  to  believe  that  such  early  termination  will not be
granted.

                  7.7      Excluded  Services.  Notwithstanding  anything to the
contrary contained in this Agreement, Sellers and IHS shall be entitled to amend
any provider  agreements which  constitute  Contracts to the extent necessary to
exclude therefrom any Excluded Services.

                  7.8      Nondisclosure  of Confidential  Information.  Sellers
and IHS agree not to divulge,  communicate, use to the material detriment of the
Business, or misuse in any way, any Protected Material or trade secrets included
in the Assets; provided, however, that the foregoing obligations do not apply to
the extent that (a) any such disclosure is in the public domain (other than as a
result of a  disclosure  by Sellers,  IHS,  or any agent or employee  thereof in
violation of this Section 7.8), or (b) any disclosure is necessary in connection
with compliance with applicable law and in such event, to the extent practicable
and permitted, after consultation with Buyer after any such disclosure.

                  7.9      Employment Agreement with David Graft. IHS will grant
its  consent  to  permit  David  Graft  to take a leave  of  absence  under  his
employment  agreement with IHS so as to enable Mr. Graft to perform,  at Buyer's
option and expense,  full-time  services for Buyer for a period of up to six (6)
months following the Closing Date, with a further option on the part of Buyer to
extend such services for an additional six (6) months.

                  7.10     Exclusivity.

                           (a)      Until  the   earlier   of   Closing  or  the
termination  of this  Agreement,  neither IHS nor any  Seller,  nor any of their
respective affiliates, shall solicit, entertain, or engage in any discussions or
negotiations  directly or indirectly with any other party in respect of the sale
of  the  Assets,  or  in  respect  of  any  merger,   consolidation,   or  other
reorganization of any or all of Sellers.

                           (b)      Until  the   earlier   of   Closing  or  the
termination of this Agreement,  neither Buyer, nor any of its affiliates,  shall
engage in any discussions or negotiations  directly or indirectly with any other
party for the purpose of obtaining such party's consent to the assignment of any
of the Contracts.

                  7.11      Notice of Breach. Sellers will provide prompt notice
to Buyer of any event of which Seller or IHS becomes  aware and which causes or,
with  the  passage  of  time  would   reasonably  be  expected  to  cause,   any
representation  and  warranty of Sellers or IHS  hereunder to be breached in any
material respect.



                                      -27-

<PAGE>



           ARTICLE VIII: CONDITIONS PRECEDENT TO OBLIGATIONS OF BUYER
           ----------------------------------------------------------

                  The  obligations  of  Buyer  to  consummate  the  transactions
contemplated  by this  Agreement  to occur at the  Closing  are  subject  to the
fulfillment,  prior to or at the Closing,  of each of the following  conditions,
any one or more of which may be waived in whole or in part by Buyer in  writing.
Upon  failure  of any of the  following  conditions,  Buyer may  terminate  this
Agreement prior to Closing pursuant to and in accordance with Article XI herein.

                  8.1  Representations  and Warranties.  The representations and
warranties  of Sellers and IHS made under this  Agreement  and under each Seller
Transaction  Document shall be true and correct in all material respects (except
those  representations  and warranties that are qualified by materiality,  which
shall be true and correct in all  respects)  at and as of the Closing  Date,  as
though  such  representations  and  warranties  were made at and as of such time
except for changes permitted or contemplated by this Agreement.

                  8.2  Performance  of  Covenants.  Sellers  and IHS shall  have
performed or complied in all material respects with their respective  agreements
and covenants  (except  those  agreements  and  covenants  that are qualified by
materiality,  which  shall  be  performed  and  complied  with in all  respects)
required by this Agreement and the Seller Transaction  Documents to be performed
or complied with by them, prior to or at the Closing.

                  8.3 Delivery of Closing Certificate. An officer of each Seller
and of IHS shall have executed and delivered to Buyer a  certificate,  dated the
Closing Date,  upon which Buyer may rely,  certifying  that the  conditions  set
forth in Sections 8.1 and 8.2 have been satisfied.

                  8.4 Opinions of Counsel.  Sellers and IHS shall have delivered
to Buyer  or  Buyer's  lenders  an  opinion,  dated  the  Closing  Date,  of its
applicable  counsel,  as to  the  matters  covered  by the  representations  and
warranties  contained in Sections 4.1, 4.2,  4.3,  4.4(a),  (b) and (c) and 4.11
hereof,  provided that as to factual matters such counsel may rely on its actual
knowledge and the truth and accuracy of the  representations and warranties made
by  Sellers  and  IHS  contained  in  this  Agreement,  the  Seller  Transaction
Documents,  and  certificates  supplied to such counsel by the Sellers,  IHS and
Governmental  Authorities.  Said opinion shall be addressed to and may be relied
upon only by Buyer and its lender.

                  8.5 Legal Matters. No suit, action, investigation, or legal or
administrative  proceeding shall have been brought or shall have been threatened
that questions the validity or legality of this Agreement or the consummation of
the transactions  contemplated by this Agreement,  which in the determination of
Buyer,  upon advice of  counsel,  is  reasonably  likely to result in damages to
Buyer in excess of  $10,000,000,  and no  injunction or other order or decree of
any  Government  Authority  shall  be  in  effect  which  prohibits  Buyer  from
consummating the transactions contemplated by this Agreement; provided, however,
that if any such injunction shall be temporary, either party may elect to extend
the first date on which this Agreement may be terminated for failure to meet the
condition set forth in this Section 8.5 in accordance with Article

                                      -28-

<PAGE>



XI hereof until a date which is forty-five  (45) days following the date hereof.
Notwithstanding  the foregoing,  the conditions to Buyer's obligations set forth
in this  Section  8.5  shall  not be a basis for a  termination  by Buyer  under
Section 11.1 if IHS shall have executed an agreement reasonably  satisfactory to
Buyer holding Buyer harmless from and against any loss or liability  arising out
of any of the matters  described in this Section 8.5, it being  understood  that
any such indemnification will not be subject to any of the limitations described
in Section 10.2.

                  8.6       Authorization Documents. Buyer shall have received a
certificate  of the Secretary or other  authorized  officer of Seller and of IHS
certifying  a copy of  resolutions  of its Board of  Directors  authorizing  the
execution and full  performance  of this  Agreement  and the Seller  Transaction
Documents  to which  such  Seller  or IHS is a party and the  incumbency  of its
officers.

                  8.7       Material  Adverse  Effect.  Since  the  date of this
Agreement there shall not have occurred any event or occurrence which would have
a Material  Adverse Effect;  provided,  however,  that,  subject to the Purchase
Price adjustment provisions of Section 2.2, the termination of Contracts for the
provision of services and products of the Business shall not be deemed to have a
Material Adverse Effect.

