INTEGRATED HEALTH SERVICES INC
10-Q, 1998-05-14
SKILLED NURSING CARE FACILITIES
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                                  UNITED STATES

                       SECURITIES AND EXCHANGE COMMISSION

                             WASHINGTON, D.C. 20549

                                    FORM 10-Q

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

For the period ended March 31, 1998
                     ---------------
                     
                                       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 May 1,
1998: 45,606,346 shares.


<PAGE>

                        INTEGRATED HEALTH SERVICES, INC.
                                      INDEX

PART I.           FINANCIAL INFORMATION

                                                                            Page
                                                                            ----

Item 1.           - Condensed Financial Statements -

                  Consolidated Balance Sheets
                    March 31, 1998 and December 31, 1997                     3

                  Consolidated Statements of Earnings
                    for the three months ended March 31, 1998
                    and 1997                                                 4

                  Consolidated Statement of Changes in
                    Stockholders' Equity for the three
                    months ended March 31, 1998                              5

                  Consolidated Statements of Cash Flows
                    for the three months ended March 31, 1998
                    and 1997                                                 6

                  Notes to Consolidated Financial Statements                 7

Item 2.           Management's Discussion and Analysis of
                    Financial Condition and Results of
                    Operations                                              12

PART II:          OTHER INFORMATION

Item 2.           Changes in Securities and Use of Proceeds                 18
 
Item 6.           Exhibits and Reports on Form 8-K                          18



                                       2

<PAGE>



                INTEGRATED HEALTH SERVICES, INC. AND SUBSIDIARIES
                           CONSOLIDATED BALANCE SHEETS
                             (DOLLARS IN THOUSANDS)

<TABLE>
<CAPTION>
                                                                                     MARCH 31,              DECEMBER 31,
                                                                                       1998                    1997
                                                                               -------------------     -------------------
                                                                                  (UNAUDITED)         
       ASSETS                                                                                         
<S>                                                                           <C>                     <C>                
    CURRENT ASSETS:                                                                                   
       CASH AND CASH EQUIVALENTS                                              $            52,134     $            52,965
       TEMPORARY INVESTMENTS                                                               60,272                   8,042
       PATIENT ACCOUNTS AND THIRD-PARTY PAYOR SETTLEMENTS                                             
         RECEIVABLE, LESS ALLOWANCE FOR DOUBTFUL RECEIVABLES                                          
         OF $163,889 AT MARCH 31, 1998 AND $161,438 AT DECEMBER 31, 1997                  693,172                 603,432
       INVENTORIES, PREPAID EXPENSES AND OTHER CURRENT ASSETS                              73,728                  53,152
                                                                               -------------------     -------------------
                   TOTAL CURRENT ASSETS                                                   879,306                 717,591
                                                                               -------------------     -------------------
                                                                                                      
    PROPERTY, PLANT AND EQUIPMENT, NET                                                  1,314,646               1,318,633
    ASSETS HELD FOR SALE                                                                   64,642                 111,629
    INTANGIBLE ASSETS                                                                   2,874,867               2,815,272
    INVESTMENTS IN AND ADVANCES TO AFFILIATES                                              30,814                  19,527
    OTHER ASSETS                                                                           82,633                  80,492
                                                                               -------------------     -------------------
                                                                                                      
                   TOTAL ASSETS                                               $         5,246,908     $         5,063,144
                                                                               ===================     ===================
                                                                                                      
       LIABILITIES AND STOCKHOLDERS' EQUITY                                                           
    CURRENT LIABILITIES:                                                                              
       CURRENT MATURITIES OF LONG-TERM DEBT                                   $            35,526     $            36,081
       ACCOUNTS PAYABLE AND ACCRUED EXPENSES                                              596,297                 615,967
       INCOME TAX PAYABLE                                                                  23,243                   2,426
                                                                               -------------------     -------------------
                   TOTAL CURRENT LIABILITIES                                              655,066                 654,474
                                                                               -------------------     -------------------
                                                                                                      
    LONG-TERM DEBT:                                                                                   
       REVOLVING CREDIT AND TERM LOAN FACILITY LESS CURRENT MATURITIES                  1,745,849               1,673,500
       MORTGAGES AND OTHER LONG-TERM DEBT LESS CURRENT MATURITIES                         160,454                 167,606
       SUBORDINATED DEBT                                                                1,361,046               1,361,046
                                                                               -------------------     -------------------
                   TOTAL LONG-TERM DEBT                                                 3,267,349               3,202,152
                                                                               -------------------     -------------------
                                                                                                      
    OTHER LONG-TERM LIABILITIES                                                           115,153                 113,042
    DEFERRED INCOME TAXES                                                                   2,630                 -
    DEFERRED GAIN ON SALE-LEASEBACK TRANSACTIONS                                            5,140                   5,315
    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; ISSUED 45,221,385 AT MARCH 31, 1998 AND 43,098,373 AT                                
         DECEMBER 31, 1997 (INCLUDING 548,500 TREASURY SHARES AT                                      
         MARCH 31, 1998 AND DECEMBER 31, 1997)                                                 45                      43
       ADDITIONAL PAID-IN CAPITAL                                                       1,137,763               1,062,436
       RETAINED EARNINGS                                                                   83,575                  45,495
       TREASURY STOCK, AT COST (548,500 SHARES AT MARCH 31, 1998 AND                                  
         DECEMBER 31, 1997)                                                               (19,813)                (19,813)
                                                                               -------------------     -------------------
                   NET STOCKHOLDERS' EQUITY                                             1,201,570               1,088,161
                                                                               -------------------     -------------------
                                                                                                      
                   TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY                 $         5,246,908     $         5,063,144
                                                                               ===================     ===================
</TABLE>

      SEE ACCOMPANYING NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

                                    3 

<PAGE>


                INTEGRATED HEALTH SERVICES, INC. AND SUBSIDIARIES
                 CONSOLIDATED STATEMENT OF EARNINGS (UNAUDITED)
                (DOLLARS IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)

<TABLE>
<CAPTION>
                                                                                          THREE MONTHS ENDED
                                                                                            MARCH 31,
                                                                                --------------------------------------
                                                                                      1998                 1997
                                                                                 ----------------     ----------------
<S>                                                                             <C>                   <C>             
NET REVENUES:
       BASIC MEDICAL SERVICES                                                   $        234,899     $         88,755
       SPECIALTY MEDICAL SERVICES                                                        612,196              362,689
       MANAGEMENT SERVICES AND OTHER                                                       7,785                9,499
                                                                                 ----------------     ----------------
             TOTAL REVENUES                                                              854,880              460,943
                                                                                 ----------------     ----------------

COSTS AND EXPENSES:
       OPERATING, GENERAL AND ADMINISTRATIVE                                             650,137              370,428
       DEPRECIATION AND AMORTIZATION                                                      38,591               15,030
       RENT                                                                               35,414               24,009
       INTEREST, NET                                                                      66,465               21,421
       NON-RECURRING INCOME                                                                    0               (1,025)
                                                                                 ----------------     ----------------
             TOTAL COSTS AND EXPENSES                                                    790,607              429,863
                                                                                 ----------------     ----------------
             EARNINGS BEFORE EQUITY IN EARNINGS
             OF AFFILIATES AND INCOME TAXES                                               64,273               31,080
EQUITY IN EARNINGS OF AFFILIATES                                                             270                  181
                                                                                 ----------------     ----------------
             EARNINGS BEFORE INCOME TAXES                                                 64,543               31,261
FEDERAL AND STATE INCOME TAXES                                                            26,463               12,192
                                                                                 ----------------     ----------------
             NET EARNINGS                                                       $         38,080     $         19,069
                                                                                 ================     ================

PER COMMON SHARE:
             NET EARNINGS - BASIC                                               $           0.88     $           0.81
             NET EARNINGS - DILUTED                                             $           0.74     $           0.64
                                                                                 ================     ================
</TABLE>


      SEE ACCOMPANYING NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

                                       4

<PAGE>


                INTEGRATED HEALTH SERVICES, INC. AND SUBSIDIARIES
      CONSOLIDATED STATEMENT OF CHANGES IN STOCKHOLDERS' EQUITY (UNAUDITED)
                             (DOLLARS IN THOUSANDS)

<TABLE>
<CAPTION>
                                                           ADDITIONAL
                                               COMMON       PAID-IN        RETAINED        TREASURY
                                                STOCK       CAPITAL        EARNINGS          STOCK         TOTAL
                                           --------------------------------------------------------------------------
<S>                                       <C>            <C>             <C>            <C>           <C>
BALANCE AT DECEMBER 31, 1997              $         43   $   1,062,436   $    45,495    $   (19,813)  $   1,088,161

EXERCISE OF EMPLOYEE STOCK OPTIONS
FOR 1,496,611 COMMON SHARES                          1          26,076             -              -          26,077

ISSUANCE OF 626,401 COMMON SHARES IN
CONNECTION WITH ACQUISITIONS (NOTE 3)                1          16,508             -              -          16,509

VALUE OF 1,841,700 OPTIONS ISSUED IN 
CONNECTION WITH ACQUISITION OF ROTECH
MEDICAL CORPORATION                                  -          32,743             -              -          32,743  

NET EARNINGS                                         -               -        38,080              -          38,080
                                           -------------------------------------------------------------------------
BALANCE AT MARCH 31, 1998                 $         45   $   1,137,763   $    83,575    $   (19,813)  $   1,201,570
                                           =========================================================================
</TABLE>


