INTEGRATED HEALTH SERVICES INC
10-Q/A, 1997-07-09
SKILLED NURSING CARE FACILITIES
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                                  UNITED STATES

                       SECURITIES AND EXCHANGE COMMISSION

                             Washington, D.C. 20549


                                    FORM 10-Q/A




[ X ]  Quarterly  Report  Pursuant  to  Section  13 or 15(d)  of the  Securities
Exchange Act of 1934

For the period ended                   September 30, 1996
                     ----------------------------------------------------

                                       or

[ ] Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange
Act of 1934

For the transition period from               to
                              ---------------   ---------------
Commission File Number:      1-12306
                          -------------

                        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, MD                      21117
- -------------------------------------------------------------------------
(Address of principal executive offices)                     (Zip Code)

                                 (410) 998-8400
- -------------------------------------------------------------------------
                  (Registrant's telephone, including area code)


Indicate by check mark whether the registrant (1) has filed all reports required
to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during
the  preceding 12 months (or for such  shorter  period that the  registrant  was
required  to file  such  reports),  and  (2) has  been  subject  to such  filing
requirements for the past 90 days.

                                            [ X ] Yes     [   ] No

Number of shares of common stock of the registrant outstanding as of October 30,
1996: 23,130,642 shares.


<PAGE>

                        INTEGRATED HEALTH SERVICES, INC.
                                      INDEX




PART I.       FINANCIAL INFORMATION
                                                                      Page
                                                                      ----


Item 1.       - Condensed Financial Statements (Unaudited)
              ------------------------------------------- 

              Consolidated Balance Sheets
                September 30, 1996 and December 31, 1995                 3

              Consolidated Statements of Earnings
                for the three and nine months ended
                September 30, 1996 and 1995                              4

              Consolidated Statement of Changes in
                Stockholders' Equity for the nine
                months ended September 30, 1996                          5

              Consolidated Statements of Cash Flows
                for the nine months ended September 30, 1996
                and 1995                                                 6

              Notes to Consolidated Financial Statements                 7

Item 2.       Management's Discussion and Analysis of
                Financial Condition and Results of
                Operations                                               15


PART II:      OTHER INFORMATION

Item 6.       Exhibits and Reports on Form 8-K                           29












                                  Page 2 of 31

<PAGE>
               INTEGRATED HEALTH SERVICES, INC. AND SUBSIDIARIES
                          CONSOLIDATED BALANCE SHEETS
                             (Dollars In Thousands)
 
 
<TABLE>
<CAPTION>
 
 
                                                                  September 30,          December 31,
                                                                      1996                   1995
                                                                  ------------           ------------
                                                                   (Unaudited)
<S>                                                              <C>                     <C>    
   Assets
   ------
Current Assets:
   Cash and cash equivalents                                     $      41,127           $     38,917
   Temporary investments                                                 1,896                  2,387
   Patient accounts and third-party payor settlements
     receivable, less allowance for doubtful receivables
     of $20,327 at September 30, 1996 and $18,128 at
     December  31, 1995                                                261,563                230,282
   Supplies, inventories, prepaid expenses     
     and other current assets                                           22,415                 25,629
   Income taxes receivable                                                   -                 16,517
                                                                  ------------           ------------
                                                                                               
         Total current assets                                          327,001                313,732
                                                                  ------------           ------------
 
Property, plant and equipment, net                                     865,556                758,127
Intangible assets                                                      316,144                288,033
Other assets                                                           148,484                 73,838
                                                                  ------------           ------------
         Total assets                                            $   1,657,185           $  1,433,730
                                                                  ============           ============
 
   Liabilities and Stockholders' Equity
   ------------------------------------
Current Liabilities:
   Current maturities of long-term debt                          $       3,612           $      5,404
   Accounts payable and accrued expenses                               207,880                172,013
                                                                  ------------           ------------
         Total current liabilities                                     211,492                177,417
                                                                  ------------           ------------
 
Long-term Debt:
   Convertible  subordinated debentures                                258,750                258,750
   Other long-term debt less current maturities                        596,152                506,507
                                                                  ------------           ------------
         Total long-term debt                                          854,902                765,257
                                                                  ------------           ------------
 
Deferred income taxes                                                   55,797                 52,279
Deferred gain on salleaseback transactions                               6,500                  7,249
Stockholders' equity:
   Preferred stock, authorized 15,000,000 shares; no shares
    issued and outstanding                                                   -                      -
   Common stock, $0.001 par value.  Authorized 150,000,000 
    shares; 23,197,954 shares issued and outstanding at
    September 30, 1996 and 21,785,334 shares issued and 
    21,384,734 shares outstanding at December 31, 1995                      23                     22
   Additional paid-in capital                                          438,880                410,345                  
   Retained earnings                                                    78,108                 33,951
   Unrealized gain on available for sale securities                     11,483                      -                               
   Treasury stock, at cost (400,600 shares at December 31, 1995)             -                (12,790)
                                                                  ------------           ------------                               
         Net stockholders' equity                                      528,494                431,528
                                                                  ------------           ------------
         Total liabilities and stockholders' equity              $   1,657,185           $  1,433,730
                                                                  ============           ============
                  
                                                                
</TABLE>
         
                                                

 
 
          See accompanying Notes to Consolidated Financial Statements
 
 
                                  Page 3 of 31

<PAGE>

                        INTEGRATED HEALTH SERVICES, INC.
                       CONSOLIDATED STATEMENTS OF EARNINGS
                  (Dollars in Thousands, except per share data)
                                  (Unaudited)
 
 
<TABLE>
<CAPTION>
 
                                                      Three Months Ended       Nine Months Ended
                                                         September 30,           September 30,
                                                      ------------------       -----------------
                                                        1996       1995         1996       1995
                                                      -------    -------       ------    -------

<S>                                                <C>         <C>          <C>         <C>    
Net revenues:
    Basic medical services                         $ 101,189   $  95,482    $ 296,468   $ 272,183      
    Specialty medical services                       211,904     193,604      658,297     558,093
    Management services and other                     12,572      10,076       33,953      29,902     
    Gain on sale of assets                            34,298           0       34,298           0
                                                     -------     -------    ---------     -------
        Total revenues                               359,963     299,162    1,023,016     860,178
                                                     -------     -------    ---------     -------

Costs and expenses:

    Operating expenses                               241,177     224,457      745,346     646,165
    Corporate administrative and general              14,943      14,262       44,890      40,838
    Depreciation and amortization                      9,130       9,867       25,909      28,509
    Rent                                              18,445      16,726       53,980      49,246
    Interest (net of investment income of
        $414, $403, $1,459, and $1,295 for the
        three months ended September 30,
        1996 and 1995, and for the nine months
        ended September 30, 1996 and 1995,
        respectively)                                 15,931      10,955       46,033      26,870
    Merger costs                                           0       1,939            0       1,939
                                                     -------     -------      -------     -------
        Total costs and expenses                     299,626     278,206      916,158     793,567
                                                     -------     -------    ---------     -------
 
        Earnings before equity in earnings
        of affiliates, income taxes and 
        extraordinary items                           60,337      20,956      106,858      66,611
 
Equity in earnings of affiliates                         323         364        1,083         994
                                                      ------      ------      -------      ------
 
        Earnings before income taxes
        and extraordinary items                       60,660      21,320      107,941      67,605
 
Federal and state income taxes                        44,149       8,208       62,353      26,028
                                                      ------      ------      -------      ------ 
        Earnings before extraordinary items           16,511      13,112       45,588      41,577
 
Extraordinary items (See Note 6)                           0           0        1,431         508
                                                      ------      ------       ------      ------ 
        Net earnings                                $ 16,511    $ 13,112     $ 44,157    $ 41,069
                                                    ========    ========     ========    ========
 
Per Common Share
 
 
         Earnings before extraordinary
          item - primary                            $   0.69    $    .60     $   1.95    $   1.82
         Earnings before extraordinary
          item - fully diluted                          0.58        0.52         1.68        1.59
 
 
         Net earnings - primary                         0.69        0.60         1.89        1.80
         Net earnings - fully diluted                   0.58        0.52         1.64        1.57
                                                    ========    ========     ========    ========
</TABLE>
 
          See accompanying Notes to Consolidated Financial Statements
 
 
                                 



                                  Page 4 of 31

<PAGE>

 
               INTEGRATED HEALTH SERVICES, INC. AND SUBSIDIARIES
            CONSOLIDATED STATEMENT OF CHANGES IN STOCKHOLDERS' EQUITY
                             (Dollars in Thousands)
                                   (Unaudited)
                                                                                
<TABLE>
<CAPTION>
 
                                                                                        
                                                                                                    Unrealized
                                                                                                      Gain on        
                                                   Additional                                        Available
                                       Common       Paid-In          Retained       Treasury         for Sale
                                       Stock        Capital          Earnings        Stock          Securities        Total   
                                   -------------------------------------------------------------------------------------------------
                                                                                               
 
<S>                                 <C>           <C>              <C>            <C>             <C>             <C>               
Balance at December 31, 1995        $    22       $  410,345       $   33,951     $(12,790)       $       0       $  431,528
 
Issuance of 1,226,978 shares of
common stock in connection with
acquisition and purchase option 
deposits                                  1           28,977                -            -                -           28,978
 
Rissuance of 400,600 shares of
treasury stock in payment of earn-outs
in connection with prior acquisitions     -           (3,592)               -       12,790                -            9,198
 
Issuance of 68,661 shares of common
stock in connection with employee 
stock purchase plan                       -            1,499                -            -                -            1,499
 
Exercise of employee stock options
for 116,981 shares of common stock        -            1,651                -            -                -            1,651
 
Unrealized gain on available for sale
securities                                -                -                -            -           11,483           11,483
 
Net earnings                              -                -           44,157            -                -           44,157
                                     ---------------------------------------------------------------------------------------
 
Balance at  September 30, 1996       $   23       $  438,880       $   78,108     $       0       $  11,483       $  528,494
                                     ======       ==========       ==========     =========       =========       ==========
</TABLE>
 
          See accompanying Notes to Consolidated Financial Statements
 
 
                                 



                                  Page 5 of 31

<PAGE>


               INTEGRATED HEALTH SERVICES, INC. AND SUBSIDIARIES
                      CONSOLIDATED STATEMENTS OF CASH FLOWS
                             (Dollars in Thousands)
                                   (Unaudited)
 
<TABLE>
<CAPTION>

 
                                                                    Nine Months Ended
                                                                      September 30,
                                                                 ------------------------
                                                                    1996           1995
                                                                 ----------     ----------
 
 
<S>                                                              <C>            <C>    
Cash flows from operating activities: 
     Net earnings                                                $   44,157     $   41,069
     Adjustments to reconcile net earnings to net
      cash provided by operating activities:
       Gain on sale of assets                                       (34,298)             -
       Extraordinary item                                             2,327            826
       Undistributed results of joint ventures                         (348)          (406)
       Depreciation and amortization                                 25,909         28,509
       Deferred income taxes and other non-cash items                 3,162          2,869
       Amortization of gain on salleaseback transactions               (749)          (762)
       Increase in patient accounts and third-party
        payor settlements receivable, net                           (21,724)       (32,075)
       Increase in supplies, inventory, prepaid expenses and
        other current assets                                           (979)        (4,482)
       Decrease in accounts payable and accrued expenses            (27,025)       (23,094)
       Decrease in income taxes receivable                           16,517              -
       Increase in income taxes payable                               6,962          4,579
                                                                   --------       --------
 
        Net cash provided by operating activities                    13,911         17,033
                                                                   --------       --------
Cash flows from financing activities: 
 Proceeds from issuance of capital stock, net                         3,150          7,510
 Proceeds from long-term borrowings                                 832,653        430,915
 Repayment of long-term debt                                       (766,450)      (288,457)
 Deferred financing costs                                            (8,128)        (5,102)
 Purchase of treasury stock                                               -        (12,790)
                                                                   --------       --------
        Net cash provided by financing activities                    61,225        132,076
                                                                   --------       --------
 
