INTEGRATED HEALTH SERVICES INC
S-3, 1997-07-11
SKILLED NURSING CARE FACILITIES
Previous: INTEGRATED HEALTH SERVICES INC, 8-K/A, 1997-07-11
Next: HUDSON FOODS INC, 8-K, 1997-07-11



     AS FILED WITH THE SECURITIES AND EXCHANGE COMMISSION ON JULY 11, 1997

                                                REGISTRATION NO. 333-___________
================================================================================

                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549
                               ------------------

                                    FORM S-3

                             REGISTRATION STATEMENT
                                      Under
                           THE SECURITIES ACT OF 1933
                              --------------------

                        INTEGRATED HEALTH SERVICES, INC.
             (Exact name of registrant as specified in its charter)

        DELAWARE                                             23-2428312
   (State or other jurisdiction of                         (I.R.S.Employer
   incorporation or organization)                          Identification No.)

                             10065 RED RUN BOULEVARD
                          OWINGS MILLS, MARYLAND 21117
                                 (410) 998-8400
    (Address, including zip code, and telephone number, including area code,
                  of registrant's principal executive offices)

                            MARSHALL A. ELKINS, ESQ.
                  EXECUTIVE VICE PRESIDENT AND GENERAL COUNSEL
                        INTEGRATED HEALTH SERVICES, INC.
                             10065 RED RUN BOULEVARD
                          OWINGS MILLS, MARYLAND 21117
                                 (410) 998-8400
 (Name, address, including zip code, and telephone number, including area code,
                              of agent for service)
                             -----------------------
       Copies of all communications, including all communications sent to
                   the agent for service, should be sent to:

   CARL E. KAPLAN, ESQ.                     LESLIE A. GLEW, ESQ.
Fulbright & Jaworski L.L.P.  Senior Vice President and Associate General Counsel
     666 Fifth Avenue                 Integrated Health Services, Inc.
 New York, New York  10103                 10065 Red Run Boulevard
      (212) 318-3000                    Owings Mills, Maryland  21117
                                               (410) 998-8400

APPROXIMATE  DATE OF COMMENCEMENT  OF PROPOSED SALE TO THE PUBLIC:  From time to
time after the effective date of this Registration Statement.
                           --------------------------

       If the only  securities  being  registered on this Form are being offered
pursuant to dividend or interest  reinvestment plans, please check the following
box: [ ]
       If any of the securities  being registered on this Form are to be offered
on a delayed or continuous  basis  pursuant to Rule 415 under the Securities Act
of 1933,  other than  securities  offered only in  connection  with  dividend or
interest reinvestment plans, check the following box: [x]
       If this Form is filed to register  additional  securities for an offering
pursuant to Rule 462(b) under the Securities Act, please check the following box
and list  the  Securities  Act  registration  statement  number  of the  earlier
effective registration statement for the same offering. [ ]
       If this Form is a post-effective  amendment filed pursuant to Rule 462(c)
under the  Securities  Act,  check the following box and list the Securities Act
registration  statement number of the earlier effective  registration  statement
for the same offering. [ ]
       If delivery  of the  prospectus  is expected to be made  pursuant to Rule
434, please check the following box: [ ]
<TABLE>
<CAPTION>
====================================================================================================================================
                                                       CALCULATION OF REGISTRATION FEE
====================================================================================================================================
         TITLE OF EACH CLASS OF           AMOUNT OF SHARES   PROPOSED MAXIMUM OFFERING  PROPOSED MAXIMUM AGGREGATE      AMOUNT OF
       SECURITIES TO BE REGISTERED        TO BE REGISTERED      PRICE PER SHARE(1)           OFFERING PRICE(1)      REGISTRATION FEE
- ------------------------------------------------------------------------------------------------------------------------------------
<S>                                           <C>                    <C>                      <C>                      <C>       
COMMON STOCK, $.001 PAR VALUE PER SHARE
 (INCLUDING THE PREFERRED STOCK PURCHASE
 RIGHTS)(2)                                   1,091,455              $34.8125                $37,996,277.19           $11,514.02
====================================================================================================================================
</TABLE>

(1)  Pursuant to Rule 457(c),  the proposed maximum offering price per share and
     proposed maximum aggregate offering price have been calculated on the basis
     of the  average  of the high and low sale  prices  of the  Common  Stock as
     reported on the New York Stock Exchange on July 9, 1997.

(2)  The Preferred  Stock Purchase  Rights,  which are attached to the shares of
     IHS  Common  Stock  being  registered,  will be  issued  for no  additional
     consideration; no additional registration fee is required.
                           --------------------------
       The Registrant hereby amends this Registration  Statement on such date or
dates as may be necessary to delay its effective date until the Registrant shall
file a further  amendment  which  specifically  states  that  this  Registration
Statement shall  thereafter  become effective in accordance with Section 8(a) of
the  Securities  Act of 1933 or until the  Registration  Statement  shall become
effective on such date as the  Commission,  acting pursuant to Section 8(a), may
determine.

<PAGE>

                              SUBJECT TO COMPLETION
                   PRELIMINARY PROSPECTUS DATED JULY 11, 1997

                                1,091,455 Shares

                        INTEGRATED HEALTH SERVICES, INC.

                                  COMMON STOCK

       This  Prospectus  relates to  1,091,455  shares (the  "Shares") of Common
Stock,  par value $0.001 per share  (together with the Preferred  Stock Purchase
Rights associated therewith, the "Common Stock"), of Integrated Health Services,
Inc.  ("IHS"  or the  "Company")  which are being  offered  for sale by  certain
selling stockholders (the "Selling  Stockholders").  See "Selling Stockholders."
The  Company's  Common Stock is traded on the New York Stock  Exchange  ("NYSE")
under the symbol "IHS." On July 9, 1997,  the closing price of the Common Stock,
as reported in the consolidated reporting system, was $34.25 per share.

       The Company will not receive any of the proceeds from sales of the Shares
by the Selling Stockholders.  The Shares may be offered from time to time by the
Selling  Stockholders (and their donees and pledgees) through ordinary brokerage
transactions,   in  negotiated  transactions  or  otherwise,  at  market  prices
prevailing  at  the  time  of  sale  or  at  negotiated  prices.  See  "Plan  of
Distribution."

       The Selling Stockholders may be deemed to be "Underwriters" as defined in
the  Securities  Act  of  1933,  as  amended  (the  "Securities  Act").  If  any
broker-dealers  are used to effect sales, any commissions paid to broker-dealers
and, if  broker-dealers  purchase any of the Shares as  principals,  any profits
received by such broker-dealers on the resale of the Shares, may be deemed to be
underwriting discounts or commissions under the Securities Act. In addition, any
profits  realized by the Selling  Stockholders  may be deemed to be underwriting
commissions. All costs, expenses and fees in connection with the registration of
the  Shares  will  be  borne  by the  Company.  Brokerage  commissions,  if any,
attributable to the sale of the Shares will be borne by the Selling Stockholders
(or their donees and pledgees).

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

         SEE "RISK FACTORS", WHICH BEGINS ON PAGE 6 OF THIS PROSPECTUS,
   FOR CERTAIN INFORMATION THAT SHOULD BE CONSIDERED BY PROSPECTIVE INVESTORS.

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

            THESE SECURITIES HAVE NOT BEEN APPROVED OR DISAPPROVED BY
               THE SECURITIES AND EXCHANGE COMMISSION OR ANY STATE
                SECURITIES COMMISSION NOR HAS THE SECURITIES AND
                   EXCHANGE COMMISSION OR ANY STATE SECURITIES
                     COMMISSION PASSED UPON THE ACCURACY OR
                        ADEQUACY OF THIS PROSPECTUS. ANY
                         REPRESENTATION TO THE CONTRARY
                             IS A CRIMINAL OFFENSE.

                  The date of this Prospectus is July __, 1997

INFORMATION   CONTAINED  HEREIN  IS  SUBJECT  TO  COMPLETION  OR  AMENDMENT.   A
REGISTRATION  STATEMENT  RELATING  TO THESE  SECURITIES  HAS BEEN FILED WITH THE
SECURITIES  AND EXCHANGE  COMMISSION.  THESE  SECURITIES MAY NOT BE SOLD NOR MAY
OFFERS TO BUY BE ACCEPTED PRIOR TO THE TIME THE REGISTRATION  STATEMENT  BECOMES
EFFECTIVE.  THIS  PROSPECTUS  SHALL  NOT  CONSTITUTE  AN  OFFER  TO  SELL OR THE
SOLICITATION OF AN OFFER TO BUY NOR SHALL THERE BE ANY SALE OF THESE  SECURITIES
IN ANY STATE IN WHICH SUCH OFFER,  SOLICITATION  OR SALE WOULD BE UNLAWFUL PRIOR
TO REGISTRATION OR QUALIFICATION UNDER THE SECURITIES LAWS OF ANY SUCH STATE.


<PAGE>



                              AVAILABLE INFORMATION

         The  Company  is  subject  to  the  informational  requirements  of the
Securities  Exchange  Act of 1934,  as amended  (the  "Exchange  Act"),  and, in
accordance therewith, files reports, proxy statements and other information with
the Securities and Exchange  Commission (the "Commission").  The reports,  proxy
statements and other information filed by the Company with the Commission can be
inspected and copied at the public  reference  facilities  of the  Commission at
Room  1024,  450  Fifth  Street,  N.W.,  Washington,  D.C.  20549,  and  at  the
Commission's Regional Offices at 7 World Trade Center, 13th Floor, New York, New
York 10048, and Citicorp Center, 500 West Madison Street,  Suite 1400,  Chicago,
Illinois  60661.  Copies of such  material also may be obtained by mail from the
Public Reference Section of the Commission,  Room 1024, 450 Fifth Street,  N.W.,
Washington,  D.C.  20549,  at  prescribed  rates.  In addition,  reports,  proxy
materials and other  information  concerning the Company may be inspected at the
offices of the NYSE, 20 Broad Street,  New York,  New York 10005.  Additionally,
the Commission maintains a Web site on the Internet that contains reports, proxy
and information statements and other information regarding registrants that file
electronically with the Commission and that is located at http://www.sec.gov.

         This Prospectus  constitutes a part of a Registration Statement on Form
S-3 (herein,  together  with all  amendments  and  exhibits,  referred to as the
"Registration  Statement")  filed by the Company with the  Commission  under the
Securities  Act. This  Prospectus  does not contain all of the  information  set
forth in the  Registration  Statement,  certain  parts of which are  omitted  in
accordance  with the  rules  and  regulations  of the  Commission.  For  further
information  with  respect to the Company  and the Common  Stock,  reference  is
hereby  made  to  the  Registration   Statement.   Statements  contained  herein
concerning the  provisions of any contract,  agreement or other document are not
necessarily complete, and in each instance reference is made to the copy of such
contract,  agreement or other document  filed as an exhibit to the  Registration
Statement  or  otherwise  filed  with the  Commission.  Each such  statement  is
qualified  in its  entirety  by  such  reference.  Copies  of  the  Registration
Statement  together  with  exhibits  may  be  inspected  at the  offices  of the
Commission as indicated  above without charge and copies thereof may be obtained
therefrom upon payment of a prescribed fee.

         Private  Securities  Litigation Reform Act Safe Harbor Statement.  This
Prospectus  (including the documents  incorporated by reference herein) contains
certain  forwardlooking  statements  (as such  term is  defined  in the  Private
Securities  Litigation Reform Act of 1995) and information  relating to IHS that
are based on the beliefs of the management of IHS, as well as  assumptions  made
by and  information  currently  available to the management of IHS. When used in
this  Prospectus,  the words  "estimate",  "project",  "believe",  "anticipate",
"intend",   "expect"   and  similar   expressions   are   intended  to  identify
forward-looking  statements.  Such  statements  reflect the current views of IHS
with respect to future  events and are subject to risks and  uncertainties  that
could cause actual results to differ materially from those  contemplated in such
forward-looking  statements,  including  those  discussed  under "Risk Factors."
Readers  are  cautioned  not to place undue  reliance  on these  forward-looking
statements,  which speak only as of the date hereof.  IHS does not undertake any
obligation to publicly


                                       -2-


<PAGE>



release any revisions to these  forward-looking  statements to reflect events or
circumstances   after  the  date  hereof  or  to  reflect  the   occurrence   of
unanticipated events.


                 INCORPORATION OF CERTAIN DOCUMENTS BY REFERENCE

         The  information  in the  following  documents  filed  by IHS  with the
Commission  (File No.  1-12306)  pursuant to the Exchange Act is incorporated by
reference in this Prospectus:

         (a) Annual Report on Form 10-K for the year ended December 31, 1996;

         (b) Quarterly Report on Form 10-Q for the quarter ended March 31, 1997;

         (c) Current  Report on Form 8-K dated  October 17, 1996  reporting  the
acquisition of First American  Health Care of Georgia,  Inc., as amended by Form
8-K/A filed  November 26, 1996 and Amendment No. 1 to Form 8-K/A  filed July 11,
1997;

         (d) Current  Report on Form 8-K dated  October 19, 1996  reporting  the
execution of the Agreement and Plan of Merger among the Company, IHS Acquisition
XIX, Inc. and Coram Healthcare Corporation (the "Merger Agreement"),  as amended
by Form 8-K/A filed April 11,  1997,  reporting  the  termination  of the Merger
Agreement;

         (e)  Current  Report  on Form 8-K  dated  May 23,  1997  reporting  the
Company's  agreement to issue  privately an aggregate of $450 million  principal
amount of 9 1/2% Senior Subordinated Notes due 2007;

         (f)  Current  Report on Form 8-K dated May 30, 1997  reporting  (i) the
Company's  issuance of an aggregate of $450 million  principal  amount of 9 1/2%
Senior Subordinated Notes due 2007 and (ii) the Company's acceptance for payment
of  an  aggregate  of  $114,975,000   principal  amount  of  its  9 5/8%  Senior
Subordinated Notes due 2002, Series A and an aggregate of $99,893,000  principal
amount of its 10 3/4% Senior Subordinated Notes due 2004 pursuant to cash tender
offers;

         (g)  Current  Report  on Form 8-K  dated  July 6,  1997  reporting  the
execution of the Agreement and Plan of Merger among the Company, IHS Acquisition
XXIV, Inc. and RoTech Medical  Corporation  ("RoTech") relating to the Company's
proposed acquisition of RoTech;

         (h) The  description of the Company's  Common Stock contained in Item 1
of the Company's Registration Statement on Form 8-A dated September 1, 1993; and

         (i) The  description of the Company's  Preferred  Stock Purchase Rights
contained in Item 1 of the  Company's  Registration  Statement on Form 8-A dated
September 28, 1995.

         All documents filed by the Company  pursuant to Sections 13(a),  13(c),
14 or 15(d) of the Exchange Act after the date of this  Prospectus  and prior to
the filing of a


                                       -3-


<PAGE>



post-effective  amendment which indicates that all Shares offered have been sold
or which  deregisters  all Shares then  remaining  unsold  shall be deemed to be
incorporated  by reference in this  Prospectus  and to be a part hereof from the
date of  filing  of such  documents.  Any  statement  contained  herein  or in a
previously filed document incorporated or deemed to be incorporated by reference
herein  shall be  deemed to be  modified  or  superseded  for  purposes  of this
Prospectus  to the  extent  that a  statement  contained  herein or in any other
subsequently  filed document which also is or was deemed to be  incorporated  by
reference  herein modifies or supersedes such statement.  Any such statements so
modified or superseded shall not be deemed, except as so modified or superseded,
to constitute a part of this Prospectus.

         The information  relating to IHS contained in this Prospectus should be
read together with the information in the documents incorporated by reference.

         THIS  PROSPECTUS  INCORPORATES  BY  REFERENCE  DOCUMENTS  WHICH ARE NOT
PRESENTED HEREIN OR DELIVERED  HEREWITH.  SUCH DOCUMENTS (OTHER THAN EXHIBITS TO
SUCH DOCUMENTS UNLESS SUCH EXHIBITS ARE SPECIFICALLY  INCORPORATED BY REFERENCE)
ARE AVAILABLE WITHOUT CHARGE TO ANY PERSON TO WHOM THIS PROSPECTUS IS DELIVERED,
UPON WRITTEN OR ORAL REQUEST.  REQUESTS FOR SUCH DOCUMENTS SHOULD BE DIRECTED TO
INTEGRATED  HEALTH  SERVICES,  INC.,  10065  RED RUN  BOULEVARD,  OWINGS  MILLS,
MARYLAND  21117,  ATTENTION:  MARC B. LEVIN,  EXECUTIVE VICE  PRESIDENT-INVESTOR
RELATIONS, TELEPHONE: (410) 998-8400.


                                   THE COMPANY

         Integrated  Health  Services,  Inc.  is  one of  the  nation's  leading
providers of postacute healthcare services.  Post-acute care is the provision of
a continuum of care to patients following discharge from an acute care hospital.
IHS' post-acute care services include subacute care, home care and inpatient and
outpatient  rehabilitation,  hospice  and  diagnostic  services.  The  Company's
post-acute  care  network  is  designed  to  address  the  fact  that  the  cost
containment   measures   implemented  by  private   insurers  and  managed  care
organizations and limitations on government reimbursement of hospital costs have
resulted in the  discharge  from  hospitals  of many  patients  who  continue to
require medical and  rehabilitative  care. The Company's  post-acute  healthcare
system is intended to provide cost-effective continuity of care for its patients
in multiple  settings and enable payors to contract with one provider to provide
all of a patient's  needs  following  discharge from acute care  hospitals.  The
Company  believes  that its  post-acute  care  network  can be  extended  beyond
post-acute  care to also provide  "preacute"  care,  i.e.,  services to patients
which reduce the likelihood of a need for a hospital stay.  IHS' post-acute care
network  currently  consists of  approximately  1,100  service  locations  in 41
states.

         The  Company's   post-acute   care  network   strategy  is  to  provide
cost-effective  continuity  of  care  for its  patients  in  multiple  settings,
including using geriatric care facilities as platforms to provide a wide variety
of subacute medical and rehabilitative  services more typically delivered in the
acute care hospital  setting and using home  healthcare to provide those medical
and  rehabilitative  services  which  do not  require  24- hour  monitoring.  To
implement its post-acute care network  strategy,  the Company has focused on (i)
expanding the range of home healthcare and related services it offers to


                                       -4-


<PAGE>



patients  directly  in  order  to  provide  patients  with a  continuum  of care
throughout  their  recovery,  to better  control  costs and to meet the  growing
desire by payors for one-stop shopping; (ii) developing market concentration for
its  post-acute  care  services  in  targeted  states  due to  increasing  payor
consolidation  and the increased  preference of payors,  physicians and patients
for dealing  with only one service  provider;  (iii)  developing  subacute  care
units;   and  (iv)  forming   strategic   alliances   with  health   maintenance
organizations,  hospital groups and physicians.  Given the increasing importance
of managed care in the healthcare marketplace and the continued cost containment
pressures from Medicare, Medicaid and private payors, IHS has been restructuring
its  operations to enable IHS to focus on obtaining  contracts with managed care
organizations  and to provide capitated  services.  IHS' strategy is to become a
preferred  or exclusive  provider of  post-acute  care  services to managed care
organizations.

         In implementing its post-acute care network  strategy,  the Company has
recently focused on expanding its home healthcare  services to take advantage of
healthcare  payors'  increasing  focus  on  having  healthcare  provided  in the
lowest-cost  setting possible,  recent advances in medical technology which have
facilitated the delivery of medical services in alternative  sites and patients'
desires to be treated  at home.  Consistent  with the  Company's  strategy,  the
Company in October 1996 acquired  First  American  Health Care of Georgia,  Inc.
("First  American"),  a  provider  of home  health  services,  principally  home
nursing,  in  21  states,  primarily  Alabama,  California,   Florida,  Georgia,
Michigan,  Pennsylvania  and Tennessee.  IHS intends to use the home  healthcare
setting and the  delivery  franchise  of the home  healthcare  branch and agency
network to (i) deliver  sophisticated  care,  such as skilled nursing care, home
infusion therapy and rehabilitation,  outside the hospital or nursing home; (ii)
serve as a referral base for IHS' other  services and  healthcare  capabilities;
and  (iii)  provide  a  cost-effective  site for  case  management  and  patient
direction.

         The Company  provides  subacute care through  medical  specialty  units
("MSUs"),  which  are  typically  20 to 75 bed  specialty  units  with  physical
identities,   specialized  medical  technology  and  staffs  separate  from  the
geriatric  care  facilities  in which they are  located.  MSUs are  designed  to
provide comprehensive medical services to patients who have been discharged from
acute  care  hospitals  but  who  still  require  subacute  or  complex  medical
treatment.  The levels and quality of care  provided in the  Company's  MSUs are
similar to those provided in the hospital but at per diem treatment  costs which
the Company  believes  are  generally  30% to 60% below the cost of such care in
acute care  hospitals.  Because of the high level of specialized  care provided,
the  Company's  MSUs  generate  substantially  higher net revenue and  operating
profit per patient day than traditional geriatric care services.

         The Company presently operates 174 geriatric care facilities (118 owned
or leased and 56 managed)  and 158 MSUs located  within 84 of these  facilities.
Specialty medical services revenues,  which include all MSU charges, all revenue
from providing rehabilitative therapies,  pharmaceuticals,  medical supplies and
durable medical equipment to all its patients,  all revenue from its Alzheimer's
programs and all revenue from its provision of pharmacy, rehabilitation therapy,
home healthcare, hospice care and similar services to third-parties, constituted
approximately  57%, 65% and 70% of net revenues  during the years ended December
31, 1994, 1995 and 1996, respectively.


                                       -5-

<PAGE>



The  Company  also  offers a wide range of basic  medical  services as well as a
comprehensive  array  of  respiratory,   physical,   speech,   occupational  and
physiatric  therapy in all its  geriatric  care  facilities.  For the year ended
December 31, 1996,  approximately  17% of IHS'  revenues  were derived from home
health and hospice care,  approximately 53% were derived from subacute and other
ancillary  services,  approximately  27% were  derived  from  traditional  basic
nursing  services,  and  approximately 3% were derived from management and other
services.  On a pro forma basis after giving effect to the  acquisition of First
American,  for the year  ended  December  31,  1996,  approximately  35% of IHS'
revenues were derived from home health and hospice care,  approximately 41% were
derived  from  subacute and other  ancillary  services,  approximately  21% were
derived  from  traditional   basic  nursing  home  services  and  the  remaining
approximately 3% were derived from management and other services.

         The  Company  was   incorporated   in  March  1986  as  a  Pennsylvania
corporation  and  reorganized  as a Delaware  corporation  in November 1986. The
Company's  principal  executive  offices are located at 10065 Red Run Boulevard,
Owings Mills, Maryland 21117 and its telephone number is (410) 998-8400.  Unless
the context  indicates  otherwise,  Integrated  Health  Services,  Inc.  and its
subsidiaries are referred to herein collectively as "IHS" or the "Company."


                                  RISK FACTORS

         In addition to the other information in this Prospectus,  the following
factors  should be  considered  carefully  in  evaluating  the  Company  and its
business  before  purchasing  the shares of Common Stock  offered  hereby.  This
Prospectus  contains,  in addition to  historical  information,  forward-looking
statements that involve risks and  uncertainties.  The Company's  actual results
could  differ  materially.  Factors  that  could  cause  or  contribute  to such
differences  include,  but are not limited to, those discussed below, as well as
those discussed elsewhere in this Prospectus.

         Risks Related to Substantial  Indebtedness.  The Company's indebtedness
is substantial in relation to its  stockholders'  equity. At March 31, 1997, the
Company's total long-term debt, net of current  portion,  accounted for 65.3% of
its total capitalization  (66.7% on a pro forma basis after giving effect to the
issuance  of  $450  million  aggregate  principal  amount  of its 9 1/2%  Senior
Subordinated  Notes due 2007 and the use of  proceeds  therefrom  to  repurchase
approximately $214.9 million of its outstanding senior subordinated notes and to
repay  approximately  $191 million under its  revolving  credit  facility).  The
Company also has significant  lease  obligations  with respect to the facilities
operated pursuant to long-term  leases,  which aggregated  approximately  $224.0
million at March 31,  1997.  For the year ended  December 31, 1996 and the three
months  ended  March 31, 1996 and 1997,  the  Company's  rent  expense was $77.8
million  ($77.0  million  on a pro  forma  basis  after  giving  effect  to  the
acquisition of First American, the sale of IHS' pharmacy division and a majority
interest in its assisted living services division and certain other acquisitions
consummated  in  1996),  $17.7  million  and  $24.0  million,  respectively.  In
addition,  the Company is obligated to pay up to an  additional  $155 million in
respect of the  acquisition of First American  during 2000 to 2004 under certain
circumstances. The


                                       -6-

<PAGE>



Company's  strategy of  expanding  its  specialty  medical  services and growing
through  acquisitions  may  require  additional  borrowings  in order to finance
working   capital,   capital   expenditures   and  the  purchase  price  of  any
acquisitions.  The degree to which the Company is leveraged, as well as its rent
expense, could have important consequences to stockholders,  including:  (i) the
Company's  ability to obtain  additional  financing  in the  future for  working
capital, capital expenditures, acquisitions or general corporate purposes may be
impaired;  (ii) a substantial portion of the Company's cash flow from operations
may be dedicated to the payment of  principal  and interest on its  indebtedness
and rent expense,  thereby  reducing the funds  available to the Company for its
operations; (iii) certain of the Company's borrowings bear, and will continue to
bear,  variable  rates of  interest,  which  expose the Company to  increases in
interest  rates;  and  (iv)  certain  of  the  Company's  indebtedness  contains
financial and other  restrictive  covenants,  including  those  restricting  the
incurrence of  additional  indebtedness,  the creation of liens,  the payment of
dividends and sales of assets and imposing  minimum net worth  requirements.  In
addition, the Company's leverage may also adversely affect the Company's ability
to respond to changing  business and economic  conditions or continue its growth
strategy. There can be no assurance that the Company's operating results will be
sufficient  for the  payment of the  Company's  indebtedness.  Both  Moody's and
Standard & Poors in May 1997  confirmed  their  ratings of IHS'  long-term  debt
obligations,  but with a negative  outlook.  Moody's  stated  that it retained a
negative  outlook  anticipating  that  IHS  will  continue  to be an  aggressive
acquirer  of  companies,  and that it would  view  negatively  any  increase  in
leverage.  Standard & Poors  stated that its  ratings  reflected  the  Company's
aggressive transition towards becoming a full service alternate-site  healthcare
provider  and its limited cash flow  relative to its heavy debt  burden.  If the
Company were unable to meet interest,  principal or lease  payments,  or satisfy
financial covenants, it could be required to seek renegotiation of such payments
and/or covenants or obtain  additional  equity or debt financing.  If additional
funds are raised by issuing equity  securities,  the Company's  stockholders may
experience   dilution.   Further,   such  equity  securities  may  have  rights,
preferences or privileges senior to those of the Common Stock. To the extent the
Company  finances its activities  with  additional  debt, the Company may become
subject to certain  additional  financial and other  covenants that may restrict
its ability to pursue its growth  strategy  and to pay  dividends  on the Common
Stock.  There can be no assurance  that any such efforts  would be successful or
timely  or that  the  terms  of any  such  financing  or  refinancing  would  be
acceptable to the Company. See "--Risks Related to Capital Requirements."

         Risks   Associated  with  Growth  Through   Acquisitions  and  Internal
Development.  IHS' growth  strategy  involves  growth through  acquisitions  and
internal  development  and,  as a  result,  IHS  is  subject  to  various  risks
associated with its growth strategy.  The Company's planned expansion and growth
require  that the  Company  expand  its home  healthcare  services  through  the
acquisition  of  additional  home  healthcare  providers  and that  the  Company
acquire, or establish  relationships with, third parties that provide post-acute
care services not currently  provided by the Company,  that  additional  MSUs be
established in the Company's  existing  facilities and that the Company acquire,
lease or acquire the right to manage for others  additional  facilities in which
MSUs can be established.  Such expansion and growth will depend on the Company's
ability to create demand for its post-acute care programs,  the  availability of
suitable acquisition, lease


                                       -7-

<PAGE>



or management  candidates and the Company's ability to finance such acquisitions
and growth. The successful implementation of the Company's post-acute healthcare
system,  including the capitation of rates, will depend on the Company's ability
to expand the amount of  post-acute  care  services  it offers  directly  to its
patients rather than through  third-party  providers.  There can be no assurance
that suitable acquisition  candidates will be located,  that acquisitions can be
consummated,   that  acquired  facilities  and  companies  can  be  successfully
integrated  into  the  Company's  operations,  that  MSUs  can  be  successfully
established in acquired facilities or that the Company's  post-acute  healthcare
system, including the capitation of rates, can be successfully implemented.  The
post-acute care market is highly competitive,  and the Company faces substantial
competition from hospitals,  subacute care providers,  rehabilitation  providers
and home  healthcare  providers,  including  competition for  acquisitions.  The
Company   anticipates  that  competition  for  acquisition   opportunities  will
intensify  due to the ongoing  consolidation  in the  healthcare  industry.  See
"--Risks Related to Managed Care Strategy" and "--Competition."

         The successful  integration  of acquired  businesses,  including  First
American,  is important  to the  Company's  future  financial  performance.  The
anticipated  benefits from any of these  acquisitions may not be achieved unless
the operations of the acquired  businesses are successfully  combined with those
of the Company in a timely  manner.  The  integration  of the  Company's  recent
acquisitions will require substantial  attention from management.  The diversion
of  the  attention  of  management,  and  any  difficulties  encountered  in the
transition  process,  could  have a  material  adverse  effect on the  Company's
operations and financial  results.  In addition,  the process of integrating the
various  businesses  could cause the  interruption of, or a loss of momentum in,
the activities of some or all of these  businesses,  which could have a material
adverse effect on the Company's  operations and financial results.  There can be
no assurance that the Company will realize any of the anticipated  benefits from
its acquisitions.  The acquisition of service companies that are not profitable,
or the  acquisition  of new facilities  that result in  significant  integration
costs  and   inefficiencies,   could  also   adversely   affect  the   Company's
profitability.

         IHS'  current  and  anticipated  future  growth  has  placed,  and will
continue  to place,  significant  demands  on the  management,  operational  and
financial  resources of IHS. IHS' ability to manage its growth  effectively will
require it to continue  to improve its  operational,  financial  and  management
information  systems and to continue to  attract,  train,  motivate,  manage and
retain key employees.  There can be no assurance that IHS will be able to manage
its  expanded   operations   effectively.   See  "--Risks   Related  to  Capital
Requirements."

         There  can be no  assurance  that the  Company  will be  successful  in
implementing  its strategy or in responding to ongoing changes in the healthcare
industry  which  may  require  adjustments  to its  strategy.  If IHS  fails  to
implement its strategy successfully or does not respond timely and adequately to
ongoing changes in the healthcare  industry,  the Company's business,  financial
condition and results of operations will be materially adversely affected.



                                       -8-

<PAGE>



         Risks  Related  to  Managed  Care  Strategy.  Managed  care  payors and
traditional   indemnity   insurers   have   experienced   pressure   from  their
policyholders   to  curb  or  reduce  the  growth  in  premiums   paid  to  such
organizations for healthcare services.  This pressure has resulted in demands on
healthcare service providers to reduce their prices or to share in the financial
risk of providing care through  alternate fee  structures  such as capitation or
fixed  case  rates.  Given the  increasing  importance  of  managed  care in the
healthcare  marketplace  and  the  continued  cost  containment  pressures  from
Medicare and Medicaid,  IHS has been  restructuring its operations to enable the
Company to focus on obtaining  contracts with managed care  organizations and to
provide capitated services.  IHS believes that its home healthcare  capabilities
will  be an  important  component  of its  ability  to  provide  services  under
capitated and other alternate fee arrangements.  However, to date there has been
limited  demand among managed care  organizations  for  post-acute  care network
services,  and there can be no  assurance  that  demand for such  services  will
increase.  Further,  IHS has limited  experience  in  providing  services  under
capitated and other alternate fee arrangements and setting the applicable rates.
Accordingly,  there can be no assurance that the fees received by IHS will cover
the cost of services provided. If revenue for capitated services is insufficient
to cover  the  treatment  costs,  IHS'  operating  results  could  be  adversely
affected.  As a result, the success of IHS' managed care strategy will depend in
large part on its ability to increase  demand for post-acute care services among
managed care  organizations,  to obtain  favorable  agreements with managed care
organizations  and to manage  effectively its operating and healthcare  delivery
costs through various methods,  including utilization management and competitive
pricing for purchased  services.  Additionally,  there can be no assurance  that
pricing pressures faced by healthcare providers will not have a material adverse
effect on the Company's business, results of operations and financial condition.

         Further,  pursuing a strategy  focused on risk sharing fee arrangements
entails certain  regulatory risks. Many states impose  restrictions on a service
provider's  ability  to  provide  capitated  services  unless  it meets  certain
financial  criteria,  and may view  capitated fee  arrangements  as an insurance
activity,  subjecting the entity accepting the capitated fee to regulation as an
insurance company rather than merely a licensed  healthcare provider accepting a
business  risk in  connection  with the manner in which it is  charging  for its
services.  The laws  governing  risk  sharing fee  arrangements  for  healthcare
service  providers  are evolving  and are not certain at this time.  If the risk
sharing  activities of the Company  require  licensure as an insurance  company,
there  can be no  assurance  that the  Company  could  obtain  or  maintain  the
necessary  licensure,  or that the Company  would be able to meet any  financial
criteria  imposed  by a state.  If the  Company  was  precluded  from  providing
services under risk sharing fee arrangements, its managed care strategy would be
adversely affected. See "--Uncertainty of Government Regulation."

         Risks Related to Capital  Requirements.  IHS' growth strategy  requires
substantial  capital for the  acquisition  of  additional  home  healthcare  and
related service providers and geriatric care facilities and the establishment of
new, and expansion of existing,  MSUs. The effective integration,  operation and
expansion of the existing businesses will also require substantial  capital. The
Company  expects to finance new  acquisitions  from a combination  of funds from
operations, borrowings under its bank


                                       -9-

<PAGE>



credit  facility and the issuance of debt and equity  securities.  IHS may raise
additional capital through the issuance of long-term or short-term  indebtedness
or  the  issuance  of  additional   equity   securities  in  private  or  public
transactions,  at such  times as  management  deems  appropriate  and the market
allows.  Any of such  financings  could  result in dilution  of existing  equity
positions,  increased  interest and amortization  expense or decreased income to
fund future expansion.  There can be no assurance that acceptable  financing for
future  acquisitions or for the integration and expansion of existing businesses
and operations can be obtained.  The Company's bank credit  facility  limits the
Company's  ability to make  acquisitions,  and certain of the  indentures  under
which the Company's  outstanding  subordinated debt securities were issued limit
the Company's ability to incur additional  indebtedness unless certain financial
tests are met. See "--Risks Related to Substantial Indebtedness."

         Risks  Related  to  Recent  Acquisitions.  IHS has  recently  completed
several major  acquisitions,  including the First American  acquisition,  and is
still in the process of  integrating  those acquired  businesses.  The Company's
Board of Directors and senior  management face a significant  challenge in their
efforts to integrate the acquired  businesses,  including  First  American.  The
dedication of management  resources to such  integration  may detract  attention
from the  day-to-day  business of IHS. There can be no assurance that there will
not be substantial  costs associated with such activities or that there will not
be other material adverse effects of these integration efforts.  There can be no
assurance that management's efforts to integrate the operations of IHS and newly
acquired  companies will be successful or that the  anticipated  benefits of the
recent acquisitions will be fully realized.

         IHS has recently expanded significantly its home healthcare operations.
On a pro forma basis,  after giving effect to the  acquisition of First American
(which derives substantially all its revenue from Medicare),  approximately 88%,
89% and 85% of IHS' home  healthcare  revenues were derived from Medicare in the
year ended December 31, 1996 and the three months ended March 31, 1996 and 1997,
respectively.  On a pro forma basis,  after giving effect to the First  American
acquisition,  home nursing services accounted for approximately 97.6%, 97.3% and
92.9%, respectively, of IHS' home healthcare revenues in these periods. Medicare
has developed a national fee schedule for infusion therapy,  respiratory therapy
and home medical equipment which provides  reimbursement at 80% of the amount of
any fee on the  schedule.  The remaining 20% is paid by other third party payors
(including  Medicaid in the case of "medically  indigent" patients) or patients;
with  respect  to home  nursing,  Medicare  generally  reimburses  for the  cost
(including  a rate of return) of  providing  such  services,  up to a regionally
adjusted  allowable  maximum per visit and per discipline with no fixed limit on
the number of visits.  There  generally is no  deductible or  coinsurance.  As a
result,  there is no reward for  efficiency,  provided  that costs are below the
cap, and  traditional  home  healthcare  services carry  relatively low margins.
However,  IHS expects that Medicare will implement a prospective  payment system
for home nursing  services in the next several years,  and  implementation  of a
prospective  payment  system  will be a critical  element to the success of IHS'
expansion into home nursing services.  Based upon prior  legislative  proposals,
the Company believes that a prospective payment system would most likely provide
a healthcare  provider a predetermined rate for a given service,  with providers
that have costs below the predetermined rate being


                                      -10-

<PAGE>



entitled to keep some or all of this difference.  There can be no assurance that
Medicare will implement a prospective  payment system for home nursing  services
in the next several years or at all. The implementation of a prospective payment
system  will  require  IHS to make  contingent  payments  related  to the  First
American  acquisition of $155 million over a period of five years. The inability
of IHS to realize operating efficiencies and to provide home healthcare services
at a cost below the  established  Medicare  fee  schedule  could have a material
adverse  effect on IHS'  home  healthcare  operations  and its  post-acute  care
network. See "--Risk of Adverse Effect of Healthcare Reform."

         Risks Related to Historical  Financial  Performance of First  American.
During the year ended December 31, 1995 and the nine months ended  September 30,
1996,  First  American  recorded a net loss of $110.4 million and $36.2 million,
respectively.  Numerous factors have affected First  American's  performance and
financial  condition prior to its acquisition by IHS,  including,  among others,
high  administrative  costs and the  settlement of claims for  reimbursement  of
certain  overpayments  and  unallowable  reimbursements  under  Medicare  (which
settlement  resulted in a reduction to patient service revenues of $54.6 million
for the year ended December 31, 1995 and $10.4 million for the nine months ended
September 30, 1996). In addition,  in February 1996, in response to the stoppage
by the Health Care Financing  Administration  ("HCFA") of its bi-weekly periodic
interim payments ("PIP") to First American, First American was forced to declare
bankruptcy.  In March 1996,  the  bankruptcy  court  ordered  HCFA to resume PIP
payments to First  American.  However,  the  bankruptcy  filing and operation of
First American in bankruptcy until its acquisition by IHS adversely affected the
business, results of operations and financial condition of First American. There
can be no assurance that these factors or the First American bankruptcy will not
continue  to have an  adverse  effect  on First  American's  and IHS'  business,
financial  condition and results of  operations  in the future.  There can be no
assurance  that  the  historical  losses  incurred  by First  American  will not
continue.

         Reliance on Reimbursement  by Third Party Payors.  The Company receives
payment for services  rendered to patients  from  private  insurers and patients
themselves,  from the federal government under Medicare,  and from the states in
which it operates  under  Medicaid.  The healthcare  industry is  experiencing a
trend toward cost  containment,  as government and other third party payors seek
to impose  lower  reimbursement  and  utilization  rates and  negotiate  reduced
payment  schedules  with service  providers.  These cost  containment  measures,
combined with the  increasing  influence of managed care payors and  competition
for  patients,  have  resulted in reduced  rates of  reimbursement  for services
provided  by IHS.  Aspects  of  certain  healthcare  reform  proposals,  such as
cutbacks in the Medicare and Medicaid programs,  containment of healthcare costs
on an interim  basis by means that could  include a short-term  freeze on prices
charged by healthcare providers, and permitting greater state flexibility in the
administration of Medicaid,  could adversely affect the Company.  See "--Risk of
Adverse Effect of Healthcare  Reform." During the years ended December 31, 1994,
1995 and 1996 and the three  months  ended March 31, 1996 and 1997,  the Company
derived approximately 56%, 55%, 60%, 57% and 67%,  respectively,  of its patient
revenues  from  Medicare and  Medicaid.  Substantially  all of First  American's
revenues are derived from Medicare.  On a pro forma basis after giving effect to
the


                                      -11-

<PAGE>



First American  acquisition and the sale of a majority  interest in its assisted
living division,  approximately  69%, 68%, 68% and 67% of the Company's  patient
revenues  would have been  derived from  Medicare and Medicaid  during the years
ended  December  31, 1995 and 1996 and the three months ended March 31, 1996 and
1997, respectively.

         The sources and amounts of the Company's  patient revenues derived from
the operation of its geriatric  care  facilities and MSU programs are determined
by a number of factors,  including  licensed  bed  capacity  of its  facilities,
occupancy rate, the mix of patients and the rates of  reimbursement  among payor
categories (private, Medicare and Medicaid). Changes in the mix of the Company's
patients   among  the  private  pay,   Medicare  and  Medicaid   categories  can
significantly  affect  the  profitability  of  the  Company's  operations.   The
Company's  cost  of  care  for  its  MSU  patients  generally  exceeds  regional
reimbursement  limits  established under Medicare.  The success of the Company's
MSU  strategy  will  depend  in part on its  ability  to  obtain  per diem  rate
approvals for costs which exceed the Medicare  established  per diem rate limits
and by obtaining  waivers of these  limitations.  There can be no assurance that
the Company  will be able to obtain the waivers  necessary to enable the Company
to recover its excess costs.

         Managed care  organizations and other third party payors have continued
to  consolidate to enhance their ability to influence the delivery of healthcare
services. Consequently, the healthcare needs of a large percentage of the United
States  population are provided by a small number of managed care  organizations
and third  party  payors.  These  organizations  generally  enter  into  service
agreements with a limited number of providers for needed services. To the extent
such  organizations  terminate  IHS as a preferred  provider  and/or engage IHS'
competitors as a preferred or exclusive  provider,  the business of IHS could be
materially adversely affected.

         Risk of Adverse Effect of Healthcare  Reform.  In addition to extensive
existing government healthcare regulation, there are numerous initiatives on the
federal and state levels for comprehensive reforms affecting the payment for and
availability of healthcare services,  including a number of proposals that would
significantly limit  reimbursement under Medicare and Medicaid.  It is not clear
at this time what proposals, if any, will be adopted or, if adopted, what effect
such proposals would have on the Company's business. Aspects of certain of these
healthcare  proposals,  such as cutbacks in the Medicare and Medicaid  programs,
containment of healthcare  costs on an interim basis by means that could include
a short-term  freeze on prices charged by healthcare  providers,  and permitting
greater state  flexibility in the  administration  of Medicaid,  could adversely
affect the  Company.  In  addition,  there have been  proposals  to convert  the
current  cost  reimbursement  system for home  nursing  services  covered  under
Medicare  to a  prospective  payment  system.  The  prospective  payment  system
proposals generally provide for prospectively  established per visit payments to
be made for all covered services,  which are then subject to an annual aggregate
per episode limit at the end of the year.  Home health agencies that are able to
keep their  total  expenses  per visit  during the year below  their per episode
annual limits will be able to retain a specified  percentage of the  difference,
subject to certain  aggregate  limitations.  Such changes  could have a material
adverse effect on the Company and its growth strategy.  The  implementation of a
prospective payment system will require the Company to make


                                      -12-

<PAGE>



contingent  payments  related to the First American  acquisition of $155 million
over a  period  of five  years.  Additionally,  the  May  1997  balanced  budget
agreement  between the President  and Congress  contemplates  changing  Medicare
payments  for  skilled  nursing  facilities  and home  nursing  services  from a
cost-reimbursement  system to a prospective payment system. The inability of IHS
to provide home healthcare  and/or skilled nursing  services at a cost below the
established  Medicare fee schedule could have a material  adverse effect on IHS'
home healthcare  operations,  post-acute care network and business. See "--Risks
Related to Recent  Acquisitions" and "--Reliance on Reimbursement by Third Party
Payors." There can be no assurance that currently  proposed or future healthcare
legislation  or  other  changes  in  the  administration  or  interpretation  of
governmental  healthcare programs will not have an adverse effect on the Company
or that payments under governmental programs will remain at levels comparable to
present  levels or will be sufficient  to cover the costs  allocable to patients
eligible for  reimbursement  pursuant to such programs.  See  "--Uncertainty  of
Government Regulation."

         Uncertainty  of Government  Regulation.  The Company and the healthcare
industry generally are subject to extensive federal,  state and local regulation
governing   licensure  and  conduct  of   operations  at  existing   facilities,
construction of new facilities, acquisition of existing facilities, additions of
new  services,  certain  capital  expenditures  and  reimbursement  for services
rendered.  Changes in applicable laws and regulations or new  interpretations of
existing laws and regulations could have a material adverse effect on licensure,
eligibility for participation,  permissible activities,  operating costs and the
levels of reimbursement  from  governmental  and other sources.  There can be no
assurance   that   regulatory   authorities   will  not  adopt  changes  or  new
interpretations of existing regulations that could adversely affect the Company.
The failure to maintain or renew any required  regulatory  approvals or licenses
could  prevent the Company from  offering  existing  services or from  obtaining
reimbursement.  In certain circumstances,  failure to comply at one facility may
affect the ability of the Company to obtain or  maintain  licenses or  approvals
under Medicare and Medicaid  programs at other facilities.  In addition,  in the
conduct  of its  business  the  Company's  operations  are  subject to review by
federal and state regulatory agencies. In the course of these reviews,  problems
are from time to time identified by these agencies.  Although the Company has to
date  been  able to  resolve  these  problems  in a manner  satisfactory  to the
regulatory agencies without a material adverse effect on the Company,  there can
be no assurance that the Company will be able to do so in the future.

         Recently  effective  provisions  of the  regulations  adopted under the
Omnibus Budget  Reconciliation  Act of 1987 ("OBRA") have  implemented  stricter
guidelines  for annual state surveys of long-term  care  facilities and expanded
remedies available to HCFA to enforce  compliance with the detailed  regulations
mandating  minimum  healthcare   standards  and  may  significantly  affect  the
consequences  to the Company if annual or other HCFA facility  surveys  identify
noncompliance  with these  regulations.  Remedies  include  fines,  new  patient
admission moratoriums,  denial of reimbursement,  federal or state monitoring of
operations,  closure of facilities  and  termination  of provider  reimbursement
agreements.  These  provisions  eliminate the ability of operators to appeal the
scope and severity of any  deficiencies and grant state regulators the authority
to impose new remedies, including monetary penalties, denial of payments


                                      -13-

<PAGE>



and  termination  of the right to participate  in the Medicare  and/or  Medicaid
programs. The Company believes these new guidelines may result in an increase in
the number of facilities that will not be in "substantial  compliance"  with the
regulations  and, as a result,  subject to  increased  disciplinary  actions and
remedies,  including admission holds and termination of the right to participate
in the Medicare and/or Medicaid programs. In ranking facilities,  survey results
subsequent to October 1990 are considered.  As a result,  the Company's strategy
of acquiring poorly  performing  facilities could adversely affect the Company's
business to the extent remedies are imposed at such facilities.

         The  Company is also  subject to  federal  and state laws which  govern
financial and other arrangements between healthcare providers.  These laws often
prohibit  certain  direct and indirect  payments or  fee-splitting  arrangements
between  healthcare  providers  that are  designed  to induce or  encourage  the
referral of patients to, or the  recommendation  of, a  particular  provider for
medical  products and services.  These laws include the federal  "Stark  Bills,"
which  prohibit,  with  limited  exceptions,   financial  relationships  between
ancillary   service  providers  and  referring   physicians,   and  the  federal
"anti-kickback  law," which prohibits,  among other things, the offer,  payment,
solicitation  or receipt of any form of  remuneration in return for the referral
of Medicare and Medicaid  patients.  The Office of the Inspector  General of the
Department  of Health and Human  Services,  the  Department of Justice and other
federal  agencies  interpret  these  fraud and abuse  provisions  liberally  and
enforce them  aggressively.  Members of Congress have proposed  legislation that
would significantly  expand the federal  government's  involvement in curtailing
fraud and abuse and  increase  the  monetary  penalties  for  violation of these
provisions.  In addition,  some states restrict certain  business  relationships
between  physicians  and other  providers of  healthcare  services.  Many states
prohibit business  corporations from providing,  or holding  themselves out as a
provider of,  medical  care.  Possible  sanctions  for violation of any of these
restrictions  or  prohibitions  include  loss of  licensure  or  eligibility  to
participate in reimbursement  programs (including Medicare and Medicaid),  asset
forfeitures  and civil and  criminal  penalties.  These  laws vary from state to
state,  are often  vague  and have  seldom  been  interpreted  by the  courts or
regulatory agencies. The Company seeks to structure its business arrangements in
compliance  with  these  laws,  and from  time to time the  Company  has  sought
guidance  as to the  interpretation  of  such  laws;  however,  there  can be no
assurance that such laws ultimately  will be interpreted in a manner  consistent
with the practices of the Company.

         Many  states have  adopted  certificate  of need or similar  laws which
generally require that the appropriate state agency approve certain acquisitions
or capital  expenditures  in excess of defined  levels and determine that a need
exists for certain new bed additions,  new services and the  acquisition of such
medical equipment or capital  expenditures or other changes prior to beds and/or
services  being  added.  Many  states  have  placed  a  moratorium  on  granting
additional  certificates  of need or otherwise  stated their intent not to grant
approval  for new beds.  To the  extent  certificates  of need or other  similar
approvals are required for expansion of the Company's operations, either through
facility  acquisitions  or  expansion  or  provision  of new  services  or other
changes,  such expansion could be adversely affected by the failure or inability
to obtain the necessary  approvals,  changes in the standards applicable to such
approvals and possible delays in, and the expenses  associated  with,  obtaining
such approvals.


                                      -14-

<PAGE>



         The Company is unable to predict the future course of federal, state or
local regulation or legislation,  including  Medicare and Medicaid  statutes and
regulations.  Further changes in the regulatory  framework could have a material
adverse  effect on the Company's  business,  results of operations and financial
condition. See "--Risk of Adverse Effect of Healthcare Reform."

         Competition.  The  healthcare  industry  is highly  competitive  and is
subject to continuing changes in the provision of services and the selection and
compensation  of providers.  The Company  competes on a local and regional basis
with other  providers  on the basis of the breadth and quality of its  services,
the quality of its facilities and, to a more limited extent,  price. The Company
also  competes  with other  providers  in the  acquisition  and  development  of
additional facilities and service providers. The Company's current and potential
competitors  include  national,  regional and local  operators of geriatric care
facilities,  acute care hospitals and  rehabilitation  hospitals,  extended care
centers,  retirement  centers and  community  home health  agencies,  other home
healthcare companies and similar institutions,  many of which have significantly
greater financial and other resources than the Company. In addition, the Company
competes with a number of tax-exempt  nonprofit  organizations which can finance
acquisitions  and  capital   expenditures  on  a  tax-exempt  basis  or  receive
charitable  contributions  unavailable to the Company. New service introductions
and  enhancements,   acquisitions,  continued  industry  consolidation  and  the
development  of  strategic  relationships  by  IHS'  competitors  could  cause a
significant  decline in sales or loss of market  acceptance  of IHS' services or
intense  price  competition,  or make  IHS'  services  noncompetitive.  Further,
technological  advances  in drug  delivery  systems and the  development  of new
medical  treatments  that cure certain  complex  diseases or reduce the need for
healthcare  services could adversely impact the business of IHS. There can be no
assurance  that IHS will be able to  compete  successfully  against  current  or
future  competitors  or that  competitive  pressures  will not  have a  material
adverse effect on IHS' business,  financial condition and results of operations.
IHS also competes with various  healthcare  providers with respect to attracting
and retaining qualified management and other personnel.  Any significant failure
by IHS to attract and retain  qualified  employees could have a material adverse
effect on IHS' business, results of operations and financial condition.

         Effect  of  Certain  Anti-Takeover  Provisions.   IHS'  Third  Restated
Certificate  of  Incorporation  and  By-laws,  as well as the  Delaware  General
Corporation  Law (the "DGCL"),  contain  certain  provisions that could have the
effect of making it more difficult for a third party to acquire, or discouraging
a third party from attempting to acquire, control of IHS. These provisions could
limit the price that certain investors might be willing to pay in the future for
shares of Common Stock.  Certain of these provisions allow IHS to issue, without
stockholder  approval,  preferred  stock having voting rights senior to those of
the  Common  Stock.   Other  provisions  impose  various  procedural  and  other
requirements  that  could  make it more  difficult  for  stockholders  to effect
certain corporate actions. In addition, the IHS Stockholders' Rights Plan, which
provides  for  discount  purchase  rights to  certain  stockholders  of IHS upon
certain  acquisitions of 20% or more of the outstanding  shares of Common Stock,
may also inhibit a change in control of IHS. As a Delaware  corporation,  IHS is
subject to Section 203 of the DGCL,  which, in general,  prevents an "interested
stockholder" (defined


                                      -15-

<PAGE>



generally as a person owning 15% or more of the corporation's outstanding voting
stock) from  engaging in a "business  combination"  (as defined) for three years
following the date such person became an interested  stockholder  unless certain
conditions are satisfied.

         Possible Volatility of Stock Price. There may be significant volatility
in the market price of the Common  Stock.  Quarterly  operating  results of IHS,
changes in general  conditions  in the  economy,  the  financial  markets or the
healthcare  industry,  or other  developments  affecting IHS or its competitors,
could cause the market price of the Common Stock to fluctuate substantially.  In
addition,  in recent years the stock market and, in  particular,  the healthcare
industry segment,  has experienced  significant  price and volume  fluctuations.
This  volatility  has  affected the market  price of  securities  issued by many
companies for reasons  unrelated to their  operating  performance.  In the past,
following  periods of volatility in the market price of a company's  securities,
securities  class  action  litigation  has often  been  initiated  against  such
company.  Such litigation  could result in substantial  costs and a diversion of
management's attention and resources, which could have a material adverse effect
upon IHS' business, operating results and financial condition.

                                 USE OF PROCEEDS

         The Company will not receive any proceeds from the sale of Common Stock
by the Selling Stockholders.


                              SELLING STOCKHOLDERS

         The following  table sets forth certain  information as of July 1, 1997
(except as  otherwise  indicated)  and as  adjusted  to reflect  the sale of the
Common  Stock in the  offering,  as to the  security  ownership  of the  Selling
Stockholders.  Except as set forth below,  none of the Selling  Stockholders has
held any  position  or office or had any other  material  relationship  with the
Company or any of its predecessors or affiliates within the past three years.

                                                                     SHARES OF
                                         SHARES OF                     COMMON
                                       COMMON STOCK                    STOCK
                                       BENEFICIALLY                 BENEFICIALLY
                                        OWNED PRIOR      SHARES     OWNED AFTER
                                        TO OFFERING    BEING SOLD     OFFERING
DRIFTWOOD HEALTH CARE MANAGERS         -------------   ----------   ------------
- ------------------------------
Driftwood Health Care Managers, Inc. 1        3,000        3,000              0



- ----------
1      The shares sold hereunder  represent  shares  issuable upon exercise of a
Warrant to  Purchase  Shares of Common  Stock  issued to  Driftwood  Health Care
Managers,  Inc.  ("Driftwood")  on July 1, 1992 in connection with the Company's
lease of a skilled nursing home facility owned by Driftwood.


                                      -16-

<PAGE>


                                                                     SHARES OF
                                         SHARES OF                     COMMON
                                       COMMON STOCK                    STOCK
                                       BENEFICIALLY                 BENEFICIALLY
                                        OWNED PRIOR      SHARES     OWNED AFTER
                                        TO OFFERING    BEING SOLD     OFFERING
                                       -------------   ----------   ------------
                                                                              
SIGNATURE HOME CARE, INC. 2
- --------------------------
Alvin R. Albe, Jr.                              234          234              0

Donald V. Barrett                               690          690              0

Peter E. Bennett                                548          548              0

Charles G. Berg                                 239          239              0

David Monte Blumberg                            847          847              0

Carmel Burke Bonesso                             10           10              0

Austin Broadhurst, Jr.                          156          156              0

Louis Church                                    580          580              0

Robert A. Day                                   626          626              0

James deVenny                                   783          783              0

Robert F. Doviak c/o Dale L.                    313          313              0
McCullough, Special Master

Doviak Partners Ltd., Marla Reynolds,         1,409        1,409              0
Agent

Ian J. Dowie                                  1,566        1,566              0

Escrow Fund 3                               166,251      166,251              0

Everen Clearing Corp. Cust. FBO Terry           522          522              0
Martin McGann IRA

Everen Clearing Corp. Cust. FBO                 261          261              0
Rhonda Rife McGann IRA

FG-HS                                         3,915        3,915              0

Alan H. Fishman                                 391          391              0

Steven J. Gilbert                             6,500        6,500              0

Gary Gladstein                                  704          704              0

Clark Good                                       42           42              0

James E. Gordon                                 196          196              0

- --------

2      Shares are being sold hereunder by the former  stockholders  of Signature
Home Care,  Inc.  ("Signature").  The shares  sold  hereunder  represent  shares
received in exchange for the shares of Signature  pursuant to the Stock Purchase
Agreement dated as of August 23, 1996.  Pursuant to the terms of such agreement,
additional  shares of Common Stock may be issued as a purchase price  adjustment
based on an audit of Signature's closing date balance sheet.

3      Represents  shares held in escrow to secure any purchase price adjustment
in favor of the  Company,  any  breach of the  representations,  warranties  and
covenants of Signature and the  indemnification  obligations of Signature  under
the Stock Purchase Agreement.


                                      -17-

<PAGE>


                                                                     SHARES OF
                                         SHARES OF                     COMMON
                                       COMMON STOCK                    STOCK
                                       BENEFICIALLY                 BENEFICIALLY
                                        OWNED PRIOR      SHARES     OWNED AFTER
                                        TO OFFERING    BEING SOLD     OFFERING
                                       -------------   ----------   ------------

Ruth Ann Hardisty                                10           10              0

Steven D. Holzman                               234          234              0

Alex M. Jernigan                                391          391              0

Donna Kirk                                        9            9              0

Michael Kluger                                  690          690              0

H. C. Kresge                                    861          861              0

Susan Kresge                                    113          113              0

Anthony J. LeVecchio                          1,384        1,384              0

Gary D. Markoff                                 234          234              0

Joseph Maturo                                    64           64              0

Joleen Moden                                     38           38              0

Cathy Nakashima                                   9            9              0

John H. Pinder                                  313          313              0

Steven B. Potter                                156          156              0

Robert D. Reed                                  783          783              0

Gerry M. Ritterman                              234          234              0

Samaritan Health System                       2,417        2,417              0

Barry A. Schwimmer                              234          234              0

Rick A. Short                                    48           48              0

Elliot Stein, Jr.                               234          234              0

Stern Family Partnership                         24           24              0

Mark Alexander Thompson                         313          313              0

Jerry L. Tomlinson                              115          115              0

Beatrice B. Trust, Marc I. Stern, Trustee       210          210              0

Stephen F. Wiggins                              239          239              0

Paul S. Wolansky                                234          234              0



                                      -18-

<PAGE>

                                                                     SHARES OF
                                         SHARES OF                     COMMON
                                       COMMON STOCK                    STOCK
                                       BENEFICIALLY                 BENEFICIALLY
                                        OWNED PRIOR      SHARES     OWNED AFTER
                                        TO OFFERING    BEING SOLD     OFFERING
                                       -------------   ----------   ------------

MEDIQ MOBILE X-RAY SERVICES, INC. 4
- ----------------------------------
MEDIQ Mobile X-Ray Services, Inc.           203,721      203,721              0

TOTAL REHAB SERVICES 5
- ----------------------
Timothy H. Dacy                              61,417       26,191         35,226

Shari Kaplan                                  8,745        8,745              0

David S. Krause                              61,417       26,191         35,226

Bruce Paler                                   8,745        8,745              0

Ronald Paler                                  8,745        8,745              0

Total Rehab Services, LLC                    13,971       13,971              0

Total Rehab Services 02, LLC                 13,971       13,971              0


CAMBRIDGE 6
- ----------
Bank  of  New  York,  Trustee  for
Annuity  Trust under  Benefit Plan
of Exxon Corp.  and  Participating
Affiliates                                      285          285              0

- ----------
4      The shares sold hereunder  represent  shares received in exchange for the
assets of MEDIQ  Mobile X-Ray  Services,  Inc.,  pursuant to the Asset  Purchase
Agreement dated as of November 6, 1996. Upon  effectiveness  of the registration
statement of which this  Prospectus is a part, the number of shares to be issued
shall be adjusted to equal that number of shares  which have an  aggregate  fair
market value of $5,200,000,  based upon the average  closing price of the Common
Stock on the New York Stock  Exchange for the  20-business-day  period ending on
the day which is two business days prior to such effectiveness. These shares are
pledged as collateral pursuant to a Credit Agreement dated as of October 1, 1996
among MEDIQ/PRN Life Support Services, Inc. as borrower,  MEDIQ Incorporated and
PRN Holdings,  Inc. as parent  guarantors,  the initial  lenders named  therein,
Banque Nationale de Paris, as Administrative Agent and initial issuing bank, and
NationsBank, N.A., as Documentation Agent.

5      The shares sold hereunder  represent  shares received in exchange for the
assets of Total Rehab Services, LLC and Total Rehab Services 02, LLC pursuant to
the Asset Purchase Agreement dated as of October 23, 1996. Of the 106,559 shares
of Common Stock being registered hereunder,  25,653 are currently held in escrow
to secure indemnification obligations and purchase price adjustments pursuant to
the Asset Purchase Agreement.  Purchase price adjustments may be made based on a
review of the closing date balance  sheet of the sellers or on the  inability of
the Company to enter into a specified management agreement within thirty days of
the closing (or the termination of such  agreement),  all on the terms set forth
in  the  Asset  Purchase  Agreement.  Upon  effectiveness  of  the  registration
statement of which this  Prospectus is a part, the number of shares to be issued
shall be adjusted to equal that number of shares  which have an  aggregate  fair
market value of $2,700,000,  based upon the average  closing price of the Common
Stock on the New York Stock  Exchange for the  30-business-day  period ending on
the day which is two business days prior to such effectiveness.

6      Represents shares issuable upon exercise of stock options.


                                      -19-

<PAGE>


                                                                     SHARES OF
                                         SHARES OF                     COMMON
                                       COMMON STOCK                    STOCK
                                       BENEFICIALLY                 BENEFICIALLY
                                        OWNED PRIOR      SHARES     OWNED AFTER
                                        TO OFFERING    BEING SOLD     OFFERING
                                       -------------   ----------   ------------

LIFEWAY, INC. 7
- ---------------
Lifeway Partners LLC 8                       75,936       75,936              0

Fred McCall-Perez                            19,679       19,679              0

RESTORATIVE THERAPY 9
- ---------------------
Synergy Two, Inc.                           331,379      331,379              0

ROBERT N. ELKINS  10                      3,080,458      154,522      2,925,936
- --------------------


TRANSACTIONS INVOLVING SELLING STOCKHOLDERS

         On July 1,  1992,  the  Company  entered  into a Lease  Agreement  with
Driftwood  Health  Care  Managers,  Inc.  ("Driftwood"),  pursuant  to which the
Company  agreed to lease a 160-bed  skilled  nursing  home  facility  located in
Charleston,  South  Carolina  from  Driftwood.  The lease  runs for a term of 10
years, with two additional  five-year renewal periods. In addition,  the Company
acquired an option to purchase the facility from  Driftwood.  In connection with
the execution of the lease,  the Company issued a Warrant to Purchase  Shares of
Common Stock to  Driftwood.  The 3,000 shares of common stock  issuable upon the
exercise of such warrant are being offered hereby.

         On September  25,  1996,  the Company  acquired all of the  outstanding
stock of Signature Home Care, Inc., a Delaware  corporation  which provides home
nursing  services,  infusion  services,  respiratory  therapy  and home  medical
equipment  in  Arizona,  Florida,  Kansas,  New  Jersey  and  Texas  as  well as
management  services  to home  health  providers.  The  purchase  price was $9.2
million,  including  $4.7 million paid through the issuance of 196,374 shares of
the Company's Common Stock (the "Signature Shares").
The Signature Shares are being offered hereby.

         On November 6, 1996, the Company acquired substantially all the assets,
and assumed certain liabilities, of MEDIQ Mobile X-Ray Services, Inc. ("Mediq"),
which provides  portable  X-ray,  EKG and  nutritional  services to residents of
nursing  homes  and other  institutions  and home care  patients  and  ancillary
services related thereto.
- ----------
7      The shares sold hereunder  represent  shares received in exchange for the
stock of Lifeway,  Inc.,  pursuant to the Agreement  and Plan of  Reorganization
dated as of November 8, 1996.

8      Dr. Robert N. Elkins,  the Chairman and Chief  Executive  Officer of IHS,
owns 99% of Lifeway  Partners  LLC, and his wife owns the remaining 1%. Does not
include shares beneficially owned by Dr. Elkins. See Note 10.

9      The shares sold hereunder  represent  shares received in exchange for the
assets of Rehab Dynamics,  Inc. and Restorative Therapy Limited (which has since
changed its name to Synergy Two, Inc.) pursuant to the Asset Purchase  Agreement
dated as of May 20, 1997. Of the 331,379 shares registered hereunder,  8,907 are
currently  in  escrow to  secure  purchase  price  adjustments.  Purchase  price
adjustments may be made based upon a review of the working capital and long-term
liabilities  relating to the  purchased  assets as of the closing date and based
upon  earnings  relating  to the  purchased  assets  in the year  following  the
closing, all on the terms set forth in the Asset Purchase Agreement.

10     The shares  beneficially  owned by Dr. Elkins  include  2,850,000  shares
issuable upon  exercise of options and 75,936  shares owned by Lifeway  Partners
LLC,  a  Selling  Stockholder  hereunder.  See Note 8  above.  The  shares  sold
hereunder represent shares acquired by Dr. Elkins in the open market.

                                      -20-

<PAGE>



The purchase price was $10.1 million, of which $5.2 million was paid through the
issuance of 203,721 shares of the Company's  Common Stock (the "Mediq  Shares").
The  Company is  required  to make a  contingent  payment of up to $2.0  million
through February 2000 unless, prior to February 1, 2000, there is an alteration,
modification or other change in the amount of EKG  transportation  reimbursement
paid to IHS which has the effect of  eliminating  or reducing the  reimbursement
amount for such services. The Mediq Shares are being offered hereby.

         On November 8, 1996, the Company acquired  substantially all the assets
of Total Rehab  Services,  LLC and Total Rehab  Services 02, LLC, which provides
respiratory services and contract rehabilitation services,  including speech and
language  pathology,  occupational  therapy and physical  therapy  services,  in
Illinois  and New York.  The purchase  price was $8.0  million,  including  $2.7
million  paid  through the issuance of 106,559  shares of the  Company's  Common
Stock (the  "Total  Rehab  Shares").  The Total Rehab  Shares are being  offered
hereby.

         On  November  13,  1996,  the Company  acquired  the  remaining  90% of
Lifeway, Inc. ("Lifeway"), a physician management and disease management company
in Miami,  Florida. The purchase price was $900,000,  which was paid through the
issuance  of 38,502  shares of the  Company's  Common  Stock  (the  "Acquisition
Shares").  In  connection  with the  Lifeway  acquisition,  the  Company  repaid
outstanding loans to Lifeway from Dr. Robert N. Elkins,  the Company's  Chairman
and Chief  Executive  Officer,  aggregating  $1,125,000  through the issuance of
48,129  shares of the  Company's  Common Stock (the "Loan  Shares"),  and issued
8,984 shares of Common Stock in partial  payment of a bonus to Mr.  McCall-Perez
(the "Bonus  Shares"  and,  together  with the  Acquisition  Shares and the Loan
Shares,  the  "Lifeway  Shares").  Prior to the  acquisition,  IHS  owned 10% of
Lifeway,  which interest it acquired in August 1995, and Dr. Elkins beneficially
owned approximately 65% of Lifeway. The Lifeway Shares are being offered hereby.

         On June 20, 1997, the Company  acquired  substantially  all the assets,
and assumed certain liabilities, of Rehab Dynamics, Inc. and Restorative Therapy
Limited (which has since changed its name to Synergy Two,  Inc.),  which provide
contract  rehabilitation  services,  including  speech and  language  pathology,
occupational therapy and physical therapy services,  to patients in a variety of
settings.  The purchase price was $31.4 million,  of which $8.4 million was paid
in cash at the closing,  $11.8  million was paid through the issuance of 331,379
shares of the Company's Common Stock (the "Restorative  Therapy Shares") and the
remainder is to be paid after determination of any purchase price adjustment due
to earnings  relating to the purchased assets in the year following the closing.
The Restorative Therapy Shares are being offered hereby.

         Dr.  Robert N.  Elkins,  the  Company's  Chairman  and Chief  Executive
Officer,  acquired  148,465 shares of Common Stock in open market  purchases and
6,057 shares of Common  Stock as a gift from his spouse.  These shares of Common
Stock are being offered hereby.



                                      -21-

<PAGE>



                              PLAN OF DISTRIBUTION

         The  Company  is  registering  the  Shares  on  behalf  of the  Selling
Stockholders.  All costs,  expenses and fees in connection with the registration
of  the  Shares  offered  hereby  will  be  borne  by  the  Company.   Brokerage
commissions,  if any,  attributable  to the sale of Shares  will be borne by the
Selling Stockholders (or their donees and pledgees).

         Sales of  Shares  may be  effected  from  time to time in  transactions
(which  may  include  block  transactions)  on the New York Stock  Exchange,  in
negotiated  transactions,  or a  combination  of such methods of sale,  at fixed
prices which may be changed, at market prices prevailing at the time of sale, or
at negotiated  prices.  The Selling  Stockholders  have advised the Company that
they have not entered into any agreements,  understandings  or arrangements with
any underwriters or broker-dealers  regarding the sale of their securities.  The
Selling  Stockholders  may effect  such  transactions  by selling  Common  Stock
directly to purchasers or to or through  broker-dealers  which may act as agents
or  principals.  Such  broker-dealers  may receive  compensation  in the form of
discounts,  concessions or commissions from the Selling  Stockholder  and/or the
purchasers of Common Stock for whom such  broker-dealers may act as agents or to
whom they sell as  principal,  or both (which  compensation  as to a  particular
broker-dealer  might  be  in  excess  of  customary  commissions).  The  Selling
Stockholders and any broker-dealers  that act in connection with the sale of the
Common Stock might be deemed to be "underwriters"  within the meaning of Section
2(11) of the Securities  Act and any commission  received by them and any profit
on the resale of the shares of Common Stock as  principal  might be deemed to be
underwriting  discounts and  commissions  under the Securities  Act. The Selling
Stockholders  may agree to indemnify  any agent,  dealer or  broker-dealer  that
participates  in  transactions  involving  sales of the shares  against  certain
liabilities, including liabilities arising under the Securities Act. Liabilities
under the federal securities laws cannot be waived.

         The  Signature  Group has agreed not to sell in excess of 75,000 shares
of Common Stock during any thirty day period and to effect sales solely  through
Smith Barney Inc., Cowen & Co. or PaineWebber Incorporated. Mediq has agreed not
to sell in excess of  100,000  shares of Common  Stock  during  any  thirty  day
period,  until such time as at least 100,000 of the Mediq Shares have been sold,
and to effect sales solely  through  Smith Barney Inc. The Total Rehab Group has
agreed not to sell in excess of 50,000  shares of Common Stock during any thirty
day period and to effect  sales  solely  through  Smith  Barney Inc. The Lifeway
Group has agreed to effect sales  solely  through  Smith  Barney Inc.,  and Fred
McCall-Perez  has agreed not to transfer any of the Lifeway  Shares  received by
him for a period of one year following the issuance of such shares.  Restorative
Therapy  Limited  has agreed  not to sell in excess of 100,000  shares of Common
Stock  during any thirty day period and to effect  sales  solely  through  Smith
Barney Inc.

         Because the  Selling  Stockholders  may be deemed to be  "underwriters"
within  the  meaning  of  Section  2(11)  of the  Securities  Act,  the  Selling
Stockholders  will be  subject to  prospectus  delivery  requirements  under the
Securities Act.  Furthermore,  in the event of a  "distribution"  of the Shares,
such Selling Stockholder, any selling broker or


                                      -22-

<PAGE>



dealer and any "affiliated  purchasers" may be subject to Regulation M under the
Securities  Exchange Act of 1934, as amended,  which  Regulation would prohibit,
with  certain  exceptions,  any such person from bidding for or  purchasing  any
security which is the subject of such  distribution  until his  participation in
that distribution is completed. In addition, Regulation M under the Exchange Act
prohibits,  with  certain  exceptions,  any  "stabilizing  bid" or  "stabilizing
purchase" for the purpose of pegging,  fixing or stabilizing the price of Common
Stock in connection with this offering.

         The Selling  Stockholders may be entitled under agreements entered into
with the Company to  indemnification  against  liabilities  under the Securities
Act.

                                  LEGAL MATTERS

         Certain  legal matters with respect to the validity of the Common Stock
offered  hereby have been  passed  upon for the  Company by Marshall A.  Elkins,
Executive Vice President and General  Counsel of the Company.  Mr. Elkins is the
brother  of Robert N.  Elkins,  the  Company's  Chairman  of the Board and Chief
Executive  Officer.  Mr.  Marshall Elkins owns 17,299 shares of Common Stock and
options to purchase 161,535 shares of Common Stock.

                                     EXPERTS

         The consolidated  financial  statements of Integrated  Health Services,
Inc. and subsidiaries as of December 31, 1995 and 1996 and for each of the years
in the  three-year  period  ended  December 31, 1996 have been  incorporated  by
reference in the Registration Statement in reliance upon the report of KPMG Peat
Marwick LLP, independent certified public accountants, incorporated by reference
herein,  and upon the  authority  of said  firm as  experts  in  accounting  and
auditing.  The report of KPMG Peat  Marwick LLP refers to changes in  accounting
methods, in 1995, to adopt Statement of Financial  Accounting  Standards No. 121
related to  impairment  of long-lived  assets and, in 1996,  from  deferring and
amortizing  pre-opening  costs of medical  specialty  units to recording them as
expenses when incurred.

         The consolidated  financial statements of First American Health Care of
Georgia,  Inc. as of December 31, 1994 and 1995 and for each of the years in the
three-year period ended December 31, 1995 have been incorporated by reference in
the Registration Statement from IHS' Current Report on Form 8-K/A (dated October
17, 1996 and filed with the  Commission on November 26, 1996),  in reliance upon
the report of KPMG Peat Marwick LLP,  independent  certified public accountants,
incorporated by reference herein, and upon the authority of said firm as experts
in  accounting  and  auditing.  The report of KPMG Peat  Marwick LLP contains an
explanatory   paragraph  regarding  the  uncertainty  with  respect  to  certain
contingent  payments which may be payable under a settlement  agreement with the
Health Care Financing Administration.



                                      -23-


<PAGE>



======================================   =====================================
                                                                              
         NO PERSON IS  AUTHORIZED  IN                                         
CONNECTION  WITH  ANY  OFFERING  MADE                                         
HEREBY TO GIVE ANY  INFORMATION OR TO                                         
MAKE ANY REPRESENTATION NOT CONTAINED                                         
IN THIS PROSPECTUS,  AND, IF GIVEN OR                                         
MADE,     SUCH     INFORMATION     OR                  1,091,455              
REPRESENTATION  MUST  NOT  BE  RELIED                    Shares               
UPON AS HAVING BEEN AUTHORIZED BY THE                                         
COMPANY.  THIS  PROSPECTUS  DOES  NOT                                         
CONSTITUTE  AN  OFFER  TO  SELL  OR A                                         
SOLICITATION  OF AN  OFFER TO BUY ANY                                         
SECURITY  OTHER THAN THE COMMON STOCK                                         
OFFERED    HEREBY,    NOR   DOES   IT                                         
CONSTITUTE  AN  OFFER  TO  SELL  OR A              INTEGRATED HEALTH          
SOLICITATION  OF AN  OFFER TO BUY ANY                SERVICES, INC.           
OF THE  SECURITIES  OFFERED HEREBY TO                                         
ANY  PERSON  IN ANY  JURISDICTION  IN                                         
WHICH IT IS  UNLAWFUL TO MAKE SUCH AN                                         
OFFER OR  SOLICITATION.  NEITHER  THE                                         
DELIVERY OF THIS PROSPEC- TUS NOR ANY                                         
SALE MADE  HEREUNDER  SHALL UNDER ANY                                         
CIRCUMSTANCES  CREATE ANY IMPLICATION                 Common Stock            
THAT THE INFORMATION CONTAINED HEREIN                                         
IS CORRECT AS OF ANY DATE  SUBSEQUENT                                         
TO THE DATE HEREOF.                                                           
                                                                              
                                                                              
                                                                              
                                            -------------------------------   
          TABLE OF CONTENTS                                                   
                                                                              
                                 PAGE                  PROSPECTUS             
                                                                              
Available Information ..............2                                         
Incorporation of Certain                    -------------------------------   
  Documents by Reference .......... 3                                         
The Company ....................... 4                                         
Risk Factors....................... 6                                         
Use of Proceeds................... 16                                         
Selling Stockholders...............16                July 10, 1997            
Plan of Distribution...............22                                         
Legal Matters .....................23                                         
Experts............................23                                         
                                                                              
                                                                              
                                                                              
                                                                              
                                                                              
                                                                              
                                                                              
                                                                              
                                                                              
                                                                              
======================================   =====================================

<PAGE>



                                     PART II

                     INFORMATION NOT REQUIRED IN PROSPECTUS


ITEM 14.   OTHER EXPENSES OF ISSUANCE AND DISTRIBUTION.

         The following is an itemized  statement of the estimated amounts of all
expenses  payable by the Registrant in connection  with the  registration of the
Shares:

  Registration Fee - Securities and Exchange Commission......$     11,514.02
  Legal and accounting fees and expenses......................     35,000.00*
  Miscellaneous................................................     3,485.98*
                                                                ------------

           Total ........................................... $     50,000.00
- ----------
     *    Estimated.


ITEM 15.   INDEMNIFICATION OF DIRECTORS AND OFFICERS.

         Under the DGCL, a corporation may include provisions in its certificate
of  incorporation  that will  relieve its  directors of monetary  liability  for
breaches  of their  fiduciary  duty to the  corporation,  except  under  certain
circumstances,  including a breach of the  director's  duty of loyalty,  acts or
omissions  of the  director  not in good  faith  or  which  involve  intentional
misconduct or a knowing violation of law, the approval of an improper payment of
a  dividend  or an  improper  purchase  by  the  corporation  of  stock  or  any
transaction from which the director derived an improper  personal  benefit.  The
Company's Third Restated Certificate of Incorporation, as amended, provides that
the Company's  directors are not liable to the Company or its  stockholders  for
monetary  damages for breach of their fiduciary  duty,  subject to the described
exceptions specified by the DGCL.

         Section 145 of the DGCL  grants to the  Company the power to  indemnify
each  officer and  director  of the Company  against  liabilities  and  expenses
incurred  by reason of the fact that he is or was an officer or  director of the
Company if he acted in good faith and in a manner he  reasonably  believed to be
in or not opposed to the best  interests of the Company and, with respect to any
criminal  action or proceeding,  had no reasonable  cause to believe his conduct
was unlawful.  The Company's  Third Restated  Certificate of  Incorporation,  as
amended,  and By-laws,  as amended,  provide for indemnification of each officer
and  director of the Company to the fullest  extent  permitted  by the DGCL.  In
addition,  IHS has entered into  indemnity  agreements  with its  directors  and
executive  officers,  a form of  which is  included  as  Exhibit  10.72 to IHS's
Registration Statement on Form S-1, No. 33-39339, effective March 31, 1992.




<PAGE>



         Section  145 of the DGCL also  empowers  the  Company to  purchase  and
maintain  insurance on behalf of any person who is or was an officer or director
of the Company against liability asserted against or incurred by him in any such
capacity,  whether or not the  Company  would have the power to  indemnify  such
officer or director  against such liability under the provisions of Section 145.
The Company has  purchased and  maintains a directors'  and officers'  liability
policy for such purposes.

         The  agreements  pursuant  to which  the  Signature  Shares,  the Mediq
Shares,  the Total  Rehab  Shares and the Lifeway  Shares were issued  (Exhibits
10.1,  10.2, 10.3 and 10.4,  respectively)  provide for  indemnification  by the
sellers  thereunder of the Company and its  controlling  persons,  directors and
officers  for  certain  liabilities,  including  liabilities  arising  under the
Securities Act.


ITEM 16.   EXHIBITS.

 5       -        Opinion of Marshall A. Elkins, Esq.
10.1     -        Warrant to Purchase  Shares of Common Stock,  dated as of July
                  1,  1992,  between  the  Company  and  Driftwood  Health  Care
                  Managers, Inc.
10.2     -        Stock Purchase  Agreement,  dated as of August 23, 1996, among
                  the Company,  Signature Home Care,  Inc. and the other parties
                  thereto.
10.3     -        Asset Purchase Agreement,  dated as of October 23, 1996, among
                  the Company,  IHS Acquisition XV, Inc.,  Total Rehab Services,
                  LLC,  Total  Rehab  Services  02,  LLC and the  other  parties
                  thereto.
10.4     -        Asset Purchase Agreement,  dated as of November 6, 1996, among
                  MEDIQ Mobile X-Ray  Services,  Inc.,  MEDIQ  Incorporated  and
                  Symphony Diagnostic Services No. 1, Inc.
10.5     -        Agreement and Plan of Reorganization,  dated as of November 8,
                  1996, among the Company,  IHS Acquisition XXI, Inc.,  Lifeway,
                  Inc. and the other parties thereto.
10.6     -        Asset Purchase Agreement,  dated as of May 20, 1997, among the
                  Company,  Symphony Rehab Dynamics,  Inc., Symphony Restorative
                  Therapy Limited,  Rehab Dynamics,  Inc.,  Restorative  Therapy
                  Limited and the other parties thereto.
23.1     -        Consents of KPMG Peat Marwick LLP.
23.2     -        Consent of Marshall A. Elkins, Esq. (included in Exhibit 5).
24       -        Power of Attorney (included on signature page).





                                      II-2

<PAGE>



ITEM 17.   UNDERTAKINGS.

         (a)   The undersigned registrant hereby undertakes:

               (1) To file, during any period in which offers or sales are being
made, a post-effective amendment to this registration statement:

                     (i) To include any prospectus  required by Section 10(a)(3)
of the Securities Act of 1933;

                     (ii) To  reflect  in the  prospectus  any  facts or  events
arising  after the  effective  date of the  registration  statement (or the most
recent  post-effective   amendment  thereof)  which,   individually  or  in  the
aggregate,  represent a fundamental  change in the  information set forth in the
registration statement;

                     (iii) To include any material  information  with respect to
the plan of distribution not previously disclosed in the registration  statement
or any material change to such information in the registration statement;

     Provided, however, that paragraphs (a)(1)(i) and (a)(1)(ii) do not apply if
the information  required to be included in a post-effective  amendment by those
paragraphs is contained in periodic reports filed by the registrant  pursuant to
Section  13 or Section  15(d) of the  Securities  Exchange  Act of 1934 that are
incorporated by reference in the registration statement.

               (2) That, for the purpose of determining  any liability under the
Securities Act of 1933, each such post-effective amendment shall be deemed to be
a new registration statement relating to the securities offered therein, and the
offering of such  securities at that time shall be deemed to be the initial bona
fide offering thereof.

               (3) To  remove  from  registration  by means of a  post-effective
amendment  any of the  securities  being  registered  which remain unsold at the
termination of the offering.

         (b) The undersigned  registrant hereby undertakes that, for purposes of
determining  any liability  under the Securities Act of 1933, each filing of the
registrant's  annual  report  pursuant to Section  13(a) or Section 15(d) of the
Securities  Exchange  Act of  1934  that is  incorporated  by  reference  in the
registration  statement  shall  be  deemed  to be a new  registration  statement
relating to the securities offered therein,  and the offering of such securities
at that time shall be deemed to be the initial bona fide offering thereof.

         (c)  Insofar  as  indemnification  for  liabilities  arising  under the
Securities Act of 1933 may be permitted to directors,  officers and  controlling
persons of the  registrant  pursuant to the provisions  described  under Item 15
above, or otherwise,  the registrant has been advised that in the opinion of the
Securities and Exchange Commission such indemnification is against public policy
as expressed in the Act and is,  therefore,  unenforceable.  In the event that a
claim for indemnification against such liabilities


                                      II-3

<PAGE>



(other than the  payment by the  registrant  of  expenses  incurred or paid by a
director,  officer or  controlling  person of the  registrant in the  successful
defense of any action, suit or proceeding) is asserted by such director, officer
or controlling  person in connection with the securities being  registered,  the
registrant  will,  unless in the  opinion  of its  counsel  the  matter has been
settled by controlling precedent,  submit to a court of appropriate jurisdiction
the question  whether such  indemnification  by it is against  public  policy as
expressed  in the Act and will be  governed  by the final  adjudication  of such
issue.





                                      II-4

<PAGE>



                                   SIGNATURES

         Pursuant to the requirements of the Securities Act of 1933, as amended,
the Registrant certifies that it has reasonably grounds to believe that it meets
all of the  requirements  for  filing  on  Form  S-3 and has  duly  caused  this
Registration Statement to be signed on its behalf by the undersigned,  thereunto
duly  authorized,  in the City of Owings  Mills,  State of  Maryland on July 10,
1997.

                                               INTEGRATED HEALTH SERVICES, INC.


                                               By:    /s/ Robert N. Elkins
                                                  ----------------------------
                                                     Robert N. Elkins
                                                     Chairman of the Board and
                                                     Chief Executive Officer


                                POWER OF ATTORNEY

         KNOW  ALL MEN BY THESE  PRESENTS,  that  each  person  whose  signature
appears below  constitutes and appoints Robert N. Elkins,  Lawrence P. Cirka and
W. Bradley Bennett, jointly and severally, his true and lawful attorneys-in-fact
and agents, each with full power of substitution and resubstitution, for him and
in his name,  place and stead,  in any and all  capacities,  to sign any and all
amendments to this registration  statement,  and to file the same, with exhibits
thereto,  and other documents in connection  therewith,  with the Securities and
Exchange Commission,  granting unto said  attorneys-in-fact and agents, and each
of them, full power and authority to do and perform each and every act and thing
requisite  or necessary  to be done in and about the  premises,  as fully to all
intents and  purposes as he might or could do in person,  hereby  ratifying  and
confirming all that each of said attorneys-in-fact and agents, or his substitute
or substitutes, may lawfully do or cause to be done by virtue hereof.


         Pursuant to the requirements of the Securities Act of 1933, as amended,
this  Registration  Statement has been signed below by the following  persons in
the capacities and on the dates indicated.


Signature                         Title                            Date

                                  Chairman of the Board
                                  and Chief Executive Officer
/s/ Robert N. Elkins              (Principal Executive Officer)    July 10, 1997
- ------------------------------
(Robert N. Elkins)



/s/ Lawrence P. Cirka             President and Director           July 10, 1997
- ------------------------------
(Lawrence P. Cirka)



<PAGE>



/s/ Edwin M. Crawford              Director                        July 10, 1997
- ------------------------------
(Edwin M. Crawford)



/s/ Kenneth M. Mazik              Director                         July 10, 1997
- ------------------------------
(Kenneth M. Mazik)



/s/ Robert A. Mitchell            Director                         July 10, 1997
- ------------------------------
(Robert A. Mitchell)



/s/ Charles W. Newhall, III       Director                         July 10, 1997
- ------------------------------
(Charles W. Newhall, III)



/s/ Timothy F. Nicholson          Director                         July 10, 1997
- ------------------------------
(Timothy F. Nicholson)



/s/ John L. Silverman             Director                         July 10, 1997
- ------------------------------
(John L. Silverman)



/s/ George H. Strong              Director                         July 10, 1997
- ------------------------------
(George H. Strong)

                                  Executive Vice President-
                                  Chief Accounting Officer
                                  (Principal Accounting
/s/ W. Bradley Bennett            Officer)                         July 10, 1997
- ------------------------------
(W. Bradley Bennett)

                                  Executive Vice
                                  President-Finance
                                  (Principal Financial
/e/ Eleanor C. Harding            Officer)                         July 10, 1997
- ------------------------------
(Eleanor C. Harding)



<PAGE>


                               INDEX TO EXHIBITS
<TABLE>
<CAPTION>
EXHIBIT
   NO.                        DESCRIPTION                                          PAGE NO.
- --------                      -----------                                          --------
<S>       <C>                                                                       <C>
 5        Opinion of Marshall Elkins, Esq.

10.1      Warrant to Purchase Shares of Common Stock,  dated as of July 1, 1992,
          between the Company and Driftwood Health Care Managers, Inc.

10.2      Stock  Purchase  Agreement,  dated as of August  23,  1996,  among the
          Company, Signature Home Care, Inc. and the other parties thereto.

10.3      Asset  Purchase  Agreement,  dated as of October 23,  1996,  among the
          Company,  IHS Acquisition XV, Inc.,  Total Rehab Services,  LLC, Total
          Rehab Services 02, LLC and the other parties thereto.

10.4      Asset Purchase  Agreement,  dated as of November 6, 1996,  among MEDIQ
          Mobile  X-Ray  Services,   Inc.,   MEDIQ   Incorporated  and  Symphony
          Diagnostic Services No. 1, Inc.

10.5      Agreement  and Plan of  Reorganization,  dated as of November 8, 1996,
          among the Company,  IHS Acquisition XXI, Inc.,  Lifeway,  Inc. and the
          other parties thereto.

10.6      Asset Purchase Agreement, dated as of May 20, 1997, among the Company,
          Symphony Rehab Dynamics,  Inc., Symphony  Restorative Therapy Limited,
          Rehab  Dynamics,  Inc.,  Restorative  Therapy  Limited  and the  other
          parties thereto.

23.1      Consent of KPMG Peat Marwick LLP.

23.2      Consent of Marshall A. Elkins, Esq. (included in Exhibit 5).

24        Power of Attorney (see signature page).


</TABLE>




                                                                       Exhibit 5

                                  July 10, 1997



The Board of Directors
Integrated Health Services, Inc.
10065 Red Run Boulevard
Owings Mills, Maryland  21117

Dear Sirs:

         I refer to the  Registration  Statement on Form S-3 (the  "Registration
Statement") to be filed with the Securities  and Exchange  Commission  under the
Securities Act of 1933, as amended (the "Act"),  on behalf of Integrated  Health
Services,  Inc. (the  "Company"),  relating to 1,091,455 shares of the Company's
Common  Stock,  $.001 par value (the  "Shares"),  to be sold by certain  Selling
Stockholders named therein.

         I am Executive  Vice President and General  Counsel of the Company.  As
counsel for the Company, I have examined such corporate  records,  documents and
such  questions of law as I have  considered  necessary or  appropriate  for the
purposes of this opinion  and,  upon the basis of such  examination,  advise you
that in my opinion the Shares to be sold by the Selling  Stockholders  have been
duly  and  validly   authorized   and  are  legally   issued,   fully  paid  and
non-assessable.

         I hereby  consent  to the  filing of this  opinion as an exhibit to the
Registration  Statement and to the reference to my name under the heading "Legal
Matters" in the Registration  Statement.  This consent is not to be construed as
an admission  that I am a person whose  consent is required to be filed with the
Registration Statement under the provisions of the Act.

                                                    Very truly yours,

                                                    /s/ Marshall A. Elkins

                                                    Marshall A. Elkins
                                                    Executive Vice President and
                                                    General Counsel








                   WARRANT TO PURCHASE SHARES OF COMMON STOCK

                                      FROM

                        INTEGRATED HEALTH SERVICES, INC.


                                  JULY 1, 1992


<PAGE>



                               WARRANT TO PURCHASE
                             SHARES OF COMMON STOCK


THESE SECURITIES HAVE NOT BEEN REGISTERED UNDER THE UNITED STATES SECURITIES ACT
OF 1933, AS AMENDED, AND, MAY NOT BE SOLD,  TRANSFERRED,  ASSIGNED,  OFFERED FOR
SALE,  PLEDGED  OR  HYPOTHECATED  IN THE  ABSENCE OF AN  EFFECTIVE  REGISTRATION
THEREOF UNDER SUCH ACT OR COMPLIANCE WITH RULE 144  PROMULGATED  UNDER SUCH ACT,
OR UNLESS THE COMPANY HAS  RECEIVED AN OPINION OF COUNSEL,  SATISFACTORY  TO THE
COMPANY AND ITS COUNSEL, THAT SUCH REGISTRATION IS NOT REQUIRED.


                        INTEGRATED HEALTH SERVICES, INC.

              INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE


                  THIS CERTIFIES THAT, for value received, Driftwood Health Care
Managers,  Inc.,  a South  Carolina  corporation  ("Driftwood"),  is entitled to
purchase,  pursuant to the terms hereof, three thousand (3,000) shares of Common
Stock,  par value  $.001 per share (the  "Common  Stock") of  Integrated  Health
Services,  Inc., a Delaware corporation (the "Company"),  at a purchase price of
$20.00 per share.  As partial  consideration  for the  execution and delivery of
this  Warrant,  Driftwood  has delivered and paid to the Company an aggregate of
$3.00 ($.001 per share of Common Stock).

         1.       EXERCISE OF WARRANT

                  The  terms and  conditions  upon  which  this  Warrant  may be
exercised,  and the Common Stock covered  hereby (the  "Warrant  Shares") may be
purchased, are as follows:

                  1.1.  Exercise.  This  Warrant may be exercised in whole or in
part at any  time  after  July 1,  1994,  but in no case  may  this  Warrant  be
exercised at any time after the earliest to occur of the following:  (a) July 1,
1999 or (b) the closing of the Company's sale of all or substantially all of its
assets or the  acquisition of the Company by another entity or group by means of
a merger,  sale or exchange of shares, or other transaction as a result of which
shareholders  of the Company  immediately  prior to such  acquisition  possess a
minority of the voting  power of the  acquiring  entity or the Company (if it is
the surviving entity).