      SEE ACCOMPANYING NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS


                                       5

<PAGE>



                INTEGRATED HEALTH SERVICES, INC. AND SUBSIDIARIES
                CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)
                             (DOLLARS IN THOUSANDS)

<TABLE>
<CAPTION>
                                                                                           THREE MONTHS ENDED
                                                                                                MARCH 31,
                                                                                   -----------------------------------
                                                                                        1998               1997
                                                                                   ----------------   ----------------
<S>                                                                               <C>                <C>             
CASH FLOWS FROM OPERATING ACTIVITIES:
    NET EARNINGS                                                                  $         38,080   $         19,069
    ADJUSTMENTS TO RECONCILE NET EARNINGS TO NET
       CASH PROVIDED BY OPERATING ACTIVITIES:
          NON-RECURRING INCOME                                                               -                 (1,025)
          UNDISTRIBUTED RESULTS OF JOINT VENTURES                                               83                  0
          DEPRECIATION AND AMORTIZATION                                                     38,591             15,030
          DEFERRED INCOME TAXES AND OTHER NON-CASH ITEMS                                     4,923              1,396
          AMORTIZATION OF GAIN ON SALE-LEASEBACK TRANSACTIONS                                 (175)              (299)
          INCREASE IN PATIENT ACCOUNTS AND THIRD-PARTY
             PAYOR SETTLEMENTS RECEIVABLE, NET                                             (97,558)           (10,386)
          INCREASE IN SUPPLIES, INVENTORY, PREPAID
             EXPENSES AND OTHER CURRENT ASSETS                                             (14,698)            (5,581)
          INCREASE (DECREASE) IN ACCOUNTS PAYABLE AND ACCRUED EXPENSES                      12,153            (18,935)
          DECREASE IN INCOME TAXES RECEIVABLE                                                -                 10,613
          INCREASE IN INCOME TAXES PAYABLE                                                  20,817              -
                                                                                   ----------------   ----------------
             NET CASH PROVIDED BY OPERATING ACTIVITIES                                       2,216              9,882
                                                                                   ----------------   ----------------
CASH FLOWS FROM FINANCING ACTIVITIES:
    PROCEEDS FROM ISSUANCE OF CAPITAL STOCK, NET                                            26,077              3,773
    PROCEEDS FROM LONG-TERM BORROWINGS                                                      77,367            139,928
    REPAYMENT OF LONG-TERM DEBT                                                            (11,482)           (97,639)
    DIVIDENDS PAID                                                                            (814)              (471)
    DEFERRED FINANCING COSTS                                                                     0               (698)
                                                                                   ----------------   ----------------
             NET CASH PROVIDED BY FINANCING ACTIVITIES                                      91,148             44,893
                                                                                   ----------------   ----------------
CASH FLOWS FROM INVESTING ACTIVITIES:
    SALE OF TEMPORARY INVESTMENTS                                                            8,939                355
    PURCHASE OF TEMPORARY INVESTMENTS                                                      (61,169)               (48)
    BUSINESS ACQUISITIONS (NOTE 3)                                                         (62,391)           (10,975)
    PURCHASE OF PROPERTY, PLANT AND EQUIPMENT                                              (67,004)           (41,096)
    DISPOSITION OF ASSETS                                                                   99,926              -
    OTHER ASSETS                                                                           (12,496)            (3,272)
                                                                                   ----------------   ----------------
             NET CASH USED BY INVESTING ACTIVITIES                                         (94,195)           (55,036)
                                                                                   ----------------   ----------------
             DECREASE IN CASH AND CASH EQUIVALENTS                                            (831)              (261)
CASH AND CASH EQUIVALENTS, BEGINNING OF PERIOD                                              52,965             39,028
                                                                                   ----------------   ----------------
CASH AND CASH EQUIVALENTS, END OF PERIOD                                          $         52,134   $         38,767
                                                                                   ================   ================
</TABLE>

      SEE ACCOMPANYING NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS


                                       6

<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  the  "Company"),  refer  to the
consolidated   financial  statements  and  footnotes  thereto  included  in  the
Company's  Annual  Report on Form 10-K for the year ended  December 31, 1997. 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

The  Company  adopted  SFAS No. 128 during the fourth  quarter of the year ended
December 31, 1997. SFAS No. 128 establishes  revised standards for computing and
presenting  earnings  per share (EPS) data.  It requires  dual  presentation  of
"basic" and  "diluted" EPS on the face of the  statements  of  operations  and a
reconciliation  of the numerators and denominators used in the basic and diluted
EPS  calculations.  As  required  by SFAS No.  128,  EPS data for prior  periods
presented have been restated to conform to the new standard.

Basic EPS is calculated by dividing net earnings (loss) by the weighted  average
number of common shares  outstanding for the applicable  period.  Diluted EPS is
calculated  after  adjusting the numerator and the  denominator of the basic EPS
calculation for the effect of all potential  dilutive common shares  outstanding
during the period.  Information  related to the  calculation of net earnings per
share of common stock is summarized as follows:


                                       7

<PAGE>

<TABLE>
<CAPTION>
                                                                           INCOME            SHARES            PER SHARE
                                                                        (NUMERATOR)       (DENOMINATOR)          AMOUNT
                                                                        -----------       -------------        ----------
                                                                                       (DOLLARS IN THOUSANDS,
                                                                                      EXCEPT PER SHARE AMOUNTS)

<S>                                                                      <C>                <C>              <C>         
For the three months ended March 31, 1998:
   Basic EPS  ................................................           $38,080            43,229           $       0.88
  Adjustment for interest on
    convertible debentures  ..................................             2,388                --                     --
  Incremental shares from
    assumed exercise of dilutive
    options and warrants  ....................................                --             3,195                    --
  Incremental shares from assumed
    conversion of the convertible
    subordinated debentures  .................................                --             8,037                    --
                                                                         -------            ------           ------------
  Diluted EPS  ...............................................           $40,468            54,461           $       0.74
                                                                         =======            ======           ============
For the three months ended March 31, 1997:

   Basic EPS  ................................................           $19,069            23,660           $       0.81
  Adjustment for interest on
    convertible debentures  ..................................             2,452                --                     --
  Incremental shares from
    assumed exercise of dilutive
    options and warrants .....................................                --             2,173                     --
  Incremental shares from assumed
    conversion of the convertible
    subordinated debentures  .................................                --             7,989                     --
                                                                         -------            ------           ------------

  Diluted EPS  ...............................................           $21,521            33,822           $       0.64
                                                                         =======            ======           ============
</TABLE>
<PAGE>


NOTE 3:   NEW ACQUISITIONS

          Acquisitions  during the three  months  ended  March 31,  1998 and the
          manner of payment are summarized as follows:

<TABLE>
<CAPTION>
                                        TOTAL            COMMON            ACCRUED                  CASH
MONTH     TRANSACTION                   COSTS          STOCK ISSUED      LIABILITIES                PAID
- -----     -----------                 --------         ------------      -----------              --------
                                      (DOLLARS IN THOUSANDS)
<S>                                   <C>                 <C>               <C>                    <C>    
Jan.      Stock of Paragon
          Rehabilitative
          Service, Inc.               $ 11,183            $ 10,758          $    425                     --

Feb.      Assets of Health
          Star, Inc.                  $  3,115                  --          $    260               $  2,855

Feb.      Stock of Medicare
          Convalescent Aids
          of Pinellas d/b/a
          Medaids, RxStat,
          Prime Medical
          Services                    $  4,671            $  3,654          $    187               $   830

Feb.      Stock of Michigan
          Medical Supply              $  2,115                  --          $    215               $  1,900

Feb.      Assets of Nutmeg
          Respiratory
          Homecare                    $  2,547                  --          $    207               $  2,340

March     Assets of Chancy
          Healthcare Services,
          Inc., Chancy Oxygen
          Services, Inc., CHS
          Home Infusion Co.,
          Chancy Healthcare
          Services of
          Waynesboro                  $  5,670                  --          $    335               $  5,335

Various   20 acquisitions,
</TABLE>


                                8

<PAGE>



<TABLE>
<CAPTION>
                                        TOTAL            COMMON            ACCRUED                  CASH
MONTH     TRANSACTION                   COSTS          STOCK ISSUED      LIABILITIES                PAID
- -----     -----------                 --------         ------------      -----------              --------
                                      (DOLLARS IN THOUSANDS)
<S>                                   <C>                 <C>               <C>                    <C>    
          each with total
          costs of less
          than $2,000                 $ 21,070           $   2,097          $  1,764               $ 17,209

Various   Cash payments of
          acquisition costs
          accrued                           --                  --         ($ 31,922)              $ 31,922
                                      --------           ---------         ----------              --------
                                      $ 50,371           $  16,509         ($ 28,529)              $ 62,391
                                      ========           =========         ==========              ========
</TABLE>

          The  allocation  of the  total  cost of the 1998  acquisitions  to the
          assets acquired and the liabilities assumed is summarized as follows:

<TABLE>
<CAPTION>
                                     PROPERTY,
                         CURRENT      PLANT &          OTHER     INTANGIBLE      CURRENT        LONG-TERM      TOTAL
TRANSACTION              ASSETS      EQUIPMENT         ASSETS      ASSETS      LIABILITIES     LIABILITIES     COSTS
- -----------              ------      ---------         ------      ------      -----------     -----------     -----
                                                   (DOLLARS IN THOUSANDS)
<S>                     <C>          <C>                  <C>      <C>           <C>               <C>        <C>     
Paragon Rehab.
Services, Inc.          $ 1,505      $     85             $ 4      $ 13,036      ($ 3,427)         ($ 20)     $ 11,183