Cash flows from investing activities:
 Sale of facilities and divisions                                   125,000         29,303
 Sale of temporary investments                                        5,086          3,982
 Purchase of temporary investments                                   (4,595)        (1,287)
 Business acquisitions                                              (46,106)       (50,752)
 Purchase of property, plant and equipment                         (104,647)       (96,532)
 Intangible assets                                                        -        (11,338)
 Other assets                                                       (47,664)       (44,526)
                                                                   --------       --------
        Net cash used by investing activities                       (72,926)      (171,150)
                                                                   --------       --------
 
        Increase (decrease) in cash and cash equivalents              2,210        (22,041)
 
Cash and cash equivalents, beginning of period                       38,917         57,724
                                                                   --------       --------
Cash and cash equivalents, end of period                         $   41,127       $ 35,683
                                                                   ========       ========
</TABLE>
 
 
          See accompanying Notes to Consolidated Financial Statements
 
 
 




                                  Page 6 of 31

<PAGE>



                                      NOTES
                                       TO
                        CONSOLIDATED FINANCIAL STATEMENTS

Note 1:    Basis of Presentation and Significant Accounting Policies

           The consolidated  financial statements included herein do not contain
           all  information  and  footnote   disclosures  normally  included  in
           financial  statements  prepared in accordance with generally accepted
           accounting   principles.   For  further  information,   such  as  the
           significant   accounting   policies  followed  by  Integrated  Health
           Services,  Inc.  ("IHS"  or  "Company"),  refer  to the  consolidated
           financial  statements and footnotes thereto included in the Company's
           Annual Report on Form 10-K/A for the year ended December 31, 1995. In
           the opinion of  management,  the  consolidated  financial  statements
           include  all  necessary   adjustments   (consisting  of  only  normal
           recurring accruals) for a fair presentation of the financial position
           and results of  operations  for the interim  periods  presented.  The
           results of  operations  for the  interim  periods  presented  are not
           necessarily  indicative  of the results  that may be expected for the
           full year.

Note 2:    Earnings Per Share

           Primary  earnings per share is computed based on the weighted average
           number of common and common equivalent shares  outstanding during the
           periods.  Common stock  equivalents  include  options and warrants to
           purchase  common  stock,  assumed to be exercised  using the treasury
           stock  method.  Fully  diluted  earnings  per  share is  computed  as
           described  above,  except that the weighted  average number of common
           equivalent shares is determined  assuming the dilution resulting from
           the issuance of the aforementioned options and warrants at the higher
           of the  end-of-period  price per share or the weighted  average price
           for the period,  and the  issuance of common  shares upon the assumed
           conversion of the convertible subordinated debentures.  Additionally,
           interest  expense and  amortization of underwriting  costs related to
           such  debentures are added,  net of tax, to income for the purpose of
           calculating  fully diluted  earnings per share.  Such amounts and the
           resulting net earnings for fully diluted  earnings per share purposes
           are  summarized  as follows for the nine months ended  September  30,
           1996 and 1995, respectively: 

                                                              1996       1995
                                                            -------     ------
                                                               (in thousands)
           Net earnings                                     $44,157    $41,069

           Adjustment for interest and underwriting
           costs on convertible debentures                    7,416      7,416
                                                            -------    -------

           Net earnings for fully diluted EPS               $51,573    $48,485
                                                            =======    =======

           Weighted average shares-Primary                   23,393     22,864
           Weighted average shares-Fully Diluted             31,477     30,854
                                                            =======    =======

                                  Page 7 of 31

<PAGE>



Note 3:    New Acquisitions and Management Contracts

           In January 1996, the Company  entered into  agreements to manage four
           assisted  living  facilities in California and Ohio having a total of
           234 beds. The facilities  subsequently were transferred to Integrated
           Living  Communities,  Inc. ("ILC"), a wholly-owned  subsidiary of the
           Company.  ILC completed its initial  public  offering in October 1996
           (see Note 8: Sale of Assisted Living Services Division).

           On January  29,  1996,  the  Company  purchased  Vintage  Health Care
           Center,  a 220 bed skilled  nursing and assisted  living  facility in
           Denton,  Texas  for  $6.9  million.  A  condominium  interest  in the
           assisted living portion of this facility was transferred to ILC.

           On March 19, 1996,  the Company  acquired Rehab  Management  Systems,
           Inc.  ("RMS"),  which  operates  rehabilitation  therapy  clinics  in
           central  Florida.  RMS also  managed one  therapy  and one  physician
           clinic.  Total  purchase  price was  $10.0  million,  including  $8.0
           million representing the issuance of 385,542 shares. In addition, the
           Company  incurred direct costs of acquisition of $2.9 million.  Total
           goodwill at the date of acquisition was $12.7 million.

           In  addition,  during the first  quarter,  the Company  acquired  two
           mobile x-ray companies. Total purchase price aggregated approximately
           $1.3 million.  Total goodwill at the dates of acquisition  aggregated
           $1.2 million.

           In April 1996, the Company  assumed a lease for two facilities in Las
           Vegas,  Nevada,  a 98 bed  skilled  nursing  facility  and a 240  bed
           residential facility.

           On May 1, 1996,  the Company  purchased  Hospice of the Great  Lakes,
           Inc., a hospice company in Northbrook, Illinois. Total purchase price
           was $8.2 million  representing  the issuance of 304,822  shares.  The
           Company  incurred direct costs of acquisition of $1.0 million.  Total
           goodwill at the date of acquisition aggregated $9.1 million.

           In July, the Company assumed a lease for a skilled  nursing  facility
           in Chicago, Illinois

           On August 1, 1996, the Company purchased J.R. Rehab Associates, Inc.,
           an inpatient and  outpatient  rehabilitation  clinic in  Mooresville,
           North Carolina.  Total purchase price was approximately $2.1 million.
           The Company  incurred direct costs of acquisition of $200,000.  Total
           goodwill at the date of acquisition aggregated $3.1 million.

           In August 1996, the Company purchased  Colorado Portable X-Ray, Inc.,
           a mobile x-ray company in Denver,  Colorado. Total purchase price was
           approximately $422,000. Total goodwill at the date of acquisition was
           $372,000.

                                  Page 8 of 31

<PAGE>
           On August 12, 1996,  the Company  acquired  Extendicare of Tennessee,
           Inc.,  a home  health  care  company  in  Memphis,  Tennessee.  Total
           purchase price was approximately  $3.4 million.  The Company incurred
           direct costs of acquisition  of $200,000.  Total goodwill at the date
           of acquisition aggregated $1.9 million.

           On August 19, 1996,  the Company  acquired  Edgewater  Home  Infusion
           Services,  Inc., a home  infusion  company in Miami,  Florida.  Total
           purchase price was approximately  $8.0 million.  The Company incurred
           direct costs of acquisition  of $300,000.  Total goodwill at the date
           of acquisition aggregated $7.7 million.

           In August 1996, the Company acquired Century Health Services, Inc., a
           home health company in Murfreesboro,  Tennessee. Total purchase price
           was  approximately  $2.4  million.  In addition,  the Company  repaid
           certain debt of Century of  approximately  $1.5 million.  The Company
           incurred  direct costs of acquisition of $200,000.  Total goodwill at
           the date of acquisition aggregated $12.1 million.

           In September 1996, the Company acquired  Signature Home Care, Inc., a
           home health care company in Dallas,  Texas.  Total purchase price was
           approximately $9.2 million,  including $4.7 million  representing the
           issuance  of 196,374  shares.  The  Company  incurred  direct cost of
           acquisition  of $500,000.  Total  goodwill at the date of acquisition
           aggregated $19.1 million.

           During the nine months ended  September  30,  1996,  the Company paid
           purchase  option  deposits of $10.3  million,  including $7.3 million
           through the issuance of 305,300 shares of the Company's common stock.

           During the nine months ended September 30, 1996, the Company incurred
           approximately $8.5 million of pre-acquisition costs.

Note 4:    Revolving Credit Facility

            In May 1996,  the  Company  entered  into a $700  million  revolving
            credit  agreement  with  Citicorp USA,  Inc.,  the agent and certain
            other lenders which replaced its $500 million  revolving  credit and
            term loan  facility  which  closed  in April  1995.  The new  credit
            facility  consists of a $700 million revolving loan which reduces to
            $560  million on June 30,  2000 and $315  million on June 30,  2001,
            with  a  final   maturity  on  June  30,  2002.   The  $100  million
            subcommitment  for  letters of credit  will  remain at $100  million
            until final  maturity.  The $700 million  revolving  credit facility
            will be used to finance the Company's working capital  requirements,
            to make acquisitions and for general corporate purposes. As a result
            of this agreement,  the Company  recorded an  extraordinary  loss on
            extinguishment  of debt,  net of tax, of $1.4 million.  (See Note 6:
            Extraordinary Item)

Note 5:    10-1/4% Senior Subordinated Notes due 2006

           On May 23, 1996, IHS issued  $150,000,000  aggregate principal amount
           of its  10-1/4%  Senior  Subordinated  Notes  due 2006  (the  "Senior
           Notes").  Interest on the Senior  Notes is payable  semi-annually  on
           April 30 and October 30,  commencing  October  30,  1996.  The Senior
           Notes are redeemable for cash at any time on or after April 30, 2001,
           at the  option  of the  Company,  in  whole  or in  part,  at a price
           expressed as a percentage of the principal amount, initially equal to
           105.125%  and  declining  to 100% on April  30,  2004,  plus  accrued
           interest to the repurchase  date. In the event of a change in control
           of IHS,  each holder of Senior  Notes may  require IHS to  repurchase
           such  holder's  Senior  Notes,  in whole  or in part,  at 101% of the
           principal  amount  thereof,  plus accrued  interest to the repurchase
           date. The Indenture under which the Senior Notes were issued contains
           certain covenants, including,

                                  Page 9 of 31

<PAGE>





           but not limited to, covenants with respect to the following  matters:
           (i) limitations on additional  indebtedness unless certain ratios are
           met; (ii) limitations on other  subordinated  debt; (iii) limitations
           on liens; (iv)limitations on the issuance of preferred stock by IHS's
           subsidiaries;  (v)limitations on transactions  with affiliates;  (vi)
           limitations  on  certain   payments,   including   dividends;   (vii)
           application   of  the  proceeds  of  certain   asset  sales;   (viii)
           restrictions  on mergers,  consolidations  and the transfer of all or
           substantially  all of the assets of IHS to another  person,  and (ix)
           limitations  on  investments  and  loans.  The  Company  used the net
           proceeds  from the sale of the Senior Notes to repay a portion of the
           $338.0 million then outstanding under its credit facility.

Note 6:    Extraordinary Item

           In the second quarter of 1996, the Company  replaced its $500 million
           revolving  credit  and term  loan  facility  with  the  $700  million
           revolving  credit facility (see Note 4: Revolving  Credit  Facility).
           This event has been  accounted for as an  extinguishment  of debt and
           the  Company  has  recorded  a loss  on  extinguishment  of  debt  of
           $2,327,000, relating primarily to the write off of deferred financing
           costs.  Such  loss,  reduced  by the  related  income  tax  effect of
           $896,000,   is  presented   in  the   statement  of  earnings  as  an
           extraordinary item of $1,431,000.

           In the second quarter of 1995, the Company  replaced its $250 million
           revolving credit and term loan facility with a $500 million revolving
           credit and term loan  facility.  This event has been accounted for as
           an  extinguishment  of debt,  and the Company has  recorded a loss on
           extinguishment  of debt of $826,000  relating  primarily to the write
           off of deferred  financing costs.  Such loss,  reduced by the related
           income tax effect of  $318,000,  is  presented  in the  statement  of
           earnings as an extraordinary item of $508,000.