                  8.8       Consents to  Assignments  of Employment  Agreements.
Each employee under each Employment  Agreement  shall,  to the extent  required,
have  consented to the  assignment  of the  applicable  Employment  Agreement to
Buyer.

                  8.9       Bill of Sale and Assignment.  Each Seller shall have
executed  and  delivered  to Buyer a Bill of Sale (the  "Bill of  Sale")  and an
Assignment of Contracts instrument (the "Assignment of Contracts")  respectively
in the  forms  of  Exhibits  8.9-1  and  8.9-2,  and  such  other  endorsements,
assignments,  and  other  good and  sufficient  instruments  of  conveyance  and
transfer  (including,  without  limitation,   assignments  of  any  intellectual
properties),  in form and  substance  reasonably  satisfactory  to Buyer and its
counsel,  as are  effective  to vest in Buyer good and valid title in the Assets
free and clear of all Liens, except Permitted Liens.

                  8.10      Non-Competition Agreements. IHS, on behalf of itself
and all IHS Subsidiaries,  shall have entered into a  non-competition  agreement
(the "Non-Competition  Agreement") with Buyer, providing that none of IHS or the
IHS  Subsidiaries  (collectively,   the  "Bound  Parties"),  will,  directly  or
indirectly,  for a period of five (5) years  after the  Closing,  whether  as an
owner, partner,  shareholder,  member, manager,  consultant, agent or otherwise,
wholly or partially own or engage in the operation, management or conduct of any
business or  enterprise  that  provides  institutional  pharmacy  dispensing  or
consulting  services to long-term care  facilities  (which  facilities  include,
without limitation,  skilled nursing facilities, nursing facilities and assisted
living  facilities)  and which is located  within a one hundred fifty (150) mile
radius of either (i) any pharmacy included in the Assets or operated by Buyer or
(ii) any IHS LTC  Facility;  provided  that no Bound Party  would be  prohibited
from: (a) providing dispensing services for


                                      -29-

<PAGE>



intravenous  products other than to IHS LTC Facilities,  (b) providing  Excluded
Services,  or any  other  products  currently  sold  or  marketed  by  Greenline
Services,  Inc., (c) providing pharmacy  dispensing  services to the home health
market or the  physician  practice  market,  or (d)  acquiring  and  owning  any
otherwise  prohibited  pharmacy  dispensing  services  business  as  part of the
acquisition of a larger business if such pharmacy  dispensing  services business
does not  constitute  the  principal  component  of the larger  business and the
purchaser thereof agrees to use its reasonable  commercial  efforts to sell such
pharmacy  dispensing  services  business  as  promptly  as  possible  under  the
circumstances.  For purposes of this Agreement,  "IHS Subsidiary" shall mean any
person  or entity  which on the date in  question,  directly  or  indirectly  is
controlled  by IHS;  and,  for such  purposes,  IHS shall be deemed to "control"
another entity if IHS is the "beneficial owner" (as that term is defined in Rule
13d-3  promulgated  under the  Securities  Exchange Act of 1934,  as amended) of
greater than  twenty-five  percent (25%) of any class of voting  securities  (or
other  voting  interests)  of a  controlled  entity  which is a  publicly-traded
entity,  or  fifty-one  percent  (51%)  of  any  privately-held  entity,  or IHS
possesses, directly or indirectly, the power to direct or cause the direction of
the management or policies of the controlled  entity with respect to the matters
covered by the  Non-Competition  Agreement,  whether through ownership of stock,
election of directors, by contract or otherwise. By way of clarification and not
of limitation,  it is understood and agreed that the following are not deemed to
be IHS  Subsidiaries  for the purposes of this Section 8.10:  Tutera Health Care
Management,  L.P.,  Integrated  Living  Communities,  Inc.,  Community  Care  of
America, Inc., and HPC America, Inc.

Such Non-Competition Agreement shall also provide that:

                  (A) (i) Buyer  shall have the right to  require  that the fair
         market value of any (or all)  businesses  or  enterprises  described in
         subsection  8.10(d)  above  which  are  acquired  by  IHS  or  any  IHS
         Subsidiary (each a "Permitted Acquisition  Business") be appraised,  at
         IHS's cost, by an appraisal firm of national  standing,  as selected by
         IHS, and which does not have any material  business  relationship  with
         IHS or any IHS  Subsidiary,  and (ii) for a period of thirty  (30) days
         after the fair market value of any such Permitted  Acquisition Business
         has been so  determined,  Buyer may elect to  purchase  such  Permitted
         Acquisition  Business  for  cash at such  fair  market  value  price by
         delivery of written notice  exercising such option.  In the event Buyer
         exercises  such  election,  Buyer shall close such  acquisition  within
         sixty (60) days after its  exercise  of its  election.  IHS and the IHS
         Subsidiaries  will make available to such  appraiser and to Buyer,  its
         potential  lender(s)  and their  respective  professional  advisors all
         information  requested  by them  with  respect  to any  such  Permitted
         Acquisition Business;

                  (B) In the  event  that any  court of  competent  jurisdiction
         finds  the  restrictions  set  forth in the  Non-Competition  Agreement
         unenforceable  as  applied  to any  act or  condition  in any  specific
         instance,  but such act or condition would nonetheless be prohibited if
         the Non-Competition  Agreement were to impose a lesser time, geographic
         or  scope-of-business  restriction,  then,  as  applied  to such act or
         condition of such Bound Party,  then the  temporal,  geographic  and/or
         scope  of  business   limitations   contained  in  the  Non-Competition
         Agreement  shall  automatically  be modified to restrict only such acts
         and   conditions  as  such  court  may  determine  to  be  the  maximum
         enforceable under law; and


                                      -30-

<PAGE>



                  (C) Such agreement  shall be enforceable  except as limited by
         the  application  of legal  principles  affecting the  availability  of
         specific performance, injunction and other equitable remedies.

                  8.11     Hart-Scott   Rodino  Act.  All  applicable   waiting
periods under the H-S-R Act shall have expired or been terminated, and no action
shall have been taken or formal protest made by the United States  Department of
Justice  or the  Federal  Trade  Commission  or any  other  person  or entity to
prohibit the transactions  contemplated by this Agreement by reason of a claimed
violation of any antitrust laws.  Without limiting the foregoing,  no obligation
arising  out of the H-S-R Act shall  have been  imposed  on Buyer to divest  any
material portion of its business by reason of the  transactions  contemplated by
this  Agreement.  The parties shall have until a date which is  forty-five  (45)
days  following the date of this  Agreement to satisfy the foregoing  condition,
and if the  foregoing  condition  shall not have been  satisfied  by such  date,
either party may elect to terminate  this  Agreement  for failure to satisfy the
condition set forth in this Section 8.11 in accordance with Article XI hereof.