Health Star, Inc.       $   399      $    221              --      $  2,495            --             --      $  3,115

Medicare Convale-
scent Aids of
Pinellas d/b/a
Medaids, RxStat,
Prime Medical
Services                $ 1,040      $    732              --      $  3,176      ($   277)            --      $  4,671

Michigan Medical
Supply                  $   550      $    591              --      $  1,120      ($   131)         ($ 15)     $  2,115

Nutmeg Respiratory
Homecare                $   536      $    291              --      $  1,720            --             --      $  2,547

Chancy Healthcare
Services, Inc.,
Chancy Oxygen
Services, Inc.,
CHS Home Infusion
Co., Chancy Health-
care Services of
Waynesboro              $   650      $     80              --      $  4,940            --             --      $  5,670

20 acquisitions,
each with total
costs of less
than $2,000             $ 1,975      $  2,738              --      $ 16,357            --             --      $ 21,070
                        -------      ---------         ------      --------    -----------     -----------    --------
                        $ 6,655      $  4,738             $ 4      $ 42,844      ($ 3,835)         ($ 35)     $ 50,371
                        =======      =========         ======      ========    ===========     ===========    ========
</TABLE>

NOTE 4:   TRANSACTIONS WITH LYRIC HEALTH CARE LLC

          In January 1998, the Company sold five  long-term  care  facilities to
          Omega Healthcare  Investors,  Inc.("Omega")  for $44.5 million,  which
          facilities were leased back by Lyric Health Care LLC ("LLC"),  a newly
          formed  subsidiary  of IHS,  at an annual rent of  approximately  $4.5
          million.  In a related  transaction,  TFN  Healthcare  Investors,  LLC
          ("TFN", an entity in which Timothy F. Nicholson, a director of IHS, is
          the principal member) purchased a 50% interest in LLC for $1.0 million
          and IHS'  interest in LLC was reduced to 50%.  IHS also  entered  into
          management  and  franchise  agreements  with LLC. The  management  and
          franchise  agreements'  initial  terms are 13 years  with two  renewal
          options  of 13  years  each.  The base  management  fee is 3% of gross
          revenues, subject to increase if gross revenues exceed $350.0 million.
          In addition,  the agreement  provides for an incentive  management fee
          equal to 70% of annual  net cash flow (as  defined  in the  management
          agreement). The duties of


                                       9

<PAGE>



          IHS  as  manager  include  the  following:  accounting,  legal,  human
          resources,   operations,   materials  and  facilities  management  and
          regulatory  compliance.  The  annual  franchise  fee  is 1%  of  gross
          revenues,  which grants LLC the authority to use the  Company's  trade
          names and proprietary materials.

          The LLC will  dissolve on December  31,  2047 unless  extended  for an
          additional  12 months.  On  February 1, 1998 LLC also  entered  into a
          five-year  employment   agreement  with  Timothy  F.  Nicholson,   the
          principal  stockholder of TFN and a director of the Company.  Pursuant
          to LLC's  operating  agreement,  Mr.  Nicholson will serve as Managing
          Director  of LLC  and  will  have  the  day-to-day  authority  for the
          management and operation of LLC and will initiate policy proposals for
          business plans, acquisitions,  employment policy, approval of budgets,
          adoption  of  insurance   programs,   additional   service  offerings,
          financing strategy,  ancillary service usage, change in material terms
          of any lease and  adoption/amendment  of employee health,  benefit and
          compensation  plans. As a result of the  aforementioned  transactions,
          IHS will account for its  investment  in Lyric using the equity method
          of accounting since IHS no longer controls Lyric. The Company recorded
          a $2.5 million loss on the sale of these facilities in 1997.


          In March 1998,  the Company sold an  additional  five  long-term  care
          facilities to Omega for  approximately  $50 million,  which facilities
          were  leased  back  to LLC at an  annual  rent of  approximately  $4.9
          million.  IHS also entered into  management  and franchise  agreements
          with LLC with terms  similar to those  described  above.  The  Company
          recorded no gain or loss on this transaction.

NOTE 5:   SALE OF OUTPATIENT CLINICS

          In  February  1998,  the  Company  sold  its  outpatient   clinics  to
          Continucare Rehabilitation Services, Inc.for $10.0 million. During the
          fourth  quarter of 1997,  the Company wrote down its investment in its
          outpatient  clinics to net realizable value.  Accordingly,  no gain or
          loss was recognized by the Company during the first quarter of 1998.

NOTE 6:   RECENT ACCOUNTING PRONOUNCEMENTS - COMPREHENSIVE INCOME

          In  1998  the  Company  adopted  Statement  of  Financial   Accounting
          Standards  No. 130,  "Reporting  Comprehensive  Income."  SFAS No. 130
          establishes  standards  for  reporting  and  display of  comprehensive
          earnings and its components in a full set of general purpose financial
          statements.  A  reconciliation  of  the  Company's  net  earnings  and
          comprehensive earnings follows:

         
<TABLE>
<CAPTION>
                                                  THREE MONTHS ENDED 
                                   SEPT.30        DEC. 31        MAR.31       MAR.31
                                   1996           1996           1997         1998
                                   ----           ----           ----         ----
<S>                               <C>            <C>            <C>          <C>   
NET EARNINGS                      16,511         2,176          19,069       38,080

INCREASE (DECREASE) IN 
 UNREALIZED GAIN ON AVAILABLE
 FOR SALE SECURITIES              11,483         (2,123)        (9,360)           -

INCOME TAX EFFECT                 (4,421)           817          3,604            -

 COMPREHENSIVE EARNINGS           23,573            870         13,313       38,080
                                  ======        =======         ======       ======
</TABLE>

     There were no differences  between net earnings and comprehensive  earnings
prior to July 1, 1996.

NOTE 7:   SUBSEQUENT EVENTS

          AGREEMENT WITH MONARCH PROPERTIES, INC.

          In April 1998 the Company reached an agreement in principle to sell 44
          facilities to Monarch  Properties,  Inc., a  newly-formed  real estate
          investment  trust  ("Monarch"),  for an  aggregate  purchase  price of
          approximately $371 million. It is currently  contemplated that Monarch
          will lease 42 of these 44  facilities to LLC, and that LLC will engage
          the Company to manage the facilities pursuant to the


                                       10

<PAGE>



          arrangements  described in Note 4. The  transactions  with Monarch and
          LLC  are  subject  to  completion  of  definitive   documentation  and
          completion of Monarch's  initial public offering,  and there can be no
          assurance that the  transaction  will be completed on these terms,  on
          different  terms,  or at all.  Dr.  Robert N.  Elkins,  the  Company's
          Chairman  of the Board,  Chief  Executive  Officer and  President,  is
          Chairman of the Board of  Directors  of Monarch,  and it is  currently
          contemplated  that he  will  beneficially  own  between  five  and ten
          percent of Monarch following completion of Monarch's public offering.

          OTHER ACQUISITIONS

          In April 1998,  IHS acquired a company  operating  13 skilled  nursing
          facilities for  approximately  $15.9 million.  Also in April 1998, the
          Company purchased seven respiratory  companies for approximately  $5.5
          million.

          In  addition,  the Company  has reached  agreements  in  principle  to
          purchase a skilled nursing  facility company for  approximately  $53.2
          million,  two lithotripsy  operations for approximately $20.4 million,
          and six respiratory companies for approximately $19.5 million.

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




                                       11

<PAGE>


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

     Statements in this Quarterly  Report on Form 10-Q  concerning the Company's
business  outlook or future  economic  performance;  anticipated  profitability,
revenues,  expenses or other financial items; and product line growth,  together
with  other  statements  that are not  historical  facts,  are  "forward-looking
statements"   as  that  term  is  defined   under   Federal   Securities   Laws.
Forward-looking statements are subject to risks, uncertainties and other factors
which could cause actual results to differ  materially from those stated in such
statements.  Such  risks and  uncertainties  and  factors  include,  but are not
limited to, the Company's  substantial  indebtedness,  growth strategy,  managed
care  strategy,   capital  requirements  and  recent  acquisitions  as  well  as
competition,  government  regulation,  general economic conditions and the other
risks  detailed  in the  Company's  filings  with the  Securities  and  Exchange
Commission, including the Annual Report on Form 10-K.

     The Company  continues to evaluate  the impact of the  Balanced  Budget Act
("BBA") upon future operating results.  While the BBA was passed in August 1997,
specific interpretative  regulations for various service providers will continue
to be  released  until the year 2000.  The  assumptions  used by the  Company to
evaluate the impact of the BBA on the  Company's  business  lines are based upon
the most  accurate  information  available at each quarter  end.  Presently  the
Company is responding to all of the known changes  created by the BBA,  however,
it cannot predict the impact future  regulations may have on anticipated  rates,
service usage and operating costs.