Note 7:    Sale of Pharmacy Division

           In July 1996,  the  Company  sold its  pharmacy  division to Capstone
           Pharmacy  Services,  Inc.  ("Capstone")  for a purchase price of $150
           million,  consisting  of cash of $125  million and shares of Capstone
           stock  having  a value  of $25  million.  The  Company  used  the net
           proceeds of the sale to repay  borrowings  under its revolving credit
           facility.  The Company had a prtax gain of $34.3 million  ($300,000
           gain after income taxes).

           Because the Company's investment in the common stock had a very small
           tax basis,  the taxable gain on the sale  significantly  exceeded the
           gain for financial  reporting purposes;  accordingly,  the income tax
           provision related to the sale was $34.0 million.

           The Company's  investment  in Capstone  common stock of $14.6 million
           represents less than 20% of the total Capstone  shares.  Accordingly,
           such  investment  is recorded at  carryover  cost and  classified  as
           securities available for sale. An unrealized gain

                                  Page 10 of 31

<PAGE>



           of $11.5 million is reflected in stockholders' equity with respect to
           such  investment,  as the current market value of the Capstone Shares
           is approximately $26.1 million.

           The pharmacy  division  generated  revenue of $91.0 million and $63.6
           million (of which $17.5 million and $11.3 million,  respectively, was
           revenue from services to IHS  facilities) for the year ended December
           31, 1995 and the seven months ended July 31, 1996, respectively.

Note 8:    Sale of Assisted Living Services Division

           On October 9, 1996,  Integrated Living  Communities,  Inc. ("ILC"), a
           wholly-owned subsidiary of the Company which provides assisted living
           and related services to the private pay elderly market, completed its
           initial  public   offering.   Total  proceeds  to  the  Company  were
           approximately $17.8 million, including a $7.4 million loan repayment.
           The Company  continues to own  approximately  37% of the  outstanding
           common stock of ILC. The Company used the net proceeds  from the sale
           to repay borrowings under its revolving credit facility.  The Company
           expects to record a prtax loss of approximately $4.5 million in the
           fourth quarter of 1996 as a result of this transaction.

           ILC generated revenue of $16.3 million and $17.1 million for the year
           ended December 31, 1995 and the nine months ended September 30, 1996,
           respectively.

Note 9:    First American Acquisition

           On October 17, 1996, Integrated Health Services, Inc. ("the Company")
           acquired  through merger First American Health Care of Georgia,  Inc.
           ("First American"),  a provider of home health services in 21 states,
           principally  Alabama,   California,   Florida,   Georgia,   Michigan,
           Pennsylvania and Tennessee.

           The purchase price for First American was $154.1 million in cash plus
           contingent  payments of up to $155 million.  The contingent  payments
           will be  payable  if (1)  legislation  is enacted  that  changes  the
           Medicare  reimbursement  methodology  for home  health  services to a
           prospectively  determined rate  methodology,  in whole or in part, or
           (2) in respect of any year in which the  percentage  increase  in the
           seasonally  unadjusted  Consumer Price index for all Urban  Consumers
           for Medical Care  expenditure  category (the  "Medical  CPI") is less
           than 8% or in any  subsequent  year  prior  to 2004,  the  percentage
           increase  in the  Medical  CPI is  less  than  8%.  If  payable,  the
           contingent  payments  will be paid as  follows:  $10 million for 1999
           which must be paid on or before  February 14,  2000;  $40 million for
           2000 which must be paid on or before  February 14, 2001;  $51 million
           for 2001  which  must be paid on or before  February  14,  2002;  $39
           million for 2002 which must be paid on or before  February  14, 2003;
           and $15 million for 2003 which must be paid on or before February 14,
           2004.  The  Company  borrowed  the cash  purchase  price  paid at the
           closing  under  its  $700  million  revolving  credit  facility  with
           Citibank,  N.A., as Administrative  Agent, and certain other lenders.
           $115  million of the $154.1  million  paid at closing was paid to the
           Health Care Financing

                                  Page 11 of 31

<PAGE>



            Administration  ("HCFA"),  the  Department of Justice and the United
            States  Attorney for the Southern  District of Georgia in settlement
            of claims by the United States  government  seeking  repayment  from
            First American of certain disallowed  reimbursements under Medicare,
            which claims IHS believes relate to personal or corporate  expenses,
            rather than  carrelated  expenses (the "HCFA  Claims").  The total
            settlement with the United States  government was $255 million;  the
            remaining  $140  million  will  be paid  only  from  the  contingent
            payments to the extent such  payments  become due.  During the first
            quarter of 1996,  the Company loaned $18.1 million to First American
            to fund certain of First American's pension and tax liabilities. The
            loan,  which bore  interest  at a rate per annum  equal to the prime
            rate plus 4% and was due December 31, 1996,  was secured by a pledge
            of certain shares of First American stock owned by First  American's
            principal stockholder.

           The resolution of the HCFA Claims will require a restatement of First
           American's financial statements. The HCFA Claims are substantial, and
           the restatement of First American's financial statements is likely to
           have  a  material  adverse  effect  on  First  American's  historical
           financial statements.

Note 10:   Coram Merger

            On October 19, 1996, IHS, IHS Acquisition  XIX, Inc., a wholly-owned
            subsidiary of IHS ("Merger Sub"), and Coram  Healthcare  Corporation
            ("Coram")  entered  into a definitive  agreement  and plan of merger
            (the "Agreement") providing for the merger of Merger Sub into Coram,
            with Coram  becoming a  wholly-owned  subsidiary of IHS.  Coram is a
            leading provider of alternative site (outside the hospital) infusion
            therapy and related  services in the United  States,  operating  132
            branches  located  in  43  states.  Infusion  therapy  involves  the
            intravenous    administration   of    anti-infective,    biotherapy,
            chemotherapy, pain management,  nutrition and other therapies. Other
            services  offered by Coram include the provision of lithotripsy  and
            other non-intravenous products and services.

            Under the terms of the Agreement, which was approved by the Board of
            Directors  of both IHS and  Coram,  holders  of Coram  Common  Stock
            ("Coram  Common  Stock") will receive for each share of Coram Common
            Stock 0.2111 of a share of IHS Common  Stock,  having a market value
            of $5.44 based on the closing  price of IHS Common Stock on the last
            business  day prior to the  signing of the  Agreement.  Options  and
            warrants to purchase  Coram  Common  Stock will be  converted at the
            closing into  options and  warrants,  respectively,  to purchase IHS
            Common Stock. At September 30, 1996 Coram had outstanding 42,266,867
            shares of Coram Common Stock,  options to purchase  6,806,531 shares
            of Coram Common  Stock  ("Coram  Options")  and warrants to purchase
            7,210,118  shares of Coram Common  Stock  ("Coram  Warrants")  which
            includes warrants of CFI (discussed  below). In addition,  Coram has
            agreed to issue 5,000,000 shares of Coram Common Stock in settlement
            of a pending  class  action  lawsuit.  IHS will issue  approximately
            9,978,036 shares of IHS Common Stock which includes shares issued by
            Coram in  connection  with the  settlement of a pending class action
            lawsuit  under the  Agreement,  and will  reserve  for  issuance  of
            approximately 2,610,000 shares of IHS Common Stock issuable upon

                                  Page 12 of 31

<PAGE>
           exercise of Coram Options and Coram  warrants  after giving effect to
           the transaction  with CFI (discussed  below).  At September 30, 1996,
           IHS had  outstanding  23,197,954  shares of IHS Common  Stock and had
           reserved for  issuance  approximately  10,500,000  shares under stock
           option and stock  purchase  plans and warrants and  7,989,275  shares
           upon conversion of outstanding convertible debentures.

           The merger is  intended to qualify as a tax free  reorganization,  as
           permitted by the Internal  Revenue Code, and a "pooling of interests"
           for accounting and financial  reporting  purposes.  Completion of the
           transaction, which is expected to occur in the first quarter of 1997,
           is  subject  to,  among  other  things,  approval  by each  company's
           stockholders,  receipt of required regulatory  approvals,  consent of
           senior bank lenders and other customary conditions.

           In addition, the Company has agreed to purchase at the effective time
           of the merger from Coram  Funding,  Inc.,  an affiliate of Donaldson,
           Lufkin & Jenrette Securities  Corporation  ("CFI"),  the Coram bridge
           notes and warrants to purchase Coram Common Stock (collectively,  the
           "CFI Securities")  purchased by CFI in April 1995. The purchase price
           for the CFI  Securities  will be cash in an  amount  equal to  $172.3
           million  (plus accrued  interest  thereon from January 1, 1997 at the
           rate of 11% per annum) (the "CFI  Securities  Cash Purchase  Price").
           IHS may  elect to pay all or a  portion  of the CFI  Securities  Cash
           Purchase Price through the issuance of 11% Senior  Subordinated Notes
           due 2007 of IHS (the "11%  Notes") in an aggregate  principal  amount
           equal to approximately 101.394% of that portion of the CFI Securities
           Cash Purchase Price to be paid through the issuance of 11% Notes.

           In addition, the litigation between Coram and Caremark International,
           Inc. ("CII"), a wholly-owned subsidiary of MedPartners, Inc., will be
           settled at the closing of the transaction,  and CII will receive from
           Coram a  2-year  promissory  note in the  principal  amount  of $52.7
           million plus accrued interest from September 30, 1996 through closing
           in exchange for the  approximately  $111 million  principal amount of
           subordinated  notes issued by Coram to CII in connection with Coram's
           acquisition  of an alternate  site  infusion  business  from CII. The
           Company   will  assume  a  total  of   approximately $375  million of
           indebtedness  in the merger,  including  the new debt to be issued to
           CFI and CII.

Note 11:   The Rehab People Earnout

           During the second  quarter of 1996,  the Company  paid an earn-out to
           The Rehab People of $10 million, representing the issuance of 435,540
           shares of the Company's common stock, including the 400,600 shares of
           the Company's treasury stock.

Note 12:   Subsequent Events

           In October 1996, the Company purchased Total Rehab Services,  Inc., a
           contract rehab company in Northbrook,  Illinois. Total purchase price
           was  approximately  $8.0  million.  In  November  1996,  the  Company
           purchased Mediq,  Inc., a mobile x-ray company in New England.  Total
           purchase  price was  approximately  $12.5 million.  In addition,  the
           Company  has reached  agreements  in  principle  to purchase a mobile
           x-ray company in California for approximately  $5.1 million, a mobile
           x-ray company in Michigan for approximately  $260,000,  a home health
           company in Florida for approximately

                                  Page 13 of 31

<PAGE>


           $350,000,  a home  health  company  in Utah  for  approximately  $3.2
           million, a skilled nursing facility in Florida for approximately $6.5
           million,  an outpatient  rehab  company in Florida for  approximately
           $1.5 million,  a hospital  based  respiratory  management  company in
           California for  approximately  $4.5 million,  a home  respiratory and
           infusion  company  in  Florida  for  approximately  $4.5  million,  a
           respiratory  company in Tennessee for approximately  $5.1 million,  a
           home infusion  company for  approximately  $12.5  million,  a hospice
           company for  approximately  $13.5  million and a hospice  company for
           approximately $30.0 million. In addition,  the Company has reached an
           agreement in principle  to purchase  the  remaining  90% of a disease
           state  management  company  in  Miami,  Florida.  IHS  purchased  its
           original 10% ownership interest in August 1995. Dr. Robert N. Elkins,
           Chairman and Chief  Executive  Officer of the Company, currently owns
           65%  of  the  company  to  be  acquired.   Total  purchase  price  is
           approximately $900,000.