<PAGE>



                  1.2. Purchase Price. The purchase price for the Warrant Shares
to be issued upon  exercise of this Warrant  shall be $20.00 per Warrant  Share,
subject to adjustments as set forth below.

                  1.3.  Method of Exercise.  The exercise of the purchase rights
evidenced by this Warrant shall be effected by (a) the surrender of the Warrant,
together with a duly executed copy of the form of  subscription  attached hereto
as Exhibit A, to the Company at its  principal  offices and (b) the  delivery of
the purchase  price by certified  check or bank draft  payable to the  Company's
order,  in  immediately  available  funds for the number of shares for which the
purchase rights hereunder are being exercised, or delivery of the purchase price
by any other form of consideration approved by the Company's Board of Directors.

                  1.4.  Issuance of Warrant  Shares.  In the event the  purchase
rights  evidenced  by this  Warrant  are  exercised,  in  whole  or in  part,  a
certificate  or  certificates  for the  purchased  shares  shall  be  issued  to
Driftwood as soon as practicable.  In the event the purchase rights evidenced by
this Warrant are exercised in part,  the Company shall also issue to Driftwood a
new warrant representing the unexercised purchase rights.

         2.       CERTAIN ADJUSTMENTS

                  2.1. Stock  Dividends;  Split or Subdivision of Shares.  If at
any time while this  Warrant  remains  outstanding  and  unexpired,  the Company
should effect a split or subdivision of the  outstanding  shares of Common Stock
or pay a dividend  with respect to the Common Stock  payable in shares of Common
Stock, then:

                           (a) the purchase price shall be reduced, concurrently
with such issuance,  to a price  determined by (i) multiplying such price by the
number of shares of Common Stock outstanding immediately prior to such issuance,
and (ii)  dividing the result by the sum of the number of shares of Common Stock
outstanding  immediately  prior to such  issuance and the actual  number of such
additional  shares of Common Stock so issued,  in the case of any such dividend,
immediately  after the close of business on the record date for  determining the
holders of any class of securities entitled to receive such dividend,  or in the
case of any such  subdivision,  at the close of business on the date immediately
prior to the date upon which such corporate action becomes effective.  In either
case the number of additional  shares of Common Stock deemed to have been issued
shall be the difference between the number of outstanding shares of Common Stock
outstanding  immediately  before such dividend or subdivision  and the number of
shares of Common Stock outstanding immediately thereafter; and

                           (b) the  number of shares  of Common  Stock  issuable
upon  exercise of this Warrant  shall be  increased  to the product  obtained by
multiplying the number of Warrant Shares  purchasable  immediately prior to such
purchase price  adjustment by a fraction (i) the numerator of which shall be the
purchase price immediately prior to such


                                       -3-



<PAGE>



adjustment,  and  (ii) the  denominator  of which  shall be the  purchase  price
immediately after such adjustment.

                  2.2. Mergers, Consolidations or Sale of Assets. If at any time
there  shall  be  a  capital   reorganization  of  the  Company  (other  than  a
combination,  reclassification,   exchange  or  subdivision  of  Warrant  Shares
otherwise provided for herein), or a merger or consolidation of the Company with
or  into  another  corporation  in  which  the  Company  is  not  the  surviving
corporation,  or  the  sale  of the  Company's  properties  and  assets  as,  or
substantially as, an entirety to any other person or entity,  then, as a part of
such  reorganization,  merger,  consolidation or sale, lawful provision shall be
made so that  Driftwood  shall be  entitled  to receive  upon  exercise  of this
Warrant,  during the period  specified  in this  Warrant and upon payment of the
purchase price then in effect, the number of shares of stock or other securities
or property of the successor  corporation  resulting  from such  reorganization,
merger,  consolidation  or  sale,  to  which  a  holder  of the  Warrant  Shares
deliverable  upon exercise of this Warrant  would have been  entitled  under the
provisions of the agreement in such  reorganization,  merger,  consolidation  or
sale if this Warrant had been exercised  immediately before that reorganization,
merger, consolidation or sale.

                  2.3.  Reclassification.  If the Company at any time shall,  by
subdivision,  combination or reclassification of securities or otherwise, change
any of the Warrant  Shares into the same or a different  number of securities of
any other class or classes, this Warrant shall thereafter represent the right to
acquire  such  number and kind of  securities  as would have been  issuable as a
result of such change with respect to the Warrant  Shares  immediately  prior to
such subdivision, combination, reclassification or other change.

                  2.4.  Combination of Shares. If at any time while this Warrant
remains  outstanding  and  unexpired,  the  number of  shares  of  Common  Stock
outstanding  is decreased by a combination of the  outstanding  shares of Common
Stock, then:

                           (a)  the  purchase  price  shall  be  correspondingly
increased to a price  determined by (i)  multiplying  such purchase price by the
number of shares of Common Stock outstanding immediately prior to such issuance,
and (ii) dividing the result by the number of shares of Common Stock outstanding
immediately after such combination; and

                           (b) the  number of shares  of Common  Stock  issuable
upon  exercise of this Warrant  shall be  decreased  to the product  obtained by
multiplying the number of Warrant Shares  purchasable  immediately prior to such
purchase price  adjustment by a fraction (i) the numerator of which shall be the
purchase price immediately prior to such adjustment, and (ii) the denominator of
which shall be the purchase price immediately after such adjustment.

                  2.5.  Certificate  as to  Adjustments.  In the  case  of  each
adjustment or readjustment of the purchase price pursuant to this Section 2, the
Company will promptly compute such adjustment or readjustment in accordance with
the terms hereof and cause a


                                       -4-



<PAGE>



certificate  setting forth such adjustment or readjustment and showing in detail
the facts upon which such adjustment or readjustment is based to be delivered to
the holder of this Warrant.  The Company shall,  upon the written request at any
time of the holder of this  Warrant,  furnish or cause to be  furnished  to such
holder a certificate setting forth:

                           (a) such adjustments and readjustments;

                           (b) the purchase price at the time in effect; and

                           (c) the  number of shares of  Warrant  Shares and the
amount,  if any, of other property at the time  receivable  upon the exercise of
this Warrant.

         3.       FRACTIONAL SHARES

                  No fractional  shares shall be issued in  connection  with any
exercise of this Warrant.  In lieu of the issuance of such fractional share, the
Company  shall make a cash  payment  equal to the then fair market value of such
fractional share as determined by the Company's Board of Directors.

         4.       RESERVATION OF COMMON STOCK

                  The Company  shall at all times during the period within which
the rights  represented  by this  Warrant  may be  exercised,  reserve  and keep
available  a  sufficient  number of shares of Common  Stock to  provide  for the
exercise of the rights represented by this Warrant.

         5.       PRIVILEGE OF STOCK OWNERSHIP

                  Prior to the exercise of this Warrant,  Driftwood shall not be
entitled,  by virtue of holding this Warrant,  to any rights of a shareholder of
the Company, including (without limitation) the right to vote, receive dividends
or other distributions, exercise preemptive rights or be notified of shareholder
meetings,  and  such  holder  shall  not be  entitled  to any  notice  or  other
communication  concerning  the  business  or affairs of the  Company,  except as
required by applicable law.

         6.       LIMITATION OF LIABILITY

                  No provision hereof,  in the absence of affirmative  action by
the holder hereof to purchase the Warrant Shares, and no mere enumeration herein
of the  rights  or  privileges  of the  holder  hereof,  shall  give rise to any
liability  of such  holder for the  purchase  price or as a  shareholder  of the
Company,  whether  such  liability is asserted by the Company or by creditors of
the Company.




                                       -5-



<PAGE>



         7.       TRANSFERS AND EXCHANGES

                  7.1.  Transfer of this  Warrant.  Subject to  compliance  with
applicable   securities   laws,  this  Warrant  and  all  rights  hereunder  are
transferrable in whole or in part by Driftwood upon the prior written consent of
the  Company.  Any such  transfer  shall be recorded on the books of the Company
upon the surrender of this  Warrant,  properly  endorsed,  to the Company at its
principal offices and the payment to the Company of all transfer taxes and other
governmental  charges  imposed  on such  transfer.  In the  event  of a  partial
transfer, the Company shall issue to the several holders one or more appropriate
new warrants.

                  7.2. Endorsement of this Warrant. Each holder agrees that this
Warrant when endorsed in blank shall be negotiable and that when so endorsed the
holder may be treated by the Company  and all other  persons  dealing  with this
Warrant as the absolute  owner for all  purposes  and as the person  entitled to
exercise the purchase rights evidenced  hereby;  provided,  however,  that until
such time as the transfer is recorded on the books of the  Company,  the Company
may treat the registered holder of this Warrant as the absolute owner.

                  7.3. New Warrants.  All new warrants issued in connection with
transfers,  exchanges  or  partial  exercises  shall  be  identical  in form and
provision to this Warrant except as to the number of shares.

         8.       PAYMENT OF TAXES

                  The Company shall pay all expenses in connection with, and all
taxes and other  governmental  charges  (other than any thereof on, based on, or
measured  by,  the net  income of the  holder  thereof)  that may be  imposed in
respect of, the issue or delivery of the Warrant  Shares.  The Company shall not
be required,  however, to pay any tax or other charge imposed in connection with
any transfer  involved in the issue of any certificate for shares of the Warrant
Shares in any name other than that of Driftwood,  and in such case,  the Company
shall not be required to issue or deliver any stock  certificate  until such tax
or other  charge  has  been  paid or it has been  established  to the  Company's
satisfaction that no such tax or other charge is due.

         9.       SUCCESSORS AND ASSIGNS

                  The terms and provisions of this Warrant shall be binding upon
the Company and Driftwood and their respective successors and assigns.

         10.      LOSS, THEFT, DESTRUCTION OR MUTILATION OF THIS WARRANT

                  Upon   receipt   by  the   Company  of   evidence   reasonably
satisfactory  to it of the  loss,  theft,  destruction  or  mutilation  of  this
Warrant, and in case of loss, theft or destruction,


                                       -6-



<PAGE>


of  indemnity  or security  reasonably  satisfactory  to the  Company,  and upon
reimbursement to the Company of all reasonable expenses incidental thereto,  and
upon surrender and cancellation of this Warrant, if mutilated,  the Company will
make and deliver a new warrant of like tenor and dated as of such  cancellation,
in lieu of this Warrant.

         11.      RESTRICTED SECURITIES

                  The  holder  understands  that this  Warrant  and the  Warrant
Shares  purchasable  hereunder  constitute  "restricted  securities"  under  the
federal  securities  laws  inasmuch as they are, or will be,  acquired  from the
Company in transactions not involving a public offering and accordingly may not,
under such laws and applicable  regulations,  be resold or  transferred  without
registration  under the Securities  Act of 1933 or an applicable  exemption from
registration.  In this connection,  the holder acknowledges that Rule 144 of the
Securities  and  Exchange  Commission  is not now, and may not in the future be,
available  for  resales  of  this  Warrant  and  the  Warrant  Shares  purchased
hereunder.

         12.      SATURDAYS, SUNDAYS, HOLIDAYS

                  If the last or  appointed  day for the taking of any action or
the  expiration of any right  required or granted  herein shall be a Saturday or
Sunday or shall be a legal holiday,  then such action may be taken or such right
may be exercised,  except as to the purchase  price,  on the next succeeding day
not a legal holiday.

                  IN WITNESS WHEREOF, the parties have caused this Warrant to be
duly executed on this 1st day of July, 1992.


                                                INTEGRATED HEALTH SERVICES, INC.

                                                By: /s/ William J. Krystopowicz
                                                    ---------------------------
                                                Name:  William J. Krystopowicz
                                                       ------------------------
                                                Title:  Senior Vice President
                                                        -----------------------

RECEIVED AND ACKNOWLEDGED this
1st day of July, 1992



DRIFTWOOD HEALTH CARE MANAGERS, INC.


By:  /s/  Calvin D. Lipscomb
     ------------------------------

Name:  Calvin D. Lipscomb
       ----------------------------

Title:  President
        ---------------------------









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


                            STOCK PURCHASE AGREEMENT

                           Dated as of August 23, 1996

                                      among

                        INTEGRATED HEALTH SERVICES, INC.

                                       and

                              SELLING SHAREHOLDERS

                                       and

                            SIGNATURE HOME CARE, INC.


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


<PAGE>

<TABLE>
<CAPTION>


                                                 TABLE OF CONTENTS
                                                                                                               Page
<S>                                                                                                               <C>
         ARTICLE I:  SALE AND PURCHASE OF COMPANY SECURITIES......................................................1
                  1.1      Sale and Purchase of Company Securities................................................1

         ARTICLE II:  PURCHASE PRICE..............................................................................1
                  2.1      Determination and Payment of Purchase Price............................................1
                  2.2      Adjustments to the Aggregate Gross Purchase Price......................................3
                  2.3      Escrow.................................................................................5
                  2.4      Appointment of Sellers' Committee......................................................6
                  2.5      Committee Duties; Power of Attorney....................................................6
                  2.6      Actions of the Committee...............................................................7
                  2.7      Assets and Liabilities.................................................................7

         ARTICLE III:  IHS STOCK..................................................................................8
                  3.1      IHS Stock..............................................................................8

         ARTICLE IV:  THE CLOSING................................................................................12
                  4.1      Time and Place of Closing.............................................................12

         ARTICLE V:  REPRESENTATIONS AND WARRANTIES OF THE SELLERS AND
         COMPANY.................................................................................................12
                  5.1      Organization and Standing of the Company..............................................13
                  5.2      Absence of Conflicting Agreements.....................................................13
                  5.3      Consents..............................................................................13
                  5.4      Capital Stock.........................................................................13
                  5.5      Assets and Liabilities................................................................14
                  5.6      Trademarks............................................................................14
                  5.7      Contracts.............................................................................14
                  5.8      Financial Statements..................................................................15
                  5.9      Material Changes......................................................................16
                  5.10     Licenses; Permits; Certificates of Need...............................................16
                  5.11     Title, Condition of Personal Property.................................................17
                  5.12     Legal Proceedings.....................................................................18
                  5.13     Employees.............................................................................18
                  5.14     Collective Bargaining, Labor Contracts, Employment Practices, Etc.....................19
                  5.15     ERISA.................................................................................19
                  5.16     Insurance and Surety Agreements.......................................................20
                  5.17     Relationships.........................................................................20
                  5.18     Absence of Certain Events.............................................................20
                  5.19     Compliance with Laws..................................................................21
                  

                                                        (i)

<PAGE>


                  5.20     Finders...............................................................................22
                  5.21     Tax Returns...........................................................................22
                  5.22     Encumbrances Created by this Agreement................................................22
                  5.23     Subsidiaries and Joint Ventures.......................................................22
                  5.24     No Untrue Statement...................................................................22
                  5.25     Medicare and Medicaid Programs........................................................22
                  5.26     Leasehold Interests...................................................................23
                  5.27     Power and Authority...................................................................23
                  5.28     Binding Effect........................................................................23

         ARTICLE VI:  REPRESENTATIONS AND WARRANTIES OF SELLERS .................................................23
                  6.1      Organization and Standing.............................................................23
                  6.2      Authority.............................................................................23
                  6.3      Binding Effect........................................................................23
                  6.4      Absence of Conflicting Agreements.....................................................24
                  6.5      Consents..............................................................................24
                  6.6      Ownership of Company Securities.......................................................24

         ARTICLE VII:  REPRESENTATIONS AND WARRANTIES OF BUYER...................................................24
                  7.1      Organization and Standing.............................................................24
                  7.2      Power and Authority...................................................................24
                  7.3      Binding Agreement.....................................................................25
                  7.5      Capital Stock.........................................................................25
                  7.6      Absence of Conflicting Agreements.....................................................25
                  7.7      Consents..............................................................................26
                  7.8      Litigation............................................................................26
                  7.9      Investment Representation.............................................................26

         ARTICLE VIII:  INFORMATION AND RECORDS CONCERNING THE COMPANY AND
         ITS SUBSIDIARIES........................................................................................26
                  8.1      Access to Information and Records before Closing......................................26

         ARTICLE IX:  OBLIGATIONS OF THE PARTIES UNTIL CLOSING...................................................27
                  9.1      Conduct of Business Pending Closing...................................................27
                  9.2      Negative Covenants of the Company and its Subsidiaries................................27
                  9.3      Affirmative Covenants.................................................................27
                  9.4      Pursuit of Consents and Approvals.....................................................29
                  9.5      Exclusivity...........................................................................29
                  9.6      Solicitation of Stockholders..........................................................29
                  9.7      Line of Credit........................................................................29

         ARTICLE X:  CONDITIONS PRECEDENT TO BUYER'S OBLIGATIONS.................................................29
                  10.1     Representations and Warranties........................................................30
                  10.2     Performance of Covenants..............................................................30
                  10.3     Delivery of Closing Certificate.......................................................30
                  

                                                       (ii)

<PAGE>


                  10.4     Opinion of Counsel....................................................................30
                  10.5     Legal Matters.........................................................................30
                  10.6     Authorization Documents...............................................................30
                  10.7     Material Change.......................................................................30
                  10.8     Approvals.............................................................................30
                  10.9     Consents..............................................................................31
                  10.10    Closing Date Balance Sheet............................................................31
                  10.11    Resignation of Company and its Subsidiaries' Boards of Directors......................31
                  10.12    Additional Sellers....................................................................31
                  10.13    Hart-Scott-Rodino Act.................................................................31
                  10.14    Samaritan Joint Venture Agreements....................................................31
                  10.15    Real Property Consents................................................................31
                  10.17    Other Documents.......................................................................32
                                                                                                        
         ARTICLE XI:  CONDITIONS PRECEDENT TO SELLERS' OBLIGATIONS...............................................32
                  11.1     Representations and Warranties........................................................32
                  11.2     Performance of Covenants..............................................................32
                  11.3     Delivery of Closing Certificate.......................................................32
                  11.4     Opinion of Counsel....................................................................32
                  11.5     Legal Matters.........................................................................32
                  11.6     Authorization Documents...............................................................32
                  11.7     Other Documents.......................................................................32

         ARTICLE XII: OBLIGATIONS OF THE PARTIES AFTER CLOSING...................................................33
                  12.1     Survival of Representations and Warranties............................................33
                  12.2     Indemnification by Sellers............................................................33
                  12.3     Indemnification by Buyer..............................................................33
                  12.4     Assertion of Claims...................................................................34
                  12.5     Liability Cap.........................................................................34
                  12.6     Control of Defense of Indemnifiable Claims............................................34
                  12.7     Restrictions..........................................................................35
                  12.8     Records...............................................................................36
                  12.9     Audit.................................................................................36
                  12.10    Appraisal Rights......................................................................36
                                                                                                        
         ARTICLE XIII:  TERMINATION..............................................................................37
                  13.1     Termination...........................................................................37
                  13.2     Effect of Termination.................................................................37

         ARTICLE XIV:  MISCELLANEOUS.............................................................................37
                  14.1     Costs and Expenses....................................................................37
                  14.2     Performance...........................................................................37
                  14.3     Benefit and Assignment................................................................37
                  14.4     Effect and Construction of this Agreement.............................................38
                  14.5     Cooperation - Further Assistance......................................................38
                  
                                                       (iii)

<PAGE>


                  14.6     Notices...............................................................................38
                  14.7     Waiver, Discharge, Etc................................................................39
                  14.8     Rights of Persons Not Parties.........................................................39

                  14.9     Governing Law.........................................................................39
                  14.10    Amendments, Supplements, Etc..........................................................39
                  14.11    Severability..........................................................................39
                  14.12    Counterparts..........................................................................40
                                                                                                        

                                                       (iv)
</TABLE>

<PAGE>



                                      SCHEDULES & EXHIBITS

Schedule 2.1(a)        -       Calculation of Fully Diluted Shares Outstanding
Schedule 5.3           -       Consent List of Sellers
Schedule 5.4           -       Capital Stock
Schedule 5.5(a)        -       Accounts Payable Aging
Schedule 5.5(b)        -       Liens
Schedule 5.6           -       Trademarks
Schedule 5.7           -       Contracts
Schedule 5.8(a)        -       Audited Financial Statements
Schedule 5.8(b)        -       Unaudited Interim Financial Statements
Schedule 5.8(c)        -       Material Liabilities
Schedule 5.8(d)        -       Financial Statement Adjustments
Schedule 5.9           -       Material Changes
Schedule 5.10          -       Licenses, Permits, Certificates of Need
Schedule 5.11(a)       -       Liens on Personal Property
Schedule 5.11(b)       -       Leases of Personal Property
Schedule 5.12          -       Legal Proceedings
Schedule 5.13          -       Employees
Schedule 5.15 (b)      -       Employee Benefit Plans
Schedule 5.15 (c)      -       Employees on Leave of Absence
Schedule 5.16          -       Insurance and Surety Agreements
Schedule 5.17          -       Relationships
Schedule 5.18          -       Absence of Certain Events
Schedule 5.19          -       Compliance with Laws
Schedule 5.21          -       Tax Returns
Schedule 5.23          -       Subsidiaries, Joint Ventures, etc.
Schedule 5.25          -       Medicare and Medicaid Programs
Schedule 5.26          -       Leasehold Interests
Schedule 6.6           -       Ownership of Company Securities

Exhibit A              -       Class A Redemption Price
Exhibit 2.3            -       Escrow Agreement
Exhibit 10.4           -       Opinion of Sellers' Counsel
Exhibit 11.4           -       Opinion of Buyer's Counsel


                                       (v)

<PAGE>



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

                            STOCK PURCHASE AGREEMENT

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

                  This Stock Purchase  Agreement (the "Agreement") is made as of
the 23rd day of August, 1996, among INTEGRATED HEALTH SERVICES, INC., a Delaware
corporation  ("Buyer"),  and SIGNATURE HOME CARE,  INC., a Delaware  corporation
(the  "Company"),  and each of the holders of capital stock,  warrants and stock
options of the  Company  whose  signatures  appear at the end of this  Agreement
(collectively, the "Sellers" and individually, the "Seller").

                  WHEREAS,  the  Sellers are the owners or holders of issued and
outstanding shares of the common,  Class A, and Class B stock of the Company and
of the outstanding warrants and stock options of the Company (collectively,  the
"Company Securities"); and

                  WHEREAS,  Buyer wishes to acquire the Company  Securities from
Sellers, and Sellers wish to sell the Company Securities to Buyer, in accordance
with the terms and conditions hereinafter set forth.

                  WHEREAS, this Agreement is initially being executed by Sellers
owning an  aggregate of  approximately  fifty-one  (51%)  percent of the Company
Securities and it is contemplated that prior to the Closing  hereunder,  Sellers
owning an aggregate of at least ninety (90%)  percent of the Company  Securities
shall have executed and delivered this Agreement to Buyer.

                  NOW,  THEREFORE,  Sellers,  Buyer, and Company intending to be
legally bound, agree as follows:


               ARTICLE I: SALE AND PURCHASE OF COMPANY SECURITIES

                  1.1 Sale and  Purchase of Company  Securities.  Subject to the
terms and conditions of this Agreement, at the Closing (as hereinafter defined),
Buyer shall acquire from Sellers,  and Sellers shall sell, assign,  transfer and
convey  to Buyer,  the  Company  Securities.  The  number  of shares of  Company
Securities (and the class or series of such shares) being sold by each Seller is
set forth on Schedule  5.4  hereto.  The  Company  Securities  to be sold by the
Sellers hereunder shall include each of the Signature Options (as defined below)
and Signature Warrants (as defined below) owned by such Sellers, notwithstanding
that the purchase price payable in respect of such options and warrants pursuant
to the provisions of Section 2.1 may be zero.


                           ARTICLE II: PURCHASE PRICE

                  2.1      Determination and Payment of Purchase Price.


<PAGE>


                          (a)    For the  purposes hereof,  the  following terms
                                 shall be defined as indicated
below:

                                    (i)     "Aggregate Net Purchase Price" means
the Aggregate  Gross Purchase Price,  plus the aggregate  exercise prices of all
Signature Warrants and Signature Options, minus (A) the amount of any adjustment
under  Section  2.2,  (B) the Class A  Redemption  Price,  (C) any Class B Stock
dividends  payable  through the Closing to the extent not paid by the Company as
of the  Closing  Date,  and  (D) any  amounts  owed to New  Jersey  Partners  in
connection  with that certain  Purchase  Agreement  dated January 1, 1994 by and
among the Company and the four New Jersey  Partners  named therein to the extent
not paid by the Company as of the Closing Date.

                                    (ii) "Aggregate  Gross Purchase Price" means
Sixteen Million Five Hundred Thousand ($16,500,000.00) Dollars.

                                    (iii)  "Class A  Redemption  Price" means an
amount determined pursuant to Exhibit A hereto.

                                    (iv)  "Class  A  Stock"  means  the  Class A
Stock, par value $1.00 per share, of the Company.

                                    (v) "Class B Stock" means the Class B Stock,
par value $1.00 per share, of the Company.

                                    (vi)  "Fully   Diluted   Shares"  means  the
aggregate  number of shares of Signature  Common Stock that would be outstanding
as of the Closing  assuming  the exercise of all of the  Signature  Warrants and
Signature  Options (if the Per Share  Purchase  Price  exceeds the Net  Exercise
Value) and the conversion of all of the Class B Stock.

                                    (vii) "Net Exercise  Value" means, as to any
Signature Warrant or Signature Option, an amount equal to the Per Share Purchase
Price  multiplied  by the number of shares for which such  Signature  Warrant or
Signature  Option is  exercisable  as of the  Closing  Date,  and reduced by the
aggregate exercise price of the unexercised portion of such Signature Warrant or
Signature Option.

                                    (viii) "Per Share Purchase  Price" means the
Aggregate Net Purchase Price divided by the Fully Diluted Shares.

                                    (ix)  "Signature  Common  Stock"  means  the
common stock, par value $.01 per share, of the Company.






                                        2

<PAGE>

                                    (x)  "Signature  Option"  means  any  option
outstanding  under the Company's Amended and Restated 1992 Option and Restricted
Stock Plan as of the Closing for the purchase of Signature Common Stock.

                                    (xi)  "Signature  Warrant" means any warrant
outstanding as of the Closing for the purchase of Signature Common Stock.

                           (b)    At the Closing, Buyer shall pay to the Sellers
and the Sellers  shall  accept,  the  following  amounts in full payment for the
Company Securities:

                                    (i) Purchase of Signature Common Stock. Each
share of Signature Common Stock owned by a Seller,  and all rights existing with
respect  thereto,  shall be exchanged  for that number of shares of IHS Stock as
shall be equal in value to 51% of the Per Share Purchase Price, and an amount of
cash equal to 49% of the Per Share Purchase Price (as defined below).

                                    (ii)  Purchase of Class A Stock.  Each share
of Class A Stock, par value $1.00 per share ("Class A Stock"), owned by a Seller
and all rights existing with respect thereto, shall be exchanged for that number
of  shares  of IHS  Stock as  shall  be  equal  in  value to 51% of the  Class A
Redemption  Price,  and an amount of cash equal to 49% of the Class A Redemption
Price.

                                    (iii) Purchase of Class B Stock.  Each share
of  Class B Stock  owned by a  Seller,  and all  rights  existing  with  respect
thereto,  shall be exchanged for the that number of shares of IHS Stock as shall
be equal to 35.7% and an amount of cash equal to 34.3% of the Per Share Purchase
Price.

                                    (iv)  Purchase of Signature  Warrants.  Each
Signature  Warrant  and all  rights  existing  with  respect  thereto,  shall be
exchanged  for that  number of shares of IHS Stock as shall be equal in value to
51% of the Net Exercise  Value of such  Signature  Warrant and an amount of cash
equal to 49% of the Net Exercise Value of such Signature Warrant.

                                    (v)  Purchase  of  Signature  Options.  Each
Signature  Option to purchase  Signature  Common,  and all rights  existing with
respect  thereto,  shall be exchanged  for that number of shares of IHS Stock as
shall  be equal in  value  to 51% of the Net  Exercise  Value of such  Signature
Option and an amount of cash equal to 49% percent of the Net  Exercise  Value of
such Signature Option.

                           (c) The  value of of IHS Stock  for the  purposes  of
subsection (b), above, shall be determined in accordance with Section 3.1(a).

                  2.2    Adjustments to the Aggregate Gross Purchase Price.

                                        3

<PAGE>

                           (a)      At the Closing, the Company shall deliver to
Buyer  the  balance  sheet  of the  Company  dated as of the  Closing  Date on a
consolidated  basis,  certified by the Company's  Chief  Financial  Officer (the
"Closing Date Balance Sheet"). The Aggregate Gross Purchase Price payable to the
Sellers  shall be reduced if the Closing Date Balance Sheet  discloses  that the
amount by which  current  liabilities,  minus  current  assets,  plus  long-term
liabilities (excluding minority interests),  minus property and equipment before
depreciation, plus $7,700,000 exceeds $3,200,000 (the "Purchase Price Adjustment
Amount").  In such event,  the  Aggregate  Gross  Purchase  Price payable to the
Sellers at the  Closing  shall be reduced  on a  dollar-for-dollar  basis by the
amount of the Purchase Price Adjustment  Amount.  For purposes  hereof,  current
assets,  current liabilities,  long-term  liabilities and property and equipment
shall be  determined  on a  consolidated  basis  in  accordance  with  generally
accepted accounting principles, consistently applied.

                           (b)      As soon as is reasonably practicable, but in
any event  within  ninety  (90) days  following  the Closing  Date,  Buyer shall
complete  and  deliver to the  Sellers an audit of the  Company's  Closing  Date
Balance Sheet. If such audit reveals that the Purchase Price  Adjustment  Amount
based on such audit was greater than the  Purchase  Price  Adjustment  Amount as
indicated on the Closing Date Balance Sheet,  the Aggregate Gross Purchase Price
shall be deemed to have  been  reduced  by the  amount of such  excess,  and the
Sellers shall refund from the Escrow Fund to Buyer the amount of such excess, in
cash and/or IHS Stock as selected by  Sellers.  If such audit  reveals  that the
Purchase Price Adjustment  Amount based on such audit was less than the Purchase
Price Adjustment  Amount per the Closing Date Balance Sheet, the Aggregate Gross
Purchase  Price  shall be deemed to have been  increased  by the  amount of such
deficiency, and the Buyer shall pay to Sellers the amount of such deficiency, in
the  respective  combinations  of cash  and IHS  Stock as set  forth in  Section
2.1(b).  In the event that the  Sellers  choose to effect any  reduction  of the
Aggregate  Gross Purchase Price under Section 2.2(b) by means of a return of IHS
Stock, the number of shares to be so returned shall be calculated based upon the
valuation of the IHS Stock at Closing as set forth in Section  3.1(b) below.  If
Sellers  dispute the calculation of the Purchase Price  Adjustment  Amount as of
the  Closing  Date,  such  dispute  shall be  resolved  in  accordance  with the
following:

                                    (i) Within sixty (60) days after delivery to
Sellers of the audit,  the Sellers  may  deliver to Buyer a written  report (the
"Sellers'  Report")  prepared by an independent  accounting firm selected by the
Sellers  (the  "Sellers'  Accountants")  advising  Buyer  either  that  Sellers'
Accountants (A) agree with the audit,  or (B) deem that one or more  adjustments
are required. The costs and expenses of the services of the Sellers' Accountants
shall be borne  by the  Sellers.  If Buyer  shall  concur  with the  adjustments
proposed by the Sellers'  Accountants,  or if Buyer shall not object  thereto in
writing  delivered to the Sellers within (30) days after Buyer's  receipt of the
Sellers' Report,  the audit as submitted by Buyer (as so adjusted as provided in
such  Sellers'  Report)  shall  become final and shall not be subject to further
review,  challenge or adjustment  absent  fraud.  If the Sellers do not submit a
Sellers'  Report within the 60-day  period  provided  herein,  then the audit as
submitted  by Buyer  shall  become  final and shall not be  subject  to  further
review, challenge or adjustment absent fraud.


                                        4

<PAGE>



                                    (ii) In the event that the Sellers  submit a
Sellers' Report and Buyer disagrees with the Sellers' Report,  and Buyer and the
Sellers'  Accountants are unable to resolve the  disagreements set forth in such
report within thirty (30) days after the date of the Sellers' Report,  then such
disagreements  shall be referred to a recognized  firm of independent  certified
public  accountants  experienced  in auditing  home health  care  companies  and
selected by mutual  agreement of the Sellers and Buyer (or if the parties cannot
agree on such selection,  then a "big six" accounting firm selected by lot) (the
"Settlement  Accountants"),  and the determination of the Settlement Accountants
shall be final  and  shall  not be  subject  to  further  review,  challenge  or
adjustment absent fraud. The Settlement Accountants shall use their best efforts
to reach a determination not more than forty-five (45) days after such referral.
The costs and expenses of the services of the  Settlement  Accountants  shall be
paid by Buyer if it is  determined  that  there  will be any  adjustment  to the
audit;  otherwise,  if there is no  adjustment,  such costs and  expenses of the
Settlement Accountants shall be paid by Sellers.

                           (c)      In the event that the Arizona Physicians IPA
capitated  contract (the "APIPA Contract") with the Company is not renewed prior
to December 31, 1996 upon terms  favorable to the Company,  the Aggregate  Gross
Purchase  Price shall be reduced by One  Million  ($1,000,000.00)  Dollars  (the
"APIPA  Penalty").  The Sellers  shall refund the APIPA  Penalty from the Escrow
Fund to Buyer in cash  and/or IHS Stock as selected  by  Sellers.  For  purposes
hereof,  the  renewal of the APIPA  Contract  shall be deemed  favorable  to the
Company  if the  renewal  contract  is on  substantially  similar  terms  as the
existing contract except that it shall include the following terms:

                                    (i)  the  APIPA   Contract   shall   include
provisions for revenue adjustments for material changes in utilization;

                                    (ii)  the  capitation  rates  stated  in the
renewal of the APIPA Contract are, at a minimum, equal to the HIDA rates for the
periods applicable to the APIPA Contract; and

                                    (iii) the APIPA  Contract  is renewed  for a
two-year period.

                  2.3 Escrow. At the Closing, pursuant to an Escrow Agreement to
be entered  into by the  parties  substantially  in the form of  Exhibit  2.3, a
portion of the IHS Stock  included in the Aggregate Net Purchase  Price as shall
be equal to  one-half  of the  Aggregate  Net  Purchase  Price,  based  upon the
valuation  described  in  Section  3.1(a),  below,  but in the  event  that  the
Aggregate  Net  Purchase  Price is below  Nine  Million  Five  Hundred  Thousand
($9,500,000.00)  Dollars,  such  portion  of the IHS  Stock to be held in escrow
shall be equal to Four Million  ($4,000,000.00)  Dollars  (the  "Escrow  Fund"),
shall be delivered over to AMERICAN  STOCK  TRANSFER & TRUST COMPANY,  as escrow
agent (the  "Escrowee"),  and shall be held and  disbursed  by the  Escrowee  in
accordance with the following:

                                        5

<PAGE>




                                    (i) In the  event  that the  Sellers  become
obligated to remit shares back to Buyer pursuant to the post-Closing adjustments
set forth in Sections  2.2(b) and 2.2(c),  the Escrowee  shall  release to Buyer
that  portion  of the Escrow  Fund as shall have a value  equal to the amount by
which the Aggregate  Gross Purchase Price is so reduced,  calculated  based upon
the valuation of the IHS Stock at Closing as set forth in Section 3.1(a), below.
The  number of shares of IHS Stock to be  delivered  to each  Seller at  Closing
shall be reduced by such Seller's proportional ownership interest in the Company
Securities;

                                    (ii) In the  event  that the  Buyer  becomes
entitled to indemnification pursuant to Section 12.2 or to payment for breach of
representations and warranties or breach of covenants hereunder, the Buyer shall
first utilize the Escrow Fund as a source of  indemnification  or of payment for
breach of  representations  and warranties or breach of covenants  hereunder and
the Escrowee  shall  release to Buyer as selected by Sellers cash or that number
of shares of the Escrow Fund as shall be equal in value to such  indemnification
or payment  based upon a price per share of such stock as calculated at Closing.
Such  Escrow  Fund shall  serve as an  exclusive  source of  indemnification  or
payment for all Loss (as defined in Section 12.2) other than Loss resulting from
Excess Reimbursement  Liabilities (as defined in Section 2.7), any breach of the
representations and warranties  contained in Section 5.25 (Medicare and Medicaid
Programs),  and the audit or assessment of taxes by the Federal,  state or local
tax authority;

                                    (iii) If no claim for indemnification on the
part of Buyer remains  outstanding upon the expiration of one (1) year following
the Closing Date (the "Escrow  Period"),  any remaining  Escrow then held by the
Escrowee shall be released to the Sellers on a pro rata basis in accordance with
each  Seller's  relative  ownership of the Company  Securities as of the Closing
Date.

                  2.4 Appointment of Sellers'  Committee.  Sellers, by execution
of this Agreement,  hereby appoint a committee (the "Committee") for the purpose
of taking  certain  actions on behalf of the  Sellers  under this  Agreement  as
described  below.  Such  committee  shall  consist  of three  (3)  persons.  The
Committee  shall  initially  consist of James Crews,  Michael  Kluger and Steven
Gilbert, but shall include any successor as chosen by Sellers holding at least a
majority of the Fully Diluted Shares.

                  2.5      Committee Duties; Power of Attorney.

                           (a) The Committee (acting pursuant to the affirmative
agreement  of a  majority  of the  members  thereof)  is  hereby  appointed  and
constituted agent and attorney-in-fact by each Seller, for and on behalf of such
Seller:  to execute  the  Escrow  Agreement;  to give and  receive  notices  and
communications  hereunder and under the Escrow Agreement;  to authorize delivery
to Buyer of IHS Stock or cash from the Escrow Fund in  satisfaction of claims by
Buyer;  to  object  to such  deliveries;  to agree  to,  negotiate,  enter  into
settlements  and  compromises of, and comply with orders of courts and awards of
arbitrators  with respect to such claims;  and to take 
                                      
                                        6

<PAGE>



all actions  necessary or  appropriate  in the judgment of the Committee for the
accomplishment of the foregoing and in furtherance of this Agreement. Any member
of the  Committee may resign upon thirty (30) days notice to the parties to this
Agreement.  Such  Committee  member may be replaced by the Sellers  from time to
time upon not less than (5) days' prior written  notice to Buyer;  provided that
the  member may not be  replaced  unless  holders of at least a majority  of the
Fully Diluted Shares agree to such replacement. No bond shall be required of the
Committee,  and the Committee  members shall receive no  compensation  for their
services except as provided in Section 2.4(b).  Notice or  communications  to or
from the Committee shall constitute notice to or from each of the Sellers.

                           (b) No member of the  Committee  or their  affiliates
shall be personally  liable for his or her service in such capacity to Buyer and
the Sellers for any act done or omitted  hereunder  as a Committee  member while
acting in good faith.  The Sellers shall jointly and  severally  indemnify  each
Committee  member and hold each Committee  member  harmless  against,  any loss,
liability  or expense  incurred  without bad faith on the part of the  Committee
member and arising out of or in connection with the acceptance or administration
of the Committee  member's duties hereunder.  The Committee shall be entitled to
direct,  immediately prior to the termination of the Escrow Period, the Escrowee
to deliver  cash and/or IHS Stock held in the Escrow Fund for any Seller to such
Committee members to satisfy such Seller's obligations pursuant to the preceding
sentence;  provided,  however,  that the Committee shall have such right only to
the extent  that the Escrow  Fund  exceeds  any amount of such funds  reasonably
sufficient to satisfy any unsatisfied claims for Loss hereunder.

                  2.6 Actions of the Committee. The Sellers hereby authorize the
Committee to sign the Escrow  Agreement  on behalf of the  Sellers.  A decision,
act,  consent  or  instruction  of the  Committee  (acting  by  the  affirmative
agreement of a majority of the members  thereof) shall  constitute a decision of
all the Sellers,  and shall be final,  binding and  conclusive  upon each of the
Sellers, and the Escrowee and Buyer may rely upon any decision,  act, consent or
instruction of the Committee as being the decision,  act, consent or instruction
of each and all of the Sellers.  The Escrowee and Buyer are hereby relieved from
any  liability to any person for any acts done by them in  accordance  with such
decision,  act, consent or instruction of the Committee.  Although the Committee
shall not be  obligated  to obtain  instructions  from the Sellers  prior to any
decision, act, consent or instruction, if, and to the extent that, the Committee
receives  any written  instructions  from the holders of a majority of the Fully
Diluted  Shares,  the  Committee  shall comply with such  instructions  and such
instruction shall be binding as if unanimously given by all Sellers even if some
Sellers dissent thereto.


                  2.7  Assets  and  Liabilities.  As of the  Closing  Date,  the
consolidated  assets of the  Company  (the  "Assets")  will  include  all of the
tangible and intangible  assets of the Company and its subsidiaries as presently
constituted,  including,  without  limitation,  all contract  rights,  leasehold
interests,  fixed  and  moveable  equipment,  vehicles,  furnishings,   tangible
personal property,  inventory and supplies (other than inventory,  supplies, and
other assets  disposed of in the ordinary  course of business,  consistent  with
prior  practice),  goodwill,  tradenames,  trademarks,  all patient  records and
files,  Certificates  of Need,  Medicare and Medicaid  provider  agreements  and
numbers,  telephone  numbers,  and to the extent  permitted by law, all permits,
licenses and 
                                        7

<PAGE>



other governmental  approvals.  The Assets of the Company as of the Closing Date
shall also include cash, accounts  receivable,  and prepaid expenses.  As of the
Closing,  the Company will not have any  liabilities  other than such  long-term
liabilities and current liabilities as are reflected on the Closing Date Balance
Sheet.  It is expressly  agreed that Sellers  shall remain  responsible  for all
other liabilities and obligations of the Company, including, without limitation,
all liabilities or obligations ("Excess  Reimbursement  Liabilities") owed to or
amounts due or that may become due to  Medicare or Medicaid or any other  health
care  reimbursement  or payment  intermediary  on account of  Medicare  cap cost
report adjustments or other payment adjustments attributable to any period on or
prior to the Closing  Date,  or any other form of Medicare or other  health care
reimbursement  recapture,  adjustment or overpayment  whatsoever with respect to
any period on or prior to the Closing Date,  except for the current  liabilities
and long-term  liabilities  disclosed on the Closing Date Balance Sheet referred
to in Section 2.2(a).  However, any favorable settlements in excess of estimated
Medicare cost report  receivables  or less than  estimated  Medicare cost report
liabilities as disclosed on the audit of the Closing Date Balance Sheet shall be
offset  against the Excess  Reimbursement  Liabilities.  If such  offset  should
exceed the Excess Reimbursement Liabilities,  eighty (80%) percent of the excess
will be returned to Sellers upon final audit and  settlement of all Medicare and
Medicaid cost reports for all periods through the Closing Date.


                             ARTICLE III: IHS STOCK

                  3.1 IHS Stock.  Fifty-one  (51%)  percent of the Aggregate Net
Purchase Price and the Class A Redemption Price shall be payable by means of the
delivery to the Sellers of IHS Stock in accordance with the following:

                           (a)      Share Value.     The number of shares of IHS
Stock  issuable at Closing  pursuant to Section  2.1(a)(ii)  shall be calculated
based upon a price per share of such stock  equal to the  average  closing  NYSE
price  of such  stock  for the  thirty  (30)  business  day  period  immediately
preceding the date which is three (3) business days before the Closing Date.

                           (b)     Registration Rights.  Buyer will use its best
efforts to cause to be prepared and filed within ninety (90) days  following the
Closing Date,  and will use its best efforts to have  declared  effective by the
Securities and Exchange Commission (the "Commission"),  a registration statement
for the  registration  of the IHS Stock  under the  Securities  Act of 1933,  as
amended (the "Securities  Act"),  and Buyer shall maintain the  effectiveness of
such registration  statement for a period of two (2) years following the date it
became  effective,  except to the extent that an exemption from registration may
be available.

                           (c)      Registration Expenses.  Buyer shall bear all
reasonable expenses related to such registration.  Such costs and expenses shall
include,  without limitation,  the fees and expenses of counsel for Buyer and of
its  accountants,  all other costs,  fees and expenses of 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 

                                        8

<PAGE>

counsel to the Sellers or their  designees who receive IHS Stock at Closing (the
"Holders") 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 other purchasers of IHS Stock and the costs
and  expenses   (including  fees  and  disbursements  of  counsel)  incurred  in
connection  with  the  qualification  of IHS  Stock  under  the Blue Sky laws of
various jurisdictions.

                           (d)      Resale  Limitations.    The  Holders  hereby
covenant with Buyer that sales by them of IHS Stock after the Closing Date shall
not, in the aggregate,  exceed 75,000 shares during any 30-day period. All sales
by Holders shall be effected solely through Smith Barney,  Inc., Cowen & Co., or
Paine Webber.

                           (e)      Registration Procedures, etc.  In connection
with the  registration  rights  granted to the Holders  with  respect to the IHS
Stock as provided in this Section 3.1, Buyer covenants and agrees as follows:


                                    (i) At Buyer's expense,  Buyer will keep the
registration  and  qualification  under  this  Section  3.1  effective  (and  in
compliance  with the  Securities  Act) by such  action  as may be  necessary  or
appropriate  for a  period  of two  (2)  years,  except  to the  extent  that an
exemption from registration may be available.  Buyer will immediately notify the
Holders,  at any time when a  prospectus  relating to a  registration  statement
under this Section 3.1 is required to be delivered  under the Securities Act, of
the  happening  of any event known to Buyer 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.

                                    (ii) Buyer shall  furnish  the Holders  with
such number of prospectuses as shall reasonably be requested.

                                    (iii) Buyer shall take all necessary  action
which may be required  in  qualifying  or  registering  IHS Stock  included in a
registration  statement  for offering and sale under the  securities or Blue Sky
laws of such states as reasonably  are  requested by the Holders,  provided that
Buyer shall not be obligated to qualify as a foreign corporation or dealer to do
business under the laws of any such jurisdiction.

                                    (iv)    The    information    included    or
incorporated by reference in the  registration  statement filed pursuant to this
Section  3.1 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
statement  will  comply in all  material  respects  with the  provisions  of the
Securities Act and the rules and regulations  thereunder.  Buyer shall indemnify
the  Holders of IHS Stock to be sold  pursuant  to the  registration  statement,
their successors and assigns, and each person, if any, 

                                        9

<PAGE>



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  ("Exchange  Act"),
against 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  IHS  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 any of the
Holders  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
3.1(e)(iv), the Holders or such controlling person shall within thirty (30) days
after the receipt thereby of a summons or complaint,  notify Buyer in writing of
the  institution  of such  action  and Buyer  shall  assume the  defenseof  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  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 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 fees and  expenses  of not more than one  additional  firm of
attorneys  for the Holders  and/or  such  controlling  person  shall be borne by
Buyer. Except as expressly provided in the previous two sentences,  in the event
that Buyer shall not previously  have assumed the defenses of any such action or
claim,  Buyer shall not thereafter be liable to the Holders or such  controlling
person in investigating,  preparing or defending any such action or claim. Buyer
agrees  promptly to notify the Holders of the  commencement of any litigation or
proceedings  against  Buyer or any of its  officers,  directors  or  controlling
persons in connection  with the resale of IHS Stock or in  connection  with such
registration statement.

                                    (v)  The  Holders  of IHS  Stock  to be sold
pursuant to a registration  statement,  and their successors and assigns,  shall
severally, and not jointly, indemnify Buyer, its officers and directors and each
person,  if any,  who  controls  Buyer  within the  meaning of section 15 of the
Securities  Act or section  20(a) of the Exchange  Act against 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 

                                       10

<PAGE>

Exchange  Act or any  other  statute,  common  law or  otherwise,  arising  from
information  furnished  in  writing  by or on behalf of such  Holders,  or their
successors or assigns for specific inclusion in such registration statement.

                           (f)      Notice of Sale.   If  the  Holders desire to
transfer  all or any portion of IHS Stock,  the  Holders  will  deliver  written
notice to Buyer,  describing in reasonable  detail their intention to effect the
transfer  and the manner of the  proposed  transfer.  If the  transfer  is to be
pursuant to an effective  registration statement as provided herein, the Holders
will  sell  the  IHS  Stock  in  compliance  with  the  disclosure  therein  and
discontinue  any offers and sales  thereunder  upon  notice  from Buyer that the
registration  statement  relating  to the IHS  Stock  being  transferred  is not
"current"  until  Buyer  gives  further  notice  that  offers  and  sales may be
recommenced.  In the event of any such notice from Buyer,  Buyer  agrees to file
expeditiously such amendments to the registration  statement as may be necessary
to bring it current  during the period  specified in Section  3.1(e) and to give
prompt  notice to the Holders when the  registration  statement has again become
current.  If the  Holders  deliver to Buyer an  opinion  of  counsel  reasonably
acceptable to Buyer and its counsel and to the effect that the proposed transfer
of IHS Stock may be made  without  registration  under the  Securities  Act, the
Holders will be entitled to transfer IHS Stock in  accordance  with the terms of
the notice and opinion of their counsel.


                           (g)     Furnish Information.  It shall be a condition
precedent to the  obligations  of the Buyer to take any action  pursuant to this
Article  III that the  Holders  shall  furnish  in  writing  to the  Buyer  such
information regarding  themselves,  the IHS Stock held by them, and the intended
method of  disposition  of such  securities  as shall be  required to effect the
registration  of their IHS  Stock.  In that  connection,  each  Holder  shall be
required to represent to the Buyer that all such  information  which is given is
both complete and accurate in all material respects.  Such Holders shall deliver
to the  Buyer  a  statement  in  writing  from  the  beneficial  owners  of such
securities that they bona fide intend to sell,  transfer or otherwise dispose of
such securities. Each Holder will, severally,  promptly notify Buyer at any time
when a prospectus  relating to a registration  statement  covering such Holder's
shares under this Section 3.1 is required to be delivered  under the  Securities
Act, of the happening of any event known to such Holder 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 statements as then existing.

                           (h)      Investment Representations.    All shares of
IHS Stock to be  issued  hereunder  will be newly  issued  shares of Buyer.  The
Sellers represent and warrant to Buyer that the IHS Stock being issued hereunder
is being acquired, and will be acquired, by the Sellers for investment for their
own  accounts  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; the Sellers  acknowledge  that the IHS Stock  constitutes
restricted  securities under Rule 144 promulgated by the Commission  pursuant to
the Securities Act, and may have to be held indefinitely,  and the Sellers agree
that no  shares  of IHS Stock may be sold,  transferred,  assigned,  


                                       11

<PAGE>

pledged or otherwise  disposed of except  pursuant to an effective  registration
statement or an exemption from registration  under the Securities Act, the rules
and regulations thereunder,  and under all applicable state securities laws. The
Sellers have the knowledge and experience in financial and business matters, are
capable of evaluating  the merits and risks of the  investment,  and are able to
bear the economic risk of such investment.  The Sellers have had the opportunity
to make inquiries of and obtain from representatives and employees of Buyer such
other  information  about Buyer as they deem  necessary in connection  with such
investment.

                                    (i)  Legend.   It  is  understood  that  the
certificates  evidencing  the IHS Stock  shall  bear a legend  substantially  as
follows:

                           THE SHARES  REPRESENTED BY THIS  CERTIFICATE HAVE NOT
                           BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933. THE
                           SHARES HAVE BEEN ACQUIRED FOR  INVESTMENT AND MAY NOT
                           BE SOLD, TRANSFERRED OR ASSIGNED IN THE ABSENCE OF AN
                           EFFECTIVE  REGISTRATION  STATEMENT  FOR THESE  SHARES
                           UNDER THE SECURITIES ACT OF 1933 OR AN OPINION OF THE
                           COMPANY'S  COUNSEL THAT  REGISTRATION IS NOT REQUIRED
                           UNDER SAID ACT.

                           (j)      Certain Transferees.   Except in the case of
any  transfer  to a  person  in an open  market  transaction  subsequent  to the
effective date of  registration  of the IHS Stock,  no Holder shall transfer any
shares of IHS Stock to any person or entity  unless such  transferee  shall have
agreed in writing to be bound by the provisions  applicable to the Holders under
this Article III.

                             ARTICLE IV: THE CLOSING

                  4.1  Time  and  Place  of  Closing.  The  Closing  under  this
Agreement (the "Closing") shall be held as promptly as practicable, but not more
than five (5)  business  days  following  the later of (a) the  signing  of this
Agreement  by  the  holders  of in  excess  of 90% of  each  of the  outstanding
Signature  Common  (assuming  exercise of the  Signature  Options and  Signature
Warrants),  Class A Stock,  and Class B Stock (both in voting power and economic
interest) and (b)  satisfaction of all other conditions  precedent  specified in
this  Agreement,  unless  duly  waived by the  party  entitled  to  satisfaction
thereof.  The Closing  shall take place at the offices of the Buyer,  or at such
other  time and place upon which the  parties  may agree.  The date on which the
Closing is held is hereinafter called the "Closing Date."


          ARTICLE V: REPRESENTATIONS AND WARRANTIES OF THE SELLERS AND
                                     COMPANY

                  Company and each of the Sellers,  each as to himself,  herself
or itself,  hereby severally represent and warrant to Buyer as follows (it being
understood  that, for the purposes of this Article V, "Company"  shall be deemed
to refer  collectively  to the Company and its  subsidiaries  listed on Schedule
5.23):
                  
                                       12

<PAGE>



                  5.1 Organization and Standing of the Company. The Company is a
corporation duly organized, validly existing and in good standing under the laws
of the State of Delaware.  Copies of the Company's Articles of Incorporation and
By-Laws,  and all amendments  thereof to date,  have been delivered to Buyer and
are  complete and  correct.  The Company has the power and  authority to own the
property and assets now owned by it and to conduct the business  presently being
conducted by it.

                  5.2 Absence of Conflicting  Agreements.  Neither the execution
or delivery of this Agreement  including all Schedules and Exhibits  hereto,  or
any of the other instruments and documents  required or contemplated  hereby and
thereby ("Transaction Documents") by Sellers and the Company nor the performance
by Sellers and the Company of the transactions  contemplated hereby and thereby,
conflicts  with, or  constitutes a breach of or a default under (i) the Articles
of  Incorporation  or By-Laws of the Company;  or (ii) any applicable law, rule,
judgment,  order, writ, injunction, or decree of any court, currently in effect,
provided  that the consents set forth in Schedule 5.3 are obtained  prior to the
Closing; or (iii) any applicable rule or regulation of any administrative agency
or other  governmental  authority  currently  in  effect;  or (iv) any  material
agreement, indenture, contract or instrument to which the Company is now a party
or by which any of the assets of the Company is bound.

                  5.3  Consents.  Except  as  set  forth  in  Schedule  5.3,  no
authorization,  consent, approval, license, exemption by, filing or registration
with any court or governmental department,  commission, board, bureau, agency or
instrumentality, domestic or foreign, is or will be necessary in connection with
the  execution,  delivery  and  performance  of  this  Agreement  or  any of the
Transaction Documents by any of the Sellers or the Company.

                  5.4 Capital Stock. Schedule 5.4 sets forth a complete list and
description of the authorized capital stock of the Company, the number of shares
issued and  outstanding of each class or series of such capital  stock,  and the
identity of each Seller of the Company,  in each case  indicating  the class and
number of shares  held.  No shares  of the  Company  Securities  are held in the
treasury of the  Company.  Except as  otherwise  set forth on Schedule  5.4, the
Sellers are the record owners of all of the Company  Securities  and all of such
stock is duly authorized, validly issued, and fully paid and non-assessable.  On
the  Closing  Date,  there  will be no  preemptive  or first  refusal  rights to
purchase or otherwise acquire shares of capital stock of the Company pursuant to
any provision of law or the Articles of  Incorporation or By-Laws of the Company
or by  agreement  or  otherwise.  Except as set forth on  Schedule  5.4,  on the
Closing Date there shall not be  outstanding  any  warrants,  options,  or other
rights to subscribe for or purchase from the Company any shares of capital stock
of the Company,  nor shall there be outstanding any securities  convertible into
or exchangeable for such shares. All Signature Options and Signature Warrants of
the Company by their terms may be terminated by the Company  without  payment or
other  compensation upon the occurrence of a merger where the Company is not the
surviving  entity  unless  such  option or  warrant  is  exercised  prior to the
effective time of such merger.



                                       13

<PAGE>

5.5 Assets and Liabilities.  As of the Closing,  the consolidated  Assets of the
Company will include all of the tangible and intangible assets of the Company as
presently  constituted,   including,   without  limitation,  cash  and  accounts
receivable; provided, however, that Assets shall not include inventory, supplies
and other assets disposed of in the ordinary course of business, consistent with
the prior practice of the Company's business.  The quantities of inventory items
included in the Assets are  reasonable  in light of the present and  anticipated
volume of the Company  and the  inventory  is good,  usable,  merchantable,  and
salable in the ordinary  course of the Company,  in each case,  as determined by
the  Company in good  faith and  consistent  with past  practice.  The  accounts
receivable  of  Company  are  reflected  properly  on its books and  records  in
accordance with generally accepted accounting principles applied on a consistent
basis  ("GAAP"),  and have been  billed or invoiced  in the  ordinary  course of
business  consistent  with past practice.  Schedule 5.5(a) sets forth a complete
and accurate accounts payable aging schedule of the Company as of June 30, 1996.
The Assets are not subject to any liens or encumbrances, except as identified on
Schedule 5.5(b) and expressly accepted by Buyer hereto.

                  5.6  Trademarks.  Schedule  5.6  sets  forth  a  complete  and
accurate list of all trademarks,  service marks, or applications  for any of the
same,  copyrights,  and other  items of  intellectual  property  that are owned,
possessed or used by the Company. There are no claims or proceedings pending or,
to  the  knowledge  of the  Company,  overtly  threatened  against  the  Company
asserting  that  the  use  of any of the  aforementioned  properties  or  rights
infringes the rights of any other person,  and, to the knowledge of the Company,
the Company is not infringing on the  intellectual  property rights of any other
person.


                  5.7   Contracts.  Schedule  5.7  sets  forth  a  complete  and
correct list of all agreements,  contracts and commitments of the following type
to which the Company is a party or by which the Company or any of the  Company's
other assets are bound and as to which the Company has any outstanding  material
obligations as of the date hereof (the "Contracts"):

                           (a)     each contract or agreement for the employment
or retention of, or collective  bargaining,  severance or termination  agreement
with, any director, officer, employee,  consultant,  agent or group of employees
of the Company;

                           (b)     each   profit   sharing,    thrift,    bonus,
incentive,  deferred compensation,  stock option, stock purchase, severance pay,
pension, retirement, hospitalization, insurance or other similar plan, agreement
or arrangement;

                           (c)     each agreement or arrangement for the sale of
any of the Company's assets, properties or rights outside the ordinary course of
business  (by sale of  assets,  sale of  stock,  merger or  otherwise)  which is
currently in effect;

                           (d)     each  contract   currently  in  effect  which
contains  any  provisions  requiring  the  Company to  indemnify  or act for, or
guarantee the obligation of, any other person or entity;

                                       14

<PAGE>

                           (e)     each agreement  restricting  the Company from
conducting business anywhere in the world;

                           (f)     each partnership or joint venture contract or
similar arrangement or agreement which is likely to involve a sharing of profits
or future  payments  with  respect  to the  Company's  business  or any  portion
thereof;

                           (g)     each    licensing,    distributor,    dealer,
franchise,  sales or  manufacturer's  representative,  agency  or other  similar
contract,  arrangement or commitment  which involves  consideration of more than
$15,000; or

                           (h)    each contract under which the Company performs
home health services;

                           (i)     each lease of real property;

                           (j)     each   agreement   pursuant   to  which   any
professional of the type described under 42.C.F.R  410.20(b) renders services on
behalf of the Company;

                           (k)     each agreement with referral sources, whether
or not related to the referrals,  including  "sub-contracting  agreements"  with
respect to Medicare and Medicade patients;

                           (l)     any  other agreement not made in the ordinary
and normal course of business which involves consideration of more than $15,000.

                  Except as indicated on Schedule 5.7, each of the Contracts was
entered into and requires  performance in the ordinary course of business and is
in full force and effect.  Except as indicated  on Schedule  5.7, the Company is
not in material  default  under any  Contract  and there has not been  asserted,
either by or against  the Company  under any  Contract,  any  written  notice of
default,  set-off or claim of default.  To the  knowledge  of the  Company,  the
parties to the Contracts  other than the Company are not in material  default of
any of their  respective  obligations  under  the  Contracts,  and there has not
occurred  any event  which with the  passage of time or the giving of notice (or
both) would constitute a material default or material breach under any Contract.
Except as indicated on Schedule  5.7, all amounts  payable  under the  Contracts
are, or will at the Closing Date, be on a current basis.

                  5.8      Financial Statements.

                           (a)      Schedule  5.8(a)  sets  forth  the   audited
consolidated balance sheets of the Company as of December 31, 1994, and December
31, 1995, and the related  consolidated  statements of operations,  consolidated
statements  of  changes  in  redeemable  stock  and  stockholders'  equity,  and
consolidated  statements  of cash flows,  for the years then ended (the 

                                       15

<PAGE>

"Audited  Financial  Statements"),  previously  delivered  to Buyer by  Sellers,
present fairly in all material  respects the financial  condition and results of
operations  of the Company at and for the  periods  therein  specified  and were
prepared in accordance  with GAAP.  Such  statements of operation do not contain
any items of special or  nonrecurring  income or expense or any other income not
earned or expense not  incurred  in the  ordinary  course of business  except as
expressly  specified  therein  or as listed  as audit  adjustments  on  Schedule
5.8(d).

                           (b)      Schedule  5.8(b)  sets  forth  the unaudited
consolidated  balance sheets of the Company as of April 30, 1996 and the related
consolidated  statements of operations and consolidated  statement of cash flows
for the period  then  ended  (the  "Unaudited  Interim  Financial  Statements"),
previously  delivered  to Buyer  by  Sellers,  present  fairly  in all  material
respects the financial condition and results of operations of the Company at and
for the periods  therein  specified and were  prepared in accordance  with GAAP.
Such statements of operation do not contain any items of special or nonrecurring
income or expense or any other  income not earned or expense not incurred in the
ordinary course of business except as expressly  specified  therein or as listed
as adjustments on Schedule 5.8(d).

                           (c)      Except as set forth on Schedule 5.8(c) or as
expressly set forth on the Unaudited Interim Financial  Statements,  the Company
has  no  material  liabilities  or  obligations   (whether  absolute,   accrued,
contingent  or otherwise  and whether due or to become due, kind or nature which
are  required by GAAP to be reflected  in a corporate  balance  sheet and/or the
notes thereto.

                  5.9 Material Changes. Except as noted on Schedule 5.9, between
the date of the  Unaudited  Interim  Financial  Statements  and the date of this
Agreement,  there has not been any  material  adverse  change  in the  condition
(financial or otherwise) of the assets,  properties or operations of the Company
or any  damage or  destruction  of any of the  Company's  Assets or its place of
business by fire or other  casualty,  whether or not covered by  insurance,  and
during such period of time the Company has  conducted  its business  only in the
ordinary and normal course.  Sellers have  identified and  communicated to Buyer
all  material  information  with  respect  to any  fact  or  condition  that  is
reasonably  likely to  adversely  affect  the  future  prospects  (financial  or
otherwise) of the Company.

                  5.10 Licenses;  Permits;  Certificates of Need.  Schedule 5.10
sets forth a  description  of (a) all licenses and other  governmental  or other
regulatory  permits,  authorizations or approvals  required for the operation of
the Company's  business that are now in effect,  including all  certificates  of
occupancy issued with respect to the Company's business; (b) all Certificates of
Need  issued  with  respect to the home  health  agencies of the Company and its
subsidiaries  that are now in effect;  and (c) each other  license,  permit,  or
other  authorization  that is  necessary  for  the  operation  of the  Company's
business (a "License" and collectively, the "Licenses"). The Licenses constitute
all of the governmental, quasi-governmental and regulatory licenses, permits and
authorizations necessary to the operation of the business of the Company and 

                                       16

<PAGE>


its  subsidiaries  as they are  operated  on the date  hereof.  The  Company has
delivered  to  Buyer  copies  of all of the  Licenses.  Except  as set  forth on
Schedule 5.10, the Company and its  subsidiaries  own, possess or otherwise have
the  exclusive  legal  right to use the  Licenses,  free and clear of all liens,
pledges,  claims or other encumbrances of any nature whatsoever.  The Company is
not in  material  default  under  any  such  License,  and the  Company  and its
subsidiaries  have not received any notice of any material  default or any other
material claim or proceeding  relating to any such License,  except as set forth
on Schedule 5.10.  Except as set forth on Schedule 5.10, each License is in full
force and  effect,  and neither  the  Company  nor any of its  subsidiaries  has
received written notice of any proceeding to terminate or suspend any License or
of any condition or event (other than survey deficiencies which singly or in the
aggregate  would not be material  to any home health  agency that the Company or
any of its  subsidiaries  operates)  which,  if  uncured,  would  result  in the
termination  or  suspension  of any  License.  None  of the  Licenses  are:  (a)
provisional,  probationary,  or  restricted  in any  way  except  to the  extent
qualified by any  outstanding  deficiencies  or citations,  particulars of which
have been set forth on  Schedule  5.10;  or (b)  subject  to any  investigation,
cancellation,   impairment,   limitation,   order,  complaint,   proceeding,  or
suspension  nor is such  threatened or pending.  Except as set forth on Schedule
5.10,  all Licenses are in full force and effect.  No  conditions  not generally
applicable  to home health  agencies  requiring  changes in the operation of the
Company or any of its subsidiaries have been imposed, formally or informally, by
any License issuer during the past twenty-four (24) months. No Seller,  director
or officer,  employee or former employee of the Company,  or any person, firm or
corporation  other than the Company  owns or has any  proprietary,  financial or
other interest, direct or indirect, in whole or in part in any of the Licenses.

                  5.11     Title, Condition of Personal Property.


                           (a)      Except for the security interests listed and
described on Schedule 5.11(a),  the Company has good and marketable title to, or
valid and  subsisting  leasehold  interests  in,  all of the  personal  property
located at its place of business or used in connection with the operation of its
business,  subject to no  mortgage,  security  interest,  pledge,  lien,  claim,
encumbrance or charge, or restraint on transfer  whatsoever other than Permitted
Liens (as defined below). No other person has any right to the use or possession
of any of such  property  which is owned  and,  except as set forth on  Schedule
5.11(a),  no  currently  effective  financing  statement  with  respect  to such
personal  property  has been  filed  under the  Uniform  Commercial  Code in any
jurisdiction, and the Company has not signed any such financing statement or any
security  agreement  authorizing  any secured party  thereunder to file any such
financing  statement.  All  of  such  personal  property  comprising  equipment,
improvements,  furniture  and other  tangible  personal  property  in use by the
Company,  whether owned or leased,  is in good  operating  condition and repair,
subject to normal  wear and tear,  and is  sufficient  to enable the  Company to
operate  its  business  in a manner  consistent  with its  operation  during the
immediately preceding twelve (12) months.

                           (b)      Except as set forth on Schedule 5.11(b), no 
tangible  personal property used by the Company in connection with the operation
of its business is subject to a lease,  conditional  sale,  security interest or
similar  arrangement.  The Company has delivered to Buyer a complete and correct
copy of each of the leases and other agreements listed on Schedule 5.11(b).  All
of  said  personal  property  leases  are  valid,  binding  and  enforceable  in
accordance  
                                       17

<PAGE>

with their respective terms and are in full force and effect. The Company is not
in material  default  under any of such leases and there has not been  asserted,
either by or against the Company under any of such leases, any written notice of
default,  set-off, or claim of default. To the best knowledge of Sellers and the
Company, the parties to such leases other than the Company are not in default of
their  respective  obligations  under  any of such  leases,  and  there  has not
occurred  any event which with the passage of time or giving of notice (or both)
would constitute such a default or breach under any of such leases.

                           (c)      "Permitted Liens" shall mean:

                                    (i)    carriers', warehouseman's, mechanics,
materialmen's, repairmen's or other like liens arising in the ordinary course of
business  which  are (i) not  overdue  for a period of more than 30 days or (ii)
which are being contested in good faith and by appropriate proceedings, provided
that if such contest shall  continue for more than 30 days,  the amount  thereof
shall be bonded or properly reserved against at the end of such 30-day period;

                                    (ii)   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;

                                    (iii)   rights  of  lessors under leases set
forth on Schedule 5.11 (b);

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

                                    (v)     the liens set forth on Schedule 5.5.


                  5.12 Legal  Proceedings.  Other than as set forth on  Schedule
5.12, there are no claims, actions, suits or proceedings or arbitrations, either
administrative  or  judicial,  pending,  or, to the  knowledge  of the  Company,
overtly threatened against or affecting the Company, or the Company's ability to
consummate  the  transactions  contemplated  herein,  at  law  or in  equity  or
otherwise,  before or by any court or governmental  agency or body,  domestic or
foreign, or before an arbitrator of any kind.

                  5.13  Employees.  Attached hereto as Schedule 5.13 is the most
recent payroll of the Company, indicating the names, positions, and compensation
of its employees. All of such information is materially correct as of such date.
To the  knowledge of Sellers and Company,  none of the  employees,  while in the
employ  of  the  Company,  has  ever  had  his or her  professional  license  or
certification   denied,   suspended,   revoked,   terminated,   or   voluntarily
relinquished under threat of disciplinary action, or has ever been restricted in
any way from performing the duties he or she is to provide for the Company,  and
there is no  proceeding  pending,  or  threatened,  pursuant to which any of the
foregoing may occur.

                                       18

<PAGE>

                  5.14  Collective  Bargaining,   Labor  Contracts,   Employment
Practices,  Etc. During the two years prior to the Closing Date,  there has been
no  material  adverse  change in the  relationship  between  the Company and its
employees  nor any  strike  or  material  labor  disturbance  by such  employees
affecting the Company's business and, to the knowledge of the Company,  there is
no indication  that such a change,  strike or labor  disturbance is likely.  The
Company's   employees  are  not  represented  by  any  labor  union  or  similar
organization  and the Company has no reason to believe that there are pending or
threatened   any   activities,   the  purpose  of  which  is  to  achieve   such
representation,  of all or some of the Company's employees.  Except as set forth
on Schedule 5.7 or Schedule  5.13,  the Company has no collective  bargaining or
other  labor   contracts,   employment   contracts,   pension,   profit-sharing,
retirement,  insurance,  bonus,  deferred compensation or other employee benefit
plans, agreements or arrangements with respect to its employees.  The Company is
in material  compliance with the requirements  prescribed by all Federal,  state
and local statutes,  orders and governmental rules and regulations  ("Government
Requirements")  applicable to any of the employee benefit plans,  agreements and
arrangements  identified on Schedule 5.7 and Schedule 5.13,  including,  without
limitation,  the Employee  Retirement  Income  Security Act of 1974,  as amended
("ERISA"),  the  Immigration  Reform and Control Act, the Worker  Adjustment and
Retraining Notification Act of 1988, any such Government Requirements respecting
employment  determination,  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. In the event of termination of employment of an
employee of Company,  Buyer will not,  pursuant to any agreement with any Seller
or Company or by reason of any representation made or plan adopted by any Seller
prior to the  Closing,  be liable to any  employee of the Company for  so-called
"severance pay",  parachute  payments or any other similar payments or benefits,
including,  without limitation,  post-employment healthcare (other than pursuant
to the  continuation  health care  provisions  of Section  4980B of the Internal
Revenue Code of 1986,  as amended or Section 601 through 608 of ERISA  ("COBRA")
or insurance benefits.


                  5.15     ERISA.

                           (a)      The Company does not maintain or  make  con-
tributions  to  and  has  not  at  any  time  in the  past  maintained  or  made
contributions  to, any  employee  benefit  plan which is subject to the  minimum
funding  standards  of  ERISA.  The  Company  does  not  now  maintain  or  make
contributions  to,  and  has  not at any  time in the  past  maintained  or made
contributions  to,  any  multi-employer   plan  subject  to  the  terms  of  the
Multi-employer Pension Plan Amendment Act of 1980 (the "Multi-employer Act").

                           (b)      Schedule 5.15(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 Company).  

                                       19

<PAGE>


                           (c)      Schedule 5.15(c) identifies all employees of
the Company on leave of absence eligible to receive health benefits, as required
by COBRA.  Notice of the availability of COBRA coverage has been provided to all
employees of the Company on leave of absence entitled  thereto,  and all persons
electing  such coverage are being (or have been,  if  applicable)  provided such
coverage.

                  5.16 Insurance and Surety Agreements. Schedule 5.16 contains a
true and correct list of: (a) all policies of fire, liability and other forms of
insurance  held or owned by the  Company  (including  but not limited to medical
malpractice  insurance,  and any state  sponsored  plan or program for  worker's
compensation);  and (b) all bonds,  indemnity agreements and other agreements of
suretyship made for or held by the Company, including a brief description of the
character  of the bond or agreement  and the name of the surety or  indemnifying
party.  Schedule 5.16 sets forth for each such insurance  policy the name of the
insurer, the amount of coverage,  the type of insurance,  the policy number, the
annual premium and a brief description of the nature of insurance included under
each such  policy and of any claims made  thereunder  during the past two years.
Such policies are owned by and payable solely to the Company,  and said policies
or renewals or replacements thereof will be outstanding and duly in force at the
Closing Date. All insurance  policies  listed on Schedule 5.16 are in full force
and effect,  all premiums due on or before the Closing Date have been or will be
paid,  financed  or accrued on or before the Closing  Date,  the Company has not
been  advised by any of its  insurance  carriers of an intention to terminate or
modify any such policies  other than under  circumstances  where the Company has
received a commitment  for a replacement  policy,  nor has the Company failed to
comply with any of the material conditions contained in any such policies.

                  5.17  Relationships.  Except as  disclosed  on  Schedule  5.17
hereto,  no Seller and no  controlling  Seller,  partner or any affiliate of any
Seller  has,  or at any time  within  the last two (2) years has had, a material
ownership interest in any business,  corporate or otherwise, that is a party to,
or  in  any  property  that  is  the  subject  of,  business   relationships  or
arrangements  of any  kind  relating  to the  operation  of the  Company  or its
business by which the Company will be bound after the Closing.

                  5.18     Absence of Certain Events.   Except  as  set forth on
Schedule 5.18, since the date of the Unaudited Interim Financial Statements, the
Company has not,  and from the date of this  Agreement  through the Closing Date
the Company will not have:

                           (a)      sold,  assigned  or  transferred any  of its
assets or properties, except in the ordinary course of business;

                           (b)      mortgaged, pledged or subjected to any lien,
pledge,  mortgage,  security  interest,  conditional  sales  contract  or  other
encumbrance of any nature  whatsoever,  other than a Permitted  Lien, any of the
Company's assets;


                                       20

<PAGE>


                           (c)      made or suffered any termination of any home
health services contract;

                           (d)     made or suffered any amendment or termination
of  any  other   contract,   commitment,   instrument  or  agreement   involving
consideration  or  liability  in excess of $15,000,  other than in the  ordinary
course of business;

                           (e)     except in the ordinary course of business, or
otherwise as necessary to comply with any applicable minimum wage law, increased
the salaries or other compensation of any of its employees, or made any increase
in, or any  additions to, other  benefits to which any of such  employees may be
entitled;

                           (f)      failed  to  pay  or  discharge  when due any
liabilities,  the failure to pay or discharge which has caused or will cause any
actual  damage  or give rise to the risk of a loss to the  Company  in excess of
$15,000, except as may be consistent with the current practice of the Company;

                           (g)      changed  any  of  the  accounting principles
followed by it or the methods of applying such principles;

                           (h)      failed to collect, withhold  and/or  pay  to
any proper  governmental agency any federal,  state or local income,  franchise,
sales,  use,  withholding  or  similar  tax  that  applicable  law  requires  be
collected, withheld and/or paid;

                           (i)      instituted, settled or agreed to  settle any
litigation,  action  or  proceeding  before  any  court or  governmental  agency
relating to it or its  property  which will likely have or has had a  materially
adverse effect on the condition  (financial or otherwise),  properties,  assets,
liabilities,  operations,  business  or  prospects  of the Company or any of its
subsidiaries; and

                           (j)      entered  into any transaction  other than in
the ordinary course of business involving consideration in excess of $15,000.


                  5.19  Compliance  with Laws. The Company is in compliance with
all  Governmental  Requirements  (as  defined  herein).  Except  for  notices of
non-compliance as to which the Company has taken corrective action acceptable to
the  applicable  governmental  agency,  and as set forth in Schedule  5.19,  the
Company has not,  within the period of twelve months  preceding the date of this
Agreement,  received  any  written  notice that the Company or any of the Assets
fail to comply in any material respect with any applicable Federal, state, local
or other  governmental  laws or  ordinances,  or any applicable  order,  rule or
regulation  of any Federal,  state,  local or other  governmental  agency having
jurisdiction over its business ("Governmental Requirements").  The Company shall
report to Buyer,  within  five (5)  business  days after  receipt  thereof,  any
written  notices that the Company is not in compliance  in any material  respect
with any of the  foregoing.  Neither the  Company,  nor any  officer,  director,
employee,  agent,  or other  
                                       21

<PAGE>

representative of Company has made, directly, or indirectly, any 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.

                  5.20  Finders.  No broker or finder has acted for the  Sellers
or the  Company  in  connection  with  the  transactions  contemplated  by  this
Agreement, and no other 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 the Sellers or the Company.

                  5.21  Tax Returns.

                           (a)     Except as set forth in Schedule 5.21, (i) all
Tax (as defined below) returns, statements, reports and forms or extensions with
respect  thereto  required to be filed with any Federal,  state,  local or other
governmental  department or court or other authority having jurisdiction over it
("Governmental  Authority") on or before the Closing Date by or on behalf of the
Company (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) the Company 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.

                  5.22 Encumbrances Created by this Agreement. The execution and
delivery of this Agreement, or any of the Company's Transaction Documents,  does
not, and the  consummation of the  transactions  contemplated  hereby or thereby
will not, create any liens or other  encumbrances on any of the Company's assets
in favor of third parties.

                  5.23 Subsidiaries and Joint Ventures. Schedule 5.23 sets forth
a complete list of all  subsidiaries,  joint ventures and  partnerships in which
the Company is the record or beneficial  owner of more than ten (10%) percent of
the equity  interest.  All of the issued and  outstanding  capital  stock of the
subsidiaries  listed on Schedule 5.23 hereto is owned of record or  beneficially
by the Company or by one of the listed subsidiaries on Schedule 5.23.

                  5.24 No  Untrue  Statement.  None of the  representations  and
warranties  in this Article V 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.

                  5.25  Medicare and  Medicaid  Programs.  The  Company,  to the
extent  necessary  to  conduct  the  Company  in a manner  consistent  with past
practice,  is qualified for participation in the Medicare and Medicaid programs.
Except as reflected on Schedule  5.25, (a) no Seller or the Company has received
any notice of  recoupment  with  respect to the  Company's  operations  from the
Medicare or Medicaid programs,  or any other third party  reimbursement  source,
(b)  there is no basis for the  assertion  after  the  Closing  Date of any such

                                       22

<PAGE>

recoupment  claim against Buyer which arose out of any  transactions on the part
of Company  prior to the  Closing or against  any Seller for which Buyer will be
liable,  and (c) to the  knowledge of Sellers and the  Company,  no Medicare and
Medicaid investigation,  survey or audit is pending, threatened or imminent with
respect to the operation of the Company prior to the Closing.

                  5.26  Leasehold  Interests.  Schedule 5.26 hereto sets forth a
complete and correct list of all leases  pursuant to which the Company or any of
its subsidiaries leases real property.  Each of the Company and its subsidiaries
has valid  leasehold  interests in all such real  property free and clear of all
liens,  claims,  charges and  encumbrances  of any kind  whatsoever,  except for
Permitted  Liens.  The Company has provided  access to the Buyer to complete and
correct copies of the leases identified in Schedule 5.26.

                  5.27  Power  and  Authority.  Company  and  Sellers  have  all
requisite  power and authority to execute,  deliver and perform this  Agreement,
and as of the  Closing,  Company and Sellers will have all  requisite  power and
authority  to execute  and  deliver  the  Transaction  Documents  required to be
delivered by each party to the Buyer at the Closing.

                  5.28  Binding Effect.   This  Agreement  and  all  Transaction
Documents  executed by the Company and Sellers  constitute the valid and binding
obligations  of such party,  enforceable  against such party in accordance  with
their respective terms.


              ARTICLE VI: REPRESENTATIONS AND WARRANTIES OF SELLERS

                  Each of the Sellers,  each as to himself,  herself, or itself,
hereby severally represents and warrants to Buyer as follows:

                  6.1   Organization   and   Standing.   Such   Seller,   if   a
corporation,  is a  corporation  duly  organized,  validly  existing and in good
standing  under  the laws of the  state in which it was  incorporated,  and if a
partnership, is a partnership duly organized and validly existing under the laws
of the state of its formation.

                  6.2  Authority.  Such  Seller  has the full  legal  power  and
authority  to  make,  execute,  deliver  and  perform  this  Agreement  and  the
Transaction Documents.  Such execution,  delivery,  performance and consummation
have been duly authorized by all necessary  action,  corporate or otherwise,  on
the part of such Seller,  and any necessary  consents of holders of indebtedness
of such Seller have been obtained.

                  6.3   Binding  Effect.  This  Agreement  and  all  Transaction
Documents  executed by such Seller constitute the valid and binding  obligations
of such  party,  enforceable  against  such  Seller  in  accordance  with  their
respective terms.


                                       23

<PAGE>


                  6.4   Absence of Conflicting Agreements. Neither the execution
or delivery of this Agreement or any of the Transaction Documents by such Seller
nor the performance by such Seller of the transactions  contemplated  hereby and
thereby  conflicts  with, or  constitutes a breach of or a default under (i) the
formation  documents of such Seller,  or (ii) any law,  rule,  judgment,  order,
writ, injunction,  or decree of any court currently in effect applicable to such
Seller,  or (iii) any rule or regulation of any  administrative  agency or other
governmental  authority  currently in effect  applicable to such Seller, or (iv)
any  agreement,  indenture,  contract or instrument to which such party is now a
party or by which any of the assets of such Seller is bound.

                  6.5   Consents. No authorization,  consent, approval, license,
exemption by, filing or registration with any court or governmental  department,
commission, board, bureau, agency or instrumentality, domestic or foreign, is or
will be necessary in connection with the execution,  delivery and performance of
this Agreement or any of the Transaction Documents by such Seller.

                  6.6   Ownership of Company Securities.  Except as disclosed on
Schedule 6.6 hereto, such Sellers are the lawful record and beneficial owners of
all of the Company  Securities  shown as owned by such Sellers in Schedule  5.4,
with  good and  marketable  title  thereto,  free and  clear  of all  liens  and
encumbrances,  claims and other charges  thereon of any kind.  Such Sellers have
the full  legal  power to  transfer  and  deliver  such  Company  Securities  in
accordance with this Agreement, and delivery of such Company Securities to Buyer
pursuant hereto will convey good and marketable title thereto, free and clear of
all liens and  encumbrances,  claims and other charges  thereon of any kind. The
shares of Company  Securities  indicated  on Schedule  5.4 as being owned by the
Sellers constitute all of the issued and outstanding shares of the capital stock
of the Company.  Except as disclosed on Schedule  5.4, on the Closing Date there
shall not be outstanding any warrants, options, or other rights to subscribe for
or purchase  from the Company any shares of capital  stock of the  Company,  nor
shall there be outstanding any securities  convertible  into or exchangeable for
such shares.


              ARTICLE VII: REPRESENTATIONS AND WARRANTIES OF BUYER

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

                  7.1   Organization  and Standing.  Buyer is a corporation duly
organized,  validly existing and in good standing under the laws of the State of
Delaware.


                  7.2   Power and Authority.  Buyer has the corporate  power and
authority to execute, deliver and perform this Agreement, and as of the Closing,
Buyer will have the  corporate  power and  authority  to execute and deliver the
Transaction  Documents  required  to be  delivered  by it to the  Sellers at the
Closing.

                                       24

<PAGE>

                  7.3   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  Transaction  Documents  executed by Buyer will
be, the legal, valid and binding obligation of Buyer,  enforceable against Buyer
in accordance with their respective terms.

                  7.4   Securities and Exchange  Commission  Filings.  Buyer has
furnished the Company with a correct and complete copy of each report, schedule,
registration  statement and definitive  proxy  statement filed by Buyer with the
Commission on or after January 1, 1996 (the "SEC Documents"),  which are all the
documents (other than preliminary material) that Buyer was required to file with
the SEC on or after January 1, 1996. As of their respective  dates,  none of the
SEC  Documents  (including  all exhibits  and  schedules  thereto and  documents
incorporated by reference therein) contained any untrue statements  therein,  in
light of the  circumstances  under which they were made,  and the SEC  Documents
complied  when  filed  in  all  material   respects  with  the  then  applicable
requirements  of the Securities Act or the Exchange Act, as the case may be, and
the rules and  regulations  promulgated  by the SEC  thereunder.  The  financial
statements of the Buyer included in the SEC Documents complied as to form in all
material  respects  with the then  applicable  accounting  requirements  and the
published  rules and regulations of the Commission  with respect  thereto,  were
prepared in accordance with GAAP during the periods involved (except as may have
been indicated in the notes thereto or, in the case of the unaudited statements,
as permitted by Form 10-Q  promulgated by the SEC) and fairly present  (subject,
in the case of the unaudited statements, to normal, recurring audit adjustments)
the  consolidated   financial   position  of  the  Buyer  and  its  consolidated
subsidiaries  as at the dates  thereof  and the  consolidated  results  of their
operations and cash flows for the periods then ended.

                  7.5   Capital   Stock.   Buyer's  Form  10-Q  filed  with  the
Commission  with respect to the fiscal  quarter  ended March 31, 1996 (the "Form
10-Q"),  sets  forth a true  and  complete  description  of the  authorized  and
outstanding  shares of capital stock of Buyer as of such date.  All  outstanding
shares of IHS Stock are validly issued,  fully paid and  non-assessable  and not
subject  to  preemptive  rights.  Buyer has duly  authorized  and  reserved  for
issuance the IHS Stock, and, when issued in accordance with the terms of Article
III, the IHS Stock will be validly issued, fully paid and nonassessable and free
of preemptive rights.

                  7.6 Absence of Conflicting  Agreements.  Neither the execution
or delivery of this Agreement or any of the  Transaction  Documents by Buyer nor
the performance by the Buyer of the transactions contemplated hereby and thereby
conflicts  with, or constitutes a breach of or a default under (i) the formation
documents  of  the  Buyer,  or  (ii)  any  law,  rule,  judgment,  order,  writ,
injunction,  or decree of any court currently in effect  applicable to Buyer, or
(iii) any rule or regulation of any administrative  agency or other governmental
authority  currently  in  effect  applicable  to Buyer,  or (iv) any  agreement,
indenture,  contract or instrument to which the Buyer is now a party or by which
any of the assets of the Buyer is bound.


                                       25

<PAGE>

                  7.7   Consents. No authorization,  consent, approval, license,
exemption by, filing or registration with any court or governmental  department,
commission, board, bureau, agency or instrumentality, domestic or foreign, is or
will be necessary in connection with the execution,  delivery and performance of
this Agreement or any of the Transaction Documents by Buyer.

                  7.8   Litigation.   There   are  no   legal,   administrative,
arbitration or other proceedings or governmental  investigations  pending or, to
Buyer's knowledge,  threatened against Buyer or any of its affiliates that would
give any third party the right to enjoin,  rescind or condition the transactions
contemplated hereunder.

                  7.9   Investment   Representation.   Buyer  is  acquiring  the
Company Securities for its own account with no present intention of reselling or
otherwise  distributing  the same or  participating  in a  distribution  of same
except  pursuant to an offering of shares duly  registered  under the Securities
Act and applicable state securities laws, or under other  circumstances that, in
the opinion of counsel for Company at the time,  would not require  registration
of the Company  Securities  under the  Securities  Act.  Buyer is an  accredited
investor as defined under the  Securities  Act. Buyer  acknowledges  that it has
been  advised and is aware that (i) the Sellers  are relying  upon an  exemption
under the Securities Act predicated upon Buyer's  representations and warranties
contained  in this  Section  7.9 in  connection  with the  offer and sale of the
Company Securities pursuant to this Agreement and (ii) the Company Securities in
the hands of Buyer  will be  restricted  stock  within  the  meaning of Rule 144
promulgated  pursuant to the  Securities Act and unless,  and until,  registered
under the Securities Act, may be subject to limitations upon its resale.


          ARTICLE VIII: INFORMATION AND RECORDS CONCERNING THE COMPANY
                              AND ITS SUBSIDIARIES

                  8.1   Access to Information and Records before Closing.

                           (a) Prior to the  Closing  Date,  Buyer may make,  or
cause to be made, such investigation of the Company's (it being understood that,
for the  purpose  of this  Article  VIII,  "Company"  shall be  deemed  to refer
collectively  to the  Company  and its  subsidiaries  listed on  Schedule  5.23)
financial  and  legal  condition  as  Buyer  deems  necessary  or  advisable  to
familiarize  itself with the Company and/or matters relating to their history or
operation.  The Company  shall permit Buyer and its  authorized  representatives
(including legal counsel and accountants),  to have full access to the Company's
books and records upon reasonable  notice and during normal business hours,  and
the Company will furnish, or cause to be furnished,  to Buyer such financial and
operating data and other information and copies of documents with respect to the
Company's products, services,  operations and assets as Buyer shall from time to
time  reasonably  request.  The documents to which Buyer shall have access shall
include,  but not be limited to, the  Company's  tax  returns  and related  work
papers since its  inception;  and the Company  shall make,  or cause to be made,
extracts thereof as Buyer or its  representatives  may request from time to time
to enable  

                                       26

<PAGE>

Buyer and its  representatives to investigate the affairs of the Company and the
accuracy of the  representations  and  warranties  made in this  Agreement.  The
Company shall cause its  accountants to cooperate with Buyer and to disclose the
results of audits  relating to the  Company  and to produce  the working  papers
relating thereto.

                           (b)      The  Buyer shall  use  reasonable efforts to
permit the Company and its authorized  representatives  (including legal counsel
and  accountants),  to have full access to the Buyer's  management  and publicly
available  information upon reasonable  notice and during normal business hours.
The  information  to which the Company shall have access shall include only such
information reasonably nrepresentations and warranties of the Buyer made in this
Agreement  and  to  complete  a  review  of  the  Company's  publicly  available
information.


              ARTICLE IX: OBLIGATIONS OF THE PARTIES UNTIL CLOSING

                  9.1 Conduct of Business Pending  Closing.  Between the date of
this Agreement and the Closing,  the Company and its subsidiaries shall maintain
their  existence and shall conduct their  business in the customary and ordinary
course of business consistent with past practice.

                  9.2 Negative  Covenants  of the Company and its  Subsidiaries.
Without the prior written approval of Buyer,  neither the Company nor any of its
subsidiaries shall, between the date hereof and the Closing:

                           (a)      use their best efforts to cause or permit to
occur any of the events or occurrences described in Sections 5.18(c) and (d) and
cause or permit  to occur any of the  events  or  occurrences  described  in the
remainder of Section 5.18 (Absence of Certain Events) of this Agreement;

                           (b)      dissolve,   merge  or  enter  into  a  share
exchange with or into any other entity;

                           (c)      enter into any  contract or  agreement  with
any  union  or  other  collective  bargaining  representative  representing  any
employees without the prior written consent of Buyer, which consent shall not be
unreasonably withheld;

                           (d)      sell  off  any  Assets  other  than  in  the
ordinary course of business; or

                           (e)      make any change to their by-laws or articles
of incorporation.

                  9.3     Affirmative Covenants. Between the date hereof and the
Closing,  the Company and each of its  subsidiaries  shall: 

                                       27
<PAGE>

                           (a)     maintain their business in substantially  the
state of repair, order and condition as on the date hereof,  reasonable wear and
tear or loss by casualty excepted;

                           (b)     maintain   in  full   force  and  effect  all
Licenses  currently in effect with respect to their business unless such License
is no longer necessary for the operation of the Company and its subsidiaries;

                           (c)     maintain  in full  force and  effect  the in-
surance policies and binders currently in effect,  or the replacements  thereof,
including without limitation those listed on Schedule 5.16;

                           (d)     utilize  its  reasonable  efforts to preserve
intact the present  business  organization of the Company and its  subsidiaries;
keep  available  the services of the  Company's  and its  subsidiaries'  present
employees and agents; and maintain the Company's and its subsidiaries' relations
and goodwill with suppliers,  employees,  affiliated  medical  personnel and any
others having business relating to the Company and its subsidiaries;

                           (e)     maintain   all  of  the books  and records in
accordance with its past practices;

                           (f)     comply  in  all  material  respects  with all
provisions of the Contracts  listed in Schedule 5.7 and with any other  material
agreements  that the  Company  and its  subsidiaries  have  entered  into in the
ordinary course of business since the date of this Agreement (except that, as to
the Company's  Contracts with vendors,  it shall use its  reasonable  efforts to
comply in all material respects with such Contracts), and comply in all material
respects  with the  provisions  of all  material  laws,  rules  and  regulations
applicable to the Company's and its subsidiaries' business;

                           (g)     cause  to be  paid  when  due,  all  material
taxes,  assessments  and  charges  or  levies  imposed  upon it or on any of its
properties or which it is required to withhold and pay over;

                           (h)     promptly  advise  Buyer  in  writing  of  the
threat or  commencement  against the Company and its  subsidiaries of any claim,
action, suit or proceeding, arbitration or investigation or any other event that
would  materially  adversely  affect  the  operations,   properties,  assets  or
prospects of the Company and its subsidiaries;

                           (i)     Shall  notify  the  Buyer in  writing  of any
event  involving  the  Company  and  its  subsidiaries  which  has had or may be
reasonably  expected  to have a  material  adverse  effect  on the  business  or
financial  condition of the Company and its subsidiaries or may involve the loss
of contracts with the Company's customers; and

                                       28
<PAGE>
                           (j)     deliver to Buyer monthly financial statements
within thirty (30) days of the last day of the immediately preceding month.