THREE MONTHS ENDED MARCH 31, 1998
COMPARED TO THREE MONTHS ENDED MARCH 31, 1997

     Net revenues for the three  months  ended March 31, 1998  increased  $393.9
million,  or 85%, to $854.9  million  from the  comparable  period in 1997.  The
increase  in  revenues  was  primarily  a  result  of  acquisitions  consummated
subsequent  to March 31,  1997  and  increased  revenues  from 


                                       12

<PAGE>



facilities and ancillary  companies in operation  during both periods  partially
offset by the sale of five  long-term  care  facilities  in January 1998 and the
sale of its outpatient clinics to Continucare  Rehabilitation  Services, Inc. in
February 1998.  The growth in revenues from  facilities was primarily the result
of increased occupancy in the Company's Medical Specialty Units ("MSUs") and the
growth  in  revenues  from  ancillary  companies  was  primarily  the  result of
additional service contracts entered into subsequent to March 31, 1997.

     Basic medical services revenue  increased 165% from $88.8 million to $234.9
million.  This  increase  resulted from the  acquisition  of 136 owned or leased
long-term care facilities  subsequent to March 31, 1997, partially offset by the
conversion of skilled nursing beds to MSU beds after March 31, 1997 and the sale
of five long-term care facilities in January 1998.

     Specialty medical services revenue  increased $249.5 million,  or 69%, from
$362.7 million to $612.2 million. This increase was attributable to revenue from
acquisitions subsequent to March 31, 1997, increased revenue from facilities and
ancillary  companies in operation in both  periods,  as well as skilled  nursing
beds being  converted to MSU beds after March 31, 1997,  which results in higher
revenue per day,  partially offset by the sale of five long-term care facilities
in January 1998 and the sale of its outpatient clinics in February 1998.

     Management  services and other revenues  decreased 18% from $9.5 million to
$7.8  million  primarily  as a  result  of  the  termination  of  12  management
agreements  subsequent to March 31, 1997,  partially  offset by management  fees
from five facilities which the Company began to manage on behalf of Lyric Health
Care LLC,  an entity 50% owned by the Company  which is leasing  the  facilities
sold to Omega.

     Total  expenses  for the period  increased  to $790.6  million  from $429.9
million,  an increase of 84%. Of the $360.7 million  increase in total expenses,
$279.7  million,  or 78%,  was due to an  increase  in  operating,  general  and
administrative expenses. Substantially all of the increase in operating, general
and administrative  expenses was due to 


                                       13

<PAGE>



acquisitions   consummated  subsequent  to  March  31,  1997.  Depreciation  and
amortization  increased to $38.6 million during the three months ended March 31,
1998, an increase of 157%, compared to $15.0 million recorded in the same period
in 1997. This increase is the result of acquisitions  consummated  subsequent to
the first quarter of 1997. Rent expense increased by $11.4 million, or 48%, over
the  comparable  period  in  1997.  This  increase  is  primarily  a  result  of
acquisitions  consummated subsequent to the first quarter of 1997, and increases
in  contingent  rentals  which are based on gross  revenues  of  certain  leased
facilities.  Interest expense, net increased 210%, or $45.0 million,  during the
three  months  ended March 31, 1998 to $66.5  million.  The increase in interest
expense is primarily a result of additional term loan borrowings of $400 million
in  December  1997 and $750  million in  September  1997,  the  issuance of $450
million  of 9-1/2%  Senior  Subordinated  Notes  due 2007 in May 1997,  and $500
million of the 9-1/4% Senior  Subordinated Notes due 2008 in September 1997, and
increased borrowings under its $1.0 billion revolving credit facility; partially
offset by a reduction in interest resulting from the repurchase of substantially
all of the Company's 9-5/8% Senior  Subordinated  Notes due 2002 and the 10-3/4%
Senior  Subordinated  Notes due 2004,  the payoff of the Company's  $700 million
previous  revolving  credit facility and lower interest rates.  During the first
quarter of 1997,  the Company  realized a $7.6 million gain on its investment in
shares  of  common  stock of  Capstone  Pharmacy  Services,  Inc.,  received  in
connection  with the sale of its  pharmacy  division  to  Capstone in July 1996,
offset by $6.6  million  of  accounting,  legal and other  costs  related to the
failed merger with Coram Healthcare  Corporation.  As a result,  the Company has
recorded in its statement of earnings $1.0 million of  non-recurring  income for
the first quarter of 1997.

     Earnings before equity in earnings of affiliates and income taxes increased
107% to $64.3  million for the three months ended March 31, 1998, as compared to
$31.1 million for the comparable period in the prior year.

     Earnings  before income taxes increased 106% to $64.5 million for the three
months ended March 31,  1998,  as compared to $31.3  million for the  comparable
period in the prior year.  The  provision for federal and state income taxes was
$26.5  million for the three months ended March 31, 1998,  and $12.2 million for
the same period in the prior year.  Net earnings and diluted  earnings per share
for the quarter were $38.1 million in 1998,  or 74 cents per share,  as compared
to $19.1 million,  or 64 cents per share, for the same period in 1997.  Weighted
average shares (diluted)  increased 20.6 million shares, or 61%, to 54.5 million
shares  from the  comparable  period  in 1997,  primarily  as the  result of the
issuance of approximately 15.6 million shares in October 1997 in connection with
the acquisition of RoTech Medical Corporation.


                                       14

<PAGE>



LIQUIDITY AND CAPITAL RESOURCES

     At March 31, 1998, the Company had working  capital of $224.2  million,  as
compared  with $63.1  million at  December  31,  1997.  The  increase in working
capital was primarily due to an increase in temporary  investments,  an increase
in patient  accounts  and third party  payor  settlements  receivable  and other
current assets and a decrease in accounts  payable and accrued  expenses.  There
were no material  capital  commitments for capital  expenditures as of March 31,
1998.  Net  patient  accounts  and  third-party  payor  settlements   receivable
increased  $89.7  million to $693.2  million at March 31,  1998,  as compared to
$603.4  million at December 31, 1997. Of the $89.7 million  increase in accounts
receivable,  $7.2  million  was  attributable  to  related  services  businesses
acquired  subsequent to December 31, 1997 and $94.1 million was due to increased
accounts  receivable at facilities in operation and related services  businesses
owned at both  December  31,  1997 and  March  31,  1998,  partially  offset  by
approximately  $11.5 million  attributable  to patient  accounts  receivable and
third party payor  settlements at December 31, 1997 of facilities  sold in 1998.
Patient  accounts  receivable were $804.2 million at March 31, 1998, as compared
with $726.1  million at December 31, 1997.  Net  third-party  payor  settlements
receivable from federal and state governments (i.e.,  Medicare and Medicaid cost
reports) was $52.9  million at March 31, 1998,  as compared to $38.7  million at
December 31, 1997. Approximately $15.3 million, or 29%, of the third-party payor
settlements  receivable  from  federal and state  governments  at March 31, 1998
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 Company's ability to obtain
reimbursement   for  those  costs   which   exceed  the   Medicare   established
reimbursement limits will depend on obtaining waivers of these cost limitations.
The Company has submitted  waiver  requests for 325 cost  reports,  covering all
cost report periods  through  December 31, 1996. To date,  final action has been
taken by the Health  Care  Financing  Administration  ("HCFA") on all 325 waiver
requests  covering cost report periods through  December 31, 1996. The Company's
final rates as approved by HCFA  represent  approximately  95% of the




                                       15

<PAGE>



requested rates as submitted 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 three months ended March
31, 1998, was $2.2 million as compared to $9.9 million for the comparable period
in 1997.

     Net cash provided by financing  activities  was $91.1 million for the three
month  period  in 1998 as  compared  to  $44.9  million  provided  by  financing
activities  for the  comparable  period in 1997.  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 $94.2 million for the three month
period  ended  March 31, 1998 as compared  to $55.0  million  used by  investing
activities  for the three month period  ended March 31, 1997.  Cash used for the
acquisition of facilities and ancillary  company  acquisitions was $62.4 million
in 1998 as compared to $11.0  million  for 1997.  Cash used for the  purchase of
property,  plant and  equipment  was $67.0  million in 1998 and $41.1 million in
1997. In the first quarter of 1998, the Company  received $89.9 million  related
to the sale of ten long-term care facilities to Omega Healthcare Investors, Inc.
(See Note 4:  Transactions with Lyric Health Care LLC)and $10.0 million from the
sale of its Outpatient Clinics to Continucare Rehabilitation Services, Inc. (See
Note 5: Sale of Outpatient Clinics).  The net proceeds from such sales were used
to repay  debt  outstanding  under  the  revolving  credit  facility  and  other
corporate purposes, including acquisitions.

     As a result of the BBA's implementation of a prospective payment system for
home nursing beginning with cost report periods beginning on or after October 1,
1999, contingent payments in respect of the acquisition of First American Health
Care of Georgia, Inc. in October 1996, aggregating $155 million,  became payable
over five years  beginning in 2000.  The present value of such payments at March
31,  1998 is $115.2  million  and is  recorded  on the  balance  sheet under the
caption other long-term liabilities.