           There can be no assurance that any of these pending acquisitions will
           be consummated on the proposed terms, on different terms, or at all.



                                  Page 14 of 31

<PAGE>



                      MANAGEMENT'S DISCUSSION AND ANALYSIS
                             OF FINANCIAL CONDITION
                                       AND
                              RESULTS OF OPERATIONS

Three Months Ended September 30, 1996
Compared to Three Months Ended September 30, 1995

         Net revenues for the three months ended  September  30, 1996  increased
$60.8 million,  or 20%, to $360.0  million from the  comparable  period in 1995.
Approximately  56% of the increase in revenue was due to the gain on the sale of
the  Company's  pharmacy  division,   approximately  16%  of  the  increase  was
attributable  to the addition of 11 facilities (3 owned,  4 leased and 4 managed
facilities)   since  September  30,  1995  and  approximately  20%  due  to  the
acquisition of companies providing rehabilitation, home health, mobile x-ray and
electrocardiogram services. The remaining increase was due to increased revenues
from facilities and ancillary companies in operation in both periods.

         Basic medical services  revenue  increased from $95.5 million to $101.2
million.  Of the $101.2 million in basic medical  services revenue in 1996, $8.9
million,  or 9%, was  attributable to the acquisition of 581 leased beds and 542
owned  beds  representing  4  leased  and  3  owned  facilities,   respectively,
subsequent to September 30, 1995.  Basic medical  services revenue of facilities
in  operation  during  both  periods  decreased  during the three  months  ended
September  30,  1996,  as a result of skilled  nursing  beds being  converted to
Medical Specialty Unit (MSU) beds after September 30, 1995.

         Specialty  medical  services  revenue  increased from $193.6 million to
$211.9  million.  Of the $18.3  million  increase,  $13.0  million,  or 71%, was
attributable to revenue from acquisitions  subsequent to September 30, 1995. The
remaining  increase was due to increased  revenue from  facilities and ancillary
companies in operation  in both  periods,  facilities  and  ancillary  companies
acquired  during the three months ended  September  30, 1995, as well as skilled
nursing beds being  converted to MSU beds after September 30, 1995. The increase
in specialty  medical  services  revenue was partially offset by the sale of the
Company's pharmacy division in July 1996.

                                  Page 15 of 31

<PAGE>


         Management  services and other revenues increased from $10.1 million to
$12.6  million.  This increase was primarily due to the Company  entering into 4
new  management  contracts  subsequent  to  September  30, 1995 and the improved
operating  results  which  resulted in increased  management  fees at facilities
which the Company managed in both periods. This increase was partially offset by
the  termination  in the  fourth  quarter  of 1995 of a  contract  to  manage 23
facilities  located in  California.  Also,  the Company  entered into  operating
leases with two facilities and purchased two  facilities  which were  previously
managed during the three months ended September 30, 1995.

         The Company  recorded a gain on sale of assets  during the three months
ended September 30, 1996 of $34.3 million.  Such gain relates to the sale of the
Company's  pharmacy  division  which  occurred  in  July  1996  (see  Note  7 to
Consolidated Financial Statements: Sale of Pharmacy Division).

         Total  expenses for the period  increased to $299.6 million from $278.2
million,  an increase of 8%. Of the $21.4 million  increase,  $16.7 million,  or
78%,  was due to an increase in  operating  expenses.  Of the $241.2  million in
operating  expenses,  $18.6 million,  or 8%, was  attributable  to  acquisitions
consummated subsequent to September 30, 1995. The increase in operating expenses
was offset by the  reduction  in  operating  expenses  related  to the  pharmacy
division which was sold in July 1996.

         Corporate  administrative  and general  expenses  for the three  months
ended  September  30, 1996  increased  by $700,000,  or 5%, over the  comparable
period  in 1995.  This  increase  primarily  represents  additional  operations,
information  systems,  accounting,  finance and other  personnel  to support the
growth  resulting from the acquisition of owned,  leased and managed  facilities
and  ancillary  businesses.  Depreciation  and  amortization  decreased  to $9.1
million  during the three  months  ended  September  30,  1996, a 7% decrease as
compared to $9.9 million in the same period in 1995.


                                  Page 16 of 31

<PAGE>



Rent expense  increased by $1.7 million,  or 10%, over the comparable  period in
1995, primarily as a result of the addition of 4 leased facilities subsequent to
September 30, 1995, and increases in contingent rentals which are based on gross
revenues of certain leased  facilities,  partially offset by a reduction in rent
expense resulting from the sale of the pharmacy division.  Interest expense, net
increased $5.0 million, or 45%, during the three months ended September 30, 1996
to $15.9 million. The increase in interest expense was primarily a result of the
Company's   issuance  of  $150  million   principal  amount  of  10-1/4%  Senior
Subordinated Notes in May 1996, and increased  borrowings under its $700 million
revolving  credit  facility  which closed in May 1996. In the three months ended
September 30, 1995, the Company  incurred merger costs of $1.9 million  relating
to the acquisition of IntegraCare, Inc., which was accounted for as a pooling of
interests.

         Earnings  before  equity in earnings of  affiliates,  income  taxes and
extraordinary item increased by 188% to $60.3 million for the three months ended
September 30, 1996, as compared to $21.0  million for the  comparable  period in
the prior year.  This  increase was due primarily to the gain on the sale of the
pharmacy division.  Before giving effect to the gain on the sale of the pharmacy
division,  earnings  before equity in earnings of  affiliates,  income taxes and
extraordinary items increased 24% to $26.0 million.

         Earnings before income taxes and  extraordinary  item increased by 185%
to $60.6  million for the three months ended  September 30, 1996, as compared to
$21.3 million for the comparable  period in the prior year. This increase is due
primarily to the gain on the sale of the pharmacy division. Before giving effect
to the gain on the sale of the pharmacy  division,  earnings before income taxes
and  extraordinary  items  increased by 24% to $26.4 million.  The provision for
federal and state  income  taxes was $44.1  million for the three  months  ended
September  30,  1996  (of  which  $34.0  million  resulted  from the sale of the
pharmacy division),  and $8.2 million for the same period in the prior year. Net
earnings and fully diluted earnings per share for the quarter were $16.5 million
in 1996,  or 58 cents per share,  as compared  to $13.1  million or 52 cents per
share for the same period in 1995. Before giving effect to the gain on

                                  Page 17 of 31

<PAGE>



the sale of the pharmacy division,  net earnings and fully-diluted  earnings per
share for the three months ended  September 30, 1996 were $16.2  million,  or 57
cents per share.

                                  Page 18 of 31

<PAGE>


Nine Months Ended September 30, 1996
Compared to Nine Months Ended September 30, 1995

         Net  revenues for the nine months ended  September  30, 1996  increased
$162.8  million,  or 19%, to $1.0  billion from the  comparable  period in 1995.
Approximately  21% of the increase in revenue was due to the gain on the sale of
the  pharmacy  division,  approximately  15% of the  increase  in  revenues  was
attributable  to the addition of 11 facilities (3 owned,  4 leased and 4 managed
facilities)  since  September  30,  1995  and  approximately  13% was due to the
acquisition of companies providing rehabilitation, home health, mobile x-ray and
electrocardiogram services. The remaining increase was due to increased revenues
from facilities and ancillary companies in operation in both periods.

         Basic medical services revenue  increased from $272.2 million to $296.5
million.  Of the $296.5 million in basic medical services revenue in 1996, $22.5
million,  or 8%, was  attributable to the acquisition of 581 leased beds and 542
owned  beds  representing  4  leased  and  3  owned  facilities,   respectively,
subsequent to September 30, 1995. The increase in basic medical services revenue
was  partially  offset by the  conversion  of skilled  nursing  beds to MSU beds
subsequent to September 30, 1995.

         Specialty  medical  services  revenue  increased from $558.1 million to
$658.3  million.  Of the $100.2 million  increase,  $23.2  million,  or 23%, was
attributable to revenue from acquisitions  subsequent to September 30, 1995. The
remaining  increase was due to increased revenue from facilities in operation in
both periods,  facility and ancillary  companies acquired during the nine months
ended September 30, 1995, as well as skilled nursing beds being converted to MSU
beds after  September  30,  1995.  The increase in  specialty  medical  services
revenue was partially offset by the sale of the Company's  pharmacy  division in
July 1996.

         Management  services and other revenues increased from $29.9 million to
$34.0  million.  This increase was primarily due to the Company  entering into 4
new  management  contracts  subsequent  to  September  30, 1995 and the improved
operating  results  which  resulted in increased  management  fees at facilities
which the Company managed in both periods. This

                                  Page 19 of 31

<PAGE>


increase was partially  offset by the  termination in the fourth quarter of 1995
of a contract to manage 23 facilities  located in California.  Also, the Company
entered into  operating  leases with two facilities and purchased two facilities
which were previously managed during the nine months ended September 30, 1995.

         The  Company  recorded a gain on sale of assets  during the nine months
ended September 30, 1996 of $34.3 million.  This gain relates to the sale of the
Company's  pharmacy  division  which  occurred  in  July  1996  (see  Note  7 to
Consolidated Financial Statements: Sale of Pharmacy Division).

         Total  expenses for the period  increased to $916.2 million from $793.6
million,  an increase of 15%. Of the $122.6 million increase,  $99.2 million, or
81%, was due to an increase in operating expenses. Of the $99.2 million increase
in operating  expenses,  $38.9 million, or 39%, was attributable to acquisitions
consummated  subsequent to September 30, 1995.  The remainder of the increase in
operating  expenses  primarily  resulted  from costs  related  to the  increased
medical  acuity  level  of  the  Company's  patients,  partially  offset  by the
reduction in operating  expenses related to the pharmacy division which was sold
in July 1996.

         Corporate administrative and general expenses for the nine months ended
September 30, 1996 increased by $4.1 million, or 10%, over the comparable period
in 1995. This increase primarily represents additional  operations,  information
systems, accounting, finance and other personnel to support the growth resulting
from the  acquisition  of owned,  leased and managed  facilities  and  ancillary
businesses.  Depreciation  and  amortization was $25.9 million and $28.5 million
during the nine months ended  September  30, 1996 and 1995,  respectively.  Rent
expense  increased by $4.7 million,  or 10%, over the comparable period in 1995,
primarily  as a result of the  addition  of 4 leased  facilities  subsequent  to
September 30, 1995, and increases in contingent rentals which are based on gross
revenues of certain leased  facilities,  partially offset by a reduction in rent
expense resulting from the sale of the pharmacy division. Interest

                                  Page 20 of 31

<PAGE>

expense, net, increased $19.2 million during the nine months ended September 30,
1996 to $46.0 million.  The increase in interest  expense was primarily a result
of the  Company's  issuance of $115 million  principle  amount of 9-5/8%  Senior
Subordinated  Notes issued in May 1995,  the Company's  issuance of $150 million
principal  amount of 10-1/4% Senior  Subordinated  Notes issued in May 1996, and
increased  borrowings  under its $700 million  revolving  credit  facility which
closed in May 1996, and its $500 million revolving credit and term loan facility
which closed in May 1995.  In the nine months  ended  September  30,  1995,  the
Company  incurred  merger costs of $1.9 million  relating to the  acquisition of
IntegraCare.

         Earnings  before  equity in earnings of  affiliates,  income  taxes and
extraordinary  item increased by 60% to $106.9 million for the nine months ended
September 30, 1996, as compared to $66.6  million for the  comparable  period in
the prior year.  This  increase was due primarily to the gain on the sale of the
pharmacy division.  Before giving effect to the gain on the sale of the pharmacy
division,  earnings  before equity in earnings of  affiliates,  income taxes and
extraordinary item increased by 9% to $72.6 million.