Notwithstanding  anything  contained  herein,  the  decertification  of the  San
Antonio  agency will not result in a breach of this  Section 9.3, a reduction of
the Aggregate Gross Purchase Price or a claim for indemnification. The foregoing
shall not be deemed  to be a waiver by Buyer for any  breach of  representations
and  warranties  concerning  any loss,  liability or other adverse  consequences
other than the  actual  occurrence  of the  decertification  of the San  Antonio
agency or the fact that the agency has been closed.

                  9.4   Pursuit of Consents and Approvals. Prior to the Closing,
Buyer shall use its  reasonable  efforts to obtain all consents and approvals of
governmental   agencies  and  all  other   parties   necessary  for  the  lawful
consummation  of the  transactions  contemplated  hereby  and  the  lawful  use,
occupancy and enjoyment of the Company's and its subsidiaries' business by Buyer
in accordance herewith ("Required Approvals").  The Company and its subsidiaries
shall cooperate with and use its reasonable efforts to assist Buyer in obtaining
all such approvals.

                  9.5   Exclusivity.  Until the earlier of the  Closing  Date or
the termination of this Agreement  pursuant to Section 13.1, neither the Sellers
nor the Company,  nor any of their  respective  affiliates,  shall engage in any
discussions  or  negotiations  directly  or  indirectly  with any other party in
respect of the sale of the Company  Securities  or of  substantially  all of the
assets of the Company, or in respect of any merger,  consolidation or other sale
of the  Company  (any  of  said  transactions  being  referred  to  herein  as a
"Prohibited Transaction").

                  9.6   Solicitation of Stockholders.  The Company shall through
its board of directors  unanimously  recommend to its  stockholders  approval of
this  Agreement  and the  sale of the  Company  Securities  and as  promptly  as
practicable  after the date of this  Agreement  use its best  efforts  to obtain
stockholder approval.

                  9.7   Line  of  Credit.   Upon   Buyer's   execution  of  this
Agreement,  the Buyer will advance to the Company the sum of $1,000,000 pursuant
to the terms of that certain  Promissory  Note, dated June 18, 1996 by Signature
Home Care Group, Inc.


             ARTICLE X: CONDITIONS PRECEDENT TO BUYER'S OBLIGATIONS

                  Buyer's  obligations to consummate the purchase of the Company
Securities is 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 by Buyer in
writing.  Upon failure of any of the following  conditions,  Buyer may terminate
this Agreement pursuant to and in accordance with Article XIII herein.

                                       29

<PAGE>




                  10.1  Representations and Warranties.  The representations and
warranties of Company and Sellers in Articles V and VI shall be true and correct
in all  material  respects  at  and  as of the  Closing  Date,  as  though  such
representations  and  warranties  were made at and as of such time except to the
extent affected by the transactions herein contemplated.

                  10.2  Performance  of  Covenants.  Each of the Sellers and the
Company  shall have  performed or complied in all material  respects  with their
respective  agreements and covenants  required by this Agreement to be performed
or complied with by it prior to or at the Closing.

                  10.3  Delivery of Closing Certificate. Each of the Sellers and
the Company  shall have  executed and  delivered to Buyer a  certificate  of its
president or general  partner,  as the case may be, dated the Closing Date, upon
which Buyer may rely,  certifying  that the conditions  contemplated by Sections
10.1 and 10.2 applicable to it have been satisfied.

                  10.4  Opinion of Counsel.  Each Seller and Company  shall have
delivered  to Buyer an  opinion,  dated the Closing  Date,  of its  counsel,  in
substantially the form attached hereto as Exhibit 10.4.

                  10.5  Legal Matters. No preliminary or permanent injunction or
other  order  (including  a  temporary  restraining  order) of any  governmental
authority which prevents the  consummation of the  transactions  contemplated by
this Agreement shall have been issued and remain in effect.

                  10.6  Authorization  Documents.  Buyer  shall have  received a
certificate  of the  Secretary  or other  officer of the Company and each of the
corporate  Sellers  certifying as of the Closing Date a copy of  Resolutions  of
their  respective  Boards of  Directors  authorizing  their  execution  and full
performance of the Transaction  Documents and the incumbency of their respective
officers.

                  10.7  Material Change. Since the date of the Unaudited Interim
Financial  Statements  there shall not have been any material adverse changes in
the condition  (financial or otherwise) of the assets,  properties or operations
of the Company and its subsidiaries.

                  10.8  Approvals.

                           (a)      The  consent  or  approval  of  all  persons
necessary for the  consummation of the  transactions  contemplated  hereby shall
have been granted, including without limitation, the Required Approvals;

                           (b)      None of  the foregoing consents or approvals
(i)  shall  have  been  conditioned  upon  the  modification,   cancellation  or
termination of any material lease,  contract,  commitment,  agreement,  license,
easement,  right or other  authorization  with respect to the  

                                       30

<PAGE>


Company's and its  subsidiaries'  business,  other than as disclosed or approved
hereunder, or (ii) shall impose on the Buyer any material condition or provision
or requirement with respect to the Company's and its  subsidiaries'  business or
its operation  that is more  restrictive  than or different  from the conditions
imposed upon such operation prior to Closing.

                  10.9  Consents.  Buyer shall have received the written consent
to  assignment  from  each of  those  entities  with  whom the  Company  and its
subsidiaries  have home health service  contracts as listed on Schedule  5.7(h),
where such consent is required by reason of the change of control of the Company
and its subsidiaries contemplated under this Agreement.

                  10.10 Closing  Date  Balance  Sheet. Sellers and Company shall
have furnished the Closing Date Balance Sheet to Buyer.

                  10.11 Resignation of Company and its  Subsidiaries'  Boards of
Directors.  Each director of Company and its  subsidiaries  shall have submitted
his or her resignation to be effective no later than the Closing Date.

                  10.12 Additional Sellers. The holders of at least ninety (90%)
percent  of the  outstanding  shares of each  class of the stock of the  Company
shall have  executed and  delivered to Buyer a  counterpart  of this  Agreement,
signifying such holder's agreement to be bound as a Seller hereunder.

                  10.13 Hart-Scott-Rodino  Act.  All applicable  waiting periods
underthe Hart-Scott- Rodino Antitrust Improvement Act of 1976 shall have expired
or been terminated.

                  10.14 Samaritan   Joint  Venture   Agreements.   The  existing
arrangements with Samaritan Health System  ("Samaritan")  concerning the Arizona
home health  agencies  owned and  operated by the  Company's  subsidiaries  (the
"Subsidiary"),  including without limitation,  the organizational  documents for
the two limited liability  companies in which a Subsidiary and Samaritan are the
only two members and the applicable non-compete agreements, shall be reaffirmed.

                  10.15 Real  Property  Consents.  The  Company  shall have used
reasonable  efforts to obtain the consent of each landlord with whom the Company
or any of its  subsidiaries  has a lease of real property  which,  by its terms,
requires  consent in the event of a change of control  of the  Company,  and the
written consent of such landlords shall have been received by the Company. Buyer
shall have received notice from the Sellers by the Closing Date, identifying any
landlord that has not given any necessary consent as of such date.

                  10.16 Dallas  Joint  Venture.  Buyer  shall  have  received an
amendment or  confirmation to the existing  Agreement of General  Partnership of
Arlington Memorial Home Healthcare (the "Partnership"),  dated November 3, 1986,
as  amended,  between  AMH  Health  Ventures,  Inc.  and  VHA  Enterprises  Home
Healthcare,  Inc.  that would permit  Buyer to continue  its  existing  business
operations within a fifty (50) mile radius of all Partnership locations.



                                       31

<PAGE>


                  10.17 Other   Documents.   Sellers  and  Company   shall  have
furnished Buyer with all other  documents,  certificates  and other  instruments
required to be furnished  to Buyer by Sellers and Company  pursuant to the terms
hereof.

            ARTICLE XI: CONDITIONS PRECEDENT TO SELLERS' OBLIGATIONS

                  Sellers'  obligation  to  consummate  the sale of the  Company
Securities is subject to the fulfillment, prior to or at the Closing, of each of
the following conditions:

                  11.1  Representations and Warranties.  The representations and
warranties  of Buyer in this  Agreement  shall be true at and as of the  Closing
Date as though such  representations  and warranties were made at and as of such
time, except to the extent affected by the transactions herein contemplated.

                  11.2  Performance of Covenants.  Buyer shall have performed or
complied with each of its agreements  and conditions  required by this Agreement
to be performed or complied with by it prior to or at the Closing.

                  11.3  Delivery  of  Closing  Certificate.   Buyer  shall  have
delivered to Sellers a certificate of a senior vice president of Buyer dated the
Closing Date upon which Sellers can rely, certifying that the statements made in
Sections 11.1 and 11.2 are true, correct and complete as of the Closing Date.

                  11.4  Opinion  of  Counsel.  Buyer  shall  have  delivered  to
Sellers an opinion,  dated the Closing Date, of Blass & Driggs,  Esqs.,  counsel
for Buyer, in the form attached as Exhibit 11.4.

                  11.5  Legal Matters. No preliminary or permanent injunction or
other  order  (including  a  temporary  restraining  order) of any  governmental
authority which prevents the  consummation of the  transactions  contemplated by
this Agreement shall have been issued and remain in effect.

                  11.6  Authorization  Documents.  Sellers shall have received a
certificate  of the  Secretary  or other  officer of Buyer  certifying a copy of
Resolutions of the Board of Directors of Buyer authorizing Buyer's execution and
full performance of the Transaction Documents and the incumbency of the officers
of Buyer.

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


                                       32

<PAGE>
              ARTICLE XII: OBLIGATIONS OF THE PARTIES AFTER CLOSING


                  12.1  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  the
representations and warranties contained in Section 5.25 (Medicare and Medicaid)
and Section 5.21 (Tax), shall survive until the applicable period of limitations
for audits by the  applicable  Governmental  Authority  shall have expired.  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.

                  12.2  Indemnification by Sellers.  Each Seller,  severally and
not jointly,  shall indemnify and defend Buyer and hold it harmless  against and
with  respect  to any and all  damage,  loss,  liability,  deficiency,  cost and
expense (including, without limitation, reasonable attorney's fees and expenses)
(all of the foregoing hereinafter  collectively referred to as "Loss") resulting
from:

                           (a)      any  inaccuracy   in  any representation, or
breach of any  warranty,  made by such  Seller or  Company  in  Article V or VI,
provided that a claim is made or an action with respect  thereto is initiated by
Buyer  against such Seller  within 90 days after the  discovery by Buyer of such
inaccuracy or breach of warranty; or

                           (b)      the breach of any covenant or undertaking by
such Seller  contained in this  Agreement  which survives the Closing and is not
waived by Buyer at or prior to the Closing,  provided that a claim is made or an
action with respect  thereto is initiated by Buyer against such Seller within 90
days after the discovery by Buyer of the occurrence of such breach; or

                           (c)      ownership or operation of the Company or its
subsidiaries or their businesses or assets prior to the Closing Date, including,
without limitation,  any Excess Reimbursement Liabilities (as defined in Section
2.7),  the  audit or  assessment  of taxes by the  Federal,  state or local  tax
authority,  and any Loss in excess of the amounts  recorded on the Closing  Date
Balance Sheet arising out of the legal  proceedings  referenced on Schedule 5.12
but  excluding  any Loss  arising out of any current  liabilities  or  long-term
liabilities  as reflected on the Closing Date Balance Sheet or the audit of such
Closing Date Balance Sheet.

                  12.3  Indemnification  by Buyer.  Buyer  shall  indemnify  and
defend  Sellers and hold them  harmless  against and with respect to any and all
Loss resulting from:


                                       33

<PAGE>

                           (a)      any  inaccuracy  in  any  representation, or
breach of any warranty,  set forth in Article VII, provided that a claim is made
or an action with respect  thereto is initiated by Sellers  against Buyer within
90 days after the discovery by the Sellers,  or any one or more of them, of such
inaccuracy or breach; or

                           (b)      the breach of any covenant or undertaking by
Buyer which survives the Closing and is not waived by Sellers at or prior to the
Closing,  provided  that a claim is made or an action  with  respect  thereto is
initiated by Sellers against Buyer within 90 days after the discovery by Sellers
of the occurrence of such breach.


                  12.4  Assertion  of Claims.  Any  claims  for  indemnification
under  this  Article  XII and any  claims  for  breach  of  representations  and
warranties or breach of covenants  contained  herein must be asserted by written
notice by a date which is one (1) year  following the Closing Date,  except that
any claim based upon  Excess  Reimbursement  Liabilities  (as defined in Section
2.7) or a breach of the representations and warranties contained in Section 5.25
(Medicare  and  Medicaid)  or  Section  5.21  (Tax)  may be  asserted  until the
applicable  period of  limitations  for  audits by the  applicable  Governmental
Authority  shall have  expired.  After one (1) year  following the Closing Date,
Sellers will be  severally,  but not jointly,  responsible  for any claims based
upon a breach of the  representations  and warranties  contained in Section 5.23
(Medicare and Medicaid) and Section 5.21 (Tax) for such time period as described
herein.

                  12.5  Liability Cap.  Notwithstanding  any other  provision of
this  Article  XII,  the  maximum   aggregate   liability  of  the  Sellers  for
indemnification  hereunder  and any  claims for  breach of  representations  and
warranties  or breach of covenants  contained  herein shall not exceed an amount
equal to the Aggregate Net Purchase Price.

                  12.6  Control of Defense of Indemnifiable Claims.

                           (a)    Buyer shall give Sellers prompt written notice
of the claim for which it seeks  indemnification.  Failure  of the Buyer to give
such  prompt  notice  shall not  relieve  the  Sellers of their  indemnification
obligation,  provided that such  indemnification  obligation shall be reduced by
any damages  suffered by Sellers  resulting from a failure to give prompt notice
hereunder.  The Sellers shall be entitled to  participate in the defense of such
claim. If at any time the Sellers acknowledge in writing that the claim is fully
indemnifiable  under this  Agreement,  they shall have the right to assume total
control of the defense of such claim at their own expense. If the Sellers do not
assume total  control of the defense of any such claim,  the Buyer agrees not to
settle such claim  without the written  consent of the  Sellers,  which  consent
shall not be unreasonably withheld. Nothing contained in this Section 12.6 shall
prevent either party from assuming total control of the defense and/or  settling
any  claim  against  it for  which  indemnification  is not  sought  under  this
Agreement.  Notwithstanding  any other provision hereof,  neither party shall be
entitled to  indemnification in respect of a representation or warranty which it
actually knew to be incorrect, whether as a result of its investigation prior to
the Closing or otherwise.


                                       34

<PAGE>



                           (b) The  Sellers  shall  give  Buyer  prompt  written
notice of the claim for which they seek indemnification.  Failure of the Sellers
to give such prompt  notice  shall not relieve the Buyer of its  indemnification
obligation,  provided that such  indemnification  obligation shall be reduced by
any damages  suffered by Buyer  resulting  from a failure to give prompt  notice
hereunder.  The Buyer shall be entitled  to  participate  in the defense of such
claim. If at any time the Buyer  acknowledges in writing that the claim is fully
indemnifiable  under this  Agreement,  it shall  have the right to assume  total
control of the defense of such claim at its own  expense.  If the Buyer does not
assume total control of the defense of any such claim,  the Sellers agree not to
settle such claim without the written consent of the Buyer,  which consent shall
not be  unreasonably  withheld.  Nothing  contained  in this  Section 12.6 shall
prevent either party from assuming total control of the defense and/or  settling
any  claim  against  it for  which  indemnification  is not  sought  under  this
Agreement.  Notwithstanding  any other provision hereof,  neither party shall be
entitled to  indemnification in respect of a representation or warranty which it
actually knew to be incorrect, whether as a result of its investigation prior to
the Closing or otherwise.

                  12.7     Restrictions.

                           (a)      From and after the Closing Date, none of the
Sellers shall disclose, directly or indirectly, to any person outside of Buyer's
employ  without  the express  authorization  of the Buyer,  any  patient  lists,
customer lists, pricing strategies, customer files, or patient files and records
of the Company and its subsidiaries, any proprietary data or trade secrets owned
by the Company and its subsidiaries or any financial or other  information about
the  Company  and its  subsidiaries  not then in the  public  domain;  provided,
however,  that Sellers  shall be permitted  to make such  disclosures  as may be
required by law or by a court or governmental authority.

                           (b)      For  a period  of three  (3) years after the
Closing Date,  none of the Sellers shall engage or  participate in any effort or
act to induce any of the customers, physicians, suppliers, associates, employees
or independent  contractors of the Company and its  subsidiaries  to cease doing
business,  or  their  association  or  employment,  with  the  Company  and  its
subsidiaries.

                           (c)      For  a  period  of three (3) years after the
Closing Date, none of the Sellers shall, directly, or indirectly,  be a director
of, be a partner in, or have a proprietary interest in, any person,  enterprise,
partnership,  association,  corporation,  joint venture or other entity which is
directly or  indirectly  in the  business of owning,  operating  or managing any
entity of any type, licensed or unlicensed, which is engaged in or provides home
health  services  anywhere  within a 50 mile radius of any agency of the Company
operating on the Closing  Date.  Nothing  herein shall  prohibit any Seller from
being a passive  owner of not more than five  (5%)  percent  of the  equity of a
business engaged in rendering home health services.  In the event that Samaritan
is merged  into,  consolidated  with or forms a joint  venture or other  similar
business  arrangement or combination  with another entity (the "Other  Entity"),
the surviving or resulting entity from such merger or consolidation or the joint
venture or other similar  business  arrangement or combination  will be bound by
the restrictions  contained in this Section  12.7(c),  except that the 

                                       35

<PAGE>



continued ownership and/or operation by the surviving or resulting entity or the
joint venture or other similar  business  arrangement or combination of any home
health  agencies that as of the effective  date of such merger or  consolidation
were already  owned or operated by the Other Entity shall not be deemed to be in
violation of this provision.

                           (d) The  Sellers  acknowledge  that the  restrictions
contained  in this  Section  12.7 are  reasonable  and  necessary to protect the
legitimate  business interests of Buyer and that any violation thereof by any of
them would result in irreparable harm to Buyer. Accordingly,  Sellers agree that
upon the violation by any of them of any of the  restrictions  contained in this
Section  12.7,  Buyer shall be  entitled  to obtain from any court of  competent
jurisdiction a preliminary and permanent  injunction as well as any other relief
provided at law or equity,  under this Agreement or otherwise.  In the event any
of the foregoing restrictions are adjudged unreasonable in any proceeding,  then
theparties  agree that the period of time or the scope of such  restrictions (or
both)  shall be  adjusted  in such a manner  or for such a time (or  both) as is
adjudged to be reasonable.

                  Notwithstanding  the  foregoing,  for purposes of this Section
12.7, any advertisement  prepared for and disseminated to the public in general,
which  advertises  the  services of Sellers not  otherwise  in violation of this
Section 12.7 or advertises the need for services to be supplied to Sellers shall
not be deemed to be an  inducement  or  solicitation  with  respect  to any such
patients, physicians, suppliers, employees or independent contractors.

                  12.8 Records.  On the Closing Date,  Sellers and Company shall
deliver,  or cause to be  delivered,  to Buyer all records and files not then in
Buyer's   possession   relating  to  the  operations  of  the  Company  and  its
subsidiaries.

                  12.9 Audit.  Following Closing, the Sellers will cooperate and
provide such  information as may be necessary in connection with an audit of the
Company's  financial  statement for the periods  beginning  January 1, 1996, and
ending after the Closing Date. Buyer shall bear the cost of such audit.

                  12.10  Appraisal  Rights.  In the  event  that  less  than one
hundred (100%) percent of the Signature Common Stock, Class A Stock, and Class B
Stock is sold to Buyer at the Closing,  and if, in connection with any merger of
the Company  within six (6) months after the Closing,  any of the holders of the
Company  Securities  that were not sold to Buyer at Closing shall have exercised
their  appraisal  rights under Section 262 of the Delaware  General  Corporation
Law,  any  amount  by  which  the  resulting  appraised  value  of such  Company
Securities  exceeds the Per Share Purchase Price shall be paid to Buyer from the
Escrow Fund. If such appraised value of such Company Securities is less than the
Per Share Purchase Price, Buyer shall promptly pay the amount of such difference
to the Sellers in the respective combinations of cash and IHS Stock as set forth
in Section 2.1(b).




                                       35

<PAGE>

                            ARTICLE XIII: TERMINATION

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

                           (a)      Buyer, if any condition precedent to Buyer's
obligations  hereunder  set forth in Article X hereof has not been  satisfied by
September 30, 1996;

                           (b)      Sellers,  if any condition precedent to each
Seller's  obligations  hereunder  set forth in  Article  XI hereof  has not been
satisfied by September 30, 1996; or

                           (c)      the mutual consent of Buyer and Sellers.


                  13.2  Effect  of  Termination.  If  a  party  terminates  this
Agreement  because  one of its  conditions  precedent  has  not  been  fulfilled
otherwise  than by reason of  default of such  party,  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,  except for the  obligations  of the
Company,  Signature  Home Care  Group,  Inc.,  and  Sellers  under that  certain
Promissory Note, dated June 18, 1996 by Signature Home Care Group, Inc. and that
certain Stock Pledge Agreement, dated June 18, 1996, between Signature Home Care
Group, Inc. and Integrated Health Services Financial Holdings, Inc.


                           ARTICLE XIV: MISCELLANEOUS

                  14.1  Costs  and  Expenses.   Except  as  expressly  otherwise
provided in this  Agreement,  Buyer and  Sellers  shall bear their own costs and
expenses in connection  with this  Agreement and the  transactions  contemplated
hereby;  provided,  however, that no such costs and expenses shall be charged to
the Company and its subsidiaries.

                  14.2 Performance. In the event of a breach by any party of its
obligations hereunder,  the other party shall have the right, in addition to any
other remedies  which may be available,  to obtain  specific  performance of the
terms of this Agreement,  and the breaching party hereby waives the defense that
there  may be an  adequate  remedy  at law.  Should  any  party  default  in its
performance,  or other  remedy,  the  prevailing  party shall be entitled to its
reasonable attorneys' fees.

                  14.3 Benefit and  Assignment.  This Agreement binds and inures
to the benefit of each party hereto and its successors and proper assigns. Buyer
may not assign its interest  under this  Agreement to any other person or entity
without the prior written consent of Sellers; provided,  however, that Buyer may
assign its rights,  duties and obligations hereunder to one or more subsidiaries
or affiliates of Buyer, or, in connection with the financing of Buyer's purchase
of the Company  Securities,  to a third party with the prior written  consent of
Sellers,  which consent will not be unreasonably  withheld; and further provided
that in the instance of such assignment  Buyer shall guaranty the performance of
its assignee hereunder.


                                       37

<PAGE>


                  14.4 Effect and Construction of this Agreement. This Agreement
and  the  Exhibits  and  Schedules   hereto  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;
provided,  however,  the  confidentiality  provisions of that certain  letter of
intent,  dated June 17,  1996,  among Buyer,  Company,  Michael  Kluger,  Steven
Gilbert,  and David  Finkel  shall  remain in effect;  provided,  further,  that
Buyer's  obligations under such  confidentiality  provisions shall automatically
terminate upon the Closing.  The captions used herein 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.


                  14.5 Cooperation - Further  Assistance.  From time to time, as
and when reasonably  requested by any party hereto after the Closing,  the other
parties will (at the expense of the requesting  party)  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  action as may be  reasonably
necessary to carry out the intent and purposes of this Agreement.

                  14.6  Notices.  All notices  required or  permitted  hereunder
shall be in writing  and shall be deemed to be  properly  given when  personally
delivered to the party or parties  entitled to receive the notice or within five
(5) days when sent by certified or registered mail,  postage  prepaid,  properly
addressed to the party or parties entitled to receive such notice at the address
stated below:

If to the Company:         Signature Home Care, Inc.
                           1320 Greenway Drive, Suite 600
                           Irving, TX 75038
                           Attn: Michael Kluger

with a copy to:            Winston Walp, Esq.
                           Jenkens & Gilchrist
                           Fountain Place
                           1445 Ross Avenue, Suite 3200
                           Dallas, TX 75202

If to the Sellers:         Michael Kluger
                           Liberty Partners
                           1177 Avenue of the Americas
                           34th Floor
                           New York, NY 10036

with a copy to:            Winston Walp, Esq.
                           Jenkens & Gilchrist
                           Fountain Place
                           1445 Ross Avenue, Suite 3200
                           Dallas, TX 75202


                                       38

<PAGE>



If to the Buyer:           Integrated Health Services, Inc.
                           10065 Red Run Boulevard
                           Owings Mills, MD  21117
                           Attn:  Brian K. Davidson
                           cc:  Marshall A. Elkins, General Counsel

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

                  14.7  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 or on behalf of each of the parties hereto by
their duly  authorized  officer or  representative.  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.

                  14.8     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.

                  14.9     Governing Law.   This Agreement shall be  governed by
and  construed in accordance  with the laws of the State of Texas,  disregarding
any rules relating to the choice or conflict of laws.

                  14.10  Amendments,  Supplements,  Etc.  At any time  before or
after the execution and delivery of this Agreement by the parties  hereto,  this
Agreement may be amended or supplemented by additional  agreements,  articles or
certificates,  as may be mutually  determined  by the  parties to be  necessary,
appropriate or desirable to further the purposes of this  Agreement,  to clarify
the intention of the parties, or to add to or to modify the covenants,  terms or
conditions  hereof or thereof.  The  parties  hereto  shall make such  technical
changes to this Agreement,  not inconsistent with the purposes hereof, as may be
required to effect or facilitate any governmental approval or acceptance of this
Agreement or to effect or  facilitate  any filing or recording  required for the
consummation  of any  portion  of the  transactions  contemplated  hereby.  This
Agreement may not be amended  except by an instrument in writing  signed by each
of the parties.

                  14.11 Severability.  Any provision, or distinguishable portion
of any  provision,  of this  Agreement  which is  determined  in any judicial or
administrative  proceeding to be prohibited or unenforceable in any jurisdiction
shall, as to such jurisdiction, be ineffective to the extent of such prohibition
or unenforceability  without  invalidating the remaining  provisions 

                                       39
<PAGE>

hereof, and any such prohibition or  unenforceability  in any jurisdiction shall
not invalidate or render unenforceable such provision in any other jurisdiction.
It is the  intention of the parties that if any  provision of Section 12.7 shall
be determined to be overly broad in any respect,  then it should be  enforceable
to the maximum  extent  permissible  under the law. To the extent  permitted  by
applicable law, the parties waive any provision of law which renders a provision
hereof prohibited or unenforceable in any respect.

                  14.12 Counterparts.  This Agreement may be executed in several
counterparts,  each of which shall be deemed an original, and all of which shall
together constitute one and the same instrument.


                  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.

                                COMPANY:

                                SIGNATURE HOME CARE, INC.

                                By: /s/ Barry Harding
                                   ------------------------------------
                                Its:    Senior Vice President/CFO
                                     ----------------------------------


                                SELLERS:

 WITNESS:

By:                           /s/ David Finkel  
                              ------------------------------------------------
WITNESS:

By:                          /s/ Anthony LeVecchio
                              ------------------------------------------------

WITNESS:

By:                           /s/ Charles  E. Berg
                              ------------------------------------------------

WITNESS:

By:                           /s/ Michael Kluger
                              ------------------------------------------------

WITNESS:

By:                           /s/ James C. Crews
                              ------------------------------------------------
                                  President and CEO
                                  Samaritan Health System

WITNESS:

By:                            /s/ Stephen F. Wiggins
                              ------------------------------------------------

WITNESS:

By:                            /s/ Chris Dunleavy
                              ------------------------------------------------

WITNESS:

By:                            /s/ Barry Harding
                              ------------------------------------------------

WITNESS:

By:                            /s/ Karen Huey
                              ------------------------------------------------

WITNESS:

By:                            /s/ Bob Nance
                              ------------------------------------------------

WITNESS:

By:                            /s/ Larry Ross
                              ------------------------------------------------

WITNESS:

By:                            /s/ Rob Rowley
                              ------------------------------------------------

WITNESS:

By:                            /s/ David Stefan
                              ------------------------------------------------

WITNESS:

By:                            /s/ Louis Church
                              ------------------------------------------------

WITNESS:

By:                           /s/ Alex Brown IRA
                              ------------------------------------------------


 


 


 


 


 


 


 


 


 


                                       40

<PAGE>



                             BUYER:
                             INTEGRATED HEALTH SERVICES, INC.


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

                                       41

<PAGE>
         The undersigned holders of capital stock of the Company hereby agree to
be bound as Sellers under the Agreement.


                              SELLERS:

 WITNESS:

By:                         /s/ Alvin R. Albe, Jr. - Trustee
                            ----------------------------------------------------
                             for the Albe Family Trust dated 11/8/83
WITNESS:

By:                         /s/ Alvin R. Albe, Jr.
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Donald Barrett 
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Peter Bennett 
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Carmel Burke Bonesso
                            ----------------------------------------------------
WITNESS:

By:                         /s/ David Blumberg
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Austin Broadhurst, Jr.
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Robert Day
                            ----------------------------------------------------
WITNESS:

By:                         /s/ James deVenny
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Dale McCullough, Special Master  
                            ----------------------------------------------------
                             for Robert F. Doviak II
WITNESS:

By:                         /s/ Ian J. Dowie
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Alan Fishman
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Steven Gilbert
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Gary Gladstein
                            ----------------------------------------------------
WITNESS:

By:                         /s/ James E. Gordon
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Ruth Ann Hardisty
                            ----------------------------------------------------
 WITNESS:

By:                         /s/ Steven Holzman            
                            ----------------------------------------------------
                                                                    
WITNESS:

By:                         /s/ Alex M. Jernigan, Trustee
                            ----------------------------------------------------
                             of the Alex M. Jernigan Living Trust dated
                             January 31, 1994
WITNESS:

By:                         /s/ H. C. Kresge 
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Susan C. Kresge      
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Gary Markoff          
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Joseph Maturo
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Terry M. McGann                  
                            ----------------------------------------------------
                                                    
WITNESS:

By:                         /s/ John Pinder
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Steven B. Potter
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Robert D. Reed
                            ----------------------------------------------------
 WITNESS:

By:                         /s/ Doviak Partners, Ltd.
                            ----------------------------------------------------
                             by Marla C, Reynolds, Agent            
WITNESS:

By:                         /s/ Gerry M. Ritterman
                            ----------------------------------------------------
WITNESS:

By:                         /s/ K. E. Shepphird
                            ----------------------------------------------------
                             Managing Partner - FG-HS
WITNESS:

By:                         /s/ Elliot Stein      
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Stern Family Partnership
                            ----------------------------------------------------
                              Marc I. Stern, General Partner
WITNESS:

By:                         /s/ Mark Thompson
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Jerry Tomlinson
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Beatrice B. Trust                
                            ----------------------------------------------------
                             Marc I. Stern, Trustee
WITNESS:

By:                         /s/ Paul Wolansky
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Christina Adams
                            ----------------------------------------------------
WITNESS:

By:                         /s/ William Bolgar
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Donna J. Campbell
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Lois W. Griesser
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Barry Schwimmer
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Donna Kirk                  
                            ----------------------------------------------------



WITNESS:

By:                         /s/ Jeanne Macejko
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Patricia Marquardt
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Susan Murray
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Cathy Nakashima  
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Susan Ramsey
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Shirley Reed
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Rick Short     
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Lois J. Whitley     
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Andy Collins
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Pamela Nenaber
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Isaac Greenberg 
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Eddie Church
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Freddie Quiz
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Clark Good
                            ----------------------------------------------------
WITNESS:

By:                         /s/ Joleen Moden
                            ----------------------------------------------------
WITNESS:


                                       42


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

                            ASSET PURCHASE AGREEMENT

                          Dated as of October 23, 1996

                                      among

                        INTEGRATED HEALTH SERVICES, INC.,

                       IHS ACQUISITION XV, INC., as Buyer

                                       and

                            TOTAL REHAB SERVICES, LLC

                                       and

                    TOTAL REHAB SERVICES 02, LLC, as Sellers

                                       and

                             THE MEMBERS OF SELLERS

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





<PAGE>


<TABLE>
<CAPTION>

                                TABLE OF CONTENTS

                                                                                                               Page
<S>                                                                                                               <C>
ARTICLE I:  PURCHASE AND SALE OF ASSETS; NO ASSUMPTION OF LIABILITIES;
         DESIGNATED CONTRACTS.....................................................................................2
         1.1      Assets..........................................................................................2
         1.2      Liabilities.....................................................................................2
         1.3      Designated Contracts............................................................................4
         1.4      Designated Related Contracts....................................................................4
         1.5      Termination of Provider Contracts and Related Contracts.........................................5
         1.6      02 Services in New York; Southshore and Central Island Management Agreements
                                                                                                                  5

ARTICLE II:  PURCHASE PRICE.......................................................................................8
         2.1      Determination and Payment of Purchase Price.....................................................8
         2.2      Allocation of Purchase Price....................................................................8
         2.3      Working Capital Adjustments to the Purchase Price...............................................8
         2.4      Escrow Indemnification.........................................................................10
         2.5      IHS Stock......................................................................................11

ARTICLE III:  THE CLOSING........................................................................................17
         3.1      Time and Place of Closing......................................................................17





          ARTICLE IV:  REPRESENTATIONS AND WARRANTIES OF SELLERS AND
         THE MEMBERS.............................................................................................18
         4.1      Organization and Standing; Subsidiaries........................................................18
         4.2      Authority......................................................................................19
         4.3      Binding Effect.................................................................................19
         4.4      Absence of Conflicting Agreements..............................................................19
         4.5      Consents.......................................................................................20
         4.6      Schedule of Assets and Properties..............................................................20
         4.7      Contracts......................................................................................20
         4.8      Financial Statements...........................................................................22
         4.9      Material Changes...............................................................................23
         4.10     Licenses; Permits; Certificates of Need........................................................24
         4.11     Title, Condition to Personal Property..........................................................24
         4.12     Title, Condition of the Leased Properties......................................................25

                                       (i)

<PAGE>



         4.13     Legal Proceedings..............................................................................26
         4.14     Employees......................................................................................26
         4.15     Collective Bargaining, Labor Contracts, Employment Practices, etc..............................26
         4.16     ERISA..........................................................................................26
         4.17     Insurance and Surety Agreements................................................................27
         4.18     Relationships..................................................................................27
         4.19     Assets Comprising the Business.................................................................27
         4.20     Absence of Certain Events......................................................................27
         4.21     Compliance with Laws...........................................................................29
         4.22     Tax Returns....................................................................................29
         4.23     Encumbrances Created by this Agreement.........................................................30
         4.24     Questionable Payments..........................................................................30
         4.25     Reimbursement Matters..........................................................................30
         4.26     Finders........................................................................................31

ARTICLE V:  REPRESENTATIONS AND WARRANTIES OF BUYER AND IHS......................................................31
         5.1      Organization and Standing......................................................................31
         5.2      Power and Authority............................................................................31
         5.3      Binding Agreement..............................................................................31
         5.4      Absence of Conflicting Agreements..............................................................31
         5.5      Consents.......................................................................................31
         5.6      SEC Documents..................................................................................32
         5.7      Receipt of Contracts...........................................................................32
         5.8      IHS Stock......................................................................................32

ARTICLE VI:  INFORMATION AND RECORDS CONCERNING THE SELLERS......................................................32
         6.1      Access to Information and Records before Closing...............................................32

ARTICLE VII: OBLIGATIONS OF THE PARTIES UNTIL CLOSING............................................................32
         7.1      Conduct of Business Pending Closing............................................................33
         7.2      Negative Covenants of Sellers..................................................................33
         7.3      Affirmative Covenants of Sellers...............................................................33
         7.4      Pursuit of Consents and Approvals..............................................................34
         7.5      Supplementary Financial Information............................................................34
         7.6      Tail Policy....................................................................................34
         7.7      Exclusivity....................................................................................35


         ARTICLE VIII:  CONDITIONS PRECEDENT TO OBLIGATIONS OF BUYER
         AND IHS.................................................................................................35
         8.1      Representations and Warranties.................................................................35
         8.2      Performance of Covenants.......................................................................35
         8.3      Delivery of Closing Certificate................................................................35

                                      (ii)

<PAGE>



         8.4      Opinions of Counsel............................................................................35
         8.5      Legal Matters..................................................................................36
         8.6      Authorization Documents........................................................................36
         8.7      Material Change................................................................................36
         8.8      Approvals......................................................................................36
         8.9      Bill of Sale and Assignment....................................................................36
         8.10     Non-Competition Agreements.....................................................................36
         8.11     Employment and Consulting Agreements...........................................................38
         8.12     COBRA..........................................................................................38
         8.13     Assets Transferred at Closing..................................................................38
         8.14     Certificate as to Provider and Related Contracts...............................................38
         8.15     ANB Security Interest..........................................................................38
         8.16     Lease Amendment................................................................................39
         8.17     Designated Contract and Designated Related Contract Consents...................................39
         8.18     Documents......................................................................................39

ARTICLE IX:  CONDITIONS PRECEDENT TO THE OBLIGATIONS OF SELLERS AND
         THE MEMBERS ............................................................................................39
         9.1      Representations and Warranties.................................................................39
         9.2      Performance of Covenants.......................................................................39
         9.3      Delivery of Closing Certificate................................................................39
         9.4      Opinions of Counsel............................................................................39
         9.5      Legal Matters..................................................................................40
         9.6      Authorization Documents........................................................................40
         9.7      Necessary Consents.............................................................................40
         9.8      Assignment and Assumption......................................................................40
         9.9      ANB Guarantees.................................................................................40
         9.10     Other Documents................................................................................40

ARTICLE X:  OBLIGATIONS OF THE PARTIES AFTER CLOSING.............................................................40
         10.1     Survival of Representations and Warranties.....................................................40
         10.2     Indemnification................................................................................41
         10.3     Restrictions...................................................................................42
         10.4     Records........................................................................................43
         10.5     Appeal of Denials and Disallowances............................................................43
         10.6     Audit..........................................................................................44
         10.7     Offer of Employment............................................................................44
         10.8     Option on Excluded NY 02 Services..............................................................44

ARTICLE XI: TERMINATION..........................................................................................45
         11.1     Termination....................................................................................45
         11.2     Effect of Termination..........................................................................45


                                      (iii)

<PAGE>



ARTICLE XII: CASUALTY, RISK OF LOSS..............................................................................46
         12.1     Casualty, Risk of Loss.........................................................................46

ARTICLE XIII:  MISCELLANEOUS.....................................................................................46
         13.1     Costs and Expenses.............................................................................46
         13.2     Benefit and Assignment.........................................................................46
         13.3     Effect and Construction of this Agreement......................................................46
         13.4     Cooperation - Further Assistance...............................................................47
         13.5     Notices........................................................................................47
         13.6     Waiver, Discharge, Etc.........................................................................48
         13.7     Rights of Persons Not Parties..................................................................48
         13.8     Governing Law..................................................................................48
         13.9     Amendments, Supplements, Etc...................................................................48
         13.10    Severability...................................................................................48
         13.11    Public Announcements...........................................................................49

</TABLE>

                                      (iv)

<PAGE>



                                    SCHEDULES
                                    ---------

Schedule 1.1              -   Excluded Assets
Schedule 1.2(b)(i)        -   Accounting Principle Deviations
Schedule 4.1(b)           -   Organization and Standing; Subsidiaries
Schedule 4.5              -   Consents
Schedule 4.6              -   Assets and Properties
Schedule 4.7(b)           -   Contracts
Schedule 4.7(c)           -   Related Contracts
Schedule 4.8(a)(i)        -   Financial Statements
Schedule 4.8(a)(ii)       -   Adjusted Financial Statements
Schedule 4.8(b)(i)        -   Non-Balance Sheet Liabilities
Schedule 4.8(b)(ii)       -   Non-Adjusted Balance Sheet Liabilities
Schedule 4.10             -   Licenses; Permits; Certificates of Need
Schedule 4.11(b)          -   Permitted Liens
Schedule 4.11(c)          -   Personal Property Leases
Schedule 4.13             -   Legal Proceedings
Schedule 4.14             -   Employees
Schedule 4.15             -   Collective Bargaining, Labor Contracts, Employment
                              Practices, etc.
Schedule 4.17             -   Insurance and Surety Agreements
Schedule 4.18             -   Relationships
Schedule 4.20             -   Absence of Certain Events
Schedule 4.22(a)          -   Tax Returns
Schedule 4.25             -   Reimbursement Matters
Schedule 8.16             -   Assets Transferred at Closing
Schedule 10.7             -   Excluded Employees


                                    EXHIBITS
                                    --------

Exhibit 1.6(b)(ii)        -   Southshore Management Agreement
Exhibit 1.6(b)(iii)       -   Central Island Management Agreement
Exhibit 2.4               -   Escrow; Indemnification
Exhibit 8.9-1             -   Bill of Sale and Assignment
Exhibit 8-9.2             -   Assignment and Assumption




                                       (v)

<PAGE>




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



                  This Asset Purchase  Agreement (the "Agreement") is made as of
the 23rd day of  October,  1996,  among  Integrated  Health  Services,  Inc.,  a
Delaware  corporation  ("IHS"), IHS Acquisition XV, Inc., a Delaware corporation
and a wholly-owned  subsidiary of IHS ("Buyer"),  Total Rehab Services,  LLC, an
Illinois limited liability company  ("Rehab"),  Total Rehab Services 02, LLC, an
Illinois  limited  liability  company  ("Rehab  02",  and  together  with Rehab,
"Sellers"),  Timothy H. Dacy  ("Dacy"),  David S.  Krause  ("Krause"),  and Ruby
Healthcare LLC, a Wisconsin  limited liability company ("Ruby" and together with
Dacy and Krause, the "Rehab Members"),  and Ron Paler ("R. Paler"),  Bruce Paler
("B.  Paler") and Shari Kaplan  ("Kaplan",  and together  with R. Paler,  and B.
Paler,  the "Ruby Members" and together with the Rehab Members,  the "Members").
Sellers and the Members are  sometimes  referred to herein  collectively  as the
"Group" and each  individually  as a "Group  Participant" or "Participant of the
Group".

                  WHEREAS,  the  Members  own all of the issued and  outstanding
membership interest of each Seller; and

                  WHEREAS,   the  Ruby   Members  own  all  of  the  issued  and
outstanding membership interest of Ruby; and

                  WHEREAS,   Rehab  is  engaged  in  the  business  (the  "Rehab
Business") of providing contract  rehabilitation  services  (including,  without
limitation,  speech and language  pathology,  occupational  therapy and physical
therapy services) (collectively, "Rehab Services") in the States of Illinois and
New York; and

                  WHEREAS,  Rehab O2 is engaged in the  business  (the "Rehab O2
Business",  and together with the Rehab  Business,  the "Business") of providing
respiratory services ("O2 Services") in the States of Illinois and New York; and

                  WHEREAS,  Buyer wishes to purchase from  Sellers,  and Sellers
wish to sell to Buyer, substantially all of the assets of each Seller;

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




                                        1

<PAGE>



            ARTICLE I: PURCHASE AND SALE OF ASSETS; NO ASSUMPTION OF
            --------------------------------------------------------
                        LIABILITIES; DESIGNATED 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 IHS and Buyer,  Sellers will sell,
assign  and  convey  to Buyer  free  and  clear of all  Liens  (as such  term is
hereinafter  defined)  other than  Permitted  Liens (as such term is hereinafter
defined),  and  subject to the terms and  conditions  of this  Agreement  and in
reliance upon the covenants,  representations  and warranties of Sellers and the
Members, Buyer will purchase and acquire from Sellers, all of the assets of each
Seller which now or hereafter  comprise,  or which are now or hereafter  used or
useful in  connection  with the  operation  of,  the  Business  (the  "Assets"),
excluding  inventory and supplies disposed of from the date hereof until Closing
in the ordinary  course of business  consistent with past practice and otherwise
in  conformity  with the  obligations  of  Sellers  and the  Members  under this
Agreement,  and excluding the Excluded NY 02 Assets (as defined  below) and each
Seller's  Certificate  of  Incorporation,  qualification  to do  business in any
jurisdiction,  taxpayer  identification  number,  minute books,  stock  transfer
records and other  documents  related  specifically  to such Seller's  corporate
organization and maintenance  (collectively,  "Excluded Assets"). Except for the
Excluded  Assets,  the Assets will include,  without  limitation,  all tangible,
intangible, real, personal and mixed property,  operations, policy and procedure
manuals,  leasehold  interests,   inventory,  cash,  accounts  receivable,  cash
equivalents,  notes  receivable,  claims and rights under  Designated  Contracts
(defined herein),  rights in collateral or other security for obligations due to
any Seller,  provider agreements with third party payors, the names "Total Rehab
Services"  and "Total  Rehab  Services  02", all other  tradenames,  trademarks,
service  marks,  patient lists and records,  telephone  numbers,  trade secrets,
other proprietary rights or intellectual property, good will, and, to the extent
permitted  by law,  all permits,  licenses  and  certificates  of need and other
rights held by Seller with  respect to the  ownership or operation of any or all
of the  Business or other  Assets,  and all of each  Seller's  books and records
pertaining to the  foregoing.  Notwithstanding  the  assignment  and transfer to
Buyer of the names "Total Rehab Services" and "Total Rehab Services O2", neither
Seller shall be required to file a  Certificate  of Amendment to its  respective
Certificate of  Organization to change its name so long as it shall not transact
business under such name. "Excluded NY 02 Assets" shall mean all assets relating
solely to the  operation  of the  Excluded  NY 02  Services  (defined in Section
1.6(a))  including any accounts  receivable  arising  solely from Excluded NY 02
Services,  all as more specifically  described on Schedule 1.1.  Notwithstanding
the foregoing,  all assets necessary or useful to, or held for use in connection
with,  the  provision of 02 Services at or to the  Southshore  Home  (defined in
Section 1.6(b))  including,  without  limitation,  any accounts  receivable (the
"Southshore  Receivables")  shall be included as Assets and shall not be part of
the Excluded NY 02 Assets.

                  1.2  Liabilities.  (a) Neither  Buyer nor IHS will assume any,
and Sellers shall remain liable for each,  Liability of each Seller  existing on
the Closing Date. For purposes of this Agreement the term "Liability"  means any
claim, lawsuit, liability,  obligation or debt of any kind or nature whatsoever,
whether absolute, accrued, due, direct or indirect, contingent or liquidated,

                                        2

<PAGE>



matured  or  unmatured,  joint or  several,  whether  or not for a sum  certain,
whether for the payment of money or for the  performance  or  observance  of any
obligation or  condition,  and whether or not of a type which would be reflected
as a  liability  on a  balance  sheet  in  accordance  with  generally  accepted
accounting  principles,  consistently applied,  including without limitation (i)
malpractice  claims  asserted by  patients  or any other tort  claims  asserted,
claims for breach of contract,  or any claims of any kind  asserted by patients,
former  patients,  employees  or any  other  party  that  are  based  on acts or
omissions  occurring on or before the Closing Date; (ii) amounts due or that may
become due to Medicare or Medicaid  or any other  health care  reimbursement  or
payment  intermediary  on account of Medicare cost report  adjustments  or other
payment  adjustments  attributable to any period on or prior to the Closing Date
(including, without limitation, any of the same which becomes due to any nursing
home, hospital, other facility or other third party pursuant to any Contract (as
such  term  is   hereinafter   defined)   directly,   by  reason  of  offset  or
indemnification,  or  otherwise,  or any other form of Medicare or other  health
care reimbursement denial, recapture,  adjustment or overpayment whatsoever with
respect to any period on or prior to the  Closing  Date  ("Excess  Reimbursement
Liabilities"),  (iii) any  obligation  or liability  arising out of any Contract
which is not a Designated Contract, and (iv) any obligation or liability arising
out of the  provision  of Excluded  NY O2  Services  (as such term is defined in
Section 1.6(a) below).

                  (b) Notwithstanding the provisions of subsection (a) above, on
the  Closing  Date,   contingent  upon  the  consummation  of  the  transactions
contemplated  hereby,  Buyer shall  assume and  thereafter  in due course  fully
satisfy:

                           (i)  all operating trade payables, operating expenses
and other  current  liabilities  of Sellers that would be  classified as current
liabilities  ("Current  Liabilities") on a consolidated balance sheet of Sellers
as of the Closing Date prepared in accordance with generally accepted accounting
principles  (except  as  disclosed  on  Schedule  1.2(b)(i))  applied on a basis
consistent  with the  balance  sheet  delivered  to Buyer  and  included  in the
financial  statements of the Sellers as at March 31, 1996  ("GAAP"),  including,
without limitation,  all amounts due to American National Bank and Trust ("ANB")
immediately  prior to the  Closing  regardless  of  whether  the  same  shall be
satisfied  concurrently with the Closing,  but excluding any current liabilities
arising out of the Excluded NY O2 Services ("Excluded NY 02 Liabilities"); and

                           (ii)     those  obligations  which  arise  under  the
Designated  Contracts  specified  pursuant to Section 1.3 below and  assigned by
Sellers to Buyer,  with  respect to, and only with  respect  to,  services to be
rendered or goods to be supplied or  benefits to be  conferred  to Buyer  solely
after the Closing Date.  Liabilities  under such Designated  Contracts that have
accrued, or the performance of which is due, on or prior to the Closing Date, or
which are in payment or consideration for Excluded Assets, shall remain the sole
responsibility  of  Sellers  except  to  the  extent  same  constitute   Current
Liabilities.




                                        3

<PAGE>



                  1.3      Designated Contracts.

                           (a)     As soon as practicable after the date hereof,
but in no event within two (2) business days after the date hereof,  Buyer shall
deliver notice in writing to Sellers designating which, if any, of the Contracts
to which any Seller is a party listed on Schedule 4.7 hereto pursuant to Section
4.7 of this  Agreement  will be assigned to and assumed by Buyer  (collectively,
the  "Designated  Contracts").  If within  said period of time Buyer fails to so
deliver notice to Sellers,  Buyer will be deemed to have  designated all of said
Contracts;  provided  however,  that  in no  event  will  any of  the  Contracts
described  on Schedule  4.17 below or Schedule  4.7(b)(ix)  below be included as
Designated Contracts.  To the extent Buyer makes (or is deemed to have made) any
such  designation,  Sellers shall at Closing be obligated to assign all of their
right,  title and interest  under such  Designated  Contracts to Buyer and Buyer
shall  assume the  obligations  accruing  after  Closing  under such  Designated
Contracts to the extent provided in Section 1.2 above.

                           (b)      Immediately  after notice  of the Designated
Contracts by Buyer,  each Seller will use its best efforts and shall  diligently
proceed to obtain any consents of any parties necessary to permit the assignment
of the Designated  Contracts.  If any Designated  Contract is not assignable and
the  parties  to any  Designated  Contract  fail or  refuse  to  consent  to any
assignment  on or before the  Closing  Date,  Buyer shall have no  liability  to
assume any such Designated  Contract,  and if such Designated Contract shall not
be a Provider  Contract  (as defined in Section  4.7(b)(vi)  below) and shall be
material to the Business,  Buyer shall be permitted to terminate  this Agreement
in accordance with Article XI hereof.

                  1.4 Designated  Related Contracts;  Other Designated  Provider
Contracts. As soon as practicable after the date hereof, each Seller will notify
or, if  applicable,  provide a form of consent of (in each case, in a writing in
form and  substance  acceptable  to IHS) each  nursing  home,  hospital or other
facility and each licensed professional corporation that is a party to a Related
Contract or other Provider  Contract (as such terms are  hereinafter  defined in
Section 4.7 below) that is a Designated Contract ("Designated Related Contracts"
and  "Designated   Provider   Contracts",   respectively)  that  the  applicable
Designated  Related  Contract  or  Designated  Provider  Contract  with,  or the
management of the  provider(s) of Rehab  Services  and/or O2 Services to, as the
case may be, such  nursing home or hospital or other  facility or such  licensed
professional  corporation  will be  assigned  to  Buyer,  a  subsidiary  of IHS,
effective  at the  Closing.  If at least  fourteen  (14) days shall have elapsed
since the date on which a notice (as set forth  above) is received by a party to
a Related  Contract  or a Provider  Contract  (which  Contract  does not require
consent to the assignment to Buyer) and no termination or threatened termination
of such  Contract  shall  occur prior to Closing,  then such  Contract  shall be
deemed to qualify as  effectively  assigned to Buyer for purposes of Section 1.5
hereof.  Sellers shall not be obligated to provide the notice or form of consent
as required  above with  respect to a  Designated  Provider  Contract if Sellers
obtain the  written  consent (in form and  substance  reasonably  acceptable  to
Buyer)  on or  prior to the  Closing  Date  from  each  applicable  party to the
Designated  Provider  Contract  to the  assignment  to Buyer of said  Designated
Provider Contract or the written

                                        4

<PAGE>



acknowledgment  (in form and  substance  reasonably  acceptable  to Buyer) on or
prior to the Closing from each party to the  Designated  Related  Contract  that
Buyer, a subsidiary of IHS, will become the manager of the  applicable  provider
under such Designated Related Contract. Sellers will promptly notify IHS if they
become aware or receive any written or oral notice (directly from any applicable
nursing home, hospital or other facility or licensed  professional  corporation,
or  indirectly  from any  provider  or  otherwise)  of the actual or  threatened
termination of any Designated Related or any other Designated Provider Contract.

                  1.5 Termination of Provider  Contracts and Related  Contracts.
For  purposes of this Section  1.5, a  Designated  Provider  Contract or Related
Contract shall be deemed  "Matured" if it shall have been in effect for at least
sixty (60) days on the Closing  Date.  If, after the date hereof and on or prior
to Closing,  Sellers are unable to assign to Buyer Matured  Designated  Provider
Contracts and Matured  Designated  Related  Contracts (none of which  Designated
Provider  Contracts  and  Designated  Related  Contracts  shall be terminated or
subject to threatened  termination),  that  generate  aggregate  annualized  net
revenues to Sellers  measured as of the Closing Date equal to at least  fourteen
million  four  hundred  thousand  dollars  ($14,400,000),  then  Buyer  shall be
permitted to terminate this Agreement in accordance with Article XI hereof.  For
purposes  of  this  Agreement,  annualized  net  revenues  to a  Seller  for any
Designated  Contract or  Designated  Related  Contract  for the 1996 fiscal year
shall be calculated as follows: The daily net revenue to said Seller arising out
of said Designated Contract or Designated Related Contract shall be equal to the
amount of net  revenue  for the period  commencing  on the later to occur of (x)
January  1,  1996,  and (y) the  date  on  which  such  Designated  Contract  or
Designated  Related Contract was executed and delivered,  and ending October 31,
1996, shall be divided by the number of days during such period.  The annualized
net revenue  shall be equal to the daily net revenue  calculated  in  accordance
with the  preceding  sentence  multiplied by three hundred and sixty five (365);
provided,  however,  that no  revenues  generated  by the  South  Shore  Home or
Woodbridge Nursing Pavillion, Ltd. contracts shall be included.

                  1.6     02 Services in New York; Southshore and Central Island
Management Agreements.

                           (a)      Notwithstanding  anything  to  the  contrary
contained in this Agreement,  Buyer shall not assume, and shall not be assigned,
any Contracts,  obligations  or  liabilities  with respect to O2 Services in the
State of New York  ("Excluded  NY O2  Services"),  except as expressly  provided
below in subsection (b) (ii) below.

                           (b)      (i)     The Group has an  understanding with
Southshore Health Center, 275 West Merrick Road,  Freeport,  New York 11520 (the
"Southshore Home") pursuant to which Rehab 02 (or its successors and assigns) is
to provide management services for the respiratory therapists at such facilities
in  consideration  for a management fee of  approximately  $10,000 per month and
with Central  Island  Nursing Home,  825 Old Country Road,  Plainview,  New York
11803 (the "Central Island Home") pursuant to which Rehab (or its successors and
assigns) is to provide management services for the rehabilitation  therapists at
such facilities in consideration  for a management fee of approximately  $10,000
per month.

                                        5

<PAGE>



                                    (ii)    (A)       If within thirty (30) days
after the Closing  Date,  Buyer shall not be assigned and shall not enter into a
written  Management  Agreement  with the Southshore  Home to provide  management
services for the respiratory  therapists at such facility in the form of Exhibit
1.6(b)(ii) (a "Southshore Management  Agreement"),  then Buyer shall be entitled
to a reduction in the  Purchase  Price equal to Five  Hundred  Thousand  Dollars
($500,000),  which amount shall be paid to Buyer out of the Escrow  Deposit upon
demand. If there shall be insufficient shares of IHS Stock in the Escrow Deposit
to cover such $500,000  payment,  the Group shall pay any deficiency to Buyer on
demand.  At the time  that any such  Southshore  Management  Agreement  shall be
assigned to Buyer or executed by Buyer, Sellers shall be deemed automatically to
have  represented  and warranted as of such date that:  (aa) they shall not have
taken  any  action  or  omitted  to take any  action  in  connection  with  such
assignment  or  execution  that  is  not  in  compliance   with  all  applicable
Governmental Requirements; (bb) each representation and warranty that they would
have made pursuant to Section 4.7 hereof had the Southshore Management Agreement
been in effect on the date  hereof  and been  deemed a  Contract  ; and (cc) the
obligations  set forth  under  Sections  B.1.,  B.6.  and D.1 of the  Southshore
Management  Agreement  have  been  satisfied  in  full,  or in the  case  of the
obligations  set forth under  Sections  B.1. and B.6,  Sellers have no reason to
believe,  after  reasonable  investigation,  that Buyer  shall not be capable of
timely and properly satisfying such obligations in full. No Buyer Indemnitee (as
such term is defined in Section  10.2(a))  shall be entitled to  indemnification
for a breach of any  representation  or  warranty  made  pursuant to this clause
(ii)(A)  except to the extent the amount of the claim shall exceed the amount of
any purchase price reduction made in accordance with this clause (ii).

                                            (B) If there  shall be a  Southshore
Management Agreement and it shall be terminated (other than a termination by the
Southshore  Home for cause as  provided  in  Paragraph  F(2) of such  Management
Agreement,  or a  termination  by Buyer  other  than for  cause as  provided  in
Paragraphs F(2) or F(3) of such Management Agreement) prior to the date which is
six months  after its  commencement  date,  then Buyer  shall be  entitled  to a
reduction  in  the  Purchase  Price  equal  to  Five  Hundred  Thousand  Dollars
($500,000)  less the amount of net income  (determined in accordance  with GAAP)
earned by Buyer under such Management  Agreement,  which amount shall be paid to
Buyer out of the Escrow  Deposit  upon  demand.  If there shall be  insufficient
shares of IHS Stock in the Escrow  Deposit to cover such $500,000  payment,  the
Group shall pay any deficiency to Buyer on demand.

                                            (C)   If there shall be a Southshore
Management  Agreement  and  it  shall  not be  terminated  (or  if it  shall  be
terminated  by the  Southshore  Home for cause as provided in Paragraph  F(2) of
such Management Agreement) by notice given prior to the date which is six months
after its  commencement  date (the  "Southshore  Contingency")  and the  Central
Island Contingency (defined below) shall have been satisfied, then Sellers shall
be entitled to receive One Hundred Fifty Thousand  Dollars  ($150,000)  from the
Escrow Deposit upon demand.


                                        6

<PAGE>

                                    (iii)   (A)      If  within thirty (30) days
after the Closing  Date,  Buyer shall not be assigned and shall not enter into a
written Management  Agreement with the Central Island Home to provide management
services for the physical, occupational or speech therapists at such facility in
the form of Exhibit 1.6(b)(iii) (a "Central Island Management Agreement"),  then
Buyer  shall be  entitled to a  reduction  in the  Purchase  Price equal to Five
Hundred Thousand Dollars ($500,000),  which amount shall be paid to Buyer out of
the Escrow  Deposit upon demand.  If there shall be  insufficient  shares of IHS
Stock in the Escrow Deposit to cover such $500,000 payment,  the Group shall pay
any  deficiency  to Buyer on demand.  At the time that any such  Central  Island
Management  Agreement  shall be assigned to Buyer or executed by Buyer,  Sellers
shall be deemed  automatically to have represented and warranted as of such date
that: (aa) they shall not have taken any action or omitted to take any action in
connection  with such assignment or execution that is not in compliance with all
applicable Governmental Requirements;  and (bb) each representation and warranty
that they would have made pursuant to Section 4.7 hereof had the Central  Island
Management  Agreement  been in  effect  on the date  hereof  and  been  deemed a
Contract;  and (cc) the obligations set forth under Section [B.1., B.6. and D.1]
of the Central  Island  Management  Agreement have been satisfied in full, or in
the case of the obligations set forth under Sections B.1. and B.6,  Sellers have
no reason to believe,  after reasonable  investigation,  that Buyer shall not be
capable of timely and properly  satisfying  such  obligations  in full. No Buyer
Indemnitee   shall  be  entitled  to   indemnification   for  a  breach  of  any
representation  or warranty made pursuant to this clause  (iii)(A) except to the
extent the amount of the claim  shall  exceed the amount of any  purchase  price
reduction made in accordance with this clause (ii).

                                            (B)      If there shall be a Central
Island Management Agreement and it shall be terminated (other than a termination
by the Central Island Home for cause as provided in Section F(2) such Management
Agreement,  or  termination  by Buyer  other  than  for  cause  as  provided  in
Paragraphs F(2) or F(3) of such Management Agreement) prior to the date which is
six months  after its  commencement  date,  then Buyer  shall be  entitled  to a
reduction  in  the  Purchase  Price  equal  to  Five  Hundred  Thousand  Dollars
($500,000)  less the amount of net income  (determined in accordance  with GAAP)
earned by Buyer under such Management  Agreement,  which amount shall be paid to
Buyer out of the Escrow  Deposit  upon  demand.  If there shall be  insufficient
shares of IHS Stock in the Escrow  Deposit to cover such $500,000  payment,  the
Group shall pay any deficiency to Buyer on demand.

                                            (C)      The      "Central    Island
Contingency" means that there shall be a Central Island Management Agreement and
it shall not be terminated  (unless it shall be terminated by the Central Island
Home for cause as provided in Section  F(2) of such  Management  Agreement or by
IHS other than for cause) by notice  given prior to the date which is six months
after its commencement date.

                                    (iv)    If  not  assigned  at  Closing,  any
assignment and assumption of the Southshore Management Agreement and the Central
Island  Management  Agreement  shall  be  made  pursuant  to an  assignment  and
assumption   agreement   in  the  form  of   Exhibit   8.9-2   hereto   (revised
appropriately).  The assignment and assumption shall be accompanied by a Bill of
Sale conveying to Buyer all of each Seller's right, title and interest in and to
all of such Seller's assets that relate to the Management Agreement.

                                        7

<PAGE>




                           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 and their  respective  obligations  under this
Agreement  (the  "Purchase  Price")  shall be EIGHT  MILLION and 00/100  DOLLARS
($8,000,000.00), and which Purchase Price shall be payable as follows:

                           (a)     FIVE MILLION THREE HUNDRED AND 00/100 DOLLARS
($5,300,000) shall be paid at the Closing to Sellers in cash by wire transfer of
immediately  available funds to the account  designated in writing by Sellers at
least one business day prior to the Closing;

                           (b)     TWO MILLION FIFTY THOUSAND AND 00/100 DOLLARS
($2,050,000) shall be paid at the Closing by delivery to Sellers of newly issued
shares of the Common Stock, par value $.001 per share, of IHS (the "IHS Stock"),
based upon the valuation and subject to the terms and  conditions of Section 2.5
below; and

                           (c)     SIX HUNDRED FIFTY THOUSAND AND 00/100 DOLLARS
($650,000)  (the "Escrow  Deposit")  shall be paid by the deposit into an escrow
account as provided in Section 2.4 below of shares of IHS Stock,  based upon the
valuation and subject to the terms and conditions of Section 2.5 below.

                  2.2  Allocation  of  Purchase  Price.  The  Purchase  Price as
adjusted pursuant to this Agreement (and all other capitalizable costs) shall be
allocated  among  the  Sellers  and  with  respect  to each  Seller,  among  the
categories of Assets, as shall be determined by Sellers,  subject to the consent
of Buyer (which consent shall not unreasonably be withheld),  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.

                  2.3      Working Capital Adjustments to the Purchase Price.

                           (a)      For the purposes of this Agreement, "Current
Assets" shall mean the aggregate  amount of all assets of the Sellers that would
be classified as current assets on the consolidated balance sheet of the Sellers
as of the Closing Date  prepared in  accordance  with GAAP,  but  excluding  any
current assets that constitute  Excluded NY O2 Assets,  it being understood that
all Southshore  Receivables shall be included as Current Assets. As used herein,
"Working  Capital"  means the amount by which  Current  Assets  exceeds  Current
Liabilities.

                                        8

<PAGE>



                           (b)    At the Closing, Sellers shall deliver to Buyer
the consolidated  balance sheet of Sellers as of the Closing Date,  certified by
the Chief  Financial  Officer  of each  Seller to be his or her best good  faith
estimate of such  balance  sheet as of the Closing  (the  "Closing  Date Balance
Sheet").  The Closing Date Balance Sheet shall  indicate which of the assets and
liabilities constitute Excluded NY O2 Assets and Excluded NY O2 Liabilities. The
Purchase  Price  payable to the  Sellers  shall be reduced if the  Closing  Date
Balance Sheet discloses that the  consolidated  Working Capital of Sellers as of
the Closing Date (the "Closing Date Working Capital") is less than EIGHT HUNDRED
THOUSAND DOLLARS ($800,000 (the "Minimum Amount").  In such event, the amount of
the Purchase  Price payable to the Sellers at the Closing shall be reduced by an
amount, on a  dollar-for-dollar  basis, equal to the amount by which the Closing
Date Working Capital is less than such Minimum Amount.

                           (c)      Buyer may complete,  at its own  expense,  a
review of the Closing Date Working Capital, and, if it does so, shall deliver to
Sellers its written  report (the  "Working  Capital  Review")  setting forth the
amount of such  Closing  Date Working  Capital as  confirmed  or  determined  in
accordance  with such review.  If Buyer shall not have  completed such a Working
Capital  Review and delivered a copy thereof to Sellers  within ninety (90) days
following the Closing Date, Buyer shall be deemed to conclusively  have accepted
the  determination  of the  Closing  Date  Working  Capital  as set forth on the
Closing Date Balance Sheet, and such determination  shall become final and shall
not be subject to further review, challenge or adjustment,  absent fraud. In the
event that the  Working  Capital  Review is timely  prepared  and  delivered  to
Sellers and it discloses that the Closing Date Working Capital was less than the
lesser of: (x) the Minimum Amount and (y) the amount of the Working  Capital set
forth on the Closing Date Balance  Sheet,  the Purchase Price shall be deemed to
have been  reduced  by the  amount of such  deficiency;  provided,  however,  if
Sellers shall dispute the amount set forth in the Working Capital  Review,  they
shall give notice to Buyer (a "Delay  Payment  Notice")  within thirty (30) days
after delivery to them of the Working Capital Review that the payment  specified
in subsection (d) hereof should not then be made and setting forth in reasonable
detail their objections and the basis therefor,  in which case the parties shall
meet and in good faith attempt to resolve any  disagreements  within thirty (30)
days after  delivery to Buyer of the Delay  Payment  Notice.  If the parties are
unable to resolve such disagreements  within such time period, the disagreements
shall be referred to a "Big Six" accounting firm selected by mutual agreement of
Sellers, on the one hand, and Buyer, on the other hand (or if the parties cannot
agree on such selection,  then a "Big Six" accounting firm, other than KPMG Peat
Marwick  LLP  selected  by  lot)  (the   "Settlement   Accountants"),   and  the
determination  of the  Settlement  Accountants  shall be final  and shall not be
subject to further review, challenge, or adjustment absent fraud. The Settlement
Accountants shall be directed to use their best efforts to reach a determination
not more than forty-five  (45) days after such referral.  The costs and expenses
of the  services  of the  Settlement  Accountants  shall be  borne by the  party
against  whom  the  Settlement  Accountants  shall  rule;  provided  that if the
Settlement Accountants shall not clearly rule against any party, then such costs
and expenses shall be borne equally by Sellers,  on the one hand, and Buyer,  on
the other hand.

                                        9

<PAGE>



                           (d)    If the Purchase Price is decreased as provided
in this  Section  2.3,  the amount of the  decrease  shall be paid  promptly  by
Sellers to Buyer.  Such payment shall be made in IHS Stock (valued in accordance
with Section  2.4(c) below) out of the Escrow  Deposit to the extent there shall
be sufficient  shares therefor and any further  deficiency shall be paid in cash
by Sellers.

                           (e)      The parties acknowledge  that   because  the
Purchase Price is payable,  in part, by the delivery of shares of IHS Stock, and
that at least two (2) business days  lead-time is necessary to prepare the stock
certificates,  it may be impractical  to make Purchase Price  adjustments at the
Closing  by  changing  the  number  of  shares  of IHS  Stock  to be  delivered.
Accordingly,  to the extent such  adjustments  can not be made at the Closing by
way of decreasing  the number of shares  delivered,  the parties agree that such
adjustments  will be made by the  reduction  in the  payment of cash at Closing.
Notwithstanding  the  foregoing,  in lieu  of  reducing  the  cash  payments  in
accordance with the foregoing  sentence,  Sellers may elect to instruct  Buyer's
attorneys to hold the stock certificates evidencing the Purchase Price in escrow
pending the  issuance to Sellers of stock  certificate(s)  evidencing  the exact
amount of the Purchase Price.

                  2.4      Escrow Indemnification.

                           (a)   At the Closing, pursuant to an Escrow Agreement
to be executed by the parties in substantially the form and substance of Exhibit
2.4 hereto,  the Escrow  Deposit  shall be  deposited  with an escrow agent (the
"Escrowee")  acceptable  to Buyer and Sellers and shall be held by the Escrowee,
together with all dividends  (stock or cash), if any,  earned  thereon,  and any
interest or income earned thereon in accordance with the Escrow Agreement,  as a
non-exclusive  source of indemnification  from the Sellers for any amount due to
any Buyer  Indemnitee (as such term is  hereinafter  defined) and as a source of
repayment  of any  reduction in the  Purchase  Price  pursuant to Section 1.6 or
Section  2.3 above.  The Escrow  Deposit  shall be deemed to be the  property of
Buyer  unless and until paid to Sellers  pursuant to the Escrow  Agreement.  The
Escrow Deposit (plus all dividends,  if any, earned thereon, and any interest or
income earned thereon in accordance  with the Escrow  Agreement) less any claims
made pursuant to Section 1.6 or Section 2.3 above or for Losses (as such term is
defined  in  Section  10.2(a)  hereof),  and also  less any  amounts  previously
released to Sellers in accordance  with Section 1.6 above,  shall be released to
Sellers on the first  anniversary  of the Closing Date. If any Buyer  Indemnitee
shall  have  asserted  a  claim  to  indemnification  or  for a  Purchase  Price
reduction,  and the amount of such claim shall not have been finally  determined
by the first  anniversary  of the  Closing  Date,  then the amount of the Escrow
Deposit to be  released to Sellers in  accordance  with the  foregoing  sentence
shall be reduced by a reasonable  reserve for such claim as  determined by Buyer
in good faith and set forth in a notice to  Sellers  and the  Escrow  Agent.  If
Sellers  shall  dispute  the amount of such  reserve,  they shall give notice to
Buyer  setting  forth  in  reasonable  detail  their  objections  and the  basis
therefor,  in which case the  parties  shall  meet and in good faith  attempt to
resolve any  disagreements  within  thirty (30) days after  Sellers'  receipt of
notice of the amount of the  reserve.  If the parties are unable to resolve such
disagreements  within such time period,  the disagreements  shall be referred to
the Settlement Accountants,  and the determination of the Settlement Accountants
shall be final and

                                       10

<PAGE>



shall not be subject to further review,  challenge,  or adjustment absent fraud.
The Settlement  Accountants shall be directed to use their best efforts to reach
a  determination  not more than  forty-five  (45) days after such referral.  The
costs and expenses of the services of the Settlement  Accountants shall be borne
by the party against whom the Settlement  Accountants shall rule;  provided that
if the  Settlement  Accountants  shall not clearly rule against any party,  then
such costs and expenses shall be borne equally by Sellers,  on the one hand, and
Buyer, on the other hand.

                           (b)   Subject to the limitations set forth in Section
2.5 below  (including  without  limitation,  Sections  2.5 (b) and 2.5(c))  with
respect to the sale of shares of IHS Stock issued pursuant to this Agreement, if
Sellers shall so request, Buyer and IHS shall agree to the sale of shares of IHS
Stock  constituting  all or part  of the  Escrow  Deposit  if the  entire  gross
proceeds  of such sale  shall  become  part of the Escrow  Deposit  and shall be
deposited with the Escrow Agent and held pursuant to the Escrow  Agreement,  and
Buyer and IHS shall have  determined  that a satisfactory  procedure  shall have
been  established  so that at all times  before,  during and after such sale the
escrowed shares of IHS Stock to be sold and said gross proceeds thereof shall be
subject to the sole possession and control of the Escrow Agent and shall be free
and clear of all Liens of third  parties  (other than the Escrow Agent if and as
provided in the Escrow Agreement).

                           (c)      For purposes of determining the value of any
shares of IHS Stock claimed as a source for indemnification,  for Purchase Price
reductions  or for  release of less than all of the shares  held in escrow,  the
Current  Market  Value Per Share shall be used.  For  purposes  hereof  "Current
Market  Value Per Share"  means the  average  closing  New York  Stock  Exchange
("NYSE")  price of IHS Stock for the thirty (30)  business day period  ending on
the date  which is two (2)  business  days  prior to the date on which  such IHS
Stock is to be released from the Escrow pursuant to the Escrow Agreement.

                           (d)      If any shares of IHS Stock constituting  any
part of the Escrow Deposit shall be sold,  the gross  proceeds  thereof shall be
held by the Escrow Agent  pursuant to the terms of the Escrow  Agreement and may
be invested in  accordance  with the mutual  instructions  of Sellers and IHS as
provided in the Escrow Agreement. Any interest or income or dividends paid on or
in respect of all or any part of the Escrow Deposit  ("Escrow  Income") shall be
added to the Escrow  Deposit  and shall be used for the benefit of Sellers or be
paid to Sellers upon release of the balance of the Escrow Deposit.

                           (e)      The costs, fees and expenses of  the  Escrow
Agent shall be borne  equally by Buyer,  on the one hand,  and  Sellers,  on the
other hand.

                  2.5      IHS Stock.

                           (a)    As set forth in Sections 2.1(b) and (c) above,
but subject to Sections  2.3(d) and (e) above,  a portion of the Purchase  Price
equal to TWO MILLION  SEVEN  HUNDRED  THOUSAND AND 00/100  DOLLARS  ($2,700,000)
shall be payable by means of the

                                       11

<PAGE>



delivery to Sellers  and the  Escrowee of IHS Stock based upon a price per share
of such stock equal to the  average  closing  New York Stock  Exchange  ("NYSE")
price of such stock for the thirty (30)  business day period  ending on the date
which is two (2) business  days prior to the Closing Date (the  "Initial  Market
Value Per Share").

                           (b)      Resale Limitations.   All sales of IHS Stock
issued pursuant to this Agreement shall be effected solely through Smith Barney,
Inc.,  as  broker,   which  shall  charge  not  more  than  customary  brokerage
commissions,  and sales of such shares shall not at any time, in the  aggregate,
exceed fifty  thousand  (50,000)  shares  during any thirty (30) day period;  it
being  understood  however,  that such  covenant will not apply to shares of IHS
Stock issued  pursuant to the Asset  Purchase  Agreement,  dated as of April 20,
1996,  among  them,  Hospice  of the  Great  Lakes,  Inc.  ("HGL"),  Hospice  of
Integrated Health Services, Inc., IHS and various other shareholders of HGL.

                           (c)      Investment  Representations.   All shares of
IHS Stock to be issued hereunder will be newly issued shares of IHS. Sellers and
the  Members  represent  and  warrant to IHS and Buyer that the IHS Stock  being
issued  hereunder  is being  acquired,  and will be  acquired,  by  Sellers  for
investment  for their  own  accounts  or for the  account  of any  Member or the
Consultant  (as such term is defined in Section 13.1) to whom transfer of any of
such shares is expressly  permitted in accordance with this  Agreement,  and not
with a view to or for sale in connection  with any  distribution  thereof within
the meaning of the Securities Act of 1933, as amended (the "Securities  Act") or
any applicable state  securities law;  Sellers and each Member  acknowledge that
the IHS Stock  constitutes  restricted  securities under Rule 144 promulgated by
the  Securities  and  Exchange  Commission  (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. Sellers and each Member
have the knowledge and experience in financial and business matters, are capable
of evaluating the merits and risks of the  investment,  and are able to bear the
economic  risk of such  investment.  Sellers and each Member have been  provided
with such materials as are generally  provided to  shareholders  of IHS and have
had the  opportunity  to make inquiries of and obtain from  representatives  and
employees  of IHS such other  information  about IHS as they deem  necessary  in
connection with such investment.

                           (d)  Legends.  It is understood that the certificates
evidencing  the IHS Stock  shall bear the  following  (or a similar)  legend (in
addition to any legends which may be required in the opinion of IHS's counsel by
the applicable securities laws of any state):

                  THE  SHARES  REPRESENTED  BY THIS  CERTIFICATE  HAVE  NOT BEEN
                  REGISTERED  UNDER THE  SECURITIES ACT OF 1933. THE SHARES HAVE
                  BEEN ACQUIRED FOR INVESTMENT AND MAY NOT BE SOLD,  TRANSFERRED
                  OR  ASSIGNED  IN  THE  ABSENCE  OF AN  EFFECTIVE  REGISTRATION
                  STATEMENT FOR THESE SHARES UNDER THE SECURITIES ACT OF 1933 OR
                  AN OPINION OF THE COMPANY'S  COUNSEL THAT  REGISTRATION IS NOT
                  REQUIRED UNDER SAID ACT.

                                       12

<PAGE>



                           (e)     Transfers.  Upon prior notice to IHS, Sellers
shall be  permitted  to transfer  any of the shares of IHS Stock  acquired by it
pursuant  to this  Agreement  (other  than shares then being held as part of the
Escrow  Deposit)  and the  registration  rights  related  thereto  to any of the
Members,  the Consultant or TRS Protective  Trust,  Trustees David S. Krause and
Ronald Paler,  dated October 23, 1996,  (each a "Transferee") in accordance with
Section 13.1 hereof,  provided  that said  transfer  shall be made in compliance
with all applicable securities laws. As a condition to any such transfer, if IHS
shall  reasonably  so request,  Sellers  shall cause an opinion of legal counsel
(such  opinion  and legal  counsel  to be  reasonably  acceptable  to IHS) to be
delivered  to IHS upon  which IHS and its legal  counsel  may rely to the effect
that such  transfer may be made in  compliance  with all  applicable  securities
laws. Upon such transfer the acquiring  Transferee  shall be deemed to have made
each of the  representations  and  warranties  set forth in subsection (c) above
with respect to himself, herself or itself, as of the date of such transfer, and
he, she or it shall be bound by the  provisions  of this  Agreement  relating to
such transferred shares,  including without  limitation,  the resale limitations
set forth in  subsection  (b) above and all of the  obligations  relating to the
registration  of the shares.  No such transfer shall release any Seller from any
of its obligations under this Agreement  relating to such transferred  shares or
otherwise.

                           (f)      Registration of IHS Stock.

                                    (i)   IHS will use its best efforts to cause
to be prepared, filed and declared effective by the Commission within sixty (60)
days following the Closing Date, a registration  statement for the  registration
under the  Securities  Act of the IHS Stock  issued to Seller  pursuant  to this
Agreement  (including,  without  limitation,  all of  the  shares  of IHS  Stock
constituting   part  of  the  Escrow  Deposit),   and  IHS  shall  maintain  the
effectiveness  of such  registration  statement  for a period  of two (2)  years
following the date on which it becomes  effective,  or for so long as any Seller
(or any  Transferee)  shall own any of the IHS  Stock  issued  pursuant  to this
Agreement,  whichever  shall occur first, in each case except to the extent that
an exemption from registration may be available.  If the number of shares of IHS
Stock constituting the Purchase Price shall be increased pursuant to clause (ii)
below, IHS shall, prior to the effective date, estimate the number of additional
shares and shall use its best efforts to include all of the newly issued  shares
in the  registration  statement.  IHS  shall use its best  efforts  to cause the
shares of IHS Stock to be approved for listing on the NYSE.

                                    (ii)             If, notwithstanding the use
of its best  efforts as  provided  in clause  (i) above,  IHS does not cause the
registration  statement to be prepared,  filed and declared effective within one
hundred and eighty (180) days after the Closing  Date,  then as of the date that
such registration statement shall become effective,  the number of shares of IHS
Stock  constituting  the Purchase  Price shall be adjusted so that the number of
shares  issued to  Sellers  pursuant  to this  Agreement  (including  the shares
constituting the Escrow Deposit) shall have an aggregate fair market value equal
to the amount of the stock portion of the Purchase Price as adjusted pursuant to
this  Agreement  based upon a price per share of such stock equal to the average
closing NYSE price of such stock for the thirty (30)  business day period ending
on the date which is two (2)

                                       13

<PAGE>



business  days prior to such  effective  date (the  "Adjusted  Market  Value Per
Share").  Within  five (5)  business  days after such  effective  date IHS shall
deliver notice (the "Adjustment  Notice") to Seller of the Adjusted Market Value
Per Share and the number of shares to be  delivered  by Buyer to Sellers and the
Escrow  Agent (if the  Adjusted  Market  Value Per Share  shall be less than the
Initial  Market Value Per Share) or by Sellers and the Escrow Agent to Buyer (if
the Adjusted  Market  Value Per Share shall be greater  than the Initial  Market
Value Per Share) so as to effect the  adjustment  described in this clause (ii).
The number of shares to be  delivered  or issued,  as the case may be,  shall be
rounded up or down so that no fractional shares need be issued.  Within five (5)
business  days the parties  shall make (and if  applicable,  shall  instruct and
cause the Escrow Agent to make) the delivery of the shares of IHS Stock required
in the Adjustment Notice.

                           (g)      Registration Procedures, etc.  In connection
with the registration rights granted to Sellers with respect to the IHS Stock as
provided in this Section 2.5, IHS agrees as follows:

                                    (i)      IHS will promptly notify Sellers at
any time when a prospectus  relating to a  registration  statement  covering any
Seller's  shares under this  Section 2.5 is required to be  delivered  under the
Securities  Act, of the happening of any event known to IHS 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,  and, to the extent
required by applicable law, IHS shall promptly  prepare and file with the SEC as
appropriate a supplement or amendment to such  prospectus so that, as thereafter
timely  delivered to the  purchaser of any IHS Stock such  prospectus  shall not
contain an untrue  statement  of a material  fact or omit to state any  material
fact required to be stated therein or necessary to make the  statements  therein
not misleading.

                                    (ii)    IHS shall furnish Sellers with  such
number of  prospectuses as shall  reasonably be requested,  and Sellers agree to
comply  with the  prospectus  delivery  requirements  of the  Securities  Act in
connection with any sale of IHS Stock by it.

                                    (iii)           IHS shall take all necessary
action which may be required in qualifying or registering  IHS Stock included in
a registration  statement for offering and sale under the securities or Blue Sky
laws of such states as reasonably  are  requested by Sellers,  provided that IHS
shall not be  obligated  to  qualify  as a foreign  corporation  or dealer to do
business under the laws of any such jurisdiction.

                                    (iv)          The  information  included  or
incorporated by reference in the  registration  statement filed pursuant to this
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

                                       14

<PAGE>



registration  statement will comply in all material respects with the provisions
of the Securities Act and the rules and regulations thereunder.  With respect to
sales of IHS Stock sold in  accordance  with the  provisions of this Section 2.5
pursuant to the registration  statement,  IHS shall indemnify  Sellers and their
permitted successors and assigns, and the Transferees,  and each person, if any,
who controls  Sellers  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 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,
based upon a sale by them  pursuant to any untrue  statement  or alleged  untrue
statement of a material fact contained in such registration  statement  executed
by IHS or based upon a sale by them pursuant to written information furnished by
IHS filed in any jurisdiction in order to qualify IHS Stock under the securities
laws thereof or filed with the Commission,  any state  securities  commission or
agency,  NYSE,  NASDAQ, 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 IHS by any Seller or any  Transferee  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 any Seller or any controlling person of
any Seller or any Transferee in respect of which indemnity may be sought against
IHS pursuant to this subsection,  such Seller or such controlling person or such
Transferee  shall within thirty (30) days after the receipt thereof of a summons
or complaint,  notify IHS in writing of the  institution  of such action and IHS
shall assume the defense of such action, including the employment and payment of
reasonable  fees and  expenses  of counsel.  Any Seller or any such  controlling
person or any such  Transferee  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 such  Sellers  or such  controlling  persons or such  Transferee
unless (A) the employment of such counsel shall have been  authorized in writing
by IHS in connection with the defense of such action,  or (B) IHS shall not have
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 IHS (in which  case,  IHS  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 fees and  expenses  of not more than one  additional  firm of
attorneys for Seller,  such  controlling  person and such  Transferees  shall be
borne by IHS and such law firm shall be reasonably  acceptable to IHS. Except as
expressly provided in the previous  sentence,  in the event that any Seller, any
such controlling person or any such Transferee assumes control of the defense of
any such action or claim,  IHS shall not  thereafter be liable to such Seller or
any such controlling  person or such Transferee in  investigating,  preparing or
defending any such action or claim. IHS agrees promptly to notify Sellers of the
commencement  of  any  litigation  or  proceedings  against  IHS  or  any of its
officers,  directors or controlling persons in connection with the resale of IHS
Stock or in connection with such registration  statement. If the indemnification
provided for in this Section 2.5 is held by a court of competent jurisdiction to
be  unavailable  to any  Seller or any  controlling  person of any Seller or any
Transferee with respect to any loss,

                                       15

<PAGE>



liability,  claim,  damage or expense  referred  to herein,  then IHS in lieu of
indemnifying  any  Seller  or  any  controlling  person  of  any  Seller  or any
Transferee  hereunder,  shall  contribute  to the amount  paid or payable by any
Seller  or  any  controlling  person  of  such  Seller  or any  such  Transferee
hereunder,  as a result of such  loss,  liability,  claim,  damage,  expense  or
liability in such  proportion as is appropriate to reflect the relative fault of
IHS on the one hand and of such Seller or any controlling  person of such Seller
or any  Transferee  on the  other  hand in  connection  with the  statements  or
omissions which resulted in such loss,  liability,  claim,  damage,  expense, or
liability, as well as any other relevant equitable considerations.  The relative
fault of IHS and of such Seller or any controlling  person of such Seller or any
Transferee shall be determined by reference to, among other things,  whether the
untrue or alleged untrue statement of a material fact or the omission to state a
material  fact relates to  information  supplied by IHS or by such Seller or any
controlling  person of such Seller or any Transferee  and the parties'  relative
intent,  knowledge,  access to information and opportunity to correct or prevent
such statement or omission.

                                    (v)  Sellers and any Transferee who proposes
to sell IHS Stock  pursuant to a  registration  statement,  and its,  his or her
respective successors and assigns, shall severally,  and not jointly,  indemnify
IHS and Buyer,  their  respective  officers,  directors and  advisers,  and each
person,  if any,  who  controls IHS or Buyer within the meaning of Section 15 of
the Securities Act or Section 20(a) of the Exchange Act against all loss, claim,
damage,  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,  insofar as such  losses,  claims,  damages,
expenses  or  liabilities  (or actions in respect  thereof)  arise out of or are
based upon any untrue or alleged untrue statement of any material fact contained
in a  registration  statement,  a  prospectus,  or any  amendment or  supplement
thereto filed by IHS in accordance with this  Agreement,  or arise out of or are
based upon the  omission or alleged  omission to state  therein a material  fact
required to be stated  therein or necessary to make the  statements  therein not
misleading, in each case to the extent, but only to the extent, that such untrue
statement or alleged untrue  statement or omission or alleged  omission was made
in a  registration  statement,  a  prospectus,  or any  amendment or  supplement
thereto  filed  in  accordance  with  this  Agreement  in  reliance  upon and in
conformity  with written  information  furnished  to IHS by the Sellers,  or any
Transferee, or its, his or her respective successors or assigns.

                           (h)      Registration Expenses.    IHS shall bear all
reasonable expenses related to such registration.  Such costs and expenses shall
include, without limitation, the fees and expenses of counsel for IHS and of its
accountants,  all  other  costs,  fees  and  expenses  of  IHS  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  Sellers  and  the  Transferees  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 other purchasers of IHS Stock and the costs and expenses  (including
fees and disbursements of counsel) incurred in connection with the qualification
of IHS Stock  under the Blue Sky laws of various  jurisdictions.  IHS,  however,
shall not be required to pay

                                       16

<PAGE>



underwriter's  or brokerage  discounts,  commissions or expenses,  or to pay any
costs  and  expenses  in  excess  in the  aggregate  of  $20,000  for  Blue  Sky
qualifications of Sellers' (and any Transferee's) IHS Stock, or to pay any costs
or expenses  arising out of any Seller's or any  Transferee's  failure to comply
with its obligations under this Section 2.5.

                           (i)      Notice  of  Sale.     Except  for  transfers
permitted under Section 2.5(e), above, if any Seller (or any of its Transferees)
desires to transfer all or any portion of its,  his or her IHS Stock,  it, he or
she will deliver  written  notice to IHS,  describing in  reasonable  detail its
intention to effect the transfer and the manner of the proposed transfer.


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

                  3.1      Time and Place of Closing.

                           (a)   The closing (the "Closing") of the transactions
contemplated  by  this  Agreement  shall  take  place  by  mail  through  escrow
arrangements  satisfactory to the parties hereto on November 8, 1996, or at such
other  time and place upon which the  parties  may agree.  The date on which the
Closing is held is hereinafter referred to as the "Closing Date."

                           (b)      If  prior  to  or  on the Closing Date: each
license  to  operate  the  Business  by  the  state  agency  or  agencies   with
jurisdiction  over the  licensing  of the  Business has not been issued to Buyer
(the  "Required  Approvals");  then,  the Closing  Date  automatically  shall be
extended  until  the date  which is  sixty  (60)  days  after  the date  hereof;
provided, however, that if the Required Approvals are not obtained by such date,
this  Agreement  automatically  shall  terminate,  unless Buyer and Seller shall
mutually  agree to extend said date, and such  termination  shall be governed in
accordance with Article XI herein.

                           (c)      If  prior  to  or on the Closing Date, Buyer
shall have the right to terminate  this Agreement by reason of the occurrence of
any of the events specified in Section 1.3(b) or Section 1.5 above,  then Buyer,
in its sole discretion shall be entitled to extend the Closing Date for up to an
additional  sixty (60) days to provide  time to obtain the consents or approvals
contemplated  thereby.  If prior to or on the Closing Date, Buyer shall have the
right to  terminate  this  Agreement by reason of the  occurrence  of any of the
events specified in Section 1.5 above,  then Sellers,  in their sole discretion,
shall be entitled to extend the Closing Date until November 15, 1996, to provide
time to  obtain  the  consents  or  approvals  or  acknowledgments  contemplated
thereby.




                                       17

<PAGE>



          ARTICLE IV: REPRESENTATIONS AND WARRANTIES OF SELLERS AND THE
          -------------------------------------------------------------
                                     MEMBERS
                                     -------

                  Sellers and the Members hereby jointly and severally represent
and  warrant to Buyer and IHS as provided  in this  Article  IV,  subject to the
following rules of construction and qualification:

                           (a)     Each representation and warranty qualified by
the phrase "to the Group's  Knowledge"  shall be  considered  to be made by each
Seller to its actual knowledge after reasonable investigation and by each Member
to his or her actual knowledge after reasonable investigation; and

                           (b)      To the extent any representation or warranty
is made with  respect to the  status,  affairs,  circumstances  or effect on any
Member  (as  opposed  to on any  Seller),  such  as the  enforceability  of this
Agreement against a Member,  said  representation or warranty shall be deemed to
have been made  individually  (and not  jointly) by each Group  Participant  and
shall be deemed to have been made by each  Member  other  than the Member who is
the subject of such  representation or warranty only to such Member's knowledge;
provided that the foregoing  knowledge  shall not apply to  representations  and
warranties of the Ruby Members with respect to Ruby.

                  4.1      Organization and Standing; Subsidiaries.

                           (a)      Each Seller is a limited  liability  company
duly  organized,  validly  existing and in good  standing  under the laws of the
State of Illinois.  Copies of each such limited liability company's  Certificate
of Organization and Operating Agreement and all amendments thereof to date, have
been  delivered  to Buyer,  and are  complete  and  correct.  Each such  limited
liability company has the power and authority to own the property and assets now
owned by it and to conduct the business  presently  being  conducted by it. Each
such limited  liability company is qualified to do business as a foreign limited
liability  company in any state where the ownership of its assets or the conduct
of its business makes such qualification necessary.

                           (b)      Ruby  is  a  limited  liability company duly
organized,  validly existing and in good standing under the laws of the State of
Wisconsin. Copies of its Certificate of Organization and Operating Agreement and
all amendments  thereof to date, have been delivered to Buyer,  and are complete
and correct. Ruby has the power and authority to own the property and assets now
owned by it and to conduct the business presently being conducted by it.

                           (c)      Except  as  set forth on Schedule 4.1(b), no
Seller has any equity interest or investment in any other  corporation,  limited
liability  company,  partnership,  joint venture or other entity or association.
Schedule 4.1(b) sets forth a complete list of all  subsidiaries,  joint ventures
and  partnerships in which any Seller is the record or beneficial  owner of five
(5%) percent or more of the equity  interest.  All of the issued and outstanding
capital  stock or other  equity  interest  of the  entities,  if any,  listed on
Schedule 4.1(b) hereto is owned of record and  beneficially by the listed Seller
or by one of the listed  wholly-owned  subsidiaries except as listed on Schedule
4.1(b).
                                       18

<PAGE>



                  4.2 Authority.  (a) Each Seller has the full limited liability
company 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,  including  without  limitation,  the
Escrow Agreement  (collectively the "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,
limited liability company or otherwise,  on the part of each Seller, its members
and all necessary  consents of holders of  indebtedness of each Seller have been
obtained.