     IHS'  contingent   liabilities   (other  than  liabilities  in  respect  of
litigation)  aggregated  approximately  $89.4 million as of March 31, 1998.  The
Company is  obligated  to  purchase  its  Greenbriar  facility  upon a change in
control of IHS. The net price of the facility is approximately $4.0 million. The
Company has guaranteed  approximately $6.6 million of the lessor's indebtedness.
IHS is required,  upon certain  defaults under the lease, to purchase its Orange
Hills facility at a


                                       16

<PAGE>


purchase  price  equal to the  greater of $7.1  million or the  facility's  fair
market  value.  The Company has  guaranteed  approximately  $4.0 million owed by
Tutera  Group,  Inc.  and  Sunset  Plaza  Limited  Partnership,   a  partnership
affiliated with a partnership in which IHS has a 49% interest, to Finova Capital
Corporation.  IHS has established  several irrevocable standby letters of credit
with the Bank of Nova Scotia  totaling $33.0 million at March 31, 1998 to secure
certain of the Company's workers' compensation obligations,  health benefits and
other  obligations.  In addition,  IHS has several surety bonds in the amount of
$32.5 million to secure certain of the Company's health benefits,  patient trust
funds and other  obligations.  IHS also has  established a letter of credit with
NationsBank  in  the  amount  of  $2.2  million  for  credit  enhancement  to an
industrial  development  bond issued for construction of a facility in Amarillo,
Texas. In addition, with respect to certain acquired businesses IHS is obligated
to  make  certain  contingent  payments  if  earnings  targets  of the  acquired
businesses are met. The Company is obligated to purchase the remaining interests
in its lithotripsy  partnerships at a defined price in the event  legislation is
passed or  regulations  adopted that would prevent the  physician  partners from
owning an interest in the  partnership and using the  partnership's  lithotripsy
equipment  for  the  treatment  of his or her  patients.  In  addition,  IHS has
obligations under operating leases aggregating  approximately  $684.0 million at
March 31, 1998.

     The Company  anticipates  that cash from  operations and  borrowings  under
revolving  credit  facilities  will be  adequate  to cover  its  scheduled  debt
payments and future  anticipated  capital  expenditure  requirements  throughout
1998. The Company  expects to continue to be growth oriented in 1998 through the
expansion  of its  existing  operations,  continued  implementation  of its  MSU
programs and by the acquisition of additional  facilities,  ancillary  companies
and management agreements.


YEAR 2000 COMPLIANCE

     The Company has conducted a comprehensive review of its computer systems to
identify  the  systems  that are  affected  by the  "Year  2000"  issue  and has
substantially completed an implementation plan to resolve this issue. This issue
affects computer systems that have date sensitive programs that may not properly
recognize the year 2000. Systems that do not properly recognize such information
could generate  erroneous data or cause a system to fail,  resulting in business
interruption.  In 1997, the Company commenced a year 2000 conversion project for
all of its locations to address  necessary  software  upgrades,  training,  data
conversion,  testing and implementation.  The Company will incure internal staff
costs as well as  consulting  and other  expenses to complete the project by the
middle of 1999.  Costs  related  to the year 2000  issue are being  expensed  as
incurred. The Company does not expect the amounts required to be expensed during
the project to have a material  effect on its  financial  position or results of
operation.

     The year 2000 issue is expected  to affect the systems of various  entities
with which the Company interacts, including payors, suppliers and vendors. There
can be no assurance  that the systems of other  companies on which the Company's
systems rely will be timely  converted,  or that a failure by another  company's
systems to be year 2000  compliant  would not have a material  adverse effect on
the Company.


                                       17

<PAGE>

PART II:  OTHER INFORMATION

Item 2. - Changes in Securities

TRANSACTIONS INVOLVING SELLING STOCKHOLDERS

     On  August  29,  1997,  the  Company  acquired  through  merger  all of the
outstanding  stock of Arcadia  Services,  Inc.("ARCADIA")  , which provides home
health  care  services,   medical  staffing  services  and  clerical  and  light
industrial staffing services.  The merger consideration was $17.2 million, which
was paid though the  issuance of 581,451  shares of the  Company's  Common Stock
531,198  shares were issued to the  Stockholders  of Arcadia in August 1997; the
remaining 50,253 shares (the "additional  shares") were issued in February 1998.
Because the average  price of the 531,198  shares of Common  Stock issued to the
Arcadia  stockholders at the time of closing of the  acquisition  (the "Original
Shares") was higher than the average  price of the Common Stock at the time such
shares  were  registered  for resale  under the  Securities  Act,  the number of
additional  shares is equal to the  difference  between (i) the number of shares
determined by dividing the merger  consideration of $17.2 million by the average
closing  price of the Common Stock on the NYSE for the 30 trading days ending on
the date immediately preceding the date the registration  statement covering the
resale of the  Original  Shares was  declared  effective  and (ii) the number of
shares  determined by dividing the merger  consideration of $18.7 million by the
average  closing  price of the Common  Stock on the NYSE for the 30 trading  day
period  immediately  preceding  the date which was two trading days prior to the
closing date of the acquisition.

     On January 31, 1998, the Company acquired all the outstanding capital stock
of Paragon Rehabilitative  Services,  Inc. ("PARAGON"),  which provides contract
rehabilitation  services to nursing homes,  long-term care  facilities and other
healthcare  facilities.  The merger  consideration was $10.8 million,  which was
paid through the issuance of 361,851  shares of the Company's  Common Stock.  To
the  stockholder  of Paragon  (based on the average  closing price of the Common
Stock for the 30 day trading period  immediately  preceding the date which is
two days prior to the closing  date).

     On  February  28,  1998,  the Company  acquired an 18% limited  partnership
interest in Southwest  Lithotripter  Partners,  Ltd. The purchase  price for the
interest was  $630,000,  which was paid through the issuance of 19,700 shares of
the Company's  Common Stock to a Partner (based on the average  closing price of
the Common Stock for the 30 day trading  period  immediately  preceding the date
which is two days prior to the closing date).

     On February 11, 1998, the Company  acquired all of the outstanding  capital
stock of Medicare Convalescent Aids of Pinellas, Inc. d/b/a  Medaids, RxStat and
Prime Medical Services, Inc. The purchase price was $3.7 million, which was paid
through the issuance of 122,376  shares of the Company's  common stock (based on
the average  closing  price of the Common  Stock for the 30 day  trading  period
immediately preceeding the date which is two days prior to the closing date.

     On March 16,  1998,  the Company  acquired  all the assets of Jersey  Shore
Portable  X-Ray,  Inc.("JSP")  The purchase  price for the assets was  $400,000,
which was paid through the  issuance of 12,082  shares of the  Company's  Common
Stock to the stockholder of JSP based on the average closing price of the Common
Stock for the 30 day trading period immediately  preceding the date which is two
days prior to the closing date).

     The  Common  Stock  issued by the  Company  in these  transactions  was not
registered  under the  Securities  Act of 1933,  as amended,  in  reliance  upon
exemtions  contained  in Section 4(2)  thereof.  Each of the  stockholders  made
representations  to the effect that (i) the shares were being  acquired  for its
own  account  and not  with a view  to,  or for  sale in  connection  with,  any
distribution;  (ii)  acknowledging  that the shares were  restricted  securities
under Rule 144; (iii) that it had knowledge and experience in business  matters,
was capable of evaluating the merits and risks of the  investment,  and was able
to bear the risk of loss;  (iv) had the  opportunity  to make  inquiries  of and
obtain  information  from IHS.  The Company is  obligated to register the Common
Stock for resale under the Securities Act of 1933, as amended.

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

(a)  Exhibits

     10.1 Integrated Health Services,  Inc.,  Supplemental  Executive Retirement
          Plan ("Plan B")

     10.2 Integrated  Health  Services,  Inc.,  Deferred  Compensation  Plan for
          Senior Vice Presidents and Highly Compensated Employees

(b)  Reports on Form 8-K

     The Company filed a Current  Report on Form 8-K dated December 31, 1997, as
     amended,  Reporting  the  Acquisition  of  139  owned,  leased  or  managed
     long-term  care  facilities,  12  specialty  hospitals  and  certain  other
     businesses from HEALTHSOUTH Corporation.


     The Company Filed a Current Reprt on Form 8-K Date March 4, 1998 reporting
     The Company's  Reviews and  operationg  Results For the Fourth  Quarter and
     Year Ended Decmember 31, 1997.

     

                                       18

<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/ Robert N. Elkins
                                       -----------------------------------------
                                       Robert N. Elkins
                                       Chief Executive Officer

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

                                    By: /s/ C. Taylor Pickett
                                       -----------------------------------------
                                        C. Taylor Pickett
                                        Executive Vice President-Chief Financial
                                        Officer

Dated: May 13, 1998










                        INTEGRATED HEALTH SERVICES, INC.

                     SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN

                                   ("PLAN B")










                              Amended and Restated

                          Effective as of April 1, 1998




<PAGE>



                        INTEGRATED HEALTH SERVICES, INC.