         Earnings before income taxes and extraordinary item increased by 60% to
$107.9  million for the nine months ended  September  30,  1996,  as compared to
$67.6 million for the comparable  period in the prior year. This increase is due
primarily to the gain on the sale of the pharmacy division. Before giving effect
to the gain on the sale of the pharmacy  division,  earnings before income taxes
and  extraordinary  items  increased by 9% to $73.6  million.  The provision for
federal and state  income  taxes was $62.4  million  for the nine  months  ended
September  30,  1996  (of  which  $34.0  million  resulted  from the sale of the
Company's pharmacy division), and $26.0 million for the same period in the prior
year. Net earnings and fully diluted earnings per share for the nine months were
$44.2 million in 1996, or $1.64 per share, as compared to $41.1 million or $1.57
per share for the same period in 1995.  Before  giving effect to the gain on the
sale of the pharmacy division net earnings and fully-diluted  earnings per share
for the nine months  ended  September  30, 1996 were $43.9  million or $1.63 per
share.  During the nine months ended September 30, 1996, the Company  incurred a
$1.4 million (net of tax), or 5 cents

                                  Page 21 of 31

<PAGE>



per share  (fully-diluted),  extraordinary  loss on the  extinguishment of debt.
During the nine months ended September 30, 1995, the Company  incurred a 508,000
(net of tax),  or 2 cents per share  (fully-diluted)  extraordinary  loss on the
extinguishment of debt.

                                  Page 22 of 31

<PAGE>



Liquidity and Capital Resources

         At  September  30,  1996,  the Company  had  working  capital of $115.5
million,  as compared  with $136.3  million at December 31, 1995.  There were no
material  commitments  for capital  expenditures  as of September 30, 1996.  Net
patient accounts and third-party  payor settlements  receivable  increased $31.3
million to $261.6  million at September 30, 1996, as compared to $230.3  million
at December  31, 1995.  Of the $31.3  million  increase in accounts  receivable,
$34.1  million  was  attributable  to  new  facilities  and  ancillary  services
businesses acquired subsequent to December 31, 1995, partially offset by a $17.0
million decrease due to the sale of the pharmacy  division,  and a $14.2 million
increase due to increased  accounts  receivable  at  facilities in operation and
related  services  businesses  owned at both December 31, 1995 and September 30,
1996.  Gross patient  accounts  receivable  were $257.4 million at September 30,
1996,  as compared to $226.8  million at December 31,  1995.  Third- party payor
settlements  receivable from federal and state governments  (i.e.,  Medicare and
Medicaid  cost  reports) was $24.5 million at September 30, 1996, as compared to
$21.6 million at December 31, 1995.  Approximately $9.0 million,  or 37%, of the
third-party payor  settlements  receivable from federal and state governments at
September  30,  1996  represent  the costs  for its MSU  patients  which  exceed
regional reimbursement limits established under Medicare.

         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
reimbursement   for  those  costs   which   exceed  the   Medicare   established
reimbursement limits by obtaining waivers of these cost limitations. The Company
has submitted  waiver  requests for 224 cost  reports,  covering all cost report
periods through  December 31, 1995. To date,  final action has been taken by the
Health Care Financing  Administration  ("HCFA") on 205 waiver requests  covering
cost report  periods  through  December 31, 1995.  The Company's  final rates as
approved by HCFA represent approximately 95% of the requested rates as submitted

                                  Page 23 of 31

<PAGE>

in the waiver  requests.  There can be no assurance,  however,  that the Company
will be able to recover its excess costs under any waiver  requests which may be
submitted in the future.  The  Company's  failure to recover  substantially  all
these excess costs would  adversely  affect its results of operations  and could
adversely affect its MSU strategy.

         Net cash  provided by  operating  activities  for the nine months ended
September 30, 1996,  was $13.9 million as compared to $17.0 million  provided by
operating  activities  for the  comparable  period in 1995. Net cash provided by
operating activities for the nine months ended September 30, 1996 decreased from
the comparable  period in 1995 primarily as a result of changes in the Company's
current assets and liabilities.

         Net cash  provided by financing  activities  was $61.2  million for the
nine month  period in 1996 as compared to $132.1  million  provided by financing
activities  for the  comparable  period in 1995.  In both  periods,  the Company
received net proceeds from long-term  borrowings and made  repayments on certain
debt.

         Net cash used by investing  activities  was $72.9  million for the nine
month  period  ended  September  30, 1996 as compared to $171.2  million used by
investing  activities for the nine month period ended  September 30, 1995.  Cash
used for the acquisition of facilities and ancillary  company  acquisitions  was
$46.1 million in 1996 as compared to $50.8  million for 1995.  Cash used for the
purchase of property,  plant and equipment was $104.6  million in 1996 and $96.5
million in 1995.  In the nine  months  ended  September  30,  1996,  the Company
received $125 million in cash from the sale of the pharmacy division.

         The Company's contingent liabilities (other than liabilities in respect
of litigation) aggregated  approximately $52.2 million as of September 30, 1996.
The Company is obligated to purchase its  Greenbriar  facility  upon a change in
control of the Company.  The net purchase price of the facility is approximately
$4.0  million.  The lessor of this  facility  has the right to  require  Messrs.
Robert Elkins and Timothy Nicholson to purchase all or any part of 13,944 shares
of common  stock owned by it at a per share  purchase  price equal to the sum of
$12.25 per

                                  Page 24 of 31

<PAGE>

share plus 9% simple  interest per annum from May 8, 1988 until the date of such
purchase.  The Company has agreed to purchase  the shares if Messrs.  Elkins and
Nicholson  fail  to do so.  The  amount  aggregated  approximately  $353,121  at
September 30, 1996.  The Company has  guaranteed  approximately  $6.6 million of
such lessor's indebtedness. The Company is required, upon certain defaults under
the lease,  to purchase its Orange Hills  facility at a purchase  price equal to
the greater of $7.1 million or the facility's fair market value. The Company has
jointly and severally  guaranteed a $1.2 million construction loan made to River
City  Limited  Partnership  in which the Company  has a 30% general  partnership
interest.   The  Company  has  guaranteed   approximately   $3.9  million  of  a
construction  loan for Trizec,  the entity from which the Company  purchased the
Central Park Lodges  facilities.  The Company entered into a guaranty  agreement
whereby the Company guaranteed  approximately $4.0 million owed by Tutera Group,
Inc. and Sunset Plaza  Limited  Partnership,  a  partnership  affiliated  with a
partnership  in  which  the  Company  has  a 49%  interest,  to  Finova  Capital
Corporation.  The Company has  guaranteed  approximately  $8.9  million  owed by
Litchfield Asset Management  Corporation to National Health Investors,  Inc. The
Company has established  several  irrevocable letters of credit with the Bank of
Nova Scotia  totalling  $15.7 million at September 30, 1996 to secure certain of
the Company's workers' compensation,  health benefits and other obligations. The
Company has  guaranteed  approximately  $539,000 owed by Dunns Creek to National
Health  Investors.  In addition,  the Company has  obligations  under  operating
leases  aggregating  approximately  $254.2  million at September  30,  1996.  In
addition, with respect to certain acquired businesses,  the Company is obligated
to make  certain  contingent  payments  if  earnings  of the  acquired  business
increase or earnings targets are met.

         The liquidity of the Company will depend in large part on the timing of
payments by private,  third-party and governmental payors, including payments in
excess of regional cost  reimbursement  limitations  established under Medicare.
Costs in excess of the regional  reimbursement  limits  relate  primarily to the
delivery of services and patient care to the Company's MSU patients.


                                  Page 25 of 31

<PAGE>

         In  implementing  its post-acute  network,  the Company expects that it
will  continue  to add home  healthcare  and  ancillary  service  companies  and
additional  geriatric care facilities,  implement additional MSU programs at its
existing  and new  facilities  and expand its existing  operations.  The Company
anticipates  that  cash  from  operations,  borrowings  under  revolving  credit
facilities  and  proceeds  from the sale of debt and equity  securities  will be
adequate to cover its  scheduled  debt payments and future  anticipated  growth,
including  business  acquisitions and capital expenditure  requirements, for the
foreseeable future.

         On May 15, 1996,  the Company  entered  into a $700  million  revolving
credit  facility,  including a $100 million letter of credit  subfacility,  with
Citibank,  N.A., as  Administrative  Agent,  and certain other lenders (the "New
Credit Facility").  The New Credit Facility consists of a $700 million revolving
loan which reduces to $560 million on June 30, 2000 and $315 million on June 30,
2001,  with a final maturity on June 30, 2002.  The $100 million  subcommittment
for letters of credit will remain at $100 million until final maturity.  The New
Credit  Facility is guaranteed by the  Company's  subsidiaries  and secured by a
pledge of all of the stock of substantially  all of the Company's  subsidiaries.
At the option of the Company,  loans under the New Credit Facility bear interest
at a rate equal to either  (i) the sum of (a) the higher of (1) the bank's  base
rate or (2) one percent plus the latest  overnight  federal  funds rate plus (b)
margin of between zero percent and one and  onquarter  percent  (depending  on
certain financial  ratios);  or (ii) in the case of Eurodollar loans, the sum of
between three quarters of one percent and two and onhalf percent (depending on
certain  financial ratios) and the interest rate in the London inter-bank market
for loans in an amount  substantially  equal to the amount of borrowing  and for
the period of the borrowing selected by the Company.

         The  New  Credit  Facility  limits  the  Company's   ability  to  incur
indebtedness  or contingent  obligations,  to make additional  acquisitions,  to
create or incur liens on assets,  to pay dividends and to purchase or redeem the
Company's stock. In addition, the New Credit Facility

                                  Page 26 of 31

<PAGE>



requires that the Company meet certain  financial  tests, and provides the banks
with the right to require the payment of all of the  amounts  outstanding  under
the New Credit Facility if there is a change in control of the Company or if any
person  other than Dr.  Robert N. Elkins or a group  managed by Dr.  Elkins owns
more than 40% of the  Company's  capital  stock.  Amounts  repaid  under the New
Credit  Facility may be  reborrowed  until June 30,  2002.  The new $700 million
credit facility  replaced the Company's $500 million  revolving  credit facility
(the "Prior  Credit  Facility").  As a result,  the  Company  recorded a loss on
extinguishment  of debt,  net of related tax  benefits,  of  approximately  $1.4
million in the second  quarter of 1996.  On May 15, 1996,  the Company  borrowed
$328.2 million under the New Credit Facility to repay amounts  outstanding under
the Prior Credit Facility. At September 30, 1996, $142.2 million was outstanding
under the New Credit  Facility.  During  October 1996,  the Company  borrowed an
additional $168 million under the New Credit Facility, including $154 million to
finance the acquisition of First American Health Care of Georgia, Inc. (see Note
9 to Consolidated Financial Statements: First American Acquisition).

         On May 23, 1996, IHS issued $150,000,000  aggregate principal amount of
its 10-1/4% Senior Subordinated Notes due 2006 (the "Senior Notes"). Interest on
the Senior Notes is payable semi-annually on April 30 and October 30, commencing
October 30,  1996.  The Senior Notes are  redeemable  for cash at any time on or
after April 30, 2001,  at the option of the Company,  in whole or in part,  at a
price  expressed as a percentage of the  principal  amount,  initially  equal to
105.125% and declining to 100% on April 30, 2004,  plus accrued  interest to the
repurchase  date.  In the event of a change in  control of IHS,  each  holder of
Senior Notes may require IHS to repurchase  such holder's Senior Notes, in whole
or in part, at 101% of the principal  amount thereof,  plus accrued  interest to
the  repurchase  date.  The  Indenture  under which the Senior Notes were issued
contains  certain  covenants,  including,  but not  limited to,  covenants  with
respect to the following  matters:  (i)  limitations on additional  indebtedness
unless certain  ratios are met; (ii)  limitations  on other  subordinated  debt;
(iii) limitations on liens;  (iv)limitations  on the issuance of preferred stock
by IHS's  subsidiaries;  (v)limitations  on transactions  with affiliates;  (vi)
limitations on certain payments,

                                  Page 27 of 31

<PAGE>



including  dividends;  (vii) application of the proceeds of certain asset sales;
(viii)  restrictions  on  mergers,  consolidations  and the  transfer  of all or
substantially  all of the assets of IHS to another person,  and (ix) limitations
on investments and loans. The Company used the net proceeds from the sale of the
Senior Notes to repay a portion of the $338.0 million then outstanding under its
credit facility.