                  8.12      Employment  Agreements.  Sellers shall have assigned
to Buyer the Employment  Agreements with each of Ken Chen, Nancy Hoffman,  Tracy
Muller,  Martin R. Natter and Timothy Quarberg,  and Sellers shall have obtained
any required consents and ratifications to effectuate such assignments.

                  8.13      Non-solicitation Agreements with Certain Persons. At
or prior to Closing, Robert N. Elkins, Taylor Pickett, and Scott Robertson shall
have agreed for a period of three years from the Closing Date not to solicit the
institutional pharmacy goods and services dispensing business from any long-term
care  facility  operated  by IHS or any of the  IHS  Subsidiaries  or  from  any
long-term  care  facility  which is currently  receiving  such services from any
Seller;  provided,  however,  that the  foregoing  shall not apply to any matter
which is excluded from coverage under the Non-competition Agreement, and further
provided that nothing contained in the foregoing shall be deemed to prohibit any
of such  persons  from  owning  any  interest  in, or being an  employee  of any
business which is so soliciting  such services so long as the principal  purpose
of such  business is not the  provision of such  services and such person is not
actively involved with and does not provide any material assistance with respect
to the provision of such services or the  solicitation of such business and does
not make use of any  relationships  which he has with any of such  facilities in
connection  with any such  solicitation.  The  condition  set forth above may be
satisfied  by the  agreement  by IHS  (x) to  obtain  from  such  executives  an
agreement as provided above and (y) to enforce such agreement,  in each case, at
the sole cost and  expense  of Buyer.  Buyer  shall  indemnify  and hold IHS and
Sellers  harmless  from any Loss arising out of any actions  taken by IHS or any
Seller at the request of Buyer to enforce said agreement.

                  8.14      Documents.  Sellers  and IHS  shall  have  furnished
Buyer with all other documents,  certificates and other instruments  required to
be furnished to Buyer pursuant to the terms hereof.



                                      -31-

<PAGE>



         ARTICLE IX: CONDITIONS PRECEDENT TO THE OBLIGATIONS OF SELLERS
         --------------------------------------------------------------
                                     AND IHS
                                     -------

                  The  obligations  of each  Seller  and IHS to  consummate  the
transactions  contemplated  hereby to occur at the  Closing  are  subject to the
fulfillment,  prior to or at the Closing,  of each of the following  conditions,
any one or more of which may be waived in whole or in part by  Sellers or IHS in
writing.  Upon failure of any of the  following  conditions,  Sellers or IHS may
terminate this  Agreement  prior to Closing  pursuant to and in accordance  with
Article XI herein.

                  9.1  Representations  and Warranties.  The representations and
warranties of Buyer made under this  Agreement and under each Buyer  Transaction
Document  shall be true and  correct  in all  material  respects  (except  those
representations and warranties that are qualified by materiality, which shall be
true and correct in all  respects) at and as of the Closing Date, as though such
representations  and  warranties  were  made at and as of such time  except  for
changes permitted or contemplated by this Agreement.

                  9.2  Performance  of Covenants.  Buyer shall have performed or
complied in all material  respects with its  agreements  and  covenants  (except
those agreements and covenants that are qualified by materially,  which shall be
performed and complied with in all respects) required by this Agreement and each
Buyer Transaction Document to be performed or complied with by it prior to or at
the Closing.

                  9.3 Delivery of Closing Certificate.  An authorized officer of
Buyer shall have  executed and  delivered to each Seller and IHS a  certificate,
dated the Closing Date, upon which Sellers and IHS may rely, certifying that the
conditions set forth in Sections 9.1 and 9.2 have been satisfied.

                  9.4 Opinions of Counsel. Buyer shall have delivered to Sellers
and IHS an opinion,  dated the Closing Date,  of its counsel,  as to the matters
covered by the representations and warranties contained in Sections 5.1, 5.2 and
5.3 hereof, provided that as to any factual matters such counsel may rely on its
actual  knowledge  and  the  truth  and  accuracy  of  the  representations  and
warranties  made by Buyer  contained in this  Agreement,  the Buyer  Transaction
Documents and certificates  supplied to such counsel by representatives of Buyer
and of Governmental  Authorities.  Said opinion shall be addressed to and may be
relied upon by each Seller and IHS.

                  9.5 Legal Matters. No suit, action, investigation, or legal or
administrative  proceeding shall have been brought or shall have been threatened
that questions the validity or legality of this Agreement or the consummation of
the transactions  contemplated by this Agreement,  which in the determination of
IHS, upon advice of counsel, is reasonably likely to result in damages to IHS or
Sellers in excess of $10,000,000,  and no injunction or other order or decree of
any Government  Authority  shall be in effect which  prohibits IHS or any Seller
from

                                      -32-

<PAGE>



consummating the transactions contemplated by this Agreement; provided, however,
that if any such injunction shall be temporary, either party may elect to extend
the first date on which this  Agreement may be terminated for failure to satisfy
the condition set forth in this Section 9.5 in accordance with Article XI hereof
until a date which is forty-five (45) days following the date hereof.

                  9.6  Authorization  Documents.  Sellers  and  IHS  shall  have
received a  certificate  of the Secretary or other  authorized  officer of Buyer
certifying  a copy of  resolutions  of its Board of  Directors  authorizing  its
execution  and full  performance  of this  Agreement  and the Buyer  Transaction
Documents to which it is a party and the incumbency of its officers.

                  9.7  Undertaking.  Buyer shall have  executed and delivered to
the  Sellers and IHS an  undertaking  in the form and  substance  of Exhibit 9.7
hereto (the "Undertaking").

                  9.8  Hart-Scott  Rodino Act. All  applicable  waiting  periods
under the H-S-R Act shall have expired or been  terminated,  and no action shall
have been  taken or formal  protest  made by the  United  States  Department  of
Justice  or the  Federal  Trade  Commission  or any  other  person  or entity to
prohibit the transactions  contemplated by this Agreement by reason of a claimed
violation of any  antitrust  laws.  The parties shall have until a date which is
forty-five  (45)  days  following  the date of this  Agreement  to  satisfy  the
foregoing  condition,  and  if the  foregoing  condition  shall  not  have  been
satisfied by such date,  either party may elect to terminate  this Agreement for
failure to satisfy the  condition  set forth in this  Section 9.8 in  accordance
with Article XI hereof.

                  9.9       Lender Consent.  IHS shall have received the written
consent of its senior secured lenders to the transaction contemplated hereunder,
which consent IHS shall use commercially reasonable efforts to obtain.