                           (b)        Each Member has  the full legal  power and
capacity 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 him  or her  ("Member  Transaction  Documents",  and
collectively  with the Seller  Transaction  Documents,  the  "Group  Transaction
Documents"),  and all of the transactions  contemplated hereby and thereby. Such
execution, delivery, performance and consummation have been made in the exercise
of each such  Member's free will and  volition,  and any  necessary  consents of
holders of indebtedness of such Members have been obtained. In the case of Ruby,
such execution, delivery, performance and consummation have been duly authorized
by all necessary action, limited liability company or otherwise,  on the part of
Ruby, and its members and all necessary  consents of holders of  indebtedness of
Ruby have been obtained.

                  4.3 Binding Effect.  This Agreement and the Group  Transaction
Documents  executed  by any Seller or Member  constitute  the  legal,  valid and
binding  obligations  of  such  Seller  or  such  Member,  as the  case  may be,
enforceable  against it, him or her, as the case may be in accordance with their
respective terms.

                  4.4 Absence of Conflicting  Agreements.  Neither the execution
or delivery of this Agreement or any of the Group  Transaction  Documents by any
Group   Participant  nor  the  performance  by  any  Group  Participant  of  the
transactions  contemplated hereby and thereby,  conflicts with, or constitutes a
breach  of or a  default  under  or the  termination  of (a) in the case of each
Seller and Ruby, its Certificate of Organization or Operating Agreement;  or (b)
any judgment,  order, writ, injunction, or decree of any court applicable to any
Group  Participant;  or (c)  any  applicable  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
or quasi-governmental agency, bureau, board,  administrator,  court, commission,
department,  instrumentality,  body or other authority having  jurisdiction over
it, him or her ("Governmental  Authorities");  or (d) any agreement,  indenture,
contract or instrument to which any Group Participant is now a party or by which
any of them or any of the Assets is bound.

                                       19

<PAGE>



                  4.5  Consents.  Except  as  set  forth  in  Schedule  4.5,  no
authorization,  consent, approval,  license, exemption by filing or registration
with any Governmental  Authority, is or will be necessary in connection with any
Group  Participant's  entry into,  execution,  delivery and  performance of this
Agreement or any of the Group Transaction Documents,  or for the consummation of
the transactions contemplated hereby and thereby.

                  4.6      Schedule of Assets and Properties.

                           (a)      Set  forth  in Schedule 4.6 are complete and
accurate lists of all of the material items  comprising the Assets and inventory
as of the date of this Agreement as follows:

                                    (i)   All machinery, vehicles and equipment,
office  equipment,  furniture and supplies  owned or leased by either Seller and
any other  items of personal  property  (not  otherwise  set forth on a schedule
hereto) that comprise or are otherwise used by either Seller in connection  with
any part of the Business.

                                    (ii) All patents, trademarks, service marks,
copyrights,  or applications for any of the same,  franchises,  rights and other
authorizations  (other than Licenses as set forth on Schedule  4.10 hereof),  if
any, and any other item of intangible or  intellectual  property that are owned,
possessed or used by either  Seller or any other person in the  operation of any
of the Business (the "Proprietary  Rights").  Schedule 4.6 sets forth any of the
foregoing items which have been registered  under any state or federal  statute.
All of the Proprietary  Rights of Seller are fully and freely  assignable by it,
and are free and clear of all Liens.

                  4.7      Contracts.

                           (a)     Schedules 4.7(b) and (c) set forth a complete
and correct list of all agreements,  leases,  contracts and commitments  whether
written or oral,  relating to the Business or to which either  Seller is a party
or by which any Seller or any of the Assets  are bound  (the  "Contracts").  The
Group has delivered to Buyer true,  complete and correct  copies of each written
Contract and a written  description  of each oral  Contract.  The Contracts were
entered into and require  performance in the ordinary course of business and are
in full force and effect.  No Seller is in default  under any Contract and there
has not been asserted,  either by or against any Seller under any Contract,  any
notice of default,  set-off or claim of default. Except as set forth on Schedule
4.7(b),  to the Knowledge of the Group,  the parties to the Contracts other than
Sellers are not in default of any of their respective  obligations  under any of
the  Contracts,  and there has not  occurred any event which with the passage of
time or the  giving of notice  (or both)  would  constitute  a default or breach
under any Contract.  Except as set forth in Schedule 4.7(b), all amounts payable
under each of the  Contracts  are, and will at the Closing Date, be on a current
basis.  Except as set forth in Schedule  4.7(b),  the  Contracts  are freely and
fully assignable to Buyer without the consent of the remaining  parties thereto.
No Group  Participant  has received  notice or has reason to believe that any of
the Contracts will be terminated by any party thereto  pursuant to any provision
thereof  permitting  any such party to terminate  such  Contract with or without
cause. If the Contracts with Concord  Extended Care and/or  Fairhaven of Chicago
Ridge
                                       20

<PAGE>



are  re-negotiated  as  contemplated by the disclosure on Schedule  4.7(b),  the
revenues and profits  generated by such Contracts as so renegotiated  (including
the  addition of  Washington  Heights  Nursing  Center and  Tri-State  Nursing &
Rehabilitation Center) will not be materially reduced.

                           (b)    Except as listed in Schedule 4.7(b), no Seller
is a party to or liable in connection with and no Seller has granted any written
or express, oral or implied:

                                    (i)    contract, agreement or commitment for
the  employment  or  retention  of,  or  collective  bargaining,   severance  or
termination of or with, any director, officer, employee,  consultant or agent or
group of employees or any non-competition,  confidentiality or similar agreement
with any such person or persons;

                                    (ii)   agreement or arrangement for the sale
of any of its assets, property or rights outside the ordinary course of business
or requiring the consent of any party to the transfer and assignment of any such
assets,  property  or  rights  (by sale of  assets,  sale of  stock,  merger  or
otherwise);

                                    (iii)            contract which contains any
provisions  requiring  either Seller to indemnify or act for any other person or
entity or to guaranty or act as surety for any other person or entity;

                                    (iv)   agreement restricting any Seller from
conducting  business anywhere in the world for any period of time or restricting
its use or disclosure of any confidential or proprietary information;

                                    (v)     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  of either
Seller or any portion thereof or the business of any other person or entity;

                                    (vi)     agreement    (including,    without
limitation,  management  agreements)  with any nursing home or hospital or other
facility or any professional  corporation with respect to the provision of Rehab
or O2 Services to patients or residents ("Provider Contracts");

                                    (vii)        licensing, distributor, dealer,
franchise,  sales or  manufacturer's  representative,  agency  or other  similar
contract, arrangement or commitment; or

                                    (viii)        agreement granting a leasehold
or other interest in real property (the "Leases");


                                       21

<PAGE>



                                    (ix)      profit   sharing,  thrift,  bonus,
incentive,  deferred compensation,  stock option, stock purchase, severance pay,
pension, retirement hospitalization,  insurance or other similar plan, agreement
or  arrangement  applicable to any  employee,  consultant or agent to Seller not
covered by clause (i) above; or

                                    (x)     agreement  not  made in the ordinary
and normal  course of business and  consistent  with past  practice or involving
consideration in excess of $25,000 except as set forth in Schedule 4.17.

                           (c)      Schedule 4.7(c)  sets  forth  a complete and
correct list of all agreements,  contracts and  commitments,  whether written or
oral,  relating to the provision of Rehab Services or O2 Services as to which no
Seller  is a party,  but with  respect  to which  either  Seller  is acting as a
manager or  consultant  (the  "Related  Contracts").  The Group has delivered to
Buyer true,  complete and correct copies of each written Related  Contract and a
written  description of each oral Related  Contract.  The Related Contracts were
entered into and require  performance in the ordinary course of business and are
in full force and effect.  No provider is in default under any Related  Contract
and there has not been  asserted,  either by or against  any Seller or  provider
under any Related Contract, any notice of default,  set-off or claim of default.
Except as set forth on  Schedule  4.7(c),  to the  Knowledge  of the Group,  the
parties to the Related  Contracts other than the providers are not in default of
any of their  respective  obligations  under any of the Related  Contracts,  and
there has not occurred any event which with the passage of time or the giving of
notice  (or both)  would  constitute  a  default  or  breach  under any  Related
Contract. Except as set forth in Schedule 4.7(c), all amounts payable under each
of the Related Contracts are on a current basis. Except as set forth in Schedule
4.7(c), each Related Contract to which any Seller is a party is freely and fully
assignable  to Buyer without the consent of the remaining  parties  thereto.  No
Group  Participant  has received notice or has reason to believe that any of the
Related  Contracts  will be  terminated  by any party  thereto  pursuant  to any
provision  thereof  permitting any such party to terminate such Related Contract
with or without cause.

                  4.8      Financial Statements.

                           (a)      (i)    Attached hereto as Schedule 4.8(a)(i)
are the unaudited  consolidated  financial  statements of Sellers for the fiscal
quarters  ended  June 30,  1996 and March 31,  1996,  the  audited  consolidated
financial statements of Sellers for the fiscal year ended December 31, 1995, and
each Seller's unaudited  consolidated  financial  statements for the fiscal year
ended  December 31, 1994 and for each fiscal month since January 1, 1995 through
the date hereof,  in each case,  certified as true and correct by the applicable
Seller's chief  financial  officer (the "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 Sellers on a consolidated basis as, at and for the periods therein
specified  and were  prepared in  accordance  with GAAP except as expressly  set
forth on  Schedule  4.8.  The books of  account  of each  Seller  from which the
Financial Statements were prepared accurately reflect all of the items of income
and expense, assets, liabilities and accruals of Sellers on a consolidated

                                       22

<PAGE>



basis. The income statements included in the Financial Statements do not contain
any items of special or  nonrecurring  income or expense or any other income not
earned or expense not  incurred  in the  ordinary  course of business  except as
expressly  specified  therein,   and  such  financial   statements  include  all
adjustments, which consist only of normal recurring accruals, necessary for such
fair presentation.

                                    (ii)  Attached hereto as Schedule 4.8(a)(ii)
are the unaudited  consolidated  financial  statements of Sellers for the fiscal
quarters  ended June 30,  1996 and March 31,  1996,  in each case,  adjusted  to
exclude therefrom the results of operations and the effect of the Excluded NY O2
Services, in each case, certified as true and correct by the applicable Seller's
chief  financial  officer (the "Adjusted  Financial  Statements").  The Adjusted
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 Sellers on a consolidated basis after adjustment to exclude the
results of  operations  and the effect of the Excluded NY O2 Services as, at and
for the periods  therein  specified and were  prepared in  accordance  with GAAP
except as expressly set forth on Schedule 4.8(a)(ii).

                           (b)      (i)      The  unaudited consolidated balance
sheet  contained in the Financial  Statements as of March 31, 1996 (the "Balance
Sheet")  reflects all liabilities as of the date thereof,  and no Seller has any
Liabilities that are not reflected thereon,  except for such current Liabilities
as have been incurred since the date of the Balance Sheet in the ordinary course
of business  consistent  with past practice and  Liabilities  listed on Schedule
4.8(b)(i).  There is no basis for the  assertion  against  either  Seller of any
Liability  of any  nature or in any amount  (other  than  current  or  scheduled
Liabilities as aforesaid) not fully reflected or reserved against in the Balance
Sheet.

                                    (ii)    The  unaudited  consolidated balance
sheet contained in the Adjusted  Financial  Statements as of March 31, 1996 (the
"Adjusted  Balance Sheet") reflects all liabilities as of the date thereof other
than liabilities  arising out of the Excluded NY O2 Services,  and no Seller has
any  Liabilities  that  are not  reflected  thereon,  except  for  such  current
Liabilities as have been incurred  since the date of the Adjusted  Balance Sheet
in the ordinary course of business consistent with past practice and Liabilities
listed on Schedule  4.8(b)(ii),  and other than  liabilities  arising out of the
Excluded NY O2 Services.

                  4.9 Material Changes.  Except as noted on Schedule 4.9 hereto,
between the date of the Balance Sheet and the date of this Agreement,  there has
not been any material adverse change in the condition  (financial or otherwise),
of the assets,  properties or operations of either  Seller,  and each Seller has
conducted its business only in the normal course, consistent with past practice.
The Group has identified and communicated to Buyer all material information with
respect to any fact or condition that, to the Group's Knowledge, might adversely
affect the future  prospects  (financial  or  otherwise)  of any of the Business
other than matters generally affecting the rehabilitation or respiratory service
industry.


                                       23

<PAGE>



                  4.10 Licenses;  Permits;  Certificates of Need.  Schedule 4.10
sets forth a description of (a) each license and all other permits and approvals
of  Governmental  Authorities  relating  to the  operation  of any  part  of the
Business  heretofore  obtained  and that is now in  effect;  and (b) each  other
license,  permit,  easement,  right or other authorization that is necessary for
the operation of any part of the Business (collectively, the "Licenses"). Seller
has delivered to Buyer true,  correct and complete copies of all of the Licenses
and the  applications  therefor.  Schedule 4.10 also sets forth a description of
each  accreditation  of the Business,  copies of which Sellers have delivered to
Buyer.  Sellers own,  possess or have the legal right to use the Licenses,  free
and clear of all  Liens.  No  Seller  is in  default  under,  and no Seller  has
received  any notice of any claim or default  or any other  claim or  proceeding
relating to, any such License.  The Business is fully and completely licensed by
all  appropriate  Governmental  Authorities  to  carry  on  all  aspects  of the
Business. No member, director or officer,  employee or former employee of either
Seller,  or any  other  person,  firm or  entity  owns  or has any  proprietary,
financial or other interest, direct or indirect, in whole or in part in any such
License owned, possessed or used in the operation of any aspect of the Business.

                  4.11     Title, Condition to Personal Property.

                           (a)      Each Seller has good and marketable title to
all of the personal property comprising the Assets, subject to no liens, claims,
security interests,  mortgages,  pledges, charges,  easements, rights of setoff,
restraints  on  transfers,   restrictions  on  use,  options,  conditional  sale
agreements,  subleases,  sublicenses  and  encumbrances  of any  kind or  nature
whatsoever  ("Liens"),  other than Permitted  Liens. No person other than Seller
has any right to the use or  possession of any of such property and no currently
effective  financing  statement with respect to such personal  property has been
filed in any jurisdiction, and no Seller has signed any such financing statement
or any security  agreement  authorizing any secured party thereunder to file any
such financing  statement.  Since its  formation,  each Seller has conducted its
business  activities only under the limited liability company and/or trade names
set forth in  Section  1.1  hereto.  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 in the ordinary  course of  business,  and is  functioning  in the
manner and for the purpose for which it was intended and is in  compliance  with
(and the operation  thereof is in compliance  with) all applicable  Governmental
Requirements,  and is  sufficient  and  suitable to enable  Buyer to operate the
Business in a normal and efficient manner.

                           (b)      "Permitted Liens" means:

                                    (i)     each lien set forth on Schedule 4.11
(b) hereto;

                                    (ii)   carriers', warehouseman's, mechanics,
materialmen's, repairmen's or other like liens arising in the ordinary course of
business which are not overdue for a period of more than 30 days;


                                       24

<PAGE>



                                    (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 and shall not exceed  $15,000 in any one
case, or $75,000 in the aggregate;

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

                                    (v)    the security interest granted to ANB;
provided that  provision  shall have been made for said security  interest to be
released and terminated at Closing as provided in Section 8.15 below.

                           (c)      Except  as set forth on Schedule 4.11(c), no
tangible  personal  property used by any Seller in connection with the operation
of the Business is subject to a lease, conditional sale, or similar arrangement.
Schedule  4.11(c)  sets forth a true,  complete  and correct copy of each of the
personal  property  leases  relating to the Business as to which any Seller is a
party (together with all modifications or amendments thereto), the annual rental
and unexpired  lease term thereby and all the  information  set forth thereon is
true, complete and correct.

                  4.12     Title, Condition of the Leased Properties.

                           (a)      No  Seller owns any real property or,  other
than the Leases,  has a leasehold or other  interest in any real  property.  The
applicable Seller has a valid leasehold  interest,  free and clear of all Liens,
in each of the properties covered by the Leases (the "Leased Properties").

                           (b)      There  are  no  leases, subleases  or  other
agreements  of any Seller as lessor or  sublessor,  granting any third party the
right to use or occupy  any of the  Leased  Properties  and no  person,  firm or
entity has any ownership interest (other than the landlord thereunder) or option
or right of first refusal to acquire any ownership interest in any of the Leased
Properties.

                           (c)      The  maintenance, operations and use by each
Seller of the  buildings  and other  improvements  comprising  any of the Leased
Properties  (the  "Improvements")  comply with and do not violate the applicable
lease or any zoning, building or similar law, ordinance,  order or regulation or
any statement of occupancy  issued for or in respect of the Business.  There has
been no violation of any  Governmental  Requirement  affecting any of the Leased
Properties  and no written  notice of any such  violation has been issued by any
Governmental  Authority.  To the Group's Knowledge,  the Improvements and all of
their systems,  including without limitation,  the heating,  ventilating and air
condition  systems,  and  the  plumbing,  electrical,  mechanical  and  drainage
systems,  and roofs are in good  operating  condition,  repair and working order
(except for

                                       25

<PAGE>



normal  wear  and  tear  which  has not had a  material  adverse  effect  on the
condition  thereof),  and have  passed  all  previous  safety  and/or  licensing
inspections.

                  4.13 Legal  Proceedings.  Other than as set forth on  Schedule
4.13, there are no disputes, claims, actions, suits or proceedings, arbitrations
or  investigations,  either  administrative  or  judicial,  pending,  or, to the
Group's Knowledge, threatened or contemplated, nor, to the Group's Knowledge, is
there any basis  therefor,  against or affecting  Seller or any of the Assets or
Seller's  rights  therein or the ability of any Group  Participant to consummate
the transactions  contemplated herein, at law or in equity or otherwise,  before
or by any court or governmental  agency or body,  domestic or foreign, or before
an arbitrator of any kind, including,  without limitation,  any of the foregoing
relating to the infringement of proprietary  rights. No Participant of the Group
has  received  any requests  for  information  with respect to the  transactions
contemplated hereby from any Governmental Authority.

                  4.14 Employees.  Schedule 4.7(b)(i) and Schedule 4.14 together
contain a true, complete and correct list of the name, position, current rate of
compensation  and any vacation or holiday pay, sick pay,  personal leave and any
other  compensation  arrangements or fringe benefits,  of each current employee,
consultant  and agent of Seller  (together  with a  description  of any specific
arrangements  or rights  concerning  such persons that are not  reflected in any
agreement or document referred to in Schedule 4.7). Each Seller is in compliance
with all  Governmental  Requirements  applicable to any of the employee  benefit
plans, agreements and arrangements identified on Schedule 4.7(b)(ix), including,
without  limitation,  the Employee  Retirement  Income  Security Act of 1974, as
amended  ("ERISA").  No such  employee,  consultant or commission  agent has any
vested or unvested retirement benefits or other termination benefits,  except as
described on Schedule  4.7(b)(i) or (ix). The Balance Sheet contains an adequate
reserve for  vacation,  sick  leave,  severance  and all other  employee-related
accruals.

                  4.15  Collective  Bargaining,   Labor  Contracts,   Employment
Practices,  etc.  During the two (2) years prior to the Closing Date,  there has
been no material  adverse change in the  relationship  between either Seller and
any two or more employees acting together nor any strike or labor disturbance by
any of such  employees  affecting the Business and there is no  indication  that
such a change,  strike or labor  disturbance  is likely.  No employees of either
Seller are represented by any labor union or similar  organization in connection
with their  employment by or relationship  with, any Seller,  and to the Group's
Knowledge there are no pending or threatened  activities the purpose of which is
to achieve such  representation of all or some of such employees.  Except as set
forth on  Schedule  4.15,  there are no pending  suits,  actions or  proceedings
against any Seller relating to any of its past or present respective  employees,
and there are no threats of strikes, work stoppages or pending grievances by any
such  employees.  Except  as set  forth on  Schedule  4.15,  no  Seller  has any
collective bargaining or other labor contracts.

                  4.16     ERISA.  No Seller maintains or makes contributions to
and no Seller has at any time in the past  maintained or made  contributions  to
any employee benefit plan which is

                                       26

<PAGE>



subject to the minimum funding  standards of ERISA. No Seller maintains or makes
contributions to or has at any time in the past maintained or made contributions
to any multi-employer  plan subject to the terms of the  Multi-employer  Pension
Plan Amendment Act of 1980 (the "Multi- employer Act").

                  4.17 Insurance and Surety Agreements. Schedule 4.17 contains a
true and correct list of: (a) all policies of fire, liability and other forms of
insurance  held or owned by any  Seller  or  otherwise  in force  and  providing
coverage for the Business or any of the Leased  Properties or Assets  (including
but not limited to medical malpractice  insurance,  and any state sponsored plan
or program for worker's  compensation);  (b) all bonds, indemnity agreements and
other  agreements of  suretyship  made for or held by any Seller or otherwise in
force and  relating to the Business or any of the Leased  Properties  or Assets,
including a brief  description  of the character of the bond or  agreement,  the
name of the surety or the indemnifying party.  Schedule 4.17 sets forth for each
such insurance policy the name of the insurer, the amount of coverage,  the type
of insurance,  the policy number,  the annual premium and a brief description of
the nature of insurance  included  under each such policy and of any claims made
thereunder  during the past two years.  Such  policies  are owned by and payable
solely to Sellers, and said policies or renewals or replacements thereof will be
outstanding and duly in force at the Closing Date. All insurance policies listed
on Schedule 4.17 are in full force and effect, all premiums due on or before the
Closing Date have been or will be paid on or before the Closing  Date, no Seller
has been advised by any of its  insurance  carriers of an intention to terminate
or  modify  any such  policies,  nor has it  failed  to  comply  with any of the
material conditions contained in any such policies.

                  4.18  Relationships.  Except as disclosed on Schedule 4.18, no
officer,  director  or employee of either  Seller,  no Member,  no member of any
Member's immediate family, and no person or entity which is controlled by, under
common control with or controlling any of them (each,  an "Affiliate")  has, and
at no time within the last two (2) years has had, a material  ownership interest
in any business,  corporate or otherwise, that is a party to, or in any property
that is the subject  of,  business  relationships  or  arrangements  of any kind
relating to the operation of the Business.

                  4.19 Assets  Comprising  the Business.  The Assets,  including
without limitation,  the inventory included therein,  and the Leased Properties,
Contracts,  Proprietary  Rights and  Licenses  listed on the  Schedules  to this
Agreement as owned by Sellers represent all of the property (real,  personal and
mixed), licenses, intellectual property, permits and authorizations,  contracts,
leases and other  agreements  that are necessary or material to the operation of
the Business as now operated (the "Necessary  Assets"),  except for the Excluded
Assets.  No Medicare or Medicaid provider number is necessary or appropriate for
the operation of the Business  because  Sellers do not directly bill Medicare or
Medicaid.

                  4.20     Absence of Certain Events.     Except as set forth on
Schedule 4.20, since the date of the Balance Sheet, no Seller has:


                                       27

<PAGE>



                           (a)       sold, assigned, transferred  or disposed of
any of its  assets or  properties,  except in the  ordinary  course of  business
consistent  with past  practice  and  replaced  with Assets of at least the same
quality,  type and  quantity  having an  aggregate  value at least  equal to the
aggregate value of the items sold or otherwise disposed of;

                           (b)      mortgaged,  pledged or subjected to any Lien
of any nature whatsoever any of the Assets other than Permitted Liens;

                           (c)      made  or  suffered  any  termination  of any
Contract,  or  made  or  suffered  any  amendment  of any  Contract  except  for
amendments of Contracts made in the ordinary course of business  consistent with
past practice and which would not affect earnings or otherwise be material,  and
no Seller has  received  notice or has  knowledge  that any Related  Contract or
other Contract has been  terminated or will be terminated or modified or amended
(as aforesaid);

                           (d)      except  in  the ordinary course of business,
consistent  with past  practice,  or  otherwise  to comply  with any  applicable
minimum wage law,  increased  the salaries or other  compensation  of any of its
employees, or made any increase in, or any additions to, other benefits to which
any of such employees may be entitled;

                           (e)      discharged   or   satisfied   any   Lien  or
encumbrance, or paid any material Liabilities, other than in the ordinary course
of business  consistent  with past practice,  or failed to pay or discharge when
due any Liabilities,  the failure to pay or discharge of which has caused or may
cause any actual damage or risk of loss to Seller or its Business or the Assets;

                           (f)      incurred  any  Liabilities  other than trade
payables and other  operating  liabilities  which would be reflected on the date
incurred as current  liabilities on a balance sheet of the applicable  Seller in
accordance with GAAP, in each case in the ordinary course of business consistent
with past practice;

                           (g)      changed  any  of the  accounting  principles
followed by it or the methods of applying such principles;

                           (h)      cancelled, modified or waived any  debts  or
claims held by it, other than in the ordinary course of business consistent with
past practice,  or waived any rights of substantial value, whether or not in the
ordinary course of business; or

                           (i)     declared or paid or set aside or reserved any
amounts for  payment of any  dividend  or other  distribution  in respect of any
membership interest or other securities, or redeemed or repurchased or agreed to
redeem or repurchase any membership  interest or other  securities,  or made any
payment to any  Affiliate  except for payments of  compensation  in the ordinary
course of business consistent with past practice and disclosed to Buyer as such;


                                       28

<PAGE>



                           (j)     failed to collect, withhold and/or pay to any
proper  governmental  agency or authority,  any federal,  state or local income,
franchise,  sales, use, withholding or similar tax required by applicable law to
be so collected, withheld and/or paid;

                           (k)      instituted, settled or agreed to settle  any
litigation,  action or proceeding before any court or governmental body relating
to it or its property or received any threat thereof which could have or has had
a  materially  adverse  effect  on  either  Seller's  condition   (financial  or
otherwise), properties, assets, liabilities,  operations, business or prospects;
or

                           (l)      entered into any  material transaction other
than in the ordinary course of business consistent with past practice.

                  4.21     Compliance with Laws.

                           (a)      Each Seller  is in compliance with all laws,
statutes,  rules,  regulations,  orders,  and  ordinances,  and to  the  Group's
Knowledge,  with all directives and guidelines,  of all Governmental Authorities
applicable to any or all of it, its Assets and the operation of the Business. No
Seller has  received  any claim or notice that any of the Leased  Properties  or
Assets is not in compliance with any applicable Governmental  Requirements.  The
Group shall report to Buyer, within five (5) days after its receipt thereof, any
written or oral claims or notices  that any of the Leased  Properties  or Assets
are not in compliance with any of the foregoing.

                           (b)      At all times, each Seller has complied,  and
is complying in all respects  with all  environmental  and related  Governmental
Requirements applicable to it, its Leased Properties,  all other real properties
used by it in the operation of the Business, and its Assets,  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,  with respect to the  environmental  or healthful  state,  condition or
quality of any  property  (collectively  "Environmental  Laws").  The  foregoing
representation  and  warranty  applies to all  aspects of the  operation  of the
Business and the use and ownership 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  or  (including
Medical Waste) and petroleum  products,  material or waste whether  performed on
any of the  Leased  Properties  or at any other  location.  No  notice  from any
Governmental  Authority has ever been served upon either  Seller,  or any of its
agents or  representatives  claiming any violation of any Environmental  Law, or
requiring or calling attention to the need for any work, repairs, or demolition,
on or in  connection  with any of such  properties  in order to comply  with any
Environmental Law.

                  4.22     Tax Returns.

                                       29

<PAGE>



                           (a)      Except as set forth in Schedule 4.22(a), (i)
all Tax (as defined below) returns, statements, reports and forms required to be
filed with any  Governmental  Authority  on or before the Closing  Date by or on
behalf of each Seller (collectively,  the "Returns"), have been or will be filed
on or before the  Closing  Date in  accordance  with all  applicable  Government
Requirements, and true and complete copies of all Returns with respect to income
or sales or use for any period during the  three-year  period ending on the date
hereof have been delivered to Buyer; (ii) as of the time of filing,  the Returns
correctly  reflected or will correctly  reflect the facts  regarding the income,
business, assets, operations, activities and status of each Seller and any other
information  required to be shown therein; and (iii) each Seller has timely paid
all Taxes.

                           (b)      "Tax"  (including, with correlative meaning,
the terms  "Taxes" and  "Taxable")  means any net income,  gross  income,  gross
receipts,  sales,  use,  ad  valorem,  transfer,  franchise,  profits,  license,
withholding, payroll, employment, excise, severance, stamp, occupation, premium,
property or windfall  profits tax,  alternative or add-on  minimum tax,  customs
duty or other tax, fee  assessment  or charge of any kind  whatsoever,  together
with any interest and any penalty,  addition to tax or additional amount imposed
by any Governmental Authority.

                  4.23  Encumbrances  Created  by this  Agreement.  Neither  the
execution  and delivery of this  Agreement nor the execution and delivery of any
of  the  Group  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.

                  4.24  Questionable  Payments.  To the  Group's  Knowledge,  no
Seller and no member,  director,  officer,  controlling  person or  employee  of
Seller, (a) has used any corporate funds of either Seller to make any payment to
any officer or employee of the government, or to any political party or official
thereof,  where such payment  either (i) was, at the time,  unlawful  under laws
applicable thereto; or (ii) was, at the time, unlawful under the Foreign Corrupt
Practices  Act of 1977,  as  amended;  or (b) has made or  received  any illegal
payment,  bribe, kickback,  political contribution or other similar questionable
payment for any referrals or otherwise in  connection  with the operation of the
Business.

                  4.25  Reimbursement  Matters.  Except as disclosed on Schedule
4.25 or,  including,  without  limitation,  those set forth on the  print-out of
listed denials attached to said Schedule 4.25, (a) no Seller and, to the Group's
Knowledge,  no nursing  home,  hospital or other  facility with respect to which
either Seller provides  services has received any notice of denial or recoupment
from the Medicare or Medicaid programs,  or any other third party  reimbursement
source  (inclusive  of managed care  organizations)  with respect to products or
services provided by either Seller,  (b) to the Group's  Knowledge,  there is no
basis for the assertion  after the Closing Date of any such denial or recoupment
claim,  and (c) no Seller  and,  to the  Group's  Knowledge,  no  nursing  home,
hospital or other facility with respect to which either Seller provides services
has  received  notice from any  Medicare or Medicaid  program or any other third
party  reimbursement  source  (inclusive of managed care  organizations)  of any
pending or threatened investigations or surveys specifically with respect to, or
arising  out of,  products or services  provided  by either  Seller,  and to the
Group's  Knowledge,  no such  investigation or survey is pending,  threatened or
imminent.

                                       30

<PAGE>



                  4.26  Finders.  No broker  or  finder  has acted for any Group
Participant 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 Participant of the Group.


           ARTICLE V: REPRESENTATIONS AND WARRANTIES OF BUYER AND IHS

                  Buyer and IHS, jointly and severally, represent and warrant to
the Group as follows:

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

                  5.2  Power  and  Authority.  Each  of IHS  and  Buyer  has the
corporate  power and  authority  to make,  execute,  deliver  and  perform  this
Agreement   including  all  Schedules  and  Exhibits   hereto  and  all  of  the
transactions  contemplated  hereby and  thereby and all of the  instruments  and
agreements  required  to be  delivered  by it  to  the  Group  at  the  Closing,
including, without limitation, the Escrow Agreement (collectively the "Buyer/IHS
Transaction  Documents")  and all of the  transactions  contemplated  hereby and
thereby.

                  5.3 Binding  Agreement.  This Agreement has been duly executed
and delivered by each of IHS and Buyer. This Agreement is, and when executed and
delivered  by Buyer or IHS,  as the case  may be,  at the  Closing,  each of the
Buyer/IHS  Transaction  Documents  executed by Buyer or IHS, as the case may be,
will be, the legal,  valid and binding  obligation  of Buyer or IHS, as the case
may be, enforceable against Buyer or IHS, as the case may be, in accordance with
their respective terms.

                  5.4 Absence of Conflicting  Agreements.  Neither the execution
or delivery of this Agreement or any of the Buyer/IHS  Transaction  Documents by
Buyer or IHS,  as the case may be, nor the  performance  by Buyer or IHS, as the
case may be, 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 IHS,  as the  case  may be;  or (b) any
applicable judgment, order, writ, injunction, or decree of any court; or (c) any
applicable Governmental Requirement; or (d) any agreement,  indenture,  contract
or  instrument  to which  Buyer or IHS, as the case may be, is now a party or by
which any of them or any of their respective assets are bound.

                  5.5   Consents.   Except  for  the  Required   Approvals,   no
authorization,  consent, approval,  license, exemption by filing or registration
with any Governmental  Authority, is or will be necessary in connection with the
entry  by  Buyer  or IHS  into,  execution,  delivery  and  performance  of this
Agreement or any of their respective Buyer/IHS Transaction Documents, or for the
consummation of the transactions contemplated hereby and thereby.


                                       31

<PAGE>



                  5.6 SEC Documents.  IHS has furnished  Sellers and the Members
with a correct and complete  copy of its report on Form 10-K for its fiscal year
ended  December 31, 1995,  its reports on Form 10-Q for each of its first fiscal
quarter ended in 1996, and its proxy  statement  prepared in connection with its
annual  meeting  held  on May  23,  1996  (the  "SEC  Documents").  As of  their
respective dates, none of the SEC Documents contained any untrue statements,  or
omitted to make any  disclosures,  which,  in light of the  circumstances  would
render  any of such  documents  materially  misleading,  and  the SEC  Documents
complied  when  filed  in  all  material   respects  with  the  then  applicable
requirements of the Exchange Act, and the rules and  regulations  promulgated by
the Commission thereunder.

                  5.7      Receipt of Contracts.  Buyer acknowledges its receipt
of each of the  Contracts  referred to or described in the  Disclosure  Schedule
(except as expressly stated otherwise).

                  5.8 IHS Stock. Upon delivery to Sellers in accordance with the
terms of this  Agreement,  each  share of IHS  Stock  shall be duly  authorized,
validly issued, and nonassessable.


           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
each  Seller's  financial  and  legal  condition  as Buyer  deems  necessary  or
advisable to familiarize  itself with such Seller and/or matters relating to its
history  or  operation.  Each  Seller  shall  permit  Buyer  and its  authorized
representatives  (including legal counsel and accountants),  to have full access
to each  Seller's  books and records in the  possession  or under the  effective
control of any Group  Participant  upon  reasonable  notice  and  during  normal
business hours, and Seller 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.  The documents to which Buyer shall
have access shall include,  but not be limited to, each Seller's tax returns and
related work papers since its  inception and each Seller shall make, or cause to
be made,  extracts thereof as Buyer or its representatives may request from time
to time to enable Buyer and its  representatives  to investigate  the affairs of
each Seller and the accuracy of the  representations and warranties made in this
Agreement.  Each Seller shall use its best efforts to cause Seller's accountants
to cooperate  with Buyer and to disclose  and make  available to Buyer all books
and records and the results of audits relating to such Seller and to produce the
working papers relating thereto.


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


                                       32

<PAGE>
              
                  7.1 Conduct of Business Pending  Closing.  Between the date of
this  Agreement  and the Closing,  each Seller shall  maintain its existence and
shall  conduct  its  business  in good faith and in a prudent  manner 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, no Seller
shall between the date hereof and the Closing:


                           (a)     cause or permit to occur any of the events or
occurrences  described  in Section  4.20  (Absence  of  Certain  Events) of this
Agreement; or

                           (b)   dissolve or reorganize, or merge or consolidate
or enter  into a share  membership  interest  exchange  with or into  any  other
entity; or

                           (c)     make any change to its by-laws or articles of
incorporation; or

                           (d)     sell   or   dispose of any  Assets other than
supplies,  inventory and obsolete equipment sold,  consumed or used in the usual
and ordinary course of business and consistent  with past practice;  such Seller
shall  replace  all  items  thus  disposed  of with  Assets of at least the same
quality,  type and  quantity  having an  aggregate  value at least  equal to the
aggregate value of the items sold or otherwise disposed of; or

                           (e)      perform, take or fail to take any  action or
incur or permit to exist any of the acts, transactions, events or occurrences of
a type which would have been inconsistent with the  representations,  warranties
and  covenants set forth in this  Agreement  had the same occurred  prior to the
date hereof; or

                           (f)   enter into any agreement, contract, commitment,
lease or  instrument  including,  without  limitation,  agreements  with nursing
homes,  hospitals and other facilities for the provision of Rehab Services or O2
Services,  except for agreements,  in each case which are immaterial and entered
into in the ordinary  and  customary  course of business  with  unrelated  third
parties on customary terms and conditions and for customary  prices as disclosed
to Buyer; or

                           (g)      take any action that would prevent any Group
Participant from consummating the transactions contemplated by this Agreement.

                  7.3      Affirmative Covenants of Sellers.    Between the date
hereof and the Closing, each Seller 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;

                                       33

<PAGE>



                           (b)    maintain in full force and effect all Licenses
currently in effect with respect to either Seller or the Business;

                           (c)   maintain in full force and effect the insurance
policies  and  binders  currently  in effect  with  respect to each  Seller,  or
replacements  thereof  which are  approved  by Buyer  (such  approval  not to be
unreasonably withheld);

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

                           (e)    maintain all of the books and records relating
to each Seller in accordance with its past practices;

                           (f)      comply  in  all  material  respects with all
provisions of all Contracts and with any other material  agreements  that either
Seller has  entered  into  after the date  hereof,  and  comply in all  material
respects with the  provisions  of all  Governmental  Requirements  applicable to
either Seller, the Assets or the Business;

                           (g)      cause to be paid when due, all Taxes imposed
upon it or on any of its  properties or which it is required to withhold and pay
over; and

                           (h)      promptly advise Buyer in writing of: (i) the
threat or  commencement  against  either  Seller of any claim,  action,  suit or
proceeding,  arbitration or investigation that could materially adversely effect
Seller's operations, properties, assets or prospects; or (ii) the termination of
any Contract.

                  7.4 Pursuit of Consents and Approvals. Promptly upon execution
of this Agreement,  Buyer shall use all reasonable efforts to obtain, at its own
cost and expense,  all Required Approvals.  Sellers shall cooperate with and use
their reasonable efforts to assist Buyer in obtaining all such approvals.

                  7.5 Supplementary  Financial  Information.  Within thirty (30)
days after the end of each calendar month between the date of this Agreement and
the  Closing  Date,  each  Seller  shall  provide to Buyer  unaudited  financial
statements  (including  at a minimum  income  statements,  a balance sheet and a
statement of cash flows) for such month then ended that shall present fairly the
results  of the  operations  of Seller at such date and for the  period  covered
thereby,  all in  accordance  with GAAP  (except as otherwise  expressly  stated
therein),  in each case,  certified as true and correct by such  Seller's  chief
financial officer.

                  7.6      Tail Policy.   Each Seller   shall obtain, at its own
expense, a "tail policy" to all of its applicable  liability insurance policies,
naming each of Buyer and IHS as an additional

                                       34

<PAGE>



insured, against claims made after Closing arising out of facts or circumstances
occurring or existing prior to Buyer's  ownership of the Assets and operation of
the Business.

                  7.7   Exclusivity.   Until  the  earlier  of  Closing  or  the
termination  of this  Agreement  pursuant  to  Section  11.1,  no Seller nor any
Member, nor any of their respective Affiliates,  shall enter into any agreement,
commitment or  understanding  with respect to, or engage in any  discussions  or
negotiations  directly or  indirectly  with any other party with  respect to the
sale of the  Assets,  or in respect of the sale of any  controlling  interest in
either Seller.

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

                  The   obligations   of  Buyer  and  IHS  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 by Buyer or IHS in  writing.
Upon failure of any of the following conditions, Buyer or IHS 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 each Seller and each Member made under this  Agreement  and under
each  Group  Transaction  Document  shall be true and  correct  in all  material
respects  at and as of the Closing  Date,  as though  such  representations  and
warranties were made at and as of such time.

                  8.2  Performance  of  Covenants.  Each  Seller and each Member
shall have performed or complied in all material  respects with their respective
agreements and covenants  required by this Agreement and each Group  Transaction
Document to be performed  or complied  with by it, her or him prior to or at the
Closing.

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

                  8.4      Opinions of Counsel.

                           (a)      The Group shall have delivered  to Buyer and
IHS an  opinion,  dated  the  Closing  Date,  of its  counsel,  in such form and
substance  (including  without  limitation,  as to the  matters  covered  by the
representations  and warranties  contained in Sections 4.1(a), 4.2, 4.3, 4.4 and
4.5 hereof) as shall be satisfactory  to Buyer and IHS,  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 the Group contained in
this Agreement,  the Group  Transaction  Documents and certificates  supplied to
such counsel by the Group and  Governmental  Authorities.  Said opinion shall be
addressed to and may be relied upon by Buyer,  IHS, the lenders of IHS, and each
such party's counsel.

                                       35

<PAGE>



                           (b)   In addition, Buyer shall have received opinions
acceptable  to it from legal  counsel in each state  where the  Sellers  conduct
business,  that  the  operation  of  the  Business  is in  compliance  with  all
Government Requirements.

                  8.5 Legal Matters. No suit, action, investigation, or legal or
administrative  proceeding shall have been brought or shall have been threatened
by any person or  Governmental  Authority  that  questions  the  enforceability,
validity or legality of this Agreement or the transactions  contemplated hereby,
including, without limitation, Buyer's proposed use of the Assets.

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

                  8.7      Material Change.     Since the date of this Agreement
there  shall  not  have  been  any  material  adverse  change  in the  condition
(financial or otherwise) of the assets,  properties,  prospects or operations of
either Seller.

                  8.8      Approvals.

                           (a)      The consent  or approval  of all persons and
Governmental  Authorities  necessary for the  consummation  of the  transactions
contemplated hereby shall have been granted.

                           (b)      None  of the foregoing consents or approvals
(i)  shall  have  been  conditioned  upon  the  modification,   cancellation  or
termination of any material lease,  contract,  commitment,  agreement,  license,
easement,  right or other  authorization  with respect to the Business,  or (ii)
shall impose on Buyer or IHS any  condition or  provision  or  requirement  with
respect to Buyer, IHS or the Business that is more restrictive than or different
from that imposed by such Governmental Authority prior to Closing.

                  8.9  Bill of Sale  and  Assignment.  Each  Seller  shall  have
executed and  delivered to Buyer a Bill of Sale (each,  a "Bill of Sale") and an
Assignment and Assumption  Agreement  (each,  an  "Assignment  and  Assumption")
respectively in the forms of Exhibits 8.9-1 and 8.9-2.

                  8.10 Non-Competition  Agreements.  Each Seller and each Member
shall have entered into a non-competition  and  non-solicitation  agreement (the
"Non-Competition  Agreements")  with Buyer and IHS,  pursuant to which it, he or
she shall agree that for a period of five (5) years from the Closing Date it, he
or she will not, directly or indirectly,  for itself,  himself or herself, or on
behalf of any other person, firm, entity or other enterprise, be employed

                                       36

<PAGE>



by, be an officer, director or manager of, act as a consultant for, be a partner
in, have a  proprietary  interest  in, or loan money to any person,  enterprise,
partnership,  association, corporation, limited liability company, joint venture
or other  entity  which is directly  or  indirectly  in the  business of owning,
operating  or  managing  any  contract  rehabilitation  or  respiratory  service
business, licensed or unlicensed, now or hereafter competitive with any contract
rehabilitation  or respiratory  service  business of Buyer  (including,  without
limitation, the Business), IHS or any of their respective Affiliates, located in
any or all of the States of Illinois, or Missouri or within twenty (20) miles of
Deland,  Florida or thirty (30) miles of New York City, New York or Kansas City,
Kansas (the  "Prohibited  Areas"),  or which business  solicits from or performs
contract  rehabilitation  or respiratory  services for any current  customers or
clients of the Business or any owner,  lessee or manager of any such customer or
client ( "Protected  Customers").  Each Ruby Member represents and warrants (and
notwithstanding  anything to the contrary  contained in this Agreement,  none of
Dacy,  Krause  and  neither  Seller  shall be  deemed  to have  represented  and
warranted)  that  the  only  persons  owning,  leasing,   managing,   performing
consulting  services for or employed by, any  Protected  Customer  with whom any
such  Ruby  Member  has a  relationship  that  would  give  such  Ruby  Member a
competitive advantage with respect to obtaining or performing any business for a
Protected  Customer is set forth on Schedule  8.10 hereto  (each,  a  "Protected
Source"). Schedule 8.10 also identifies the relationship of the Protected Source
to the Protected  Customer.  For purposes of this Agreement the Southshore  Home
and the Central  Island Home shall be deemed  included as  Protected  Customers.
Said  Non-Competition  Agreements  for R. Paler,  B. Paler and Kaplan shall also
contain provisions stating that  notwithstanding the foregoing,  said individual
shall not be  prohibited  by reason of such  agreement  from being  employed by,
being an officer,  director or manager of, acting as a consultant  for,  being a
partner in, having a  proprietary  interest in, or lending money to, any person,
enterprise,  partnership,  association,  corporation, limited liability company,
joint venture or other entity which is directly or indirectly in the business of
owning, operating or managing any contract rehabilitation or respiratory service
business, licensed or unlicensed, competitive with any of those of Buyer, IHS or
any of their respective Affiliates; provided that he or she: (x) does not breach
any  of  his or her  other  obligations  to  Buyer  or  IHS,  including  without
limitation,  under Section 10.3 of this Asset Purchase  Agreement;  (y) does not
directly or indirectly  participate in the provision or solicitation of contract
rehabilitation  or respiratory  services business in any of the Prohibited Areas
or to or  with  any  of the  Protected  Sources;  provided,  however,  that  the
foregoing shall not be deemed to prohibit him or her from  participating  in any
general mass  marketing  effort which covers an area of which one or more of the
Prohibited  Areas  constitutes an incidental and  insubstantial  part, such as a
national  campaign,  and that does not involve personal contact by him or her in
any Prohibited Areas or personal contact with any Protected Source or use of any
confidential  information  referred  to in Section  10.3 of this Asset  Purchase
Agreement;  and (z) delivers to Buyer and IHS his or her written  acknowledgment
setting  forth:  the  name and  address  of the  business  in which he or she is
participating;  that he or she has  delivered to such  business a copy of his or
her Non-Competition  Agreement;  and that he or she continues to be bound by the
provisions of the Non-Competition  Agreement.  No Ruby Member shall be deemed to
be in violation of this Section 8.10 by reason of the acquisition and subsequent
ownership  by any  Protected  Customer of any business to which such Ruby Member
shall be providing contract rehabilitation or respiratory services prior to such
acquisition.  Said  Non-Competition  Agreements  also shall  contain  provisions
relating to non-solicitation of Protected Sources,  and of employees,  agents or
consultants of Buyer and

                                       37

<PAGE>



Sellers. The Non-Competition Agreements shall not prohibit the ownership of less
than 0.1% of the issued and outstanding stock of any competitive  business whose
stock is listed  on a  national  securities  exchange  or  traded on the  NASDAQ
national market system.  Buyer and IHS agree that the Non-Competition  Agreement
shall not prohibit any Group Participant: (a) from continuing to own an interest
in and participating in the oxygen concentration  business as currently operated
by C.O.M.S.;  provided  that the Group  represents  and  warrants  that the only
connection  that  C.O.M.S.  has to O2 or Rehab  Services is supplying or leasing
durable medical equipment,  including, without limitation,  oxygen concentration
equipment;  or (b)  unless  otherwise  agreed  in such  person's  employment  or
consulting  agreement with Buyer, from operating a respiratory services business
in the State of New York;  provided,  however,  that no Group  Participant shall
provide  any such  services  (or solicit to provide  any such  services)  to the
Southshore Home.

                  8.11  Employment and Consulting  Agreements.  Buyer shall have
entered into an employment  agreement and/or  consulting  agreement with each of
the Ruby Members and Andrew Fleming in form and substance  satisfactory to Buyer
and each such person.

                  8.12 COBRA. Each Seller shall have given all notices, made all
offers,  paid and  collected  all  premiums,  obtained  all  group  health  plan
coverage,   and  performed  all  other  actions  mandated  by  Title  X  of  the
Consolidated Omnibus Budget  Reconciliation Act of 1985 ("COBRA"),  and which is
required to be given,  made,  paid,  obtained,  and performed as a result of the
Closing under this Agreement. This provision shall not be construed, however, to
require  Seller  to  maintain  its group  health  insurance  coverage  following
Closing, except as may be required by applicable Governmental Requirements.  IHS
shall take such steps as are commercially  reasonable to permit former employees
of Sellers to obtain  COBRA  coverage  under  insurance  plans  available to IHS
employees.

                  8.13 Assets  Transferred  at Closing.  Each Seller  shall have
delivered or caused to be delivered  to Buyer  possession  of the Assets (or the
right to obtain  possession  on  demand).  Each  Seller  shall also  execute and
deliver to Buyer at Closing such UCC financing  statements as shall be necessary
or  appropriate  to record  the  assignment  to Buyer of all  recorded  security
interests  held by  either  Seller.  All  Assets  shall be free and clear of all
Liens.

                  8.14 Certificate as to Provider and Related Contracts. Sellers
shall have  executed  and  delivered to Buyer and IHS a  certificate,  dated the
Closing Date upon which Buyer and IHS may rely,  certifying  that the  condition
set forth in Section 1.5(a) shall not have occurred and setting forth the number
of Provider Contracts and Related Contracts,  if any, which have been terminated
(or with respect to which a notice of termination shall have been given) and the
amount of the Purchase  Price  adjustment,  if any,  then  required  pursuant to
Section 1.5(b) hereof by reason thereof.

                  8.15 ANB  Security  Interest.  ANB  shall  have  executed  and
delivered to Buyer a payout letter setting forth the total amount of obligations
due to it as of the Closing Date and agreeing that, upon payment thereof on such
date,  its  security  interest in all of the Assets and all  guarantees  of said
obligations  (the  "Guarantees")  shall be released and terminated.  Such payout
letter  shall be in form  and  substance  satisfactory  to  Buyer  and  shall be
accompanied by all UCC

                                       38

<PAGE>



termination  statements (to be held pending the occurrence of the conditions set
forth in said letter)  necessary to evidence said release and  termination.  All
costs incurred in connection  with  satisfying  this condition shall be borne by
Sellers.

                  8.16     Lease Amendment.  The Lease Agreement between Sellers
and 3100  Commercial  Partners  shall  have been  amended to  terminate  with no
penalty 60 days after the Closing.

                  8.17  Designated  Contract  and  Designated  Related  Contract
Consents.  Buyer  shall  not have  terminated  this  Agreement  by reason of the
occurrence of the matters  permitting  such  termination  as provided in Section
1.3(b) or Section 1.5 above.

                  8.18  Documents.  Each  Seller  and  each  Member  shall  have
furnished  Buyer  and IHS with  all  other  documents,  certificates  and  other
instruments  required to be furnished to Buyer or IHS by such Group  Participant
pursuant to the terms hereof.


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

                  The  obligations  of Sellers and the Members 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 by Sellers in  writing.  Upon  failure of
any of the following  conditions,  Sellers 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 and IHS made under this  Agreement and under each  Buyer/IHS
Transaction  Document shall be true and correct in all material  respects at and
as of the Closing Date, as though such  representations and warranties were made
at and as of such time.

                  9.2 Performance of Covenants. Each of Buyer and IHS shall have
performed or complied in all material respects with their respective  agreements
and covenants required by this Agreement and each Buyer/IHS 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
each of Buyer and IHS shall have  executed  and  delivered  to  Sellers  and the
Members a  certificate,  dated the Closing Date,  upon which Sellers and Members
may rely,  certifying that the conditions set forth in Sections 9.1 and 9.2 have
been satisfied.

                  9.4 Opinions of Counsel. Buyer and IHS shall have delivered to
Sellers and the Members an opinion,  dated the Closing Date, of its counsel,  in
such form and substance (including without limitation, as to the matters covered
by the representations and warranties

                                       39

<PAGE>



contained  in Sections  5.1,  5.2,  and 5.3 hereof and as to Buyer's  ability to
conduct the Business in New York in  compliance  with New York laws) as shall be
satisfactory to Seller, 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 and IHS contained in this Agreement,  the Buyer/IHS
Transaction   Documents   and   certificates   supplied   to  such   counsel  by
representatives of IHS and Buyer and of Governmental  Authorities.  Said opinion
shall be addressed to and may be relied upon by Sellers and the Members and each
such party's counsel.

                  9.5 Legal Matters. No suit, action, investigation, or legal or
administrative  proceeding shall have been brought or shall have been threatened
by any person or  Governmental  Authority  that  questions  the  enforceability,
validity or legality of this Agreement or the transactions contemplated hereby.

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

                  9.7      Necessary  Consents.   The consent or approval of all
persons and  Governmental  Authorities  necessary  for the  consummation  of the
transactions contemplated hereby shall have been granted.

                  9.8      Assignment and Assumption.  Buyer shall have executed
and delivered to each Seller an Assignment and Assumption Agreement.

                  9.9 ANB Guarantees. Provided that Sellers shall have satisfied
the  condition  set forth in  Section  8.15 above  each  Member  shall have been
released from all Guarantees.

                  9.10     Other Documents.   Buyer and IHS shall have furnished
each Seller and Member with all documents,  certificates  and other  instruments
required to be  furnished  to any of them by Buyer or IHS  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. Notwithstanding any
investigation conducted before or after the Closing or the decision of any party
to  consummate  the Closing,  each party hereto shall be entitled to rely and is
hereby  declared  to  have  reasonably  relied  upon  the   representations  and
warranties of the other party.


                                       40

<PAGE>



                  10.2     Indemnification.

                           (a)      Each  Seller and each Member jointly (except
as expressly set forth below) and severally shall indemnify and defend Buyer and
IHS and each of their respective shareholders,  directors,  officers, employees,
agents and advisors, and each of their respective successors and assigns ("Buyer
Indemnitees") against and with respect to any and all damages,  losses,  claims,
liabilities,  deficiencies,  costs and expenses (including,  without limitation,
reasonable  attorney's  fees and  expenses)  (all of the  foregoing  hereinafter
collectively  referred to as "Loss")  resulting from (i) any  misrepresentation,
breach of warranty,  or failure to fulfill any agreement or covenant on the part
of any Group Participant under this Agreement or any Group Transaction Document;
(ii) any Taxes  resulting from the operation of the Business or ownership of any
of the Assets for any period  ending on or before the  Closing  Date;  (iii) all
Excess Reimbursement Liabilities;  (iv) any Loss relating to any Liability (each
an  "Unassumed  Liability")  of Seller or other  Group  Participant  that is not
expressly assumed by Buyer pursuant to the terms of this Agreement; (v) any Loss
arising out of any bulk transfer act (whether relating to liabilities in general
or taxes or otherwise); (vi) any Loss arising out of the noncompliance of either
Seller with COBRA or any like  statute;  and (vii) any and all  actions,  suits,
proceedings,  demands,  assessments,   judgments,  settlements  (to  the  extent
approved by Sellers, such approval not to be unreasonably  withheld,  delayed or
conditioned)  costs  and  legal  and  other  expenses  incident  to  any  of the
foregoing.  Notwithstanding the foregoing, no Member shall be jointly liable for
any breach of a  representation  or warranty  by any other  Member to the extent
such  representation  or warranty  was  expressly  made  severally by such other
Member in accordance with this Agreement.

                  Without  limiting the foregoing,  the Group hereby  represents
and  warrants  to  Buyer  and IHS  that it has  complied  with  any and all bulk
transfer  act  or  similar  procedures  applicable  to the  transactions  herein
contemplated.  The Group has requested that Buyer withhold from the non-escrowed
portion of the  Purchase  Price such amount as shall be required by the Illinois
State Tax  Commission in a notice  delivered to Buyer  pending  notice from said
Illinois State Tax Commission in compliance with such bulk transfer  procedures,
and Buyer has agreed to do so.

                           (b)      Buyer and IHS jointly and severally covenant
and shall defend, hold harmless and indemnify each Group Participant and each of
their respective members, directors,  officers,  employees, agents and advisors,
and  each of their  respective  successors  and  assigns  ("Group  Indemnitees")
against  and  with  respect  to any  and  all  Losses  resulting  from:  (i) any
misrepresentation,  breach of warranty,  or failure to fulfill any  agreement or
covenant  on the part of Buyer or IHS  under  this  Agreement  or any  Buyer/IHS
Transaction  Document,  (ii) Buyer's operation of the Business after the Closing
Date, and (iii) any and all actions, suits, proceedings,  demands,  assessments,
judgments,  settlements  (to the extent approved by IHS, such approval not to be
unreasonably  withheld,  delayed  or  conditioned)  costs  and  legal  and other
expenses incident to any of the foregoing.

                                       41

<PAGE>



                           (c)      Any claim for indemnification for any breach
of a representation  or warranty under this Section 10.2 or for a Loss described
in Section  10.2(a)(v)  above must be  asserted  by written  notice by the first
anniversary of the Closing Date,  except that any claim by any Buyer  Indemnitee
for  indemnification  arising out of a breach of any of the  representations and
warranties of any of the Group  Participants  for any tax matter may be asserted
any time prior to expiration of the applicable  statute of  limitations  for the
assertion of the related tax claim by the  government,  and any such claim based
on Excess Reimbursement  Liability may be brought any time prior to a date which
is thirty (30) days following expiration of the applicable audit period for such
liability.  The  foregoing  limitation  shall not  apply to any  indemnification
obligation of any person or entity pursuant to Section 2.5 (g) (v) hereof.

                           (d)      Any Buyer Indemnitee shall be entitled (but 
shall not be obligated) to collect from the Escrow  Deposit any amount due to it
by reason of any Group Participant's obligations under this Section 10.2 hereof.
To the extent any Buyer  Indemnitee shall be entitled to  indemnification  under
this Section 10.2, such Buyer Indemnitee shall first seek to recover against the
Escrow Deposit prior to proceeding against the assets of any Group Participants.

                           (e)      The  aggregate amount  for  which the  Group
Participants shall be liable for indemnification  obligations under this Section
10.2 shall not exceed the amount of the Purchase Price, as adjusted  pursuant to
Sections 1.6 and 2.3 hereof.

                  10.3     Restrictions.

                           (a)      From  and  after the  Closing Date, no Group
Participant shall disclose,  directly or indirectly, to any person or entity, or
make use of, without the express  authorization of IHS and Buyer, any non-public
pricing  strategies or records of either Seller,  any proprietary  data or trade
secrets  owned  by  either  Seller,  Buyer  or  IHS or any  financial  or  other
information about any of them  ("confidential  information");  provided that the
foregoing restrictions shall not apply to any information which:

                                    (i)     is or becomes publicly known through
no wrongful act on the part of any Seller or Member; or

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

                                    (iii)    is approved for release by  written
authorization signed by Buyer; or

                                    (iv)     is   required  to   be disclosed in
accordance  with  applicable law;  provided,  however,  prior to making any such
disclosure the party required to make such  disclosure  shall provide Buyer with
prompt  notice  of such  requirement  to  enable  Buyer  to seek an  appropriate
protective order and such party will use its best efforts to preserve the

                                       42

<PAGE>



confidentiality  of such  information and will disclose only that portion of the
information as is required to be disclosed.

                           (b)      Each Group Participant acknowledges that the
restrictions  contained  in this Section 10.3 are  reasonable  and  necessary to
protect  the  legitimate  business  interests  of Buyer  and  IHS,  and that any
violation  thereof by any of them would result in irreparable  harm to Buyer and
IHS.  Accordingly,  each Group Participant agrees that upon the violation by any
of them of any of the restrictions contained in this Section 10.3, Buyer and IHS
shall  be  entitled  to  obtain  from  any  court of  competent  jurisdiction  a
preliminary and permanent injunction as well as any other relief provided at law
or equity,  under this Agreement or otherwise,  without the necessity of posting
any bond or security whatsoever.

                  10.4 Records.  On the Closing Date,  each Seller shall use its
best  efforts to  deliver,  or cause to be  delivered,  to Buyer all records and
files not then in such  Seller's  possession  relating to the  operation  of the
Business.  Following the Closing,  Buyer shall provide either Seller with access
during  business  hours  upon  reasonable  prior  notice  (not less than two (2)
business  days), to such of its financial  records  relating to the operation of
the  Business  prior to the Closing  Date as Buyer shall  reasonably  request in
connection  with the  preparation  by it of any tax returns or the collection of
any accounts receivable owned by it.

                  10.5  Appeal of Denials and  Disallowances.  If there shall be
any claim for Excess Reimbursement Liability,  Buyer will contest or appeal such
claim (using at least the same standard of care as it would apply to contests or
appeals with respect to its own  reimbursement  liabilities)  in accordance with
the  procedures  set forth in  Buyer's  manual.  After any  contest or appeal in
accordance with the foregoing, Sellers shall within ten (10) business days after
any request by Buyer, accompanied by a log of procedures performed in accordance
with Buyer's  manual with respect to such claim and copies of all  documentation
submitted  to third  payors in  connection  therewith,  pay and satisfy any such
claim that was denied.  If Sellers  shall fail to comply with the  provisions of
this  Section  10.5,  then Buyer shall have the right,  but shall in no event be
obligated, to make any such payment on behalf of Sellers, in which case, Sellers
shall,  upon demand,  immediately  reimburse Buyer for any amount so paid by it.
The rights of Buyer under this Section 10.5 are in addition to, and shall not be
deemed to limit,  any other rights or remedies which Buyer might have under this
Agreement,  law,  equity or  otherwise.  Neither  Buyer  nor IHS shall  have any
obligation  with respect to any appeals or contests  arising out of any Excluded
NY O2 Service.  Buyer's obligations under this Section 10.5 shall be conditioned
on the cooperation of the Group  Participants,  including,  without  limitation,
their providing Buyer with all appropriate documentation to support an appeal or
contest in their possession or under their control.  Buyer shall not be required
to incur any extraordinary expense except to the extent required pursuant to the
manual in connection with its obligations under this Section 10.5 unless Sellers
shall have agreed to advance the funds therefor.

                  10.6     Audit.  Following Closing, each Seller will cooperate
with and assist Buyer in a review of the  financial  statements  of such Seller.
Buyer may, at its own expense, have an

                                       43

<PAGE>



audit  performed of such  financial  statement,  and each Seller and Member will
cooperate in the performance of such audit.

                  10.7 Offer of Employment.  Except for Philip Esformes,  Andrew
Fleming and Lynn Mershon and employees working principally in the Excluded NY 02
Services,  Buyer  agrees to offer to retain (for so long as it deems it to be in
its best interests), after the Closing, the services of substantially all of the
licensed  professionals  and office staff who are  employees of either Seller on
the date hereof and on the Closing Date.

                  10.8 Option on Excluded NY 02 Services.  At any time after the
Closing  and on or prior  to the day  that is 30 days  after  the  Closing  (the
"Option  Period"),  Buyer  shall be  entitled  to acquire all of the assets then
relating  to the  Excluded  NY O2 Services  (the "O2  Business")  for no further
consideration  other than the assumption of all of the liabilities then relating
to the Excluded NY O2 Services as such liabilities are represented by Sellers to
Buyer at the time of such  acquisition.  Such option shall be exercisable by the
giving of notice to Sellers  during such  Option  Period and the closing of such
acquisition  shall  occur on such date as Buyer shall  designate  in such notice
(the  "Option  Closing");  provided  that such date shall be a business  day and
shall not be more than thirty (30) days or less than (10) days after the date of
such notice.  The Option Closing shall take place by mail and escrow in a manner
reasonably  satisfactory to each of the parties thereto.  At the Option Closing,
Sellers  shall  execute and  deliver to Buyer such bills of sale and  assignment
instruments as Buyer shall reasonably require to effectuate the acquisition, and
Sellers shall make such customary representations and warranties with respect to
the O2 Business, the subject assets and liabilities, the authority of Sellers to
complete the contemplated  transaction and such other customary  representations
and warranties as Buyer shall reasonably require.  At the Option Closing,  Buyer
shall  execute and deliver to Sellers  such  assumption  instruments  as Sellers
shall reasonably require to effectuate the assumption of liabilities,  and Buyer
shall make such customary  representations  and  warranties  with respect to the
acquisition and its authority as Sellers shall reasonably require. Sellers shall
use their  reasonable  efforts to advise Buyer of any material  occurrences with
respect to the O2 Business and shall promptly provide Buyer with any information
reasonably  requested  by it with  respect to the O2 Business  during the Option
Period. Notwithstanding anything to the contrary contained in this Section 10.8,
Sellers  shall be entitled to liquidate  and wind-up the O2 Business at any time
during  the  Option  Period;  provided  that  Sellers  shall give Buyer at least
fifteen (15) days prior written notice before it shall commence such process and
before  it shall  terminate  any  contracts  pursuant  to which it  directly  or
indirectly  provides O2 Services.  Except as provided  above,  Sellers shall not
sell or encumber any of the assets of the O2 Business  during the Option Period,
except in the ordinary course of business  consistent with past practice.  Buyer
shall pay to Sellers  upon  completion  of the  acquisition,  if any,  of the 02
Business  pursuant to this Section 10.8 the amount, if any, by which the sum of:
(x) current assets included in such acquisition  plus (y) $150,000,  exceeds the
current liabilities assumed by Buyer pursuant thereto, in each case,  determined
in accordance with GAAP; provided,  however,  that such payment shall not exceed
the amount,  if any, by which the Purchase Price is reduced  pursuant to Section
2.3 hereof. During the Option Period and for thirty (30) days thereafter Sellers
shall  make  available  to Buyer  the  services  of Tim  Fisher  (if he is still
employed by Sellers; provided, however, that the

                                       44

<PAGE>



provision by Tim Fisher shall not interfere with his obligations to Seller), and
Buyer shall make  available to Sellers the services of R. Paler,  Andrew Fleming
and a billing  person  if they are  employed  or  retained  by  Buyer;  provided
however,  that the provision by R. Paler, Andrew Fleming and such billing person
shall not interfere  with any such  person's  obligations  to Buyer.  During the
Option Period and for thirty (30) days thereafter  Sellers,  shall not terminate
the  employment  of Tim  Fisher  without  having  given  Buyer at least five (5)
business days prior notice.  Thirty (30) days  following the  termination of the
Option  Period,  Sellers  shall  provide  Buyer  with the  opportunity  to offer
employment or  consulting  arrangements  to Tim Fisher,  and Sellers shall fully
cooperate  with Buyer to encourage  Tim Fisher to accept any such  employment or
consulting  arrangements.  Neither Buyer nor Sellers shall be reimbursed for the
cost of providing  the other with the  services of its  employees as required by
this Section 10.8; provided, however, that the costs of transportation, room and
board of such  employees in connection  with  providing the services  under this
Section 10.8 shall be borne by the party for whom the services are provided.


                             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  or IHS  hereunder,  including  without  limitation  those
conditions  set forth in Article  VIII  hereof,  have not been  satisfied by the
Closing Date or pursuant to Section 12.1 if any portion of the Assets is damaged
or destroyed as a result of fire, other casualty or from any reason whatsoever;

                           (b)      Sellers,  if  any condition precedent to the
obligations  of  the  Group  hereunder,   including  without   limitation  those
conditions  set forth in  Article  IX  hereof,  have not been  satisfied  by the
Closing Date;

                           (c)      the mutual consent of Buyer and Sellers.

                  11.2  Effect  of  Termination.  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 any party of any of its
representations, warranties or obligations under this Agreement, the other party
shall be  entitled  to be  indemnified  for any Losses  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).  Furthermore,
nothing  in this  Section  11.2  shall  affect  any  party's  right to  specific
performance of the obligations of the Group at Closing hereunder.

                       ARTICLE XII: CASUALTY, RISK OF LOSS
                       -----------------------------------


                                       45

<PAGE>



                  12.1  Casualty,  Risk of Loss.  Sellers shall bear the risk of
all loss or damage to any of the Assets from all causes which occur prior to the
Closing.  If at any time  prior to the  Closing  any  portion  of the  Assets is
damaged  or  destroyed  as a result of fire,  other  casualty  or for any reason
whatsoever,  Sellers shall immediately give notice thereof to Buyer. Buyer shall
have the right,  in its sole and  absolute  discretion,  within ten (10) days of
receipt  of such  notice,  to (1)  elect not to  proceed  with the  Closing  and
terminate  this  Agreement,  or  (2)  proceed  to  Closing  and  consummate  the
transactions  contemplated  hereby and  receive any and all  insurance  proceeds
received or  receivable  by any Group  Members on account of any such  casualty.
Nothing contained in this Section 12.1 shall limit or adversely affect the right
of Buyer and IHS to receive indemnification for any Losses incurred by either of
them by reason of any  breach by any Group  Participant  of any  representation,
warranty or  obligation  under this  Agreement in  accordance  with Section 10.2
hereof (and for such purposes such Section 10.2 shall survive the termination of
this Agreement).


                           ARTICLE XIII: MISCELLANEOUS
                           ---------------------------

                  13.1  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. The Group shall pay all sales, transfer, recording, stamp and like taxes
payable  in  connection  with  any  of the  transactions  contemplated  by  this
Agreement,  and shall  timely and  truthfully  complete  and file any filings or
returns necessary in connection therewith. The Group, on the one hand, and Buyer
and IHS on the other hand,  shall each bear fifty  percent  (50%) of the cost of
obtaining the legal opinions  referred to in Section  8.4(b) hereto.  Subject to
Section 2.4 hereof, Buyer and IHS agree that Sellers may use shares of IHS Stock
to pay  the fee due to its  consultant,  C-III,  L.L.C.  (the  "Consultant"),  a
Missouri  limited  liability  company,  provided that said Consultant shall have
agreed in writing, in form and substance satisfactory to IHS, to be bound by the
provisions of Section 2.5 hereof (including 2.5(b) and (e)).

                  13.2 Benefit and  Assignment.  This Agreement binds and inures
to the benefit of each party hereto and its  successors  and  assigns.  Prior to
Closing,  Buyer may not assign its  interest  under this  Agreement to any other
person or entity  without  the  prior  written  consent  of  Sellers;  provided,
however,  that  prior to  Closing  Buyer  may  assign  its  rights,  duties  and
obligations  hereunder to one or more  subsidiaries or affiliates of IHS, except
that  no  such  assignment  shall  operate  to  relieve  IHS of its  obligations
hereunder.

                  13.3 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

                                       46

<PAGE>



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.

                  13.4 Cooperation - Further  Assistance.  From time to time, as
and when reasonably  requested by any party hereto after the Closing,  the other
parties will (at the expense of the requesting  party)  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  action as may be  reasonably
requested or  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.

                  13.5  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 any Group Participant:  to or in care of:
                              Total Rehab Services, LLC
                              3100 Commercial Avenue
                              Northbrook, Illinois 60062
                              Attention:   Timothy H. Dacy and David S. Krause

With a copy to:               Johnson and Colmar
                              300 South Wacker Drive
                              Chicago, IL 60606
                              Attention:   Mark Chester, Esq.

If to Buyer 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.

                                       47

<PAGE>

                              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 13.5.

                  13.6  Waiver,   Discharge,   Etc.   This   Agreement  and  the
Transaction  Documents and the obligations hereunder and thereunder shall not be
released,  discharged,  abandoned,  changed,  waived or  modified in any manner,
except by an instrument in writing executed by Sellers, if any Group Participant
is to be the party to be  charged,  and by  Buyer,  if Buyer or IHS is to be the
party to be charged.  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.

                  13.7 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, and other than the
Buyer Indemnitees and Group Indemnitees pursuant to Section 10.2 hereto.

                  13.8 Governing  Law. This  Agreement  shall be governed by and
construed  in  accordance  with  the  internal  laws of the  State  of  Illinois
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.

                  13.9 Amendments, Supplements, Etc. At any time before or after
the  execution  and  delivery  of this  Agreement  by the parties  hereto,  this
Agreement may be amended or supplemented by additional  agreements,  articles or
certificates,  as may be mutually  determined  by the  parties to be  necessary,
appropriate or desirable to further the purposes of this  Agreement,  to clarify
the intention of the parties, or to add to or to modify the covenants,  terms or
conditions  hereof or thereof.  The  parties  hereto  shall make such  technical
changes to this Agreement,  not inconsistent with the purposes hereof, as may be
required to effect or facilitate any governmental approval or acceptance of this
Agreement or to effect or  facilitate  any filing or recording  required for the
consummation  of any  portion  of the  transactions  contemplated  hereby.  This
Agreement  may not be  amended  except by an  instrument  in  writing  signed by
Sellers on behalf of the Group Members and by Buyer on behalf of Buyer and IHS.

                  13.10 Severability.  Any provision, or distinguishable portion
of any  provision,  of this  Agreement  which is  determined  in any judicial or
administrative  proceeding to be prohibited or unenforceable in any jurisdiction
shall, as to such jurisdiction, be ineffective to the extent of such prohibition
or unenforceability  without  invalidating the remaining  provisions hereof, and
any  such  prohibition  or   unenforceability  in  any  jurisdiction  shall  not
invalidate or render unenforceable such provision in any other jurisdiction.  It
is the  intention of the parties that if any  provision of Section 10.3 shall be
determined to be overly broad in any respect, then it

                                       48

<PAGE>



should be enforceable to the maximum  extent  permissible  under the law. To the
extent permitted by applicable law, the parties waive any provision of law which
renders a provision hereof prohibited or unenforceable in any respect.

                  13.11 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  shall
determine; provided that nothing herein shall prevent either party, upon as much
prior notice as shall be possible  under the  circumstances  to the other,  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.

                  13.12 Joint and Several.  Except as expressly set forth in the
rules of construction  and  qualification  in the preamble to Article IV of this
Agreement,   all  obligations,   representations,   warranties,   covenants  and
agreements  of any Group  Participant  under this  Agreement or any of the Group
Transaction   Documents   shall   be  the   joint   and   several   obligations,
representations,  warranties,  covenants  and  agreements  of all  of the  Group
Members.




                       [SIGNATURES ON THE FOLLOWING PAGE]




                                       49

<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.

INTEGRATED HEALTH SERVICES, INC.


By: /s/ Elizabeth B. Kelly
   --------------------------
Its:    Senior Vice President
        Corporate Development
    -------------------------

IHS ACQUISITION XV, INC.


By: /s/ Elizabeth B. Kelly
   --------------------------
Its:
    -------------------------

TOTAL REHAB SERVICES, LLC


By: /s/ Timothy H. Dacy
   --------------------------
Its:    Member
   --------------------------

TOTAL REHAB SERVICES 02, LLC


By: /s/ Timothy Dacy
   --------------------------
Its:    Member
   --------------------------

RUBY HEALTHCARE, LLC


By: /s/ Bruce Paler
   --------------------------
Its:    Member
    -------------------------


/s/ Timothy Dacy
- -----------------------------
Timothy H. Dacy

/s/ David S. Krause
- -----------------------------
David S. Krause

/s/ Ron Paler
- -----------------------------
Ron Paler

/s/ Bruce Paler
- -----------------------------
Bruce Paler

/s/ Shari Kaplan
- -----------------------------
Shari Kaplan


                                       50








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






                            ASSET PURCHASE AGREEMENT

                                  By and Among

                       MEDIQ MOBILE X-RAY SERVICES, INC.,

                               MEDIQ INCORPORATED

                                       and

                    SYMPHONY DIAGNOSTIC SERVICES NO. 1, INC.




                          Dated as of November 6, 1996




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






<PAGE>


Page


                                TABLE OF CONTENTS

                                                                            Page
                                                                            ----


Background.....................................................................1

ARTICLE I
         PURCHASE AND SALE OF ASSETS...........................................1

         1.1    Assets Being Sold and Purchased................................1
         1.2    Excluded Assets................................................3
         1.3    Assumption of Liabilities......................................4
         1.4    Assignment of Assets...........................................6

ARTICLE II
         PURCHASE PRICE AND CLOSING............................................7
         2.1    Purchase Price.................................................7
         2.2    Purchase Price Contingency.....................................8
         2.3    Post-Closing Purchase Price Adjustment.........................9
         2.4    Closing Date..................................................12
         2.5    Closing Documents of Seller...................................12
         2.6    Closing Documents of Parent...................................13
         2.7    Closing Documents of Buyer....................................13
         2.8    Legal Opinions................................................14
         2.9    IHS Stock.....................................................14

ARTICLE III
         REPRESENTATIONS AND WARRANTIES.......................................20
         3.1    Representations and Warranties of Seller and Parent...........20
                  (a)    Authority............................................20
                  (b)    Organization and Standing of Seller and Parent.......20
                  (c)    Ownership............................................20
                  (d)    Subsidiaries of the Seller...........................21
                  (e)    Financial Statements.................................21
                  (f)    Taxes................................................21
                  (g)    Assets Other than Real Property......................22
                  (h)    Title to Real Property...............................23
                  (i)    Intellectual Property................................23
                  (j)    Contracts............................................23
                  (k)    Litigation; Decrees..................................25
                  (l)    Insurance............................................25
                  (m)    Benefit Plans........................................26

                                      - i -                                     
                                                                                
<PAGE> 

                                                                            Page
                                                                            ----

                  (n)    Absence of Changes or Events.........................26
                  (o)    Compliance with Applicable Laws......................27
                  (p)    Licenses; Permits....................................28
                  (q)    Environmental Matters................................28
                  (r)    Employee and Labor Relations.........................28
                  (s)    Special Fee Arrangements.............................29
                  (t)    Patient Volumes......................................29
                  (u)    Employees............................................29
                  (v)    Relationships........................................29
                  (w)    Questionable Payments................................29
                  (x)    Reimbursement Matters................................29
                  (y)    Medicare/Medicaid Participation......................30
                  (z)    Customer List........................................30
                  (aa)   Financial Statements and SEC Documents...............30
         3.2    Representations and Warranties of Buyer.......................31
                  (a)    Authority............................................31
                  (b)    Sufficient Funds.....................................31
                  (c)    Organization and Standing of Buyer...................31
                  (d)    Financial Statements and SEC Documents...............32

ARTICLE IV
         COVENANTS............................................................32
         4.1    Covenants of Seller...........................................32
                  (a)    Insurance............................................32
                  (b)    Employment Agreements................................32
         4.2    Covenants of Buyer............................................32
                  (a)    Financial Information................................33
                  (b)    Accounts.............................................33
                  (c)    Employees............................................33
         4.3    Mutual Covenants..............................................34
                  (a)    Records..............................................34
                  (b)    Publicity............................................35

ARTICLE V
         OTHER AGREEMENTS.....................................................35

         5.1    Certain Understandings........................................35
         5.2    Further Assurances............................................35
         5.3    Transfer Taxes................................................35
         5.4    Use of Mediq Name.............................................35
         5.5    Covenant Not to Compete.......................................36

                                     - ii -

<PAGE>


                                                                            Page
                                                                            ----


         
         5.6    Restrictions..................................................38
         5.7    Adjustments for Medicare Reimbursement Rate Increases.........38
         5.8    Audit.........................................................39
         5.9    Billing and Collection Agent..................................39
         5.10   Benefits under Excluded Contracts.............................39

ARTICLE VI
         INDEMNIFICATION......................................................40
         6.1    Indemnification by Seller and Parent..........................40
         6.2    Indemnification by Buyer......................................41
         6.3    Losses Net of Insurance, Etc..................................41
         6.4    Termination of Indemnification................................41
         6.5    Procedures Relating to Indemnification under 
                    Sections 6.1 and 6.2......................................42

ARTICLE VII
         DEFINITIONS..........................................................43

ARTICLE VIII
         MISCELLANEOUS........................................................47
         8.1    Assignment....................................................47
         8.2    No Third-Party Beneficiaries..................................48
         8.3    Survival of Representations...................................48
         8.4    Expenses......................................................48
         8.5    Amendments....................................................48
         8.6    Notices.......................................................48
         8.7    Fees..........................................................50
         8.8    Severability..................................................50
         8.9    Interpretation................................................50
         8.10   Waiver........................................................51
         8.11   Counterparts..................................................51
         8.12   Entire Agreement..............................................51
         8.13   Governing Law.................................................51
         8.14   Joint and Several.............................................51


                                     - iii -

<PAGE>



                                LIST OF SCHEDULES
                                -----------------

Schedule 1.1(a)(vii)       Third Party Consents
Schedule 1.3               Assumed Liabilities
Schedule 3.1(a)            Authority
Schedule 3.1(b)            Qualification to do Business
Schedule 3.1(e)            Financial Statements
Schedule 3.1(f)            Taxes
Schedule 3.1(g)            Assets Other than Real Property
Schedule 3.1(h)            Title to Real Property
Schedule 3.1(i)            Intellectual Property
Schedule 3.1(j)            Contracts
Schedule 3.1(j)-A          Contracts Not in Effect
Schedule 3.1(j)-B          Breaches and Defaults
Schedule 3.1(j)-C          Contracts not Current in Payments
Schedule 3.1(j)-D          Consents
Schedule 3.1(k)            Litigation; Decrees
Schedule 3.1(l)            Insurance
Schedule 3.1(m)            Benefit Plans
Schedule 3.1(n)            Absence of Changes or Events
Schedule 3.1(o)            Compliance with Applicable Laws
Schedule 3.1(p)            Licenses; Permits
Schedule 3.1(q)            Environmental Matters
Schedule 3.1(r)            Employee and Labor Relations
Schedule 3.1(s)            Special Fee Arrangements
Schedule 3.1(t)            Patient Volumes
Schedule 3.1(u)            Employees
Schedule 3.1(v)            Relationships
Schedule 3.1(w)            Questionable Payments
Schedule 3.1(x)            Reimbursement Matters
Schedule 3.1(y)            Medicare/Medicaid Participation
Schedule 3.1(z)-A          Facilities List
Schedule 3.1(z)-B          Patients List
Schedule 5.5               Non-Competition Agreement Parties

                                LIST OF EXHIBITS
                                ----------------

Exhibit 2.5(d)-1           Bill of Sale
Exhibit 2.5(d)-2           Assignment and Assumption of Contracts
Exhibit 2.7(i)             Assumption Agreement
Exhibit 2.8(a)             Legal Opinion of Dechert Price & Rhoads
Exhibit 2.8(b)             Legal Opinion of Blass & Driggs, Esqs.
Exhibit 3.1(j)-A           Customer Contract
Exhibit 3.1(j)-B           Customer Contract

                                     - iv -

<PAGE>



                            ASSET PURCHASE AGREEMENT



              ASSET PURCHASE AGREEMENT dated as of November 6, 1996 by and among
MEDIQ Mobile X-Ray  Services,  Inc., a Delaware  corporation  ("Seller"),  MEDIQ
Incorporated,   a  Delaware  corporation  ("Parent"),  and  Symphony  Diagnostic
Services No. 1, Inc., a California corporation ("Buyer").

                                   Background

              WHEREAS, Seller operates a business which provides portable X-ray,
EKG  and   nutritional   services  to  residents  of  nursing  homes  and  other
institutions and home care patients, and ancillary services related thereto (the
"Business");

              WHEREAS,  Buyer  wishes to  purchase  and assume  from  Seller and
Seller wishes to sell and transfer to Buyer certain assets used and  liabilities
arising in the Business, all as more fully described herein;

              WHEREAS,  Parent owns 100% of the issued and  outstanding  capital
stock of Seller and is entering into this Agreement as an inducement to Buyer to
enter into this Agreement;

              NOW  THEREFORE,   in   consideration  of  the  foregoing  and  the
respective  representations,  warranties,  covenants and agreements contained in
this Agreement, the parties hereto agree as follows:

                                    ARTICLE I
                           PURCHASE AND SALE OF ASSETS


1.1      Assets Being Sold and Purchased.

          (a)    Subject to and upon the terms and conditions of this Agreement,
concurrently herewith Seller shall transfer, sell, convey, assign and deliver to
Buyer free and clear of all Liens,  other than Permitted  Liens (as  hereinafter
defined),  and Buyer shall purchase from Seller, all of Seller's right and title
to and interest in the following  properties and assets as the same exist on the
date hereof:

               (i) all  tangible  assets  used in or  useful  or held for use in
connection  with the  ownership or operation  of the Business  whether  owned or
leased, including,  without limitation,  all inventory,  supplies,  furnishings,
moveable and other equipment, instruments, machinery, tools, vehicles, furniture
and office equipment, all fixtures and leasehold improvements and other items of
personal property owned by Seller;


<PAGE>



               (ii)  manufacturers'  and vendors'  warranties in connection with
the assets being transferred hereunder;

               (iii) except for Excluded  Contracts (as defined in Section 1.4),
agreements  to provide  services or  equipment,  real estate  leases,  equipment
maintenance  agreements,  non-competition and proprietary information agreements
(other  than such  confidentiality  agreements  and letters of intent that arose
from the sale of the Business) and other agreements  related to, and incurred in
the  ordinary  course of,  the  Business,  including  its  contracts  to provide
portable  x-ray,  EKG and other  ancillary  services and all other Contracts (as
such term is hereinafter defined in Section 3.1(j));

               (iv) trade names,  including  but not limited to,  "MMXR" and the
names, service marks, trademarks, copyrights, copyright applications,  trademark
applications, patents, and patent applications used or useful or held for use in
connection  with the ownership or operation of the Business and the right to use
the logos,  except for the name and service  mark  "MEDIQ"  and any  derivations
thereof;

               (v) all prepaid  expenses and deposits used or useful or held for
use  in  connection  with  the  ownership  or  operation  of  the  Assets  being
transferred  hereunder  (the "Prepaid  Expenses"),  which excludes those prepaid
expenses  and  deposits  (which  expenses  and  deposits  remain the property of
Seller) relating to those liabilities that are not Assumed Liabilities;

               (vi) all  original  agreements,  documents,  books,  instruments,
papers,  records,  and files of all kind and  nature  relating  to the  Business
(collectively,  the "Records"),  but excluding its charter,  minute books, stock
record books and corporate seal;

               (vii)  all  consents,   licenses,  permits,   certifications  and
approvals   granted  by  any  governmental  or   non-governmental   third  party
(collectively,  the  "Third  Party  Consents"),  to the extent  transferable  in
accordance with applicable law, including without limitation, those specified on
Schedule 1.1(a)(vii);

               (viii)  its past and  present  customer  lists and all  telephone
numbers, patient records, including without limitation,  patient x-ray films and
EKGs, and files and other  confidential or proprietary  information  (other than
confidentiality agreements and letters of intent that arose from the sale of the
Business),  in each case only to the  extent  transferable  in  accordance  with
applicable law;

               (ix) its cash, cash  equivalents,  accounts and notes  receivable
and the proceeds of any Non-Assignable Receivables (as defined below);

               (x) any provider or participation agreements and provider numbers
relating to Medicare or Medicaid to which Seller is a party (including,  without
limitation, any hereafter issued with respect to Michigan) and any IPL numbers;


                                      - 2 -


<PAGE>



               (xi) its goodwill and going concern value; and

               (xii) all other  assets that are used,  useful or held for use in
connection with the ownership or operation of the Business.

          (b) The assets  being sold and  purchased  hereunder  are  hereinafter
collectively referred to as the "Assets".

        1.2 Excluded Assets.  Notwithstanding  anything contained in Section 1.1
hereof  to the  contrary,  Seller is not  selling,  assigning,  transferring  or
conveying  to Buyer any asset or item not  described  in  Section  1.1.  Without
limiting the foregoing, the following assets, rights and properties are excluded
from the transactions contemplated in this Agreement (the "Excluded Assets"):

          (a) the ownership  interest in equipment and other personal  property,
wherever located,  leased,  licensed or rented by the Company and owned by third
parties who are not affiliated with Seller;

          (b) refunds for Taxes (as  hereinafter  defined in Section  3.1(f)(i))
paid;

          (c) prepaid expenses and deposits  relating to those  liabilities that
are not Assumed Liabilities (as hereinafter defined);

          (d) inter-company  accounts  receivable from Affiliates of Seller, and
Seller's pension, profit-sharing or other funded employee benefit plan assets;

          (e) the capital stock of Seller owned or held by Parent;

          (f)  banking  or  financial  institution  accounts  or any  deposit or
concentration  accounts or safety  deposit boxes (it being  understood  that the
foregoing does not apply to any funds or other assets held in any such accounts,
all of which are included in the Assets);

          (g)  Seller's  rights under any  Excluded  Contracts  except under the
Agreement  between  Lawrence M. Smith and Parent,  dated as of February 27, 1996
(which rights are expressly  included as Assets) or except as expressly provided
in Section 5.5(f);

          (h)  Medicare  Provider  Numbers  for  Pennsylvania,   Ohio,  Florida,
Maryland, Rhode Island and Washington, D.C.;

          (i) the name and service mark "MEDIQ" and any derivations thereof (the
"Name");



                                      - 3 -


<PAGE>



          (j)  Seller's  rights under this  Agreement  or any other  Transaction
Documents (as hereinafter defined); and

          (k) all Accounts Receivable of Seller from governmental payors that by
law may not be  assigned  to  Buyer  ("Non-Assignable  Receivables")  (it  being
understood  however,  that for  purposes  of Section 2.3 of this  Agreement  the
Non-Assignable Receivables shall be deemed to be Accounts Receivable).

        1.3 Assumption of Liabilities.  (a) At Closing, Seller shall transfer to
Buyer,  and Buyer shall assume and shall  thereafter pay, perform and discharge,
to the extent not paid,  performed  and  discharged  at the Closing,  all of the
Assumed Liabilities.

        For purposes of this Agreement "Assumed Liabilities" shall mean, without
duplication:

               (i) all operating trade payables,  other  liabilities and accrued
expenses of Seller that would be  classified  as current  liabilities  ("Current
Liabilities")  on a balance  sheet of Seller as of the Closing Date  prepared in
accordance  with generally  accepted  accounting  principles  applied on a basis
consistent  with the  balance  sheet  delivered  to Buyer  and  included  in the
financial  statements  of Seller as at August 31,  1996  referred  to in Section
3.1(e)  ("GAAP"),  other than: (A) any  liabilities  that Buyer is expressly not
assuming as provided in this  Agreement  (other  than  payables  under  Excluded
Contracts  that are reflected on the Closing  Balance Sheet and that  constitute
Current Liabilities), (B) any liability due to Parent of the type included under
the heading "Intercompany Advance-Parent" on Seller's balance sheet or any other
fee,  loan,  advance or other similar item due by Seller to Parent that does not
represent a Current  Liability  that is a  reimbursement  for expenses  actually
incurred by Parent on Seller's behalf, (it being understood,  however,  that any
other  Liabilities due to Parent or any of its Affiliates  constituting  Current
Liabilities  shall be Assumed  Liabilities),  (C) any liability for taxes (other
than Buyer Taxes),  (D) any  obligation  or liability  arising out of any of the
Seller's  Benefit  Plans (as  defined in Section  3.1(m))  except as provided in
Section 4.2(d),  and (E) any obligation or liability to any Designated  Employee
(as defined in Section 4.2(c)).

               (ii) those  obligations  that arise or accrue under the Contracts
assigned by Seller to Buyer, with respect to, and only with respect to, services
to be rendered or goods to be  supplied  or  benefits to be  conferred  to or by
Buyer or otherwise  arising or accruing on or after the date that such Contracts
are assigned to Buyer.  Notwithstanding  the foregoing,  Liabilities  under such
Contracts that have accrued,  or the performance of which is due, on or prior to
such date of  assignment or which are in payment or  consideration  for Excluded
Assets,  or that arise out of breaches  that  occurred  prior to Closing,  shall
remain the sole  responsibility  of Seller except to the extent such liabilities
constitute Current Liabilities; and

               (iii)  liabilities for severance or other payments related to the
termination  of  employment  (as opposed to accrued  compensation  for  services
rendered  to Buyer)  ("Employee  Termination  Payments")  with  respect  to each
employee of Seller (other than the Subject  Employees 


                                      - 4 -


<PAGE>


as hereinafter  defined in Section  4.1(b)) that Buyer employs as of the Closing
Date  through a date that ends at least sixty (60) days after the Closing  Date.
Within ten (10) days of request,  Seller shall  reimburse Buyer for any Employee
Termination  Payments  paid or  incurred  by it for any  employee of Seller that
Buyer  terminates  prior to the end of such sixty (60) day period  except to the
extent  such  Employee  Termination  Payments  exceed  $150,000.  Subject to the
aforesaid reimbursement obligation of Seller, Buyer shall be responsible for the
payment of all Employee  Termination  Payments for all of Buyer's employees that
are so terminated.  If Buyer shall terminate the employment of any such employee
prior to the end of such sixty (60) day period,  then the  Employee  Termination
Payment with respect to such  terminated  employee  shall  include any severance
obligations  with  respect  to such  employee  included  in any  Benefit  Plans,
severance or employment  agreement disclosed in the Disclosure Schedule (and not
constituting an Excluded  Contract).  If Buyer shall terminate the employment of
any such  employee on or after the end of such sixty (60) day  period,  then the
Employee  Termination  Payment with respect to such  terminated  employee  shall
exclude any severance obligations included in any Benefit Plan but shall include
any  severance  obligations  with  respect  to such  employees  included  in any
severance or employment  agreement disclosed in the Disclosure Schedule (and not
constituting a Excluded Contract and not otherwise  expressing assumed by Seller
pursuant to said agreement).