                     SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN

                                   ("PLAN B")

                              Amended and Restated

                          Effective as of April 1, 1998

                                TABLE OF CONTENTS

                                    ARTICLE 1

                                   DEFINITIONS

1.1     ACCOUNT..............................................................  1
1.2     BENEFICIARY..........................................................  1
1.3     CHANGE IN CONTROL....................................................  1
1.4     CODE.................................................................  2
1.5     COMPENSATION.........................................................  2
1.6     COMPENSATION DEFERRAL ACCOUNT........................................  2
1.7     COMPENSATION DEFERRALS...............................................  2
1.8     EFFECTIVE DATE.......................................................  2
1.9     ELIGIBLE EMPLOYEE....................................................  2
1.10    EMPLOYER.............................................................  2
1.11    EMPLOYER CONTRIBUTION CREDIT ACCOUNT.................................  2
1.12    EMPLOYER CONTRIBUTION CREDITS........................................  2
1.13    ENTRY DATE...........................................................  2
1.14    NORMAL RETIREMENT AGE................................................  2
1.15    PARTICIPANT..........................................................  2
1.16    PARTICIPANT ENROLLMENT AND ELECTION FORM.............................  3
1.17    PLAN or PLAN B.......................................................  3
1.18    PLAN YEAR............................................................  3
1.19    TRUST................................................................  3
1.20    TRUSTEE..............................................................  3
1.21    VALUATION DATE.......................................................  3

                                   ARTICLE 2

                         ELIGIBILITY AND PARTICIPATION

2.1     REQUIREMENTS.........................................................  3
2.2     RE-EMPLOYMENT........................................................  3
2.3     CHANGE OF EMPLOYMENT CATEGORY........................................  3


                                        i

<PAGE>



                                    ARTICLE 3

                            CONTRIBUTIONS AND CREDITS

3.1     EMPLOYER CONTRIBUTION CREDITS........................................  4
3.2     PARTICIPANT COMPENSATION DEFERRALS...................................  4
3.3     CONTRIBUTIONS TO THE TRUST...........................................  5

                                   ARTICLE 4

                              ALLOCATION OF FUNDS

4.1     ALLOCATION OF DEEMED EARNINGS OR LOSSES ON ACCOUNTS..................  5
4.2     ACCOUNTING FOR DISTRIBUTIONS.........................................  6
4.3     SEPARATE ACCOUNTS....................................................  6
4.4     INTERIM VALUATIONS...................................................  6
4.5     EXPENSES.............................................................  6
4.6     TAXES................................................................  6

                                    ARTICLE 5

                             ENTITLEMENT TO BENEFITS

5.1     FIXED PAYMENT DATES; TERMINATION OF EMPLOYMENT.......................  6
5.2     HARDSHIP DISTRIBUTIONS...............................................  7
5.3     VESTING..............................................................  7
5.4     RE-EMPLOYMENT OF RECIPIENT...........................................  8
5.5     CHANGE IN CONTROL BENEFITS...........................................  8

                                    ARTICLE 6

                            DISTRIBUTION OF BENEFITS

6.1     AMOUNT...............................................................  9
6.2     METHOD OF PAYMENT....................................................  9
6.3     DEATH BENEFITS.......................................................  9

                                    ARTICLE 7

                         BENEFICIARIES; PARTICIPANT DATA

7.1     DESIGNATION OF BENEFICIARIES......................................... 10

7.2     INFORMATION TO BE FURNISHED BY PARTICIPANTS AND BENEFICIARIES;
          INABILITY TO LOCATE PARTICIPANTS OR BENEFICIARIES.................. 10

                                    ARTICLE 8

                                 ADMINISTRATION

8.1     ADMINISTRATIVE AUTHORITY............................................. 11
8.2     UNIFORMITY OF DISCRETIONARY ACTS..................................... 11
8.3     LITIGATION........................................................... 12
8.4     CLAIMS PROCEDURE..................................................... 12

                                    ARTICLE 9

                                    AMENDMENT

9.1     RIGHT TO AMEND....................................................... 13
9.2     AMENDMENTS TO ENSURE PROPER CHARACTERIZATION OF PLAN................. 13

                                   ARTICLE 10

                                   TERMINATION


                                       ii

<PAGE>



10.1    EMPLOYER'S RIGHT TO TERMINATE OR SUSPEND PLAN........................ 13
10.2    AUTOMATIC TERMINATION OF PLAN........................................ 13
10.3    SUSPENSION OF DEFERRALS.............................................. 13
10.4    ALLOCATION AND DISTRIBUTION.......................................... 14
10.5    SUCCESSOR TO EMPLOYER................................................ 14

                                   ARTICLE 11

                                    THE TRUST

11.1    ESTABLISHMENT OF TRUST............................................... 14



                                   ARTICLE 12

                                  MISCELLANEOUS

12.1    LIMITATIONS ON LIABILITY OF EMPLOYER................................. 14
12.2    CONSTRUCTION......................................................... 15
12.3    SPENDTHRIFT PROVISION................................................ 15



                                       iii

<PAGE>



                        INTEGRATED HEALTH SERVICES, INC.
                     SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN
                                   ("PLAN B")

                              Amended and Restated
                          Effective as of April 1, 1998

                                    RECITALS

     This amended and restated  Integrated  Health Services,  Inc.  Supplemental
Executive  Retirement  Plan (the "Plan",  or "Plan B") is adopted by  Integrated
Health  Services,  Inc. (the  "Employer")  for certain of its  executive  and/or
highly  compensated  employees.  The  purpose  of the  Plan  is to  offer  those
employees an opportunity to elect to defer the receipt of  compensation in order
to provide  termination of employment and related  benefits  taxable pursuant to
section 451 of the Internal  Revenue Code of 1986, as amended (the "Code").  The
Plan is intended to be a "top-hat" plan (i.e., an unfunded deferred compensation
plan  maintained  for  a  select  group  of  management  or   highly-compensated
employees)  under  sections  201(2),  301(a)(3)  and  401(a)(1)  of the Employee
Retirement Income Security Act of 1974 ("ERISA").

     Accordingly,  the  following  amendment  and  restatement  of the  Plan  is
adopted.

                                    ARTICLE 1

                                   DEFINITIONS

     1.1 ACCOUNT means the balance  credited to a Participant's or Beneficiary's
Plan account, including contribution credits and deemed income, gains and losses
(as  determined  by  the  Employer,  in  its  discretion)  credited  thereto.  A
Participant's  or  Beneficiary's  Account  shall be determined as of the date of
reference.

     1.2 BENEFICIARY means any person or person so designated in accordance with
the provisions of Article 7.

     1.3 CHANGE IN CONTROL  means (a) the purchase or other  acquisition  by any
person, entity or group of persons, within the meaning of section 13(d) or 14(d)
of the Securities Exchange Act of 1934 (the "Act"), or any comparable  successor
provisions,   of  beneficial   ownership  (within  the  meaning  of  Rule  13d-3
promulgated  under  the  Act) of  thirty  percent  (30%) or more of  either  the
outstanding  shares  of  common  stock  or  the  combined  voting  power  of the
Employer's then outstanding voting securities entitled to vote generally, or (b)
the approval by the stockholders of the Employer of a reorganization, merger, or
consolidation,  in each case with respect to which persons who were stockholders
of  the  Employer   immediately   prior  to  such   reorganization,   merger  or
consolidation do not, immediately thereafter,  own more than fifty percent (50%)
of the  combined  voting  power  entitled to vote  generally  in the election of
directors of the reorganized,  merged, or consolidated entity's then outstanding
securities, or (c) a liquidation or dissolution of the Employer, or (d) the sale
of all or substantially all of the Employer's assets. In the case of a Change in
Control  event  affecting an Employer that is not the common law Employer of the
Participant,  such event shall be deemed to  constitute a Change in Control only
if the Change in  Control  event  affects an  Employer  that owns,  directly  or
through one or more controlled entities,  the stock or other equity interests of
the Participant's common law Employer.

     1.4 CODE  means  the  Internal  Revenue  Code of 1986  and the  regulations
thereunder, as amended from time to time.

     1.5  COMPENSATION  means the total  current cash  remuneration  paid by the
Employer  to an  Eligible  Employee  with  respect to his or her service for the
Employer (as determined by the Employer at its discretion).

     1.6 COMPENSATION DEFERRAL ACCOUNT is defined in Section 3.2.


                                       1

<PAGE>



     1.7 COMPENSATION DEFERRALS is defined in Section 3.2.

     1.8  EFFECTIVE  DATE means the effective  date of the Plan,  which shall be
April 1, 1998.

     1.9  ELIGIBLE  EMPLOYEE  means,  for any Plan Year (or  applicable  portion
thereof), a person employed by the Employer who is determined by the Employer to
be a member of a select group of management or highly  compensated  employees of
the Employer and whose name appears on Schedule I, attached hereto.

     1.10 EMPLOYER means Integrated Health Services, Inc. and its successors and
assigns unless otherwise herein provided,  or any other  corporation or business
organization which, with the consent of Integrated Health Services, Inc., or its
successors or assigns,  assumes the  Employer's  obligations  hereunder,  or any
other  corporation or business  organization  which agrees,  with the consent of
Integrated Health Services, Inc., to become a party to the Plan.

     1.11 EMPLOYER CONTRIBUTION CREDIT ACCOUNT is defined Section 3.1.

     1.12 EMPLOYER CONTRIBUTION CREDITS is defined in Section 3.1.

     1.13 ENTRY DATE with  respect to an  individual  means the first day of the
pay period following the date on which the individual first is given notice that
he or she is an Eligible Employee.

     1.14 NORMAL  RETIREMENT AGE means the later of a Participant's  sixty-fifth
(65th)  birthday or the date on which the  Participant  has  completed  five (5)
years of service with the Employer (as determined by the Employer).

     1.15  PARTICIPANT  means any person so designated  in  accordance  with the
provisions of Article 2, including,  where appropriate  according to the context
of the Plan,  any former  employee who is or may become (or whose  Beneficiaries
may become) eligible to receive a benefit under the Plan.

     1.16  PARTICIPANT  ENROLLMENT  AND ELECTION FORM means the form or forms on
which a  Participant  elects to defer  Compensation  hereunder  and on which the
Participant makes certain other designations as required thereon.

     1.17  PLAN  or  PLAN  B  means  this  Integrated   Health  Services,   Inc.
Supplemental Executive Retirement Plan, as amended from time to time.

     1.18 PLAN YEAR means the twelve (12) month period ending on the December 31
of each year during which the Plan is in effect.