                  9.10      Other Documents.  Buyer shall have furnished Sellers
and IHS with all other documents, certificates and other instruments required to
be furnished to any of them by Buyer pursuant to the terms hereof.


               ARTICLE X: OBLIGATIONS OF THE PARTIES AFTER CLOSING
               ---------------------------------------------------

                  10.1  Survival  of   Representations   and   Warranties.   All
representations  and warranties made by each party in this Agreement and in each
Schedule  and  Transaction  Document  shall  survive the Closing  Date and for a
period of one (1) year after the Closing  notwithstanding  any  investigation at
any  time  made by or on  behalf  of the  other  party,  provided  that  (i) the
representations and warranties contained in Section 4.18 (Medicare and Medicaid)
and Section 4.23 (Tax), shall survive until the applicable period of limitations
for audits by the applicable Governmental Authority shall have expired, and (ii)
the  representations  and warranties  contained in Section 4.17 (Compliance with
Laws) shall survive for a period of eighteen (18) months after


                                      -33-

<PAGE>



the Closing. All representations and warranties related to any claim asserted in
writing prior to the expiration of the applicable  survival period shall survive
(but only with  respect to such claim)  until such claim  shall be resolved  and
payment in respect thereof, if any is owing, shall be made.

                  10.2     Indemnification.

                           (a)      Sellers and IHS jointly and severally  shall
indemnify  and  defend  and hold  harmless  Buyer and its  officers,  directors,
employees,  agents,  representatives  and affiliates against and with respect to
any and all damages,  claims, losses,  penalties,  liabilities,  actions, fines,
costs and expenses (including,  without limitation,  reasonable  attorney's fees
and expenses)  (all of the  foregoing  hereinafter  collectively  referred to as
"Loss"),  regardless  of whether an action  has been filed or  asserted  against
Buyer after the Closing Date,  arising from, in connection  with or with respect
to the following items (i) (A) any misrepresentation or breach of warranty under
this Agreement or any Seller Transaction Document, or (B) any failure to fulfill
any  agreement  or covenant on the part of any Seller  and/or IHS  contained  in
Article VII hereof or (ii) any failure to fulfill any  agreement  or covenant on
the part of any Seller  and/or IHS (not  covered by clause (i) above) under this
Agreement  or; any Seller  Transaction  Document;  (iii) any  assertion or claim
against Buyer of any Excluded  Liability;  (iv) a determination that the sale of
the Assets hereunder is ineffective  against any creditor of Sellers (other than
Assumed  Liabilities)  or any taxing  authority  or other entity  asserting  any
similar  claim against  Sellers;  (v) any and all actions,  suits,  proceedings,
judgments,  settlements  (to  the  extent  approved  or  entered  into by IHS as
hereinafter provided), costs, penalties and legal and other expenses incident to
any of the foregoing.

                           (b)      Buyer  shall  indemnify  and defend and hold
harmless Sellers and IHS and their respective  officers,  directors,  employees,
agents and affiliates  against and with respect to any and all Losses regardless
of whether an action has been filed or asserted  against Seller or IHS after the
Closing Date,  arising from, in connection with or with respect to the following
items: (i) any misrepresentation,  breach of any warranty, or failure to fulfill
any agreement or covenant on the part of Buyer under this Agreement or any Buyer
Transaction Document, (ii) any Loss arising out of the operation or ownership of
the Assets or the operation of the Business after the Closing Date or out of any
of the Assumed  Liabilities,  (iii) the use by Buyer of the names referred to in
Section  10.7  (provided  that,   without  implying  that  any   indemnification
obligations  covered by this Section 10.2 include  consequential  damages, it is
expressly  understood  that Buyer shall not be required to indemnify  IHS or any
Seller for consequential  damages by reason of this clause (iii)),  and (iv) any
and all actions,  suits,  proceedings,  judgements,  settlements  (to the extent
approved or entered into by Buyer as hereinafter provided), costs, penalties and
legal and other expenses incident to any of the foregoing.

                           (c)      Any claim  for  indemnification  under  this
Section 10.2 must be asserted by written  notice by a date which is one (1) year
following the Closing Date, except that (i) any claim based upon a breach of the
representations and warranties contained in Section 4.18 (Medicare and Medicaid)
or Section 4.23 (Tax) may be asserted until the applicable period of limitations
for audits by the applicable Governmental Authority shall have expired, and (ii)
any


                                      -34-

<PAGE>



claim based upon a breach of the  representations  and  warranties  contained in
Section  4.17  (Compliance  with Laws) may be  asserted  until the date which is
eighteen (18) months following the Closing Date.

                           (d)      At any  time,  the  aggregate  liability  of
Sellers and IHS for  indemnification  under this  Agreement and the  Transaction
Documents shall not exceed (i) $55,000,000,  less (ii) the aggregate amount that
previously  shall  have  been  paid to  Buyer  pursuant  to the  indemnification
provisions of this Agreement by IHS and Sellers.

                           (e)      Notwithstanding  anything  to  the  contrary
contained  in this  Agreement,  no  Seller  nor IHS  shall be  liable  under the
indemnification  provisions of this Section 10.2 or otherwise have any liability
for any misrepresentation or breach of warranty or covenant under this Agreement
or otherwise in  connection  with the  transactions  contemplated  hereby to the
extent that the Loss constitutes an Assumed Liability.

                           (f)      If any action or proceeding be commenced, or
if any claim,  demand or assessment  be asserted,  in respect of which any party
("Indemnitee")  proposes to hold any other party ("Indemnitor") liable under the
indemnity  provisions of this Section 10.2 or otherwise  under this Agreement or
in connection with the transactions contemplated hereby (a "Claim"), then if the
Indemnitor shall, at its option,  acknowledge its indemnification obligation and
notify  Indemnitee  of its  election to contest or defend any such  Claim,  such
Indemnitor shall be entitled, at its sole cost and expense, to contest or defend
the same with counsel of its own choosing,  and  Indemnitee  shall not admit any
liability with respect thereto or settle,  compromise, pay or discharge the same
without the prior written consent of the Indemnitor so long as any Indemnitor is
contesting  or  defending  the  same in good  faith,  and  Indemnitee  (and  its
successors  and assigns)  shall  cooperate with the Indemnitor in the contest or
defense  thereof  (and  the  Indemnitor  shall  reimburse   Indemnitee  for  the
Indemnitee's  reasonable  actual  out-of-pocket  expenses incurred in connection
with such  cooperation)  and  Indemnitee  shall enter into any  settlement  with
respect  thereto  recommended  by  Indemnitor  so  long  as the  amount  of such
settlement  is paid by the  Indemnitor  and no  obligation to perform or refrain
from  performing any act shall be imposed upon  Indemnitee by reason thereof and
such settlement otherwise is reasonable.