          (b) Buyer will not assume  any,  and Seller  shall  remain  liable for
each,  Liability of Seller existing on the Closing Date,  other than the Assumed
Liabilities  (the  "Excluded  Liabilities").  For purposes of this Agreement the
term "Liability" means any claim, lawsuit, liability,  obligation or debt of any
kind or nature whatsoever,  whether absolute,  accrued, due, direct or indirect,
contingent or liquidated, matured or unmatured, joint or several, whether or not
for a sum certain,  whether for the payment of money or for the  performance  or
observance of any  obligation  or condition,  and whether or not of a type which
would  be  reflected  as a  liability  on a  balance  sheet in  accordance  with
generally  accepted  accounting  principles,  including  without  limitation (i)
malpractice  claims  asserted by  patients  or any other tort  claims  asserted,
claims for breach of contract,  or any claims of any kind  asserted by patients,
former  patients,  employees  or any  other  party  that  are  based  on acts or
omissions  occurring on or before the Closing Date; (ii) amounts due or that may
become due to Medicare or Medicaid  or any other  health care  reimbursement  or
payment  intermediary on account of Medicare or Medicaid cost report adjustments
or other  payment  adjustments  attributable  to any  period  on or prior to the
Closing Date (including,  without limitation,  any of the same which becomes due
to any nursing home,  hospital,  other facility or other third party pursuant to
any Contract directly, by reason of offset or indemnification,  or otherwise, or
any other form of Medicare or other health care reimbursement denial, recapture,
adjustment or overpayment  whatsoever  with respect to any period on or prior to
the Closing  Date),  or any  liabilities  arising out of the Middle  District of
Pennsylvania  investigation of Seller,  or out of any  Questionable  Payment (as
defined in Section 3.1(w)) ("Reimbursement  Liabilities"),  (iii) any obligation
or  liability  arising  out of any  Excluded  Contract,  unless  and until it is
assigned  to and  assumed  by  Buyer  in  accordance  with  Section  1.4 and any
Liabilities  arising out of any Excluded Asset, (iv) any obligation or liability
arising  out of any United  States  Department  of Labor (or any  similar  State
agency or  department)  investigation  or claim  with  regard to any  employment
matters of the  Business,  (v) any  obligation  or liability  arising out of any
Seller's  Benefit Plan (as such term is hereinafter  defined in Section 


                                      - 5 -


<PAGE>


3.1(m)),  (vi) any  liabilities  arising  out of Taxes  due or owing by  Seller,
including,  without  limitation,  to the extent  such  Taxes are  accrued on the
Closing Balance Sheet,  (vii) any obligation or liability  arising out of any of
the matters described on Schedule 3.1(k) (viii) any obligation for bonus, unpaid
vacation or salary of any Subject Employee (as hereinafter  defined) outstanding
on the Closing Date, except to the extent included as a Current Liability;  (ix)
any liability or obligation  arising out of any noncompliance with law described
in the  Memorandum,  dated April 26, 1996, to Harvey Z.  Werblowsky from Anne L.
Thompson  and  Richard  Wright;  and  (x)  any  liabilities  due to  Parent  for
management  fees for  repayment  of working  capital or other  advances,  to the
extent such liabilities are not accrued on the Closing Balance Sheet.

        1.4 Assignment of Assets.

          (a) Buyer agrees to assume and Seller agrees to assign to Buyer all of
the Contracts set forth on Schedule  3.1(j),  except for the Contracts set forth
on Schedule 1.4(a) ("Excluded Contracts"). Notwithstanding the foregoing, to the
extent that any lease, contract,  license, permit, agreement,  sales or purchase
order, commitment, property interest,  qualification or other Asset described in
Section 1.1, and not constituting an Excluded Contract or otherwise  excluded in
Section 1.2, to be sold, assigned or conveyed to Buyer, cannot be sold, assigned
or conveyed,  without the approval, consent or waiver of any third person, or if
such sale,  assignment or conveyance or attempted sale, assignment or conveyance
would  constitute  a breach  thereof or a violation of any law,  decree,  order,
regulation or other governmental edict (collectively,  "Impracticalities"), this
Agreement  shall  not  (unless  and  until  such   Impracticality  is  resolved)
constitute or require a sale,  assignment or conveyance thereof, or an attempted
sale,  assignment  or  conveyance  thereof,  and each  Contract  covered  by the
foregoing  sentence (a "Temporary  Excluded  Contract") shall be deemed to be an
Excluded  Contract  unless and until the  Impracticalities  applicable to it are
resolved. The foregoing sentence shall not be deemed to limit any representation
or warranty made by Seller pursuant to this Agreement.

          (b) Buyer and Seller shall each use commercially  reasonable  efforts,
and shall cooperate with each other, to resolve any  Impracticalities  necessary
to sell,  assign or convey the Assets to Buyer as soon as practicable,  provided
that neither  Seller nor Buyer shall be required to expend  money,  commence any
litigation or offer or grant any  accommodation  (financial or otherwise) to any
third party.

          (c) With respect to any asset,  contract,  lease,  agreement,  permit,
license,  interest or other right of Seller  (other than any Excluded  Contract)
which is not  included in the Assets  assigned to Buyer at the Closing by reason
of the immediately preceding paragraphs of this Section 1.4, after the Closing),
(i) the parties  shall  cooperate  with each other,  upon  written  request,  in
endeavoring  to obtain the requisite  third-party  consent(s) to the  assignment
thereof  to Buyer (or the  resolution  of any other  Impracticalities),  without
either  party being  obligated,  however,  to make any payment to any such third
party which is not otherwise due in order to obtain such consent or  resolution,
unless  Buyer  shall  make such  payment or agree to  reimburse  Seller for such
payment, and (ii) if any such requisite consent cannot be obtained, Seller shall
use 

                                      - 6 -


<PAGE>


its  commercially  reasonable  efforts in endeavoring to obtain for Buyer, at no
cost to Seller,  an  arrangement  reasonably  acceptable  to Buyer  designed  to
provide for Buyer the benefits thereof (subject to assumption and performance of
all related liabilities in some other manner reasonably  acceptable to Buyer and
Seller to the extent they otherwise would be assumed by Buyer in accordance with
this  Agreement  but for the  failure to obtain  such  consent  or resolve  such
Impracticality).  A Temporary  Excluded  Contract  shall cease to be an Excluded
Contract for the purposes of this  Agreement  and shall be assigned to the Buyer
when the Impracticalities applicable to it are resolved.

          (d) Provided that Seller complies with its obligations  under Sections
1.4(b) and (c) above,  Buyer  agrees  that Seller  shall not have any  liability
whatsoever  arising  out of or  relating  to the  failure  to obtain  any of the
consents set forth on Schedule 3.1(j)-D.


                                   ARTICLE II
                           PURCHASE PRICE AND CLOSING

        2.1    Purchase Price.

          (a) The  aggregate  purchase  price  for the  Assets  and for the Non-
Competition  Agreement (as hereinafter defined in Section 5.5) shall be equal to
the sum of: (a) $10,502,347 payable at Closing (as hereinafter  defined) subject
to the  adjustment  provided in Section 2.3 , which  amount  shall be payable as
follows:  (i) FIVE  MILLION  THREE  HUNDRED AND TWO THOUSAND  THREE  HUNDRED AND
FORTY-SEVEN DOLLARS ($5,302,347) shall be payable in cash; and (ii) FIVE MILLION
TWO  HUNDRED  THOUSAND  DOLLARS  ($5,200,000)  shall be paid at the  Closing  by
delivery to Seller of newly issued shares of the Common  Stock,  par value $.001
per share, of IHS (the "IHS Stock"), based upon the valuation and subject to the
terms and conditions of Section 2.9 below;  and (b) the Contingent  Payment,  as
defined in Section 2.2(a) (collectively, the "Purchase Price"). The cash portion
of the Purchase Price shall be paid by wire transfer to an account designated by
Seller.  Of the cash  portion of the  Purchase  Price  payable at  Closing,  the
outstanding balance of the $2,100,000 amount due to the United States Government
pursuant to the Settlement  Agreement,  dated as of September 25, 1995, shall be
paid into an escrow  account to be released to the United  States  Government on
behalf of Seller and Parent at Closing.


          (b) The Purchase Price as adjusted pursuant to this Agreement (and all
other  capitalizable  costs)  shall be  allocated  among the  Assets as shall be
determined by Buyer,  subject to the consent of Seller (which  consent shall not
unreasonably  be withheld,  delayed  or 


                                      - 7 -


<PAGE>

conditioned),  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.

        2.2    Purchase Price Contingency.


          (a) A contingent  payment of  $2,000,000  (the  "Contingent  Payment")
shall be payable,  if at all, only in the following  amounts and as set forth in
Section 2.2(d):

               (i) if there occurs any EKG Transportation  Reimbursement  Change
(defined  below) with respect to any period  prior to February 1, 1998,  then no
portion of the Contingent Payment shall be paid;

               (ii) if no EKG  Transportation  Reimbursement  Change occurs with
respect to the period prior to February 1, 1999, then fifty percent (50%) of the
Contingent Payment shall be paid; and

               (iii) if no EKG Transportation  Reimbursement  Change occurs with
respect  to the  period  prior to  February  1,  2000,  then the  balance of the
Contingent Payment shall be paid.

          (b) If any  portion  of the  Contingent  Payment  shall  become due in
accordance with  subparagraph (a) above,  then the payment of such portion shall
be made thirty (30) days after the Date of Determination  (hereinafter  defined)
that  such  portion  has  become  due.  As used  herein,  the  phrase  "Date  of
Determination" shall mean, with respect to any period in question,  the earliest
to occur  of:  (i) the date on which  the  Health  Care  Finance  Administration
("HCFA")  or any  other  Applicable  Authority  (defined  below)  makes  a final
determination  (that is not in conflict  with or being  contested or appealed by
any action or  proceeding  by or before or  threatened  by any other  Applicable
Authority)  that  any  pending,   threatened  or  currently   contemplated   EKG
Transportation   Reimbursement  Change  will  not  be  enacted,  promulgated  or
otherwise effectuated with respect to the period in question,  and (ii) the last
day of the period in  question  if no EKG  Transportation  Reimbursement  Change
shall have occurred or be so pending,  threatened or currently contemplated with
respect to such period in question.

          (c) As used  herein,  the  phrase  "EKG  Transportation  Reimbursement
Change" shall mean an alteration,  modification or other change in the amount of
EKG  transportation  reimbursement  paid with  respect to the  operation  of the
Business  before,  on or after the Closing Date,  from either Medicare Part A or
Part  B,  third  party  billing,  facility  billing  or  direct  billing,  which
alteration,  modification or change: (i) results from any actions taken by HCFA,
Medicare, U.S. Congress or any U.S. Court (an "Applicable Authority");  and (ii)
has the effect of eliminating or reducing the reimbursement  amount which Seller
(prior to  Closing)  or Buyer  (after  the  Closing)  is paid for its  services.
Notwithstanding  anything to the contrary  


                                      - 8 -


<PAGE>

contained in this Section 2.2, no EKG Transportation  Reimbursement Change shall
be deemed to have  occurred  if it shall  only  affect  payments  made or due to
Seller prior to Closing and that do not constitute any part of the Assets.

          (d) If  there  shall  be an EKG  Transportation  Change,  but such EKG
Transportation  Reimbursement  Change  shall be a reduction in the amount of EKG
transportation  reimbursement paid with respect to the operation of the Business
as aforesaid by less than 40% of the amount payable on the date hereof, then, in
addition to the portion of the Contingent Payment

which shall be paid in accordance  with  subsection  (a) above,  if any,  within
thirty  (30) days  after  the Date of  Determination  of the  amount of such EKG
Transportation  Change,  Buyer  shall pay to Seller a portion of the  Contingent
Payment which has not previously  been paid in accordance  with  subsection (a),
which portion shall be equal to the  percentage set forth in Column "Y" below of
the amount not  previously  paid which  corresponds  to the range of  percentage
reduction in EKG transportation reimbursement set forth in column "X" below.

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

                      "X"                                     "Y"
          Range of % Reduction in EKG                    % Payment of
         Transportation Reimbursement            Remaining Contingent Payment
         ----------------------------            ----------------------------

            More than 40% Reduction                            0
   Less than or equal to 40% Reduction/                       25%
   More than 30% Reduction
   Less than or equal to 30% Reduction/                       35%
   More than 20% Reduction
   Less than or equal to 20% Reduction/                       45%
   More than 10% Reduction
   Less than or equal to 10% Reduction                       55%
================================================================================

       2.3    Post-Closing Purchase Price Adjustment.

          (a) In addition to any  adjustment to the Purchase Price arising under
Section 2.2, the Purchase  Price shall be further  subject to  adjustment  after
Closing as follows:  (i) if the Closing  Date  Working  Capital (as  hereinafter
defined) of Seller is less than  $2,700,000  (the  "Required  Amount")  then the
Purchase  Price  shall  be  reduced  dollar-for-dollar  by the  amount  of  such
deficiency;  and (ii) if the Closing Date Working Capital of Seller shall exceed
$2,700,000 then the Purchase Price shall be increased  dollar-for-dollar  by the
amount of such excess to the extent  payable as provided in Section  2.3(b)(ii).
If  the  Closing  Date  Working  Capital  equals  $2,700,000  there  will  be no
adjustment to the Purchase Price under this Section 2.3(a). As used herein,  the
"Closing  Date  Working  Capital"  of Seller  shall  mean the  excess of (x) the
aggregate  


                                      - 9 -


<PAGE>

amount of cash and accounts  receivable,  inventories  and prepaid  expenses and
other  current  assets of Seller,  in each case,  included  in the Assets on the
Closing  Balance  Sheet  (as  such  term is  hereinafter  defined)  over (y) the
aggregate amount of current  liabilities  reflected on the Closing Balance Sheet
(excluding  therefrom any portion thereof  constituting  Excluded  Liabilities).
There  shall be no accrual on the Closing  Balance  Sheet for any bonuses due to
any Subject  Employee or for any bonuses arising out of the  consummation of the
transactions  contemplated by this Agreement,  and all of such liabilities shall
be  Excluded  Liabilities.  No accrual  shall be made for  Employee  Termination
Payments.

          (b) Regarding the Closing  Balance Sheet.  (i) At the Closing,  Seller
shall  deliver to Buyer the  balance  sheet of Seller and a  calculation  of the
amount of the Closing Date  Working  Capital,  certified by the Chief  Financial
Officer of the Seller to be his or her best good faith  estimate of such balance
sheet and  Closing  Date  Working  Capital as of the Closing  (the  "Preliminary
Closing Date Balance Sheet").  The Preliminary  Closing Date Balance Sheet shall
be prepared in accordance with GAAP (the "Accounting  Principles").  Buyer shall
complete,  at its own expense,  a review of such calculation of the Closing Date
Working  Capital and shall  deliver to Seller  within ninety (90) days after the
Closing,  its written report (the "Working  Capital  Review")  setting forth the
amount of such  Closing  Date Working  Capital as  confirmed  or  determined  in
accordance  with  such  review.  The  Working  Capital  Review  must  be done in
accordance with the same Accounting Principles used by Seller. In the event that
the Working Capital Review delivered to Seller in accordance with the provisions
of this Agreement  discloses  that the Closing Date Working  Capital was greater
than  $2,700,000,  the Purchase  Price shall be deemed to have been increased by
the amount of such excess (the "Working Capital Increase"),  provided that Buyer
collects in respect of Accounts  Receivable  (hereinafter  defined) at least the
Target Amount (hereinafter  defined).  The "Target Amount" shall mean the amount
of accounts  receivable  that must be included as current  assets in the Closing
Date Working  Capital in order to obtain a Closing Date Working  Capital  amount
equal to  $2,700,000.  Any  payment  by  Seller  to Buyer  of a  Purchase  Price
adjustment pursuant to clause (ii) below shall decrease the Target Amount by the
principal  amount of such payment.  In the event that the Working Capital Review
delivered  to  Seller  in  accordance  with  the  provisions  of this  Agreement
discloses that the Closing Date Working  Capital was less than  $2,700,000,  the
Purchase  Price  shall be  deemed  to have been  reduced  by the  amount of such
deficiency and Seller,  upon demand,  shall  immediately  pay the amount of such
deficiency to Buyer. If Seller shall dispute the amount set forth in the Working
Capital Review,  it shall give notice to Buyer (a "Delay Payment Notice") within
thirty (30) days after  delivery to it of the  Working  Capital  Review that the
adjusting  payment  required  above should not then be made and setting forth in
reasonable  detail  its  objections  and the basis  therefor,  in which case the
parties shall meet and in good faith attempt to resolve any disagreements within
thirty (30) days after delivery to Buyer of the Delay Payment Notice.  If Seller
shall not have  delivered  a Delay  Payment  Notice  within such thirty (30) day
period,  Seller shall be deemed to conclusively  have accepted the determination
of Buyer of the amount of Working  Capital as of the Closing Date, in which case
such  determination  shall be final and shall not be subject to further  review,
challenge or  adjustment,  absent fraud.  If Seller and Buyer cannot resolve any
such  disputes,  such disputes  shall be resolved by KPMG Peat Marwick LLP or if
such firm is unable 

                                     - 10 -


<PAGE>


to so act or is not at the time  independent  of both  Seller and  Buyer,  by an
independent  nationally recognized accounting firm selected by KPMG Peat Marwick
LLP,  which  accounting  firm is reasonably  acceptable to both Seller and Buyer
(the  accounting  firm  so  engaged  shall  hereinafter  be  referred  to as the
"Independent Accounting Firm");  provided, the Independent Accounting Firm shall
only resolve disputes  properly raised in accordance with the provisions of this
Section  2.3.  The  Independent  Accounting  Firm shall be  directed to make its
determination  as  promptly  as  practicable  (and no later  than 30 days  after
referral to it of such dispute by Seller and Buyer) and such determination shall
be final and  binding  upon  Seller  and Buyer.  The  expenses  relating  to the
engagement  of the  Independent  Accounting  Firm  shall be  borne by the  party
against whom the  Independent  Accounting  Firm shall rule;  provided that if it
does not clearly rule in favor of either  party,  the  expenses  shall be shared
one-half by Seller and one-half by Buyer.  For purposes of this  Agreement,  the
Closing Balance Sheet shall be as set forth in the Working  Capital  Review,  as
accepted by Seller as set forth above,  or as modified by  resolution  of Seller
and Buyer or by the Independent Accounting Firm.

               (ii) Any  adjustment to the Purchase  Price due to Buyer pursuant
to this Section shall be paid by Seller to Buyer (together with interest on such
amount from the date on which it shall  become due to Buyer in  accordance  with
this Agreement  until paid at a rate equal to 7% per annum) within 10 days after
the final  determination  of such  adjustment  is made.  Subject  to  subsection
(c)(ii) below,  any Excess  Collections  (hereinafter  defined) shall be paid by
Buyer to Seller  on the  fifteenth  business  day of each  calendar  month in an
amount equal to all Excess Collections (hereinafter defined) during the calendar
month then most recently  ended,  and any such  payments  shall be first applied
against any Working Capital Increases and any excess shall thereafter be paid to
Seller.  "Excess  Collections" means the amount of Accounts Receivable collected
in excess of the  Target  Amount.  If Buyer  shall  fail to timely  pay any such
amount in accordance  with the foregoing two  sentences,  then such amount shall
bear interest from the date on which it shall become so due to Seller until paid
at a rate equal to 7% per annum, and such interest shall be payable upon demand.

          (c) Accounts  Receivable  Collection and Reporting.  (i) Commencing 90
days after the Closing Date and  continuing  until the first  anniversary of the
Closing  Date,  or if earlier,  until all  Accounts  Receivable  shall have been
collected, Buyer shall provide quarterly reports to Seller regarding the amounts
collected  on the accounts  receivable  of the  Business  outstanding  as of the
Closing Date (the  "Accounts  Receivable")  and Buyer's  efforts to collect such
accounts.  Buyer shall, at Buyer's election,  either (i) apply at least the same
efforts in the  collection  of the Accounts  Receivable  as Buyer applies in the
collection  of its own accounts  receivable or (ii) use  substantially  the same
personnel and procedures to collect the Accounts  Receivable as were used by the
Business  immediately  prior to the  Closing  Date,  in the  substantially  same
positions, with the substantially same responsibilities and at the substantially
same  salaries and hours.  Buyer shall have no liability  or  responsibility  to
collect Accounts  Receivable to the extent Seller fails to deliver to Buyer such
documentation  as Buyer shall  reasonably  request  with  respect  thereto.  The
collection of all Accounts  Receivable  received  from an account  debtor of the
Business  as of the  Closing  Date shall be  applied  to the oldest  outstanding



                                     - 11 -


<PAGE>

invoice with such account  debtor which is not then in dispute  consistent  with
Buyer's general overpayment  policies;  provided,  however,  notwithstanding the
foregoing,  any  payments  made by an account  debtor in respect of a designated
account  shall be applied to the  account so  designated.  For  purposes  of the
preceding  sentence,  a disputed  invoice is an invoice that is the subject of a
written dispute from the account debtor which is reasonably  recognized by Buyer
as disputed in accordance with its general policies;  upon the resolution of any
such  dispute,   such  invoice  shall  no  longer  be  considered  disputed  and
collections  from the account  debtor  shall be applied in  accordance  with the
previous  sentence as if such  dispute had not arisen.  Provided  that Buyer has
collected in respect of Accounts  Receivable at least the Target Amount, then on
the fifteenth  (15th)  business day of each calendar month until one month after
the first anniversary of the Closing Date, Buyer shall provide reports to Seller
regarding the amounts collected on such Accounts  Receivable with respect to the
preceding calendar month, and Buyer's efforts to collect such accounts.


               (ii) In the event that  Buyer has  complied  with its  collection
obligations  set forth in this  paragraph (c) but has not collected at least the
Target  Amount by the first  anniversary  of the Closing  Date,  (i) Buyer shall
notify Seller of the amount of such Accounts  Receivable  actually  collected by
Buyer,  (ii) Seller shall promptly  remit to Buyer the amount,  if any, by which
the  amount of such  Accounts  Receivable  actually  collected  is less than the
Target Amount (to the extent not already  paid),  and (iii) Buyer shall promptly
remit to Seller  all  amounts  thereafter  collected  by Buyer in respect of the
Accounts Receivable.

        2.4 Closing Date.  The closing (the  "Closing") of the purchase and sale
of  the  Assets  shall  be  held  pursuant  to  overnight   courier  and  escrow
arrangements  acceptable  to all parties  hereto as of 12:01 a.m. on November 6,
1996 or on such other date or in such other  manner as the parties may  mutually
agree.  The date on which the Closing shall occur is hereinafter  referred to as
the "Closing Date".

        2.5 Closing Documents of Seller. At the Closing, Seller shall deliver or
cause to be delivered to Buyer the following documents:

          (a) copies of the Certificate of Incorporation of Seller as amended to
the Closing  Date,  certified by its Secretary and the Secretary of State of the
State of Delaware;

          (b) copies of the  By-laws of Seller as amended to the  Closing  Date,
certified by its Secretary;

          (c) long form  corporate  good  standing  certificate  with respect to
Seller from the  Secretary of State of the State of  Delaware,  dated no earlier
than five (5) days prior to the Closing Date;


          (d) a duly  executed  bill of sale (the "Bill of  Sale"),  in the form
attached  hereto  as  Exhibit  2.5(d)-1  and an  assignment  and  assumption  of
Contracts  in the  form of  Exhibit  

                                     - 12 -


<PAGE>

2.5(d)-2, and such documents as shall be reasonably necessary to convey title to
all owned motor vehicles and the registrations of all equipment  included in the
Assets to Buyer in a fashion consistent with the provisions of this Agreement;

          (e) the Records contemplated by Section 4.3;

          (f) a certificate  from the Chief Financial  Officer of Seller setting
forth in reasonable  detail the best good faith estimate of such Chief Financial
Officer of the Closing Date Working Capital;

          (g) a  certificate  dated  the  Closing  Date and  signed  by the duly
authorized  signatories  of Seller  stating that the  transactions  contemplated
hereunder  have been duly  authorized  and approved by Seller and certifying the
attached  resolutions  of Seller's  shareholders,  if  applicable,  and Board of
Directors approving said transactions; and


          (h) an affidavit that Seller is not a foreign person.

        2.6 Closing Documents of Parent. At the Closing, Parent shall deliver or
cause to be delivered to Buyer the following documents:

          (a) copies of the Certificate of Incorporation of Parent as amended to
the Closing  Date,  certified by its Secretary and the Secretary of State of the
State of Delaware;

          (b) copies of the  By-laws of Parent as amended to the  Closing  Date,
certified by its Secretary;

          (c) long form  corporate  good  standing  certificate  with respect to
Parent from the  Secretary of State of the State of  Delaware,  dated no earlier
than five (5) days prior to the Closing Date; and

          (d) a  certificate  dated  the  Closing  Date and  signed  by the duly
authorized  signatories  of Parent  stating that the  transactions  contemplated
hereunder  have been duly  authorized  and approved by Parent and certifying the
attached resolutions of Parent's Board of Directors approving said transactions

        2.7 Closing  Documents of Buyer. At the Closing,  Buyer shall deliver or
cause to be delivered to Parent the following documents:

          (a)  copies of its  Certificate  of  Incorporation  as  amended to the
Closing Date, certified by its Secretary;

          (b) copies of its By-laws,  as amended to the Closing Date,  certified
by its Secretary;




                                     - 13 -


<PAGE>


          (c) long form tax and  corporate  good standing  certificate  from the
Secretary  of State of the State of  California,  dated no earlier than five (5)
days prior to the Closing Date;

          (d) copies of the Certificate of  Incorporation  of Integrated  Health
Services,  Inc.  ("IHS")  as  amended  to the  Closing  Date,  certified  by its
Secretary;

          (e)  copies of the  By-laws of IHS as  amended  to the  Closing  Date,
certified by its Secretary;

          (f) long form  corporate  good standing  certificate  for IHS from the
Secretary of State of the State of Delaware, dated no earlier than five (5) days
prior to the Closing Date;

          (g) a  certificate  dated  the  Closing  Date and  signed  by the duly
authorized  signatories  of Buyer  stating  that the  transactions  contemplated
hereunder have been duly authorized and approved by the Buyer and certifying the
attached  resolutions  of  its  Board  of  Directors,  and  if  applicable,  its
shareholders, approves said transactions;

          (h) a  certificate  dated  the  Closing  Date and  signed  by the duly
authorized  signatories of IHS stating that the transactions hereunder have been
duly  authorized  and approved by IHS  including the guarantee by IHS of Buyer's
performance under such  transactions and certifying the attached  resolutions of
its Board of  Directors,  and if  applicable,  its  shareholders,  approves said
transactions;

          (i) a duly executed assumption agreement (the "Assumption Agreement"),
in the form  attached  hereto as Exhibit  2.7(i),  and such other  documents  as
Seller shall reasonably  request to evidence  Buyer's  assumption of the Assumed
Liabilities; and

          (j) stock certificates  representing the shares of IHS Stock issued to
Seller in connection with this Agreement.

        2.8 Legal  Opinions.  In addition to the other documents to be delivered
at Closing, (a) Buyer shall have received the favorable opinion, dated as of the
Closing Date, from Dechert Price & Rhoads, counsel for Seller and for Parent, in
the form attached  hereto as Exhibit 2.8(a) and (b) Parent and Seller shall have
received  the  favorable  opinion,  dated as of the Closing  Date,  from Blass &
Driggs, Esq., counsel for Buyer, in the form attached hereto as Exhibit 2.8(b).

        2.9 IHS Stock.


                                     - 14 -


<PAGE>

          (a) As set forth in Section  2.1(b)  above,  a portion of the Purchase
Price shall be payable by means of the delivery to Seller of IHS Stock valued at
$5,200,000  based upon a price per share (the "Initial  Market Value Per Share")
of such  stock  equal to the  average  closing  NYSE price of such stock for the
twenty (20)  business  day period  ending on the date which is four (4) business
days prior to the Closing Date.

          (b) Resale Limitations. All sales of IHS Stock issued pursuant to this
Agreement  shall be effected solely through Smith Barney,  Inc., as broker,  and
sales of such shares shall not at any time, in the aggregate, exceed one-hundred
thousand  (100,000) shares during any thirty (30) day period. The restriction on
the number of shares that may be sold in  accordance  with this  subsection  (b)
shall  lapse at such time as the Seller or the  Parent  shall have sold at least
100,000 of such shares in accordance  with this subsection (b). If Smith Barney,
Inc. shall be unable to act as the broker for any of such sales,  then IHS shall
designate  another broker that is reasonably  acceptable to Seller through which
such sales shall be made.

          (c) Investment  Representations.  All shares of IHS Stock to be issued
hereunder will be newly issued shares of IHS. Seller  represents and warrants to
IHS and Buyer that the IHS Stock being issued  hereunder is being acquired,  and
will be acquired, by it for investment for its own account or the account of the
Parent,  to whom  transfer  of any of such  shares  is  expressly  permitted  in
accordance with this Agreement, and not with a view to or for sale in connection
with any distribution  thereof within the meaning of the Securities Act of 1933,
as amended (the "Securities Act") or any applicable state securities law; Seller
acknowledges that the IHS Stock constitutes restricted securities under Rule 144
promulgated  by  the  Securities  and  Exchange  Commission  (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.  Seller and Parent have
the knowledge and experience in financial and business  matters,  are capable of
evaluating  the  merits  and risks of the  investment,  and are able to bear the
economic risk of such investment. Seller and Parent have been provided with such
materials  as are  generally  provided  to  shareholders  of IHS and has had the
opportunity to make inquiries of and obtain from  representatives  and employees
of IHS such other  information  about IHS as they deem  necessary in  connection
with such investment.

          (d) Legends. It is understood that the certificates evidencing the IHS
Stock shall bear the following (or a similar) legend (in addition to any legends
which  may be  required  in the  opinion  of  IHS's  counsel  by the  applicable
securities laws of any state):

                      THE SHARES  REPRESENTED BY THIS  CERTIFICATE HAVE NOT BEEN
                      REGISTERED  UNDER THE  SECURITIES  ACT OF 1933. THE SHARES
                      HAVE BEEN  ACQUIRED  FOR  INVESTMENT  AND MAY NOT BE SOLD,
                      TRANSFERRED  OR ASSIGNED  IN THE  ABSENCE OF AN  EFFECTIVE
                      REGISTRATION   STATEMENT   FOR  THESE   SHARES  UNDER  THE
                      SECURITIES  ACT OF 1933  OR AN  OPINION  OF THE  COMPANY'S
                      COUNSEL THAT REGISTRATION IS NOT REQUIRED UNDER SAID ACT.



                                     - 15 -


<PAGE>

         Upon the written  request of Seller and Parent,  accompanied by a legal
opinion in form and substance and from counsel reasonably  acceptable to IHS and
setting  forth that the shares  evidenced  by the stock  certificate  are freely
transferable  without  registration  under the Securities Act, IHS shall cause a
new certificate,  evidencing such shares and that does not bear such legend,  to
be issued to Seller or the Parent.

          (e) Transfers.  Upon prior notice to IHS, Seller shall be permitted to
transfer  any of the  shares  of IHS  Stock  acquired  by it  pursuant  to  this
Agreement and the registration rights related thereto to Parent.

          (f)  Registration  of IHS Stock.  (i) IHS will use its best efforts to
cause to be prepared,  filed and declared  effective  by the  Commission  within
sixty (60) to ninety  (90) days  following  the  Closing  Date,  a  registration
statement for the registration  under the Securities Act of the IHS Stock issued
to Seller pursuant to this Agreement,  and IHS shall maintain the  effectiveness
of such registration  statement for a period of two (2) years following the date
on which it becomes effective,  or for so long as Seller or Parent shall own any
of the IHS Stock issued pursuant to this Agreement, whichever shall occur first,
in each  case  except  to the  extent  that  such  shares  shall  become  freely
transferable  without  registration  under the Securities  Act. If the number of
shares of IHS Stock included in the Purchase  Price shall be increased  pursuant
to  clause  (ii)  below,  IHS  shall,  prior  to  the  effective  date  of  such
registration  statement  estimate the number of additional  shares and shall use
its best efforts to include all of the newly issued  shares in the  registration
statement.

               (ii) (A) As of the date that such  registration  statement  shall
become  effective,  the number of shares of IHS Stock  included in the  Purchase
Price shall be adjusted so that the number of shares  issued to Seller  pursuant
to this Agreement  shall have an aggregate fair market value (the "Adjusted Fair
Market  Value") equal to  $5,200,000  based upon a price per share of such stock
equal to the  average  closing  NYSE  price of such  stock for the  twenty  (20)
business day period  ending on the date which is two (2) business  days prior to
such  effective date (the  "Adjusted  Market Value Per Share").  Within five (5)
business  days  after  such   effective  date  IHS  shall  deliver  notice  (the
"Adjustment  Notice") to Seller of the Adjusted Fair Market Value,  the Adjusted
Market  Value  Per Share and the  number of shares to be  delivered  by Buyer to
Seller (if the  Adjusted  Market  Value Per Share shall be less than the Initial
Market Value Per Share) or by Seller to Buyer (if the Adjusted  Market Value Per
Share shall be greater than the Initial  Market Value Per Share) so as to effect
the  adjustment  described  in this  clause  (ii).  The  number  of shares to be
delivered or issued,  as the case may be, shall be rounded up or down so that no
fractional  shares  need be issued.  Within five (5)  business  days the parties
shall make the  delivery of the shares of IHS Stock  required in the  Adjustment
Notice.




                                     - 16 -


<PAGE>


                    (B) In lieu of (and not in addition to) the  adjustment  set
forth in paragraph (A) above, in addition to any other remedy  available at law,
if the  registration  statement  referred  to in clause (i) above shall not have
been  declared  effective on or prior to the second  anniversary  of the Closing
Date and the Adjusted Market Value Per Share as of such second  anniversary date
shall be less than Initial  Market Value Per Share,  then,  the  adjustment  set
forth in paragraph (A) above shall be made as of such second anniversary date.

          (g) Registration Procedures,  etc. In connection with the registration
rights  granted  to Seller  with  respect to the IHS Stock as  provided  in this
Section 2.9, IHS agrees as follows:

               (i) IHS will promptly notify Seller at any time when a prospectus
relating to a registration statement covering Seller's shares under this Section
2.9 is required to be delivered  under the  Securities  Act, of the happening of
any  event  known to IHS 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.

               (ii) IHS shall furnish Seller with such number of prospectuses as
shall  reasonably be requested,  and Seller agrees to comply with the prospectus
delivery  requirements  of the Securities Act in connection with any sale of IHS
Stock by it.

               (iii) IHS shall take all  necessary  action which may be required
in qualifying or registering IHS Stock included in a registration  statement for
offering  and sale  under  the  securities  or Blue Sky laws of such  states  as
reasonably are requested by Seller,  provided that IHS shall not be obligated to
qualify as a foreign  corporation or dealer to do business under the laws of any
such jurisdiction.

               (iv) The information included or incorporated by reference in the
registration  statement filed pursuant to this Section 2.9 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  statement  will comply in all  material
respects with the provisions of the Securities Act and the rules and regulations
thereunder.  With  respect  to sales of IHS Stock  sold in  accordance  with the
provisions of this Section 2.9 pursuant to the registration statement, IHS shall
indemnify  Seller and its  successors  and  assigns,  and the  Parent,  and each
person,  if any,  who  controls  Seller  within  the  meaning  of  ss.15  of the
Securities  Act or ss.20(a) of the  Securities  Exchange Act of 1934, as amended
(the "Exchange  Act"),  against all loss,  claim,  damage,  

                                     - 17 -


<PAGE>

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,  based upon any untrue  statement  or
alleged  untrue  statement of a material  fact  contained  in such  registration
statement  executed by IHS or based upon  written  information  furnished by IHS
filed in any  jurisdiction  in order to qualify IHS Stock  under the  securities
laws thereof or filed with the Commission,  any state  securities  commission or
agency,  NYSE,  NASDAQ, 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 IHS by Seller or the Parent 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 Seller or any controlling  person of Seller or the
Parent in respect of which  indemnity may be sought against IHS pursuant to this
subsection,  Seller or the  Parent or such  controlling  person of Seller or the
Parent shall within  thirty (30) days after the receipt  thereof of a summons or
complaint, notify IHS in writing of the institution of such action and IHS shall
assume the  defense of such  action,  including  the  employment  and payment of
reasonable fees and expenses of counsel.  Seller or any such controlling  person
or the Parent  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
such Seller or such controlling  person or such Parent unless (A) the employment
of such counsel shall have been  authorized in writing by IHS in connection with
the defense of such action,  or (B) IHS shall not have 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 IHS (in which
case,  IHS  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 fees and
expenses of not more than one  additional  firm of  attorneys  for Seller,  such
controlling  person and the Parent shall be borne by IHS and such law firm shall
be reasonably  acceptable to IHS.  Except as expressly  provided in the previous
sentence,  in the event  that  Seller,  any such  controlling  person or any the
Parent assumes control of the defense of any such action or claim, IHS shall not
thereafter be liable to Seller or any such  controlling  person or the Parent in
investigating,  preparing  or  defending  any such  action or claim.  IHS agrees
promptly to notify Seller of the  commencement  of any litigation or proceedings
against  IHS or any  of  its  officers,  directors  or  controlling  persons  in
connection with the resale of IHS Stock or in connection with such  registration
statement. If the indemnification  provided for in this Section 2.9 is held by a
court of competent  jurisdiction  to be unavailable to Seller or any controlling
person of Seller or any  Parent  with  respect  to any loss,  liability,  claim,
damage or expense referred to herein, then IHS in lieu of indemnifying Seller or
any controlling  person of Seller or the Parent  hereunder,  shall contribute to
the amount paid or payable by Seller or any controlling  person of Seller or the
Parent hereunder, as a result of such loss, liability, claim, damage, expense or
liability in such  proportion as is appropriate to reflect the relative fault of
IHS on the one hand and of  Seller  or any  controlling  person of Seller or the
Parent on the other hand in connection  with the  statements or omissions  which
resulted in such loss, liability,  claim, damage, expense, or liability, as well
as any other relevant equitable considerations. The relative 
                                     - 18 -


<PAGE>


fault of IHS and of Seller  or any  controlling  person of Seller or the  Parent
shall be determined  by reference to, among other things,  whether the untrue or
alleged untrue  statement of a material fact or the omission to state a material
fact  relates to  information  supplied  by IHS or by Seller or any  controlling
person of Seller or the  Parent and the  parties'  relative  intent,  knowledge,
access to  information  and  opportunity to correct or prevent such statement or
omission.

               (v)  Seller  and  Parent  and  their  respective  successors  and
assigns,  shall  severally,  and not  jointly,  indemnify  IHS and Buyer,  their
respective  officers,  directors  and  advisers,  and each  person,  if any, who
controls IHS or Buyer within the meaning of Section 15 of the  Securities Act or
Section 20(a) of the Exchange Act against all loss,  claim,  damage,  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 that was furnished by or on behalf of
Seller,  or the Parent or its,  respective  successors  or assigns and which was
included in the selling shareholder  provisions in such registration  statement.
The indemnification  rights set forth in this clause (v) shall be subject to the
same procedures as are to be applied to the indemnification  rights set forth in
clause (iv) above,  although  references  to Buyer and IHS on the one hand,  and
Seller and Parent, on the other hand, shall be reversed.

          (h)  Registration  Expenses.  Seller  and  the  Parent  shall  not  be
responsible  for,  and IHS shall  bear,  all of the  reasonable  expenses of IHS
related  to such  registration  including,  without  limitation,  the  fees  and
expenses  of its  counsel  and  accountants,  all of its other  costs,  fees and
expenses  incident to the preparation,  printing,  registration and filing under
the  Securities  Act  of the  registration  statement  and  all  amendments  and
supplements   thereto,  the  cost  of  furnishing  copies  of  each  preliminary
prospectus,  each final  prospectus and each amendment or supplement  thereto to
underwriters,  dealers  and  other  purchasers  of IHS  Stock  and the costs and
expenses   (including  fees  and  disbursements  of  its  counsel)  incurred  in
connection  with  the  qualification  of IHS  Stock  under  the Blue Sky laws of
various jurisdictions.  IHS, however, shall not be required to pay underwriter's
or  brokerage  discounts,  commissions  or  expenses,  or to pay any  costs  and
expenses in excess in the  aggregate of $20,000 for Blue Sky  qualifications  of
Seller's (and the Parent's) IHS Stock,  or to pay any costs or expenses  arising
out of Seller's or the  Parent's  failure to comply with its  obligations  under
this Section 2.9.

          (i)  Notice of Sale.  Except for  transfers  permitted  under  Section
2.9(e),  above,  if the Seller (or the Parent)  desires to  transfer  all or any
portion  of its IHS  Stock,  Seller  (or the  Parent,  as the  case may be) will
deliver written notice to IHS,  describing in reasonable detail its intention to
effect the transfer and the manner of the proposed transfer.




                                     - 19 -


<PAGE>


                                   ARTICLE III
                         REPRESENTATIONS AND WARRANTIES

        3.1  Representations  and  Warranties  of Seller and Parent.  Seller and
Parent hereby, jointly and severally, represent and warrant to Buyer as follows:

          (a)  Authority.   This   Agreement  and  each  of  the   certificates,
instruments, agreements and documents executed and delivered by Seller or Parent
pursuant to this Agreement  (Seller's  "Transactions  Documents") have been duly
executed and delivered by Seller and Parent and constitute the legal,  valid and
binding  obligations of Seller and Parent  enforceable  against each of them, in
accordance with their respective terms. The Seller and Parent have all requisite
corporate  power and  authority to enter into this  Agreement  and each Seller's
Transaction Document and to consummate the transactions  contemplated hereby and
thereby.  All corporate acts and other  proceedings  required to be taken by the
Seller and Parent to authorize the execution,  delivery and  performance of this
Agreement and each Seller's  Transaction  Document and the  consummation  of the
transactions  contemplated hereby and thereby have been duly and properly taken.
The  execution  and  delivery of this  Agreement  and the  Seller's  Transaction
Documents do not, and the consummation of the transactions  contemplated  hereby
and thereby and compliance with the terms hereof and thereof will not: result in
any violation of or default,  under,  or require any consents or approvals under
(i) any material note, bond, mortgage, indenture, deed of trust, license, lease,
contract, commitment or agreement to which Seller or the Parent is a party or by
which  any of their  respective  properties  are  bound  except  as set forth on
Schedule  3.1(a),  (ii) any provision of the  Certificate  of  Incorporation  or
Bylaws of Seller or Parent and (iii) any judgment,  injunction, order or decree,
or material statute, law, ordinance,  rule or regulation applicable to Seller or
Parent, or the property or assets of Seller or Parent.

          (b) Organization and Standing of Seller and Parent.  Seller and Parent
are each a corporation  duly  organized and validly  existing  under the laws of
Delaware.  Seller has full  corporate  power and  authority  and  possesses  all
material  governmental  franchises,   licenses,   permits,   authorizations  and
approvals  necessary to enable it to use its corporate name and to own, lease or
otherwise  hold its  properties  and assets and to carry on its  business in all
material respects as presently  conducted.  Seller is duly qualified and in good
standing to do business in each  jurisdiction  set forth on Schedule  3.1(b) and
Seller is not doing  business  and none of the Assets  are  located in any other
jurisdiction  where the failure to be so qualified  and in good  standing  would
have a Material  Adverse Effect.  Seller and Parent have delivered to Buyer true
and complete copies of the  Certificates of  Incorporation,  as amended to date,
and the Bylaws, as in effect on the date hereof, of Seller and Parent.

          (c)  Ownership.  Parent  owns of record  and  beneficially  all of the
outstanding capital stock of Seller.


                                     - 20 -


<PAGE>


          (d)  Subsidiaries  of  the  Seller.   Seller  does  not,  directly  or
indirectly, own any stock of, or any other interest in, any other corporation or
business   entity   (including,   without   limitation,   joint   ventures   and
partnerships).

          (e)  Financial  Statements.  Schedule  3.1(e) sets forth the unaudited
consolidated  balance  sheets of  Seller as of  September  30,  1994 (the  "1994
Balance Sheet"),  September 30, 1995 (the "1995 Balance Sheet"),  July 31, 1996,
and  August 31,  1996 (the  "Balance  Sheet"),  and the  unaudited  consolidated
statements  of income,  shareholders'  equity,  and cash flows of Seller for the
periods ended September 30, 1994,  September 30, 1995, July 31, 1996, and August
31, 1996 (collectively,  the "Financial  Statements").  The Financial Statements
have been  prepared  in  accordance  with the books and  records  of Seller  and
present fairly, in all material respects,  the financial position and operations
as of September 30, 1994, September 30, 1995, July 31, 1996, and August 31, 1996
and the  results of  operations  and cash flows of Seller for the  periods  then
ended in conformity with generally accepted accounting principles,  consistently
applied,  except for (i) the absence of certain  notes which would  otherwise be
required by generally  accepted  accounting  principles  and (ii) no accrual has
been made in connection with the  governmental  inquiries  described on Schedule
3.1(e).  Except as set forth on Schedule 3.1(e), the income statements  included
in the  Financial  Statements  do not contain any  material  items of special or
nonrecurring  income or  expense or any other  income not earned or expense  not
incurred  in the  ordinary  course of  business  except as  expressly  specified
therein,  and,  except as so set forth,  such financial  statements  include all
adjustments, which consist only of normal recurring accruals, necessary for such
presentation.  Except  under  general  principles  of  successor  liability  law
(including,   without  limitation,  such  principles  arising  under  applicable
healthcare  law),  there is no basis  for the  assertion  against  Seller of any
material  Liability  of any  nature or in any  amount  (other  than  Liabilities
reflected on the Balance  Sheet or as have been  incurred  since the date of the
Balance Sheet in the ordinary course of business  consistent with past practice)
for which Buyer may become liable.

          (f) Taxes.

               (i) For purposes of this  Agreement,  (A) "Tax" or "Taxes"  shall
mean all  Federal,  state,  local and foreign  taxes,  charges and  assessments,
including  all interest,  penalties  and additions  imposed with respect to such
amounts and (B) "Code" shall mean the Internal Revenue Code of 1986, as amended.

               (ii)  Seller  has filed or caused to be filed in a timely  manner
(within any  applicable  extension  periods) all Tax returns,  reports and forms
required to have been filed by the Code or by applicable state, local or foreign
Tax laws,  rules,  regulations and orders  (collectively,  "Returns") other than
those the failure which to file would not have a Material  Adverse  Effect;  all
Taxes shown to be due on such Returns have been timely paid in full;  and no tax
Liens have been filed and no material  claims are being asserted in writing with
respect to any 

                                     - 21 -


<PAGE>


Taxes,  except as set forth on Schedule 3.1(f). True and complete
copies of all  Returns  with  respect  to income or sales or use for any  period
during the  two-year  period  ending on the date hereof have been  delivered  to
Buyer,  and as of the time of filing,  the Returns  correctly  reflected  in all
material  respects or will correctly  reflect in all material respects the facts
regarding the income,  business,  assets,  operations,  activities and status of
Seller and any other information required to be shown therein.

          (g) Assets  Other than Real  Property.  Schedule  3.1(g)  sets forth a
complete description and list of all of Seller's motor vehicles,  all x-ray, EKG
and other equipment,  all computers, all office furniture and each other item of
tangible  personal  property included in the Assets that has a fair market value
of at least $500. Except as disclosed on Schedule 3.1(g) hereto, Seller has such
title to all  Assets  comprising  personal  property,  tangible  or  intangible,
reflected on the Balance Sheet or thereafter  acquired,  except those since sold
or otherwise  disposed of in the ordinary  course of business,  consistent  with
past  practice,  as is necessary to permit the use and  enjoyment of such assets
and properties in the same manner as used and enjoyed by Seller and none of such
Assets are subject to any liens, claims, security interests, mortgages, pledges,
charges, easements,  rights of setoff, restraints on transfers,  restrictions on
use,   options,   conditional   sale  agreements,   subleases,   sublicenses  or
encumbrances of any kind or nature  whatsoever  ("Liens"),  other than Permitted
Liens.  For the purposes of this Agreement,  "Permitted  Liens" means:  (i) each
lien set  forth on  Schedule  3.1(g)  hereto;  (ii)  carriers',  warehouseman's,
mechanics,  materialmen's,  repairmen's  or  other  like  liens  arising  in the
ordinary  course of business  which are not overdue for a period of more than 30
days;  (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 and shall not  exceed  $15,000 in any one case,  or $75,000 in the
aggregate;  (iv) pledges or deposits in connection  with worker's  compensation,
unemployment  insurance,   and  other  social  security  legislation;   and  (v)
capitalized  financing  leases to the extent  reflected on the Balance Sheet and
copies of which have been  delivered  to Buyer.  No person other than Seller has
any right to the use or possession  of any of such  property  (other than in the
ordinary  course of  business  in  accordance  with  contractual  rights) and no
currently  effective  financing  statement  (other  than  Permitted  Liens) with
respect to such personal property has been filed in any jurisdiction, and (other
than Permitted Liens) Seller has not signed any such financing  statement or any
security  agreement  authorizing  any secured party  thereunder to file any such
financing statement. All of such personal property owned by Seller and necessary
to the  operation  of the  Business,  or  currently  being used by Seller in the
operation  of  the  Business,  comprising  equipment,  improvements,  furniture,
vehicles and other tangible  personal  property,  whether owned or leased, is in
good  operating  condition  and repair  except  for normal  wear and tear in the
ordinary  course of  business.  The  Assets,  other  than the  Excluded  Assets,
represent all of the assets,  including without limitation,  all property (real,
personal   and   mixed),   licenses,    intellectual   property,   permits   and
authorizations, contracts, leases and other agreements that are owned by Seller,
and include 

                                     - 22 -


<PAGE>

all of the Assets  owned by Seller,  other than any  Excluded  Assets,  that are
necessary or material to the  operation  of the  Business as now  operated  (the
"Necessary  Assets").  The preceding sentence shall not apply to assets owned by
any  other  person.  This  paragraph  (g) does not  relate to real  property  or
interests in real  property,  such items being the subject of  paragraph  (h) of
this Section 3.1.

          (h) Title to Real Property. Schedule 3.1(h) sets forth a complete list
of all real property and interests in real property leased by Seller.  Except as
disclosed on the appropriate Schedule, Seller has such leasehold interest in all
real  property and  interests in real  property  shown on Schedule  3.1(h) to be
leased  by it, as is  necessary  to permit  the use and  enjoyment  of such real
property  substantially  in the manner  such real  property  is now  utilized by
Seller,  and  there  are no Liens  (other  than  capitalized  financing  leases)
affecting  any such  leasehold  interest  except for (A)  easements,  covenants,
rights-of-way  and  other  encumbrances  or  restrictions  of record on the date
hereof, (B) zoning, building and other statutory or regulatory restrictions, (C)
liens  for  taxes  and  assessments  not  yet due and  payable,  (D)  easements,
covenants,  rights-of-way,  liens,  encumbrances or other restrictions,  none of
which have a Material Adverse Effect.

          (i)  Intellectual  Property.  Schedule  3.1(i)  sets  forth a true and
complete list of all material patents,  trademarks,  trade names,  service marks
and  copyrights  and  applications  therefor  owned by,  licensed to, or, to its
Knowledge, used by Seller. Except as set forth in Schedule 3.1(i), Seller has no
notice or Knowledge of any  objections or claim being asserted in writing by any
person with respect to the  ownership,  validity,  enforceability  or use of any
such patents,  trademarks,  trade names,  copyrights,  applications therefor, or
trade secrets or challenging or questioning the validity or effectiveness of any
such license  which would (or would  reasonably  be expected to) have a Material
Adverse Effect (or of the basis for any such claim).

          (j)  Contracts.  Except as described  in Schedule  3.1(j) or the other
Schedules  hereto,  Seller is not as of the date of this Agreement a party to or
bound by any:

               (i) employee  collective  bargaining  agreement or other contract
with any labor union;

               (ii) employment or severance agreements or non-competition or, to
the extent included in the Assets,  confidentiality  agreements with any current
or former director, officer or employee (excluding any such employment contracts
or  arrangements  for which the total  compensation  during each of the last two
years was less than $20,000 per person);

               (iii) (A) lease or similar agreement under which Seller is lessee
of,  or holds or uses,  any  machinery,  equipment,  vehicle  or other  tangible
personal property owned by a third party, (B) continuing contract for the future
purchase  of  materials,   supplies  or  equipment,  (C)  management,   service,
consulting or other similar type of contract,  (D)  distribution 


                                     - 23 -


<PAGE>

or sales  agency  agreement  or  arrangement,  or (E)  advertising  agreement or
arrangement,  in any such case which has an aggregate future liability in excess
of  $25,000 or which is not  terminable  by Seller (x) on not more than 90 days'
notice without penalty or premium or (y) for a cost of less than $25,000;

               (iv)  agreement  or contract  under which  Seller has borrowed or
loaned  any money or issued  any note,  bond,  indenture  or other  evidence  of
indebtedness or guaranteed  indebtedness,  liabilities or obligations of others,
in each case for an amount in excess of $25,000 in any single case, or in excess
of  $100,000  in the  aggregate  (other  than  endorsements  for the  purpose of
collection in the ordinary course of business);

               (v) mortgage,  pledge, security agreement, deed of trust or other
document, in each case granting a lien (including liens upon properties acquired
under  conditional  sales,  capital leases or other title  retention or security
devices)  securing  obligations  in excess of $25,000 in any single case,  or in
excess of $100,000 in the aggregate;

               (vi)  independent  contractor  agreements  with any  radiologist,
cardiologist,  or company  representing a physician or other physician including
annual  payments  in excess  of  $25,000  in any  single  case,  or in excess of
$100,000 in the aggregate;

               (vii) agreement or arrangement for the sale of any of its assets,
property or rights  outside the  ordinary  course of business or  requiring  the
consent of any party to the transfer and assignment of any such assets, property
or rights (by sale of assets, sale of stock, merger or otherwise);

               (viii)  contract which contains any provisions  requiring  Seller
or, with respect to the Business,  the Parent, to indemnify or act for any other
person or entity or to guaranty or act as surety for any other person or entity;

               (ix)  agreement   restricting  Seller  from  conducting  business
anywhere  in the  world  for  any  period  of  time  or  restricting  its use or
disclosure of any  confidential  or  proprietary  information  (other than those
agreements not included in the Assets);

               (x) 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 of Seller or any portion  thereof or the
business of any other person or entity;

               (xi)  agreement  granting a leasehold  or other  interest in real
property;




                                     - 24 -


<PAGE>

               (xii) contract under which the Seller performs radiological, EKG,
ultrasound  or  other  services  for any  nursing  home  or  other  facility  or
institution ("Customer Contracts"); or

               (xiii)  agreement  not made in the ordinary and normal  course of
business and consistent with past practice or involving  consideration in excess
of $25,000 in any single case or $100,000 in the  aggregate  or the  omission of
which would otherwise cause a Material Adverse Effect.

        Each agreement,  contract,  lease, license,  commitment or instrument of
Seller described on Schedule 3.1(j) or the other Schedules hereto (collectively,
the "Contracts") is in full force and effect,  except as expressly  disclosed on
Schedule 3.1(j)-A or the other Schedules hereto.  Seller is not (with or without
the lapse of time or the giving of notice,  or both) in breach or default  under
any  Contract,  and to the  Knowledge  of Seller,  no other  party to any of the
Contracts  is (with or without  the lapse of time or the  giving of  notice,  or
both) in breach or default  thereunder,  except for such breaches or defaults as
are disclosed on Schedule 3.1(j)-B. Except as set forth on Schedule 3.1(j)-C all
amounts  payable under each of the Contracts are on a current basis.  Seller has
delivered to Buyer true,  complete and correct  copies of each written  Contract
and a written description of the material terms of each oral Contract except for
Customer  Contracts.  Each  Customer  Contract is in the form and  substance  of
Exhibits  3.1(j)-A and 3.1(j)-B hereto,  except for deviations that individually
or in the aggregate would not be likely to and shall not have a Material Adverse
Effect.  At Closing,  possession  of each  written  Customer  Contract  shall be
delivered to Buyer at the  location  where such  Contract is presently  located.
Except as set forth in Schedule  3.1(j)-C,  each of the  Contracts is freely and
fully assignable to Buyer without the consent of the remaining  parties thereto.
Seller has obtained  the consent from each party to each  Contract not set forth
on Schedule  1.4(a) that is necessary for the assignment  thereof to Buyer other
than the  consents  set forth on  Schedule  3.1(j)- D.  Seller has not  received
written notice that any of the Contracts will be terminated by any party thereto
pursuant to any provision  thereof  permitting  any such party to terminate such
Contract with or without cause.

          (k) Litigation;  Decrees.  Schedule 3.1(k) sets forth a list as of the
date of this Agreement of all lawsuits,  claims,  proceedings or  investigations
pending or, to the  Knowledge of Seller,  threatened  by or against or affecting
Seller or any of its  properties,  assets,  operations  or  business  which,  if
determined  adversely to Seller, could reasonably be expected to have a Material
Adverse Effect,  or which challenge the legality of this Agreement or any action
to be taken in connection herewith. To the Knowledge of Seller, Seller is not in
default  under  any  judgment,  order or decree  applicable  to it or any of its
properties.

          (l)  Insurance.  Seller  maintains such policies of fire and casualty,
liability  and other forms of insurance in such amounts,  with such  deductibles
and against such risks and losses as are set forth in Schedule 3.1(l).  True and
complete copies of each of such policies have been delivered to Buyer.



                                     - 25 -


<PAGE>

          (m) Benefit Plans.

               (i) Schedule  3.1(m) sets forth a list of all  "employee  benefit
plans" (as defined in Section 3(3) of the Employee  Retirement  Income  Security
Act of 1974, as amended ("ERISA")),  bonus,  incentive,  deferred  compensation,
stock or stock option plans or arrangements,  and other material employee fringe
benefit  plans or  arrangements  (all the  foregoing  being  herein  called  the
"Seller's Benefit Plans") maintained, or contributed to, by Seller or Parent for
the benefit of any employees of Seller.  Seller will on request deliver to Buyer
copies of (A) each of Seller's  Benefit  Plans (or, in the case of any unwritten
Benefit Plans, written descriptions  thereof), (B) the most recent annual report
on Form 5500 filed with the  Internal  Revenue  Service  with  respect to any of
Seller's Benefit Plans (if  applicable),  and (C) each trust agreement and group
annuity contract relating to any of Seller's Benefit Plans.

               (ii)  Seller's  Benefit  Plans are in  compliance in all respects
with the  applicable  provisions  of ERISA  and the  regulations  and  published
interpretations thereunder, except where noncompliance would not have a Material
Adverse Effect.  None of Seller's Benefit Plans are subject to the provisions of
Title IV of ERISA. Seller does not maintain or make contributions to and has not
at any time in the past maintained or made  contributions to any  multi-employer
plan subject to the terms of the  Multi-employer  Pension Plan  Amendment Act of
1980.

          (n)  Absence of Changes  or  Events.  Except as set forth in  Schedule
3.1(n) or expressly in any other Schedule to this  Agreement,  since the Balance
Sheet Date the business of Seller,  has been  conducted  in the ordinary  course
consistent with past practice and Seller has not:

               (i) sold, assigned, failed to replace, transferred or disposed of
any of its  assets or  properties,  except in the  ordinary  course of  business
consistent with past practice;

               (ii)  mortgaged,  pledged or  subjected to any Lien of any nature
whatsoever any of the Assets, other than Permitted Liens;

               (iii) made or suffered any  termination of any Contract,  or made
or suffered any amendment of any Contract  except for amendments or terminations
of  Contracts  made in the  ordinary  course of  business  consistent  with past
practice;

               (iv) except in the ordinary  course of business,  consistent with
past  practice,  or  otherwise to comply with any  applicable  minimum wage law,
increased the salaries or other  compensation  of any of its employees,  or made
any  increase  in, or any  additions  to,  other  benefits  to which any of such
employees may be entitled;

                                     - 26 -
<PAGE>

               (v) discharged or satisfied any Lien or  encumbrance,  other than
in the ordinary course of business  consistent with past practice,  or failed to
pay or discharge when due any Liabilities, the failure to pay or discharge which
has caused a  Material  Adverse  Effect or any actual  damage or risk of loss to
Seller or its Business or the Assets;

               (vi) changed any of the accounting  principles  followed by it or
the methods of applying such principles;

               (vii)  cancelled,  modified or waived any debts or claims held by
it, other than in the ordinary course of business  consistent with past practice
that would have a Material  Adverse Effect,  or waived any rights of substantial
value, whether or not in the ordinary course of business;

               (viii)  declared or paid or set aside or reserved any amounts for
payment of any dividend or other  distribution in respect of any equity or other
securities,  or redeemed or  repurchased  or agreed to redeem or repurchase  any
capital stock or other securities, or made any material payment to any Affiliate
(as such term is  hereinafter  defined in Article  VII)  except for  payments or
compensation  in the ordinary  course of business  consistent with past practice
and disclosed to Buyer as such;

               (ix)  failed  to  collect,  withhold  and/or  pay to  any  proper
governmental agency or authority, any federal, state or local income, franchise,
sales,  use,  withholding  or similar tax  required by  applicable  law to be so
collected,  withheld  and/or  paid,  except  those  whose  failure to collect or
withhold or pay would not have a Material Adverse Effect;

               (x)  instituted,  settled  or agreed to  settle  any  litigation,
action or proceeding before any court or governmental body relating to it or its
property or to its Knowledge received any threat of any such litigation,  action
or proceeding;

               (xi)  entered  into any  material  transaction  other than in the
ordinary course of business consistent with past practice; or

               (xii) suffered any event,  circumstance  or occurrence that would
(or would reasonably be likely to) have a Material Adverse Effect on Seller.

          (o) Compliance with Applicable  Laws.  Except as set forth in Schedule
3.1(o), Seller and its operations,  properties and assets are in compliance with
all  applicable  statutes,  laws,  ordinances,  rules  and  regulations  of  any
governmental  authority or  instrumentality,  domestic or foreign,  except where
noncompliance  would  not (and  would  not  reasonably  be  expected  to) have a
Material Adverse Effect.



                                     - 27 -


<PAGE>



          (p)  Licenses;  Permits.  To the  Knowledge  of Seller,  all  material
licenses, permits or authorizations of Seller are validly held by Seller, Seller
has  complied in all  material  respects  with all  requirements  in  connection
therewith and the same are not subject to suspension, modification or revocation
and will not be so subject, as a result of this Agreement or the consummation of
the transactions  contemplated  hereby,  except as set forth on Schedule 3.1(p).
Seller has all of the licenses,  permits or authorizations which are required to
carry  on the  business  of  Seller  as  such  business  is now  conducted  (the
"Permits"),  except for such licenses,  permits or authorizations the failure to
obtain which would not (and would not reasonably be expected to) have a Material
Adverse  Effect.  True and  correct  copies  of each of such  Permits  have been
delivered  to Buyer.  No  Affiliate  of Seller or of any other  person,  firm or
corporation  other than Seller owns or has any  proprietary,  financial or other
interest, direct or indirect, in whole or in part in any of the Permits.

          (q)  Environmental  Matters.  Except as set forth on  Schedule  3.1(q)
hereto:

               (i)  Seller  has  all  material  permits,   licenses,  and  other
authorizations required for the operations, or conduct of the business of Seller
under applicable  Environmental Laws. Seller is in compliance with all terms and
conditions of such authorizations,  and with all applicable  Environmental Laws,
except  for such  noncompliance  which  would not (and  would not be  reasonably
likely to) have a Material Adverse Effect.

               (ii)  During  the past three (3) years,  Seller has  received  no
written   notice  of  any  citation,   summons,   order,   complaint,   penalty,
investigation, or review by any governmental or other entity with respect to any
violation by Seller of any Environmental Law.

               (iii)  Seller has received no written  requests for  information,
notice of claim,  demand,  or  notification  that it is, or may be,  potentially
responsible  with respect to any  investigation  or cleanup of any threatened or
actual release of any Hazardous Substance.

          (r)  Employee  and Labor  Relations.  Except as set forth in  Schedule
3.1(r) hereto:

               (i) there is no labor strike, dispute,  slowdown or work stoppage
or lockout actually pending or, to the Knowledge of Seller,  threatened  against
or affecting Seller and during the past year there has not been any such action;

               (ii) no employees of Seller are represented by any labor union or
similar  organization  in connection  with their  employment  relationship  with
Seller,  and to the  Knowledge  of  Seller,  no  material  union  organizational
campaign is in progress  with  respect to any of the  employees of Seller and no
question concerning  representation exists respecting such employees;  and 


                                     - 28 -


<PAGE>



(iii) there is no unfair  labor  practice  charge or  complaint  against  Seller
pending or, to the  Knowledge of Seller,  threatened  before the National  Labor
Relations Board.

               (iii)  there is no unfair  labor  practice  charge  or  complaint
against  Seller  pending or, to the Knowledge of Seller,  threatened  before the
National Labor Relations Board.

          (s) Special Fee  Arrangements.  Schedule  3.1(s) sets forth a true and
complete list of any special fee  arrangements  in effect between Seller and any
of its  customers as ofthe date hereof that contain terms and  conditions  other
than the Seller's  customary terms and conditions as of the time the arrangement
was entered into.

          (t) Patient  Volumes.  Schedule  3.1(t) sets forth a true and complete
list of Seller's  patient  volumes for  x-rays,  EKGs,  and other exams from the
commencement of fiscal year 1994 through August 31, 1996.

          (u) Employees.  Schedule 3.1(u) and Schedule 3.1(m) together contain a
true,  complete  and  correct  list  of the  name,  position,  current  rate  of
compensation  and any vacation or holiday pay, sick pay,  personal leave and any
other material  compensation  arrangements or fringe  benefits,  of each current
employee of Seller (together with a description of any specific  arrangements or
rights  concerning  such  persons  that are not  reflected  in any  agreement or
document referred to in Schedule 3.1(j)). No employee,  consultant or commission
agent  of  Seller  has any  vested  or  unvested  retirement  benefits  or other
termination benefits,  except as described on Schedule 3.1(m). The Balance Sheet
contains an adequate reserve for vacation and all other vested  employee-related
accruals.

          (v) Relationships. Except as disclosed on Schedule 3.1(v), to Seller's
knowledge,  no Affiliate of Seller or Parent has, and at no time within the last
two (2) years has had, a material ownership interest in any business,  corporate
or  otherwise,  that is a party to, or in any  property  that is the subject of,
business  relationships or arrangements of any kind relating to the operation of
the Business.

          (w)  Questionable  Payments.  Except as set forth on Schedule  3.1(w),
Seller  has  not,  and to  Seller's  Knowledge,  no  Affiliate  (a) has used any
corporate  funds of Seller or, with respect to the Business,  of the Parent,  in
any case, to make any payment to any officer or employee of the  government,  or
to any political party or official  thereof,  where such payment either (i) was,
at the time,  unlawful under laws applicable  thereto; or (ii) was, at the time,
unlawful under the Foreign Corrupt Practices Act of 1977, as amended; or (b) has
made or received an illegal payment, bribe, kickback,  political contribution or
other similar  questionable  illegal payment in connection with the operation of
the  Business  (collectively,  "Questionable  Payments")  or  made  any  illegal
referrals in connection with the operation of the Business.

          (x) Reimbursement Matters. Except as disclosed on Schedule 3.1(x), (a)
Seller has not and, to the  Seller's  Knowledge,  no nursing  home,  hospital or
other facility with respect to which Seller  provides  services has received any
written notice of denial or recoupment  from the Medicare or Medicaid  programs,
or any other  third  party  reimbursement  source  

                                     - 29 -


<PAGE>



(inclusive of managed care  organizations)  with respect to products or services
provided by Seller,  (b) to the  Seller's  Knowledge,  there is no basis for the
assertion after the Closing Date of any such denial or recoupment claim, and (c)
neither  Seller nor, to the Seller's  Knowledge,  any nursing home,  hospital or
other  facility  with  respect to which  Seller  provides  services has received
written  notice from any  Medicare or Medicaid  program or any other third party
reimbursement source (inclusive of managed care organizations) of any pending or
threatened  investigations  or surveys  specifically with respect to, or arising
out of, products or services provided by Seller, and to the Seller's  Knowledge,
no such investigation or survey is pending,  threatened or imminent.  Seller has
fully and accurately  disclosed to the appropriate  intermediaries  and carriers
all  material  billing and  business  practices  with  respect to  Medicare  and
Medicaid  reimbursement with respect to the Business to the extent necessary for
Seller to comply with  applicable  law.  Seller has  complied  with all material
requirements  imposed by any such  intermediary  or carrier with respect to such
billing. Seller has billed the applicable intermediaries and/or carriers for the
services rendered by Seller in material  compliance with all applicable Medicare
and Medicaid laws, and Seller is not aware of any  non-compliance by it with any
state  licensing  or  corporate  practice of medicine  law that would cause such
billing or business practices to not be in material  compliance with any of such
Medicare  or  Medicaid  laws.  Seller  has not  received  any  notice  from  any
regulatory  authority  or  intermediary  that  indicates  that  Buyer  could not
continue to bill  intermediaries  in substantially the same manner and structure
as Seller is billing on the date hereof.

          (y)  Medicare/Medicaid  Participation.  All  services  provided by the
Seller for which  Seller  directly  or  indirectly  receives  payment  under the
Medicare or Medicaid programs are, to the extent required by law,  certified for
participation  or  enrollment  in all  Medicare and  Medicaid  programs,  have a
current and valid provider  contract with the Medicare and Medicaid  programs or
other   third   party   reimbursement   source   (inclusive   of  managed   care
organizations),  are in compliance with the conditions of  participation of such
programs,  and, to the extent  required by law,  have  received all approvals or
qualifications   necessary   for   capital   reimbursement,   except   for  such
certifications,  contracts, compliances,  approvals and qualifications which are
set forth on Schedule 3.1(y) and which, individually or in the aggregate,  would
not have a  Material  Adverse  Effect.  Seller has  delivered  to Buyer true and
complete  copies  of  all  Medicare  and  Medicaid  compliance  reports  by  the
applicable  licensing  authority  for any period after  October 1, 1994 for each
location of Seller for which there is a Medicare or Medicaid provider number.

          (z) Customer List.  Schedule 4.1(z)-A contains a complete and accurate
list of each of the  nursing  homes,  prisons  and  other  facilities  which  is
currently  serviced by Seller in  connection  with the  Business,  and  Schedule
4.1(z)-B  contains a complete  and  accurate  list of  patients  serviced by the
facilities during the one year period ending on the date hereof.

          (aa)  Financial  Statements  and SEC  Documents.  Each of the  balance
sheets in or  incorporated  by reference  into any annual  reports filed on Form
10-K and all other reports, registration statements, definitive proxy statements
or  information  statements  filed by Parent  after  December  31, 1995 with the
Securities and Exchange Commission (the "SEC") under the Securities Act of 1933,
as amended (together with the rules and regulations thereunder,  the 

                                     - 30 -


<PAGE>



"Securities  Act"),  or  under  Sections  13(a),  13(c),  14  and  15(d)  of the
Securities  Exchange  Act of 1934,  as  amended  (together  with the  rules  and
regulations  thereunder,  the  "Exchange  Act")  (collectively,  the "Parent SEC
Documents")  fairly presents in all material respects the financial  position of
Parent  as of the date it was  filed and each of the  statements  of income  and
changes in shareholders' equity and cash flows or equivalent  statements in such
report and documents  (including any related notes and schedules  thereto) as of
such date fairly  presents in all material  respects the results of  operations,
changes in  shareholders'  equity and changes in cash flows, as the case may be,
of the Parent for the periods set forth therein, in each case in accordance with
generally accepted accounting principles consistently applied during the periods
involved,  except in each case as may be noted  therein,  subject  to normal and
recurring  year-end audit adjustments in the case of unaudited  statements (and,
where applicable, the absence of footnotes).

    3.2    Representations and Warranties of Buyer.  Buyer hereby represents and
warrants to Seller as follows:

          (a) Authority.  Buyer and IHS have all requisite  corporate  power and
authority  to  enter  into  this   Agreement  and  each  of  the   certificates,
instruments,  agreements and documents  executed and delivered by Buyer pursuant
to this  Agreement  (Buyer's  "Transaction  Documents")  and to  consummate  the
transactions  contemplated  hereby and  thereby.  All  corporate  acts and other
proceedings  required to be taken by Buyer and IHS to authorize  the  execution,
delivery and performance of this Agreement and each Buyer Transaction Documents,
and the consummation of the transactions  contemplated hereby have been duly and
properly  taken.  This Agreement and each Buyer  Transaction  Document have been
duly executed and delivered by Buyer and, as applicable,  IHS and constitute the
legal,  valid  and  binding  obligations  of  Buyer  and,  as  applicable,  IHS,
enforceable against Buyer and IHS in accordance with their respective terms. The
execution and delivery of this Agreement and each Buyer Transaction Document, do
not, and the  consummation of the transactions  contemplated  hereby and thereby
and  compliance  with the terms hereof will not:  result in any  violation of or
default, under (i) any provision of the Certificate or Articles of Incorporation
or Bylaws of Buyer or IHS, (ii) any material note,  bond,  mortgage,  indenture,
deed of trust, license, lease, contract,  commitment or agreement to which Buyer
or IHS is a party or by which any of their  respective  properties  are bound or
(iii) any  judgment,  injunction,  order or decree,  or material  statute,  law,
ordinance,  rule or regulation  applicable to Buyer or IHS or to the property or
assets of Buyer or IHS. No Consent is required to be obtained or made by or with
respect to Buyer or IHS in  connection  with the  execution and delivery of this
Agreement or the consummation by Buyer of the transactions  contemplated hereby,
other than as set forth on Schedule 3.1(a).

          (b) Sufficient Funds. IHS and Buyer have sufficient funds available to
pay in full the Purchase Price.

          (c)  Organization  and Standing of Buyer.  Buyer is a corporation duly
organized  and  validly  existing  under  the  laws  of  California.  IHS  is  a
corporation  duly  organized  and validly  existing  under the laws of Delaware.
Buyer and IHS have full  corporate  power and 

                                     - 31 -


<PAGE>



authority and possess all material governmental franchises,  licenses,  permits,
authorizations  and  approvals  necessary to enable them to use their  corporate
names and to own,  lease or otherwise  hold their  properties  and assets and to
carry on their business in all material respects as presently conducted.


          (d) Financial Statements and SEC Documents. Each of the balance sheets
in or  incorporated  by reference into any annual reports filed on Form 10-K and
all other  reports,  registration  statements,  definitive  proxy  statements or
information  statements  filed by IHS after December 31, 1995 with the SEC under
the Securities Act or under Sections 13(a),  13(c), 14 and 15(d) of the Exchange
Act  (collectively,  the "IHS SEC  Documents")  fairly  presents in all material
respects the  financial  position of IHS as of the date it was filed and each of
the statements of income and changes in  shareholders'  equity and cash flows or
equivalent  statements in such report and documents (including any related notes
and schedules  thereto) as of such date fairly presents in all material respects
the results of operations,  changes in shareholders'  equity and changes in cash
flows,  as the case may be, of IHS for the  periods set forth  therein,  in each
case in accordance with generally accepted  accounting  principles  consistently
applied  during  the  periods  involved,  except  in each  case as may be  noted
therein,  subject to normal and recurring year-end audit adjustments in the case
of unaudited statements (and, where applicable, the absence of footnotes).

          (e) IHS Stock. Upon delivery to Seller in accordance with the terms of
this  Agreement,  each  share of IHS  Stock  shall be duly  authorized,  validly
issued, and nonassessable.


                                   ARTICLE IV
                                    COVENANTS

    4.1    Covenants of Seller.  Seller covenants and agrees as follows:

          (a)  Insurance.  Effective  as of the Closing Date and for a period of
three (3)  years  thereafter,  Seller  at its own  expense  shall  purchase  and
maintain a tail  insurance  policy  with  respect to all  claims-made  insurance
policies of Seller  currently  in effect,  such tail  coverage to name Seller as
insured and Buyer as an additional insured.

          (b)  Employment  Agreements.  In the event that Buyer  terminates  the
employment  (including  upon  expiration  of the  Initial  Term (as such term is
defined in the Employment  Agreements) if Buyer elects not to extend the Initial
Term pursuant to the applicable  Employment  Agreement) of any of William Glynn,
Kenneth Levinson,  or Stephen Manty (the "Subject  Employees") at any time after
the one year  anniversary  of the Closing Date and on or prior to the expiration
of the  Initial  Term (as such term is  defined in such  Employment  Agreement),
Seller  will  be  solely  responsible  for  the  payment  of  any  compensation,
severance, benefits, or other amounts becoming thereafter due to such terminated
Subject  Employee  solely under  Employment  Agreements  between  Seller and the
Subject  Employees  in an amount not to 

                                     - 32 -


<PAGE>



exceed  the  aggregate  amount  that  would  have  been due had such  Employment
Agreements  not been amended or modified on or after the Closing Date;  provided
however,  that any liability to any Subject  Employee that constitutes a Current
Liability  on the Closing  Balance  Sheet shall be Buyer's  responsibility.  Any
liabilities or obligations of any nature to the Subject Employees arising out of
any  matters  occurring  after the  Closing  or arising  out of such  Employment
Agreements,  other  than  those  arising  under the  preceding  sentence  (or as
expressly  assumed by Seller under the  applicable  Assignment  and Amendment of
Employment  Agreement) shall be the sole liability and  responsibility of Buyer.
Buyer's liabilities under this Section 4.1(c) shall be Assumed Liabilities.  Any
liability to Stephen Manty expressly  assumed by Seller under paragraph 3 of his
Assignment and Amendment of Employment Agreement shall be an Excluded Liability.

          (c) COBRA.  Seller  shall give all notices,  make all offers,  pay and
collect all  premiums,  obtain all group health plan  coverage,  and perform all
other  actions  mandated  by  Title  X  of  the   Consolidated   Omnibus  Budget
Reconciliation  Act of 1985  ("COBRA"),  which are  required to be given,  made,
paid,  obtained,  and performed as a result of the Closing under this Agreement.
This provision  shall not be construed,  however,  to require Seller to maintain
its group health insurance coverage following Closing, except as may be required
by applicable Governmental Requirements or Section 4.2(c).

    4.2   Covenants of Buyer.  Buyer covenants and agrees as follows:

          (a)  Financial  Information.  Buyer  will  use  reasonable  commercial
efforts to (i) hold all of the books and records of Seller  delivered  to it and
existing  on the  Closing  Date and not  destroy or dispose of any thereof for a
period of three (3) years from the Closing Date, and thereafter if it desires to
destroy or dispose of such  books and  records,  will offer  first in writing at
least 60 days prior to such  destruction  or  disposition  to surrender  them to
Parent,  provided  that such  books  and  records  must be held as  confidential
information  by Parent and Parent must state the reason it wants  possession  of
the books and  records,  and (ii)  promptly  provide  to  Parent  upon  request,
financial  information  provided to it by Seller with  respect to Seller for the
period of the current fiscal year up to Closing in accordance with past practice
to allow Parent to comply with securities  law,  financial and tax reporting and
accounting requirements.

          (b) Accounts.  Buyer shall pay to Parent all amounts owed to Parent by
Seller  on the  Closing  Date to the  extent  such  amounts  constitute  Assumed
Liabilities  when they  shall  become  due in the  ordinary  course of  business
consistent with past practice.

          (c) Employees.  Buyer  undertakes to offer employment to all employees
of  Seller  other  than  two  (2)  employees  to be  designated  by  Buyer  (the
"Designated  Employees"),  on such terms and with such benefits and compensation
as Buyer shall deem advisable in its sole discretion.  Buyer agrees, at Seller's
prior  written  request,  to use its  reasonable  commercial  effort to continue
(until no later than March 31, 1997) the employment of Ms.  Perez-Lugones  after
the date which is thirty (30) days after the date hereof to provide  Seller with
such assistance as it shall  reasonably  request of her (within the scope of her
employment  arrangement or agreement with 


                                     - 33 -


<PAGE>

Buyer);  provided that Seller shall be liable for all compensation to, and costs
and expenses  payable with respect to, such  employee with respect to any period
during  which said  employee is employed  by Buyer at Seller's  request,  and if
Seller requests that Buyer continue such employment,  Buyer shall be entitled to
reimbursement for any Employment Termination Payment due to such employee to the
extent  provided in Section  1.3(a)(iii)  regardless  of when she is  thereafter
terminated.


          (d)  Insurance.  The  disability,  life,  health,  dental  and  vision
insurance  plans  of  Seller  described  on  Schedule  3.1(l)  shall  constitute
Contracts and shall be assigned to, and assumed by, Buyer as provided in Section
1.4 of this Agreement.

    4.3   Mutual Covenants.   Each of Seller and Buyer, as applicable, covenants
and agrees as follows:

          (a) Records.

               (i) On the Closing  Date,  Seller  shall cause to be delivered to
Buyer all Records and, to the extent transferred hereunder,  the items described
in Section 1.1(a)(viii), in the possession of Seller relating to the Business to
the  extent not then in the  possession  of  Seller,  subject  to the  following
exceptions:

             (A) Buyer  recognizes that certain  Records may contain  incidental
confidential information relating to Parent and not relating to Seller, and that
Seller may delete and retain such information from such Records; and

             (B)  Seller may retain all bids  received  from other  parties  and
analyses relating to Seller.

               (ii) Upon reasonable  written  notice,  Buyer and Seller agree to
furnish  or cause to be  furnished  to each  other  and  their  representatives,
employees,  counsel and accountants  access,  during normal business hours, such
information  (including Records pertinent to Seller) and assistance  relating to
Seller  as is  reasonably  necessary  for  financial  reporting  and  accounting
matters,  the  preparation  and filing of any  Returns or the defense of any Tax
claim or assessment or the defense or  prosecution  of any  litigation  matters;
provided,  however,  that such access does not  unreasonably  disrupt the normal
operations of Buyer, Seller or any of their Affiliates.

               (iii) Buyer agrees that it will use its  commercially  reasonable
efforts to make available to Seller the services of Stephen Manty (to the extent
he shall continue to be employed by Buyer and within the scope of his Employment
Agreement with Buyer) and/or his designees for the time period commencing on the
date  hereof and ending on March 31,  1997 to assist  Seller with the defense of
litigation  matters  and  any  investigation  by the  Department  of  Labor  and
oversight  of  accounting  matters;  provided  that Seller shall pay to Buyer an
amount equal to $4,000 per month in respect  thereof and such services to Seller
shall not materially  interfere with the performance of his obligations to Buyer
under his Employment Agreement.



                                     - 34 -


<PAGE>


          (b)  Publicity.  Seller (and Parent) and Buyer (and IHS) agree that no
public release or announcement  concerning the transactions  contemplated hereby
shall be issued by either of them  without  the prior  consultation  and written
consent (which consent shall not be unreasonably  withheld) of the other, except
such  release  or  announcement  as may be  required  by  law  or the  rules  or
regulations of any United States or foreign securities  exchange,  in which case
the party  requiredto  make the  release or  announcement  shall allow the other
party  reasonable  time to comment on such release or announcement in advance of
such issuance.


                                    ARTICLE V
                                OTHER AGREEMENTS

     5.1 Certain Understandings. Buyer acknowledges that neither Parent, Seller,
nor any other  person has made any  representation  or  warranty,  expressed  or
implied, as to the accuracy or completeness of any information  regarding Seller
not  included  in  this  Agreement  or the  Schedules  hereto  or  the  Seller's
Transaction Documents, and none of Parent, Seller, or any other person will have
or be subject to any liability to Buyer or any other person  resulting  from the
distribution  to Buyer,  or  Buyer's  use of, any such  information  (including,
without  limitation,  any  offering  memorandum,  brochure or other  publication
provided to Buyer,  and any other document or  information  provided to Buyer in
connection with the transactions contemplated hereby).

     5.2 Further Assurances.  From time to time, as and when requested by either
party hereto, the other party shall execute and deliver, or cause to be executed
and delivered, all such documents and instruments and shall take, or cause to be
taken, all such further or other actions as such other party may reasonably deem
necessary or desirable  to  consummate  the  transactions  contemplated  by this
Agreement.

     5.3 Transfer  Taxes.  Seller shall be responsible  for and shall timely pay
all sales and use taxes and  personal  property  transfer  taxes  imposed by any
governmental  entity in connection with the transfer of the Assets.  Buyer shall
be responsible  for and shall pay all other transfer  taxes,  documentary  stamp
taxes,  recording  charges and other fees and taxes imposed by any  governmental
entity in connection with the transfer of the Assets ("Buyer Taxes").

     5.4 Use of Mediq  Name.  Buyer  acknowledges  and agrees  that the name and
service mark "MEDIQ" and all derivations thereof (the "Name") is owned by Parent
and that by the sale of the Assets,  or otherwise,  Parent is not  relinquishing
any interest in or rights to the Name or any derivation thereof,  nor permitting
Buyer (after the Closing Date) to use,  license or otherwise  have any rights in
or to the Name, except on such terms as are expressly set forth in this Section.
Parent will  permit use of the Name by Buyer for  transition  purposes  during a
period not to exceed 365 days  subsequent  to the Closing Date (the  "Transition
Period"), on the following terms and conditions:



                                     - 35 -


<PAGE>



          (a) By the end of the Transition  Period,  Buyer shall have caused the
removal in all material  respects of the Name from all of Buyer's assets,  motor
vehicles, machinery, equipment, stationery, business cards, and other documents.
During the Transition  Period,  Buyer and Seller shall not affix, or cause to be
affixed, the Name to any of its assets, vehicles, machinery or equipment.

          (b) Within a reasonable  period of time after the Closing Date,  Buyer
shall cease to use the Name in its dealings  with its  customers,  suppliers and
others with whom it does business.

          (c) Buyer may use the Name solely in connection  with its operation of
the  Business  pursuant to this  Section 5.4 and shall have no right to license,
assign or otherwise transfer any rights in or to the Name.

    5.5   Covenant Not to Compete.

     (a) Each of Parent and Seller agrees that for a period of 3 years after the
Closing  Date  neither  of them nor any of their  respective  Affiliates  shall,
directly or  indirectly,  for  himself,  herself or itself,  or on behalf of any
other person,  firm, entity or other enterprise,  be employed by, be an officer,
director  or manager  of,  act as a  consultant  for,  be a partner  in,  have a
proprietary interest in, or loan money to any person,  enterprise,  partnership,
association,  corporation,  limited  liability  company,  joint venture or other
entity which is directly or indirectly  in the business of owning,  operating or
managing any mobile radiological, EKG, or any other business currently conducted
by Seller (the "Applicable  Businesses"),  now or hereafter competitive with any
such Applicable Business of Buyer (including, without limitation, the Business),
IHS or any of their respective Affiliates,  located in any state in which Buyer,
IHS or Seller is currently  conducting such business;  provided,  however,  that
nothing  contained  herein shall restrict Seller from performing its obligations
under any Temporary Excluded Contracts as provided in Section 1.4(c) or restrict
Parent or any of its  Affiliates  from operating or owning any of their existing
businesses or  investments  or renting or leasing any  equipment,  provided that
they do not expand into the foregoing  prohibited  activities.  The restrictions
contained in this Section 5.5 (other than the confidentiality  provisions) shall
not be binding  upon any third  party  purchaser  of Parent,  or of any  assets,
stock,  division or business unit of Parent or of any  Affiliate of Parent.  

     (b) Seller and Parent  represent  and warrant that there are no  employees,
consultants  or  agents of  Parent  having  expertise  in the  operation  of the
Applicable  Business  or  having  a  relationship  with  any  customers  of  the
Applicable Business.  Notwithstanding anything to the contrary contained in this
Agreement,  the foregoing  representation  and warranty and all  indemnification
rights with  respect  thereto  shall not expire until the date that is three (3)
years after the date hereof.




                                     - 36 -


<PAGE>

          (c) Seller and the Parent hereby agree that, for a period of three (3)
years  following the date hereof,  without the express  written  consent of IHS,
none of Seller,  the Parent and their  respective  Affiliates  will  directly or
indirectly,  for  themselves or on behalf of any other person,  firm,  entity or
other enterprise:

               (i)  solicit any client,  facility or patient  who,  prior to the
date  hereof,  was a client,  facility or patient of Seller with  respect to the
Applicable Business; or

               (ii)  hire,  entice  away or in any  other  manner  persuade  any
employee,  consultant,  representative or agent who was an employee, consultant,
representative or agent of Seller prior to the date hereof, to alter,  modify or
terminate their relationship with Buyer or IHS.

          (d) The Parent  and Seller  each  acknowledges  that the  restrictions
contained  in this  Section  5.5 are  reasonable  and  necessary  to protect the
legitimate business interests of Buyer and IHS and that any violation thereof by
either of them  would  result  in  irreparable  harm to Buyer and IHS,  and that
damages in the event of such a breach will be difficult,  if not impossible,  to
ascertain.  Accordingly,  the  Parent  and  Seller  each  agrees  that  upon the
violation by it of any of the restrictions  contained in this Section 5.5, Buyer
and IHS shall be entitled to obtain from any court of competent  jurisdiction  a
preliminary  and permanent  injunction  as well as any other relief  provided at
law, equity, under this Agreement or otherwise, without the necessity of posting
any  bond or  other  security  whatsoever.  In the  event  any of the  foregoing
restrictions are adjudged unreasonable in any proceeding, then the parties agree
that the  period of time or the scope of such  restrictions  (or both)  shall be
adjusted  to such a manner  or for such a time (or  both) as is  adjudged  to be
reasonable.

          (e) The  Parent  and  Seller  each  acknowledges  that  the  covenants
contained in this Section 5.5 are independent  covenants and that any failure by
the Buyer or IHS to perform its obligations  under this Agreement shall not be a
defense to enforcement of the covenants  contained in this Agreement,  including
but not limited to a temporary or permanent injunction.

          (f)  Seller and Parent  agree 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 1.4(a) hereto upon
the request of and in  accordance  with the  instructions  of Buyer.  Seller and
Parent shall not be required to advance or expend any funds in  connection  with
their  respective  obligations  under this subsection (f). Buyer shall indemnify
and hold harmless Seller and Parent from any loss,  liability,  damage, cost and
expense,  including  without  limitation,  reasonable  legal fees and  expenses,
arising out of taking any such actions at Buyer's  request.  Buyer  acknowledges
that  Seller  intends  to  terminate  all  Excluded   Contracts  (not  otherwise
terminated);   provided  that  Seller  shall  not  shorten  the  non-competition
provisions of such agreements in effect immediately prior to their termination.



                                     - 37 -


<PAGE>



    5.6  Restrictions.

          (a) From and after the  Closing  Date,  neither  Seller nor the Parent
shall disclose, directly or indirectly, to any person or entity, or make use of,
without the  express  authorization  of IHS and Buyer,  any  non-public  pricing
strategies or records  acquired by Buyer from Seller,  any  proprietary  data or
trade  secrets  acquired  by  Buyer  from  Seller  or  any  financial  or  other
information  acquired  by  Buyer  from  Seller;   provided  that  the  foregoing
restrictions shall not apply to any information which:

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

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

               (iii) is approved for release by written  authorization signed by
Buyer or IHS; or

               (iv) is required to be disclosed in  accordance  with  applicable
law; provided,  however,  prior to making any such disclosure the party required
to  make  such  disclosure  shall  provide  Buyer  with  prompt  notice  of such
requirement  to enable Buyer to seek an  appropriate  protective  order and such
party  will  use its  best  efforts  to  preserve  the  confidentiality  of such
information  and will  disclose  only  that  portion  of the  information  as is
required to be disclosed.

          (b) Each of  Seller  and  Parent  acknowledges  that the  restrictions
contained  in this  Section  5.6 are  reasonable  and  necessary  to protect the
legitimate  business  interests of Buyer and IHS, and that any violation thereof
by any of them would result in irreparable  harm to Buyer and IHS.  Accordingly,
each of Seller and Parent  agrees that upon the  violation by any of them of any
of the  restrictions  contained  in this  Section  5.6,  Buyer  and IHS shall be
entitled to obtain from any court of competent  jurisdiction  a preliminary  and
permanent  injunction  as well as any other  relief  provided  at law or equity,
under this Agreement or otherwise,  without the necessity of posting any bond or
security whatsoever.

    5.7 Adjustments for Medicare Reimbursement Rate Increases.

               (i)  If  the   Medicare   carrier   for  the   States  of  Maine,
Massachusetts, New Hampshire or Vermont (each, an "Applicable State"): increases
the  reimbursement  rate for the  transport  component  for mobile  x-ray or EKG
services  performed by Seller  prior to the Closing  Date,  then the  difference
between the amount due with respect to the transport  component for mobile x-ray
or EKG  services  performed  by Seller  in all  Applicable  States  prior to the
Closing 

                                     - 38 -


<PAGE>



Date at the  increased  rate of  reimbursement  shall be deemed to be an Account
Receivable,  and  accordingly,  Seller shall be entitled to additional  Purchase
Price  payments  if and to the  extent  provided  in Section  2.3(b)(ii)  above;
provided that such  increases in Purchase Price by reason of this Section 5.7(a)
shall not exceed $800,000 in the aggregate.

          (b)  Buyer  and  IHS  shall  cooperate  and  use  their   commercially
reasonable  efforts to collect  any amounts  that shall  become due to Seller as
contemplated   by  subsection   (a)  above,   including,   without   limitation,
resubmitting  billing  if  necessary,  but only to the  extent  that  Seller has
specifically identified and compiled and delivered to Buyer all of the necessary
bills and records.

          (c)  Seller  shall  have the right to assume  the  prosecution  of any
action, suit, claim,  proceeding or investigation relating to an increase in the
Medicare  reimbursement rate for the transport component for mobile x-ray or EKG
services in the Applicable States that could result in an Account Receivable (as
provided in  subsection  (a) above) (each,  an "Action") in a manner  consistent
with the prosecution of similar Actions with respect to such reimbursement rates
in the Applicable  States by other  businesses in the Seller's  industry in such
Applicable  States,  and Buyer and Seller  agree to cooperate in good faith with
each  other  and  shall  not have the  right to  compromise  or settle an Action
without  the  other's  consent  (which  shall not be  unreasonably  withheld  or
delayed).

    5.8 Audit. Following Closing,  Seller and the Parent will cooperate with and
assist Buyer in a review of the financial  statements  of Seller.  Buyer may, at
its own expense,  have an audit  performed  of such  financial  statements,  and
Seller and the Parent will cooperate in the performance of such audit.

    5.9 Billing and Collection Agent. (a) Seller hereby appoints Buyer to act as
Seller's  exclusive  authorized  agent to bill and  collect  all  Non-Assignable
Receivables,  and  Buyer and  Seller  hereby  agree  that the  proceeds  of such
Non-Assignable   Receivables   shall  be  distributed  in  accordance  with  the
provisions of Section 1.1 and 2.3(b) above.

          (b) Buyer shall not receive a fee or any other  compensation  for said
billing and collection services.

          (c) Seller hereby constitutes and appoints Buyer its true, lawful, and
irrevocable attorney to demand,  receive, and enforce the billing and collection
of  the  Non-Assignable  Receivables,   and  to  give  receipts,  releases,  and
satisfactions for the same.