                                  Page 28 of 31

<PAGE>





Part II:     Other Information


Item 6.      Exhibits and Reports on Form 8-K

         (a) Exhibits

              2.01  Assets  Purchase  Agreement dated as of June 20, 1996 by and
                    among the Company,  various  subsidiaries of the Company and
                    Capstone Pharmacy Services, Inc., as amended. (1)

              2.02  Stock Purchase  Agreement dated as of August 23, 1996 by and
                    among the Company,  Signature  and Selling  Stockholders  of
                    Signature. (2)

              2.03  Merger  Agreement  dated  as  of  February  21,  1996  among
                    Integrated Health Services, Inc., IHS Acquisition XIV, Inc.,
                    and First  American  Health  Care of Georgia,  Inc.  and its
                    principal shareholders. (3)

              2.04  Amendment  to Merger  Agreement,  dated as of  September  9,
                    1996, by and among  Integrated  Health  Services,  Inc., IHS
                    Acquisition   XIV,  Inc.,  First  American  Health  Care  of
                    Georgia, Inc., Robert J. Mills and Margie B. Mills. (3)

              2.05  Agreement and Plan of Merger  entered into as of October 19,
                    1996, among Coram Healthcare Corporation,  Integrated Health
                    Services, Inc., and IHS Acquisition XIV, Inc. (4)

              10.1  Agreement,  dated as of October 19, 1996,  among  Integrated
                    Health Services, Inc. and Coram Funding, Inc. (4)

              10.2  Agreement,  dated as of October  20,  1996,  by and  between
                    MedPartners, Inc. and Integrated Health Services, Inc. (4)

              10.3  Integrated Health Services, Inc. Stock  Option  Plan for New
                    Non-Employee Directors, as amended. (5)

              10.4  Integrated Health Services, Inc. Stock  Option  Compensation
                    Plan for Non-Employee Directors, as amended. (5)

              10.5  Integrated Health Services, Inc. 1995 Stock Option Plan  for
                    Non-Employee Directors. (5)

              10.6  Stock Option Agreement, dated as of  November 27,  1995,  by
                    and   between  Integrated  Health  Services, Inc.  and  John
                    Silverman. (5)

              10.7  Integrated Health  Services, Inc. 1994 Stock Incentive Plan,
                    as amended. (5)

              10.8  1996 Stock Incentive Plan  of  Integrated  Health  Services,
                    Inc.

              27.   Financial Data Schedule. (5)

         (b) Reports on Form 8-K

             The Company filed a Current Report on Form 8-K dated as of July 30,
             1996  relating  to the sale of the  pharmacy  division  to Capstone
             Pharmacy Services, Inc.

             The  Company  filed a  Current  Report  on  Form  8-K  dated  as of
             September 25, 1996 relating to the  acquisition  of Signature  Home
             Care, Inc.

             The Company filed a Current  Report on Form 8-K dated as of October
             17, 1996 relating to the  acquisition of First American Health Care
             of Georgia, Inc.

                                  Page 29 of 31

<PAGE>


             The Company filed a Current  Report on Form 8-K dated as of October
             21,  1996,  relating to the proposed  merger with Coram  Healthcare
             Corporation.

































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

(1)      Incorporated  by reference to the Company's  Current Report on Form 8-K
         dated as of July 30, 1996.

(2)      Incorporated  by reference to the Company's  Current Report on Form 8-K
         dated as of September 25, 1996

(3)      Incorporated  by reference to the Company's  Current Report on Form 8-K
         dated as of October 17, 1996.

(4)      Incorporated  by reference to the Company's  Current Report on Form 8-K
         dated as of October 19, 1996.

(5)      Previously  filed  in the  Company's  Report  on Form 10-Q for the nine
         months ended September 30, 1996.

                                  Page 30 of 31

<PAGE>


                                 - SIGNATURES -


Pursuant  to the  requirements  of the  Securities  Exchange  Act of  1934,  the
registrant  has duly  caused  this  report  to be  signed  on its  behalf by the
undersigned thereunto duly authorized.



                                           INTEGRATED HEALTH SERVICES, INC.
                                           --------------------------------


                                           By: /s/ W. Bradley Bennett
                                               -------------------------------
                                               W. Bradley Bennett
                                               Executive Vice President and
                                               Chief Accounting Officer



Dated: July 8, 1997
      ------------------------------

                                  Page 31 of 31



                            1996 STOCK INCENTIVE PLAN

                                       of

                        INTEGRATED HEALTH SERVICES, INC.

                      1. PURPOSES OF THE PLAN.  This stock  incentive  plan (the
"Plan") is  designed  to provide an  incentive  to  employees,  consultants  and
directors of  INTEGRATED  HEALTH  SERVICES,  INC., a Delaware  corporation  (the
"Company"),  or any of its  Subsidiaries  (as defined in  Paragraph  19), and to
offer an  additional  inducement  in  obtaining  the  services of such  persons.
Options granted under the Plan shall be non-qualified stock options which do not
meet the  requirements  of Section 422 of the Internal  Revenue Code of 1986, as
amended (the "Code").

                      2. STOCK SUBJECT TO THE PLAN. Subject to the provisions of
Paragraph  12, the aggregate  number of shares of Common Stock,  $.001 par value
per share,  of the Company  ("Common  Stock")  for which  options may be granted
under the Plan shall not exceed  2,500,000.  Such shares of Common Stock may, in
the  discretion  of the  Board  of  Directors  of the  Company  (the  "Board  of
Directors"),  consist  either  in whole or in part of  authorized  but  unissued
shares of Common  Stock or shares of Common  Stock held in the  treasury  of the
Company.  Subject to the  provisions of Paragraph 13, any shares of Common Stock
subject to an option which for any reason expires,  is canceled or is terminated
unexercised or which ceases for any reason to be exercisable, shall again become
available for the granting of options  under the Plan.  The Company shall at all
times  during the term of the Plan  reserve  and keep  available  such number of
shares of Common Stock as will be sufficient to satisfy the  requirements of the
Plan.

                      3.   ADMINISTRATION   OF  THE  PLAN.  The  Plan  shall  be
administered  by the Board of Directors or a committee (the  "Committee") of the
Board  of  Directors   consisting  of  not  less  than  two   directors   (those
administering  the  Plan  are  the  "Administrators")  each of  whom  meets  the
requirements  of Rule 16b-3  promulgated  under the  Securities  Exchange Act of
1934,  as  amended  (as the same may be in effect and  interpreted  from time to
time, "Rule 16b-3").  Unless otherwise provided in the By-laws of the Company or
resolution of the Board of Directors, a majority of the members of the Committee
shall constitute a quorum,  and the acts of a majority of the members present at
any  meeting at which a quorum is present,  and any acts  approved in writing by
all of the members of the Committee without a meeting,  shall be the acts of the
Committee.

                      Subject  to  the  express  provisions  of  the  Plan,  the
Administrators shall have the authority, in their sole discretion, to determine:
the employees, consultants and directors who shall be granted options; the times
when an option  shall be  granted;  the  number of shares of Common  Stock to be
subject to each  option;  the term of each  option;  the date each option  shall
become


<PAGE>




exercisable;  whether an option  shall be  exercisable  in whole,  in part or in
installments and, if in installments, the number of shares of Common Stock to be
subject to each installment,  whether the installments shall be cumulative,  the
date each installment shall become exercisable and the term of each installment;
whether to accelerate the date of exercise of any option or installment; whether
shares of Common  Stock may be issued  upon the  exercise of an option as partly
paid and, if so, the dates when future  installments of the exercise price shall
become due and the  amounts of such  installments;  the  exercise  price of each
option; the form of payment of the exercise price;  whether to restrict the sale
or other disposition of the shares of Common Stock acquired upon the exercise of
an option  and,  if so,  whether  and under  what  conditions  to waive any such
restriction;  whether and under what  conditions  to subject all or a portion of
the grant or  exercise  of an  option or the  shares  acquired  pursuant  to the
exercise  of  an  option  to  the   fulfillment  of  certain   restrictions   or
contingencies  as specified  in the contract  referred to in Paragraph 11 hereof
(the "Contract"),  including without  limitation,  restrictions or contingencies
relating to entering into a covenant not to compete with the Company, any of its
Subsidiaries  or a Parent (as defined in Paragraph 19), to financial  objectives
for the Company,  any of its  Subsidiaries or a Parent, a division of any of the
foregoing,  a product line or other category,  and/or to the period of continued
employment  of the  optionee  with the  Company,  any of its  Subsidiaries  or a
Parent,  and to determine whether such  restrictions or contingencies  have been
met;  whether an optionee is Disabled (as defined in  Paragraph  19); the amount
necessary to satisfy the  obligation  of the Company,  a Subsidiary or Parent to
withhold  taxes or other  amounts;  the fair  market  value of a share of Common
Stock;  to construe the respective  Contracts and the Plan;  with the consent of
the  optionee,  to  cancel  or modify an  option,  provided,  that the  modified
provision is permitted to be included in an option granted under the Plan on the
date of the modification;  to prescribe, amend and rescind rules and regulations
relating to the Plan; to approve any provision of the Plan or any option granted
under the Plan, or any amendment to either,  which under Rule 16b-3 requires the
approval of the Board of Directors, a committee of non-employee directors or the
stockholders to be exempt (unless otherwise  specifically  provided herein); and
to make all other  determinations  necessary or advisable for  administering the
Plan.  Any  controversy  or claim  arising out of or  relating to the Plan,  any
option granted under the Plan or any Contract  shall be determined  unilaterally
by the  Administrators  in their  sole  discretion.  The  determinations  of the
Administrators  on  the  matters  referred  to in  this  Paragraph  3  shall  be
conclusive and binding on the parties. No Administrator or former  Administrator
shall be liable for any  action,  failure to act or  determination  made in good
faith with respect to the Plan or any option hereunder.

                      4. ELIGIBILITY.  The Administrators may from time to time,
in their  sole  discretion,  consistent  with the  purposes  of the Plan,  grant
options to (a) employees (including officers and directors who are employees) of
the Company or any of its Subsidiaries, (b) consultants to the Company or any of
its Subsidiaries  and (c)  Non-Employee  Directors (as defined in Paragraph 19).
Such  options  granted  shall cover such number of shares of Common Stock as the
Administrators  may  determine,  in their sole  discretion,  as set forth in the
applicable Contract;.


                                       -2-

<PAGE>




                      5.  EXERCISE  PRICE.  The exercise  price of the shares of
Common Stock under each option shall be  determined  by the  Administrators,  in
their  sole  discretion,  as set  forth in the  applicable  Contract;  provided,
however,  that the  exercise  price of an option shall not be less than the fair
market value of the Common Stock subject to such option on the date of grant.