                                    (i)     Notwithstanding  the foregoing,  any
Indemnitee  shall be entitled to conduct its own defense at the reasonable  cost
and expense of the  Indemnitor if it would  materially  prejudice the Indemnitee
due to the nature of any  claims or  counterclaims  presented  or by virtue of a
conflict between the interest of the Indemnitee and the Indemnitor, and provided
further that in any event the Indemnitee may  participate in such defense at its
own expense. If Indemnitee shall have given Indemnitor at least thirty (30) days
prior  written  notice that it intends to assume the defense of any Claim and if
the  Indemnitor  fails to assume the defense of such Claim as provided  above by
the end of such  thirty  (30) day period or such later  reasonable  time  (which
shall be such  period of time as will not result in  prejudice  to the rights of
the Indemnitee), then the Indemnitee


                                      -35-

<PAGE>



shall have the right to prosecute  and conduct its own defense by counsel of its
choice, and in connection therewith shall have full right to conduct the defense
thereof and to enter into any compromise or settlement  thereof with the consent
of the  Indemnitor  (which shall not  unreasonably  be withheld,  conditioned or
delayed).  Such defense shall be at the cost and expense of the Indemnitor if it
is  subsequently  determined  that the  Indemnitor  was  obligated  to defend or
indemnify the Indemnitee with respect to such action, proceeding,  claim, demand
or assessment.

                                    (ii)    It is  specifically  understood  and
agreed that in the event a  misrepresentation  or breach of warranty or covenant
is discovered  by Buyer after the Closing,  the remedy of Buyer shall be limited
to the indemnification as set forth in this Section 10.2, and Buyer shall not be
entitled to a rescission of this Agreement.

         The obligation of each  Indemnitor  hereunder shall be without right of
set-off or hold-back in respect of any claim,  counterclaim  or cross claim such
Indemnitor  may have or  allege  against  any  Indemnitee,  whether  under  this
Agreement or  otherwise,  and such  Indemnitor  hereby  waives any such right of
set-off or hold-back it may have or allege to have.

                  10.3     Restrictions.

                           (a)      From and after the Closing Date, none of IHS
and Sellers shall disclose, to any person or entity, or make use of, without the
authorization  of Buyer,  any  non-public  pricing  strategies or records of any
Seller,  any proprietary  data or trade secrets owned by any Seller and included
in the Assets or any financial or other information  about any Seller;  provided
that the foregoing restrictions shall not apply to any information which:

                                    (i)     is or becomes publicly known through
no negligent or wrongful act or omission on the part of Seller or IHS; or

                                    (ii)    is  or  becomes   available  to  the
disclosing  party on a non-  confidential  basis  from a third  party  without a
similar restriction and without breach of this Agreement; or

                                    (iii)   is approved for release by Buyer; or

                                    (iv)    is  required  to  be   disclosed  in
accordance with applicable law.

                           (b)      No  Solicitation  of  Employees.  During the
period  terminating  on the second  anniversary  of the Closing  Date, no Seller
shall and IHS shall not,  directly or indirectly  through any entity  controlled
directly or indirectly by any of them,  solicit for purposes of employment,  any
Employee;  provided,  however,  that the  foregoing  shall not apply to  general
advertisements or other appeals seeking employees generally made to the public.


                                      -36-

<PAGE>



                           (c)      (i)     Until the fifth  anniversary  of the
Closing Date,  IHS shall take,  and shall cause each IHS Subsidiary to take, all
actions which are  reasonably  necessary to maintain in full force and effect in
accordance  with its terms each agreement  between IHS or any IHS Subsidiary and
Buyer  pursuant  to which  any  institutional  pharmacy  goods or  services  are
dispensed  by  Buyer,  and IHS shall not  take,  and  shall not  permit  any IHS
Subsidiary to take, any action which is not in the ordinary  course of business,
consistent with past practice,  which would cause a  modification,  amendment or
termination of such agreement.

                                    (ii)    Without  limitation  of  clause  (i)
above,  until the fifth anniversary of the Closing Date, IHS agrees that it will
not, and it will not permit any IHS  Subsidiary to, enter into any new agreement
or arrangement with any provider of institutional  pharmacy  dispensing services
involving  provision  of  such  services  pursuant  to  such  new  agreement  or
arrangement to three or more long-term care facilities owned,  managed or leased
by IHS and/or IHS Subsidiaries.

                           (d)      IHS and  each  Seller  acknowledge  that the
restrictions contained in this Section 10.3 may be specifically enforced.

                  10.4  Delivery of Records.  On the Closing  Date,  each Seller
shall deliver, cause to be delivered, or make available to Buyer all records and
files  then  in  such  Seller's  possession  relating  to the  operation  of the
Business.

                  10.5 Access to Records. After the Closing, at reasonable times
and on  reasonable  notice,  Sellers  shall have access to the books and records
pertaining  to their  operations  which  were  delivered  to Buyer (and shall be
permitted  to make copies of any portion  thereof),  and Buyer shall retain such
books and records for a period of six years  after the Closing  Date,  except as
hereinafter provided.  Buyer shall notify Sellers of its intention to dispose of
or destroy any of such books and records and, upon any Seller's  request,  shall
deliver such books and records to such Seller.

                  10.6     Employees.

                           (a)      Buyer agrees to make offers of employment to
substantially  all of the  Employees.  Any Employee on short term  disability or
long term disability as set forth on Schedule 10.6-A shall be offered employment
by Buyer only when and to the extent that such Employee would have been entitled
to  reemployment  under  Sellers'  applicable  written leave of absence or other
written employment policies relating to the Business. Buyer agrees to indemnify,
and on demand defend and hold IHS and Sellers harmless from and against and with
respect to any and all damage,  loss,  liability,  deficiency,  cost and expense
(including,  without limitation,  reasonable attorneys' fees and costs), arising
out of any failure to give any  required  notices to  appropriate  persons  with
respect to employment  issues that may arise following the sale  contemplated by
this  Agreement  under  the  WARN Act and any  other  applicable  similar  state
notification  laws of the States of New Jersey and Minnesota.  Buyer's foregoing
indemnification obligations shall not apply to the extent that any notifications
are required by reason of actions taken by Sellers or IHS.