    5.10  Benefits  under  Excluded  Contracts.  If Buyer is  provided  with any
requested  benefit under an Excluded Contract (such as use of space or access to
programs available with respect to leased motor vehicles), Buyer shall reimburse
Seller for its proportionate out-of-pocket cost of providing such benefit.



                                     - 39 -


<PAGE>



                                   ARTICLE VI
                                 INDEMNIFICATION

    6.1  Indemnification  by Seller and  Parent.  (a)  Seller and Parent  hereby
jointly  and  severally  agree to  indemnify  Buyer,  IHS and  their  respective
Affiliates  and their  respective  officers,  directors,  employees  and  agents
against  and hold them  harmless  from any  loss,  liability,  claim,  damage or
expense  (including  reasonable  legal fees and expenses but excluding  punitive
damages  and  unforeseen  or other  consequential  damages  other than  punitive
damages and  unforeseen or other  consequential  damages which are paid to third
parties) (a "Loss")  suffered or incurred by any such  indemnified  party,  as a
direct consequence of (i) any breach of any representation or warranty of Seller
or Parent contained in this Agreement or any Transaction Document,  which by the
terms of Section 8.3 survives  the  Closing,  (ii) any breach of any covenant of
Seller  contained  in this  Agreement  or any  Transaction  Document,  (iii) all
Reimbursement  Liabilities;  (iv) any Loss  relating to any  Excluded  Liability
(except  as  expressly  assumed by Buyer  under  Section  1.4(c));  (v) any Loss
arising out of any bulk transfer act (whether relating to liabilities in general
or taxes or otherwise); (vi) any Loss arising out of the noncompliance of Seller
with  COBRA or any like  statute;  (vii)  any Loss that is  attributable  to the
pre-Closing   conduct  by  Seller  and  relates  to  matters   presently   being
investigated by the U.S.  Department of Labor with respect to Seller; and (viii)
any  and  all  actions,  suits,  proceedings,  demands  assessments,  judgments,
settlements  (to  the  extent  approved  by  Seller,  such  approval  not  to be
unreasonably  withheld,  delayed  or  conditioned)  costs  and  legal  and other
expenses incident to any of the foregoing;  provided, however, that Seller shall
not have any liability under clause (i) above until the aggregate of all Losses,
for which Seller would, but for this proviso,  be liable exceeds on a cumulative
basis  $100,000,  upon which Seller shall be liable for such $100,000 amount and
all other amounts under this Section 6.1; provided,  further, that the aggregate
liability  of Seller  hereunder  with  respect  to any and all  Losses  shall be
limited to the aggregate amount of the final Purchase Price.

          (b) Buyer  acknowledges  and agrees that its sole and exclusive remedy
with respect to any and all claims for monetary  damages relating to the subject
matter of this Agreement shall be pursuant to the indemnification provisions set
forth in this Article VI.

          (c) Buyer  acknowledges  and agrees that  Parent and Seller  shall not
have any  liability  under any  provision of this  Agreement for any Loss to the
extent  that such Loss is caused by  actions  taken by or omitted to be taken by
Buyer after the Closing Date.  Buyer shall take and cause its Affiliates to take
all reasonable steps to mitigate any Loss to the extent the same would have been
required by applicable law if Buyer's rights to  compensation  for damages arose
under law rather than by reason of contractual rights.


                                     - 40 -


<PAGE>




          (d) Buyer may offset any of its indemnification claims against payment
of the Contingent  Payment (as defined in Section 2.2),  provided that if Seller
disputes  the claim,  Buyer  shall  place the amount of the claim into an escrow
account with a nationally recognized financial institution, until the dispute is
settled under the procedures set forth in this Article VI.

    6.2  Indemnification  by Buyer.  (a) The Buyer  hereby  agrees to  indemnify
Parent, Seller and their Affiliates against and hold them harmless from any Loss
suffered or incurred by any such  indemnified  party as a direct  consequence of
(i) any breach of any  representation  or  warranty of Buyer  contained  in this
Agreement  or any  Transaction  Document,  which  by the  terms of  Section  8.3
survives the Closing, (ii) any breach of any covenant of Buyer contained in this
Agreement or any  Transaction  Document,  (iii) any  guarantee or  obligation to
assure performance given or made by Parent or any of its Affiliates with respect
to any  obligation  or  liability of the Business  that  constitutes  an Assumed
Liability, (iv) any Assumed Liability or any liability, expense or obligation of
the Business arising after the Closing Date, (v) any use of the Name by Buyer or
IHS not  authorized  by this  Agreement  and  (vi) any and all  actions,  suits,
proceedings, demands assessments, judgments, settlements (to the extent approved
by Buyer, such approval not to be unreasonably withheld, delayed or conditioned)
costs and legal and other expenses incident to any of the foregoing.

          (b) Seller and Parent shall take all reasonable  steps to mitigate any
Loss to the extent the same would have been  required by  applicable  law if the
rights of Seller and Parent to  compensation  for damages arose under law rather
than by reason of contractual rights..

    6.3  Losses  Net of  Insurance,  Etc.  The  amount  of any  Loss  for  which
indemnification  is  provided  under this  Article VI shall be net of (i) in the
case of Section 6.1, any reserves  established  on the Closing  Balance Sheet of
the Seller,  to the extent covering such Loss,  (ii) any net insurance  proceeds
actually  collected by the  indemnified  party  covering  such loss and (iii) an
amount equal to the present value of the net Tax benefit,  if any,  attributable
to such Loss and used by the indemnified party,  taking into account the receipt
of such recovery; it being understood that each party will use such Tax benefits
as promptly as reasonably practicable. If the amount to be netted hereunder from
any payment  required under  Sections 6.1 or 6.2 is determined  after payment by
the  indemnifying  party  of any  amount  otherwise  required  to be  paid to an
indemnified party pursuant to this Article VI, the indemnified party shall repay
to the indemnifying party,  promptly after such  determination,  any amount that
the indemnifying party would not have had to pay pursuant to this Article VI had
such determination been made at the time of such payment.

    6.4  Termination of  Indemnification.  The obligations to indemnify and hold
harmless a party hereto, (i) pursuant to Sections 6.1(a)(i) and 6.2(a)(i), shall
terminate when the applicable  representation or warranty terminates pursuant to
Section  8.3,  and (ii)  pursuant to the other  clauses of Sections 6.1 and 6.2,
shall not terminate;  provided;  however,  that as to clauses (i) 


                                     - 41 -


<PAGE>



and (ii) above
such obligations to indemnify and hold harmless shall not terminate with respect
to any item as to which  the  person to be  indemnified  (or the  related  party
thereto) shall have, before the expiration of the applicable period,  previously
made a claim by delivering a notice  (stating in reasonable  detail the basis of
such claim) to the party providing the indemnification.

    6.5 Procedures Relating to Indemnification under Sections 6.1 and 6.2. (a) A
party seeking indemnification  pursuant to Sections 6.1 and 6.2 (an "Indemnified
Party") shall give prompt notice to the party from whom such  indemnification is
sought (the  "Indemnifying  Party") of the assertion of any claim or assessment,
or the commencement of any action,  suit, audit or proceeding,  by a third party
in respect of which  indemnity  may be sought  hereunder (a "Third Party Claim")
and will give the  Indemnifying  Party such  information with respect thereto as
the  Indemnifying  Party may  reasonably  request,  but no  failure to give such
notice shall relieve the Indemnifying  Party of any liability  hereunder (except
to the extent the Indemnifying Party has suffered actual prejudice thereby). The
Indemnifying  Party (which,  in the case of Seller or Parent,  must include both
such parties) shall have the right, exercisable by written notice (the "Notice")
tothe  Indemnified  Party (which notice shall state that the Indemnifying  Party
expressly  agrees that as between  the  Indemnifying  Party and the  Indemnified
Party, the Indemnifying Party shall be solely obligated to satisfy and discharge
the Third Party Claim)  within  fourteen (14) days of receipt of notice from the
Indemnified  Party of the commencement of or assertion of any Third Party Claim,
to assume the defense of such Third Party Claim,  using counsel  selected by the
Indemnifying Party and reasonably acceptable to the Indemnified Party; provided,
that the  Indemnifying  Party  shall not have the right to assume a Third  Party
Claim if (i) the named  parties  to any such  action  (including  any  impleaded
parties) include both the Indemnified Party and the Indemnifying  Party and (ii)
the  Indemnified  Party shall have been advised by counsel in writing that under
applicable  standards of professional  responsibility,  a conflict will arise in
the event both the Indemnified Party and the Indemnifying  Party are represented
by the same counsel  with  respect to the Third Party Claim,  in which case such
Indemnified  Party  shall have the right to  participate  in the defense of such
Third Party Claim and all Losses in connection  therewith shall be reimbursed by
the Indemnifying Party. In addition, if the Indemnifying Party fails to give the
Indemnified  Party the Notice complying with the provisions  stated above within
the stated time  period,  the  Indemnified  Party shall have the right to assume
control of the  defense of the Third  Party  Claim and all Losses in  connection
therewith  shall be  reimbursed  by the  Indemnifying  Party upon  demand of the
Indemnified Party.

          (b) If at any time after the Indemnifying Party assumes the defense of
a Third Party Claim,  any of the  conditions set forth in clauses (i) or (ii) of
subsection  (a) above come into existence the  Indemnified  Party shall have the
same rights as set forth above as if the  Indemnifying  Party never  assumed the
defense of such claim.



                                     - 42 -


<PAGE>

          (c) The Indemnifying  Party or the Indemnified  Party, as the case may
be, shall in any event have the right to participate, at its own expense, in the
defense of any Third Party Claim which the other is defending.

          (d) The  Indemnifying  Party,  if it shall have assumed the defense of
any Third Party Claim in accordance with the terms hereof, shall have the right,
upon thirty (30) days prior written notice to the Indemnified  Party, to consent
to the entry of judgment  with respect to, or otherwise  settle such Third Party
Claim unless (i) the Third Party Claim involves  equitable or other non-monetary
damages  or  (ii) in the  reasonable  judgment  of the  Indemnified  Party  such
settlement  would have a continuing  material  adverse effect on the Indemnified
Party's business  (including any material  impairment of its relationships  with
customers and  suppliers),  in which case such  settlement only may be made with
the  written  consent  of the  Indemnified  Party,  which  consent  shall not be
unreasonably  withheld.  Seller  shall  keep  Buyer  appraised  of any  material
negotiations  between Seller and the U.S.  Department of Labor,  or any material
occurrences  with  respect to the same (to the extent  within the  knowledge  of
Seller or the  Parent),  and will not enter into a  settlement  of such  matters
without  Buyer's  consent,  such  consent  not to be  unreasonably  withheld  or
delayed.

          (e)  Whether  or not the  Indemnifying  Party  chooses  to  defend  or
prosecute  any claim  involving  a third  party,  all the parties  hereto  shall
cooperate in the defense or prosecution  thereof and shall furnish such records,
information and testimony,  and attend such conferences,  discovery proceedings,
hearings,  trials  and  appeals as may be  reasonably  requested  in  connection
therewith.


                                   ARTICLE VII
                                   DEFINITIONS

                  As used in this Agreement,  the following terms shall have the
following meanings:

                  "Accounting  Principles"  shall have the  meaning set forth in
                  Section 2.3(b).

                  "Accounts  Receivable"  shall  have the  meaning  set forth in
                  Section 2.3(b).

                  "Action" shall have the meaning set forth in Section 5.7(d).

                  "Affiliate"  shall have the meaning given to such term in Rule
                  12b-2 under the  Exchange  Act, as in effect as of the date of
                  this Agreement.

                  "Applicable  Authority"  shall have the  meaning  set forth in
                  Section 2.2(c).



                                     - 43 -


<PAGE>

                  "Applicable State" shall have the meaning set forth in Section
                  5.7(a).

                  "Balance  Sheet"  shall have the  meaning set forth in Section
                  3.1(e).

                  "Base  Rate"  shall  have the  meaning  set  forth in  Section
                  5.7(a).

                  "Buyer"  shall  have  the  meaning  set  forth  in  the  first
                  paragraph of this Agreement.

                  "Buyer Taxes" shall have the meaning set forth in Section 5.3

                  "Buyer's  Transaction  Documents"  shall have the  meaning set
                  forth in Section 3.2(a).

                  "Closing" shall have the meaning set forth in Section 2.4.

                  "Closing  Date"  shall have the  meaning  set forth in Section
                  2.4.

                  "Closing  Date  Working  Capital"  shall have the  meaning set
                  forth in Section 2.3(a).

                  "COBRA" shall have the meaning set forth in Section 4.1(e).

                  "Code" shall have the meaning set forth in Section 3.1(f).


                  "Collateral  Source"  shall  have  the  meaning  set  forth in
                  Section 6.3.

                  "Confidentiality  Agreement"  shall have the meaning set forth
                  in Section 4.1(a).

                  "Contingent  Payment"  shall  have the  meaning  set  forth in
                  Section 2.2(a).

                  "Contracts"  shall  have the  meaning  set  forth  in  Section
                  3.1(j).

                  "Customer  Contracts"  shall  have the  meaning  set  forth in
                  Section 3.1(j)(xii).

                  "Date of  Determination"  shall have the  meaning set forth in
                  Section 2.2(b).

                  "Delay  Payment  Notice"  shall have the  meaning set forth in
                  Section 2.3(b).

                  "EKG  Transportation  Reimbursement  Change"  shall  have  the
                  meaning set forth in Section 2.2(c).

                  "Environmental  Laws"  means  federal,  state and local  laws,
                  rules,  regulations,  codes and  ordinances,  and any  orders,
                  decrees,   judgments  or  injunctions   issued,   promulgated,
                  approved or entered  thereunder,  relating to the environment,



                                     - 44 -


<PAGE>

                  including, without limitation, the Comprehensive Environmental
                  Response,  Compensation  and Liability Act of 1980, as amended
                  by  the   Superfund   Amendments   and   Reauthorization   Act
                  ("CERCLA");  the  Resource  Conservation  and  Recovery Act of
                  1976, as amended ("RCRA"); the Federal Water Pollution Control
                  Act, as amended;  the Federal  Clear Air Act, as amended;  the
                  Toxic Substances  Control Act, as amended;  the Surface Mining
                  Control and  Reclamation  Act of 1977,  as  amended;  the Safe
                  Drinking Water Act, as amended;  the Pollution  Control Act of
                  1990,  as amended;  the  Federal  Insecticide,  Fungicide  and
                  Rodenticide  Act, as amended;  and comparable  state and local
                  laws in effect on the date hereof.

                  "ERISA" shall have the meaning set forth in Section 3.1(m).

                  "Excess  Amount"  shall have the  meaning set forth in Section
                  5.7(a).

                  "Excess  Amount  Dispute  Notice"  shall have the  meaning set
                  forth in Section 5.7(b).

                  "Excess Amount  Schedule"  shall have the meaning set forth in
                  Section 5.7(b).

                  "Exchange  Act"  shall have the  meaning  set forth in Section
                  3.1(aa).

                  "Excluded  Contracts"  shall  have the  meaning  set  forth in
                  Section 1.4(a).

                  "Excluded  Liabilities"  shall have the  meaning  set forth in
                  Section 1.3(b).

                  "Final  Excess  Amount"  shall have the  meaning  set forth in
                  Section 5.7(b).

                  "Financial  Statements"  shall have the  meaning  set forth in
                  Section 3.1(e).

                  "Hazardous  Substances"  shall have the  meaning  set forth in
                  Section 101(14) of CERCLA, 42 U.S.C. Section 9601(14).

                  "IHS SEC  Documents"  shall  have  the  meaning  set  forth in
                  Section 3.2(d).

                  "Impracticalities" shall have the meaning set forth in Section
                  1.4(a).

                  "Indemnified  Party"  shall  have  the  meaning  set  forth in
                  Section 6.5.

                  "Indemnifying  Party"  shall  have the  meaning  set  forth in
                  Section 6.5.

                  "Independent Accounting Firm" shall have the meaning set forth
                  in Section 2.3(b).




                                     - 45 -


<PAGE>

                  "Knowledge"   means,  with  respect  to  Seller,   the  actual
                  knowledge of the officers of Seller.

                  "Liability"  shall  have the  meaning  set  forth  in  Section
                  1.3(b).

                  "Liens" shall have the meaning set forth in Section 3.1(g).

                  "Loss" shall have the meaning set forth in Section 6.1(a).

                  "Material  Adverse Effect" means a material  adverse effect on
                  the value of the Assets, the transactions contemplated by this
                  Agreement,  the financial condition,  or results of operations
                  of the  Seller,  or the Buyer,  as the case may be.  Seller or
                  Buyer may, however, at its option, include in the Schedules of
                  this  Agreement  or  elsewhere  items  which  would not have a
                  Material  Adverse  Effect  within the meaning of the  previous
                  sentence  in  order to avoid  any  misunderstanding,  and such
                  inclusion shall not be deemed to be an  acknowledgment  by the
                  Seller or Buyer that such items would have a Material  Adverse
                  Effect or  further  define  the  meaning  of such term for the
                  purpose of this Agreement.

                  "Name" shall have the meaning set forth in Section 5.4.

                  "Non-competition  Agreement"  shall have the meaning set forth
                  in Section 5.5

                  "Notice" shall have the meaning set forth in Section 6.5.

                  "Parent  SEC  Documents"  shall have the  meaning set forth in
                  Section 3.1(aa).


                  "Permitted  Liens" shall have the meaning set forth in Section
                  3.1(g).

                  "Purchase  Price"  shall have the meaning set forth in Section
                  2.1.

                  "Preliminary  Closing  Date  Balance  Sheet"  shall  have  the
                  meaning set forth in Section 2.3(b).

                  "Questionable  Payments"  shall have the  meaning set forth in
                  Section 3.1(w).

                  "Records"   shall  have  the  meaning  set  forth  in  Section
                  1.1(a)(vi).

                  "Required  Amount" shall have the meaning set forth in Section
                  2.3(a).

                  "Returns"  shall have the meaning set forth in Section 3.1(f).




                                     - 46 -


<PAGE>

                  "SEC" shall have the meaning set forth in Section 3.1(aa).

                  "Securities  Act" shall have the  meaning set forth in Section
                  3.1(aa).

                  "Seller"  shall  have  the  meaning  set  forth  in the  first
                  paragraph of this Agreement.

                  "Seller's  Benefit  Plans" shall have the meaning set forth in
                  Section 3.1(m).

                  "Seller's  Transaction  Documents"  shall have the meaning set
                  forth in Section 3.1(a).

                  "Smith  Agreement" shall have the meaning set forth in Section
                  1.4(a).

                  "Specified  Party" shall have the meaning set forth in Section
                  6.7.

                  "Subject  Employees"  shall  have  the  meaning  set  forth in
                  Section 4.1(c).

                  "Tax" or "Taxes"  shall have the meanings set forth in Section
                  3.1(f).

                  "Third  Party  Claim"  shall  have the  meaning  set  forth in
                  Section 6.5.

                  "Transition  Period"  shall  have  the  meaning  set  forth in
                  Section 5.4.

                  "Working Capital Increase" shall have the meaning set forth in
                  Section 2.3(b).

                  "Working  Capital  Review" shall have the meaning set forth in
                  Section 2.3(b).


                                  ARTICLE VIII
                                  MISCELLANEOUS

    8.1  Assignment.  This  Agreement  and the  rights  hereunder  shall  not be
assignable  or  transferable  by Buyer or  Seller  (including  by sale of stock,
operation of law in connection with a merger,  or sale of substantially  all the
assets of Buyer)  without the prior  written  consent of the other party hereto;
provided that Buyer may assign this  Agreement to any other  Affiliate of IHS or
to any person that  acquires  all or  substantially  all of the assets of Buyer,
with IHS remaining as guarantor of the assignee's  obligations  and  liabilities
under this Agreement and further provided Buyer remains liable  hereunder.  This
Agreement  shall inure to the benefit  of, and be binding  upon and  enforceable
against, the successors and permitted assigns of the respective parties hereto.




                                     - 47 -


<PAGE>


    8.2 No  Third-Party  Beneficiaries.  Except as  provided  in Section 4.2 and
Article VI, this  Agreement  is for the sole  benefit of the parties  hereto and
their permitted assigns and nothing herein expressed or implied shall give or be
construed  to give to any person or entity,  other than the  parties  hereto and
such assigns, any legal or equitable rights hereunder.

    8.3 Survival of Representations.  The representations and warranties in this
Agreement  and in any other  document  delivered in  connection  herewith  shall
survive  the  Closing  solely  for  purposes  of  Sections  6.1  and 6.2 of this
Agreement and shall terminate at the close of business  twelve months  following
the Closing Date, except that such time limitation shall not apply to (i) claims
for  misrepresentations  or  breaches of  warranty  relating  to Section  3.1(f)
(relating to Taxes), Section 3.1(w) (relating to Questionable Payments), Section
3.1(x)  (relating to  Reimbursement  Matters),  or Section  3.1(z)  (relating to
Medicare/Medicaid  Participation) which may be asserted within 60 days after the
expiration of the applicable  statute of limitations  with respect to the period
to  which  the  particular  claims  relate,   and  (ii)  claims  for  any  other
misrepresentation  or breach of  warranty  as to which  Buyer has  described  in
reasonable  detail  pursuant to a written  notice  given to Seller  prior to the
expiration of such 12-month period.

    8.4  Expenses.  Whether  or not the  transactions  contemplated  hereby  are
consummated,  all costs and expenses  incurred in connection with this Agreement
and the  transactions  contemplated  hereby shall be paid by the party incurring
such costs or expenses,  except as may  otherwise be expressly  provided in this
Agreement.  None of Seller's cost and expenses  arising out of the  transactions
contemplated  by  this  Agreement,   including  without  limitation,  legal  and
accounting fees, shall be included as Current Liabilities.

    8.5  Amendments.  No amendment to or modification of this Agreement shall be
effective  unless  it shall be in  writing  and  signed  by each of the  parties
hereto.

    8.6  Notices.  All notices and other  communications  hereunder  shall be in
writing  and shall be  deemed  given (a) on the date of  delivery  if  delivered
personally;  (b) on the date of transmission if sent via facsimile  transmission
to the facsimile number given below,  and telephonic  confirmation of receipt is
obtained  promptly after  completion of  transmission;  (c) on the business date
after delivery to a reputable nationally recognized overnight courier service or
(d) three  business  days after being mailed by  registered  or  certified  mail
(return receipt requested) to the parties at the following addresses (or at such
other address for a party as shall be specified by like notice):

              (i)     If to Buyer,

                      Symphony Diagnostic Services
                      No. 1, Inc.
                      8181 West Broward Boulevard, Suite 370
                      Plantation, FL  33324
                      Attention:  Martin Ardman
                      Telecopier: (954) 474-3754



                                     - 48 -


<PAGE>

                      With  required copies to:

                      Integrated Health Services, Inc.
                      10065 Red Run Boulevard
                      Owings Mills, MD 21117
                      Attention: Marshall Elkins, Esq.

                                 and

                      Blass & Driggs, Esqs.
                      461 Fifth Ave.
                      19th Floor
                      New York, NY  10016
                      Attention:  Michael Blass, Esq.
                      Telecopier: 212-447-5428

              (ii)    If to Seller, to:

                      Mediq Mobile X-Ray Services, Inc.
                      90 Glacier Drive
                      Westwood, MA 02090
                      Attention:  Stephen Manty
                      Telecopier: (617) 326-8807

                      With a required copy to:

                      Dechert Price & Rhoads
                      4000 Bell Atlantic Tower
                      1717 Arch Street
                      Philadelphia, PA  19103
                      Attention:    Henry N. Nassau, Esq.
                      Telecopier:   (215) 994-2222

              (iii)   If to Parent to:

                      Mediq Incorporated
                      One Mediq Plaza
                      Pennsauken, NJ 08110
                      Attention:    Michael F. Sandler
                      Telecopier:   (609) 486-4720



                                     - 49 -


<PAGE>

                      With a required copy to:

                      Dechert Price & Rhoads
                      4000 Bell Atlantic Tower
                      1717 Arch Street
                      Philadelphia, PA  19103
                      Attention:    Henry N. Nassau, Esq.
                      Telecopier:   (215) 994-2222

Such  addresses may be changed,  from time to time by means of a notice given in
the manner  provided in this  Section  (provided  that no such  notice  shall be
effective until it is received by the other parties hereto).

    8.7 Fees.  Each party hereto  hereby  represents  and warrants that the only
broker or finder that has acted for such party in connection with this Agreement
or the transactions contemplated hereby or that may be entitled to any brokerage
fee,  finder's  fee or  commission  in respect  thereof is Robert  Reisley  with
respect to Seller.  Seller will pay all fees or commissions which may be payable
to the firms so named.

    8.8  Severability.  If any provision of this Agreement or the application of
any such provision to any person or circumstance shall be held invalid,  illegal
or  unenforceable  in any  respect by a court of  competent  jurisdiction,  such
invalidity,  illegality or unenforceability shall not affect any other provision
hereof.

    8.9 Interpretation.  All references to immediately available funds or dollar
amounts  contained  in this  Agreement  shall mean United  States  dollars.  All
references  to  generally  accepted  accounting  principles  contained  in  this
Agreement  shall mean United States  generally  accepted  accounting  principles
consistently applied. The headings contained in this Agreement are for reference
purposes only and shall not affect in any way the meaning or  interpretation  of
this  Agreement.  The parties  acknowledge and agree that (i) each party and its
counsel  have  reviewed  the terms and  provisions  of this  Agreement  and have
contributed to its revision, (ii) the normal rule of construction, to the effect
that any  ambiguities  are  resolved  against the drafting  party,  shall not be
employed in the interpretation of it, and (iii) the terms and provisions of this
Agreement shall be constructed  fairly as to all parties hereto and not in favor
of or against any party, regardless of which party was generally responsible for
the  preparation of this Agreement.  All information  disclosed by Seller in any
Schedule hereto or any representation or warranty herein shall be deemed to have
been disclosed in any other Schedule  hereto or any  representation  or warranty
herein where such  disclosure of such  information  is required or pertains to a
representation  or warranty  made by Seller  herein;  provided that a reasonable
reading of such schedule, representation or warranty would clearly indicate that
information  contained  therein is required in or pertains to another  Schedule,
representation  or  warranty.  Reference  in this  Agreement  to  dollar  amount
thresholds  (including such references in Article VIII of this Agreement)  shall
not, for purposes of this Agreement,  be deemed to be evidence of materiality or
a Material Adverse Effect.



                                     - 50 -


<PAGE>

    8.10 Waiver.  Waiver of any term or condition of this Agreement by any party
shall be  effective  if in writing and shall not be construed as a waiver of any
subsequent  breach or failure of the same term or condition,  or a waiver of any
other term of this Agreement. No failure or delay by any party in exercising any
right, power or privilege  hereunder shall operate as a waiver thereof nor shall
any single or partial  exercise  thereof  preclude any other or further exercise
thereof or the exercise of any other right, power or privilege.

    8.11  Counterparts.  This  Agreement  may  be  executed  in  any  number  of
counterparts,  all of which shall be considered one and the same agreement,  and
shall become  effective when one or more such  counterparts  have been signed by
each of the parties and delivered to the other parties.

    8.12 Entire Agreement. This Agreement,  including the Schedules and Exhibits
hereto and the other documents delivered pursuant to this Agreement, contain the
entire  agreement and  understanding  between the parties hereto with respect to
the  subject   matter  hereof  and  supersede  all  prior  and   contemporaneous
agreements, negotiations, correspondence,  undertakings and understandings, oral
or written,  relating to such subject matter. Any Confidentiality  Agreements in
effect  between  the  parties  hereto  prior  to  the  date  hereof  are  hereby
terminated.

    8.13  Governing  Law. This  Agreement  shall be governed by and construed in
accordance with the internal laws of the Commonwealth of Pennsylvania applicable
to agreements  made and to be performed  entirely within  Pennsylvania,  without
regard to the conflicts of law principles thereof.

    8.14  Joint  and  Several.  All  obligations,  representations,  warranties,
covenants  and  agreements  of Seller and Parent under this  Agreement or any of
Seller's   Transaction   Documents  shall  be  joint  and  several  obligations,
representations,  warranties, covenants and agreements of Seller and Parent. All
obligations, representations,  warranties, covenants and agreements of Buyer and
IHS under this Agreement or any of Buyer's Transaction  Documents shall be joint
and several obligations,  representations,  warranties, covenants and agreements
of Buyer and IHS.


                         [SIGNATURES ON FOLLOWING PAGE]




                                     - 51 -


<PAGE>


                  IN WITNESS WHEREOF,  the parties have caused this Agreement to
be duly executed as of the date first written above.

                                     MEDIQ INCORPORATED


                                     By: /s/ Michael Sandler
                                        __________________________________      

                                     Name: 
                                          ________________________________
                                     Title:_______________________________

                                     MEDIQ MOBILE X-RAY SERVICES, INC.


                                     By: /s/ Michael Sandler
                                        __________________________________

                                     Name:________________________________
                                     Title:_______________________________


                                     SYMPHONY DIAGNOSTIC SERVICES
                                     NO.1, INC.


                                     By: /s/ Martin Ardman
                                        __________________________________     

                                     Name:________________________________
                                     Title:_______________________________

GUARANTEE:

    The  performance  of all  the  covenants,  liabilities  and  obligations  of
Symphony  Diagnostic  Services No. 1, Inc.  hereunder  are  unconditionally  and
irrevocably,  jointly and severally  guaranteed  as surety by Integrated  Health
Services, Inc., its parent.

INTEGRATED HEALTH SERVICES, INC.



By: /s/ Elizabeth B. Kelly
   -------------------------------
        Elizabeth B. Kelly
        Senior Vice President
        Corporate Development




                                     - 52 -

                      AGREEMENT AND PLAN OF REORGANIZATION

                          Dated as of November 8, 1996

                                      among

                        INTEGRATED HEALTH SERVICES, INC.,
                            IHS ACQUISITION XXI, INC.

                                       and

                     SELLING SHAREHOLDERS OF LIFEWAY, INC.,

                                       and

                                  LIFEWAY, INC.








<PAGE>



<TABLE>
<CAPTION>

                                TABLE OF CONTENTS
                                                                                                               Page
<S>                                                                                                               <C>
ARTICLE I: MERGER.................................................................................................1
         1.1      Merger..........................................................................................1
         1.2      Issuance of IHS Stock...........................................................................1
         1.3      Taking of Necessary Action......................................................................1
         1.4      Assets..........................................................................................2
         1.5      Liabilities.....................................................................................2

 ARTICLE II: MERGER CONSIDERATION.................................................................................3
         2.1      Determination and Payment of Merger Consideration...............................................3
         2.2      IHS Stock.......................................................................................3

ARTICLE III:  THE CLOSING.........................................................................................7
         3.1      Time and Place of Closing.......................................................................7
         3.2      Filings at Closing..............................................................................7
         3.3      Effective Time..................................................................................7

 ARTICLE IV:  REPRESENTATIONS AND WARRANTIES OF SHAREHOLDERS                                                      8
         4.1      Organization and Standing of the Company........................................................8
         4.2      Absence of Conflicting Agreements...............................................................8
         4.3      Consents........................................................................................8
         4.4      Assets..........................................................................................8
         4.5      Company Shares..................................................................................9
         4.6      Trademarks......................................................................................9
         4.7      Contracts.......................................................................................9
         4.8      Financial Statements...........................................................................10
         4.9      Material Changes...............................................................................11
         4.10     Licenses; Permits..............................................................................11
         4.11     Title, Condition of Personal Property..........................................................12
         4.12     Legal Proceedings..............................................................................13
         4.13     Employees......................................................................................13
         4.14     Collective Bargaining, Labor Contracts, Employment Practices, Etc..............................13
         4.15     ERISA..........................................................................................14
         4.16     Insurance and Surety Agreements................................................................14
         4.17     Relationships..................................................................................15
         4.18     Absence of Certain Events......................................................................15
         4.19     Compliance with Laws...........................................................................16
         4.20     Finders........................................................................................16
         4.21     Tax Returns....................................................................................16
         4.22     Encumbrances Created by this Agreement.........................................................17
         4.23     Subsidiaries and Joint Ventures................................................................17
         4.24     No Untrue Statement............................................................................17
         4.25     Medicare and Medicaid Programs.................................................................17

                                       (i)

<PAGE>




         4.26     Leasehold Interests............................................................................17
         4.27     Power and Authority............................................................................17

ARTICLE V:  ADDITIONAL REPRESENTATIONS AND WARRANTIES OFSHAREHOLDERS.............................................17
         5.1      Authority......................................................................................18
         5.2      Binding Effect.................................................................................18
         5.3      Absence of Conflicting Agreement...............................................................18
         5.4      Consents.......................................................................................18
         5.5      Ownership of Company Shares....................................................................18
         5.6      Investment Representation......................................................................18

ARTICLE VI:  REPRESENTATIONS AND WARRANTIES OF BUYER.............................................................19
         6.1      Organization and Standing......................................................................19
         6.2      Absence of Conflicting Agreements..............................................................19
         6.3      Consents.......................................................................................19
         6.4      Finders........................................................................................19
         6.5      Power and Authority............................................................................19
         6.6      Binding Agreement..............................................................................20
         6.7      Securities and Exchange Commission Filings.....................................................20
         6.8      Capital Stock..................................................................................20

ARTICLE VII:  INFORMATION AND RECORDS CONCERNING THE COMPANY.....................................................20
         7.1      Access to Information and Records before Closing...............................................20

ARTICLE VIII:  OBLIGATIONS OF THE PARTIES UNTIL CLOSING..........................................................21
         8.1      Conduct of Business Pending Closing............................................................21
         8.2      Negative Covenants of the Company..............................................................21
         8.3      Affirmative Covenants..........................................................................21
         8.4      Pursuit of Consents and Approvals..............................................................22
         8.5      Supplementary Financial Information............................................................22
         8.6      Exclusivity....................................................................................23

ARTICLE IX:  CONDITIONS PRECEDENT TO BUYER'S OBLIGATIONS.........................................................23
         9.1      Representations and Warranties.................................................................23
         9.2      Performance of Covenants.......................................................................23
         9.3      Delivery of Closing Certificate................................................................23
         9.4      Opinions of Counsel............................................................................23
         9.5      Legal Matters..................................................................................23
         9.6      Authorization Documents........................................................................23
         9.7      Material Change................................................................................24
         9.8      Approvals......................................................................................24
         9.9      Delivery of Stock Purchase Options.............................................................24
         9.10     Other Documents................................................................................24


                                      (ii)

<PAGE>




ARTICLE X:  CONDITIONS PRECEDENT TO SHAREHOLDERS' OBLIGATIONS....................................................24
         10.1     Representations and Warranties.................................................................24
         10.2     Performance of Covenants.......................................................................25
         10.3     Delivery of Closing Certificate................................................................25
         10.4     Opinion of Counsel.............................................................................25
         10.5     Legal Matters..................................................................................25
         10.6     Authorization Documents........................................................................25
         10.7     Approvals......................................................................................25
         10.10    Payment of Promissory Notes....................................................................25
         10.11    Other Documents................................................................................26

ARTICLE XI:  OBLIGATIONS OF THE PARTIES AFTER CLOSING............................................................26
         11.1     Survival of Representations and Warranties.....................................................26
         11.2     Indemnification by Shareholders................................................................26
         11.3     Indemnification by Buyer.......................................................................27
         11.4     Assertion of Claims............................................................................27
         11.5     Control of Defense of Indemnifiable Claims.....................................................27
         11.6     Restrictions...................................................................................28
         11.7     Records........................................................................................29

ARTICLE XII:  TERMINATION........................................................................................29
         12.1     Termination....................................................................................29
         12.2     Effect of Termination..........................................................................29

ARTICLE XIII:  MISCELLANEOUS.....................................................................................30
         13.1     Costs and Expenses.............................................................................30
         13.2     Performance....................................................................................30
         13.3     Benefit and Assignment.........................................................................30
         13.4     Effect and Construction of this Agreement......................................................30
         13.5     Cooperation - Further Assistance...............................................................30
         13.6     Notices........................................................................................30
         13.7     Waiver, Discharge, Etc.........................................................................31
         13.8     Rights of Persons Not Parties..................................................................31
         13.9     Governing Law..................................................................................32
         13.10    Amendments, Supplements, Etc...................................................................32
         13.11    Severability...................................................................................32
</TABLE>





                                      (iii)

<PAGE>




                                    SCHEDULES

Schedule 4.3      -        Consent List of the Company
Schedule 4.4      -        Accounts Payable Aging Schedule
Schedule 4.5(a)   -        Company Shares
Schedule 4.5(b)   -        Convertible Instruments
Schedule 4.6      -        Trademarks, Service Marks and Copyrights
Schedule 4.7      -        Contracts
Schedule 4.8      -        Financial Statements
Schedule 4.9      -        Material Changes
Schedule 4.10     -        Licenses, Permits
Schedule 4.11(b)  -        Leases of Personal Property, Liens
Schedule 4.12     -        Legal Proceedings
Schedule 4.13     -        Employees
Schedule 4.15(b)  -        Employee Benefit Plans
Schedule 4.15(c)  -        COBRA
Schedule 4.16     -        Insurance and Surety Agreements
Schedule 4.17     -        Relationships
Schedule 4.18     -        Absence of Certain Events
Schedule 4.21     -        Tax Returns
Schedule 4.23     -        Joint Ventures and Subsidiaries
Schedule 4.25     -        Medicare and Medicaid
Schedule 4.26     -        Leasehold Interests
Schedule 6.3      -        Consent List of Buyer


                           EXHIBITS

Exhibit A         -        Certificate of Merger
Exhibit 9.4       -        Seller's Legal Opinion
Exhibit 9.9       -        Termination and Release Agreement
Exhibit 10.4      -        Buyer's Legal Opinion


                                      (iv)

<PAGE>






                      AGREEMENT AND PLAN OF REORGANIZATION




                  This Agreement and Plan of Reorganization (the "Agreement") is
made as of the 8th day of November,  1996,  among  INTEGRATED  HEALTH  SERVICES,
INC., a Delaware  corporation  ("Buyer"),  IHS ACQUISITION XXI, INC., a Delaware
corporation ("Newco"), LIFEWAY PARTNERS LLC and FRED MCCALL-PEREZ (collectively,
the "Shareholders"), and LIFEWAY, INC., a Delaware corporation (the "Company").

                  WHEREAS,  Shareholders  are the owners of  capital  stock (the
"Company Shares") of the Company as set forth on Schedule 4.5; and

                  WHEREAS,  Newco is a direct wholly-owned  subsidiary of Buyer;
and

                  WHEREAS,  the  Board of  Directors  of Buyer,  Newco,  and the
Company  deemed it  advisable  to merge  Newco  with and into the  Company  (the
"Merger") pursuant to this Agreement and the Plan of Merger annexed as Exhibit A
hereto (the "Plan of Merger") in a transaction intended to qualify under Section
368(a) of the Internal Revenue Code of 1986, as amended (the "Code"); and

                  WHEREAS,  pursuant  to the Merger all  Company  Shares will be
converted into the right to receive the Merger Consideration as described below;
and

                  WHEREAS,  to effectuate  the  foregoing the parties  desire to
adopt a plan of  reorganization,  in accordance  with the  provisions of Section
368(a) of the Code.

                  NOW, THEREFORE,  Shareholders,  Newco, Buyer, and the Company,
intending to be legally bound, agree as follows:

                                ARTICLE I: MERGER

                  1.1  Merger.  Subject  to the  terms  and  conditions  of this
Agreement at the Effective Time of Merger (as defined hereinafter),  Newco shall
be merged with and into the Company and the  separate  existence  of Newco shall
cease.

                  1.2  Issuance of IHS Stock.  Buyer agrees that  following  the
Effective  Time of  Merger,  as  defined  below,  it will issue IHS Stock to the
extent set forth in, and in accordance  with the terms of this Agreement and the
Plan of Merger.

                  1.3  Taking  of  Necessary  Action.  Prior  to and  after  the
Effective Time of Merger,  subject to the provisions of this Agreement,  each of
Buyer,  Newco, and the Company shall take all such action as may be necessary or
appropriate  in order to effect the Merger and the  conversion of Company Shares
as  contemplated  hereunder.  In case at any time  after the  Effective  

                                        1

<PAGE>



Time of Merger any further  action is  necessary  or  desirable to carry out the
purposes  of this  Agreement  and to vest Buyer  with full title to the  Company
Shares and Shareholders with full title to IHS Stock, the parties shall take all
such necessary action.

                  1.4 Assets.  As of the Closing Date, the assets of the Company
(the  "Assets")  will include all of the tangible and  intangible  assets of the
Company  and its  subsidiaries  as  presently  constituted,  including,  without
limitation,  all  contract  rights,  leasehold  interests,  fixed  and  moveable
equipment,  vehicles,  furnishings,  tangible personal  property,  inventory and
supplies  (other than inventory,  supplies,  and other assets disposed of in the
ordinary  course  of  business,  consistent  with  prior  practice),   goodwill,
tradenames,  trademarks,  all patient records, books and files,  Certificates of
Need, Medicare and Medicaid provider agreements and numbers, provider agreements
with third party payors,  telephone numbers, and to the extent permitted by law,
all permits,  licenses and other governmental  approvals,  free and clear of all
liens,  except for Permitted Liens as defined in Section 4.11 below,  claims and
encumbrances.  The  Assets of the  Company  as of the  Closing  Date  shall also
include cash, accounts receivable, and prepaid expenses.

                  1.5 Liabilities.  At the Closing, the Company shall deliver to
Buyer  the  balance  sheet  of the  Company  dated as of the  Closing  Date on a
consolidated  basis,  certified by the Company's  Chief  Financial  Officer (the
"Closing Date Balance Sheet"). As of the Closing,  the Company will not have any
liabilities other than such long-term liabilities and current liabilities as are
reflected on the Closing Date Balance Sheet.  For purposes of this Agreement the
term "Liability" means any claim, lawsuit, liability,  obligation or debt of any
kind or nature whatsoever,  whether absolute,  accrued, due, direct or indirect,
contingent or liquidated, matured or unmatured, joint or several, whether or not
for a sum certain,  whether for the payment of money or for the  performance  or
observance of any  obligation  or condition,  and whether or not of a type which
would  be  reflected  as a  liability  on a  balance  sheet in  accordance  with
generally  accepted  accounting  principles,   consistently  applied,  including
without limitation (i) malpractice claims asserted by patients or any other tort
claims  asserted,  claims  for  breach of  contract,  or any  claims of any kind
asserted by  patients,  former  patients,  employees or any other party that are
based on acts or omissions occurring on or before the Closing Date; (ii) amounts
due or that may become due to  Medicare  or  Medicaid  or any other  health care
reimbursement  or  payment  intermediary  on  account of  Medicare  cost  report
adjustments or other payment adjustments  attributable to any period on or prior
to the  Closing  Date,  or any  other  form of  Medicare  or other  health  care
reimbursement  recapture,  adjustment or overpayment  whatsoever with respect to
any period on or prior to the Closing Date ("Excess Reimbursement Liabilities");
(iii) any accounts payable or employment or other taxes except for those current
liabilities  disclosed on the Closing Date Balance  Sheet,  and (iv) accrued but
unpaid compensation or other benefits to any of the Company's employees, agents,
consultants or advisers,  including  accrued  vacation  except for those current
liabilities disclosed on the Closing Date Balance Sheet.






                                        2

<PAGE>
                        ARTICLE II: MERGER CONSIDERATION


                  2.1  Determination  and Payment of Merger  Consideration.  The
aggregate merger consideration payable by the Buyer for the Company Shares shall
be in an  amount  equal to NINE  HUNDRED  THOUSAND  ($900,000.00)  DOLLARS  (the
"Merger  Consideration"),  which amount shall be payable at the Closing,  by the
delivery  to  certain  of the  Shareholders  or their  respective  assignees  of
newly-issued  shares of the Common  Stock,  par value $.001 per share,  of Buyer
(the  "IHS  Stock"),  based  upon the  valuation  and  subject  to the terms and
conditions  of Section  2.2  hereof.  The  amounts  of IHS Stock  payable at the
Closing to each respective Shareholder shall be as set forth below:

Shareholder                         IHS Stock

Lifeway Partners, LLC               $ 650,000.00

Fred McCall-Perez                   $ 250,000.00


                  2.2  IHS  Stock.  The  Merger  Consideration  as  well as that
portion  of the Bonus  Payments  as set  forth in  Section  10.9  below and that
portion of the  Promissory  Notes  Payment as set forth in Section  10.10  below
payable  by  Buyer  by  means  of the  delivery  of IHS  Stock  shall be paid in
accordance with and subject to the following:

                           (a)      Share  Value.  The  number  of shares of IHS
Stock  issuable  pursuant to Sections  2.1,  10.9 and 10.10 shall be  calculated
based upon a price per share of such stock  equal to the  closing New York Stock
Exchange ("NYSE") price of such stock on the day before the Closing Date.

                           (b)      Registration Rights. Buyer will use its best
efforts to cause to be prepared and filed within ninety (90) days  following the
Closing Date,  and will use its best efforts to have  declared  effective by the
Securities and Exchange Commission (the "Commission"),  a registration statement
for the  registration  of the IHS Stock  under the  Securities  Act of 1933,  as
amended (the "Securities  Act"),  and Buyer shall maintain the  effectiveness of
such registration  statement for a period of two (2) years following the date it
became  effective,  except to the extent that an exemption from registration may
be available.

                           (c)      Registration Expenses.  Buyer shall bear all
reasonable expenses related to such registration.  Such costs and expenses shall
include,  without limitation,  the fees and expenses of counsel for Buyer and of
its  accountants,  all other costs,  fees and expenses of Buyer  incident to the
preparation,  printing,  registration and filing under the Securities Act of the
registration  statement and all amendments and supplements  thereto, the cost of
furnishing copies of each preliminary prospectus, each final prospectus and each
amendment or supplement thereto to underwriters, dealers and other purchasers of
IHS Stock  and the  costs and  expenses  (including  

                                        3

<PAGE>
fees and disbursements of counsel) incurred in connection with the qualification
of IHS Stock under the Blue Sky laws of various jurisdictions.

                           (d)      Resale   Limitations.    Fred   McCall-Perez
individually  covenants with Buyer that he shall not sell or otherwise  transfer
any shares of IHS Stock  received by him pursuant to this Agreement for a period
of one (1) year after the Closing  Date.  All sales by Holders shall be effected
solely through Smith Barney, Inc.

                           (e)      Registration Procedures,  etc. In connection
with the  registration  rights  granted to the Holders  with  respect to the IHS
Stock as provided in this Section 2.2, Buyer covenants and agrees as follows:

                                    (i)     At Buyer's expense,  Buyer will keep
the  registration  and  qualification  under this Section 2.2 effective  (and in
compliance  with the  Securities  Act) by such  action  as may be  necessary  or
appropriate  for a  period  of two  (2)  years,  except  to the  extent  that an
exemption from registration may be available.  Buyer will immediately notify the
Holders,  at any time when a  prospectus  relating to a  registration  statement
under this Section 2.2 is required to be delivered  under the Securities Act, of
the  happening  of any event known to Buyer 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.

                                    (ii)    Buyer shall furnish the Holders with
such number of prospectuses as shall reasonably be requested.

                                    (iii)   Buyer   shall  take  all   necessary
action which may be required in qualifying or registering  IHS Stock included in
a registration  statement for offering and sale under the securities or Blue Sky
laws of such states as reasonably  are  requested by the Holders,  provided that
Buyer shall not be obligated to qualify as a foreign corporation or dealer to do
business under the laws of any such jurisdiction.

                                    (iv)    The    information    included    or
incorporated by reference in the  registration  statement filed pursuant to this
Section  2.2 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
statement  will  comply in all  material  respects  with the  provisions  of the
Securities Act and the rules and regulations  thereunder.  Buyer shall indemnify
the  Holders of IHS Stock to be sold  pursuant  to the  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  ("Exchange  Act"),  against 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, 

                                        4

<PAGE>




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  IHS  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 any of the
Holders  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
2.2(e)(iv), the Holders or such controlling person shall within thirty (30) days
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  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 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 fees and  expenses  of not more than one  additional  firm of
attorneys  for the Holders  and/or  such  controlling  person  shall be borne by
Buyer. Except as expressly provided in the previous two sentences,  in the event
that Buyer shall not previously  have assumed the defenses of any such action or
claim,  Buyer shall not thereafter be liable to the Holders or such  controlling
person in investigating,  preparing or defending any such action or claim. Buyer
agrees  promptly to notify the Holders of the  commencement of any litigation or
proceedings  against  Buyer or any of its  officers,  directors  or  controlling
persons in connection  with the resale of IHS Stock or in  connection  with such
registration statement.

                                    (v)     The  Holders of IHS Stock to be sold
pursuant to a registration  statement,  and their successors and assigns,  shall
severally, and not jointly, indemnify Buyer, its officers and directors and each
person,  if any,  who  controls  Buyer  within the  meaning of Section 15 of the
Securities  Act or Section  20(a) of the Exchange  Act against 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 furnished in writing
by or on behalf of such  Holders,  or their  successors  or assigns for specific
inclusion in such registration statement.

                           (f)      Notice  of Sale.  If the  Holders  desire to
transfer  all or any portion of IHS Stock,  the  Holders  will  deliver  written
notice to Buyer,  describing in reasonable  detail

                                        5

<PAGE>

their intention to effect the transfer and the manner of the proposed  transfer.
If the  transfer is to be pursuant to an  effective  registration  statement  as
provided  herein,  the Holders  will sell the IHS Stock in  compliance  with the
disclosure  therein and discontinue any offers and sales  thereunder upon notice
from Buyer  that the  registration  statement  relating  to the IHS Stock  being
transferred  is not "current"  until Buyer gives further  notice that offers and
sales may be  recommenced.  In the event of any such notice  from  Buyer,  Buyer
agrees to file  expeditiously  such amendments to the registration  statement as
may be  necessary  to bring it current  during the period  specified  in Section
2.6(e) and to give prompt notice to the Holders when the registration  statement
has again become current.  If the Holders deliver to Buyer an opinion of counsel
reasonably  acceptable  to Buyer  and its  counsel  and to the  effect  that the
proposed  transfer  of IHS  Stock  may be made  without  registration  under the
Securities Act, the Holders will be entitled to transfer IHS Stock in accordance
with the terms of the notice and opinion of their counsel.

                           (g)      Furnish Information. It shall be a condition
precedent to the  obligations  of the Buyer to take any action  pursuant to this
Section  2.2 that the  Holders  shall  furnish  in  writing  to the  Buyer  such
information regarding  themselves,  the IHS Stock held by them, and the intended
method of  disposition  of such  securities  as shall be  required to effect the
registration  of their IHS  Stock.  In that  connection,  each  Holder  shall be
required to represent to the Buyer that all such  information  which is given is
both complete and accurate in all material respects.  Such Holders shall deliver
to the  Buyer  a  statement  in  writing  from  the  beneficial  owners  of such
securities that they bona fide intend to sell,  transfer or otherwise dispose of
such securities. Each Holder will, severally,  promptly notify Buyer at any time
when a prospectus  relating to a registration  statement  covering such Holder's
shares under this Section 2.2 is required to be delivered  under the  Securities
Act, of the happening of any event known to such Holder 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 statements as then existing.

                           (h)      Investment  Representations.  All  shares of
IHS Stock to be  issued  hereunder  will be newly  issued  shares of Buyer.  The
Shareholders  represent  and  warrant to Buyer that the IHS Stock  being  issued
hereunder is being  acquired,  and will be  acquired,  by the  Shareholders  for
investment  for  their  own  accounts  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; the  Shareholders  acknowledge that
the IHS Stock  constitutes  restricted  securities under Rule 144 promulgated by
the  Commission  pursuant  to the  Securities  Act,  and  may  have  to be  held
indefinitely,  and the  Shareholders  agree  that no  shares of IHS Stock may 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, the rules and regulations  thereunder,  and under all applicable
state  securities  laws. The  Shareholders  have the knowledge and experience in
financial and business  matters,  are capable of evaluating the merits and risks
of the  investment,  and are able to bear the economic risk of such  investment.
The  Shareholders  have had the opportunity to make inquiries of and obtain from
representatives  and  employees of Buyer such other  information  about Buyer as
they deem necessary in connection with such investment.

                                        6

<PAGE>

                           (i)      Legend.    It   is   understood   that   the
certificates  evidencing  the IHS Stock  shall  bear a legend  substantially  as
follows:

                    THE SHARES  REPRESENTED  BY THIS  CERTIFICATE  HAVE NOT BEEN
                    REGISTERED UNDER THE SECURITIES ACT OF 1933. THE SHARES HAVE
                    BEEN   ACQUIRED  FOR   INVESTMENT   AND  MAY  NOT  BE  SOLD,
                    TRANSFERRED  OR  ASSIGNED  IN THE  ABSENCE  OF AN  EFFECTIVE
                    REGISTRATION STATEMENT FOR THESE SHARES UNDER THE SECURITIES
                    ACT OF 1933 OR AN  OPINION  OF THE  COMPANY'S  COUNSEL  THAT
                    REGISTRATION IS NOT REQUIRED UNDER SAID ACT.

                           (j)      Certain  Transferees.  Except in the case of
any  transfer  to a  person  in an open  market  transaction  subsequent  to the
effective date of  registration  of the IHS Stock,  no Holder shall transfer any
shares of IHS Stock to any person or entity  unless such  transferee  shall have
agreed in writing to be bound by the provisions  applicable to the Holders under
this Article II.


                            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 on November 13,
1996,  at the  offices of Buyer,  or at such other time and place upon which the
parties may agree.  The date on which the Closing is held is hereinafter  called
the "Closing Date." Subject to the conditions set forth herein,  at the Closing,
Shareholders  shall  deliver  to Buyer the  Company  Shares,  duly  endorsed  or
accompanied by one or more stock powers duly endorsed, as applicable,  and Buyer
shall deliver to  Shareholders  those stock  certificates  issued in the name of
Shareholders  representing  that  number  of  shares  of IHS  Stock  payable  to
Shareholders as the Merger Consideration, pursuant to Section 2.1 hereof.

                  3.2 Filings at Closing.  At the  Closing  Date,  Buyer and the
Company shall cause the Plan of Merger or such other  certificate as required to
be filed in accordance with the Delaware  General  Corporation  Law, and each of
Buyer and the Company shall take any and all lawful  actions to cause the Merger
to become effective.

                  3.3 Effective  Time.  Subject to the terms and  conditions set
forth herein, including receipt of all required regulatory approvals, the Merger
shall become effective at the time the Plan of Merger or such other  certificate
as required by the Delaware Secretary of State is made effective (the "Effective
Time of Merger").






                                        7

<PAGE>
           ARTICLE IV: REPRESENTATIONS AND WARRANTIES OF SHAREHOLDERS

                  Shareholders   hereby  jointly  and  severally  represent  and
warrant to Buyer as follows:

                  4.1 Organization and Standing of the Company. The Company is a
corporation duly organized, validly existing and in good standing under the laws
of the State of Delaware.  Copies of the Company's Articles of Incorporation and
By-Laws,  and all amendments  thereof to date,  have been delivered to Buyer and
are  complete and  correct.  The Company has the power and  authority to own the
property and assets now owned by it and to conduct the business  presently being
conducted by it.

                  4.2 Absence of Conflicting  Agreements.  Neither the execution
or delivery of this Agreement,  including all Schedules and Exhibits hereto,  or
any of the other instruments and documents  required or contemplated  hereby and
thereby  ("Transaction  Documents")  by  Shareholders  or the  Company,  nor the
performance  by  Shareholders  or the Company of the  transactions  contemplated
hereby and thereby,  conflicts  with,  or  constitutes  a breach of or a default
under (i) the Articles of Incorporation  or By-Laws of the Company;  or (ii) any
applicable law, rule, judgment, order, writ, injunction, or decree of any court,
currently  in  effect;  or  (iii)  any  applicable  rule  or  regulation  of any
administrative  agency or other governmental  authority  currently in effect; or
(iv) any  agreement,  indenture,  contract or instrument to which the Company is
now a party or by which any of the assets of the Company is bound.

                  4.3  Consents.   Except  as  disclosed  on  Schedule  4.3,  no
authorization,  consent, approval, license, exemption by, filing or registration
with any court or governmental department,  commission, board, bureau, agency or
instrumentality, domestic or foreign, is or will be necessary in connection with
the  execution,  delivery  and  performance  of  this  Agreement  or  any of the
Transaction Documents by any of the Shareholders or the Company.

                  4.4 Assets. As of the Closing,  the consolidated Assets of the
Company will include all of the tangible and intangible assets of the Company as
presently  constituted,   including,   without  limitation,  cash  and  accounts
receivable; provided, however, that Assets shall not include inventory, supplies
and other assets disposed of in the ordinary course of business, consistent with
the prior practice of the Company's business.  The quantities of inventory items
included in the Assets are  reasonable  in light of the present and  anticipated
volume of the Company  and the  inventory  is good,  usable,  merchantable,  and
salable in the ordinary  course of the Company,  in each case,  as determined by
the  Company in good  faith and  consistent  with past  practice.  The  accounts
receivable  of the  Company are  reflected  properly on its books and records in
accordance with GAAP, and have been billed or invoiced in the ordinary course of
business  consistent with past practice.  Schedule 4.4 sets forth a complete and
accurate  accounts  payable  aging  schedule of the Company as of September  30,
1996.  The  Assets  are not  subject  to any  liens or  encumbrances,  except as
identified on Schedule 4.11 and expressly accepted by Buyer hereto.


                                        8

<PAGE>
                  4.5 Company Shares.  Schedule 4.5(a) sets forth: a) a complete
list and  description  of the  authorized  shares of the Company,  the number of
shares issued and  outstanding  of each class or series of such shares,  and the
identity of each  shareholder of the Company,  in each case indicating the class
and number of shares  held and the number of shares  subject to any  outstanding
option or warrant;  and b) the outstanding  promissory notes of the Company.  No
shares of the Company  Shares are held in the treasury of the Company.  Schedule
4.5(b) sets forth a complete list and  description of all options,  warrants and
convertible  promissory notes, and any other agreements,  rights, or instruments
which are or may become  exercisable for or convertible  into any capital of the
Company (the  "Convertible  Instruments"),  the number of shares  issuable  upon
exercise or conversion  (as the case may be), and the identity of each holder of
a Convertible  Instrument.  Except as set forth on Schedule 4.5(b), there are no
preemptive  or first  refusal  rights to purchase or otherwise  acquire  capital
shares of the  Company  pursuant  to any  provision  of law or the  Articles  of
Incorporation  or By-laws of the Company or by  agreement or  otherwise.  On the
Closing Date,  there shall not be outstanding  any warrants,  options,  or other
rights to subscribe for or purchase  from the Company any capital  shares of the
Company,  nor shall there be  outstanding  any  securities  convertible  into or
exchangeable for such shares.

                  4.6  Trademarks.  Schedule  4.6  sets  forth  a  complete  and
accurate list of all registered  trademarks,  service marks, or applications for
any of the same,  copyrights,  and other items of intellectual property that are
owned,  possessed  or used by the  Company.  There are no claims or  proceedings
pending or, to the knowledge of the Shareholders, overtly threatened against the
Company asserting that the use of any of the aforementioned properties or rights
infringes the rights of any other person, and, to the knowledge of Shareholders,
the Company is not infringing on the  intellectual  property rights of any other
person.

                  4.7 Contracts.  Schedule 4.7 sets forth a complete and correct
list of all agreements, contracts and commitments of the following type to which
the Company is a party or by which the Company or the Company's assets are bound
and as to which the Company has any outstanding  material  obligations as of the
date hereof (the "Contracts"):

                           (a)      each   contract   or   agreement   for   the
employment or retention of, or collective  bargaining,  severance or termination
agreement with, any director, officer, employee,  consultant,  agent or group of
employees of the Company;

                           (b)      each   profit   sharing,    thrift,   bonus,
incentive, deferred compensation, shares option, shares purchase, severance pay,
pension, retirement, hospitalization, insurance or other similar plan, agreement
or arrangement;

                           (c)      each agreement or  arrangement  for the sale
of any of the Company's assets, properties or rights outside the ordinary course
of business (by sale of assets,  sale of shares,  merger or otherwise)  which is
currently in effect;



                                        9

<PAGE>
                           (d)      each  contract  currently  in  effect  which
contains any provisions  requiring the Company to indemnify or act for any other
person or entity;

                           (e)      each agreement  restricting the Company from
conducting business anywhere in the world;

                           (f)      each  partnership or joint venture  contract
or  similar  arrangement  or  agreement  which is likely to involve a sharing of
profits or future payments with respect to the Company's business or any portion
thereof;

                           (g)      each   licensing,    distributor,    dealer,
franchise,  sales or  manufacturer's  representative,  agency  or other  similar
contract,  arrangement or commitment  which involves  consideration of more than
$15,000;

                           (h)      each   contract   under  which  the  Company
performs services; and

                           (i)      any   other    agreement    which   involves
consideration of more than $15,000.

                  Except as indicated on Schedule 4.7, each of the Contracts was
entered into and requires  performance in the ordinary course of business and is
in full force and effect.  Except as indicated  on Schedule  4.7, the Company is
not in default under any Contract and there has not been asserted,  either by or
against the Company under any Contract,  any written notice of default,  set-off
or claim of default.  To the knowledge of the  Shareholders,  the parties to the
Contracts  other than the Company are not in default of any of their  respective
obligations under the Contracts, and there has not occurred any event which with
the passage of time or the giving of notice (or both) would constitute a default
or breach  under any  Contract.  All amounts  payable by the  Company  under the
Contracts are, or will at the Closing Date, be on a current basis.

                  4.8      Financial Statements.

                           (a)      The  unaudited  balance sheet of the Company
as of  September  30,  1996,  and  the  related  statements  of  operations  and
accumulated  deficit and  statements  of cash flows for the 9 month  period then
ended,  certified by an officer of the Company (the "Unaudited Interim Financial
Statements"),  previously  delivered  to Buyer by  Shareholders,  to the best of
Shareholders'  knowledge  present fairly in all material  respects the financial
condition  and  results of  operations  of the  Company  at and for the  periods
therein  specified.  Such  statements  of  operation do not contain any items of
special or  nonrecurring  income or  expense  or any other  income not earned or
expense not  incurred in the  ordinary  course of business  except as  expressly
specified therein or as listed as adjustments on Schedule 4.8.

                           (b)      The  unaudited  balance sheet of the Company
as of December 31, 1995, and the related statement of operations and accumulated
deficit  and  statement  of cash  flows  for the  year  then  ended,  previously
delivered  by  Shareholders  to Buyer,  to the best of  Shareholders'  knowledge
present fairly in all material  respects the financial  condition and results 

                                       10

<PAGE>
of  operations  of the  Company at and for the period  therein  specified.  Such
statements  of  operation  do not contain  any items of special or  nonrecurring
income or expense or any other  income not earned or expense not incurred in the
ordinary course of business except as expressly  specified  therein or as listed
as adjustments on Schedule 4.8.

                           (c)      Except  as set forth on  Schedule  4.8 or as
expressly set forth on the Unaudited Interim Financial  Statements,  the Company
has  no  material  liabilities  or  obligations   (whether  absolute,   accrued,
contingent  or otherwise  and whether due or to become due,  including,  without
limitation,  any guarantees of any obligations of any other person or entity) of
any  kind or  nature  whether  or not  required  by GAAP  to be  reflected  on a
corporate balance sheet and/or the notes thereto.

                  4.9  Material  Changes.  Except as set forth on Schedule  4.9,
since the date of the Unaudited Interim Financial Statements, there has not been
any material  adverse  change in the  condition  (financial or otherwise) of the
assets,  properties  or  operations  of the  Company,  whether or not covered by
insurance,  and during  such period of time the Company has and from the date of
this Agreement  through the Closing,  will have,  conducted its business only in
the ordinary and normal course,  and made no  distributions  to the Shareholders
other than wages paid in the ordinary and normal course of business.

                  4.10 Licenses; Permits. Schedule 4.10 sets forth a description
of (a)  all  licenses  and  other  governmental  or  other  regulatory  permits,
authorizations or approvals required for the operation of the Company's business
that are now in effect,  including  all  certificates  of occupancy  issued with
respect to the Company's business; and (b) each other license,  permit, or other
authorization  that is necessary for the operation of the Company's  business (a
"License" and collectively,  the "Licenses"). The Licenses constitute all of the
governmental,   quasi-governmental   and   regulatory   licenses,   permits  and
authorizations necessary to the operation of the business of the Company and its
subsidiaries as they are operated on the date hereof.  The Company has delivered
to Buyer copies of all of the  Licenses.  Except as set forth on Schedule  4.10,
the Company and its  subsidiaries  own,  possess or otherwise have the exclusive
legal right to use the Licenses, free and clear of all liens, pledges, claims or
other  encumbrances  of any nature  whatsoever.  The  Company is not in material
default under any such License,  and the Company and its  subsidiaries  have not
received  any  notice of any  material  default or any other  material  claim or
proceeding  relating to any such License,  except as set forth on Schedule 4.10.
Except as set forth on Schedule 4.10,  each License is in full force and effect,
and neither the Company nor any of its  subsidiaries has received written notice
of any  proceeding  to terminate  or suspend any License or of any  condition or
event which,  if uncured,  would result in the  termination or suspension of any
License. None of the Licenses are: (a) provisional,  probationary, or restricted
in any way except to the extent  qualified by any  outstanding  deficiencies  or
citations,  particulars  of which have been set forth on Schedule  4.10;  or (b)
subject  to any  investigation,  cancellation,  impairment,  limitation,  order,
complaint,  proceeding,  or suspension nor is such threatened or pending. Except
as set forth on Schedule  4.10,  all Licenses  are in full force and effect.  No
conditions  requiring  changes  in the  operation  of the  Company or any of its
subsidiaries  have been imposed,  formally or informally,  by any License issuer
during the past  twenty-four (24) months.  No Shareholder,  director or officer,
employee or former employee of the Company,  or any person,  firm or corporation
other than the Company owns or has any proprietary, financial or other interest,
direct or indirect, in whole or in part in any of the Licenses.


                                       11

<PAGE>
                  4.11     Title, Condition of Personal Property.

                           (a)      The Company has good and indefeasible  title
to, or valid and subsisting leasehold interests in, all of the personal property
located at or used in connection  with operation of its business,  subject to no
mortgage,  security  interest,  pledge,  lien, claim,  encumbrance or charge, or
restraint on transfer  whatsoever other than Permitted Liens (as defined below).
No other person has any right to the use or  possession  of any of such property
which is owned and no currently  effective  financing  statement with respect to
such personal  property has been filed under the Uniform  Commercial Code in any
jurisdiction, and the Company has not signed any such financing statement or any
security  agreement  authorizing  any secured party  thereunder to file any such
financing  statement  except  for the  Permitted  Liens.  All of  such  personal
property  comprising  equipment,  improvements,  furniture  and  other  tangible
personal  property in use at the Company,  whether  owned or leased,  is in good
operating  condition  and  repair,  subject  to  normal  wear and  tear,  and is
sufficient to enable the Company to operate its business in a manner  consistent
with its operation during the immediately preceding twelve (12) months.

                           (b)      Except as set forth on Schedule 4.11(b),  no
tangible  personal property used by the Company in connection with the operation
of its business is subject to a lease,  conditional  sale,  security interest or
similar arrangement. Shareholders have delivered to Buyer a complete and correct
copy of each of the leases and other agreements listed on Schedule 4.11(b).  All
of  said  personal  property  leases  are  valid,  binding  and  enforceable  in
accordance  with their  respective  terms and are in full force and effect.  The
Company  is not in  default  under  any of such  leases  and  there has not been
asserted, either by or against the Company under any of such leases, any written
notice of  default,  set-off,  or claim of  default.  To the best  knowledge  of
Shareholders,  the  parties to such  leases  other than the  Company  are not in
default of their respective  obligations under any of such leases, and there has
not  occurred  any event  which with the passage of time or giving of notice (or
both) would constitute such a default or breach under any of such leases.

                           (c)      "Permitted Liens" shall mean

                                     (i)    carriers',           warehouseman's,
mechanics,  materialmen's,  repairmen's  or  other  like  liens  arising  in the
ordinary  course of business which are (i) not overdue for a period of more than
30 days or (ii)  which  are being  contested  in good  faith and by  appropriate
proceedings, provided that if such contest shall continue for more than 30 days,
the amount  thereof shall be bonded or properly  reserved  against at the end of
such 30-day period;

                                    (ii)    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;

                                    (iii)   rights of lessees  under  leases set
forth on Schedule 4.11(b);


                                       12

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

                                    (v)     liens described on Schedule 4.11(b).

                  4.12 Legal  Proceedings.  Other than as set forth on  Schedule
4.12, there are no claims, actions, suits or proceedings or arbitrations, either
administrative or judicial,  pending,  or, to the knowledge of the Shareholders,
overtly  threatened against or affecting the Company or the Company's ability to
consummate  the  transactions  contemplated  herein,  at  law  or in  equity  or
otherwise,  before or by any court or governmental  agency or body,  domestic or
foreign, or before an arbitrator of any kind.

                  4.13 Employees.  Schedule 4.13 contains a complete and correct
list of the name,  position,  and  current  rate of  compensation  and any other
compensation arrangements or fringe benefits, of (i) each officer and management
level employee of the Company,  and (ii) any consultant or agent of the Company,
that is not reflected in any agreement or document  referred to in Schedule 4.7.
Except as set forth on Schedule  4.13,  the Company  does not have any  pension,
profit  sharing,  or welfare  benefit plan  applicable to any of its  employees.
Except as described on Schedule 4.13, (i) no such employee,  consultant or agent
has any vested or unvested  retirement  benefits or other termination  benefits,
and (ii) the  Company  has no  liability  for any  accrued  and unpaid  employee
benefits  (including accrued vacation and sick days) for which adequate reserves
are not reflected on the Company's September 30, 1996 balance sheet.

                  4.14  Collective  Bargaining,   Labor  Contracts,   Employment
Practices,  Etc. During the two years prior to the Closing Date,  there has been
no  material  adverse  change in the  relationship  between  the Company and its
employees  nor any  strike  or  material  labor  disturbance  by such  employees
affecting the Company's business and, to the knowledge of the Company,  there is
no indication  that such a change,  strike or labor  disturbance is likely.  The
Company's   employees  are  not  represented  by  any  labor  union  or  similar
organization  and the Company has no reason to believe that there are pending or
threatened   any   activities,   the  purpose  of  which  is  to  achieve   such
representation,  of all or some of the Company's employees.  Except as set forth
on Schedule 4.7 or Schedule  4.13,  the Company has no collective  bargaining or
other  labor   contracts,   employment   contracts,   pension,   profit-sharing,
retirement,  insurance,  bonus,  deferred compensation or other employee benefit
plans, agreements or arrangements with respect to its employees.  The Company is
in material  compliance with the requirements  prescribed by all Federal,  state
and local statutes,  orders and governmental rules and regulations  ("Government
Requirements")  applicable to any of the employee benefit plans,  agreements and
arrangements  identified on Schedule 4.7 and Schedule 4.13,  including,  without
limitation,  the Employee  Retirement  Income  Security Act of 1974,  as amended
("ERISA"),  the  Immigration  Reform and Control Act, the Worker  Adjustment and
Retraining Notification Act of 1988, any such Government Requirements respecting
employment  determination,  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. In the event of termination of employment of an
employee  of  Company,  Buyer  will  not,  pursuant  to

                                       13

<PAGE>
any agreement with any Shareholder or Company or by reason of any representation
made or plan adopted by any Shareholder  prior to the Closing,  be liable to any
employee of the Company for so-called "severance pay", parachute payments or any
other   similar   payments   or   benefits,   including,   without   limitation,
post-employment  healthcare (other than pursuant to the continuation health care
provisions of Section 4980B of the Internal  Revenue Code of 1986, as amended or
Section 601 through 608 of ERISA ("COBRA") or insurance benefits.

                  4.15     ERISA.

                           (a)      The  Company   does  not  maintain  or  make
contributions  to and  has  not at any  time  in the  past  maintained  or  made
contributions  to, any  employee  benefit  plan which is subject to the  minimum
funding  standards  of  ERISA.  The  Company  does  not  now  maintain  or  make
contributions  to,  and  has  not at any  time in the  past  maintained  or made
contributions  to,  any  multi-employer   plan  subject  to  the  terms  of  the
Multi-employer Pension Plan Amendment Act of 1980 (the "Multi-employer Act").

                           (b)      Schedule  4.15(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 Company).

                           (c)      Schedule 4.15(c) identifies all employees of
the Company on leave of absence eligible to receive health benefits, as required
by COBRA.  Notice of the availability of COBRA coverage has been provided to all
employees of the Company on leave of absence entitled  thereto,  and all persons
electing  such coverage are being (or have been,  if  applicable)  provided such
coverage.

                  4.16 Insurance and Surety Agreements. Schedule 4.16 contains a
true and correct list of: (a) all policies of fire, liability and other forms of
insurance  held  or  owned  by  the  Company   (including  but  not  limited  to
professional  liability  insurance,  and any state sponsored plan or program for
worker's  compensation);  and (b) all  bonds,  indemnity  agreements  and  other
agreements  of  suretyship  made for or held by the  Company,  including a brief
description of the character of the bond or agreement and the name of the surety
or indemnifying  party.  Schedule 4.16 sets forth for each such insurance policy
the name of the insurer,  the amount of  coverage,  the type of  insurance,  the
policy  number,  the annual  premium  and a brief  description  of the nature of
insurance  included  under each such  policy and of any claims  made  thereunder
during the past two (2) years.  Such policies are owned by and payable solely to
the  Company,  and said  policies or renewals or  replacements  thereof  will be
outstanding and duly in force at the Closing Date. All insurance policies listed
on Schedule 4.16 are in full force and effect, all premiums due on or before the
Closing  Date have  been or will be paid on or  before  the  Closing  Date,  the
Company has not been advised by any of its insurance carriers of an intention to
terminate or modify any such policies other than under  circumstances  where the
Company has received a commitment for 
                                       14

<PAGE>
a  replacement  policy,  nor has the  Company  failed to comply  with any of the
material conditions contained in any such policies.

                  4.17  Relationships.  Except as  disclosed  on  Schedule  4.17
hereto,  no Shareholder and no partner or any affiliate of any Shareholder  has,
or at any time  within  the last two (2) years  has had,  a  material  ownership
interest in any business,  corporate or otherwise, that is a party to, or in any
property that is the subject of, business  relationships  or arrangements of any
kind relating to the operation of the Company by which the Company will be bound
after the Closing.

                  4.18   Absence  of  Certain  Events.   Except as set forth on 
Schedule 4.18, since the date of the Unaudited Interim Financial Statements, the
Company has not, and from the date of this  Agreement  through the Closing Date,
the Company will not have:

                           (a)     sold,  assigned  or  transferred  any of its
assets or properties, except in the ordinary course of business;

                           (b)      mortgaged, pledged or subjected to any lien,
pledge,  mortgage,  security  interest,  conditional  sales  contract  or  other
encumbrance of any nature  whatsoever,  other than a Permitted  Lien, any of the
Company's assets;

                           (c)      made   or   suffered   any    amendment   or
termination of any material contract, commitment,  instrument or agreement other
than in the ordinary course of business;

                           (d)      except in the  ordinary  course of business,
or  otherwise  as  necessary  to comply with any  applicable  minimum  wage law,
increased the salaries or other  compensation  of any of its employees,  or made
any  increase  in, or any  additions  to,  other  benefits  to which any of such
employees may be entitled;

                           (e)      failed  to pay or  discharge  when  due  any
liabilities,  the failure to pay or discharge which has caused or will cause any
actual  material  damage  or give  rise to the  risk of a  material  loss to the
Company;

                           (f)      changed  any  of the  accounting  principles
followed by it or the methods of applying such principles;

                           (g)      entered into any material  transaction other
than in the ordinary course of business;

                           (h)      failed to  collect,  withhold  and/or pay to
any proper  governmental agency any federal,  state or local income,  franchise,
sales,  use,  withholding  or  similar  tax  that  applicable  law  requires  be
collected, withheld and/or paid;

                           (i)      instituted,  settled or agreed to settle any
litigation,  action  or  proceeding  before  any  court or  governmental  agency
relating to it or its  property  which will likely 

                                       15

<PAGE>

have or has had a  materially  adverse  effect on the  condition  (financial  or
otherwise),  properties, assets, liabilities,  operations, business or prospects
of the Company or any of its subsidiaries;

                           (j)      entered into any  transaction  other than in
the ordinary course of business  involving  consideration  in excess of $15,000;
and

                           (k)     discharged,  terminated,  separated with, or
otherwise lost any key employees.

                  4.19  Compliance  with Laws. The Company is in compliance with
all Governmental  Requirements (as defined herein).  The Company has not, within
the period of twelve months  preceding the date of this Agreement,  received any
written  notice  that the  Company  or any of the  Assets  fail to comply in any
material respect with any applicable Federal, state, local or other governmental
laws or ordinances,  or any applicable order, rule or regulation of any Federal,
state, local or other governmental  agency having jurisdiction over its business
("Governmental  Requirements").  The Company shall report to Buyer,  within five
(5) business days after receipt thereof, any written notices that the Company is
not in compliance in any material respect with any of the foregoing. Neither the
Company, nor any officer, director,  employee, agent, or other representative of
Company has made, directly,  or indirectly,  any 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.

                  4.20   Finders.   No  broker  or  finder  has  acted  for  the
Shareholders or the Company in connection with the transactions  contemplated by
this  Agreement,  and no other  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 the Shareholders or the Company.

                  4.21     Tax Returns.

                           (a)      Except as set forth in  Schedule  4.21,  (i)
all Tax (as defined below) returns, statements,  reports and forms or extensions
with  respect  thereto  required to be filed with any Federal,  state,  local or
other  governmental  department or court or other authority having  jurisdiction
over it ("Governmental Authority") on or before the Closing Date by or on behalf
of the Company  (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) the Company 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.


                                       16

<PAGE>
                  4.22 Encumbrances Created by this Agreement. The execution and
delivery of this Agreement, or any of the Company's Transaction Documents,  does
not, and the  consummation of the  transactions  contemplated  hereby or thereby
will not, create any liens or other  encumbrances on any of the Company's assets
in favor of third parties.

                  4.23 Subsidiaries and Joint Ventures. Schedule 4.23 sets forth
a complete list of all  subsidiaries,  joint ventures and  partnerships in which
the Company is the record or beneficial  owner of more than ten (10%) percent of
the equity  interest.  All of the issued and  outstanding  capital  stock of the
subsidiaries  listed on Schedule 4.23 hereto is owned of record or  beneficially
by the Company or by one of the listed subsidiaries on Schedule 4.23.

                  4.24 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.

                  4.25     Medicare and Medicaid Programs.   The Company, to the
extent  necessary  to  conduct  the  Company  in a manner  consistent  with past
practice,  is qualified for participation in the Medicare and Medicaid programs.
Except as  reflected on Schedule  4.25,  (a) no  Shareholder  or the Company has
received any notice of recoupment with respect to the Company's operations
from the Medicare or 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 Company prior to the Closing or against any  Shareholder for which Buyer
will be liable,  and (c) to the knowledge of  Shareholders  and the Company,  no
Medicare and Medicaid investigation,  survey or audit is pending,  threatened or
imminent with respect to the operation of the Company prior to the Closing.

                  4.26  Leasehold  Interests.  Schedule 4.26 hereto sets forth a
complete and correct list of all leases  pursuant to which the Company or any of
its subsidiaries leases real property.  Each of the Company and its subsidiaries
has valid  Leasehold  interests in all such real  property free and clear of all
liens,  claims,  charges and  encumbrances  of any kind  whatsoever,  except for
Permitted  Liens.  The Company has provided  access to the Buyer to complete and
correct copies of the leases identified in Schedule 4.26.

                  4.27 Power and Authority.  Company and  Shareholders  have all
requisite power and authority to execute,  deliver,  and perform this Agreement,
and as of the Closing,  Company and  Shareholders  will have all requisite power
and authority to execute and deliver the  Transaction  Documents  required to be
delivered by each party to the Buyer at the Closing.


             ARTICLE V: ADDITIONAL REPRESENTATIONS AND WARRANTIES OF
                                  SHAREHOLDERS

                  Each Shareholder  hereby severally  represents and warrants to
Buyer as follows:


                                       17

<PAGE>
                  5.1 Authority.  Such  Shareholder has the full legal power and
authority  to  make,  execute,  deliver  and  perform  this  Agreement  and  the
Transaction Documents.  Such execution,  delivery,  performance and consummation
have been duly authorized by all necessary  action,  corporate or otherwise,  on
the  part  of such  Shareholder,  and  any  necessary  consents  of  holders  of
indebtedness of such Shareholder have been obtained.

                  5.2      Binding Effect.   This  Agreement and all Transaction
Documents to which such  Shareholder is a party constitute the valid and binding
obligations of such Shareholder, enforceable against it in accordance with their
respective terms.

                  5.3 Absence of Conflicting Agreement. Neither the execution or
delivery  of  this  Agreement  or any  of  the  Transaction  Documents  by  such
Shareholder,  nor  the  performance  by  such  Shareholder  of the  transactions
contemplated  hereby and thereby conflicts with, or constitutes a breach of or a
default under (i) any law, rule, judgment, order, writ, injunction, or decree of
any court currently in effect applicable to such  Shareholder,  or (ii) any rule
or  regulation  of any  administrative  agency or other  governmental  authority
currently in effect  applicable  to such  Shareholder,  or (iii) any  agreement,
indenture, contract or instrument to which such Shareholder is now a party or by
which any of the assets of such Shareholder is bound.

                  5.4    Consents. No authorization, consent, approval, license,
exemption by, filing or registration with any court or governmental  department,
commission, board, bureau, agency or instrumentality, domestic or foreign, is or
will be necessary in connection with the execution,  delivery and performance of
this Agreement or any of the Transaction Documents by such Shareholder.

                  5.5  Ownership  of Company  Shares.  Such  Shareholder  is the
lawful record and  beneficial  owner of all of the Company Shares shown as owned
by such Shareholder in Schedule 4.5(a),  with good and marketable title thereto,
free and clear of all liens and  encumbrances,  claims and other charges thereon
of any kind.  Such  Shareholder has the full legal power to transfer and deliver
such Company  Shares in  accordance  with this  Agreement,  and delivery of such
Company  Shares to Buyer pursuant  hereto will convey good and marketable  title
thereto, free and clear of all liens and encumbrances,  claims and other charges
thereon or any kind. On the Closing  Date,  there shall not be  outstanding  any
warrants, options, or other rights to subscribe for or purchase from the Company
any capital shares of the Company, nor shall there be outstanding any securities
convertible into or exchangeable for such shares.

                  5.6  Investment  Representation.  The IHS Stock  being  issued
hereunder is being  acquired,  and will be  acquired,  by such  Shareholder  for
investment  for his 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 any
applicable  state  securities law; Such  Shareholder  acknowledges  that the IHS
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,
                                       18

<PAGE>

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. Such Shareholder 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.  Such Shareholder has been provided with such materials as are
generally  provided to  shareholders  of IHS and has had the opportunity to make
inquiries  of and  obtain  from IHS  representatives  and  employees  such other
information about IHS as they deem necessary in connection with such investment.


               ARTICLE VI: REPRESENTATIONS AND WARRANTIES OF BUYER

                  Buyer   represents   and  warrants  to  the  Company  and  the
Shareholders as follows:

                  6.1  Organization  and Standing.  Buyer is a corporation  duly
organized,  validly existing and in good standing under the laws of the State of
Delaware.  Copies of the Buyer's Articles of Incorporation and By-Laws,  and all
amendments  thereof  to date,  have  been  delivered  to  Shareholders,  and are
complete and correct.  Buyer has the power and authority to own the property and
assets now owned by it and to conduct its business presently conducted by it.

                  6.2      Absence  of  Conflicting  Agreements.    Neither  the
execution  or  delivery  of this  Agreement,  including  Buyer's  Schedules  and
Exhibits  hereto,  or  any  of  the  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  (i)  the
Certificate of  Incorporation  or By-Laws of Buyer;  or (ii) any applicable law,
rule, judgment,  order, writ,  injunction,  or decree of any court, currently in
effect; or (iii) any applicable rule or regulation of any administrative  agency
or other  governmental  authority  currently  in  effect;  or (iv) any  material
agreement,  indenture,  contract or instrument to which the Buyer is now a party
or by which any of the assets of the Buyer is bound.

                  6.3  Consents.  Except  as  set  forth  in  Schedule  6.3,  no
authorization,  consent, approval, license, exemption by, filing or registration
with any court or governmental department,  commission, board, bureau, agency or
instrumentality, domestic or foreign, is or will be necessary in connection with
the  execution,  delivery  and  performance  of  this  Agreement  or  any of the
Transaction Documents by the Buyer.

                  6.4  Finders.  No broker or finder  has acted for the Buyer in
connection with the  transactions  contemplated by this Agreement,  and no other
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 the Buyer.

                  6.5 Power and  Authority.  Buyer has the  corporate  power and
authority to execute, deliver and perform this Agreement, and as of the Closing,
Buyer will have the  corporate  power and  authority  to execute and deliver the
Transaction  Documents  required  to be  delivered  by it to the  Company at the
Closing.


                                       19

<PAGE>
                  6.6 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  Transaction  Documents  executed by Buyer will
be, the legal, valid and binding obligation of Buyer,  enforceable against Buyer
in accordance with their respective terms.

                  6.7  Securities  and Exchange  Commission  Filings.  Buyer has
furnished the Company with a correct and complete copy of each report, schedule,
registration  statement and definitive  proxy  statement filed by Buyer with the
Commission on or after January 1, 1996 (the "SEC Documents"),  which are all the
documents (other than preliminary material) that Buyer was required to file with
the Commission on or after January 1, 1996. As of their respective  dates,  none
of the SEC Documents (including all exhibits and schedules thereto and documents
incorporated by reference therein) contained any untrue statements  therein,  or
omitted to state any  material  fact  required to be stated  therein in order to
make the statements therein, in light of the circumstances under which they were
made, not misleading,  and the SEC Documents complied when filed in all material
respects with the then  applicable  requirements  of the  Securities  Act or the
Exchange Act, as the case may be, and the rules and  regulations  promulgated by
the SEC  thereunder.  The financial  statements of the Buyer included in the SEC
Documents  complied as to form in all material respects with the then applicable
accounting   requirements  and  the  published  rules  and  regulations  of  the
Commission  with respect  thereto,  were prepared in accordance with GAAP during
the periods involved (except as may have been indicated in the notes thereto or,
in the case of the unaudited  statements,  as permitted by Form 10-Q promulgated
by the  SEC)  and  fairly  present  (subject,  in  the  case  of  the  unaudited
statements,  to normal,  recurring audit adjustments) the consolidated financial
position of the Buyer and its consolidated  subsidiaries as at the dates thereof
and the consolidated  results of their operations and cash flows for the periods
then ended.

                  6.8 Capital Stock. Buyer's Form 10-Q filed with the Commission
with respect to the fiscal  quarter ended  September 30, 1996 (the "Form 10-Q"),
sets forth a true and complete  description of the  authorized  and  outstanding
shares of capital stock of Buyer as of such date. All outstanding  shares of IHS
Stock are  validly  issued,  fully paid and  non-assessable  and not  subject to
preemptive  rights.  Buyer has duly authorized and reserved for issuance the IHS
Stock,  and,  when  issued in  accordance  with the terms of Article II, the IHS
Stock  will  be  validly  issued,  fully  paid  and  nonassessable  and  free of
preemptive rights.


           ARTICLE VII: INFORMATION AND RECORDS CONCERNING THE COMPANY

                  7.1 Access to Information and Records before Closing. Prior to
the Closing Date, Buyer may make, or cause to be made, such investigation of the
Company's financial and legal condition as Buyer deems necessary or advisable to
familiarize  itself with the Company and/or  matters  relating to its history or
operation.  The Company  shall permit Buyer and its  authorized  representatives
(including legal counsel and accountants),  to have full access to the Company's
books and records upon reasonable  notice and during normal business hours,  and
the Company will furnish, or cause to be furnished,  to Buyer such financial and
operating data and 

                                       20

<PAGE>
other  information  and  copies  of  documents  with  respect  to the  Company's
products,  services,  operations  and  assets as Buyer  shall  from time to time
reasonably  request.  The  documents  to which  Buyer  shall have  access  shall
include,  but not be limited to, the  Company's  tax  returns  and related  work
papers  since its  inception  and the Company  shall make,  or cause to be made,
extracts thereof as Buyer or its  representatives  may request from time to time
to enable  Buyer and its  representatives  to  investigate  the  affairs  of the
Company and the  accuracy of the  representations  and  warranties  made in this
Agreement.  The Company shall cause its  accountants to cooperate with Buyer and
to  disclose  the  results of audits  relating to the Company and to produce the
working papers relating thereto.


             ARTICLE VIII: OBLIGATIONS OF THE PARTIES UNTIL CLOSING

                  8.1      Conduct of Business Pending Closing. Between the date
of this Agreement and the Closing,  the Company shall maintain its existence and
shall conduct its business in the ordinary  course of business  consistent  with
past practice.

                  8.2  Negative  Covenants  of the  Company.  Without  the prior
written  approval of Buyer,  which approval shall not be unreasonably  withheld,
the Company shall not, between the date hereof and the Closing:

                           (a)      cause or permit  to occur any of the  events
or  occurrences  described in Section 4.18  (Absence of Certain  Events) of this
Agreement; or

                           (b)      dissolve,   merge  or  enter  into  a  share
exchange with or into any other entity; or

                           (c)      enter into any  contract  or  agreement,  or
negotiations  in  connection  with  any  union or  other  collective  bargaining
representative  representing  any  employees  at the  Company  without the prior
written consent of Buyer, which consent shall not be unreasonably withheld; or

                           (d)      make any change to its  by-laws or  articles
of incorporation.

                  8.3    Affirmative Covenants.  Between the date hereof and the
Closing, the Company shall:

                           (a)      maintain the physical  assets of the Company
in substantially the state of repair, order and condition as on the date hereof,
reasonable wear and tear or loss by casualty excepted;

                           (b)      maintain   in  full  force  and  effect  all
Licenses  currently in effect with respect to the Company unless such License is
no longer necessary for the operation of the Company;


                                       21

<PAGE>
                           (c)      maintain   in  full  force  and  effect  the
insurance  policies and binders currently in effect with respect to the Company,
or the  replacements  thereof,  including  without  limitation  those  listed on
Schedule 4.16;

                           (d)      utilize their reasonable efforts to preserve
intact the present  business  organization  of the Company;  keep  available the
services of the  Company's  present  employees  and  agents;  and  maintain  the
Company's  relations  and goodwill  with  suppliers,  employees,  and any others
having business relating to the Company;

                           (e)      maintain   all  of  the  books  and  records
relating to the Company in accordance with its past practices;

                           (f)      comply  in all  material  respects  with all
provisions of the Contracts  listed in Schedule 4.7 and with any other  material
agreements that the Company have entered into in the ordinary course of business
since the date of this Agreement,  and comply in all material  respects with the
provisions  of all  material  laws,  rules  and  regulations  applicable  to the
Company's business;

                           (g)      cause  to  be  paid  when  due,  all  taxes,
assessments  and  charges  or  levies  imposed  upon  them  or on any  of  their
properties or which they are required to withhold and pay over;

                           (h)      promptly  advise  Buyer  in  writing  of the
threat or  commencement  against  the  Company  of any  claim,  action,  suit or
proceeding,  arbitration or investigation that would materially adversely affect
the operations, properties, assets or prospects of the Company; and

                           (i)      shall  notify  the Buyer in  writing  of any
event  involving  the  Company  and  its  subsidiaries  which  has had or may be
reasonably  expected  to have a  material  adverse  effect  on the  business  or
financial  condition of the Company and its subsidiaries or may involve the loss
of contracts with the Company's customers.

                  8.4 Pursuit of Consents and  Approvals.  Prior to the Closing,
Buyer shall use its  reasonable  efforts to obtain all consents and approvals of
governmental   agencies  and  all  other   parties   necessary  for  the  lawful
consummation of the transactions  contemplated hereby and the lawful use, of the
Company  ("Required  Approvals").  The Company shall  cooperate with and use its
reasonable  efforts to assist Buyer in obtaining all such  approvals,  but shall
not be required to pay any money to third parties in order to so assist Buyer.

                  8.5 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,  the  Company  shall  provide,  or cause to be
provided, to Buyer unaudited financial statements (including at a minimum income
statements and a balance sheet) for the month,  which  statements  shall present
fairly, in all material  respects,  the results of the operations of the Company
at  such  
                                       22

<PAGE>
date and for the  period  covered  thereby,  all in  accordance  with  generally
accepted accounting principles applied on a consistent basis.

                  8.6   Exclusivity.   Until  the  earlier  of  Closing  or  the
termination of this Agreement  pursuant to Section 12.1, neither the Company nor
the Shareholders,  nor any of their respective  affiliates,  shall engage in any
discussions  or  negotiations  directly  or  indirectly  with any other party in
respect of the sale of the Company Shares or of substantially  all of the assets
of  the  Company,  or  in  respect  of  any  merger,  consolidation,   or  other
reorganization of the Company.


             ARTICLE IX: CONDITIONS PRECEDENT TO BUYER'S OBLIGATIONS

                  Buyer's  obligation to consummate  the purchase of the Company
Shares is 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  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 XII
herein.

                  9.1  Representations  and Warranties.  The representations and
warranties of Shareholders in Articles IV and V shall be true and correct in all
material respects at and as of the Closing Date, as though such  representations
and warranties were made at and as of such time except to the extent affected by
the transactions herein contemplated.

                  9.2 Performance of Covenants. Each of the Shareholders and the
Company  shall have  performed or complied in all material  respects  with their
respective  agreements and covenants  required by this Agreement to be performed
or complied with by it prior to or at the Closing.

                  9.3 Delivery of Closing Certificate. Each of the Shareholders,
and the  Company  by its  president  and chief  financial  officer,  shall  have
executed and  delivered to Buyer a  certificate,  dated the Closing  Date,  upon
which Buyer may rely,  certifying  that the conditions  contemplated by Sections
9.1 and 9.2 applicable to it have been satisfied.