     1.19 TRUST means the Trust established pursuant to Article 11.

     1.20 TRUSTEE means the trustee of the Trust established pursuant to Article
11.

     1.21 VALUATION DATE means the last day of each Plan Year and any other date
that the Employer, in its sole discretion, designates as a Valuation Date.

                                    ARTICLE 2

                          ELIGIBILITY AND PARTICIPATION

     2.1 REQUIREMENTS. Every Eligible Employee as of the Effective Date shall be
eligible to become a Participant  on the Effective  Date.  Every other  Eligible
Employee  shall be  eligible  to become a  Participant  on the first  Entry Date
occurring  on or after the date on which he or she is notified  by the  Employer
that  he  or  she  is  an  Eligible  Employee.  No  individual  shall  become  a
Participant,  however,  if he or she is not an Eligible Employee on the date his
or her participation is to begin.


                                       2

<PAGE>



          Participation in the Participant  Compensation Deferral feature of the
Plan is  voluntary.  In order to  participate  in the  Participant  Compensation
Deferral feature of the Plan, an otherwise  Eligible  Employee must make written
application in such manner as may be required by Section 3.2 and by the Employer
and must agree to make Compensation Deferrals as provided in Article 3.

          Participation in the Employer  Contribution  Credit Account portion of
the Plan is automatic for all Participants.

     2.2  RE-EMPLOYMENT.  If a Participant whose employment with the Employer is
terminated is subsequently re-employed,  he or she shall become a Participant in
accordance with the provisions of Section 2.1.

     2.3 CHANGE OF EMPLOYMENT CATEGORY. During any period in which a Participant
remains in the employ of the Employer, but ceases to be an Eligible Employee, he
or she shall not be eligible to make Compensation Deferrals hereunder.

                                    ARTICLE 3

                            CONTRIBUTIONS AND CREDITS

     3.1  EMPLOYER  CONTRIBUTION   CREDITS.   There  shall  be  established  and
maintained a separate Employer  Contribution  Credit Account in the name of each
Participant.  The Participant's  Employer  Contribution  Credit Account shall be
credited or debited,  as  applicable,  with (a) amounts equal to the  Employer's
Contribution  Credits credited to that Account;  and (b) any deemed earnings and
losses (to the extent  realized,  based upon  deemed  fair  market  value of the
Account's  deemed  assets as  determined  by the  Employer,  in its  discretion)
allocated to that Account.

          For purposes of this  Section,  the  Employer's  Contribution  Credits
credited to Participants' Employer Contribution Credit Accounts for a particular
Plan  Year  shall be an  amount  (if any)  determined  by the  Employer,  in its
discretion,  by the last day of the third  month of such Plan  Year.  The amount
allocated to each Participant's  Employer  Contribution Credit Account each year
that the Employer  makes an Employer  Contribution  Credit shall equal the total
Employer  Contribution  Credits for the Plan Year multiplied by a fraction,  the
numerator of which is the  Participant's  highest base salary (as  determined by
the  Employer)  for the  calendar  year  prior to the Plan  Year for  which  the
Employer  Contribution  Credit is made and the denominator of which is the total
of all Participants' highest base salaries for such calendar year (as determined
by the Employer).

          The  Participant's  Employer  Contribution  Credit  Account  shall  be
credited or debited,  as  applicable,  as of each  Valuation  Date,  with deemed
earnings or losses, as applicable. The amount of deemed earnings or losses shall
be as  determined  by the Employer.  The Employer  shall have the  discretion to
allocate   such  deemed   earnings  or  losses  among   Participants'   Employer
Contribution  Credit Accounts  pursuant to such allocation rules as the Employer
deems to be reasonable and administratively practicable.

          A  Participant  shall be  vested  in  amounts  credited  to his or her
Employer Contribution Credit Account as provided in Section 5.3.

     3.2   PARTICIPANT   COMPENSATION   DEFERRALS.   In  accordance  with  rules
established by the Employer, a Participant may elect to defer Compensation which
is due to be earned and which would otherwise be paid to the  Participant,  in a
lump sum or in any fixed periodic dollar amounts  designated by the Participant.
Amounts so deferred will be considered a Participant's "Compensation Deferrals."
Ordinarily,  a Participant  shall make such an election with respect to a coming
twelve (12) month Plan Year during the period  beginning  on the  December 1 and
ending on the December 31 of the prior Plan Year, or during such other period as
is established by the Employer.


                                       3

<PAGE>




          Compensation   Deferrals   shall  be  made  through   regular  payroll
deductions or through an election by the  Participant  to defer the payment of a
bonus not yet payable to him or her at the time of the election. The Participant
may change his or her regular payroll deduction  Compensation Deferral amount as
of, and by written  notice  delivered  to the  Employer  at least seven (7) days
prior to, the beginning of any regular payroll period, with such reduction being
first effective for  Compensation  to be earned in that payroll  period.  In the
case of a bonus  deferral,  the Participant may reduce his or her bonuses due to
be  paid  by the  Employer  by  giving  notice  to  the  Employer  of the  bonus
Compensation Deferral amount prior to the date the applicable bonus is first due
to be paid.

          Once made, a Compensation  Deferral regular payroll deduction election
shall  continue  in force  indefinitely,  until  changed as  provided  above.  A
Compensation  Deferral  bonus payment  election shall continue in force only for
the Plan Year for which the election is first effective.  Compensation Deferrals
shall be deducted by the Employer  from the pay of a deferring  Participant  and
shall be credited to the Account of the deferring Participant.

          There shall be  established  and maintained by the Employer a separate
Compensation  Deferral Account in the name of each Participant to which shall be
credited  or  debited:  (a)  amounts  equal  to the  Participant's  Compensation
Deferrals; and (b) amounts equal to any deemed earnings or losses (to the extent
realized, based upon deemed fair market value of the Account's deemed assets, as
determined  by  the  Employer,  in its  discretion)  attributable  or  allocable
thereto.

          A Participant shall at all times be 100% vested in amounts credited to
his or her Participant Compensation Deferral Account.

     3.3  CONTRIBUTIONS  TO THE TRUST.  An amount  shall be  contributed  by the
Employer  to the Trust  maintained  under  Section  11.1 equal to the  amount(s)
required to be credited to the  Participants'  Accounts  under  Sections 3.1 and
3.2. Amounts equal to a Participant's Compensation Deferrals will be contributed
to the Trust with  reasonable  promptness  after the total of such  Compensation
Deferrals  during any period has been  determined.  Amounts  (if any) equal to a
Participant's  Employer  Contribution Credits for a particular Plan Year will be
contributed to the Trust by the last day of the third month of such Plan Year.

                                    ARTICLE 4

                               ALLOCATION OF FUNDS

     4.1 ALLOCATION OF DEEMED EARNINGS OR LOSSES ON ACCOUNTS.  The assets of the
Trust shall be invested in such investments as the Employer shall determine. The
Employer shall direct the Trustee to invest the accounts maintained in the Trust
on behalf of the Participants pursuant to the Employer's investment directions.

          The value of the Participant's  Account shall be equal to the value of
the account maintained under the Trust on behalf of the Participant.  As of each
valuation  date of the Trust,  the  Participant's  Account  will be  credited or
debited  to reflect  the  Participant's  deemed  investments  of the Trust.  The
Participant's  Plan  Account  will be credited or debited  with the  increase or
decrease in the realizable net asset value or credited interest,  as applicable,
of the designated deemed investments, as follows. As of each Valuation Date, the
earnings and losses of the Trust fund will be  allocated  to each  Participant's
Plan Account in the ratio that such  Account  balance  bears to all  Participant
Account balances.

     4.2  ACCOUNTING  FOR  DISTRIBUTIONS.  As of the  date  of any  distribution
hereunder,  the  distribution  made  hereunder to the  Participant or his or her
Beneficiary or Beneficiaries shall be charged to such Participant's Account.


                                       4

<PAGE>



     4.3  SEPARATE  ACCOUNTS.  A  separate  account  under  the  Plan  shall  be
established  and  maintained  by the  Employer  to reflect  the Account for each
Participant,  although there shall not be made or maintained an actual  physical
division  of the  assets  of  the  Trust  until  the  time  shall  arrive  for a
distribution hereunder to a Participant or a Beneficiary.

     4.4 INTERIM VALUATIONS.  If it is determined by the Employer that the value
of a Participant's  Account as of any date on which distributions are to be made
differs  materially  from the value of the  Participant's  Account  on the prior
Valuation Date upon which the distribution is to be based, the Employer,  in its
discretion,  shall  have the right to  designate  any date in the  interim  as a
Valuation  Date for the purpose of revaluing the  Participant's  Account so that
the Account will, prior to the distribution,  reflect its share of such material
difference in value.

     4.5  EXPENSES.   Expenses,   including  Trustee  fees,   allocable  to  the
administration  or  operation of an Account  maintained  under the Plan shall be
paid by the Employer.

     4.6 TAXES.  Any taxes  payable by the Employer  allocable to an Account (or
portion  thereof)  maintained  under  the Plan  which are  payable  prior to the
distribution  of the Account (or portion  thereof) shall be paid by the Employer
and shall not be charged  against that Account,  as an expense of the Account or
otherwise.