                                      -37-

<PAGE>




                           (b)      By no later than  December 31,  1996,  Buyer
agrees to make available health care benefits  (comparable in coverage and rates
to that currently  provided by Buyer to its own employees) to the Employees (who
become and remain  employees of Buyer pursuant to subsection (a) above) pursuant
to COBRA.  Seller shall provide a list bill of all Employee COBRA enrollees each
month and a statement of claims and fixed costs incurred by the fifteenth of the
next  month.  Until  Buyer shall  comply  with its  obligations  under the first
sentence of this subsection  (b), Buyer shall reimburse  Sellers within five (5)
days of  submission  of an invoice to Buyer  setting forth the amount due (which
invoices shall not be presented more frequently  than monthly),  for the greater
of (x) the COBRA  equivalent  premiums and (y) the actual fixed costs and claims
incurred  after the  Closing  with  respect  to  Employees  and their  qualified
beneficiaries.

                           (c)      IHS  and   Sellers   shall   provide   COBRA
coverage,  to the extent elected, to any Employee and their respective qualified
beneficiaries  if such person had a qualifying  event occurring before or on the
Closing Date.  On the Closing Date,  Sellers shall provide each Employee and his
qualified  beneficiaries  a notice as  described  in  Section  4980B of the Code
concerning his right to continuation  coverage of IHS's or Sellers' group health
benefits and, to the extent elected, provide such coverage.

                  10.7  Temporary  License.  Symphony  Pharmacy  hereby grants a
non-exclusive  royalty  free  license  to Buyer to use the  stock of  stationery
included in the Assets and containing  the names  "Symphony" or any of the names
listed on Schedule 4.21 in connection  with the operation of the Business during
the period commencing on the Closing Date and terminating 180 days thereafter.

                  10.8  Licensure  Power of  Attorney.  At the request of Buyer,
Sellers  shall  execute  such powers of attorney  as Buyer may  reasonably  deem
necessary  to allow Buyer to utilize any licenses or permits of any Seller which
are not  transferable  to Buyer for a period  not to exceed  that  permitted  by
applicable law without penalty,  premium or the like,  provided,  as a condition
precedent to any Seller's execution of such instrument, Buyer shall also provide
Sellers with (a)  appropriate  covenants that (i) the Assets  following  Closing
shall be operated in accordance with all applicable laws, rules, regulations and
third party payor  requirements in all material  respects and that all goods and
services shall be provided in accordance  with customary and accepted  standards
of care  and (ii)  Buyer  shall  use its  best  efforts  to  obtain,  as soon as
reasonably  possible,  new licenses,  with release of Sellers from any liability
resulting from post-Closing operations, and (b) indemnification against all Loss
arising out of the grant of such powers of attorney  and the use thereof in form
and substance reasonably acceptable to Sellers.

                  10.9 Billing and  Collection  Agreement.  At the Closing,  the
parties  shall enter into a Billing  and  Collection  Agreement  in the form and
substance  of Exhibit 10.9 hereto  pursuant to which Buyer shall  collect all of
the Non-Assignable  Receivables on behalf of Sellers.  Buyer shall not receive a
fee for such services.


                                      -38-

<PAGE>



                  10.10 Financial Consolidation Software. IHS agrees to make its
financial  consolidation  software  with  respect to the  Business  available to
Buyer, at Buyer's sole cost and expense, until December 31, 1996.

                  10.11 Enforcement of Non-competes.  IHS agrees to take any and
all actions  necessary,  including,  without  limitation,  commencement of legal
proceedings,  to enforce  each of the  non-competition  agreements  set forth on
Schedule 10.11 hereto upon the request of Buyer.  Buyer shall indemnify and hold
IHS and Sellers harmless from any Loss arising out of taking any such actions.

                  10.12 Cooperation - Further Assistance.  From time to time, as
and when reasonably  requested by Buyer after the Closing,  Sellers will execute
and  deliver,  or cause  to be  executed  and  delivered,  all  such  documents,
instruments and consents and will use reasonable  efforts to take all such other
action as may be  reasonably  necessary  to carry out the intent and purposes of
this Agreement, and to vest in Buyer good title to, possession of and control of
all of the Assets. Notwithstanding the foregoing, Sellers shall not be obligated
to obtain any consents to  assignments  of any Contracts  other than  Employment
Agreements.

                  10.13 Introductions.  Following the Closing,  IHS, through one
or more of its senior  executives,  will  provide  Buyer with  introductions  to
representatives  of  Community  Care  of  America,   Inc.,  Tutera  Health  Care
Management,  L.P., and Integrated Living  Communities,  Inc., for the purpose of
familiarizing  such  companies with the pharmacy  services  available from Buyer
after the Closing.


                             ARTICLE XI: TERMINATION
                             -----------------------

                  11.1      Termination. This Agreement may be terminated at any
time at or prior to the time of Closing by:

                           (a)      Buyer,  if any  condition  precedent  to the
obligations of Buyer hereunder,  including  without  limitation those conditions
set forth in Article  VIII  hereof,  have not been  satisfied by a date which is
thirty  (30) days  following  the date of this  Agreement,  except as  otherwise
provided in Section 8.5 or 8.11 hereof;

                           (b)      IHS,  if  any  condition  precedent  to  the
obligations of any Seller or IHS hereunder,  including without  limitation those
conditions  set forth in Article IX hereof,  have not been  satisfied  by a date
which is  thirty  (30)  days  following  the date of this  Agreement,  except as
otherwise provided in Section 9.5 or 9.8 hereof;

                           (c)      as otherwise provided in this Agreement; or

                           (d)      the mutual consent of Buyer and IHS.

                                      -39-

<PAGE>



                  11.2 Effect of Termination. Subject to the provisions of 11.3,
below,  if a party  terminates  this  Agreement  because  one of its  conditions
precedent has not been  fulfilled,  or if this Agreement is terminated by mutual
consent,  this Agreement shall become null and void without any liability of any
party to the other; provided,  however, that if such termination is by reason of
the  breach by Sellers or IHS of any of their  representations,  warranties,  or
obligations under this Agreement,  Buyer shall be entitled to be indemnified for
any Loss incurred by it by reason thereof in accordance with Section 10.2 hereof
(and for such purposes such Section 10.2 shall survive the  termination  of this
Agreement).

                  11.3  Break-up  Fee.  In the  event  that  this  Agreement  is
terminated pursuant to Section 11.1 for any reason other than (i) the failure of
any of the  conditions to Buyer's  obligations  to close as set forth in Article
VIII, or the failure of any of the  conditions to Seller's  obligations to close
as set forth in Section 9.5, 9.8, and 9.9, then in such event, and provided that
Sellers are not then in breach of any of their  obligations under this Agreement
in any material respect, the Buyer shall pay to Sellers, promptly upon demand by
Sellers,  a cash  break-up  fee in the amount of  $12,500,000,  which amount the
Sellers agree to accept as full liquidated damages hereunder.