                  9.4 Opinions of Counsel.  Shareholders shall have delivered to
Buyer an  opinion,  dated the Closing  Date,  of their  counsel,  in the form of
Exhibit 9.4.

                  9.5 Legal Matters.  No preliminary or permanent  injunction or
other  order  (including  a  temporary  restraining  order) of any  governmental
authority which prevents the  consummation of the  transactions  contemplated by
this Agreement shall have been issued and remain in effect.

                  9.6  Authorization  Documents.  Buyer  shall  have  received a
certificate  of the Secretary or other officer of the Company  certifying a copy
of  resolutions  of its Board of Directors  authorizing  its  execution and full
performance of the Transaction Documents and the incumbency of its officers.



                                       23

<PAGE>
                  9.7    Material Change. Since the date of this Agreement there
shall not have been any material adverse changes in the condition  (financial or
otherwise) of the assets, properties or operations of the Company.

                  9.8      Approvals.

                           (a)  The consent or approval of all persons necessary
for the  consummation of the  transactions  contemplated  hereby shall have been
granted, including without limitation, the Required Approvals;

                           (b)   None of the foregoing consents or approvals (i)
shall have been conditioned upon the  modification,  cancellation or termination
of any material lease, contract, commitment, agreement, license, easement, right
or other  authorization with respect to the Company,  other than as disclosed or
approved hereunder,  or (ii) shall impose on the Buyer any material condition or
provision or requirement  with respect to the Company or its operations  that is
more  restrictive  than or  different  from the  conditions  imposed  upon  such
operations prior to Closing.

                  9.9 Delivery of Stock Purchase  Options.  The Shareholders and
the Company shall have caused each current Company employee in possession of any
stock  purchase  options in the  Company,  and each former  Company  employee in
possession of vested stock purchase  options in the Company  (collectively,  the
"Option  Holders")  to have  delivered  to the Buyer any and all stock  purchase
options held by such Option  Holder,  together  with a  Termination  and Release
Agreement signed by such Option Holder, substantially in the form of Exhibit 9.9
attached hereto.

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

          ARTICLE X: CONDITIONS PRECEDENT TO SHAREHOLDERS' OBLIGATIONS


                  Shareholders' obligation to consummate the sale of the Company
Shares is subject to the fulfillment, prior to or at the Closing, of each of the
following conditions:

                  10.1  Representations and Warranties.  The representations and
warranties  of Buyer in this  Agreement  shall be true at and as of the  Closing
Date as though such  representations  and warranties were made at and as of such
time, except to the extent affected by the transactions herein contemplated.


                                       24

<PAGE>

                  10.2  Performance of Covenants.  Buyer shall have performed or
complied with each of its agreements  and conditions  required by this Agreement
to be performed or complied with by it prior to or at the Closing.

                  10.3  Delivery  of  Closing  Certificate.   Buyer  shall  have
delivered to Shareholders a certificate of the chief executive  officer of Buyer
dated the Closing Date upon which  Shareholders  can rely,  certifying  that the
statements  made in Sections 10.1 and 10.2 are true,  correct and complete as of
the Closing Date.

                  10.4  Opinion  of  Counsel.  Buyer  shall  have  delivered  to
Shareholders  an opinion,  dated the  Closing  Date,  of Blass & Driggs,  Esqs.,
counsel for Buyer, in the form of Exhibit 10.4.

                  10.5 Legal Matters. No preliminary or permanent  injunction or
other  order  (including  a  temporary  restraining  order) of any  governmental
authority which prevents the  consummation of the  transactions  contemplated by
this Agreement shall have been issued and remain in effect.

                  10.6 Authorization Documents. Shareholders shall have received
a certificate  of the  Secretary or other officer of Buyer  certifying a copy of
resolutions of the Board of Directors of Buyer authorizing Buyer's execution and
full performance of the Transaction Documents and the incumbency of the officers
of Buyer.

                  10.7  Approvals.   The  Required  Approvals  shall  have  bee
granted.

                  10.8 Payment of Fees. Buyer shall have paid the following fees
as of the Closing Date: a) the amount of  $123,582.00  to LifeWay  Partners LLC,
payable in cash,  as and for an  advisory  fee for  services  performed  for the
Company on a cost basis;  and b) the amount of $100,000.00 in payment of accrued
legal fees to Blass & Driggs, Esqs., payable in cash.

                  10.9 Payment of Bonuses. Buyer shall have funded the following
bonuses  (the  "Bonus  Payments")  as of the  Closing  Date:  a) the  amount  of
$406,000.00  in  payment  of a  bonus  to Fred  McCall-Perez,  of  which  amount
$196,000.00  shall be  payable in cash and  $210,000.00  shall be payable by the
issuance  of IHS Stock,  based upon the  valuation  and  otherwise  issuable  in
accordance  with and subject to Section 2.2; and b) the amount of  $37,500.00 in
payment  of a bonus to John  Strobeck,  which  amount  shall be  payable to John
Strobeck entirely in cash.

                  10.10 Payment of Promissory  Notes.  Buyer shall have paid the
principal balance and all of the accrued and unpaid interest under those certain
promissory  notes of the  Company  referred  to  below  (the  "Promissory  Notes
Payment"),  which  amount  shall be payable to the  holders of those  promissory
notes in part in cash and in part by the  issuance of IHS Stock,  based upon the
valuation and otherwise  issuable in accordance  with and subject to Section 2.2
hereof.  The amounts of cash and IHS Stock payable under this Section 10.10, and
the holders to whom these amounts shall be payable, are as follows:

                                       25
<PAGE>

<TABLE>
<CAPTION>
Note Holder                           Note                                Cash Payable                IHS Stock

<S>                                  <C>                                   <C>                        <C>         
Lifeway Partners, LLC                1) Promissory Note dated
                                        11/17/95 in the Original
                                        Principal Amount of
                                        $750,000.00                         $            0             $ 750,000.00
                                            accrued interest                $     74,836.00            $          0

                                     2) Promissory Note dated
                                        8/16/96 in the Original
                                        Principal Amount of
                                        $375,000.00                         $              0           $ 375,000.00
                                            accrued interest                $       9,144.00           $          0


John Strobeck                        1) Promissory Note dated
                                        8/16/96 in the Original
                                        Principal Amount of
                                        $375,000.00                        $      375,000.00           $          0
                                            accrued interest               $        9,144.00           $          0
</TABLE>


                  10.11 Other Documents. Buyer shall have furnished Shareholders
with all documents,  certificates and other instruments required to be furnished
to Shareholders by Buyer pursuant to the terms hereof.

                  10.12  Consulting Agreement.   Buyer shall have entered into a
consulting agreement with Fred McCall-Perez, on terms and conditions as shall be
mutually acceptable to the parties thereto.


              ARTICLE XI: OBLIGATIONS OF THE PARTIES AFTER CLOSING

                  11.1 Survival of  Representations  and  Warranties.  Except as
provided in Section 11.4, all representations,  warranties,  and agreements made
by each party in this Agreement or in any Schedule certificate, document or list
delivered by any such party pursuant hereto shall survive for a period of twelve
(12) months following the Closing.  Notwithstanding any investigation  conducted
before or after the  Closing  or the  decision  of any party to  consummate  the
Closing,  each party hereto shall be entitled to rely and is hereby  declared to
have  reasonably  relied upon the  representations  and  warranties of the other
party.

                  11.2  Indemnification by Shareholders.  Each Shareholder shall
indemnify and defend Buyer and hold it harmless  against and with respect to any
and all  damage,  loss,  liability,  deficiency,  cost and  expense  (including,
without  limitation,  reasonable  attorney's  fees  and  expenses)  (all  of the
foregoing hereinafter collectively referred to as "Loss") resulting from:

                           (a)      any  inaccuracy  in any  representation,  or
breach of any warranty,  made by such  Shareholder  in Article IV or V, provided
that a claim is made or an action with

                                       26

<PAGE>
respect  thereto is initiated by Buyer against such  Shareholder  within 90 days
after the discovery by Buyer of such inaccuracy or breach of warranty; or

                           (b)      the breach of any covenant or undertaking by
such  Shareholder  contained in this Agreement which survives the Closing and is
not waived by Buyer at or prior to the Closing, provided that a claim is made or
an action with respect  thereto is initiated by Buyer  against such  Shareholder
within 90 days after the discovery by Buyer of the occurrence of such breach; or

                           (c)      ownership or operation of the Company or its
subsidiaries or their businesses or assets prior to the Closing Date, including,
without  limitation,  any and all liabilities or obligations  owed to or amounts
due or that may become due to  Medicare  or  Medicaid  or any other  health care
reimbursement  or  payment  intermediary  on  account of  Medicare  cost  report
adjustments or other payment  adjustment  attributable to any period on or prior
to the  Closing  Date,  or any  other  form  of  Medicare  or  other  healthcare
reimbursement  recapture,  adjustment or overpayment  whatsoever with respect to
any period on or prior to the Closing Date ("Excess  Reimbursement  Liability"),
the audit or assessment of taxes by the Federal,  state or local tax  authority,
and any Loss in excess of the amounts recorded on the Closing Date Balance Sheet
arising out of the legal  proceedings  referenced on Schedule 4.12 but excluding
any Loss  arising out of any current  liabilities  or long-term  liabilities  as
reflected on the Closing  Date Balance  Sheet or the review of such Closing Date
Balance Sheet.

                  11.3  Indemnification  by Buyer.  Buyer  shall  indemnify  and
defend  Shareholders  and hold them harmless against and with respect to any and
all Loss resulting from:

                           (a)      any  inaccuracy  in any  representation,  or
breach of any warranty,  set forth in Article VI,  provided that a claim is made
or an action with respect  thereto is initiated by  Shareholders  against  Buyer
within 90 days after the  discovery by the  Shareholders  of such  inaccuracy or
breach; or

                           (b)      the breach of any covenant or undertaking by
Buyer which survives the Closing and is not waived by  Shareholders  at or prior
to the Closing,  provided that a claim is made or an action with respect thereto
is initiated by Shareholders against Buyer within 90 days after the discovery by
Shareholders of the occurrence of such breach.

                  11.4 Assertion of Claims. Any claims for indemnification under
this  Article XI and any claims for  breach of  representations  and  warranties
contained  herein must be asserted by written  notice by a date which is one (1)
year  following  the  Closing  Date,  except  that any claim  based upon  Excess
Reimbursement Liabilities (as defined above ) or a breach of the representations
and warranties contained in Section 4.25 (Medicare and Medicaid) or Section 4.21
(Tax) may be asserted until the applicable  period of limitations  for audits by
the applicable Governmental Authority shall have expired.

                  11.5     Control of Defense of Indemnifiable Claims.

                                       27

<PAGE>

                           (a)      Buyer shall give Shareholders prompt written
notice of the claim for which it seeks indemnification.  Failure of the Buyer to
give  such  prompt   notice  shall  not  relieve  the   Shareholders   of  their
indemnification obligation,  provided that such indemnification obligation shall
be reduced by any damages  suffered by Shareholders  resulting from a failure to
give prompt notice hereunder.  The Shareholders shall be entitled to participate
in the defense of such claim.  If at any time the  Shareholders  acknowledge  in
writing that the claim is fully indemnifiable  under this Agreement,  they shall
have the right to assume total control of the defense of such claim at their own
expense.  If the  Shareholders do not assume total control of the defense of any
such  claim,  the Buyer  agrees not to settle  such claim  without  the  written
consent of the Shareholders,  which consent shall not be unreasonably  withheld.
Nothing  contained in this Section 11.6 shall prevent either party from assuming
total  control of the defense  and/or  settling  any claim  against it for which
indemnification is not sought under this Agreement.

                           (b)      The  Shareholders  shall give  Buyer  prompt
written notice of the claim for which they seek indemnification.  Failure of the
Shareholders  to give such  prompt  notice  shall not  relieve  the Buyer of its
indemnification obligation,  provided that such indemnification obligation shall
be reduced by any  damages  suffered by Buyer  resulting  from a failure to give
prompt  notice  hereunder.  The Buyer shall be entitled  to  participate  in the
defense of such claim. If at any time the Buyer acknowledges in writing that the
claim is fully  indemnifiable  under this Agreement,  it shall have the right to
assume  total  control of the defense of such claim at its own  expense.  If the
Buyer  does not assume  total  control of the  defense  of any such  claim,  the
Shareholders  agree not to settle such claim without the written  consent of the
Buyer,  which consent shall not be unreasonably  withheld.  Nothing contained in
this Section 11.6 shall prevent  either party from assuming total control of the
defense and/or  settling any claim against it for which  indemnification  is not
sought under this Agreement.

                  11.6     Restrictions.

                           (a)      From and after the Closing Date, none of the
Shareholders  shall disclose,  directly or indirectly,  to any person outside of
Buyer's  employ  without the  express  authorization  of the Buyer,  any pricing
strategies  or records of the Company,  any  proprietary  data or trade  secrets
owned by the Company or any financial or other information about the Company not
then in the  public  domain;  provided,  however,  that  Shareholders  shall  be
permitted  to make such  disclosures  as may be required by law or by a court or
governmental authority.

                           (b)      For a period of three  (3)  years  after the
Closing Date, none of the Shareholders shall engage or participate in any effort
or act to induce any of the suppliers, associates,
employees or independent  contractors of the Company to cease doing business, or
their association or employment, with the Company.

                           (c)     For a period of three  (3)  years  after the
Closing  Date,  Fred  McCall-  Perez  shall not,  directly or  indirectly,  be a
director  of, be a partner in, or have a  proprietary  interest  in, any person,
enterprise, partnership, association, corporation, joint venture or other 

                                       28

<PAGE>

entity which is directly or indirectly  in the business of owning,  operating or
managing any entity of any type, licensed or unlicensed,  which is engaged in or
provides  disease  state  management  products  and  services  for  the  HIV and
cardiology  markets anywhere within the United States.  This provision shall not
be construed to prohibit any Shareholder from owning a beneficial interest of up
to 5% of the securities of any company subject to the reporting  requirements of
Section 13 or Section 15(d) of the Securities Exchange Act of 1934, as amended.

                           (d)      The   Shareholders   acknowledge   that  the
restrictions  contained  in this Section 11.6 are  reasonable  and  necessary to
protect  the  legitimate  business  interests  of Buyer  and that any  violation
thereof by any of them would result in irreparable  harm to Buyer.  Accordingly,
Shareholders  agree  that  upon  the  violation  by  any of  them  of any of the
restrictions  contained in this Section 11.6,  Buyer shall be entitled to obtain
from any court of competent  jurisdiction a preliminary and permanent injunction
as well as any other relief  provided at law or equity,  under this Agreement or
otherwise.  In  the  event  any  of  the  foregoing  restrictions  are  adjudged
unreasonable in any  proceeding,  then the parties agree that the period of time
or the scope of such  restrictions  (or both) shall be adjusted in such a manner
or for such a time (or both) as is adjudged to be reasonable.

                  Notwithstanding  the  foregoing,  for purposes of this Section
11.6, any advertisement  prepared for and disseminated to the public in general,
which  advertises the services of the Company not otherwise in violation of this
Section 11.6, or advertises the need for services to be supplied to the Company,
shall not be deemed to be an inducement or solicitation with respect to any such
suppliers or independent contractors.

                  11.7 Records. On the Closing Date, Shareholders shall deliver,
or cause to be  delivered,  to Buyer all  records  and files not then in Buyer's
possession relating to the operation of the Company or the Subsidiaries.


                            ARTICLE XII: TERMINATION

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

                           (a)      Buyer, if any condition precedent to Buyer's
obligations  hereunder set forth in Article IX hereof has not been  satisfied by
the Closing Date;
                           (b)      Shareholders,  if any condition precedent to
Shareholders'  obligations  hereunder set forth in Article X hereof has not been
satisfied by the Closing Date; or

                           (c)     the mutual consent of Buyer and Shareholders.

                  12.2  Effect  of  Termination.  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.


                                       29

<PAGE>
                           ARTICLE XIII: MISCELLANEOUS

                  13.1  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; provided, however, that the Company shall not be charged with any of the
expenses attributable to this transaction.

                  13.2 Performance. In the event of a breach by any party of its
obligations hereunder,  the other party shall have the right, in addition to any
other remedies  which may be available,  to obtain  specific  performance of the
terms of this Agreement,  and the breaching party hereby waives the defense that
there  may be an  adequate  remedy  at law.  Should  any  party  default  in its
performance,  or other  remedy,  the  prevailing  party shall be entitled to its
reasonable attorneys' fees.

                  13.3 Benefit and  Assignment.  This Agreement binds and inures
to the benefit of each party hereto and its successors and proper assigns. Buyer
may not assign its interest  under this  Agreement to any other person or entity
without the prior written consent of Shareholders; provided, however, that Buyer
may  assign  its  rights,  duties  and  obligations  hereunder  to one  or  more
subsidiaries or affiliates of Buyer.

                  13.4 Effect and Construction of this Agreement. This Agreement
and the Exhibits,  Schedules,  and other agreements  referenced  herein,  hereto
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 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.

                  13.5 Cooperation - Further  Assistance.  From time to time, as
and when reasonably  requested by any party hereto after the Closing,  the other
parties will (at the expense of the requesting  party)  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  action as may be  reasonably
necessary to carry out the intent and purposes of this Agreement.

                  13.6   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 when  sent  by  certified  or  registered  mail,  postage  prepaid,  properly
addressed to the party or parties entitled to receive such notice at the address
stated below:

If to the Shareholders:             Dr. Fred McCall-Perez
                                    LifeWay, Inc.
                                    1444 Biscayne Boulevard
                                    Suite 303
                                    Miami, FL 33132


                                       30

<PAGE>
                                    LifeWay Partners LLC
                                    8231 Bay Colony Drive
                                    #P2101
                                    Naples, Florida 33963

With a copy to:                     Kenneth I. Arvin, Esq.
                                    Ziskind & Arvin, P.A.
                                    Rivergate Plaza
                                    444 Brickell Avenue, Suite 612
                                    Miami, Florida 33131

If to the Buyer:                    Integrated Health Services, Inc.
                                    10065 Red Run Boulevard
                                    Owings Mills, MD 21117
                                    Attention: Marshall A. Elkins, Esq.

                                    Integrated Health Services, Inc.
                                    7125 Ambassador Road
                                    Baltimore, MD 21244
                                    Attention: Brian K. Davidson

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



Such  addresses may be changed by providing  written  notice as provided in this
Section 13.6.

                  13.7  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 or on behalf of each of the parties hereto by
their duly  authorized  officer or  representative.  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.

                  13.8 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.

                                       31

<PAGE>

                  13.9   Governing Law.  This Agreement shall be governed by and
construed in accordance with the laws of the State of Delaware, disregarding any
rules relating to the choice or conflict of laws.

                  13.10  Amendments,  Supplements,  Etc.  At any time  before or
after the execution and delivery of this Agreement by the parties  hereto,  this
Agreement may be amended or supplemented by additional  agreements,  articles or
certificates,  as may be mutually  determined  by the  parties to be  necessary,
appropriate or desirable to further the purposes of this  Agreement,  to clarify
the intention of the parties, or to add to or to modify the covenants,  terms or
conditions  hereof or thereof.  The  parties  hereto  shall make such  technical
changes to this Agreement,  not inconsistent with the purposes hereof, as may be
required to effect or facilitate any governmental approval or acceptance of this
Agreement or to effect or  facilitate  any filing or recording  required for the
consummation  of any  portion  of the  transactions  contemplated  hereby.  This
Agreement may not be amended  except by an instrument in writing  signed by each
of the parties.

                  13.11 Severability.  Any provision, or distinguishable portion
of any  provision,  of this  Agreement  which is  determined  in any judicial or
administrative  proceeding to be prohibited or unenforceable in any jurisdiction
shall, as to such jurisdiction, be ineffective to the extent of such prohibition
or unenforceability  without  invalidating the remaining  provisions hereof, and
any  such  prohibition  or   unenforceability  in  any  jurisdiction  shall  not
invalidate or render unenforceable such provision in any other jurisdiction.  It
is the  intention of the parties that if any  provision of Section 11.6 shall be
determined to be overly broad in any respect,  then it should be  enforceable to
the  maximum  extent  permissible  under the law.  To the  extent  permitted  by
applicable law, the parties waive any provision of law which renders a provision
hereof prohibited or unenforceable in any respect.







                         (SIGNATURES ON FOLLOWING PAGE)

                                       32

<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.

                                        SHAREHOLDERS:

                                        LIFEWAY PARTNERS LLC

                                        
                                        /s/ Robert N. Elkins
                                        ----------------------------------------
                                            Robert N. Elkins

                                        Title:

                                        /s/ Fred McCall-Perez
                                        ----------------------------------------
                                        Fred McCall-Perez

                                        COMPANY:
                                        LIFEWAY, INC.


                                        By:/s/ Fred McCall-Perez
                                          --------------------------------------
                                        Name:
                                             -----------------------------------
                                        Title:
                                              ----------------------------------


                                        BUYER:
                                        INTEGRATED HEALTH SERVICES, INC.


                                        By:/s/ Elizabeth B. Kelb
                                           -------------------------------------
                                        Name:  Elizabeth B. Kelb
                                             -----------------------------------
                                        Title: Senior Vice President
                                               Corporate Development
                                              ----------------------------------


                                        NEWCO:
                                        IHS ACQUISITION, INC.


                                        By:/s/ Elizabeth B. Kelb
                                           -------------------------------------
                                   
                                        Name:  Elizabeth B. Kelb
                                             -----------------------------------
                                        Title: Senior Vice President
                                               Corporate Development
                                              ----------------------------------
                                              
                                       33

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

                            ASSET PURCHASE AGREEMENT

                            DATED AS OF MAY 20, 1997

                                      AMONG

                        INTEGRATED HEALTH SERVICES, INC.,

                                       AND

                   SYMPHONY REHAB DYNAMICS, INC. AND SYMPHONY
                     RESTORATIVE THERAPY LIMITED, AS BUYERS

                                       AND

                              REHAB DYNAMICS, INC.

                                       AND

                     RESTORATIVE THERAPY LIMITED, AS SELLERS

                                       AND

                           THE SHAREHOLDERS OF SELLERS


<PAGE>
                                -----------------
                                TABLE OF CONTENTS
                                -----------------




                                                                            PAGE


ARTICLE I:  PURCHASE AND SALE OF ASSETS; NO ASSUMPTION OF
LIABILITIES; DESIGNATED CONTRACTS..............................................2
         1.1      Assets.......................................................2
         1.2      Liabilities..................................................3
         1.3      Designated Contracts.........................................5

ARTICLE II:  PURCHASE PRICE....................................................7
         2.1      Determination and Payment of Purchase Price..................7
         2.2      Allocation of Purchase Price.................................8
         2.3      Working Capital Adjustments to the Purchase Price............8
         2.4      IHS Stock...................................................12
         2.5      Purchase Price Adjustment...................................17

ARTICLE III:  THE CLOSING.....................................................23
         3.1      Time and Place of Closing...................................23

ARTICLE IV:  REPRESENTATIONS AND WARRANTIES OF SELLERS AND THE
SHAREHOLDERS..................................................................23
         4.1      Organization and Standing; Subsidiaries.....................23
         4.2      Authority...................................................24
         4.3      Binding Effect..............................................24
         4.4      Absence of Conflicting Agreements...........................24
         4.5      Consents....................................................24
         4.6      Schedule of Assets and Properties...........................25
         4.7      Contracts...................................................25
         4.8      Financial Statements........................................27
         4.9      Material Changes............................................28
         4.10     Licenses; Permits; Certificates of Need.....................28
         4.11     Title, Condition to Personal Property.......................28
         4.12     Title, Condition of the Leased Properties...................29
         4.13     Legal Proceedings...........................................30
         4.14     Employees...................................................30
         4.15     Collective Bargaining, Labor Contracts,
                   Employment Practices, etc..................................31
         4.16     ERISA.......................................................31
         4.17     Insurance and Surety Agreements.............................31
         4.18     Relationships...............................................31
         4.19     Absence of Certain Events...................................32
         4.20     Compliance with Laws........................................33

                                      (ii)

<PAGE>

         4.21     Tax Returns.................................................34
         4.22     Encumbrances Created by this Agreement......................34
         4.23     Questionable Payments.......................................34
         4.24     Reimbursement Matters.......................................34
         4.25     Questionnaire...............................................35
         4.26     RSI Agreement...............................................35
         4.27     Finders.....................................................35

ARTICLE V:  REPRESENTATIONS AND WARRANTIES OF BUYER AND IHS...................36
         5.1      Organization and Standing...................................36
         5.2      Power and Authority.........................................36
         5.3      Binding Agreement...........................................36
         5.4      Absence of Conflicting Agreements...........................36
         5.5      Consents....................................................36
         5.6      SEC Documents...............................................37
         5.7      Material Changes............................................37
         5.8      IHS Stock...................................................37

ARTICLE VI:  INFORMATION AND RECORDS CONCERNING THE SELLERS...................37
         6.1      Access to Information and Records before Closing............37

ARTICLE VII: OBLIGATIONS OF THE PARTIES UNTIL CLOSING.........................38
         7.1      Conduct of Business Pending Closing.........................38
         7.2      Negative Covenants of Sellers...............................38
         7.3      Affirmative Covenants of Sellers............................38
         7.4      Pursuit of Consents and Approvals...........................39
         7.5      Supplementary Financial Information.........................39
         7.6      Exclusivity.................................................40
         7.7      Certain Permitted Transactions..............................40

ARTICLE VIII:  CONDITIONS PRECEDENT TO OBLIGATIONS OF BUYER AND
         IHS                                                                  40
         ---
         8.1      Representations and Warranties..............................40
         8.2      Performance of Covenants....................................40
         8.3      Delivery of Closing Certificate.............................41
         8.4      Opinions of Counsel.........................................41
         8.5      Legal Matters...............................................41
         8.6      Authorization Documents.....................................41
         8.7      Approvals...................................................41
         8.8      Bill of Sale and Assignment.................................42
         8.9      Non-Competition Agreements..................................42
         8.10     Employment and Consulting Agreements........................42
         8.11     COBRA.......................................................42

                                      (iii)

<PAGE>

         8.12     Assets Transferred at Closing...............................43
         8.13     Change of Name..............................................43
         8.14     Hart-Scott-Rodino...........................................43
         8.15     Documents...................................................43

ARTICLE IX:  CONDITIONS PRECEDENT TO THE OBLIGATIONS OF SELLERS
AND THE SHAREHOLDERS .........................................................44
         9.1      Representations and Warranties..............................44
         9.2      Performance of Covenants....................................44
         9.3      Delivery of Closing Certificate.............................44
         9.4      Opinions of Counsel.........................................44
         9.5      Legal Matters...............................................44
         9.6      Authorization Documents.....................................45
         9.7      Necessary Consents..........................................45
         9.8      Assignment and Assumption...................................45
         9.9      Hart-Scott-Rodino Act.......................................45
         9.10     Employment and Consulting Agreements........................45
         9.11     Purchase Price..............................................45
         9.12     Office Lease Guaranty Releases..............................45
         9.13     Other Documents.............................................46

ARTICLE X:  OBLIGATIONS OF THE PARTIES AFTER CLOSING..........................46
         10.1     Survival of Representations and Warranties..................46
         10.2     Indemnification.............................................46
         10.3     Restrictions................................................48
         10.4     Records.....................................................49
         10.5     Audit.......................................................49
         10.6     Employees...................................................49
         10.7     Reimbursement Paybacks......................................49
         10.8     Closing Cost Reports........................................50

ARTICLE XI: TERMINATION.......................................................50
         11.1     Termination.................................................50
         11.2     Effect of Termination.......................................50

ARTICLE XII: CASUALTY, RISK OF LOSS...........................................50
         12.1     Casualty, Risk of Loss......................................50

ARTICLE XIII:  MISCELLANEOUS..................................................51
         13.1     Costs and Expenses..........................................51
         13.2     Benefit and Assignment......................................51
         13.3     Effect and Construction of this Agreement...................51
         13.4     Cooperation - Further Assistance............................51

                                       (iv)

<PAGE>

         13.5     Notices.....................................................52
         13.6     Waiver, Discharge, Etc......................................52
         13.7     Rights of Persons Not Parties...............................53
         13.8     Governing Law...............................................53
         13.9     Amendments, Supplements, Etc................................53
         13.10    Severability................................................53
         13.11    Public Announcements........................................53


                                      (v)
<PAGE>

                                    SCHEDULES
                                    ---------

Schedule A              -     Bethoughtful Assets
- ----------
Schedule 1.1            -     Certain Excluded Assets
Schedule 1.3(a)         -     Unassumed Provider Contracts
Schedule 1.3(b-1)       -     Selected Good Samaritan Contracts
Schedule 1.3(b-2)       -     Walker Contracts
Schedule 2.2            -     Allocation of Purchase Price
Schedule 2.3(a)         -     RSI Purchase Amount
Schedule 2.5(d)-A       -     HDI Joint Contracts
Schedule 2.5(d)-1       -     IHS Prospective Facilities
Schedule 2.5(d)-2       -     RDI Prospective Facilities
Schedule 4.1(b)         -     Organization and Standing; Subsidiaries
Schedule 4.5            -     Consents
Schedule 4.6            -     Assets and Properties
Schedule 4.7(b)         -     Contracts
Schedule 4.8(a)(i)      -     Financial Statements
Schedule 4.8(a)(ii)     -     Adjusted Financial Statements
Schedule 4.8(b)         -     Non-Balance Sheet Liabilities
Schedule 4.9            -     Material Changes
Schedule 4.10           -     Licenses; Permits; Certificates of Need
Schedule 4.11(a)        -     Liens
Schedule 4.11(b)        -     Permitted Liens
Schedule 4.11(c)        -     Personal Property Leases
Schedule 4.12(b)        -     Real Property Leases
Schedule 4.13           -     Legal Proceedings
Schedule 4.14           -     Employees
Schedule 4.15           -     Collective Bargaining, Labor Contracts, Employment
                              Practices, etc.
Schedule 4.17           -     Insurance and Surety Agreements
Schedule 4.18           -     Relationships
Schedule 4.19           -     Absence of Certain Events
Schedule 4.20           -     Compliance with Laws
Schedule 4.21(a)        -     Tax Returns
Schedule 4.22           -     Encumbrances
Schedule 4.24           -     Reimbursement Matters
Schedule 4.26           -     RSI Agreements
Schedule 5.4            -     Absence of Conflicting Agreements
Schedule 5.5            -     Consents
Schedule 5.7            -     Material Changes
Schedule 8.10           -     Identified Employees
Schedule 10.2(e)        -     Shareholder's Percentage Interest
Schedule 10.4           -     Maintenance of Records



                                      (vi)

<PAGE>




                                    EXHIBITS
                                    --------

Exhibit 1.3(b)          -     Form of Assignment of Walker & Good Samaritan
                              Contracts
Exhibit 2.3(d)(i)       -     Working Capital Escrow Agreement
Exhibit 4.25            -     Questionnaire
Exhibit 4.26            -     RSI Documents
Exhibit 8.8-1           -     Bill of Sale
Exhibit 8.8-2           -     Assignment and Assumption Agreement
Exhibit 8.9-1           -     Non-Compete-Sellers
Exhibit 8.9-2           -     Non-Compete-Nechas
Exhibit 8.9-3           -     Non-Compete-Kessler
Exhibit 8.9-4           -     Non-Compete-Favilla
Exhibit 8.10-1          -     Employment Agreement-Nechas
Exhibit 8.10-2          -     Employment Agreement-Kessler
Exhibit 8.10-3          -     Employment Agreement-Favilla
Exhibit 8.4             -     Opinion of Seller's Counsel
Exhibit 9.4             -     Opinion of Buyer's Counsel





                                      (vii)

<PAGE>



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

                            ASSET PURCHASE AGREEMENT

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


                  This Asset Purchase  Agreement (the "AGREEMENT") is made as of
the 20 day of May, 1997,  among  Integrated  Health  Services,  Inc., a Delaware
corporation ("IHS"), Symphony Rehab Dynamics, Inc., a Delaware corporation and a
wholly owned subsidiary of IHS ("REHAB BUYER"),  Symphony  Restorative  Therapy,
Inc., a Delaware corporation, and a wholly owned subsidiary of IHS ("RESTORATIVE
BUYER",  and  together  with Rehab  Buyer,  "BUYER"),  Rehab  Dynamics,  Inc., a
Minnesota  corporation  ("REHAB"),  Restorative  Therapy  Limited,  a  Minnesota
corporation ("RESTORATIVE" and together with Rehab, "SELLERS"), and David Nechas
("NECHAS")  and  Beth  Kessler   ("KESSLER",   and  together  with  Nechas,  the
"SHAREHOLDERS").  Sellers and the Shareholders are sometimes  referred to herein
collectively as the "GROUP" and each  individually  as a "GROUP  PARTICIPANT" or
"GROUP MEMBER" or "PARTICIPANT OF THE GROUP".

                  WHEREAS,   the   Shareholders   own  all  of  the  issued  and
outstanding shares of capital stock of each Seller; and

                  WHEREAS,   Rehab  is  engaged  in  the  business  (the  "REHAB
BUSINESS") of providing contract  rehabilitation services to patients at nursing
homes,  hospitals,  day activity centers,  and assisted living units, as well as
through homecare and outpatient clinics (including,  without limitation,  speech
and language pathology,  occupational  therapy and physical therapy services and
staffing and consulting  services  relating to such  services),  and payment for
such  services is made  directly  to Rehab from  various  payors  (collectively,
"REHAB SERVICES") in the States of Minnesota and North Dakota; and

                  WHEREAS,  Restorative  also is  engaged in the  business  (the
"RESTORATIVE BUSINESS", and together with the Rehab Business, the "BUSINESS") of
providing  contract  rehabilitation  services to  patients  in various  settings
(including,  without  limitation,  speech and language  pathology,  occupational
therapy and physical  therapy  services and  staffing  and  consulting  services
related to such services),  and payment for services is made pursuant to various
contractual  arrangements  primarily  through  Medicare,  Part  A  ("RESTORATIVE
SERVICES",  and  collectively  with the Rehab  Services,  the "SERVICES") in the
States of Minnesota and North Dakota; and

                  WHEREAS,  Rehab and Restorative have an interest (the "DYNAMIC
INTEREST") in Dynamic Health Care Solutions, LLC ("DYNAMIC"); and

                                       1

<PAGE>

                  WHEREAS,  Buyer wishes to purchase from  Sellers,  and Sellers
wish to sell to Buyer,  substantially  all of the assets of each  Seller,  other
than the Dynamic Interest and other than the assets (the "BETHOUGHTFUL  ASSETS")
of the Sellers  related  solely and  directly to the  operation  of the Sellers'
"Bethoughtful" greeting card business (the "BETHOUGHTFUL DIVISION") as described
on Schedule A hereto,  including,  without  limitation,  the accounts receivable
arising directly and solely out of such business;

                  WHEREAS,  pursuant to an Asset Purchase  Agreement,  a copy of
which is  attached  hereto as Exhibit  4.26 (the "RSI  AGREEMENT"),  dated as of
December  19, 1996,  between  Rehab,  Restorative  and Rehab  Services,  Inc., a
Minnesota   corporation   primarily   involved  in  the  business  of  providing
rehabilitation services in the state of Minnesota ("RSI"), Rehab and Restorative
has  purchased  substantially  all of the assets of RSI related to its Minnesota
operations  (the  "RSI  ASSETS")  on  or  about  December  31,  1996  (the  "RSI
ACQUISITION");

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


            ARTICLE I: PURCHASE AND SALE OF ASSETS; NO ASSUMPTION OF
                        LIABILITIES; DESIGNATED CONTRACTS

                  1.1  ASSETS.  Subject  to the  terms  and  conditions  of this
Agreement  at the  Closing  (as  hereinafter  defined  in Section  3.1),  and in
reliance upon the  covenants,  representations  and warranties of IHS and Buyer,
Sellers  will  sell,  assign and convey to Buyer free and clear of all Liens (as
such term is hereinafter  defined in Section 4.11), and subject to the terms and
conditions of this Agreement and in reliance upon the covenants, representations
and warranties of Sellers and the Shareholders,  Buyer will purchase and acquire
from Sellers,  all of the assets of each Seller which now or hereafter comprise,
or  which  are now or  hereafter  used or held  for use in  connection  with the
operation of, the Business (the "ASSETS"), excluding: (a) inventory and supplies
disposed  of from the date  hereof  until  Closing  in the  ordinary  course  of
business  consistent  with past practice and  otherwise in  conformity  with the
obligations  of  Sellers  and the  Shareholders  under this  Agreement;  (b) the
Dynamic Interest and all assets owned by Dynamic;  (c) the Bethoughtful  Assets;
(d) each Seller's Articles of Incorporation, qualification to do business in any
jurisdiction,  taxpayer  identification  number,  minute books,  stock  transfer
records and other  documents  related  specifically  to such Seller's  corporate
organization and maintenance;  (e) amounts paid,  payable or that become payable
from  Medicare  or  Medicaid or any other  healthcare  reimbursement  or payment
intermediary or other person or entity on account of cost report  adjustments or
other payment  adjustments to the extent  attributable to Sellers'  operation of
the  Business  during any  period on or prior to the  Closing  Date  (including,
without  limitation,  any of the same  which is paid to, or  payable  or becomes
payable from,  any nursing home,  hospital,  other facility or other third party
pursuant to any Contract (as such term is hereinafter defined in Section 4.7) by
reason of refund, credit or payment for Reimbursement  Liabilities (as such term
is hereinafter  defined in Section 1.2(a) below)), or any other form of Medicare
or other healthcare

                                       2

<PAGE>

reimbursement  refund or credit  for  Reimbursement  Liabilities,  to the extent
attributable to Sellers' operation of the Business during any period on or prior
to the  Closing  Date  ("REIMBURSEMENT  PAYBACKS");  (f)  except  to the  extent
included  as  Current  Assets  (as such term is  hereinafter  defined in Section
2.3(a)) on the Closing Date Balance Sheet,  any prepaid expenses or refunds with
respect to any Contracts not constituting  Designated  Contracts (as hereinafter
defined in Section 1.3); (g) any accounts receivable due from Heritage of Edina,
together  with any rights to recover  costs of  collection  thereof  (the "EDINA
RECEIVABLES");  and (h) any  other  specifically  excluded  assets  as listed on
Schedule 1.1 to be retained by Sellers (collectively, "EXCLUDED ASSETS"). Except
for the  Excluded  Assets,  the Assets will  include,  without  limitation,  all
tangible,  intangible, real, personal and mixed property, OPERATIONS, POLICY AND
PROCEDURE  MANUALS,  LEASEHOLD  INTERESTS,   EQUIPMENT,   FURNITURE,   FIXTURES,
inventory, cash, accounts receivable, cash equivalents, notes receivable, claims
and rights under Designated Contracts, subject to Section 10.2(e), all rights of
either or both  Sellers  under  the RSI  Agreement  and  under  all  agreements,
instruments,  and documents now or hereafter executed or delivered in connection
therewith (the "RSI DOCUMENTS"),  all rights in collateral or other security for
obligations due to any Seller,  provider agreements with third party payors, the
name "Rehab Dynamics,  Inc." for use in Minnesota, the name "Restorative Therapy
Limited"  for  use  in  Minnesota  and  North  Dakota,   all  other  tradenames,
trademarks,  service marks, patient lists and records,  telephone numbers, trade
secrets, other proprietary rights or intellectual  property,  good will, and, to
the extent  permitted by law,  all  permits,  licenses and Medicare and Medicaid
provider numbers and other rights held by either or both Sellers with respect to
the  ownership  or  operation  of any or all of the  Business,  and  all of each
Seller's books and records pertaining to the foregoing.

                  1.2      LIABILITIES.

                           (A)  Neither  Buyer  nor IHS  will  assume  any,  and
Sellers  shall remain liable for each,  Liability of each Seller  arising out of
the  operation of the Business (or any part  thereof) or the ownership or use of
any of the Assets  existing on the Closing Date.  For purposes of this Agreement
the term "LIABILITY" means any claim, lawsuit, liability,  obligation or debt of
any kind or  nature  whatsoever,  whether  absolute,  accrued,  due,  direct  or
indirect,  contingent or  liquidated,  matured or  unmatured,  joint or several,
whether or not for a sum  certain,  whether  for the payment of money or for the
performance or observance of any obligation or condition,  and whether or not of
a type that would be reflected as a liability on a balance  sheet in  accordance
with generally accepted accounting principles,  consistently applied,  including
without limitation,  the following:  (i) Malpractice claims asserted by patients
or any other tort claims asserted,  claims for breach of contract, or any claims
of any kind asserted by patients, former patients,  employees or any other party
that are based on acts or  omissions  occurring  on or before the Closing  Date;
(ii) Amounts (including, if applicable,  penalties and interest) due or that may
become due to Medicare or Medicaid  or any other  health care  reimbursement  or
payment  intermediary  or other  person  or  entity on  account  of cost  report
adjustments or other payment adjustments  attributable to any period on or prior

                                       3

<PAGE>

to the  Closing  Date  (including,  without  limitation,  any of the same  which
becomes due to any nursing home,  hospital,  other facility or other third party
pursuant to any  Contract (as such term is  hereinafter  defined in Section 4.7)
directly,  by reason of offset or indemnification,  or otherwise),  or any other
form  of  Medicare  or  other  health  care  reimbursement  denial,   recapture,
adjustment or overpayment  whatsoever  with respect to any period on or prior to
the  Closing  Date  ("REIMBURSEMENT  LIABILITIES"),   (iii)  Any  obligation  or
liability  arising out of any Contract which is not a Designated  Contract,  and
(iv) Any  obligation  or  liability  arising out of the Dynamic  Interest or the
Bethoughtful Assets. Without limiting the foregoing and notwithstanding anything
to the contrary contained in this Agreement,  Buyer shall not assume and Sellers
shall remain liable for all  Liabilities  arising out of the RSI Documents.  For
purposes of this Agreement, all Liabilities of either or both Sellers other than
Assumed  Obligations  (as  hereinafter  defined in Section  1.2(b)  below) shall
constitute  "UNASSUMED  LIABILITIES".  Each  Seller  shall  pay  each  Unassumed
Liability  when due in the  ordinary  course of  business  consistent  with past
practice,  unless it shall be contesting the same in good faith,  in which case,
Sellers  may  withhold  payment  of  such  Unassumed  Liability  to  the  extent
consistent  with  past  practice.  Each  Seller  specifically  agrees  that  any
obligation  imposed by any applicable  Governmental  Requirement (as hereinafter
defined in Section 4.4 below) on the Buyer or IHS to pay depreciation  recapture
will be treated,  for purposes of this  Agreement,  as an  Unassumed  Liability.
Further,  Sellers  agree to promptly  repay to Buyer and IHS any sums which they
are required to pay as depreciation  recapture and reasonable fees for the legal
defense of such claimed recapture.

                           (B)  Subject  to the  provisions  of  subsection  (a)
above, at the Closing,  Buyer shall assume only the following  obligations  (the
"ASSUMED OBLIGATIONS") and thereafter in due course fully satisfy:

                                    (I) to the extent included as a Liability on
the Closing Date Balance Sheet (subject to adjustment in accordance with Section
2.3(c)  below),  all  operating  trade  payables,  operating  expenses and other
current  liabilities of Sellers that would be classified as current  liabilities
("CURRENT  LIABILITIES")  on a  consolidated  balance sheet of Sellers as of the
Closing  Date  prepared  in  accordance  with  generally   accepted   accounting
principles,  consistently applied ("GAAP"),  including all employee compensation
Liabilities existing or arising on the Closing Date, including  specifically but
without  limitation,  accrued  wages,  accrued  paid  time  off,  and  severance
obligations to the extent the same would  constitute  current  liabilities as of
the Closing Date in accordance with GAAP; but excluding any current  liabilities
arising out of the Bethoughtful Division or Dynamic;

                                    (II) those obligations which arise under the
Designated Contracts (as defined in to Section 1.3 below) assigned by Sellers to
Buyer,  with  respect to, and only with  respect to,  services to be rendered or
goods to be supplied to or benefits to be conferred  upon Buyer solely after the
Closing Date.  Liabilities under such Designated Contracts that have accrued, or
the  performance of which are due, on or prior to the Closing Date, or which are
in  payment  or  consideration  for  Excluded  Assets,  shall  remain  the  sole
responsibility  of  Sellers  except  to  the  extent  they  constitute   Current
Liabilities;

                                       4

<PAGE>

                                    (III) to the extent  included as a Liability
on the Closing Date Balance Sheet  (subject to  adjustment  in  accordance  with
Section  2.3(c)  below),  all  indebtedness  for borrowed  money,  the long-term
portion of all  capitalized  lease  obligations,  and all other  liabilities  of
Sellers that would be  classified  as long-term  liabilities  on a  consolidated
balance  sheet of Sellers and their  subsidiaries  other than  Dynamic as of the
Closing Date prepared in accordance  with GAAP, and all guaranties of any of the
foregoing ("LONG-TERM LIABILITIES"),  but excluding any of the foregoing arising
out of the Bethoughtful Division; and

                                    (IV) all Liabilities arising out of the WARN
Act (as defined in Section  10.6) (or any similar State law of Minnesota) to the
extent provided in Section 10.6.

                  1.3      DESIGNATED CONTRACTS.

                           (A) As soon as practicable after the date hereof, but
in no event  later than three (3)  business  days after the date  hereof,  Buyer
shall deliver  notice in writing to Sellers  designating  which,  if any, of the
Contracts  to which any  Seller  is a party  listed on  Schedule  4.7(b)  hereto
pursuant  to Section  4.7 of this  Agreement  will be assigned to and assumed by
Buyer  (collectively,  the  "DESIGNATED  CONTRACTS").  Except  as set  forth  on
Schedule  1.3(a),  each existing  Provider  Contract (as such term is defined in
Section 4.7(b) below) is a Designated Contract,  and is sometimes referred to in
this Agreement as a "DESIGNATED  PROVIDER  CONTRACT" and  collectively  with all
such other Contracts,  as the "DESIGNATED  PROVIDER  CONTRACTS".  If within said
period of time Buyer fails to so deliver notice to Sellers, Buyer will be deemed
to have  designated all of said  Contracts.  Subject to subsections  (b) and (c)
below,  to the  extent  Buyer  makes  (or is  deemed  to  have  made)  any  such
designation, Sellers shall at Closing be obligated to assign all of their right,
title and  interest  under such  Designated  Contracts  to Buyer and Buyer shall
assume the obligations accruing after Closing under such Designated Contracts to
the extent  provided in Section 1.2 above.  If,  after the date  hereof,  either
Seller shall enter into any agreement,  lease,  contract or commitment,  whether
written or oral, with respect to the Business,  or initially deliver a copy of a
Contract not previously  delivered to Buyer,  such Seller shall promptly  notify
Buyer,  in which case Buyer shall have three (3) business  days from the date of
its  receipt  of notice  thereof  to elect to  include  such  agreement,  lease,
contract or commitment as a Designated  Contract.  Unless Buyer shall  otherwise
notify  Sellers on or prior to the end of such three (3)  business  day  period,
such agreement, lease, contract or commitment shall be deemed to be a Designated
Contract.

                           (B)ITS  AND SHALL  DILIGENTLY  PROCEED  TO OBTAIN ANY
CONSENTS OF ANY PARTIES  NECESSARY TO PERMIT THE  ASSIGNMENT  OF THE  DESIGNATED
CONTRACTS TO BUYER,  INCLUDING  WITHOUT  LIMITATION,  EACH  DESIGNATED  PROVIDER
CONTRACT  WITH THE  EVANGELICAL  LUTHERAN GOOD  SAMARITAN  SOCIETY OR ANY OF ITS
AFFILIATES  ("GOOD  SAMARITAN")  IDENTIFIED ON SCHEDULE  1.3(B)-1 HERETO (EACH A
"SELECTED GOOD SAMARITAN  CONTRACT") and each Designated  Provider Contract with
Walker  Methodist,  Inc.  ("WALKER")  or any of its  affiliates  (each a "WALKER
CONTRACT"),  each of which Walker Contracts,  Sellers represent and warrant,  is
set forth on Schedule  1.3(b)-2;  provided however that each Seller shall so use
its best efforts with respect to Designated  Provider  Contracts  other than the
Selected  Good  Samaritan   Contracts  and  the  Walker  Contracts  (the  "OTHER
DESIGNATED  PROVIDER  CONTRACTS")  only  after the  Closing.  If any  Designated
Contract (other than

                                       5

<PAGE>

an Other Designated  Provider  Contract) is not assignable and any party to such
Designated  Contract fails or refuses to consent to the assignment thereof on or
before the Closing Date, Buyer shall have no liability to assume any obligations
under  such  Designated  Contract.  Moreover,  if any party to any of the Walker
Contracts  or  to  any  of  the  Selected  Good  Samaritan  Contracts  does  not
acknowledge  in writing in  substantially  the words set forth on Exhibit 1.3(b)
hereto its agreement to the assignment of such Walker  Contract or Selected Good
Samaritan  Contract to Buyer on or before the Closing Date,  then Buyer shall be
permitted to terminate  this  Agreement  in  accordance  with Article XI hereof.
Furthermore,  if any party fails or refuses to consent to the  assignment of the
Office  Lease,  dated as of October  18,  1994,  between  Sellers  and the Wirth
Companies (the "OFFICE LEASE") or to any other  Designated  Contract (other than
Other Designated  Provider  Contracts)  that,  individually or together with all
other  Designated  Contracts  with  respect  to which  any such  consent  is not
obtained,  is or are material to the  operation  or  financial  condition of the
Business, the Buyer shall be permitted to terminate this Agreement in accordance
with Article XI hereof.  Sellers  represent  and warrant that the Selected  Good
Samaritan  Contracts are comprised of the six (6) Provider  Contracts  with Good
Samaritan  with  respect to which  Sellers  were  parties  prior to the  closing
contemplated by the RSI Purchase Agreement, and the other four (4) Selected Good
Samaritan  Contracts  are the  four  (4)  highest  revenue  generating  Provider
Contracts with respect to which RSI was a party prior to such closing of the RSI
Purchase Agreement.

                           (C) (i) With respect to each Contract (other than the
Designated  Provider  Contracts)  that is not assigned by either Seller to Buyer
pursuant to this Agreement,  or for which any necessary  consent is not obtained
on or  after  the  Closing,  Buyer  shall  not  unreasonably  refuse  to use its
reasonable  commercial  efforts to provide any services due or perform  Sellers'
obligations  (other  than the  payment  of any  penalties  or other  termination
obligations) under such unassigned Contract pending the termination thereof (but
in no event for more than 60 days after the  Closing  Date),  provided  that the
Group  shall  indemnify  and  hold  each  Buyer  Indemnitee  (as  such  term  is
hereinafter defined in Section 10.2) harmless from and against any Loss (as such
term is hereinafter  defined in Section 10.2) arising out of such  arrangements,
including,  without limitation,  the performance of such services or obligations
and shall pay to Buyer the amount of  compensation  to which  Sellers would have
been entitled for such  services  under,  and shall make  available to Buyer the
benefits  to  which  Sellers  would  have  been  entitled  as a  result  of  the
performance of obligations under, such unassigned Contract, in each case, if the
transactions contemplated by this Agreement had not occurred.

                                    (ii)  With   respect   to  each   Designated
Provider  Contract,  until each consent necessary for the assignment  thereof to
Buyer shall be obtained or such  Designated  Provider  Contract is replaced by a
contract  with  Buyer  such  Designated  Provider  Contract  shall not be deemed
assigned  to Buyer,  provided  however  that the  parties  shall use their  best
efforts to  undertake  reasonable  arrangements  pursuant  to which  Buyer shall
receive the benefits of such  unassigned  Designated  Provider  Contracts and be
responsible for the obligations  under such Designated  Provider  Contracts that
otherwise  would  have  been  assumed  by Buyer  pursuant  to the  terms of this
Agreement.  Until so  assigned,  or  replaced,  each  such  Designated  Provider
Contract

                                       6

<PAGE>

shall be referred to as a  "PRE-ASSIGNMENT  DESIGNATED  PROVIDER  CONTRACT"  for
purposes of this Agreement and so long as a Designated  Provider  Contract shall
be deemed to be a Pre-Assignment  Designated Provider Contract,  the Group shall
indemnify and hold each Buyer  Indemnitee  harmless from and against any Loss in
excess of any insurance  proceeds  collected by Buyer in respect thereof (net of
costs of recovery  and  increases in premiums to the extent  directly  resulting
from such Loss) (other than amounts  that,  in the ordinary  course of business,
are  deducted  from Net Existing  Contract  Revenues (as such term is defined in
Section  2.5(a)  below) in  connection  with the  determination  of the One Year
EBITDA  as  such  term  is  defined  in  Section  2.5(a))  arising  out of  such
arrangements,  including,  without  limitation,  out of the  performance of such
services,   and  so  long  as  any  such   arrangement   shall  continue,   such
Pre-Assignment  Designated  Provider  Contract shall be deemed to be an Existing
Contract  (as such term is  hereinafter  defined  in Section  2.5(d)  (iii)) for
purposes of determining the One Year EBITDA.  If any  Pre-Assignment  Designated
Provider  Contract  shall be assigned  to Buyer,  or if Buyer shall enter into a
replacement  Provider  Contract  with the  applicable  other  party,  then  such
Pre-Assignment Designated Provider Contract shall be retroactively treated as if
assigned  to  Buyer on the  Closing  Date and no  Group  Member  shall  have any
indemnification obligation with respect to any post-Closing matter arising under
such Pre-Assignment Designated Contract by reason of this clause (ii).

                           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 and their  respective  obligations  under this
Agreement  (the  "PURCHASE  PRICE")  shall be  THIRTY-ONE  MILLION  FOUR HUNDRED
THOUSAND  DOLLARS  ($31,400,000),  and which  Purchase Price shall be payable as
follows:

                           (A) SEVEN MILLION SIX HUNDRED FORTY THOUSAND  DOLLARS
($7,640,000)  plus (x) an  amount  equal to fifty  percent  (50%) of the  unpaid
portion of the RSI Purchase Amount,  or (y) FIVE HUNDRED AND SIXTY-TWO  THOUSAND
FIVE HUNDRED DOLLARS ($562,500),  whichever amount is less, shall be paid at the
Closing to Sellers in cash by wire transfer of  immediately  available  funds to
the account  designated in writing by Sellers at least one business day prior to
the Closing; and

                           (B)  ELEVEN   MILLION  FOUR  HUNDRED  SIXTY  THOUSAND
DOLLARS  ($11,460,000)  shall be paid at the  Closing by  delivery to Sellers of
newly issued shares of the Common Stock,  par value $.001 per share, of IHS (the
"IHS  STOCK"),  based upon the  valuation  of such  shares  using as the date of
determination  the  Closing  Date and  subject  to the terms and  conditions  of
Section 2.4 below; and


                                       7

<PAGE>


                           (C) the balance (the "CONTINGENT  PAYMENT AMOUNT") of
the  $31,400,000  Purchase  Price  shall  be paid in a single  installment  (the
"CONTINGENT  PAYMENT"),  subject to offsets for Purchase  Price  reductions  and
indemnification rights as elsewhere provided in this Agreement, on the date that
is  four  hundred  and  fifty  five  (455)  days  after  the  first  date of the
Determination  Period (as defined in Section  2.5(a) below) or the date on which
the One Year EBITDA (as  hereinafter  defined)  shall  finally be  determined in
accordance  with Section 2.5 below,  whichever date shall be later,  unless such
payment date shall be delayed as hereinafter  provided.  The Contingent  Payment
Amount shall be payable  forty  percent (40%) in cash and sixty percent (60%) by
delivery of shares of IHS Stock based upon the valuation as of the Determination
Date (as  hereinafter  defined in Section  2.5(a)) in  accordance  with  Section
2.4(a) below.  Prior to offsetting  against the Contingent  Payment for Purchase
Price reductions or pursuant to indemnification  rights,  Buyer shall notify the
Sellers of the basis for such offset in reasonable  detail. If the Sellers shall
fail to  notify  Buyer of their  objection,  if any,  to all or any part of such
offset  within ten (10)  business  days after such  notice of offset is given to
Buyer,  stating  in  reasonable  detail the basis for such  objection,  then the
Sellers shall be irrevocably  deemed to have agreed to such offset to the extent
not  objected to, and such offset shall be deemed  taken.  If the Sellers  shall
timely give such a notice of objection, then Buyer shall not be entitled to take
such offset (and shall not be required to make payment of the Contingent Payment
in respect of such claimed  offset) unless and until the Sellers and Buyer shall
agree  thereto in writing  or, if  applicable,  unless and until the  Settlement
Accountants  shall finally  determine the amount of any Purchase Price reduction
with  respect to which such  offset is  claimed,  or unless and until a court of
competent  jurisdiction shall have determined in a final judgment whether or not
Buyer is entitled to such offset. If the Settlement  Accountants shall determine
in connection  with the  determination  of any claimed  Purchase Price reduction
with respect to which an offset is claimed and disputed,  or if such court shall
determine  in such final  judgment,  that either the Sellers or Buyer shall have
acted in bad faith in claiming any such offset or making an  objection  thereto,
as the case may be, then the party that is determined to have acted in bad faith
shall pay interest at an annual rate of five percent (5%) on the amount that was
claimed for offset or objected to, in bad faith,  as the case may, from the date
the notice of such offset or objection, as the case may be, was given.

                  2.2  ALLOCATION  OF  PURCHASE  PRICE.  The  Purchase  Price as
adjusted pursuant to this Agreement (and all other capitalizable costs) shall be
allocated  among  the  Sellers  and  with  respect  to each  Seller,  among  the
categories of Assets,  as set forth on Schedule 2.2 hereto,  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.

                  2.3      WORKING CAPITAL ADJUSTMENTS TO THE PURCHASE PRICE.

                           (A) For the  purposes  of  this  Agreement,  "CURRENT
ASSETS" shall mean the aggregate  amount of all assets of the Sellers that would
be classified as current assets on the consolidated balance sheet of the Sellers
as of the Closing Date prepared in accordance with GAAP, but excluding any cash,
cash  equivalents  and  accounts  receivables  of the  Bethoughtful  Division or
Dynamic,  the Edina  Receivable,  and any other current  assets that  constitute
Excluded Assets. 

                                       8

<PAGE>

It is understood and agreed that no Reimbursement Payback shall be included as a
Current  Asset on the Closing  Date  Balance  Sheet.  As used  herein,  "WORKING
CAPITAL" means the amount by which Current Assets exceeds  Current  Liabilities.
Regardless  of whether  the same shall be in  accordance  with GAAP,  the unpaid
portion of the RSI Purchase Amount (as hereinafter defined) shall not be assumed
by Buyer,  shall not be included  as a Current  Liability  or part of  Long-term
Liabilities,   shall  constitute  an  Unassumed  Liability  (regardless  of  the
inclusion  of the RSI  Documents  in the  Assets),  and shall be paid in full by
Sellers at Closing.  Regardless of whether the same shall be in accordance  with
GAAP,  the amount of principal  due from Sellers to Park National Bank as of the
Closing Date that would have been treated as long-term liabilities in accordance
with GAAP had Sellers been negotiating to renew and extend for two (2) years the
term thereof,  shall be treated as Long-term  Liabilities as of the Closing Date
for purposes of this Agreement. The purchase price heretofore,  now or hereafter
paid or payable in respect of the RSI Assets or  otherwise  under any of the RSI
Documents  (including,  without  limitation,  any amounts  payable in respect of
non-competition  agreements,  consulting  agreements  and  accelerated  earn-out
payments)  and all costs and  expenses  incurred by Sellers in  connection  with
completing  the  transactions  contemplated  by the RSI  Agreement  is sometimes
referred to in this Agreement as the "RSI PURCHASE  AMOUNT".  Sellers  represent
and warrant that Schedule 2.3(a)  accurately sets forth the RSI Purchase Amount,
including each item  constituting a portion  thereof,  and said Schedule  2.3(a)
sets forth the amounts heretofore paid.

                           (B) At the Closing,  Sellers  shall  deliver to Buyer
the consolidated  balance sheet of Sellers as of the Closing Date (excluding any
Excluded Assets and any Unassumed  Liabilities),  certified by each Seller to be
its best good  faith  estimate  of such  balance  sheet as of the  Closing  (the
"CLOSING DATE BALANCE SHEET").

                                    (I)  The  Purchase   Price  payable  to  the
Sellers  shall be reduced if the Closing Date Balance Sheet  discloses  that the
consolidated  Working  Capital of Sellers as of the Closing Date (the "ESTIMATED
WORKING  CAPITAL") is less than the  Required  Working  Capital (as  hereinafter
defined). "REQUIRED WORKING CAPITAL" means $5,600,000. In such event, the amount
of the Purchase  Price payable to the Sellers at the Closing shall be reduced by
an  amount,  on a  dollar-for-dollar  basis,  equal to the  amount  by which the
Estimated Working Capital is less than such Required Working Capital.

                                    (II)  The  Purchase  Price  payable  to  the
Sellers shall be increased if the Closing Date Balance Sheet  discloses that the
Estimated Working Capital is greater than the Required Working Capital.  In such
event,  the amount of the Purchase  Price  payable to the Sellers at the Closing
shall be  increased by an amount,  on a  dollar-for-dollar  basis,  equal to the
amount by which the  Estimated  Working  Capital is greater  than such  Required
Working Capital.

                                    (III)  The  Purchase  Price  payable  to the
Sellers shall be decreased if the Closing Date Balance Sheet  discloses that the
estimated amount of Long-term Liabilities as of the Closing Date (the "ESTIMATED
LONG-TERM  LIABILITIES")  is greater than  $1,300,000  (the  "MAXIMUM  LONG-TERM
LIABILITIES").  In such event,  the amount of the Purchase  Price payable to 

                                       9

<PAGE>

the  Sellers  at  the  Closing   shall  be   decreased   by  an  amount,   on  a
dollar-for-dollar  basis,  equal to the amount by which the Estimated  Long-term
Liabilities is greater than such Maximum Long-term Liabilities.

                           (C)  Buyer  shall  complete,  at its own  expense,  a
review of the Working  Capital as of the Closing Date (the "CLOSING DATE WORKING
CAPITAL")  and the  Long-term  Liabilities  as of the Closing Date (the "CLOSING
DATE  LONG-TERM  LIABILITIES"),  and, Buyer shall deliver to Sellers its written
report (the "WORKING  CAPITAL  REVIEW") setting forth the amount of such Closing
Date  Working  Capital and Closing Date Long- term  Liabilities  as confirmed or
determined in accordance  with such review within one hundred  eighty (180) days
after the Closing Date. Buyer shall,  upon reasonable  request,  provide Sellers
with copies of, or, in the discretion of Buyer,  access to the source  materials
used by it to prepare the Working  Capital  Review,  in which case,  such access
shall be at a location no greater than thirty (30) miles from  Sellers'  current
location,  shall be under reasonable conditions,  and Sellers shall be permitted
to copy such  documents at Sellers'  sole cost and  expense.  If Buyer shall not
have  completed  such a Working  Capital  Review and delivered a copy thereof to
Sellers within one hundred  eighty (180) days following the Closing Date,  Buyer
shall be deemed to conclusively have accepted the determination of the Estimated
Working Capital and Estimated Long-term  Liabilities as set forth on the Closing
Date Balance Sheet, and such  determination  shall become final and shall not be
subject to further review, challenge or adjustment, absent fraud. If there shall
be  discovered  any  Liability  that  should  have  been  included  as a Current
Liability or Long-term  Liability on the Closing Date Balance Sheet but that was
not so included,  then Buyer, in its sole  discretion,  may elect to assume such
Liability, in which case such Liability shall be included as a Current Liability
or Long-term Liability, as the case may be, in the determination of Closing Date
Working Capital or Closing Date Long-term Liabilities, as the case may be, or to
not assume such  Liability,  in which case such Liability  shall be an Unassumed
Liability and shall not be included as a Current  Liability in the determination
of Closing Date Working Capital, or as a Closing Date Long-term Liability.

                                    (I) If the Working  Capital Review is timely
prepared and delivered to Sellers and it discloses that the Closing Date Working
Capital was less than the Estimated  Working  Capital,  then the Purchase  Price
shall be deemed to have been decreased by the amount of such  deficiency  except
to the  extent  that the amount of such  deficiency  shall be subject to a Delay
Payment Notice (as hereinafter  defined), in which case no such adjustment shall
be made in respect of such disputed portion until such disputed portion shall be
finally determined as set forth below.

                                    (II) If the Working Capital Review is timely
prepared and delivered to Sellers and it discloses that the Closing Date Working
Capital was greater than the Estimated Working Capital,  then the Purchase Price
shall be deemed to have been  increased  by the amount of such excess  except to
the extent  that the amount of such excess  shall be subject to a Delay  Payment
Notice,  in  which  case no such  adjustment  shall be made in  respect  of such
disputed portion until such disputed portion shall be finally  determined as set
forth below.

                                       10

<PAGE>

                                    (III)  If  the  Working  Capital  Review  is
timely  prepared and delivered to Sellers and it discloses that the Closing Date
Long-term Liabilities were greater than the greater of (x) the Maximum Long-term
Liabilities or (y) the Estimated Long-term Liabilities,  then the Purchase Price
shall be deemed to have been  decreased  by the amount of such excess  except to
the extent  that the amount of such excess  shall be subject to a Delay  Payment
Notice,  in  which  case no such  adjustment  shall be made in  respect  of such
disputed portion until such disputed portion shall be finally  determined as set
forth below. If the Estimated Long-term  Liabilities  exceeded Maximum Long-term
Liabilities and the Closing Date Long-term Liabilities (as finally determined in
accordance  with this  subsection  (c)) are less than the  Estimated  Long- term
Liabilities,  then the Purchase  Price shall be deemed to have been increased by
the difference between the Estimated  Long-term  Liabilities and the greater of:
(x) the  Maximum  Long-term  Liabilities,  and (y) the  Closing  Date  Long-term
Liabilities,  except to the extent that the amount of such  difference  shall be
subject to a Delay Payment  Notice,  in which case no such  adjustment  shall be
made in respect of such disputed  portion  until such disputed  portion shall be
finally determined as set forth below.

                                    (IV) If Sellers shall dispute the amount set
forth in the Working Capital  Review,  they shall give notice to Buyer (a "DELAY
PAYMENT  NOTICE") within fifteen (15) days after delivery to them of the Working
Capital Review that the disputed  portion of the payment should not then be made
and setting forth in reasonable  detail their objections and the basis therefor,
in which case the  parties  shall meet and in good faith  attempt to resolve any
disagreements  within  fifteen  (15) days after  delivery  to Buyer of the Delay
Payment Notice. If the parties are unable to resolve such  disagreements  within
such time period, the disagreements  shall be referred to a "Big Six" accounting
firm selected by mutual agreement of Sellers, on the one hand, and Buyer, on the
other hand (or if the parties cannot agree on such  selection,  then a "Big Six"
accounting  firm,  other  than  KPMG Peat  Marwick  LLP,  selected  by lot) (the
"SETTLEMENT  ACCOUNTANTS"),  and the determination of the Settlement Accountants
of the Closing Date Working Capital and Closing Date Long-term Liabilities shall
be final and shall not be subject to further review,  challenge,  or adjustment,
absent fraud.  The  Settlement  Accountants  shall be directed to use their best
efforts to reach a  determination  not more than forty-five (45) days after such
referral.  The costs and expenses of the services of the Settlement  Accountants
shall be borne by the party against whom the Settlement  Accountants shall rule;
provided that if the Settlement  Accountants  shall not clearly rule against any
party,  then such costs and expenses  shall be borne equally by Sellers,  on the
one hand, and Buyer, on the other hand.

                           (D)  (I)  If  the  Purchase  Price  is  increased  as
provided  in  Section  2.3(b),  the  amount  of the  increase  shall  be paid by
delivery,  within two (2) business days after the Closing,  of IHS Stock (valued
as of the Closing Date in accordance  with Section  2.4(a) below) or in cash, or
in such  combination  thereof as Buyer, in its sole discretion  shall determine,
into an  interest-bearing  escrow account (the "ESCROW ACCOUNT")  pursuant to an
Escrow  Agreement in the form of Exhibit  2.3(d)(i) (the "WORKING CAPITAL ESCROW
AGREEMENT")  among the parties hereto and with an escrow agent acceptable to all
of the parties  hereto (the  "ESCROWEE"),  and upon final  determination  of the
Closing  Date  Working  Capital  and  Closing  Date  Long-term   Liabilities  in
accordance with Section 2.3(c),  the amount of such increase (as the same may be
adjusted to take into  consideration  any further  increases or decreases in the
Purchase  Price  pursuant to this  Section  2.3) (plus all  interest  and income
earned  thereon) shall be paid to Sellers from the Escrow 

                                       11

<PAGE>

Account,  in the same  proportion  of cash and stock as was paid into the Escrow
Account at Closing (as adjusted for any sale of Escrowed  Shares by the Escrowee
in accordance  with the terms of the Working Capital Escrow  Agreement),  within
fifteen  (15) days after the final  determination  of the amount  due,  with any
additional  amount in excess of the amount paid out of the Escrow  Account (less
interest or income earned and included in such payment) to be paid in cash or in
shares of IHS Stock (valued using a date of  determination  as of the Closing in
accordance with Section 2.4(a) below), or in such combination  thereof as Buyer,
in its sole discretion shall determine.

                                    (II) If the  Purchase  Price is decreased as
provided in Section  2.3(b)(i) or (b)(iii) or 2.3(c)(i) or (c)(iii),  the amount
of the decrease  shall be paid by Sellers as follows:  All payments of decreases
in the Purchase Price required  pursuant to Section  2.3(b)(i) or (b)(iii) shall
be paid into the Escrow  Account,  and all payment of  decreases in the Purchase
Price  required to be paid as a result of a further  adjustment  to the Purchase
Price  pursuant to Section  2.3(c)(i) or (c)(iii)  shall be paid to Buyer out of
the Escrow Account (together with all interest and income earned thereon) and/or
directly from Sellers,  and in each case,  shall be paid in any  combination  of
cash and/or  shares of IHS Stock  (valued as of the Closing  Date in  accordance
with Section 2.4(a) below) as Sellers shall determine in their sole  discretion;
provided, however, that in no event shall Sellers select a combination that will
have the result that Buyer shall have paid less than sixty  percent (60%) of the
Purchase Price (excepting  therefrom the amount by which the cash portion of the
Purchase Price is increased in respect of the unpaid portion of the RSI Purchase
Amount in  accordance  with Section  2.1(a)  above) by delivery of shares of IHS
Stock  (except that Sellers may make such payment with a greater  percentage  of
shares of IHS Stock to the extent that Sellers are returning shares of IHS Stock
previously delivered to them or the Escrowee in respect of any previous increase
in Purchase  Price to the extent that such shares  increased  the  percentage of
such shares  included in such Purchase  Price  increase to a percentage  greater
than sixty percent (60%)).

                           (E) The Group  shall  indemnify  and hold each  Buyer
Indemnitee  harmless  from and  against  any Loss  arising out of the failure to
collect all or any part of any account receivable included in the Current Assets
to the extent that such failure  arises out of any matter that would have been a
Reimbursement  Liability,  and from and  against  any  Loss  arising  out of any
Reimbursement  Liability  with  respect  to all or  part  of  any  such  account
receivable   that  actually  is  collected   prior  to  the  occurrence  of  the
Reimbursement Liability related thereto.

                  2.4      IHS STOCK.

                           (A) As set forth in Section 2.1(b) above, but subject
to Sections  2.3(d) above,  a portion of the Purchase  Price shall be payable by
means of the  delivery  to Sellers of IHS Stock  based upon a price per share of
such stock equal to the average  closing New York Stock Exchange  ("NYSE") price
of such stock for the thirty (30) trading day period ending on the date which is
two (2) trading days prior to the applicable date of determination  (the "MARKET
VALUE PER SHARE");  provided  that if the closing NYSE price of the IHS Stock on
the  trading day  immediately  preceding  the  Closing  Date is either more than
fifteen  percent  (15%) less than, or fifteen  percent  (15%) greater than,  the
average  closing  NYSE  price of such stock for such  thirty  (30)  trading  day
period,  then each of the Sellers  and Buyer  shall have the right to  terminate
this 
                                       12

<PAGE>

Agreement, with the effect set forth in Article XI hereof as if terminated under
Section 11.1(c),  by giving the other notice thereof on the date that would have
been the Closing Date if this Agreement were not so terminated.

                           (B) RESALE LIMITATIONS. All sales of IHS Stock issued
pursuant to this Agreement shall be effected  solely through Smith Barney,  Inc.
(provided that such fees are reasonable and customary),  as broker, and after an
effective  registration  pursuant to subsection (f) below, sales by Sellers and,
if applicable,  their pre- registration  transferees,  including Transferees (as
defined in Section 2.4(e)  below),  of such shares shall not at any time, in the
aggregate,  exceed one hundred thousand  (100,000) shares during any thirty (30)
day period. Delivery by Sellers of shares of IHS Stock to Transferees, or to IHS
or Buyer as  payment  for  adjustments  to the  Purchase  Price or  pursuant  to
indemnification  obligations,  shall not be  considered  in applying  the resale
limitations set forth herein.

                           (C)  INVESTMENT  REPRESENTATIONS.  All  shares of IHS
Stock to be issued hereunder will be newly issued shares of IHS. Sellers and the
Shareholders  represent and warrant that the IHS Stock being issued hereunder is
being  acquired,  and will be acquired,  by Sellers for investment for their own
accounts or for the account of any  Transferee  to whom  transfer of any of such
shares is expressly permitted in accordance with this Agreement,  and not with a
view to or for sale in  connection  with any  distribution  thereof  within  the
meaning of the Securities Act of 1933, as amended (the "SECURITIES  ACT") or any
applicable state  securities law. Sellers and each Shareholder  acknowledge that
the IHS Stock  constitutes  restricted  securities under Rule 144 promulgated by
the  Securities  and  Exchange  Commission  (the  "COMMISSION")  pursuant to the
Securities  Act, and may have to be held  indefinitely,  and each of them agrees
that such shares shall 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.  Sellers and each  Shareholder  have the  knowledge and
experience in financial  and business  matters,  are capable of  evaluating  the
merits and risks of the  investment,  and are able to bear the economic  risk of
such investment.  Sellers and each  Shareholder  acknowledge that they have been
provided with such materials as are generally  provided to  shareholders  of IHS
and  have  had  the   opportunity   to  make   inquiries   of  and  obtain  from
representatives  and employees of IHS such other  information  about IHS as they
deem necessary in connection with such investment.

                           (D) LEGENDS.  It is understood that, prior to sale of
any  shares of IHS Stock  pursuant  to an  effective  registration  pursuant  to
subsection (f) below, the certificates evidencing such shares of IHS Stock shall
bear the following  (or a similar)  legend (in addition to any legends which may
be required in the opinion of IHS's counsel by the applicable securities laws of
any  state),  and  upon  sale  of such  shares  pursuant  to  such an  effective
registration,  new certificates shall be issued for the shares sold without such
legends except as otherwise required by law:

                  THE  SHARES  REPRESENTED  BY THIS  CERTIFICATE  HAVE  NOT BEEN
                  REGISTERED  UNDER THE  SECURITIES ACT OF 1933. THE SHARES HAVE
                  BEEN ACQUIRED FOR INVESTMENT AND MAY NOT BE SOLD,

                                       13

<PAGE>

                  TRANSFERRED  OR  ASSIGNED  IN  THE  ABSENCE  OF  AN  EFFECTIVE
                  REGISTRATION  STATEMENT FOR THESE SHARES UNDER THE  SECURITIES
                  ACT OF  1933  OR AN  OPINION  OF THE  COMPANY'S  COUNSEL  THAT
                  REGISTRATION IS NOT REQUIRED UNDER SAID ACT.

                           (E)  TRANSFERS.  Upon  prior  notice to IHS,  Sellers
shall be permitted  to transfer any of the shares of IHS Stock  acquired by them
pursuant to this Agreement and the registration rights related thereto to any of
the Shareholders or to Michael C. Favilla  ("FAVILLA")  (each a "TRANSFEREE") in
accordance  herewith,  provided that said transfers  shall be made in compliance
with all applicable securities laws. Prior to an effective registration pursuant
to subsection  (f) below,  as a condition to any transfer of shares of IHS Stock
(other than any such transfer to any Transferee),  if IHS shall request, Sellers
shall cause an opinion of legal  counsel  (such  opinion and legal counsel to be
reasonably  acceptable  to IHS) to be  delivered  to IHS upon  which IHS and its
legal  counsel  may  rely  to the  effect  that  such  transfer  may be  made in
compliance with all applicable securities laws. Upon such transfer the acquiring
Transferee  shall  be  deemed  to  have  made  each of the  representations  and
warranties set forth in subsection (c) above with respect to himself or herself,
as of the date of such transfer,  and he or she shall be bound by the provisions
of  this  Agreement  relating  to such  transferred  shares,  including  without
limitation,  the resale limitations set forth in subsection (b) above and all of
the obligations relating to the registration of the shares.  Transferees,  other
than Shareholders,  may be required (as a condition  precedent to permitting any
transfer) by IHS to execute such  documents  as are  necessary to evidence  such
representations and warranties contained in this Section 2.4 and to bind them to
the  provisions  of  this  Section  2.4  of  this  Agreement  relating  to  such
transferred  shares.  No such transfer  shall release any Seller or  Shareholder
from any of its obligations  under this Agreement  relating to such  transferred
shares or otherwise.

                           (F)  REGISTRATION OF IHS STOCK.  IHS will cause to be
prepared,  filed and will use its best efforts to have declared effective by the
Commission  within ninety (90) days  following the Closing Date, a  registration
statement for the registration  under the Securities Act of the IHS Stock issued
to Sellers pursuant to this Agreement,  and IHS shall maintain the effectiveness
of such registration  statement for a period of two (2) years following the date
on which it becomes effective,  or for so long as any Seller (or any Transferee)
shall own any of the IHS Stock  issued  pursuant  to this  Agreement,  whichever
shall occur  first,  in each case except to the extent  that an  exemption  from
registration may be available.

                           (G) REGISTRATION PROCEDURES,  ETC. In connection with
the registration  rights granted to Sellers and Shareholders with respect to the
IHS Stock as provided in this Section 2.4, the following shall apply:

                                    (I) IHS will promptly  notify Sellers at any
time  when a  prospectus  relating  to a  registration  statement  covering  any
Sellers'  shares under this  Section 2.4 is required to be  delivered  under the
Securities  Act, of the happening of any event known to IHS 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

                                       14

<PAGE>

circumstances then existing,  and, to the extent required by applicable law, IHS
shall  promptly  prepare and file with the SEC as  appropriate  a supplement  or
amendment to such  prospectus  so that, as  thereafter  timely  delivered to the
purchaser of any IHS Stock such prospectus shall not contain an untrue statement
of a material  fact or omit to state any  material  fact  required  to be stated
therein or necessary to make the statements therein not misleading.

                                    (II) IHS  shall  furnish  Sellers  with such
number of  prospectuses as shall  reasonably be requested,  and Sellers agree to
comply  with the  prospectus  delivery  requirements  of the  Securities  Act in
connection with any sale of IHS Stock by either of them.

                                    (III) Subject to subsection  (h) below,  IHS
shall  take  all  necessary  action  which  may be  required  in  qualifying  or
registering IHS Stock included in a registration statement for offering and sale
under the securities or Blue Sky laws of such states as reasonably are requested
by Sellers,  provided  that IHS shall not be  obligated  to qualify as a foreign
corporation or dealer to do business under the laws of any such jurisdiction.

                                    (IV)    The    information    included    or
incorporated by reference in the  registration  statement filed pursuant to this
Section  2.4 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
statement  will  comply in all  material  respects  with the  provisions  of the
Securities Act and the rules and regulations  thereunder.  With respect to sales
of IHS Stock sold in accordance with the provisions of this Section 2.4 pursuant
to the registration statement,  IHS shall indemnify Sellers and the Transferees,
and each person, if any, who controls Sellers within the meaning of ss.15 of the
Securities  Act or ss.20(a) of the  Securities  Exchange Act of 1934, as amended
(the "EXCHANGE  ACT"),  against 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, based upon a sale by them pursuant to any untrue statement or alleged
untrue  statement of a material fact  contained in such  registration  statement
executed  by IHS or based upon a sale by them  pursuant  to written  information
furnished by IHS filed in any  jurisdiction  in order to qualify IHS Stock under
the securities laws thereof or filed with the Commission,  any state  securities
commission or agency, NYSE, NASDAQ, 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 IHS by any Seller or any Transferee 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 any Seller or
any  controlling  person of any  Seller or any  Transferee  in  respect of which
indemnity may be sought against IHS pursuant to this subsection,  such Seller or
such  controlling  person or such Transferee shall within thirty (30) days after
the  receipt  thereof  of a summons or

                                       15

<PAGE>

complaint, notify IHS in writing of the institution of such action and IHS shall
assume the  defense of such  action,  including  the  employment  and payment of
reasonable fees and expenses of counsel.  After twenty (20) business days notice
thereof to IHS, any Seller or any such controlling person or any such Transferee
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 such Sellers or
such  controlling  persons or such Transferee  unless (A) the employment of such
counsel  shall have been  authorized  in writing by IHS in  connection  with the
defense  of such  action,  or (B) IHS shall not have  employed  counsel  to have
charge of the defense of such  action or (C) IHS shall have failed to  undertake
and reasonably  pursue the defense of such action, or (D) such indemnified party
or parties shall have reasonably  concluded that there may be material  defenses
available  to it or them  which  are  different  from  or  additional  to  those
available  to IHS (in which  case,  IHS  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 fees and  expenses  of not more than one  additional  firm of
attorneys for Sellers,  such controlling  person and such  Transferees  shall be
borne by IHS, provided that such law firm shall be reasonably acceptable to IHS.
Except as  expressly  provided in the previous  sentence,  in the event that any
Seller,  any such controlling  person or any such Transferee  assumes control of
the defense of any such action or claim,  IHS shall not  thereafter be liable to
indemnify  such  Seller or any such  controlling  person or such  Transferee  in
investigating,  preparing  or  defending,  or  otherwise  in respect of any such
action or claim.  IHS agrees  promptly to notify Sellers of the  commencement of
any litigation or proceedings  against IHS or any of its officers,  directors or
controlling  persons in connection with the resale of IHS Stock or in connection
with such  registration  statement with respect to which any such party shall be
entitled to indemnification  hereunder.  If the indemnification  provided for in
this Section 2.4 is held by a court of competent  jurisdiction to be unavailable
to any Seller or any  controlling  person of any Seller or any  Transferee  with
respect to any loss,  liability,  claim,  damage or expense  referred to herein,
then IHS in lieu of  indemnifying  any Seller or any  controlling  person of any
Seller or any  Transferee  hereunder,  shall  contribute  to the amount  paid or
payable  by any  Seller or any  controlling  person  of such  Seller or any such
Transferee  hereunder,  as a result  of such  loss,  liability,  claim,  damage,
expense or  liability  in such  proportion  as is  appropriate  to  reflect  the
relative  fault  of IHS on the one hand and of such  Seller  or any  controlling
person of such Seller or any Transferee on the other hand in connection with the
statements or omissions which resulted in such loss,  liability,  claim, damage,
expense, or liability,  as well as any other relevant equitable  considerations.
The relative fault of IHS and of such Seller or any  controlling  person of such
Seller or any  Transferee  shall be  determined  by  reference  to,  among other
things, whether the untrue or alleged untrue statement of a material fact or the
omission to state a material fact relates to  information  supplied by IHS or by
such Seller or any  controlling  person of such Seller or any Transferee and the
parties'  relative intent,  knowledge,  access to information and opportunity to
correct or prevent such statement or omission.

                                    (V) Sellers and any  Transferee who proposes
to sell IHS Stock pursuant to a registration statement, shall severally, and not
jointly,  indemnify  IHS and Buyer,  their  respective  officers,  directors and
advisers,  and each person, if any, who controls IHS or Buyer within the meaning
of ss.15 of the Securities Act or ss.20(a) of the Exchange Act against all 

                                       16

<PAGE>

loss, claim,  damage,  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,  insofar as such losses,  claims,
damages, expenses or liabilities (or actions in respect thereof) arise out of or
are based upon any untrue or  alleged  untrue  statement  of any  material  fact
contained  in a  registration  statement,  a  prospectus,  or any  amendment  or
supplement thereto filed by IHS in accordance with this Agreement,  or arise out
of or are  based  upon the  omission  or  alleged  omission  to state  therein a
material fact required to be stated  therein or necessary to make the statements
therein not misleading, in each case to the extent, but only to the extent, that
such  untrue  statement  or alleged  untrue  statement  or  omission  or alleged
omission was made in a registration  statement,  a prospectus,  a filing, or any
amendment or  supplement  thereto  filed in  accordance  with this  Agreement in
reliance upon and in  conformity  with written  information  furnished to IHS by
such Seller, or any such Transferee, or its, his or her respective successors or
assigns.

                           (H)  REGISTRATION  EXPENSES.  Sellers  shall  not  be
responsible  for, and Buyer shall bear, all of the expenses of the Buyer related
to such  registration  and  Buyer's  other  obligations  under this  Section 2.4
including,  without  limitation,  the  fees  and  expenses  of its  counsel  and
accountants,  all  of  its  other  costs,  fees  and  expenses  incident  to the
preparation,  printing,  registration and filing under the Securities Act of the
registration  statement and all amendments and supplements  thereto, the cost of
furnishing copies of each preliminary prospectus, each final prospectus and each
amendment or supplement thereto to underwriters, dealers and other purchasers of
IHS Stock and the costs and expenses  (including fees and  disbursements  of its
counsel)  incurred in connection with the  qualification  of IHS Stock under the
Blue Sky laws of  various  jurisdictions.  Where any action or  inaction  by any
Seller or Transferee  shall cause  unreasonable  increases in any of such costs,
Buyer and IHS shall not be  responsible  for, and Sellers  shall pay for all of,
such costs.  Buyer also shall pay or reimburse  Sellers for the reasonable legal
fees and  costs of one law firm to  represent  Sellers  in  connection  with the
preparation of the registration statement. Buyer, however, shall not be required
to pay underwriter's or brokerage discount,  commissions or expenses,  or to pay
any  costs and  expenses  in excess in the  aggregate  of  $20,000  for Blue Sky
qualifications of Sellers' (and any Transferee's) IHS Stock, or to pay any costs
or expenses  arising out of any Seller's or any  Transferee's  failure to comply
with its obligations under this Section 2.4.

                                    (I) NOTICE OF SALE. If any Seller (or any of
its  Transferees)  desires to transfer all or any portion of its, his or her IHS
Stock,  it,  he or she  will  deliver  written  notice  to  IHS,  describing  in
reasonable  detail its  intention  to effect the  transfer and the manner of the
proposed transfer.

                  2.5      PURCHASE PRICE ADJUSTMENT.


                                       17

<PAGE>


                           (A) The parties  acknowledge  that the Purchase Price
was  determined  based upon the Sellers'  best good faith  estimate that the One
Year EBITDA (as hereinafter  defined) to be derived during the twelve (12) month
period  commencing on the first day of the calendar month following the calendar
month in which the Closing occurs (the last day thereof being referred to herein
as the "DETERMINATION  DATE" and such period being the  "DETERMINATION  PERIOD")
from the  Business  multiplied  by five  (5x)  would  be at  least  $31,400,000.
Accordingly,  if (x) the actual One Year EBITDA  multiplied by five (5x) is less
than (y) Sellers' aforesaid  estimate of at least $31,400,000,  then the parties
agree that the  Purchase  Price shall be reduced by such  deficiency;  provided,
however, that the reduction in Purchase Price pursuant to this Section 2.5 shall
not exceed an amount equal to (x)  $14,360,000  minus (y) the portion of the RSI
Purchase Amount paid by Sellers after the date hereof.

                           (B) As soon as  practicable,  but in no  event  later
than  ninety (90) days after the  Determination  Date,  Buyer  shall  deliver to
Sellers a statement (the "EBITDA  CALCULATION  STATEMENT")  showing the One Year
EBITDA (the "EBITDA CALCULATION"). Buyer shall provide the Sellers copies of, or
access to the work  papers and similar  materials  used in  connection  with the
preparation of the EBITDA Calculation Statement.  Sellers shall have thirty (30)
days following their receipt of the EBITDA Calculation Statement within which to
deliver to Buyer a written notice of objection thereto (an "OBJECTION  NOTICE"),
which Objection Notice shall (x) set forth Sellers'  determination of the EBITDA
Calculation  and (y) specify in reasonable  detail Sellers' basis for objection,
in which case the  parties  shall meet and in good faith  attempt to resolve any
disagreements  within thirty (30) days after  delivery to Buyer of the Objection
Notice. If the parties are unable to resolve such disagreements within such time
period, the disagreements shall be referred to the Settlement  Accountants,  and
the  determination of the Settlement  Accountants  shall be final and binding on
the parties hereto,  and shall not be subject to further review,  challenge,  or
adjustment,  absent fraud. The Settlement  Accountants  shall be directed to use
their best efforts to reach a  determination  not more than forty-five (45) days
after such  referral.  The costs and expenses of the services of the  Settlement
Accountants shall be borne by the party against whom the Settlement  Accountants
shall rule;  provided that if the Settlement  Accountants shall not clearly rule
against  any  party,  then such  costs and  expenses  shall be borne  equally by
Sellers,  on the one hand, and Buyer,  on the other hand. The failure by Sellers
to  deliver an  Objection  Notice  within  such  thirty  (30)-day  period  shall
constitute  the  Sellers'  acceptance  of the EBITDA  Calculation,  which  shall
thereupon become conclusive and binding on all parties hereto,  and shall not be
subject to further review, challenge, or adjustment, absent fraud.

                           (C) If the Purchase Price is decreased as provided in
this Section 2.5, the amount of the decrease  shall be paid  promptly by Sellers
to Buyer,  and in any event by no later  than the third day after the  amount of
such decrease shall be finally  determined.  Such payment shall be made first by
offsetting  against the  Contingent  Payment in accordance  with Section  2.1(c)
above, then to the extent necessary, by return of shares of IHS Stock (valued as
of the  Determination  Date in accordance with Section 2.4(a) above) and/or cash
(as  determined  by Sellers  and the  Shareholders  in their  sole and  absolute
discretion);  provided,  however,  that  in no  event  shall  Sellers  select  a
combination that will have the result that Buyer shall have paid less than sixty
percent (60%) of the 

                                       18

<PAGE>

Purchase Price (excepting  therefrom the amount be which the cash portion of the
Purchase Price is increased in respect of the unpaid portion of the RSI Purchase
Amount in  accordance  with Section  2.1(a)  above) by delivery of shares of IHS
Stock  (except that Sellers may make such payment with a greater  percentage  of
shares of IHS Stock to the extent that Sellers are returning shares of IHS Stock
previously delivered to them or the Escrowee in respect of any previous increase
in Purchase  Price to the extent that such shares  increased  the  percentage of
such shares  included in such Purchase  Price  increase to a percentage  greater
than sixty percent (60%)).

                           (D) For  purposes  of this  Agreement,  the term "ONE
YEAR  EBITDA"  shall mean the sum of (x) fifty  percent  (50%) of the  Aggregate
Joint Contract EBITDA  (hereinafter  defined) for the Determination  Period plus
(y) one hundred  percent  (100%) of the Existing  Contract  EBITDA  (hereinafter
defined) for the Determination Period.

                                    (I)  After the  Closing,  IHS  (through  its
subsidiary, Symphony Rehabilitation Services No. 4, Inc. ("SYMPHONY REHAB")) and
Buyer shall  jointly  pursue new  Provider  Contracts,  and the  parties  hereby
acknowledge   that  the  reason  for  the  inclusion  of  the  Joint   Contracts
(hereinafter  defined)  in the  determination  of the  One  Year  EBITDA  is the
parties'  expectation  that such agreements will result,  in a substantial  way,
from the goodwill  purchased by Buyer from Sellers pursuant to the terms of this
Agreement.  The "AGGREGATE JOINT CONTRACT EBITDA" for the  Determination  Period
shall mean the result  (without  duplication)  of the  following  items that are
attributable to the Joint Contracts for the  Determination  Period:  (v) the Net
Joint  Contract  Revenues  (hereinafter  defined),  minus (w) the  Direct  Joint
Contract  Expenses  (hereinafter  defined),  minus  (x) a reserve  for  doubtful
accounts  (including  any matters that arise with  respect to Services  provided
during  the  Determination  Period  that would  have  constituted  Reimbursement
Liabilities had they arisen on or prior to Closing ("POST-CLOSING  REIMBURSEMENT
LIABILITIES")),  minus (y) an amount equal to seven and one-half  percent (7.5%)
of the Net Joint  Contract  Revenues (in lieu of the actual  amount of corporate
overhead).  "NET JOINT  CONTRACT  REVENUES"  shall mean all  amounts  billed (as
adjusted for rate  changes,  discounts  given and  contractual  allowances  with
respect to the Services  provided)  with respect to bona fide Services  provided
pursuant to Joint  Contracts  during the  Determination  Period.  "DIRECT  JOINT
CONTRACT  EXPENSES" means expenses that can be identified  specifically with, or
traced to delivery of,  Services  provided  pursuant to a Joint Contract  during
such  Determination  Period,  including  without  limitation,   compensation  of
supervisory and management  personnel to the extent  revenues  attributable to a
Joint Contract are generated as a result of the presence of such  supervisory or
management  personnel.  Direct  Joint  Contract  Expenses  do  not  include  any
allocation of overhead expenses pertaining to the operation of IHS or any of its
subsidiaries as a whole, including without limitation, Symphony Rehab and Buyer.
Except as  otherwise  expressly  set forth in this clause (i),  Aggregate  Joint
Contract EBITDA,  Net Joint Contract Revenues and Direct Joint Contract Expenses
shall be determined in accordance with GAAP. For purposes of this Agreement, the
term "JOINT  CONTRACT" means any Provider  Contract with any or all of the three
(3) Health Dimensions, Inc. facilities listed on Schedule 2.5(d) - A hereto (the
"HDI JOINT CONTRACTS") and each Provider Contract that is entered into after the
Closing  Date  with  respect  to the  provision  of  Services  in the  States of
Minnesota  or North  Dakota and each  Provider  Contract  entered into after the
Closing Date with Good Samaritan or Walker

                                       19

<PAGE>

(other than RDI  Prospective  Contracts and Existing  Contracts),  excluding the
following:  (1) the Existing  Contracts;  (2) each of the Provider  Contracts to
which  IHS or any  of its  subsidiaries  is a  party  immediately  prior  to the
Closing;  (3) each Provider  Contract with any of the  facilities  identified on
Schedule  2.5(d)-1  hereto (other than the HDI Joint  Contracts) with respect to
which a binding written agreement (or a written letter of intent to enter into a
binding  written  agreement)  is executed and  delivered by the parties  thereto
within  forty-five  (45) days  after  the  Closing  Date  (the "IHS  PROSPECTIVE
FACILITIES");  (4) each Provider Contract with any of the facilities  identified
on Schedule  2.5(d)-2 hereto with respect to which a binding  written  agreement
(or a written  letter of intent to enter into a binding  written  agreement)  is
executed and delivered by the parties thereto within  forty-five (45) days after
the Closing Date (the "RDI PROSPECTIVE FACILITIES");  (5) each Provider Contract
that is  acquired  after the Closing  Date  pursuant  to an  acquisition  of the
capital stock or assets of any business,  or pursuant to any similar transaction
(including  acquisitions by way of mergers or employment  agreement  purchases);
and (6) any renewal, modification,  restatement, amendment or replacement of any
of such foregoing excluded Provider  Contracts.  Sellers may include prospective
Provider  Contracts  with Good  Samaritan or Walker  Facilities for Services not
located in  Minnesota  or North  Dakota on Schedule  2.5(d)-2 on the  additional
condition that such Provider  Contracts will become  Existing  Contracts only if
Buyer will provide all of the Services  under such  Provider  Contracts for such
facilities.  Upon Closing,  Buyer shall deliver to Sellers a list, including the
names and addresses of the other parties thereto,  of each Provider Contract for
Services in the States of  Minnesota  or North Dakota to which IHS or any of its
subsidiaries is a party immediately prior to the Closing.