                      The fair  market  value of a share of Common  Stock on any
day shall be (a) if the  principal  market  for the  Common  Stock is a national
securities  exchange,  the average of the highest  and lowest  sales  prices per
share of Common Stock on such day as reported by such exchange or on a composite
tape reflecting  transactions on such exchange,  (b) if the principal market for
the Common Stock is not a national  securities  exchange and the Common Stock is
quoted on The Nasdaq  Stock  Market  ("Nasdaq"),  and (i) if actual  sales price
information  is available  with respect to the Common Stock,  the average of the
highest and lowest sales prices per share of Common Stock on such day on Nasdaq,
or (ii) if such information is not available, the average of the highest bid and
lowest asked  prices per share of Common Stock on such day on Nasdaq,  or (c) if
the principal market for the Common Stock is not a national  securities exchange
and the Common Stock is not quoted on Nasdaq, the average of the highest bid and
lowest asked prices per share of Common Stock on such day as reported on the OTC
Bulletin  Board  Service or by  National  Quotation  Bureau,  Incorporated  or a
comparable service; provided,  however, that if clauses (a), (b) and (c) of this
Paragraph are all inapplicable,  or if no trades have been made or no quotes are
available  for such day,  the fair  market  value of the Common  Stock  shall be
determined by the Board of Directors by any method  consistent  with  applicable
regulations adopted by the Treasury Department relating to stock options.

                      6. TERM. Except as may otherwise be expressly  provided in
the  applicable  Contract,  each option shall be for a term of 10 years from the
date of grant and shall not be  exercisable  until the first  anniversary of the
date of grant, at which time it shall become  exercisable as to 10% of the total
number of shares  subject  thereto,  an  additional  10% of the total  number of
shares  subject  thereto  on the  second  anniversary  of the date of grant,  an
additional  15% of the total  number of shares  subject  thereto  on each of the
third and fourth  anniversaries  of the date of grant,  an additional 20% of the
total number of shares subject  thereto on the fifth  anniversary of the date of
grant and an additional 30% of the total number of shares subject thereto on the
sixth  anniversary  of the date of grant.  Except as may  otherwise be expressly
provided  in the  applicable  Contract,  the right to purchase  shares  under an
option shall be cumulative,  so that if the full number of shares purchasable in
any period shall not be  purchased,  the balance may be purchased at any time or
from time to time thereafter, but not after the expiration of the option.

                      Options  shall  be  subject  to  earlier   termination  as
hereinafter provided.

                      7.  EXERCISE.  An  option  (or  any  part  or  installment
thereof),  to the extent then exercisable,  shall be exercised by giving written
notice to the Company at its  principal  office  stating  which  option is being
exercised,  specifying  the  number of shares of Common  Stock as to which  such
option is being  exercised and  accompanied  by payment in full of the aggregate
exercise

                                       -3-

<PAGE>




price therefor (or the amount due on exercise if the applicable Contract permits
installment payments) (a) in cash or by certified check or (b) if the applicable
Contract  permits,  with  previously  acquired  shares of Common Stock having an
aggregate  fair market value on the date of exercise  (determined  in accordance
with  Paragraph 5) equal to the  aggregate  exercise  price of all options being
exercised,  or with any combination of cash, certified check or shares of Common
Stock having such value.  The Company  shall not be required to issue any shares
of  Common  Stock  pursuant  to any such  option  until all  required  payments,
including any required withholding, have been made.

                      The Administrators  may, in their sole discretion,  permit
payment of the  exercise  price of an option by  delivery  by the  optionee of a
properly executed notice,  together with a copy of his irrevocable  instructions
to a broker acceptable to the  Administrators to deliver promptly to the Company
the amount of sale or loan proceeds  sufficient to pay such exercise  price.  In
connection  therewith,  the Company may enter into  agreements  for  coordinated
procedures with one or more brokerage firms.

                      A  person  entitled  to  receive  Common  Stock  upon  the
exercise of an option shall not have the rights of a stockholder with respect to
such shares of Common  Stock  until the date of issuance of a stock  certificate
for such shares or in the case of uncertificated shares, an entry is made on the
books of the  Company's  transfer  agent  representing  such  shares;  provided,
however,  that until such stock certificate is issued or book entry is made, any
optionee  using  previously  acquired  shares of Common  Stock in  payment of an
option  exercise price shall  continue to have the rights of a stockholder  with
respect to such previously acquired shares.

                      In no case may a  fraction  of a share of Common  Stock be
purchased or issued under the Plan.

                      8. TERMINATION OF RELATIONSHIP. Except as may otherwise be
expressly  provided in the applicable  Contract,  an optionee whose relationship
with the Company, its Parent and Subsidiaries as an employee or a consultant has
terminated  for any reason (other than as a result of the death or Disability of
the  optionee)  may  exercise  the  options  granted  to him as an  employee  or
consultant,  to the extent  exercisable on the date of such termination,  at any
time within three months after the date of  termination,  but not thereafter and
in no event after the date the option would  otherwise  have expired;  provided,
however,  that if such  relationship  is  terminated  either  (a) for  Cause (as
defined in Paragraph 19), or (b) without the consent of the Company, such option
shall terminate  immediately.  Except as may otherwise be expressly  provided in
the  applicable  Contract,  options  granted  under the Plan to an  employee  or
consultant  shall not be affected by any change in the status of the optionee so
long as the optionee  continues  to be an employee  of, or a consultant  to, the
Company,  or any of the  Subsidiaries or a Parent  (regardless of having changed
from one to the  other or  having  been  transferred  from  one  corporation  to
another).


                                       -4-

<PAGE>




                      For the purposes of the Plan, an  employment  relationship
shall be deemed to exist  between  an  individual  and the  Company,  any of its
Subsidiaries  or a Parent if, at the time of the  determination,  the individual
was an employee of such  corporation for purposes of Section 422(a) of the Code.
As a result,  an individual on military,  sick leave or other bona fide leave of
absence  shall  continue to be  considered  an employee for purposes of the Plan
during  such leave if the  period of the leave  does not exceed 90 days,  or, if
longer, so long as the individual's right to reemployment with the Company,  any
of its Subsidiaries or a Parent is guaranteed  either by statute or by contract.
If  the  period  of  leave  exceeds  90  days  and  the  individual's  right  to
reemployment  is not  guaranteed  by  statute  or by  contract,  the  employment
relationship shall be deemed to have terminated on the 91st day of such leave.

                      Except  as may  otherwise  be  expressly  provided  in the
applicable  Contract,  an  optionee  whose  relationship  with the  Company as a
Non-Employee Director ceases for any reason (other than as a result of his death
or  Disability)  may  exercise  the  options  granted to him as a Non-  Employee
Director, to the extent exercisable on the date of such termination, at any time
within three months after the date of termination,  but not thereafter and in no
event after the date the option would otherwise have expired; provided, however,
that if such  relationship is terminated for Cause,  such option shall terminate
immediately.  Except as may  otherwise be expressly  provided in the  applicable
Contract,  options  granted to a Non-Employee  Director shall not be affected by
the optionee  becoming an employee of the Company,  any of its Subsidiaries or a
Parent.

                      Nothing  in the Plan or in any  option  granted  under the
Plan shall  confer on any optionee any right to continue in the employ of, or as
a  consultant  to, the Company,  any of its  Subsidiaries  or a Parent,  or as a
director of the Company,  or interfere in any way with any right of the Company,
any of its Subsidiaries or a Parent to terminate the optionee's  relationship at
any time for any reason whatsoever without liability to the Company,  any of its
Subsidiaries or a Parent.

                      9.  DEATH OR  DISABILITY  OF AN  OPTIONEE.  Except  as may
otherwise be expressly provided in the applicable Contract,  if an optionee dies
(a) while he is an  employee  of, or  consultant  to,  the  Company,  any of its
Subsidiaries or a Parent,  (b) within three months after the termination of such
relationship  (unless such  termination  was for Cause or without the consent of
the  Company)  or  (c)  within  one  year  following  the  termination  of  such
relationship by reason of his  Disability,  the options that were granted to him
as an employee or consultant may be exercised,  to the extent exercisable on the
date of his death, by his Legal  Representative  (as defined in Paragraph 19) at
any time within one year after death,  but not  thereafter and in no event after
the date the option would otherwise have expired.

                      Except  as may  otherwise  be  expressly  provided  in the
applicable  Contract,  any  optionee  whose  relationship  as an employee of, or
consultant to, the Company, its Parent and Subsidiaries has terminated by reason
of such optionee's  Disability may exercise the options that were granted to him
as an employee or consultant, to the extent exercisable upon the effective date

                                       -5-

<PAGE>




of such  termination,  at any time  within one year  after  such  date,  but not
thereafter  and in no event  after  the date the  option  would  otherwise  have
expired.

                      Except  as may  otherwise  be  expressly  provided  in the
applicable Contract,  any optionee whose relationship as a Non-Employee Director
ceases as a result of his death or Disability may exercise the options that were
granted to him as a Non-Employee Director, to the extent exercisable on the date
of such termination,  at any time within one year after the date of termination,
but not  thereafter  and in no event after the date the option  would  otherwise
have expired. In the case of the death of the Non-Employee  Director, the option
may be exercised by his Legal Representative.

                      10.  COMPLIANCE WITH SECURITIES LAWS. It is a condition to
the exercise of any option that either (a) a  Registration  Statement  under the
Securities Act of 1933, as amended (the "Securities  Act"),  with respect to the
shares of Common Stock to be issued upon such  exercise  shall be effective  and
current at the time of exercise,  or (b) there is an exemption from registration
under the  Securities  Act for the  issuance of the shares of Common  Stock upon
such  exercise.  Nothing  herein shall be construed as requiring  the Company to
register  shares  subject to any option under the  Securities Act or to keep any
Registration Statement effective or current.

                      The Administrators may require,  in their sole discretion,
as a condition  to the  receipt of an option or the  exercise of any option that
the  optionee  execute  and  deliver  to the  Company  his  representations  and
warranties,  in form,  substance and scope  satisfactory to the  Administrators,
which the  Administrators  determines  are necessary or convenient to facilitate
the  perfection  of an  exemption  from  the  registration  requirements  of the
Securities Act,  applicable  state  securities laws or other legal  requirement,
including  without  limitation  that (a) the shares of Common Stock to be issued
upon the  exercise of the option are being  acquired by the optionee for his own
account,  for investment  only and not with a view to the resale or distribution
thereof, and (b) any subsequent resale or distribution of shares of Common Stock
by such  optionee  will be made only  pursuant to (i) a  Registration  Statement
under the  Securities  Act which is  effective  and current  with respect to the
shares of  Common  Stock  being  sold,  or (ii) a  specific  exemption  from the
registration requirements of the Securities Act, but in claiming such exemption,
the  optionee  shall prior to any offer of sale or sale of such shares of Common
Stock  provide  the  Company  with  a  favorable   written  opinion  of  counsel
satisfactory to the Company,  in form,  substance and scope  satisfactory to the
Company,  as to the  applicability  of such  exemption to the  proposed  sale or
distribution.

                      In  addition,  if at any  time  the  Administrators  shall
determine,  in their sole  discretion,  that the listing or qualification of the
shares of Common Stock subject to any option on any securities exchange,  Nasdaq
or under any  applicable  law, or the  consent or  approval of any  governmental
agency or  regulatory  body,  is necessary or desirable as a condition to, or in
connection  with,  the  granting of an option or the issuing of shares of Common
Stock thereunder,

                                       -6-

<PAGE>




such option may not be granted and such option may not be  exercised in whole or
in part unless such listing, qualification,  consent or approval shall have been
effected or obtained free of any conditions not acceptable to the Company.

                      11.  CONTRACTS.  Each  option  shall  be  evidenced  by an
appropriate  Contract  which  shall  be duly  executed  by the  Company  and the
optionee,   and  shall  contain  such  terms,   provisions  and  conditions  not
inconsistent  herewith as may be determined by the Administrators.  The terms of
each option and Contract need not be identical.