                           ARTICLE XII: MISCELLANEOUS
                           --------------------------

                  12.1  Costs  and  Expenses.   Except  as  expressly  otherwise
provided  in this  Agreement,  each  party  hereto  shall bear its own costs and
expenses in connection  with this  Agreement and the  transactions  contemplated
hereby. Buyer shall pay all sales, transfer,  recording, and stamp taxes payable
in connection with any of the transactions contemplated by this Agreement. Buyer
shall pay the application fees in connection with the filings required under the
H-S-R Act.

                  12.2 Benefit and  Assignment.  This Agreement binds and inures
to the benefit of each party hereto and its successors and proper assigns.  This
Agreement and the rights and obligations  hereunder may not be assigned  without
the consent of the remaining parties hereto. At the Closing, Buyer may designate
one or more wholly owned  subsidiaries to which the Assets are to be assigned or
transferred  hereunder,  and Sellers  may  designate  one or more  wholly  owned
subsidiaries of IHS to which the Buyer Stock is to be issued.

                  12.3 Effect and Construction of this Agreement. This Agreement
and the Exhibits,  Schedules  and the  Transaction  Documents  embody the entire
agreement  and  understanding  of the  parties and  supersede  any and all prior
agreements,  arrangements  and  understandings  relating to matters provided for
herein.  The captions used herein do not constitute part of this Agreement,  are
for convenience only and shall not control or affect the meaning or construction
of the  provisions of this  Agreement.  This Agreement may be executed in one or
more  counterparts,  and all such counterparts shall constitute one and the same
instrument.



                                      -40-

<PAGE>



                  12.4  Notices.  All notices and demands  required or permitted
hereunder  shall be in writing and shall be deemed to be properly  given or made
when personally delivered to the party or parties entitled to receive the notice
or two (2)  business  days after being sent by  certified  or  registered  mail,
postage  prepaid,  or the on the next business day if sent for next day delivery
by a nationally recognized overnight courier, in either case, properly addressed
to the party or parties  entitled to receive  such notice at the address  stated
below:

If to Buyer:                  Capstone Pharmacy Services, Inc.
                              2930 Washington Boulevard
                              Baltimore, MD 21230      
                              Attention: Dirk Allison

With a copy to:               Harwell Howard Hyne Gabbert & Manner, P.C.
                              1800 First American Center
                              315 Deaderick Street
                              Nashville, TN 37238
                              Attention: Mark Manner, Esq.

If to any Seller or IHS:      Integrated Health Services, Inc.
                              10065 Red Run Boulevard
                              Owings Mills, MD 21117
                              Attn:  Marshall A. Elkins, General Counsel

                                       and

                              Integrated Health Services, Inc.
                              10065 Red Run Boulevard
                              Owings Mills, MD 21117
                              Attn: Brian Davidson, Executive Vice President

With a copy to:               Blass & Driggs, Esqs.
                              461 Fifth Avenue, 19th Floor
                              New York, NY 10017
                              Attn: Michael S. Blass, Esq.

Such  addresses may be changed by providing  written  notice as provided in this
Section 13.4.

                  12.5  Waiver,  Discharge,  Etc.  This  Agreement  shall not be
released, discharged, abandoned, changed or modified in any manner, except by an
instrument  in writing  executed  by IHS on behalf of itself and  Sellers and by
Buyer.  The failure of any party to enforce at any time any of the provisions of
this  Agreement  shall  in no way  be  construed  to be a  waiver  of  any  such
provision,  nor in any way to affect the validity of this  Agreement or any part
hereof or the right of any  party  thereafter  to  enforce  each and every  such
provision.  No waiver  of any  breach  of this  Agreement  shall be held to be a
waiver of any other or subsequent breach.


                                      -41-

<PAGE>



                  12.6     Rights of Persons Not Parties.  Nothing  contained in
this Agreement  shall be deemed to create rights in persons not parties  hereto,
other than the successors and proper assigns of the parties hereto.

                  12.7     Governing  Law. This  Agreement  shall be governed by
and  construed in  accordance  with the  internal  laws of the State of Delaware
applicable to contracts  executed,  delivered and to be fully  performed in such
State,  disregarding  any contrary  rules  relating to the choice or conflict of
laws.

                  12.8     Public    Announcements.     Any    general    public
announcements  or similar media  publicity with respect to this Agreement or the
transactions contemplated herein shall be at such time and in such manner as IHS
and Buyer shall  determine;  provided  that nothing  herein  shall  prevent such
party,  upon as much prior notice to, and  opportunity  to comment by, the other
party as shall be reasonably  practicable under the  circumstances,  from making
such written  announcements  as such party's  counsel may consider  advisable in
order to satisfy the party's legal and contractual obligations in such regard.













                       [SIGNATURES ON THE FOLLOWING PAGE]

                                      -42-

<PAGE>



                  IN  WITNESS  WHEREOF,  each of the  parties  hereto and in the
capacity  indicated  below has  executed  this  Agreement as of the day and year
first above written.

CAPSTONE PHARMACY SERVICES, INC.


By: /s/Allan Silber
   ------------------------------------------

Its: Chairman and Chief Executive Officer
     ---------------------------------------


INTEGRATED HEALTH SERVICES, INC.


By: /s/Brian K. Davidson
   ----------------------------------------

Its:  Executive Vice President
      -------------------------------------

SYMPHONY PHARMACY SERVICES, INC.


By: /s/Brian K. Davidson
    ----------------------------------------

Its: Executive Vice President
     --------------------------------------

PATIENT CARE PHARMACY, INC.


By: /s/Brian K. Davidson
   -----------------------------------------

Its:  Executive Vice President
      --------------------------------------


AMCARE, INC.


By: /s/Brian K. Davidson
    -----------------------------------------

Its:  Executive Vice President
      ---------------------------------------





                                      -43-

<PAGE>



AMCARE SANTA BARBARA, INC.


By: /s/Brian K. Davidson
   ----------------------------------------

Its: Executive Vice President
     ---------------------------------------


AMCARE HEALTH SERVICES, INC.


By: /s/Brian K. Davidson
   ------------------------------------------

Its: Executive Vice President
     ----------------------------------------


PATIENT CARE PHARMACY-COLORADO SPRINGS, INC.


By: /s/Brian K. Davidson
   -------------------------------------------

Its:  Executive Vice President
      ----------------------------------------


PHARMACEUTICAL DOSE SERVICES, INC.


By: /s/Brian K. Davidson
   --------------------------------------------

Its:  Executive Vice President
      ------------------------------------------


HEALTHCARE PHARMACY SERVICES OF FLORIDA, INC.


By: /s/Brian K. Davidson
   ---------------------------------------------

Its:  Executive Vice President
      ------------------------------------------


HEALTHCARE PHARMACY SERVICES OF PENNSYLVANIA, INC.