                                    (II) For  purposes  of this  Agreement,  the
term  "EXISTING  CONTRACT  EBITDA" for the  Determination  Period shall mean the
result (without  duplication) of the following items that are  attributable  for
the Determination  Period:  (u) the Net Existing Contract Revenues  (hereinafter
defined),  minus (v) all Direct Existing Contract  Expenses  attributable to the
Existing  Contracts,  minus  (w) a  reserve  for  doubtful  accounts  (including
Post-closing  Reimbursement  Liabilities)  with  respect  to  the  Net  Existing
Contract  Revenues,  minus (x) all indirect  expenses of Buyer,  minus (y) fifty
percent (50%) of all Synergy  Savings  (defined  below),  plus (z) fifty percent
(50%) the amount of all Buyer Synergy Savings (as defined below).  "NET EXISTING
CONTRACT  REVENUES" shall mean all amounts billed (as adjusted for rate changes,
discounts  given  and  contractual  allowances  with  respect  to  the  Services
provided)  with  respect to bona fide  Services  provided  pursuant  to Existing
Contracts during the Determination  Period.  "DIRECT EXISTING CONTRACT EXPENSES"
means expenses that can be identified  specifically  with, or traced to delivery
of, Services provided pursuant to Existing  Contracts during such  Determination
Period, including without limitation, compensation of supervisory and management
personnel  to the extent  revenues  attributable  to an  Existing  Contract  are
generated  as a  result  of the  presence  of  such  supervisory  or  management
personnel.  Direct Existing  Contract Expenses and indirect expenses of Buyer do
not include any allocation of expenses pertaining to the operation of IHS or any
of its  subsidiaries  as a whole  (other than  allocations  of Buyer  expenses),
including without  limitation,  Symphony Rehab,  except to the extent created by
Synergy Savings.  "SYNERGY  SAVINGS" shall mean the amount by which any expense,
including indirect expenses of Buyer,  reflected in the Existing Contract EBITDA
for the Determination Period shall be reduced by reason of any services,  assets
or  resources 

                                       20

<PAGE>

provided to the Business by IHS or any of its subsidiaries or affiliates  (other
than  Buyer).  Except as  otherwise  expressly  set forth in this  clause  (ii),
Existing  Contract  EBITDA,  Net Existing  Contract  Revenues,  Direct  Existing
Contract  Expenses and Synergy  Savings shall be  determined in accordance  with
GAAP. For purposes of this  Agreement,  the term "EXISTING  CONTRACT" means each
Designated Provider Contract (other than the HDI Joint Contracts), each Provider
Contract with any RDI Prospective  Facility  (subject to the time limits and, in
the  case  of  applicable  Good  Samaritan  and  Walker  Facilities,  the  other
conditions,  set forth in clause  (i)  above),  and any  renewal,  modification,
restatement,  amendment  or  replacement  of any of such  Existing  Contracts by
Buyer, IHS or any of its other subsidiaries.

                                    (III) To the extent after  determination  of
the  One  Year  EBITDA  it  shall  be  discovered   that  the  reserve  for  any
Reimbursement  Liability used in determining  Aggregate Joint Contract EBITDA or
Existing  Contract  EBITDA  shall have been greater or lesser than the amount of
the  actual  Post-closing  Reimbursement  Liability,  then  the  amount  of  the
reduction  of  the  Purchase  Price  required  by  this  Section  2.5  shall  be
recalculated  using  the  correct  amount  of  the  Post-closing   Reimbursement
Liability,  and  promptly  thereafter  Sellers on the one hand,  or Buyer on the
other  hand,  shall make to the other any payment  required by such  adjustment;
subject,  however,  to the  limitations on the Purchase Price and Purchase Price
reductions set forth in subsection (a) above If there shall be any claim for any
such  Post-closing  Reimbursement  Liability,  Buyer will contest or appeal such
claim (using at least the same standard of care as it would apply to contests or
appeals with respect to reimbursement liabilities in general) in accordance with
the procedures set forth in Buyer's  manual;  provided,  however,  that if there
shall be no  procedure  set forth in Buyer's  manual with respect to any type of
Post-closing  Reimbursement  Liability,  then Buyer shall diligently pursue such
appeal in good faith.  Buyer may, in its sole and  absolute  discretion,  at any
time  discontinue  any such contest or appeal  prior to the final  determination
thereof  after  all  administrative  appeals  shall  have  been  taken (a "FINAL
DETERMINATION");  provided,  however,  that if Buyer intends to discontinue  any
such appeal or contest  prior to Final  Determination,  then Buyer must  provide
Sellers with  reasonably  prior written notice of such intent and of the current
status of the appeal or contest, and upon request of Sellers, Buyer shall assign
to Sellers  all of its right,  title and  interest  to contest  and appeal  such
Post-Closing  Reimbursement  Liability on behalf of and in the name of Buyer; it
being  understood,   however,  that  any  recovery  with  respect  to  any  such
Post-closing  Reimbursement Liability shall belong to Buyer (other than Sellers'
pro rata share of any attorney fees and costs  recovered in connection with such
appeal).  Buyer may, in its sole  discretion,  elect not to so assign any of its
right,   title  and  interest  to  contest  and  appeal  any  such  Post-closing
Reimbursement  Liability, in which case, the otherwise appealable or contestable
portion thereof shall not reduce the One Year EBITDA.

                                    (IV)  If  there   shall  be  a  proposal  by
Symphony Rehab, Buyer or any Shareholder or Favilla to use any services,  assets
or  resources  of Buyer for the  benefit of Symphony  Rehab,  then the person or
entity making such proposal shall notify the President of Symphony Rehab, on the
one hand,  or one of the  Shareholders  or Favilla,  on the other hand,  of such
proposal.  The parties  shall,  prior to any  implementation  of such  proposal,
promptly  meet in good faith to  determine  if and how any  savings to  Symphony
Rehab arising out of such use ("BUYER SYNERGY  SAVINGS") will be included in the
calculation of One Year EBITDA.


                                       21

<PAGE>

                                    (V)  During  the  Determination  Period  and
until  final  determination  of the  EBITDA  Calculation,  after all  objection,
resolution or Settlement Accountant  determination periods have elapsed, IHS and
its  subsidiaries  shall  permit  Sellers and their  authorized  representatives
(including legal counsel and accountants) to have access (upon reasonable notice
and  during  normal  business  hours) to their  books and  records to the extent
reasonably  necessary  to  arrive  at the  final  determination  of  the  EBITDA
Calculation.  Such access shall be subject to restrictions substantially similar
to those set forth in Section 10.3 hereof.  Such books and records shall contain
full  and  correct  entries  in  all  material  respects  of  all  dealings  and
transactions  affecting  the One Year EBITDA.  In addition,  Symphony  Rehab and
Buyer shall furnish to Sellers  copies of: (A) a profit and loss  statement with
respect to the

Existing  Contracts and the Joint Contracts  (individually and in the aggregate)
for each calendar month and for the portion of the  Determination  Period ending
on the last date of calendar  month then ended (as soon as available  and in any
event  within  30  days  after  the  end  of  each  calendar  month  during  the
Determination  Period); (B) an accounts receivable aging report (showing billing
and cash  receipts) with respect to each account  receivable  arising out of any
Existing  Contract  or Joint  Contract  (as soon as  available  and in any event
within 30 days after the end of each  calendar  month  during the  Determination
Period); and (C) a preliminary statement of Net Joint Contract Revenues,  Direct
Joint  Contract  Expenses,  reserve  accruals for Joint  Contracts,  and Synergy
Savings (if any) and Buyer  Synergy  Savings (if any),  in the  aggregate and by
Joint Contract for the quarterly  fiscal period then ended (as soon as available
and in any event within 30 days after the end of each of the  quarterly  periods
(ending on successive three month periods) during the Determination Period). All
of the foregoing reports shall be in reasonable detail and shall be certified by
Symphony Rehab to be its best good faith estimate thereof.

                                    (VI) During the Determination  Period, Buyer
and the Joint Contracts shall be reasonably operated by Symphony Rehab so as not
to  divert  earnings  to  periods  after  the  Determination  Period or to incur
expenses  during  the  Determination  Period in an effort to reduce the One Year
EBITDA,  and  such  business  shall  be  operated  in the  ordinary  course  not
inconsistent with past practice,  except as may be necessary to address clinical
or ethical  requirements or as required by prudent business practice.  Moreover,
the President of Symphony Rehab shall regularly  consult with and seek the input
of, and shall be reasonably  accessible  to, the  Shareholders  and Favilla with
respect to the operation of Buyer and the Joint Contracts.  Without limiting the
foregoing, the Shareholders and Favilla shall be notified a reasonable amount of
time in advance of any  material  planned  action by Buyer or Symphony  Rehab in
connection with the operation of Buyer or the Joint Contracts that is not in the
ordinary  course of business not  inconsistent  with past practice,  and if such
action is then  taken over the  written  objection  of any two of the  following
individuals:  (x) either or both  Shareholders  and/or (y)  Favilla on the basis
that  such  action is not in the  ordinary  course  of  business  and may have a
material  adverse  effect on the One Year EBITDA  (such  writing to set forth in
reasonable detail the basis of such objection), then the parties shall negotiate
in good faith to appropriately  adjust the  determination of the One Year EBITDA
to take into account the merits of such objection, and if the parties are unable
to  arrive  at such an  adjustment,  then  the  adjustment,  if  any,  shall  be
determined  by the  Settlement  Accountants  in accordance  with Section  2.5(b)
above; it being understood that the Settlement  Accountants shall be directed to
determine the amount of the adjustment  based on what the One Year EBITDA likely
would have been had such action not been taken.


                                       22

<PAGE>

                             ARTICLE III:THE CLOSING

                  3.1      TIME AND PLACE OF CLOSING.

                           (A) The closing (the  "CLOSING") of the  transactions
contemplated  by  this  Agreement  shall  take  place  by  mail  through  escrow
arrangements  satisfactory to the parties hereto on the day that is one business
day after all of the  conditions  to closing set forth in this  Agreement  shall
have been satisfied or waived,  but,  subject to Sections 8.14 and 9.9 below, in
no event  later than June 20,  1997,  or at such other time and place upon which
the  parties  may agree.  The date on which the  Closing is held is  hereinafter
referred to as the "CLOSING DATE."

                           (B) If prior to or on the Closing  Date,  Buyer shall
have the right to terminate this Agreement by reason of the occurrence of any of
the events  specified in Section  1.3(b),  then Buyer and Sellers may, but shall
not be required to, extend the Closing Date for up to an  additional  sixty (60)
days to provide time to obtain the consents or approvals contemplated thereby.


   ARTICLE IV: REPRESENTATIONS AND WARRANTIES OF SELLERS AND THE SHAREHOLDERS

                  For purposes of any representation,  warranty or certification
made in or pursuant to this Agreement,  the Group's knowledge shall be deemed to
include the knowledge of Favilla.  Sellers and the  Shareholders  hereby jointly
and severally represent and warrant as follows:

                  4.1      ORGANIZATION AND STANDING; SUBSIDIARIES.

                           (A) Each  Seller  is a  corporation  duly  organized,
validly  existing and in good standing under the laws of the State of Minnesota.
Copies of each such  corporation's  Certificate of Incorporation and By-laws and
all amendments  thereof to date, have been delivered to Buyer,  and are complete
and  correct.  Each such  corporation  has the power  and  authority  to own the
property and assets now owned by it and to conduct the business  presently being
conducted by it. Each such  corporation  is  qualified  (or is in the process of
qualifying to, and prior to the Closing,  will be qualified) to do business as a
foreign  corporation  in each  state  where the  ownership  of its assets or the
conduct of its business makes such qualification necessary.

                           (B) Except as set forth on Schedule 4.1(b), no Seller
has  any  equity  interest  or  investment  in any  other  corporation,  limited
liability  company,  partnership,  joint venture or other entity or association.
Schedule 4.1(b) sets forth a complete list of all  subsidiaries,  joint ventures
and  partnerships in which any Seller is the record or beneficial  owner of five
(5%) percent or more of the equity  interest.  All of the issued and outstanding
capital  stock or other  equity  interest  of the  entities,  if any,  listed on
Schedule 4.1(b) hereto is owned of record and  beneficially by the listed Seller
or by one of the listed  wholly-owned  subsidiaries except as listed on Schedule
4.1(b).

                                       23

<PAGE>

                  4.2      AUTHORITY.

                           (A) Each  Seller  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,  (collectively the "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,  its
shareholders  and all  necessary  consents  of holders of  indebtedness  of each
Seller have been obtained or will be obtained on or prior to Closing.

                           (B) Each  Shareholder  has the full  legal  power and
capacity to make,  execute,  deliver and perform this  Agreement  including  all
applicable Schedules and Exhibits hereto, and the other agreements, instruments,
certificates  and  documents  required or  contemplated  hereby or thereby to be
executed or delivered by him or her ("SHAREHOLDER  TRANSACTION  DOCUMENTS",  and
collectively  with the Seller  Transaction  Documents,  the  "GROUP  TRANSACTION
DOCUMENTS"),  and all of the transactions  contemplated hereby and thereby. Such
execution,  delivery,  performance and consummation have been or will be made in
the  exercise  of each  such  Shareholder's  free  will  and  volition,  and any
necessary  consents of holders of  indebtedness of such  Shareholders  have been
obtained or will be obtained on or prior to Closing.

                  4.3 BINDING EFFECT.  This Agreement and the Group  Transaction
Documents executed by any Seller or Shareholder  constitute the legal, valid and
binding  obligations  of such  Seller or such  Shareholder,  as the case may be,
enforceable against it, him or her, as the case may be, in accordance with their
respective terms.

                  4.4 ABSENCE OF CONFLICTING  AGREEMENTS.  Neither the execution
or delivery of this Agreement or any of the Group  Transaction  Documents by any
Group   Participant  nor  the  performance  by  any  Group  Participant  of  the
transactions  contemplated hereby and thereby,  conflicts with, or constitutes a
breach  of or a  default  under  or the  termination  of (a) in the case of each
Seller,  its Articles of Incorporation or By-laws;  or (b) any judgment,  order,
writ, injunction, or decree of any court applicable to any Group Participant; or
(c) any applicable laws, ordinances, orders, rules or regulations ("GOVERNMENTAL
REQUIREMENTS")  of  any  Federal,   state,   local  or  other   governmental  or
quasi-governmental  agency,  bureau, board,  administrator,  court,  commission,
department,  instrumentality,  body or other authority having  jurisdiction over
it, him or her ("GOVERNMENTAL  AUTHORITIES");  or (d) any agreement,  indenture,
contract or instrument to which any Group Participant is now a party or by which
any of them or any of the Assets is bound.

                  4.5 CONSENTS. Except as set forth on Schedule 4.5 and Schedule
4.10,  no  authorization,  consent,  approval,  license,  exemption by filing or
registration  with  any  Governmental  Authority,  is or  will be  necessary  in
connection  with any Group  Participant's  entry into,  execution,  delivery and
performance of this Agreement or any of the Group Transaction Documents,  or for
the consummation of the transactions contemplated hereby and thereby.


                                       24

<PAGE>

                  4.6 SCHEDULE OF ASSETS AND  PROPERTIES.  Set forth on Schedule
4.6 are complete and accurate  lists of all of the following  items of Assets to
the extent material as of the date of this Agreement as follows:

                           (A) all  machinery,  vehicles and  equipment,  office
equipment, furniture and supplies owned or leased by either Seller and any other
items of personal  property (not otherwise set forth on a schedule  hereto) that
comprise or are otherwise  used by either Seller in connection  with any part of
the Business; and

                           (B)   all   patents,   trademarks,   service   marks,
copyrights,  or applications for any of the same,  franchises,  rights and other
authorizations (other than consents as set forth on Schedule 4.5 and Licenses as
set forth on Schedule 4.10 hereof),  if any, and any other item of  intellectual
property  owned,  possessed or used by either  Seller or any other person in the
operation of any of the Business,  other than Bethoughtful Assets and the assets
of  Dynamic  (the  "PROPRIETARY  RIGHTS").  Schedule  4.6 sets  forth any of the
foregoing items which have been registered  under any state or federal  statute.
All of the Proprietary  Rights of Seller are fully and freely  assignable by it,
and are free and clear of all Liens.

                  4.7      CONTRACTS.

                           (A) Schedule 4.7(b) sets forth a complete and correct
list of all material  agreements,  leases,  contracts  and  commitments  whether
written or oral,  relating to the Business or to which either  Seller is a party
or by which any Seller or any of the Assets  are bound  (the  "CONTRACTS").  For
purposes of this  Agreement,  unwritten  "at will"  employment  agreements  with
individual  employees  shall  not be  deemed  to be  Contracts.  The  Group  has
delivered, or prior to Closing will deliver, to Buyer true, complete and correct
copies of each written Contract and a written description of each oral Contract.
The Contracts were entered into and require  performance in the ordinary  course
of business  and are in full force and  effect.  Except as set forth on Schedule
4.7(b), no Seller is in default under any Contract,  and, except as set forth on
Schedule  4.7(b),  there has not been asserted,  either by or against any Seller
under any Contract, any notice (written or oral) of default, set-off or claim of
default.  Except as set forth on Schedule 4.7(b), to the knowledge of the Group,
the  parties to the  Contracts  other than  Sellers are not in default of any of
their  respective  obligations  under  any of the  Contracts,  and there has not
occurred  any event  which with the  passage of time or the giving of notice (or
both) would  constitute a default or breach  under any Contract  except for past
due  accounts  receivable  due to  Sellers  as set  forth on the  aged  accounts
receivables  listing attached hereto as Schedule  4.7(b),  which listing is true
and  complete  as of the date  that is ten (10) days  prior to the date  hereof.
Schedule  4.7(b)  lists all  amounts  payable  or  receivable  under each of the
Contracts as of the date hereof,  and such  Schedule  4.7(b) will at the Closing
Date,  be revised  to be true as of such  Closing  Date.  Except as set forth in
Schedule 4.7(b),  the Contracts are freely and fully assignable to Buyer without
the consent of the remaining  parties  thereto.  Except as set forth on Schedule
4.7(b),  no Group  Participant  has  received  notice  (oral or  written) or has
knowledge that any of the Contracts  will be terminated  within ninety (90) days
from the Closing Date by any party  thereto  pursuant to any  provision  thereof
permitting any such party to terminate such Contract with or without cause.



                                       25

<PAGE>

                           (B) Except as listed in Schedule 4.7(b), no Seller is
a party to or liable in connection with and no Seller has granted any written or
express, oral or implied:

                                    (I) contract,  agreement or  commitment  for
the  employment  or  retention  of,  or  collective  bargaining,   severance  or
termination of or with, any director, officer, employee,  consultant or agent or
group of employees or any non-competition,  confidentiality or similar agreement
with any such person or persons;

                                    (II) agreement or  arrangement  for the sale
of any of its assets, property or rights outside the ordinary course of business
or requiring the consent of any party to the transfer and assignment of any such
assets,  property  or  rights  (by sale of  assets,  sale of  stock,  merger  or
otherwise);

                                    (III) contract which contains any provisions
requiring either Seller to indemnify or act for any other person or entity or to
guaranty or act as surety for any other  person or entity or that  requires  any
person or entity to indemnify  any other person or entity for any  obligation of
any Seller or to guaranty or act as a surety for any other person or entity;

                                    (IV) agreement restricting any Seller or any
other person or entity from  conducting  business  anywhere in the world for any
period  of  time  or  restricting  its,  his or her  use  or  disclosure  of any
confidential or proprietary information;

                                    (V) 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 of either Seller or any
portion thereof or the business of any other person or entity;

                                    (VI)  agreement  with any nursing home,  day
activity center, assisted living unit, hospital, home care or outpatient clinic,
or other facility with respect to the provision of Rehab Services or Restorative
Services to patients or residents ("PROVIDER CONTRACTS");

                                    (VII)   licensing,    distributor,   dealer,
franchise,  sales or  manufacturer's  representative,  agency  or other  similar
contract, arrangement or commitment; or

                                    (VIII)  agreement,  other  than a lease  set
forth in a Provider  Contract,  granting a leasehold  or other  interest in real
property (the "LEASES");

                                    (IX)   profit   sharing,    thrift,   bonus,
incentive,  deferred compensation,  stock option, stock purchase, severance pay,
pension, retirement hospitalization,  insurance or other similar plan, agreement
or  arrangement  applicable to any  employee,  consultant or agent to Seller not
covered by clause (i) above;


                                       26

<PAGE>

                                    (X)  contract,  agreement,  lease,  license,
understanding or arrangement with the Bethoughtful Division or Dynamic; or

                                    (XI)  except  as set  forth in  clauses  (i)
through and including  (x) above,  agreement not made in the ordinary and normal
course of business and consistent with past practice or involving  consideration
in excess of $25,000 except as set forth in Schedule 4.17.

                  4.8      FINANCIAL STATEMENTS.

                           (A) (I) Attached hereto as Schedule 4.8(a)(i) are the
unaudited  consolidated  financial  statements  of Sellers for the fiscal  years
ending  December 31, 1994,  the audited  consolidated  financial  statements  of
Sellers  for the  fiscal  year  ending  December  31,  1995,  and the  unaudited
consolidated financial statements of Sellers for the fiscal year ending December
31, 1996,  and the unaudited  consolidated  financial  statements of Sellers for
each month,  commencing with the month  beginning  January 1, 1996 and ending on
March 31, 1997 (the "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 Sellers on a
consolidated  basis  as,  at and for the  periods  therein  specified  and  were
prepared in  accordance  with GAAP except as expressly set forth on Schedule 4.8
(a)(i). The books of account of each Seller from which the Financial  Statements
were prepared  accurately and in all material  respects reflect all of the items
of income  and  expense,  assets,  liabilities  and  accruals  of  Sellers  on a
consolidated basis. The income statements  included in the Financial  Statements
do not  contain  any items of special or  nonrecurring  income or expense or any
other  income not earned or  expense  not  incurred  in the  ordinary  course of
business except as expressly  specified therein,  and such financial  statements
include  all  adjustments,  which  consist  only of normal  recurring  accruals,
necessary for such fair presentation.

                                    (II) Attached hereto as Schedule  4.8(a)(ii)
are the unaudited  consolidated  financial statements of Sellers for each fiscal
month  beginning  June 1,  1996 and  ending  on March 31,  1997,  in each  case,
adjusted to exclude  therefrom the results of  operations  and the effect of the
Bethoughtful   Division   and  Dynamic   Interest   (the   "ADJUSTED   FINANCIAL
STATEMENTS").  The Adjusted  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 Sellers on a consolidated basis
after  adjustment  to exclude  the results of  operations  and the effect of the
Bethoughtful  Division and Dynamic  Interest as, at and for the periods  therein
specified  and were  prepared in  accordance  with GAAP except as expressly  set
forth on Schedule 4.8(a)(ii).

                           (B)  The   unaudited   consolidated   balance   sheet
contained in the  Financial  Statements  as at December  31, 1996 (the  "BALANCE
SHEET")  reflects all liabilities as of the date thereof,  and no Seller has any
Liabilities that are not reflected thereon,  except for such current Liabilities
as have been incurred since the date of the Balance Sheet in the ordinary course
of business  consistent  with past practice and  Liabilities  listed on Schedule
4.8(b).  To the best 

                                       27

<PAGE>

knowledge  of the Group,  except as disclosed  on Schedule  4.8(b),  there is no
basis for the assertion  against either Seller of any Liability of any nature or
in any amount (other than current or scheduled  Liabilities  as  aforesaid)  not
fully reflected or reserved against in the Balance Sheet.

                  4.9  MATERIAL  CHANGES.  Except as noted on Schedule 4.9 or as
expressly noted as such on Schedule 4.19 hereto, between the date of the Balance
Sheet and the date hereof there has not been any material  adverse change in the
condition (financial or otherwise), of the assets (taken as a whole), properties
or operations of either Seller,  and each Seller has conducted its business only
in the normal course, consistent with past practice.

                  4.10 LICENSES;  PERMITS;  CERTIFICATES OF NEED.  Schedule 4.10
sets forth a description of (a) each license and all other permits and approvals
of  Governmental  Authorities  relating  to the  operation  of any  part  of the
Business  heretofore  obtained  and that is now in  effect,  including,  without
limitation,  certifications for participation or enrollment in, and all provider
contracts  and numbers with  respect to, all Medicare and Medicaid  programs and
other third party  reimbursement  sources,  and all other approvals required for
capital reimbursement;  and (b) each other license,  permit,  easement, right or
other  authorization  that is  necessary  for the  operation  of any part of the
Business  (collectively,  the  "LICENSES").  Seller has delivered to Buyer true,
correct  and  complete  copies  of all  of the  Licenses  and  the  applications
therefor.  Schedule 4.10 also sets forth a description of each  accreditation of
the Business,  copies of which Sellers have  delivered to Buyer.  Sellers or, to
the extent described on Schedule 4.10, Sellers' employees,  own, possess or have
the legal right to use the  Licenses,  free and clear of all Liens other than as
set forth on Schedule 4.10. No Seller,  and no licensed  employee of any Seller,
is in  default  under,  and no Seller  has  received  any notice of any claim or
default or any other claim or  proceeding  relating  to, any such  License.  The
Sellers  are fully  and  completely  licensed  by all  appropriate  Governmental
Authorities  to carry on all  aspects  of the  Business.  Except  to the  extent
described on Schedule  4.10, no  shareholder,  director or officer,  employee or
former  employee of either Seller,  or any other person,  firm or entity owns or
has any proprietary,  financial or other interest,  direct or indirect, in whole
or in part in any such License owned,  possessed or used in the operation of any
aspect of the Business.

                  4.11     TITLE, CONDITION TO PERSONAL PROPERTY.

                           (A)  Except  as  otherwise   specifically  set  forth
herein,  each  Seller  has good  and  marketable  title  to all of the  personal
property comprising the Assets, subject to no liens, claims, security interests,
mortgages,   pledges,  charges,  easements,  rights  of  setoff,  restraints  on
transfers, restrictions on use, options, conditional sale agreements, subleases,
sublicenses  and  encumbrances  of any kind or  nature  whatsoever,  other  than
Permitted Liens ("LIENS").  Except for Permitted Liens, no person other than the
applicable  Seller  has  any  right  to the  use or  possession  of any of  such
property,  and, except as set forth on Schedule 4.11(a),  no currently effective
financing statement with respect to such personal property has been filed in any
jurisdiction, and, except as set forth on Schedule 4.11(a), no Seller has signed
any such financing  statement or any security agreement  authorizing any secured
party  thereunder to file any such
                                       28

<PAGE>

financing statement.  Except with respect to Permitted Liens, all such financing
statements  will be removed at or prior to Closing.  Since its  formation,  each
Seller has conducted its business  activities only under the corporation  and/or
trade  names set forth in Section  1.1  hereto.  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 in the  ordinary  course of  business,  and is
functioning  in the manner and for the purpose for which it was  intended and is
in  compliance  with  (and the  operation  thereof  is in  compliance  with) all
applicable Governmental Requirements.  The Assets, including without limitation,
the personal property referred to above, the inventory included therein, and the
Leased  Properties,  Contracts,  Proprietary  Rights and  Sellers'  Medicare and
Medicaid  certification  and  provider  numbers are  sufficient  and suitable to
enable  Buyer to  operate  the  Business  in the  ordinary  and usual  manner as
conducted by Sellers.

                           (B) "PERMITTED LIENS" means:

                                    (I) each  lien or  encumbrance  set forth on
Schedule 4.11(b) hereto;

                                    (II) carriers',  warehouseman's,  mechanics,
materialmen's, repairmen's or other like liens arising in the ordinary course of
business which are not overdue for a period of more than 30 days;

                                    (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 and shall not exceed  $15,000 in any one
case, or $75,000 in the aggregate; and

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

                           (C)  Except  as set  forth on  Schedule  4.11(c),  no
tangible  personal  property used by any Seller in connection with the operation
of the Business is subject to a lease, conditional sale, or similar arrangement.
Schedule  4.11(c)  sets forth a true,  complete  and correct copy of each of the
personal  property  leases  relating to the Business as to which any Seller is a
party (together with all modifications or amendments thereto), the annual rental
and unexpired  lease term thereby and all the  information  set forth thereon is
true, complete and correct.

                  4.12     TITLE, CONDITION OF THE LEASED PROPERTIES.

                           (A) No Seller owns any real  property  or, other than
the  Leases,  has a  leasehold  or  other  interest  in any real  property.  The
applicable Seller has a valid leasehold  interest,  free and clear of all Liens,
in each of the properties covered by the Leases (the "LEASED PROPERTIES").


                                       29

<PAGE>

                           (B) Except as set forth on  Schedule  4.12(b),  there
are no  leases,  subleases  or other  agreements  of any  Seller  as  lessor  or
sublessor, granting any third party the right to use or occupy any of the Leased
Properties and, except as set forth on Schedule 4.12(b), to the knowledge of the
Group,  no person,  firm or entity has any  ownership  interest  (other than the
landlord  thereunder)  or  option  or right  of first  refusal  to  acquire  any
ownership interest in any of the Leased Properties.

                           (C) The  operations  and use by  each  Seller  of the
buildings and other  improvements  comprising any of the Leased  Properties (the
"IMPROVEMENTS")  comply  with and do not  violate in any  material  respect  the
applicable  lease or any zoning,  building or similar law,  ordinance,  order or
regulation  or any  statement  of  occupancy  issued  for or in  respect  of the
Business.  There has been no  violation  by  either  Seller  or, to the  Group's
knowledge, any of their predessors-in-interest,  of any Governmental Requirement
affecting  any of the  Leased  Properties  and no  written  notice  of any  such
violation  has  been  issued  by any  Governmental  Authority.  To  the  Group's
knowledge,  the  Improvements  and  all  of  their  systems,  including  without
limitation,  the  heating,  ventilating  and  air  condition  systems,  and  the
plumbing,  electrical,  mechanical and drainage  systems,  and roofs are in good
operating  condition,  repair and working order (except for normal wear and tear
which has not had a material adverse effect on the condition thereof),  and have
passed all previous safety and/or licensing inspections.

                  4.13 LEGAL  PROCEEDINGS.  Other than as set forth on  Schedule
4.13, there are no disputes, claims, actions, suits or proceedings, arbitrations
or  investigations,  either  administrative  or  judicial,  pending,  or, to the
Group's knowledge, threatened or contemplated, nor, to the Group's knowledge, is
there any basis  therefor,  against  or  affecting  either  Seller or any of the
Assets or either Seller's rights therein or the ability of any Group Participant
to  consummate  the  transactions  contemplated  herein,  at law or in equity or
otherwise,  before or by any court or governmental  agency or body,  domestic or
foreign, or before an arbitrator of any kind, including, without limitation, any
of the  foregoing  relating  to  the  infringement  of  proprietary  rights.  No
Participant of the Group has received any requests for information  with respect
to the transactions contemplated hereby from any Governmental Authority.

                  4.14  EMPLOYEES.  Schedule  4.7(b) and Schedule  4.14 together
contain a true, complete and correct list of the name, position, current rate of
compensation  and any vacation or holiday pay, sick pay,  personal leave and any
other  compensation  arrangements or fringe benefits,  of each current employee,
consultant  and agent of Seller  (together  with a  description  of any specific
arrangements  or rights  concerning  such persons that are not  reflected in any
agreement  or  document  referred  to in  Schedule  4.7(b).  Each  Seller  is in
compliance with all Governmental  Requirements applicable to any of the employee
benefit  plans,  agreements  and  arrangements  identified  on Schedule  4.7(b),
including,  without  limitation,  the Employee Retirement Income Security Act of
1974, as amended ("ERISA"). No such employee, consultant or commission agent has
any vested or unvested retirement benefits or other termination benefits, except
as described on Schedule 4.7(b).  The Balance Sheet contains an adequate reserve
for vacation, sick leave, severance and all other employee-related accruals.


                                       30

<PAGE>

                  4.15  COLLECTIVE  BARGAINING,   LABOR  CONTRACTS,   EMPLOYMENT
PRACTICES,  ETC.  During the two (2) years prior to the Closing Date,  there has
been,  to  the  knowledge  of the  Group,  no  material  adverse  change  in the
relationship between either Seller and any two or more employees acting together
materially  affecting  either  Seller,  nor has there  been any  strike or labor
disturbance  by any of such  employees  affecting  the  Business and there is no
indication  that  such a change,  strike  or labor  disturbance  is  likely.  No
employees  of  either  Seller  are  represented  by any labor  union or  similar
organization  in connection with their  employment by or relationship  with, any
Seller,  and  to the  Group's  knowledge  there  are no  pending  or  threatened
activities the purpose of which is to achieve such representation of all or some
of such  employees.  To the Group's  knowledge  there are no threats of strikes,
work stoppages or pending  grievances by any past or present employees of either
Seller  that could  have a  material  adverse  effect on the  operations  of the
Business or the  financial  condition of either  Seller.  Except as set forth on
Schedule 4.15, no Seller has any collective bargaining or other labor contracts.

                  4.16 ERISA. No Seller maintains or makes  contributions to and
no Seller has at any time in the past  maintained or made  contributions  to any
employee  benefit  plan which is subject to the  minimum  funding  standards  of
ERISA. No Seller  maintains or makes  contributions to or has at any time in the
past maintained or made contributions to any multi-employer  plan subject to the
terms  of  the   Multi-employer   Pension  Plan   Amendment  Act  of  1980  (the
"MULTI-EMPLOYER ACT").

                  4.17 INSURANCE AND SURETY AGREEMENTS. Schedule 4.17 contains a
true and correct list of: (a) all policies of fire, liability and other forms of
insurance  held or owned by any  Seller  or  otherwise  in force  and  providing
coverage for the Business or any of the Leased  Properties or Assets  (including
but not limited to medical malpractice  insurance,  and any state sponsored plan
or program for worker's  compensation);  (b) all bonds, indemnity agreements and
other  agreements of  suretyship  made for or held by any Seller or otherwise in
force and  relating to the Business or any of the Leased  Properties  or Assets,
including a brief  description  of the character of the bond or  agreement,  the
name of the  surety  or the  indemnifying  party.  Schedule  4.17  sets  forth a
certificate of insurance for each such insurance  policy,  and true and complete
copies of each such insurance policy have been delivered to Buyer. Schedule 4.17
also sets forth a description of any claims made thereunder  during the past two
years.  Such  policies  are owned by Sellers,  and said  policies or renewals or
replacements  thereof will be outstanding and duly in force at the Closing Date.
All insurance policies listed on Schedule 4.17 are, and through the Closing Date
shall remain, in full force and effect. No Seller has been advised by any of its
insurance  carriers of an intention to terminate or modify any such  policies or
materially increase the premiums under any such policies.

                  4.18  RELATIONSHIPS.  Except as disclosed on Schedule 4.18, no
officer, director or employee of either Seller, no Shareholder, no member of any
Shareholder's  immediate family, and no person or entity which is controlled by,
under common control with or controlling any of them (each, an "AFFILIATE") has,
and at no time  within the last two (2) years,  while  having  such status as an
Affiliate, has had, a material ownership interest in any business,  corporate or
otherwise,  that is a party  to,  or in any  property  that is the  subject  of,
business  relationships or arrangements of any kind relating to the operation of
the Business.


                                       31

<PAGE>

                  4.19  ABSENCE  OF  CERTAIN  EVENTS.  Except  as set  forth  on
Schedule 4.9 or Schedule 4.19,  since the date of the Balance  Sheet,  no Seller
has:

                           (A) sold, assigned, transferred or disposed of any of
its assets or properties,  except in the ordinary course of business  consistent
with past practice and replaced  with Assets (other than  Contracts) of at least
the same quality,  type and quantity having an aggregate value at least equal to
the aggregate value of the items sold or otherwise disposed of;

                           (B)  mortgaged,  pledged or  subjected to any Lien of
any nature whatsoever any of the other than Permitted Liens;

                           (C)  sold  or  assigned,  or  made  or  suffered  any
termination of, any Contract,  or made or suffered any amendment of any Contract
except for  amendments  of  Contracts  made in the  ordinary  course of business
consistent  with past practice and which would not affect  earnings in excess of
five percent (5%) of the revenues  under such Contract or otherwise be material,
and no Seller has received  notice  (written or oral) or has knowledge  that any
Contract has been  terminated  or will be  terminated or modified or amended (as
aforesaid);

                           (D)  except  in  the  ordinary  course  of  business,
consistent  with past  practice,  or  otherwise  to comply  with any  applicable
minimum wage law,  increased  the salaries or other  compensation  of any of its
employees, or made any increase in, or any additions to, other benefits to which
any of such employees may be entitled;

                           (E) discharged or satisfied any Lien or  encumbrance,
or paid any material Liabilities,  other than in the ordinary course of business
consistent  with  past  practice,  or failed  to pay or  discharge  when due any
Liabilities,  the failure to pay or  discharge  of which has caused or may cause
any actual damage or risk of loss to any Seller or its Business or the Assets;

                           (F)  incurred  any   Liabilities   other  than  trade
payables and other  operating  liabilities  which would be reflected on the date
incurred as current  liabilities on a balance sheet of the applicable  Seller in
accordance with GAAP, in each case in the ordinary course of business consistent
with past practice;

                           (G) changed any of the accounting principles followed
by it or the methods of applying such principles;

                           (H) canceled,  modified or waived any debts or claims
held by it, other than in the ordinary  course of business  consistent with past
practice,  or waived  any  rights of  substantial  value,  whether or not in the
ordinary course of business; or

                           (I) except as disclosed in a written notice to Buyers
as of the date hereof, declared or paid or set aside or reserved any amounts for
payment of any  dividend  or other  distribution  in respect of any  shareholder
interest or other securities,  or redeemed or
                                       32

<PAGE>

repurchased or agreed to redeem or repurchase any shareholder  interest or other
securities,  or made  any  payment  to any  Affiliate  except  for  payments  of
compensation  in the ordinary  course of business  consistent with past practice
and disclosed to Buyer as such;

                           (J)  failed to  collect,  withhold  and/or pay to any
proper  governmental  agency or authority,  any federal,  state or local income,
franchise,  sales, use, withholding or similar tax required by applicable law to
be so collected, withheld and/or paid;

                           (K)  instituted,  settled  or agreed  to  settle  any
litigation,  action or proceeding before any court or governmental body relating
to it or its property or received any threat thereof which could have or has had
a  materially  adverse  effect  on  either  Seller's  condition   (financial  or
otherwise), properties, assets, liabilities,  operations, business or prospects;
or

                           (L) entered into any material  transaction other than
in the ordinary course of business consistent with past practice.

                  4.20     COMPLIANCE WITH LAWS.

                           (A) Except as set forth on Schedule 4.20, each Seller
is in compliance with all Governmental  Requirements applicable to any or all of
it, its Assets and the  operation  of the  Business.  No Seller has received any
claim or notice that any of the Leased Properties or Assets is not in compliance
with any applicable Governmental Requirements.  The Group shall report to Buyer,
within  five (5) days after its receipt  thereof,  any written or oral claims or
notices that any of the Leased  Properties or Assets are not in compliance  with
any of the  foregoing.  The  Business  does  not in any  aspect  constitute  the
practice of medicine or any other regulated  industry that a corporation may not
conduct in any state in which any Seller conducts business.

                           (B) At all times,  each Seller has  complied,  and is
complying  in all  respects  with all  environmental  and  related  Governmental
Requirements applicable to it, its Leased Properties,  all other real properties
used by it in the operation of the Business, and its Assets,  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,  with respect to the  environmental  or healthful  state,  condition or
quality of any  property  (collectively  "ENVIRONMENTAL  LAWS").  The  foregoing
representation  and  warranty  applies to all  aspects of the  operation  of the
Business and the use and ownership 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  or  (including
Medical Waste) and petroleum  products,  material or waste whether  performed on
any of the  Leased  Properties  or at any other  location.  No  notice  from any
Governmental  Authority has ever been served upon either  Seller,  or any of its
agents or  representatives  claiming any violation of any Environmental  Law, or
requiring or calling attention to the need for any work, repairs, or demolition,
on or in  connection  with any of such  properties  in order to comply  with any
Environmental Law.


                                       33

<PAGE>

                  4.21     TAX RETURNS.

                           (A) Except as set forth in Schedule 4.21(a),  (i) all
Tax (as defined  below)  returns,  statements,  reports and forms required to be
filed with any  Governmental  Authority  on or before the Closing  Date by or on
behalf of each Seller (collectively,  the "RETURNS"), have been or will be filed
on or before the  Closing  Date in  accordance  with all  applicable  Government
Requirements, and true and complete copies of all Returns with respect to income
or sales or use for any period during the  three-year  period ending on the date
hereof have been delivered to Buyer; (ii) as of the time of filing,  the Returns
correctly  reflected or will correctly  reflect the material facts regarding the
income, business, assets,  operations,  activities and status of each Seller and
any other  information  required to be shown therein;  and (iii) each Seller has
timely paid all Taxes other than as are being protested by Sellers in good faith
and as are described on Schedule 4.21(a).

                           (B) "TAX" (including,  with correlative  meaning, the
terms "TAXES" and "TAXABLE") means any net income, gross income, gross receipts,
sales, use, ad valorem,  transfer,  franchise,  profits,  license,  withholding,
payroll, employment, excise, severance, stamp, occupation,  premium, property or
windfall  profits tax,  alternative or add-on minimum tax, customs duty or other
tax, fee assessment or charge of any kind whatsoever, together with any interest
and  any  penalty,   addition  to  tax  or  additional  amount  imposed  by  any
Governmental Authority.

                  4.22  ENCUMBRANCES  CREATED BY THIS  AGREEMENT.  Except as set
forth on Schedule 4.22, neither the execution and delivery of this Agreement nor
the execution and delivery of any of the Group  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.

                  4.23  QUESTIONABLE   PAYMENTS.   No  Seller,  no  shareholder,
director,  officer,  controlling  person or  employee of either  Seller,  and no
Affiliate of any Seller,  (a) has used any  corporate  funds of either Seller to
make any illegal or unlawful payment to any officer,  employee,  representative,
agent  of any  government,  or to  any  political  party  or  official  thereof,
including,  without  limitation,  any of same that  would  violate  the  Foreign
Corrupt  Practices  Act of 1977,  as amended;  or (b) has made or  received  any
illegal  payment,  bribe,  kickback,  political  contribution  or other  similar
payment in consideration for or to induce any referrals or recommendations.

                  4.24  REIMBURSEMENT  MATTERS.  Except as disclosed on Schedule
4.24, (a) no Seller and, to the Group's knowledge,  no nursing home, hospital or
other  facility  with  respect to which  either  Seller  provides  services  has
received  any  notice of denial or  recoupment  from the  Medicare  or  Medicaid
programs,  or any other third party  reimbursement  source (inclusive of managed
care  organizations)  with  respect to products  or services  provided by either
Seller,  (b) to the  Group's  knowledge,  there is no valid  basis  for any such
denial or recoupment claim, and (c) no Seller and, to the Group's knowledge,  no
nursing  home,  hospital or other  facility  with respect to which either Seller
provides  services has received notice from any Medicare or Medicaid  

                                       34

<PAGE>

program or any other third party reimbursement source (inclusive of managed care
organizations)   of  any  pending  or  threatened   investigations   or  surveys
specifically  with respect to, or arising out of, products or services  provided
by either Seller, and to the Group's knowledge,  no such investigation or survey
is pending,  threatened or imminent.  Attached hereto as Schedule 4.24 are true,
correct  and  complete  copies of all  Medicare  cost  reports  relating  to the
Business  submitted  for the last  three (3) full  reporting  periods  ending on
December 31, 1993, 1994 and 1995, and a copy of the estimated annual cost report
for the  cost  report  period  ending  December  31,  1996,  and if one has been
prepared,  the estimated interim  quarterly cost report prepared  internally for
the first fiscal quarter of 1997. The  information  contained in such reports is
true,  correct and complete in all respects,  and with respect to the report for
the period ending December 31, 1996 and, if applicable, the first fiscal quarter
of 1997 is true,  correct  and  complete  to the  best  knowledge  of the  Group
Participants  and is subject to further  adjustments  before  final  submission.
Except as described on Schedule 4.24,  each such Medicare cost report was timely
filed with the appropriate Governmental Authority.

                  4.25   QUESTIONNAIRE.   The   healthcare   law   questionnaire
heretofore  delivered  to Sellers by Buyer (the  "QUESTIONNAIRE")  and  attached
hereto as Exhibit  4.25 has been  fully and  accurately  completed  and will not
contain any  material  misstatement  of any fact and does not omit any fact that
would  have  to  be  stated  in  order  not  to  render  any  response  to  such
Questionnaire materially misleading.

                  4.26 RSI  AGREEMENT.  Sellers  have  satisfied  (and as of the
Closing Date will have satisfied) in full all of their  obligations to the other
parties  to the  RSI  Documents  (the  "RSI  SELLERS")  arising  out of the  RSI
Documents that are due or are to be performed on or prior to the date hereof (or
the Closing  Date,  as the case may be) other than as set forth on Schedule 4.26
hereto,  Sellers have not breached any of their representations or warranties or
covenants arising out of any of the RSI Documents, and the RSI Sellers have not,
to the Group's knowledge  breached any of their  representations,  warranties or
covenants under any RSI Document.  Attached hereto as Exhibit 4.26 is a true and
complete copy of the RSI Agreement and each other RSI Document. The transactions
contemplated  by  the  RSI  Documents  are in  compliance  with  all  applicable
Governmental Requirements.

                  4.27  FINDERS.  No broker  or  finder  has acted for any Group
Participant in connection with the  transactions  contemplated by this Agreement
other than RDI Group (the  "Broker"),  and other than the  Broker,  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 Participant of the Group.



                                       35

<PAGE>



           ARTICLE V: REPRESENTATIONS AND WARRANTIES OF BUYER AND IHS

                  Buyer and IHS, jointly and severally, represent and warrant to
the Group as follows:

                  5.1 ORGANIZATION AND STANDING.  Each of Buyer and IHS has been
duly incorporated and is validly existing in good standing under the laws of the
State of Delaware.  Each such corporation has the power and authority to own the
property and assets now owned by it and to conduct the business  presently being
conducted by it. Each such  corporation  is  qualified  (or is in the process of
qualifying  to, and prior to the Closing will be  qualified) to do business as a
foreign  corporation  in each  state  where the  ownership  of its assets or the
conduct of its business makes such qualification necessary.

                  5.2  POWER  AND  AUTHORITY.  Each  of IHS  and  Buyer  has the
corporate  power and  authority  to make,  execute,  deliver  and  perform  this
Agreement   including  all  Schedules  and  Exhibits   hereto  and  all  of  the
transactions  contemplated  hereby and  thereby and all of the  instruments  and
agreements  required  to  be  delivered  by it  to  the  Group  at  the  Closing
(collectively the "BUYER/IHS 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  such  corporation,  its  shareholders  and all
necessary consents of holders of indebtedness of each such corporation have been
obtained.

                  5.3 BINDING  AGREEMENT.  This Agreement has been duly executed
and delivered by each of IHS and Buyer. This Agreement is, and when executed and
delivered  by Buyer or IHS,  as the case  may be,  at the  Closing,  each of the
Buyer/IHS  Transaction  Documents  executed by Buyer or IHS, as the case may be,
will be, the legal,  valid and binding  obligation  of Buyer or IHS, as the case
may be, enforceable against Buyer or IHS, as the case may be, in accordance with
their respective terms.

                  5.4 ABSENCE OF CONFLICTING  AGREEMENTS.  Neither the execution
or delivery of this Agreement or any of the Buyer/IHS  Transaction  Documents by
Buyer or IHS,  as the case may be, nor the  performance  by Buyer or IHS, as the
case may be, of the  transactions  contemplated  hereby and  thereby,  conflicts
with, or  constitutes a breach of or a default under or the  termination  of (a)
the Articles of Incorporation or By-Laws of Buyer or IHS, as the case may be; or
(b) any applicable judgment, order, writ, injunction, or decree of any court; or
(c) any applicable Governmental Requirement of any Governmental Authorities;  or
(d)  except as set forth on  Schedule  5.4  hereto,  any  agreement,  indenture,
contract or instrument to which Buyer or IHS, as the case may be, is now a party
or by which any of them or any of their respective assets are bound.

                  5.5 CONSENTS.  Except as set forth on Schedule 4.5 or Schedule
5.5,  no  authorization,  consent,  approval,  license,  exemption  by filing or
registration  with  any  Governmental  Authority,  is or  will be  necessary  in
connection  with  the  entry  by  Buyer or IHS  into,  execution,  delivery  and
performance of this Agreement or any of their respective  Buyer/IHS  Transaction
Documents,  or for the consummation of the transactions  contemplated hereby and
thereby.

                                       36

<PAGE>

                  5.6  SEC  DOCUMENTS.   IHS  has  furnished   Sellers  and  the
Shareholders with a correct and complete copy of its report on Form 10-K for its
fiscal years ended December 31, 1996, its proxy statement prepared in connection
with its annual  meeting held on May 23, 1996,  and each press  release or other
schedule or report  required by it to be  publicly  disclosed  or filed with the
Securities  and  Exchange  Commission  (the "SEC")  pursuant to the Exchange Act
since January 1, 1997 (the "SEC DOCUMENTS").  As of their respective dates, none
of the SEC  Documents  contained any untrue  statements,  or omitted to make any
disclosures,  which,  in light of the  circumstances  would  render  any of such
documents  materially  misleading,  and the SEC Documents complied when filed in
all material respects with the then applicable requirements of the Exchange Act,
and the rules and regulations  promulgated by the Commission  thereunder.  Since
January  1,  1997,  IHS has  made  all  filings  with  the  SEC  and all  public
disclosures required to be made by it in accordance with the Exchange Act.

                  5.7 MATERIAL CHANGES.  Except as noted on Schedule 5.7 hereto,
between the date of the balance  sheet  included in the Form 10-K for the fiscal
year ended December 31, 1996 and the date of this Agreement,  there has not been
any material  adverse change in the condition  (financial or otherwise),  of the
assets, properties or operations of IHS.

                  5.8 IHS STOCK. Upon delivery to Sellers in accordance with the
terms of this  Agreement,  each  share of IHS  Stock  shall be duly  authorized,
validly issued, and nonassessable.


           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
each  Seller's  financial  and  legal  condition  as Buyer  deems  necessary  or
advisable to familiarize  itself with such Seller and/or matters relating to its
history  or  operation.  Each  Seller  shall  permit  Buyer  and its  authorized
representatives  (including legal counsel and accountants),  to have full access
to each  Seller's  books and records in the  possession  or under the  effective
control of any Group  Participant  upon  reasonable  notice  and  during  normal
business hours, and Seller 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.  The documents to which Buyer shall
have access shall include,  but not be limited to, each Seller's tax returns and
related  work papers since its  inception  (to the extent in the  possession  or
control of any Group  Participant  on or after the date  hereof) and each Seller
shall  make,   or  cause  to  be  made,   extracts   thereof  as  Buyer  or  its
representatives  may  request  from  time  to  time  to  enable  Buyer  and  its
representatives  to  investigate  the affairs of each Seller and the accuracy of
the representations and warranties made in this Agreement. Each Seller shall use
its best efforts to cause  Seller's  accountants  to cooperate with Buyer and to
disclose  and make  available  to Buyer all books and records and the results of
audits  relating  to such  Seller and to produce  the  working  papers  relating
thereto.  Sellers will, subject to mutually acceptable conditions and schedules,
permit  Buyer  (or its  representatives)  to meet  with and  interview  Seller's
employees and representatives that are responsible for the responses to, or have
information with respect to, the questions set forth on the Questionnaire.


                                       37

<PAGE>

              ARTICLE VII: OBLIGATIONS OF THE PARTIES UNTIL CLOSING

                  7.1 CONDUCT OF BUSINESS PENDING  CLOSING.  Between the date of
this  Agreement  and the Closing,  each Seller shall  maintain its existence and
shall conduct its business in good faith 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, no Seller
shall  between the date hereof and the  Closing (or the earlier  termination  of
this Agreement):

                           (A) cause or  permit  to occur  any of the  events or
occurrences  described  in Section  4.19  (Absence  of  Certain  Events) of this
Agreement; or

                           (B) dissolve or  reorganize,  or merge or consolidate
or enter  into a share  membership  interest  exchange  with or into  any  other
entity; or

                           (C) make any  change to its  by-laws or  articles  of
incorporation; or

                           (D)  sell  or  dispose  of  any  Assets   other  than
supplies,  inventory and obsolete equipment sold,  consumed or used in the usual
and ordinary course of business and consistent  with past practice;  such Seller
shall  replace  all  items  thus  disposed  of with  Assets of at least the same
quality,  type and  quantity  having an  aggregate  value at least  equal to the
aggregate value of the items sold or otherwise disposed of; or

                           (E) perform, take or fail to take any action or incur
or permit to exist any of the acts,  transactions,  events or  occurrences  of a
type which would have been inconsistent with the representations, warranties and
covenants set forth in this  Agreement  had the same occurred  prior to the date
hereof; or

                           (F) enter into any agreement,  contract,  commitment,
lease or  instrument  including,  without  limitation,  agreements  with nursing
homes,  hospitals and other  facilities  for the provision of Rehab  Services or
Restorative Services, except for agreements, in each case which are entered into
in the ordinary and customary course of business with unrelated third parties on
customary  terms and conditions and for customary  prices as disclosed to Buyer;
or

                           (G) take any  action  that  would  prevent  any Group
Participant from consummating the transactions contemplated by this Agreement.

                  7.3 AFFIRMATIVE COVENANTS OF SELLERS.  Between the date hereof
and the Closing, each Seller 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;


                                       38

<PAGE>

                           (B)  maintain  in full force and effect all  Licenses
currently in effect with respect to either Seller or the Business;

                           (C)  maintain in full force and effect the  insurance
policies  and  binders  currently  in effect  with  respect to each  Seller,  or
replacements  thereof  approved by Buyer (such  approval not to be  unreasonably
withheld);

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

                           (E) maintain all of the books and records relating to
each Seller in accordance with its past practices;

                           (F)  comply  in  all  material   respects   with  all
provisions of all Contracts and with any other material  agreements  that either
Seller has  entered  into  after the date  hereof,  and  comply in all  material
respects with the  provisions  of all  Governmental  Requirements  applicable to
either Seller, the Assets or the Business;

                           (G) cause to be paid when due, all Taxes imposed upon
it or on any of its properties or which it is required to withhold and pay over;
and

                           (H)  promptly  advise  Buyer in  writing  of: (i) the
threat  (oral or written)  or  commencement  against or by either  Seller of any
claim,  action,  suit or  proceeding,  arbitration or  investigation  that could
materially   adversely  effect  Seller's  operations,   properties,   assets  or
prospects; or (ii) any actual or threatened (oral or written) termination of any
Contract.

                  7.4 PURSUIT OF CONSENTS AND APPROVALS. Promptly upon execution
of this Agreement,  Buyer shall diligently proceed to use all reasonable efforts
to obtain, at its own cost and expense,  all Required  Approvals (as hereinafter
defined).  Sellers  shall  diligently  cooperate  with and use their  reasonable
efforts to assist Buyer in obtaining all such approvals.

                  7.5 SUPPLEMENTARY  FINANCIAL  INFORMATION.  Within twenty (20)
days after the end of each calendar month between the date of this Agreement and
the  Closing  Date,  each  Seller  shall  provide to Buyer  unaudited  financial
statements  (including  at a minimum  income  statements,  a balance sheet and a
statement of cash flows) for such month then ended that shall present fairly the
results of the operations of such Seller (exclusive of the Bethoughtful Division
and Dynamic operations) at such date and for the period covered thereby,  all in
accordance with GAAP (except as otherwise  expressly  stated  therein),  in each
case, certified as true and correct by such Seller.


                                       39

<PAGE>

                  7.6   EXCLUSIVITY.   Until  the  earlier  of  Closing  or  the
termination  of this  Agreement  pursuant  to  Section  11.1,  no Seller nor any
Shareholder,  nor any of  their  respective  Affiliates,  shall  enter  into any
agreement,  commitment  or  understanding  with  respect  to,  or  engage in any
discussions or negotiations directly or indirectly with, or encourage or respond
to any  solicitations  from,  any other  party  with  respect to the sale of the
Assets,  or in  respect  of the sale of any  shares of  capital  stock in either
Seller.

                  7.7 CERTAIN PERMITTED TRANSACTIONS.  Notwithstanding  anything
to the  contrary  contained  in  Sections  7.1,  7.2 or 7.3,  Sellers  shall  be
permitted  to  pay  cash  bonuses  to  employees,  make  cash  distributions  to
stockholders of Sellers,  make intercompany  transfers of assets and liabilities
between  Sellers,  and to  renegotiate  (and make  up-front cash payments to the
employees  under)  the  Employment  Agreements  identified  pursuant  to Section
4.7(b)(i),  in each case, subject to the following:  the individual or aggregate
affect of the foregoing  transactions  shall not: (a) reduce  Estimated  Closing
Date  Working  Capital or the Closing Date  Working  Capital  below the Required
Working  Capital and shall not increase the Estimated  Long-term  Liabilities or
the Closing Date Long-term Liabilities above the Maximum Long-term  Liabilities;
(b) shall not reduce the amount of cash  included  in the Current  Assets  below
$75,000; and (c) shall not have a material adverse affect on the Business or the
Assets (in the aggregate).  Sellers shall give Buyer  reasonable prior notice of
any  such  intended   transaction.   The   non-competition  and  confidentiality
provisions set forth in the Employment Agreements referred to above shall not be
waived without the prior consent of Buyer,  which consent shall not unreasonably
be withheld, delayed or conditioned.

       ARTICLE VIII: CONDITIONS PRECEDENT TO OBLIGATIONS OF BUYER AND IHS

                  The   obligations   of  Buyer  and  IHS  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 by Buyer or IHS in  writing.
Upon failure of any of the following conditions, Buyer or IHS 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 each Seller and each  Shareholder  made under this  Agreement and
under each Group Transaction  Document shall be true and correct in all material
respects  at and as of the Closing  Date,  as though  such  representations  and
warranties  were  made at and as of  such  time;  provided,  however,  that  the
representation   and   warranty   contained   in  Section   4.9  and  any  other
representation or warranty that is modified by a "materiality" exception,  shall
be true in all respects.

                  8.2 PERFORMANCE OF COVENANTS. Each Seller and each Shareholder
shall have performed or complied in all material  respects with their respective
agreements and covenants  required by this Agreement and each Group  Transaction
Document to be performed  or complied  with by it, her or him prior to or at the
Closing;  provided,  however, that to the extent compliance with any covenant is
modified by a  "materiality"  exception,  such covenant shall have been complied
with in all respects.


                                       40

<PAGE>

                  8.3  DELIVERY OF CLOSING  CERTIFICATE.  The  President of each
Seller and each Shareholder shall have executed and delivered to Buyer and IHS a
certificate,  dated  the  Closing  Date,  upon  which  Buyer  and IHS may  rely,
certifying  that the  conditions  set  forth in  Sections  8.1 and 8.2 have been
satisfied.

                  8.4  OPINIONS OF COUNSEL.  The Group shall have  delivered  to
Buyer and IHS an opinion,  dated the Closing Date, of its counsel,  in such form
and substance as attached hereto as Exhibit 8.4, 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 the  Group  contained  in this
Agreement,  the Group  Transaction  Documents and certificates  supplied to such
counsel by the Group and Governmental Authorities.

                  8.5 LEGAL MATTERS. No suit, action, investigation, or legal or
administrative  proceeding shall have been brought or shall have been threatened
by any person or  Governmental  Authority  that  questions  the  enforceability,
validity or legality of this Agreement or the transactions  contemplated hereby,
including, without limitation, Buyer's proposed use of the Assets.

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

                  8.7      APPROVALS.

                           (A) With the  exception  of  required  consents  from
parties to  Designated  Contracts,  the  consent or  approval of all persons and
Governmental  Authorities  necessary for the  consummation  of the  transactions
contemplated  hereby  shall  have been  granted,  and each  license,  permit and
approval of each Governmental  Authority having  jurisdiction  thereof necessary
for Buyer to operate  the  Business  shall have been  issued or granted to Buyer
(the "REQUIRED APPROVALS").

                           (B) None of the  foregoing  consents or approvals (i)
shall have been conditioned upon the  modification,  cancellation or termination
of any material lease, contract, commitment, agreement, license, easement, right
or other  authorization  with respect to the  Business,  or (ii) shall impose on
Buyer or IHS any  condition or provision or  requirement  with respect to Buyer,
IHS or the Business that is more restrictive than or different from that imposed
by such Governmental Authority prior to Closing.



                                       41

<PAGE>

                  8.8  BILL OF SALE  AND  ASSIGNMENT.  Each  Seller  shall  have
executed and  delivered to Buyer a Bill of Sale (each,  a "BILL OF SALE") and an
Assignment and Assumption  Agreement  (each,  an  "ASSIGNMENT  AND  ASSUMPTION")
respectively in the forms of Exhibits 8.8-1 and 8.8-2.

                  8.9 NON-COMPETITION  AGREEMENTS. Each Seller, each Shareholder
and Favilla  shall have entered  into a  Non-competition,  Non-solicitation  and
Confidentiality  Agreement in the  respective  forms of Exhibits  8.9-1,  8.9-2,
8.9-3  and  8.9.4  (each  a  "NON-  COMPETITION  AGREEMENT"),   for  no  further
consideration,  with  Buyer,  pursuant  to which it, he or she shall  agree that
after  the  Closing  Date for the  period  set  forth  below  (the  "NON-COMPETE
PERIOD"), it, he or she will not, directly or indirectly,  for itself,  himself,
or herself, or on behalf of any other person,  firm, entity or other enterprise,
be employed by, be an officer,  director or manager of, act as a consultant for,
be a partner in, have a  proprietary  interest  in, or loan money to any person,
enterprise, partnership, association, corporation, joint venture or other entity
which is directly or indirectly in the business of owning, operating or managing
any contract rehabilitation business,  licensed or unlicensed,  competitive with
any of those of  Buyer,  or any of its  Affiliates,  located  in the  States  of
Minnesota or North Dakota. The Non-Competition Agreements shall not prohibit the
ownership of less than 2% of the issued and outstanding stock of any competitive
business  whose stock is listed on a national  securities  exchange or traded on
the NASDAQ national  market system.  Each  Non-Competition  Agreement also shall
contain confidentiality and non-solicitation  provisions. The Non-Compete Period
shall be five (5) years from the Closing Date in the case of Sellers, and in the
case of each Shareholder,  shall terminate five (5) years from the date that his
or her employment or consulting agreement with Buyer shall terminate, and in the
case of  Favilla,  shall  terminate  three  (3)  years  from the  date  that his
employment agreement with Buyer shall terminate.

                  8.10  EMPLOYMENT AND CONSULTING  AGREEMENTS.  Buyer shall have
entered into an employment  agreement and/or  consulting  agreement with each of
the Shareholders and Favilla in the respective forms of Exhibits 8.10-1,  8.10-2
and 8.10-3 respectively, and with such other employees as identified by Buyer on
Schedule 8.10 hereto in form and substance  satisfactory  to Buyer and each such
person. Such employment and consulting agreements shall contain confidentiality,
non-competition  and  non-solicitation  provisions  reasonably  satisfactory  to
Buyer.  It is expressly  agreed that Buyer shall not assume or be liable for any
"phantom stock" or similar  obligation in favor of Favilla;  it being understood
and agreed that  Sellers  shall pay any such amounts to him when and as the same
become due.

                  8.11 COBRA. Each Seller shall have given all notices, made all
offers,  paid and  collected  all  premiums,  obtained  all  group  health  plan
coverage,   and  performed  all  other  actions  mandated  by  Title  X  of  the
Consolidated Omnibus Budget  Reconciliation Act of 1985 ("COBRA"),  and which is
required to be given,  made,  paid,  obtained,  and performed as a result of the
Closing under this Agreement.


                                       42

<PAGE>

                  8.12  ASSETS  TRANSFERRED  AT  CLOSING.  Except  as  otherwise
provided concerning  Designated  Contracts,  each Seller shall have delivered or
caused to be delivered to Buyer possession of the Assets (or the right to obtain
possession  on demand).  Each Seller  shall also execute and deliver to Buyer at
Closing such UCC financing  statements as shall be necessary or  appropriate  to
record the assignment to Buyer of all recorded security interests held by either
Seller as secured party. All Assets shall be free and clear of all Liens,  other
than Permitted Liens.  Without  limiting the generality of the foregoing,  UCC-3
termination statements or releases shall have been executed and delivered by RSI
to Buyer  covering all  effective  financing  statements in favor of RSI (or its
successors or assigns)  covering any of the Assets,  and all funds, if any, held
by RSI (or its successors or assigns) pursuant to any escrow  arrangements,  but
only to the extent  payable  to  Sellers  and  included  as  Current  Assets for
purposes of Section 2.3(c) with respect to the transactions  contemplated by the
RSI Purchase  Agreement  shall have been released from such escrow  arrangements
and delivered to Buyer.

                  8.13  CHANGE  OF NAME.  Each  Seller  shall  have  taken  such
reasonable  steps as Buyer shall have  requested to change its name so as not to
include any tradenames or service names included in the Assets.

                  8.14  HART-SCOTT-RODINO  ACT. All applicable  waiting  periods
under the Hart-Scott-Rodino Antitrust Improvements Act of 1976 (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 (the "DOJ") or
the  Federal  Trade  Commission  (the  "FTC") 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  Symphony  Rehab or
Sellers  to  divest  any  material  portion  of its  business  by  reason of the
transactions  contemplated by this Agreement.  The parties shall have until June
20, 1997, 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 this condition in accordance  with Article
XI hereof; provided,  however, that if, on or prior to June 20, 1997, the DOJ or
the FTC shall have made a second  request for  additional  information or if any
other action shall have been taken or formal protest made by the DOJ, the FTC or
any other person to prohibit the transactions contemplated by this Agreement (or
to require the  divestiture of any material  portion of the business of Symphony
Rehab or Sellers),  in each case by reason of any antitrust law, with respect to
the  transactions   contemplated  hereby,  the  parties'  respective  rights  to
terminate as provided above shall not be exercisable until August 4, 1997.

                  8.15 DOCUMENTS.  Each Seller and each  Shareholder  shall have
furnished  Buyer  and IHS with  all  other  documents,  certificates  and  other
instruments  required to be furnished to Buyer or IHS by such Group  Participant
pursuant to the terms hereof.



                                       43

<PAGE>

         ARTICLE IX: CONDITIONS PRECEDENT TO THE OBLIGATIONS OF SELLERS
                              AND THE SHAREHOLDERS

                  The obligations of Sellers and the  Shareholders 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 by Sellers in  writing.  Upon  failure of
any of the following  conditions,  Sellers 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 and IHS made under this  Agreement and under each  Buyer/IHS
Transaction  Document shall be true and correct in all material  respects at and
as of the Closing Date, as though such  representations and warranties were made
at and as of such time; provided, however, that to the extent any representation
or warranty is modified by a  "materiality"  exception  such  representation  or
warranty shall be true in all respects.

                  9.2 PERFORMANCE OF COVENANTS. Each of Buyer and IHS shall have
performed or complied in all material respects with their respective  agreements
and covenants required by this Agreement and each Buyer/IHS Transaction Document
to be  performed or complied  with by it prior to or at the  Closing;  provided,
however,  that to the extent  compliance  with any  covenant  is  modified  by a
"materiality"  exception,  such  covenant  shall have been  complied with in all
respects.

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

                  9.4 OPINIONS OF COUNSEL. Buyer and IHS shall have delivered to
Sellers and the Shareholders an opinion, dated the Closing Date, of its counsel,
in such form and substance (as attached hereto as Exhibit 9.4,  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 and IHS
contained  in  this   Agreement,   the  Buyer/IHS   Transaction   Documents  and
certificates supplied to such counsel by representatives of IHS and Buyer and of
Governmental Authorities.

                  9.5 LEGAL MATTERS. No suit, action, investigation, or legal or
administrative  proceeding shall have been brought or shall have been threatened
by any person or  Governmental  Authority  that  questions  the  enforceability,
validity or legality of this Agreement or the transactions contemplated hereby.


                                       44

<PAGE>


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

                  9.7  NECESSARY  CONSENTS.  The  consent  or  approval  of  all
Governmental  Authorities  necessary for the  consummation  of the  transactions
contemplated hereby shall have been granted.

                  9.8 ASSIGNMENT AND  ASSUMPTION.  Buyer shall have executed and
delivered to each Seller an Assignment and Assumption Agreement.

                  9.9  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 DOJ or FTC 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 Sellers to
divest any  material  portion of their  business  by reason of the  transactions
contemplated by this  Agreement.  The parties shall have until June 20, 1997, to
satisfy the foregoing condition,  and if the foregoing conditions shall not have
been satisfied by such date,  either party may elect to terminate this Agreement
for failure to satisfy  this  condition  in  accordance  with Article XI hereof;
provided,  however  that if,  on or prior to June 20,  1997,  the DOJ or the FTC
shall have made a second  request  for  additional  information  or if any other
action shall have been taken or formal protest made by the DOJ, FTC or any other
person to  prohibit  the  transactions  contemplated  by this  Agreement  (or to
require the  divestiture of any material  portion of the business of Sellers) in
each case,  by reason of any  antitrust  law,  with respect to the  transactions
contemplated  hereby,  the parties'  respective  rights to terminate as provided
above shall not be exercisable until August 4, 1997.

                  9.10  EMPLOYMENT AND CONSULTING  AGREEMENTS.  Buyer shall have
executed and delivered employment  agreements and/or consulting  agreements with
each Shareholder and Favilla in the forms of Exhibits 8.10-1, 8.10-2 and 8.10-3,
respectively.

                  9.11 PURCHASE PRICE. Buyer and IHS shall have tendered payment
in  full of the  Purchase  Price  to  Sellers  according  to the  terms  of this
Agreement.

                  9.12 OFFICE LEASE GUARANTY  RELEASES.  Each Shareholder  shall
have been released from his or her personal  guaranty of any  obligations  under
the Office Lease that Buyer assumes pursuant to this Agreement, or IHS and Buyer
shall have agreed to indemnify such Shareholders from any such Liability assumed
by Buyer under such Office Lease.


                                       45

<PAGE>

                  9.13 OTHER DOCUMENTS.  Buyer and IHS shall have furnished each
Seller and Shareholder with all documents,  certificates  and other  instruments
required to be  furnished  to any of them by Buyer or IHS  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. Notwithstanding any
investigation conducted before or after the Closing or the decision of any party
to  consummate  the Closing,  each party hereto shall be entitled to rely and is
hereby  declared  to  have  reasonably  relied  upon  the   representations  and
warranties of the other party.

                  10.2     INDEMNIFICATION.

                           (A) Each  Seller  and each  Shareholder  jointly  and
severally shall indemnify and defend Buyer and IHS and each of their  respective
shareholders,  directors,  officers, employees, agents and advisors, and each of
their respective  successors and assigns ("BUYER  INDEMNITEES") against and with
respect to any and all damages, losses, claims, liabilities, deficiencies, costs
and expenses  (including,  without  limitation,  reasonable  attorney's fees and
expenses) (all of the foregoing hereinafter  collectively referred to as "LOSS")
resulting  from (i) any  misrepresentation,  breach of  warranty,  or failure to
fulfill any  agreement  or covenant on the part of any Group  Participant  under
this Agreement or any Group Transaction Document;  (ii) any Taxes resulting from
the  operation  of the Business or ownership of any of the Assets for any period
ending on or before the Closing Date; (iii) all Reimbursement Liabilities;  (iv)
any  Loss  relating  to  any  Unassumed  Liability  of  Seller  or  other  Group
Participant; (v) any Loss arising out of any bulk transfer act (whether relating
to liabilities  in general or taxes or otherwise);  (vi) any Loss arising out of
the noncompliance of either Seller with COBRA or any like statute; and (vii) any
and  all  actions,  suits,   proceedings,   demands,   assessments,   judgments,
settlements  (to  the  extent  approved  by  Sellers,  such  approval  not to be
unreasonably  withheld,  delayed  or  conditioned)  costs  and  legal  and other
expenses incident to any of the foregoing.

                  Without  limiting the foregoing,  the Group hereby  represents
and  warrants  to  Buyer  and IHS  that it has  complied  with  any and all bulk
transfer  act  or  similar  procedures  applicable  to the  transactions  herein
contemplated to the extent they exist and are applicable.

                           (B) Buyer and IHS jointly and severally  covenant and
shall defend,  hold harmless and indemnify  each Group  Participant  and each of
their  respective  shareholders,  directors,  officers,  employees,  agents  and
advisors,   and  each  of  their  respective   successors  and  assigns  ("GROUP
INDEMNITEES") against and with respect to any and all Losses resulting from: (i)
any  misrepresentation,  breach of warranty, or failure to fulfill any agreement
or covenant on the part of Buyer or IHS under this  Agreement  or any  Buyer/IHS
Transaction Document, (ii) any Assumed Obligation, (iii) any Loss resulting from
Buyer's  operation of the Business after the 

                                       46

<PAGE>

Closing Date and not arising out of any breach of any representation or warranty
or  covenant  of any Group  Participant,  and (iv) any and all  actions,  suits,
proceedings,  demands,  assessments,   judgments,  settlements  (to  the  extent
approved by IHS,  such  approval  not to be  unreasonably  withheld,  delayed or
conditioned)  costs  and  legal  and  other  expenses  incident  to  any  of the
foregoing.

                           (C)  Any   claim   under   this   Section   10.2  for
indemnification  for  any  breach  of a  representation  or  warranty  or of any
covenant  required to be  satisfied  on or prior to Closing  must be asserted by
written  notice by the first  anniversary  of the Closing Date,  except that any
claim by any Buyer Indemnitee for indemnification arising out of a breach of any
of the  representations  and warranties of any of the Group Participants for any
tax  matter  may be  asserted  any time prior to  expiration  of the  applicable
statute  of  limitations  for the  assertion  of the  related  tax  claim by the
government,  and any such claim based on Reimbursement  Liability may be brought
any time prior to a date which is thirty (30) days  following  expiration of the
applicable audit period for such liability. The foregoing time limitations shall
not apply to any indemnification  obligation of any person or entity pursuant to
Section 2.4 (g) (v) hereof or with respect to any  representation or warranty as
to  the  legal,   valid,   binding  effect  of,  and   enforceability   of,  any
Non-competition Agreement.

                           (D) Any Buyer Indemnitee shall be entitled (but shall
not be obligated) to offset  against the Contingent  Payment in accordance  with
Section  2.1(c),  any  amount  due to it by reason  of any  Group  Participant's
obligations under this Section 10.2 hereof, including, without limitation, their
obligations  to  indemnify  Buyer and IHS for any  failure to make any  payments
arising out of Purchase Price adjustments.

                           (E)  If  and  to  the  extent  that  Buyer  or IHS is
actually  compensated by any Group Participant by reason of  indemnification  or
Purchase Price adjustment pursuant to this Agreement for any Loss incurred by it
arising out of any breach of any representation, warranty or covenant by RSI, or
if and to the extent Sellers or any Shareholder  suffer any Loss with respect to
which  there is a right  to  indemnification,  under  any RSI  Document,  at the
request of such Group  Participant,  Buyer shall in its sole discretion,  either
seek, on behalf of such Group Participant,  to enforce its rights to collect the
amount of such damages under such RSI Document  with respect to such breach,  or
assign to such Group Participant, Buyer's right to seek such enforcement of such
rights.

                           (F)  Notwithstanding  any  other  provision  of  this
Agreement, the aggregate indemnification  obligations of the Group Participants,
on the one hand,  and IHS and  Buyer,  on the other  hand,  shall not  exceed an
amount equal to the Purchase Price (after all adjustments actually made), and no
Shareholder  shall be required to indemnify  any  individual or  combination  of
Buyer Indemnitees for Losses in excess, in the aggregate,  of an amount equal to
such  Shareholder's  percentage  interest in the Purchase  Price as set forth on
Schedule 10.2(e) hereto.


                                       47

<PAGE>

                           (G)  Notwithstanding  any  other  provision  of  this
Agreement,  the Group  Participants  on the one hand, and IHS and Buyer,  on the
other hand,  shall not have any  obligation  to indemnify the other party hereto
for any  Losses  incurred  by it or them  unless,  until and to the  extent  the
aggregate  amount of such Losses equals or exceeds $50,000;  provided,  however,
that the foregoing shall not apply to any  obligations  with respect to payments
of, or  adjustments  to,  the  Purchase  Price,  including  without  limitation,
adjustments under Sections 2.5 or 10.7 hereto.

                           (H) Absent actual fraud, the  indemnification  rights
and  remedies  of the parties as set forth in this  Agreement  shall be the sole
remedy  for  compensation  for  Losses of the  parties  after the  Closing.  The
foregoing  shall not apply to  remedies  for  breaches  of  covenants  after the
Closing.

                  10.3     RESTRICTIONS.

                           (A)  From  and  after  the  Closing  Date,  no  Group
Participant shall disclose,  directly or indirectly, to any person or entity, or
make use of, without the express  authorization of IHS and Buyer, any non-public
pricing  strategies or records of either Seller,  any proprietary  data or trade
secrets  owned  by  either  Seller,  Buyer  or  IHS or any  financial  or  other
information about any of them  ("CONFIDENTIAL  INFORMATION");  provided that the
foregoing restrictions shall not apply to any information which:

                                    (I) is or  becomes  generally  known  to the
public through no wrongful act on the part of any Seller or Shareholder; or

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

                                    (III) is  approved  for  release  by written
authorization signed by Buyer; or

                                    (IV)  is   required  to  be   disclosed   in
accordance  with  applicable law;  provided,  however,  prior to making any such
disclosure the party required to make such  disclosure  shall provide Buyer with
prompt  notice  of such  requirement  to  enable  Buyer  to seek an  appropriate
protective  order and such  party  will use its best  efforts  to  preserve  the
confidentiality  of such  information and will disclose only that portion of the
information as is required to be disclosed.

                           (B)  Each  Group  Participant  acknowledges  that the
restrictions  contained  in this Section 10.3 are  reasonable  and  necessary to
protect  the  legitimate  business  interests  of Buyer  and  IHS,  and that any
violation  thereof by any of them would result in irreparable  harm to Buyer and
IHS.  Accordingly,  each Group Participant agrees that upon the violation by any
of them of any of the restrictions contained in this Section 10.3, Buyer and IHS
shall  be  entitled  to  obtain  from  any  court of  competent  jurisdiction  a
preliminary and permanent injunction as well as any other relief provided at law
or equity, under this Agreement or otherwise.


                                       48

<PAGE>

                           (C) Until  Closing,  or earlier  termination  of this
Agreement,  the  provisions  of  Paragraph  12 of the Letter of Intent among the
parties  hereto  (the  "LETTER OF INTENT")  dated as of January 9, 1996,  and as
extended from time to time, shall survive.

                  10.4 RECORDS.  On the Closing Date,  each Seller shall use its
best  efforts to  deliver,  or cause to be  delivered,  to Buyer all records and
files (other than Excluded Assets) not then in such Seller's possession relating
to the  operation of the Business.  Following  the Closing,  Buyer shall provide
either  Seller and either  Shareholder  with access during  business  hours upon
reasonable  prior notice (not less than two (2) business  days),  to such of its
financial records relating to the operation of the Business prior to the Closing
Date as such Seller or Shareholder  shall reasonably  request in connection with
the  preparation  by it, him or her of any tax returns,  the  collection  of any
accounts receivable owned by any Seller,  payment,  investigation and defense of
Unassumed  Liabilities,  and as otherwise reasonably consented to by Buyer. Such
records shall be maintained and for the duration as required by applicable  law.
Buyer also shall maintain all records  relating to the business Sellers acquired
from RSI to the extent such  records are  delivered  by Sellers to Buyer and are
required to be  maintained  by the RSI  Documents as set forth on Schedule  10.4
hereof.

                  10.5 AUDIT. Following Closing, each Seller will cooperate with
and assist Buyer in a review of the financial  statements of such Seller.  Buyer
may, at its own expense,  have an audit  performed of such financial  statement,
and each Seller and Shareholder will cooperate in the performance of such audit.

                  10.6 EMPLOYEES.  In reliance on Sellers'  representations  and
warranties  contained in Section 4.14, Buyer agrees (for the benefit of Sellers;
it  being   expressly   understood  that  no  Employees  shall  be  third  party
beneficiaries   of  this  Section   10.6)  to  make  offers  of   employment  to
substantially  all persons who are  employees  of Sellers on the date hereof and
who continue to be employees of either Seller  immediately  prior to the Closing
("EMPLOYEES").  Any Employee on short term  disability  or long term  disability
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 assume any  liability  arising out of any failure to
give any required notices to appropriate  persons with respect to any employment
loss that may arise as a result of or following  the sale  contemplated  by this
Agreement under the Worker Adjustment and Retraining Notification Act (the "WARN
ACT") and any other applicable  similar state  notification laws of the State of
Minnesota, except to the extent that any notifications are required by reason of
actions taken by Sellers.

                  10.7  REIMBURSEMENT  PAYBACKS.  Each Group  Participant  shall
reasonably  cooperate  with Buyer with respect to any action with respect to the
collection of any  Reimbursement  Payback that could  materially  interfere with
Buyer's relationship with the person, entity or Governmental Authority from whom
such Reimbursement  Payback shall be due; provided,  however, that the foregoing
shall not cause any Group Participant to forfeit any Reimbursement Payback.


                                       49

<PAGE>

                  10.8 CLOSING COST  REPORTS.  Promptly  following  the Closing,
Rehab shall prepare and file a correct and complete Medicare cost report for the
interim  period  ending on the Closing Date in  accordance  with all  applicable
Governmental Requirements.

                             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  or IHS  hereunder,  including  without  limitation  those
conditions  set forth in Article  VIII  hereof,  have not been  satisfied by the
Closing Date or pursuant to Section 12.1 if any portion of the Assets is damaged
or destroyed as a result of fire,  other casualty or from any reason  whatsoever
or pursuant to Section 1.3(b) or Section 2.4(a);

                           (B)  Sellers,  if  any  condition  precedent  to  the
obligations  of  the  Group  hereunder,   including  without  limitation,  those
conditions  set forth in  Article  IX  hereof,  have not been  satisfied  by the
Closing Date or pursuant to Section 2.4(a);

                           (C) the mutual consent of Buyer and Sellers.

                  11.2  EFFECT  OF  TERMINATION.  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,  or if it is terminated pursuant
to Section 1.3(b),  Section 2.4(a), or Section 12.1, 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 any party of any
of its  representations,  warranties or obligations  under this  Agreement,  the
other party shall be entitled to be indemnified for any Losses 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). Furthermore,
nothing in this Section 11.2 shall affect  Buyer's or Sellers' right to specific
performance  of the  obligations  of the  Group or of IHS and  Buyer at  Closing
hereunder.

                       ARTICLE XII: CASUALTY, RISK OF LOSS

                  12.1  CASUALTY,  RISK OF LOSS.  Sellers shall bear the risk of
all loss or damage to any of the Assets from all causes which occur prior to the
Closing.  If at any time  prior to the  Closing  any  portion  of the  Assets is
damaged  or  destroyed  as a result of fire,  other  casualty  or for any reason
whatsoever,  Sellers shall immediately give notice thereof to Buyer. Buyer shall
have the right,  in its sole and  absolute  discretion,  within ten (10) days of
receipt  of such  notice,  to (1)  elect not to  proceed  with the  Closing  and
terminate  this  Agreement,  or  (2)  proceed  to  Closing  and  consummate  the
transactions  contemplated  hereby and  receive any and all  insurance  proceeds
received or  receivable  by any Group  Members on account of any such  casualty.
Nothing contained in this Section 12.1 shall limit or adversely affect the right
of Buyer and IHS to receive

                                       50

<PAGE>

indemnification  for any  Losses  incurred  by  either  of them by reason of any
breach by any Group  Participant of any  representation,  warranty or obligation
under this  Agreement  in  accordance  with  Section  10.2  hereof (and for such
purposes such Section 10.2 shall survive the termination of this Agreement).

                           ARTICLE XIII: MISCELLANEOUS

                  13.1  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.  The  Group  shall pay all fees and other  amounts,  if any,  due to the
Broker. The Group shall pay all sales, transfer, recording, stamp and like taxes
payable  in  connection  with  any  of the  transactions  contemplated  by  this
Agreement,  and shall  timely and  truthfully  complete  and file any filings or
returns necessary in connection therewith.  Buyer and IHS shall bear the cost of
obtaining the legal opinions referred to in Section 8.4(b) hereto,  and the fees
payable in respect of any H-S-R Act filing. All of the Group's obligations under
this Section 13.1 shall constitute Unassumed Liabilities.

                  13.2 BENEFIT AND  ASSIGNMENT.  This Agreement binds and inures
to the benefit of each party hereto and its  successors  and  assigns.  Prior to
Closing,  Buyer may not assign its  interest  under this  Agreement to any other
person or entity  without  the  prior  written  consent  of  Sellers;  provided,
however,  that prior to Closing  Buyer may assign  together  its entire  rights,
duties and  obligations  hereunder to one or more  subsidiaries or affiliates of
IHS,  except  that  no such  assignment  shall  operate  to  relieve  IHS of its
obligations hereunder.  Sellers and the Shareholders may not assign their rights
or obligation  under this  Agreement  without the prior consent of Buyer,  which
consent shall not unreasonably be withheld.

                  13.3 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,  including,  without  limitation,  the Letter of  Intent,  except to the
extent set forth in Section  10.3(c)  hereto.  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.

                  13.4 COOPERATION - FURTHER  ASSISTANCE.  From time to time, as
and when reasonably  requested by any party hereto after the Closing,  the other
parties will (at the expense of the requesting  party)  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  action as may be  reasonably
requested or  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.


                                       51

<PAGE>

                  13.5  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 any Group Participant:      to or in care of:
                                  Rehab Dynamics, Inc.
                                  4001 Stinson Blvd., N.E.
                                  Apache Medical Suite 100
                                  Minneapolis, Minnesota 55421
                                  Attention: Beth Kessler and David Nechas

With a copy to:                   Siegel, Brill, Greupner & Duffy, P.A.
                                  1300 Washington Square
                                  100 Washington Avenue South
                                  Minneapolis, Minnesota 55401
                                  Attention: Joel H. Jensen, Esq.

If to Buyer 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
                                  Attention: Andrew S. Bogen, Esq.

Such  addresses may be changed by providing  written  notice as provided in this
Section 13.5.

                  13.6  WAIVER,   DISCHARGE,   ETC.   This   Agreement  and  the
Transaction  Documents and the obligations hereunder and thereunder shall not be
released,  discharged,  abandoned,  changed,  waived or  modified in any manner,
except by an instrument in writing executed by Sellers, if any Group Participant
is to be the party to be  charged,  and by  Buyer,  if Buyer or IHS 

                                       52

<PAGE>

is to be the party to be  charged.  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.

                  13.7 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, and other than the
Buyer Indemnitees and Group Indemnitees pursuant to Section 10.2 hereto.

                  13.8 GOVERNING  LAW. This  Agreement  shall be governed by and
construed  in  accordance  with the  internal  laws of the  State  of  Minnesota
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.

                  13.9 AMENDMENTS, SUPPLEMENTS, ETC. At any time before or after
the  execution  and  delivery  of this  Agreement  by the parties  hereto,  this
Agreement may be amended or supplemented by additional  agreements,  articles or
certificates,  as may be mutually  determined  by the  parties to be  necessary,
appropriate or desirable to further the purposes of this  Agreement,  to clarify
the intention of the parties, or to add to or to modify the covenants,  terms or
conditions  hereof or thereof.  The  parties  hereto  shall make such  technical
changes to this Agreement,  not inconsistent with the purposes hereof, as may be
required to effect or facilitate any governmental approval or acceptance of this
Agreement or to effect or  facilitate  any filing or recording  required for the
consummation  of any  portion  of the  transactions  contemplated  hereby.  This
Agreement  may not be  amended  except by an  instrument  in  writing  signed by
Sellers on behalf of the Group Members and by Buyer on behalf of Buyer and IHS.

                  13.10 SEVERABILITY.  Any provision, or distinguishable portion
of any  provision,  of this  Agreement  which is  determined  in any judicial or
administrative  proceeding to be prohibited or unenforceable in any jurisdiction
shall, as to such jurisdiction, be ineffective to the extent of such prohibition
or unenforceability  without  invalidating the remaining  provisions hereof, and
any  such  prohibition  or   unenforceability  in  any  jurisdiction  shall  not
invalidate or render unenforceable such provision in any other jurisdiction.  It
is the  intention of the parties that if any  provision of Section 10.3 shall be
determined to be overly broad in any respect,  then it should be  enforceable to
the  maximum  extent  permissible  under the law.  To the  extent  permitted  by
applicable law, the parties waive any provision of law which renders a provision
hereof prohibited or unenforceable in any respect.

                  13.11 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 Sellers
shall jointly determine prior to Closing, or as shall be determined by IHS at or
after the Closing; provided that nothing herein shall prevent

                                       53

<PAGE>

either  party,  upon as much  prior  notice  as  shall  be  possible  under  the
circumstances  to the other,  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.

                  13.12 JOINT AND  SEVERAL.  All  obligations,  representations,
warranties,  covenants  and  agreements  of any  Group  Participant  under  this
Agreement  or any of the  Group  Transaction  Documents  shall be the  joint and
several obligations,  representations,  warranties,  covenants and agreements of
all of the Group  Participants.  All obligations,  representations,  warranties,
covenants  and  agreements of Rehab Buyer,  Restorative  Buyer or IHS under this
Agreement or any of the Buyer/IHS  Transaction  Documents shall be the joint and
several obligations,  representations,  warranties,  covenants and agreements of
Rehab Buyer, Restorative Buyer and IHS.

                       [SIGNATURES ON THE FOLLOWING PAGE]


                                       54

<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.

INTEGRATED HEALTH SERVICES, INC.

BY:/s/ Elizabeth B. Kelly
   ----------------------------------
ITS:Executive Vice President-Corporate Development
    ----------------------------------------------

SYMPHONY REHAB DYNAMICS, INC.

BY:/s/ Elizabeth B. Kelly
   ----------------------------------
ITS:Executive Vice President-Corporate Development
    ----------------------------------------------

SYMPHONY RESTORATIVE THERAPY LIMITED

BY:/s/ Elizabeth B. Kelly
   ----------------------------------
ITS:Executive Vice President-Corporate Development
    ----------------------------------------------

REHAB DYNAMICS, INC.


BY: /s/ David Nechas
    ---------------------------------
ITS: President
     --------------------------------

RESTORATIVE THERAPY LIMITED


BY:/s/ David Nechas
   ----------------------------------
ITS:President
    ---------------------------------

/s/ David Nechas
- -------------------------------------
David Nechas

/s/ Beth Kessler
- -------------------------------------
Beth Kessler


                                       55

Exhibit 23.1


               CONSENT OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS



The Board of Directors
Integrated Health Services, Inc.:

We  consent  to the use of our  report  dated  March 24,  1997  relating  to the
consolidated  financial  statements  of  Integrated  Health  Services,  Inc. and
subsidiaries,  incorporated herein by reference,  to the incorporation herein by
reference  of our report  dated  October 17, 1996  relating to the  consolidated
financial  statements  of  First  American  Health  Care of  Georgia,  Inc.  and
subsidiaries,  which report appears in Form 8-K/A of Integrated Health Services,
Inc.  filed on November  26, 1996,  as amended by Amendment  No. 1 to Form 8-K/A
filed on July 11,  1997,  and to the  reference  to our firm  under the  heading
"Experts" in the registration statement on Form S-3.

Our report  dated  March 24, 1997 refers to changes in  accounting  methods,  in
1995, to adopt Statement of Financial  Accounting  Standards No. 121 relating to
impairment  of long-lived  assets and, in 1996,  from  deferring and  amortizing
pre-opening  costs of medical specialty units to recording them as expenses when
incurred.  Our report dated October 17, 1996 contains an  explanatory  paragraph
regarding the uncertainty with respect to certain contingent  payments which may
be  payable  under  a  settlement  agreement  with  the  Health  Care  Financing
Administration.

                                                       /s/ KPMG Peat Marwick LLP

Baltimore, Maryland
July 11, 1997



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