                      12.     ADJUSTMENTS UPON CHANGES IN COMMON STOCK.
Notwithstanding  any  other  provision  of the  Plan,  in the  event  of a stock
dividend,  recapitalization,  merger  in  which  the  Company  is the  surviving
corporation,  spin-off, split-up,  combination or exchange of shares or the like
which  results in a change in the number or kind of shares of Common Stock which
is outstanding immediately prior to such event, the aggregate number and kind of
shares subject to the Plan,  the aggregate  number and kind of shares subject to
each  outstanding  option and the exercise price thereof shall be  appropriately
adjusted by the Board of Directors,  whose determination shall be conclusive and
binding on all  parties.  Such  adjustment  may provide for the  elimination  of
fractional  shares which might  otherwise be subject to options  without payment
therefor.

                      If there is a change of control of the Company (as defined
below),  then (i) all outstanding options shall become fully exercisable whether
or not  the  vesting  conditions,  if  any,  set  forth  in the  related  option
agreements  have  been  satisfied,  and each  optionee  shall  have the right to
exercise  his or her  options  prior to such  change of control  and for as long
thereafter as the option shall remain in effect in accordance with its terms and
the  provisions  hereof,  and (ii) all  restricted  stock  Awards  shall  become
fully-vested,  and all  restrictions  on  transferability  and all rights of the
Company  to  repurchase  shares  of  restricted  stock  shall  terminate  at the
effective time of such change in control.

                      If the  shareholders  of the Company receive capital stock
of another corporation ("Exchange Stock") in exchange for their shares of Common
Stock in any transaction  involving a merger (other than a merger of the Company
in which the holders of Common  Stock  immediately  prior to the merger have the
same  proportionate  ownership  of  Common  Stock in the  surviving  corporation
immediately after the merger), consolidation,  acquisition of property or stock,
separation or reorganization  (other than a mere reincorporation or the creation
of a holding  company),  all options  granted  hereunder shall be converted into
options  to  purchase  shares of  Exchange  Stock  unless  the  Company  and the
corporation issuing the Exchange Stock, in their sole discretion, determine that
any or all such options granted hereunder shall not be converted into options to
purchase  shares of Exchange Stock but instead shall  terminate,  subject to the
provisions of  subparagraph  (b) above and the optionees'  prior exercise rights
thereunder.  The amount and price of converted  options  shall be  determined by
adjusting  the amount and price of the  options  granted  hereunder  in the same
proportion as used for determining the number of shares of

                                       -7-

<PAGE>




Exchange  Stock  the  holders  of the  Common  Stock  receive  in  such  merger,
consolidation,  acquisition of property or stock,  separation or reorganization.
In accordance with  subparagraph (b) above, the converted options shall be fully
vested whether or not the vesting requirements set forth in the option agreement
have been satisfied.

                      All  adjustments  under this paragraph 12 shall be made by
the Board, and its  determination as to what adjustments  shall be made, and the
extent thereof, shall be final, binding and conclusive.

                      For purposes hereof, a change in control of the Company is
deemed to occur if (1) there occurs (a) any consolidation or merger in which the
Company is not the continuing or surviving entity or pursuant to which shares of
the Common Stock would be converted  into cash,  securities  or other  property,
other  than a merger of the  Company in which the  holders  of the Common  Stock
immediately prior to the merger have the same proportionate  ownership of common
stock of the  surviving  corporation  immediately  after the merger,  or (b) any
sale,  lease,  exchange or other  transfer  (in one  transaction  or a series of
related  transactions) of all or substantially all the Company's assets; (2) the
Company's  stockholders  approve any plan or  proposal  for the  liquidation  or
dissolution  of the  Company;  (3) any person (as such term is used in  Sections
13(d) and  14(d)(2) of the  Securities  Exchange  Act of 1934,  as amended  (the
"Exchange Act")),  shall become the beneficial owner (within the meaning of Rule
13d-3  under the  Exchange  Act) of 30% or more of the Common  Stock  other than
pursuant to a plan or  arrangement  entered into by such person and the Company;
or (4)  during  any  period of two  consecutive  years,  individuals  who at the
beginning of such period  constitute  the entire Board of Directors  shall cease
for any reason to  constitute  a majority of the Board unless the  election,  or
nomination for election by the Company's stockholders,  of each new director was
approved by a vote of at least  two-thirds of the directors then still in office
who were directors at the beginning of the period.

                      13.  AMENDMENTS AND  TERMINATION OF THE PLAN. The Plan was
adopted by the Board of Directors on September 9, 1996. No option may be granted
under the Plan after  September 9, 2006.  The Board of Directors may at any time
suspend or  terminate  the Plan,  in whole or in part,  or amend it from time to
time in such respects as it may deem advisable,  including,  without limitation,
to comply with the  provisions  of Rule 16b-3 or any change in  applicable  law,
regulations,   rulings  or  interpretations  of  administrative   agencies.   No
termination,  suspension or amendment of the Plan shall,  without the consent of
the  optionee,  adversely  affect his rights under any option  granted under the
Plan.  The power of the  Administrators  to construe and  administer  any option
granted  under  the Plan  prior to the  termination  or  suspension  of the Plan
nevertheless shall continue after such termination or during such suspension.

                      14. NON-TRANSFERABILITY.  No option granted under the Plan
shall  be  transferable  otherwise  than  by will or the  laws  of  descent  and
distribution, and options may be exercised, during the lifetime of the optionee,
only by the optionee or his Legal Representatives. Except to the extent provided
above, options may not be assigned, transferred, pledged,

                                      -8-

<PAGE>




hypothecated  or  disposed  of in  any  way  (whether  by  operation  of  law or
otherwise) and shall not be subject to execution, attachment or similar process,
and  any  such  attempted  assignment,   transfer,   pledge,   hypothecation  or
disposition shall be null and void ab initio and of no force or effect.

                      15. WITHHOLDING TAXES. The Company, a Subsidiary or Parent
may  withhold  (a) cash or (b) with the  consent of the  Administrators  (in the
Contract or otherwise),  shares of Common Stock to be issued upon exercise of an
option having an aggregate fair market value on the relevant date (determined in
accordance  with Paragraph 5) or a combination of cash and shares,  in an amount
equal to the amount which the  Company,  a Subsidiary  or Parent  determines  is
necessary to satisfy its obligation to withhold Federal,  state and local income
taxes or other  amounts  incurred by reason of the grant,  vesting,  exercise or
disposition of an option,  or the disposition of the underlying shares of Common
Stock. Alternatively, the Company, a Subsidiary or Parent may require the holder
to pay to it such amount, in cash, promptly upon demand.

                      16. LEGENDS;  PAYMENT OF EXPENSES. The Company may endorse
such legend or legends upon the  certificates  for shares of Common Stock issued
upon  exercise  of an option  under the Plan and may issue such "stop  transfer"
instructions  to its transfer  agent in respect of such shares as it determines,
in its discretion, to be necessary or appropriate to (a) prevent a violation of,
or to perfect an exemption from, the registration requirements of the Securities
Act and any applicable state securities laws, or (b) implement the provisions of
the Plan or any  agreement  between the Company and the optionee with respect to
such shares of Common Stock.

                      The Company  shall pay all issuance  taxes with respect to
the issuance of shares of Common  Stock upon the  exercise of an option  granted
under the Plan,  as well as all fees and  expenses  incurred  by the  Company in
connection with such issuance.

                      17. USE OF PROCEEDS.  The cash proceeds  received upon the
exercise of an option under the Plan shall be added to the general  funds of the
Company  and used for such  corporate  purposes  as the Board of  Directors  may
determine.

                      18.    SUBSTITUTIONS AND ASSUMPTIONS OF OPTIONS OF CERTAIN
CONSTITUENT CORPORATIONS. Anything in this Plan to the contrary notwithstanding,
the Board of  Directors  may  substitute  new  options  for prior  options  of a
Constituent Corporation (as defined in Paragraph 19) or assume the prior options
of such Constituent Corporation.

                      19.  DEFINITIONS.  For purposes of the Plan, the following
terms shall be defined as set forth below:

                              (a)  "Cause"  shall  mean  (i) in the  case  of an
employee or consultant, if there is a written employment or consulting agreement
between the optionee and the Company,

                                       -9-

<PAGE>



any  of  its  Subsidiaries  or  a  Parent  which  defines  termination  of  such
relationship  for cause,  cause as defined  in such  agreement,  and (ii) in all
other cases, cause as defined by applicable state law.

                              (b)  "Constituent   Corporation"  shall  mean  any
corporation which engages with the Company,  any of its Subsidiaries or a Parent
in a transaction  to which Section  424(a) of the Code would apply if the option
assumed or  substituted  were an incentive  stock  option,  or any Parent or any
Subsidiary of such corporation.

                              (c) "Disability"  shall mean a permanent and total
disability within the meaning of Section 22(e)(3) of the Code.

                              (d)   "Legal   Representative"   shall   mean  the
executor,  administrator  or other  person who at the time is entitled by law to
exercise the rights of a deceased or  incapacitated  optionee with respect to an
option granted under the Plan.

                              (e)  "Non-Employee  Director"  shall mean a person
who is a director of the Company,  but is not an employee of the Company, any of
its Subsidiaries or a Parent.

                              (f)  "Parent"  shall have the same  definition  as
"parent corporation" in Section 424(e) of the Code.

                              (g) "Subsidiary" shall have the same definition as
"subsidiary corporation" in Section 424(f) of the Code.

                      20. GOVERNING LAW; CONSTRUCTION. The Plan, the options and
Contracts  hereunder and all related matters shall be governed by, and construed
in  accordance  with,  the laws of the  State of  Delaware,  without  regard  to
conflict of law provisions.

                      Neither the Plan nor any  Contract  shall be  construed or
interpreted  with any  presumption  against the Company by reason of the Company
causing the Plan or Contract to be drafted. Whenever from the context it appears
appropriate,  any term stated in either the singular or plural shall include the
singular and plural,  and any term stated in the  masculine,  feminine or neuter
gender shall include the masculine, feminine and neuter.

                      21.  PARTIAL  INVALIDITY.  The  invalidity,  illegality or
unenforceability  of any provision in the Plan, any option or Contract shall not
affect the validity,  legality or enforceability of any other provision,  all of
which shall be valid,  legal and enforceable to the fullest extent  permitted by
applicable law.



                                      -10-


<TABLE> <S> <C>


<ARTICLE>                     5
<MULTIPLIER>                                       1,000
<CURRENCY>                                     US DOLLARS
       
<S>                                          <C>
<PERIOD-TYPE>                                  9-MOS
<FISCAL-YEAR-END>                              DEC-31-1996
<PERIOD-START>                                 JAN-01-1996
<PERIOD-END>                                   SEP-30-1996
<EXCHANGE-RATE>                                      1
<CASH>                                          41,127
<SECURITIES>                                     1,896
<RECEIVABLES>                                  281,890
<ALLOWANCES>                                   (20,327)
<INVENTORY>                                          0
<CURRENT-ASSETS>                               327,001
<PP&E>                                         865,556
<DEPRECIATION>                                       0
<TOTAL-ASSETS>                               1,657,185
<CURRENT-LIABILITIES>                          211,492
<BONDS>                                        365,000
                                0
                                          0
<COMMON>                                            23
<OTHER-SE>                                     528,471
<TOTAL-LIABILITY-AND-EQUITY>                 1,657,185
<SALES>                                      1,023,016
<TOTAL-REVENUES>                             1,023,016
<CGS>                                                0
<TOTAL-COSTS>                                  916,158
<OTHER-EXPENSES>                                     0
<LOSS-PROVISION>                                     0
<INTEREST-EXPENSE>                              46,033
<INCOME-PRETAX>                                107,941
<INCOME-TAX>                                    62,353
<INCOME-CONTINUING>                             45,588
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                  2,327
<CHANGES>                                            0
<NET-INCOME>                                    44,157
<EPS-PRIMARY>                                     1.89
<EPS-DILUTED>                                     1.64
         

</TABLE>


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