By: /s/Brian K. Davidson
   ---------------------------------------------

Its: Executive Vice President
     --------------------------------------------


                                      -44-

<PAGE>



HEALTHCARE PHARMACY SERVICES OF TEXAS, INC.


By: /s/Brian K. Davidson
   ----------------------------------------------

Its: Executive Vice President


SUNCOAST PHARMACY SERVICES, INC.


By: /s/Brian K. Davidson
    ---------------------------------------------

Its: Executive Vice President


SYMPHONY HEALTH SERVICES, INC.


By  /s/Brian K. Davidson
   ---------------------------------------------

Its: Executive Vice President
     --------------------------------------------

                                      -45-

<PAGE>



                               AMENDMENT NO. 1 TO
                            ASSET PURCHASE AGREEMENT

     
         This  Amendment  No. 1 to the Asset  Purchase  Agreement by and between
IHS, Sellers and Buyer (each as defined therein), dated as of June 19, 1996 (the
"Purchase  Agreement")  is made this 30th day of July,  1996 by and  between the
parties to the Purchase  Agreement.  All terms used but not defined herein shall
have the meaning given such terms in the Purchase Agreement.

         WHEREAS,  the parties hereto have previously  entered into the Purchase
Agreement to sell Assets of the Sellers to Buyer;

         WHEREAS,  the parties  desire to amend the Purchase  Agreement to amend
the registration rights granted to IHS therein;

         NOW,  THEREFORE,  in  consideration  of the premises and other good and
valuable  consideration,  the  receipt  and  sufficiency  of  which  are  hereby
acknowledged,  the  parties  hereto  intending  to be  legally  bound,  agree as
follows:


1.       Existing Registration Rights.
         -----------------------------

         IHS  has  piggyback   registration   rights  with  respect  to  certain
registrations of Buyer common stock, which rights may apply to previously  filed
registration  statements  ("Registration")  of Buyer.  IHS and  Buyer  desire to
reflect their  agreement that the piggyback  registration  rights of IHS, to the
extent they exist, are waived with respect to the Registrations, in exchange for
the amendments reflected herein.

2.       Amendment to Section 2.5(a)
         ---------------------------

         The parties  hereby amend Section  2.5(a) of the Purchase  Agreement by
deleting it in its entirety and replacing it with the following:

         (a)  Initial  Registration.  Unless  all of the  Buyer  Stock  has been
         registered  pursuant  to the  terms of  Section  2.5(b),  as soon as is
         reasonably  practicable  but in any event by December 31,  1996,  Buyer
         will cause to be prepared  and filed with the  Securities  and Exchange
         Commission (the "Commission") (and will thereafter use its best efforts
         to  have  declared  effective  as  soon as  possible)  an  underwritten
         registration  statement  of all of the  Buyer  Stock on Form S-3 or its
         equivalent and such other documents,  including a prospectus, as may be
         necessary  in the opinion of both counsel for Buyer and counsel for the
         holders of the Buyer  Stock in order to comply with the  provisions  of
         the Securities Act of 1933, as amended (the "Securities Act"), so as to
         permit  an  underwritten  public  offering  and sale by IHS of all or a
         portion of the Buyer  Stock as elected by IHS.  Buyer shall give IHS at
         least 30 days notice prior to filing a  registration  statement.  Buyer
         shall be entitled to select the  underwriter or  underwriters  for such
         registration  statement.  In the  event  that IHS  elects,  in its sole
         discretion, to delay or defer the process, or to sell less

<PAGE>

         than all shares of Buyer Stock owned by IHS,  IHS may at any time after
         December 31, 1996 notify  Buyer that it desires  that the  registration
         process commence or recommence (as the case may be) as to all or any of
         said shares,  and thereupon  Buyer shall commence or recommence (as the
         case may be) such process promptly and shall file within 60 days of the
         IHS  notification  (or prosecute the  effectiveness  of a  registration
         statement if one is on file for IHS) the registration statement and use
         its best  efforts to cause it to become  effective as soon as possible.
         IHS may require  Buyer to, and Buyer  shall,  file up to a total of two
         such  underwritten  registration  statements during the two year period
         following Closing under the Purchase Agreement.


2.       Amendment to Section 2.5(b).
         ----------------------------

         The parties  hereby amend Section  2.5(b) of the Purchase  Agreement by
deleting from the third line of such paragraph the words "on behalf of the Buyer
or otherwise" and inserting in its place the following:

         "(i) on behalf of the holders of securities  sold by Buyer in a private
         placement  in April 1996 (the  "April  Holders")  pursuant  to a demand
         registration by such April Holders or (ii) any other filing"

and by further  amending such section by inserting at the end of such  paragraph
the following:

         "(except as otherwise set forth in this section).  Notwithstanding  the
         foregoing,  in the case of a  registration  statement  filed under item
         (ii),  to  the  extent  any  underwriter  or   underwriters   for  such
         registration  statement  shall  determine  that inclusion of all of the
         securities  proposed to be sold would jeopardize the successful sale of
         such securities,  the shares of Buyer Stock shall be excluded from such
         registration  statement prior to the exclusion of the securities of the
         April Holders." Buyer represents and warrants that there are no holders
         of shares of its common stock with  registration  rights not previously
         included in a registration statement,  other than the April Holders and
         Counsel Corporation. Counsel Corporation has agreed to not exercise its
         registration  rights  in a manner  which  would  adversely  affect  the
         registration rights of IHS.

3.       Amendment to Section 2.7(a).
         ----------------------------

         The parties  hereby amend Section  2.7(a) of the Purchase  Agreement to
reflect that if the  registration  is an underwritten  offering,  Buyer shall be
required to maintain the effectiveness of an underwritten registration statement
only for a reasonable period of time.

4.       Carve back agreement.
         ---------------------

         In the  event  that the  shares of Buyer  Stock  that IHS  proposes  to
register in a  registration  under  Section  2.5 is carved back or reduced by an
underwriter or by the Buyer,  IHS shall be entitled to a shelf  registration  on
Form S-3 in accordance with Section 2.5 (as if not amended)  covering the number
of shares that were subject to the carve back.

<PAGE>

         Intending to be legally bound, the parties have executed this amendment
as of the date first above written.



                                   For IHS and the Sellers:

                                   INTEGRATED HEALTH SERVICES, INC.



                                   By: /s/ Brian K. Davidson
                                       -------------------------------
                                        Executive Vice President

                                   For the Buyers:

                                   CAPSTONE PHARMACY SERVICES, INC.

                                   By: /s/ Allan Silber
                                       -------------------------------
                                        President




© 2022 IncJournal is not affiliated with or endorsed by the U.S. Securities and Exchange Commission