                                    ARTICLE 5

                             ENTITLEMENT TO BENEFITS

     5.1  FIXED  PAYMENT  DATES;  TERMINATION  OF  EMPLOYMENT.  On  his  or  her
Participant  Enrollment  and  Election  Form, a  Participant  may select a fixed
payment  date for the  payment or  commencement  of payment of his or her vested
Account  (or  elect to treat  his or her  vested  Account  as three  (3) or more
sub-accounts  and select fixed payment dates for the payment or  commencement of
payment of each sub-account),  which will be valued and payable according to the
provisions  of Article 6. Such  payment  dates may be extended to later dates so
long as  elections to so extend the dates are made by the  Participant  at least
six (6)  months  prior to the date on which  the  distribution  is to be made or
commence. Such payment dates may not be accelerated.

          Alternatively, on his or her Participant Enrollment and Election Form,
a Participant may select payment or commencement of payment of his or her vested
Account (or a sub-account  thereof) at his or her termination of employment with
the  Employer,  or at the earlier of a fixed payment date or dates or his or her
termination  of employment  with the Employer.  In this case,  the extension and
non-acceleration rules discussed above shall apply to such fixed payment date or
dates and/or termination of employment date, as applicable.

          Any fixed payment date elected by a Participant as provided above must
be a date no earlier  than the January 1 of the second  calendar  year after the
calendar year in which the election is made.

          If a Participant  does not make an election as provided  above for any
particular amounts hereunder, and the Participant terminates employment with the
Employer for any reason,  the  Participant's  vested Account at the date of such
termination  shall be valued and payable at or  commencing  at such  termination
according to the provisions of Article 6.

     5.2  HARDSHIP  DISTRIBUTIONS.  In the event of  financial  hardship  of the
Participant,  as hereinafter  defined, the Participant may apply to the Employer
for the  distribution  of all or any  part  of his or her  vested  Account.  The
Employer  shall  consider  the  circumstances  of each such  case,  and the best
interests of the Participant and his or her family, and shall have the right, in
its  sole  discretion,  if  applicable,  to  allow  such  distribution,  or,  if


                                       5

<PAGE>



applicable,  to direct a  distribution  of part of the amount  requested,  or to
refuse to allow any  distribution.  Upon a finding of  financial  hardship,  the
Employer shall make the appropriate distribution to the Participant from amounts
held by the Employer in respect of the Participant's vested Account. In no event
shall the aggregate amount of the  distribution  exceed either the full value of
the Participant's  vested Account or the amount determined by the Employer to be
necessary to alleviate the  Participant's  financial  hardship (which  financial
hardship may be considered to include any taxes due because of the  distribution
occurring because of this Section),  and which is not reasonably  available from
other resources of the Participant.  For purposes of this Section,  the value of
the  Participant's  vested  Account  shall be  determined  as of the date of the
distribution.  "Financial hardship" means (a) a severe financial hardship to the
Participant  resulting from a sudden and  unexpected  illness or accident of the
Participant  or of a  dependent  (as  defined  in Code  section  152(a))  of the
Participant,  (b) loss of the  Participant's  property due to  casualty,  or (c)
other similar extraordinary and unforeseeable  circumstances arising as a result
of events beyond the control of the Participant,  each as determined to exist by
the  Employer.  A  distribution  may be made  under this  Section  only with the
consent of the Employer.

     5.3 VESTING. A Participant shall at all times be one hundred percent (100%)
vested in amounts credited to his or her Compensation Deferral Account.  Amounts
credited to a  Participant's  Employer  Contribution  Credit  Account shall vest
according to the following schedule:

                  Years of Plan Participation          Vested Percentage
                  ---------------------------          -----------------
                          Less than 1                          20%
                       1 but less than 2                       40%
                       2 but less than 3                       60%
                       3 but less than 4                       80%
                          4 or more                           100%

          For  purposes  of  this  Section,   a  Participant's   years  of  Plan
participation  shall equal the  Participant's  total number of completed  twelve
(12) month  periods of  employment  with the  Employer,  whether  continuous  or
noncontinuous,  commencing  as of the date he or she first becomes a Participant
and ending as of the date of reference.

          If a Participant  terminates  employment  because of death,  total and
permanent  disability  (as  determined  by  the  Employer  in  its  discretion),
involuntary  termination  by the Employer  other than for cause (as  hereinafter
defined),  or,  except as provided in the  following  paragraph,  for any reason
following  attainment of Normal Retirement Age, the Participant shall become one
hundred  percent  (100%)  vested  in  his or her  Employer  Contribution  Credit
Account.  Except  as  provided  in the  following  paragraph,  if a  Participant
terminates  employment  under any  other  circumstance,  he or she shall  become
vested in his or her Employer  Contribution Credit Account, if at all, under the
vesting schedule set forth above.

          If a Participant's  employment is terminated by the Employer for cause
prior to a Change in Control,  he or she shall forfeit all credits to his or her
Employer Contribution Credit Account not yet received hereunder. For purposes of
this Section, with respect to any particular  Participant  termination for cause
shall  have  the  same  meaning  as is  used in  that  Participant's  individual
agreement of employment.

     5.4  RE-EMPLOYMENT  OF RECIPIENT.  If a Participant  receiving  installment
distributions  pursuant  to Section  6.2 is  re-employed  by the  Employer,  the
remaining  distributions  due to the  Participant  shall be suspended until such
time as the Participant (or his or her Beneficiary)  once again becomes eligible
for benefits under Section 5.1, at which time such distribution  shall commence,
subject to the limitations and conditions contained in this Plan.


                                       6

<PAGE>



     5.5  CHANGE IN CONTROL  BENEFITS.  Notwithstanding  anything  herein to the
contrary, in the event of a Change in Control of the Employer,  each Participant
shall  become  fully  vested  in all  amounts  credited  to his or her  Employer
Contribution  Credit Account,  and each Participant shall receive payment of his
or her entire Account  immediately  following such Change in Control,  in a cash
lump sum. In addition,  there shall be paid by the Employer to each  Participant
immediately   following   such  Change  in  Control  an  amount  equal  to  that
Participant's CIC Factor, as hereinafter  defined,  as of the date of the Change
in Control,  multiplied by five million  dollars  ($5,000,000).  For purposes of
this Section, a Participant's CIC Factor is calculated as follows: A participant
is deemed to receive one unit of credit for each month (or  portion  thereof) in
which he or she holds the position of Executive  Vice President of the Employer.
The   Participant   then  is  assigned  to  a  category   which  includes  other
Participants,  if any, who are deemed to have  received an  identical  amount of
units of credit.  A CIC Factor for each category is then calculated by assigning
a  numerical  factor to that  category  based upon the number of units of credit
deemed to have been received by each Participant in that category (with a factor
of one (1) assigned to the category with  Participants  with the fewest units of
credit, a factor of two (2) assigned to the category with  Participants with the
next  fewest  units of credit,  and so on),  multiplying  the  numerical  factor
assigned  to a category  by the number of  Participants  in that  category,  and
dividing that product by the sum of the factors for all the categories.  The CIC
Factor for a category  is then  divided  by the number of  Participants  in that
category to arrive at the CIC Factor for each such Participant.

                                    ARTICLE 8

                            DISTRIBUTION OF BENEFITS

     6.1 AMOUNT. A Participant (or his or her Beneficiary) shall become entitled
to receive on or about the date or dates  selected by the  Participant on his or
her  Participant  Enrollment and Election Form or, if none, on or about the date
of the Participant's  termination of employment with the Employer (or earlier as
provided in Article  5), a  distribution  in an  aggregate  amount  equal to the
Participant's  vested Account. Any payment due hereunder from the Trust which is
not paid by the  Trust  for any  reason  will be paid by the  Employer  from its
general assets.

     6.2 METHOD OF PAYMENT.

          (a) Cash Payments. All payments under the Plan shall be made in cash.

          (b) Timing and Manner of Payment.  In the case of  distributions  to a
Participant or his or her  Beneficiary  by virtue of an entitlement  pursuant to
Section 5.1, an aggregate amount equal to the Participant's  vested Account will
be paid by the Trust or the  Employer as provided by Section  6.1, in a lump sum
or in up to ten (10) substantially equal annual installments (adjusted for gains
and  losses),  as  selected  by the  Participant  as provided in Article 5. If a
Participant   fails  to  designate   properly  the  manner  of  payment  of  the
Participant's benefit under the Plan, such payment will be made in a lump sum.

          If  the  whole  or  any  part  of a  payment  hereunder  is  to  be in
installments, the total to be so paid shall continue to be deemed to be invested
pursuant to Section 4.1 under such procedures as the Employer may establish,  in
which case any deemed income,  gain or loss attributable  thereto (as determined
by the  Employer,  in its  discretion)  shall be  reflected  in the  installment
payments,  in such equitable manner as the Employer shall  determine.  Except in
the case of a Change in Control  (including a Change in Control  occurring after
the Participant's  receipt of benefits  hereunder  begin),  continued receipt of
installments may be made contingent upon the  Participant's  compliance with any
contractual obligations he or she may have to the Employer,  including,  but not
limited to, an obligation that the  Participant  may not enter into  competitive
employment with the Employer or


                                       7

<PAGE>



disclose   confidential   information   following  his  or  her  termination  of
employment.

     6.3 DEATH  BENEFITS.  If a Participant  dies before  terminating his or her
employment  with the  Employer  and before the  commencement  of payments to the
Participant  hereunder,  the entire value of the Participant's  Account shall be
paid,  as  provided  in Section  6.2,  to the person or  persons  designated  in
accordance with Section 7.1.

          Upon the death of a Participant  after  payments  hereunder have begun
but before he or she has  received  all  payments to which he or she is entitled
under the Plan,  the remaining  benefit  payments shall be paid to the person or
persons  designated in accordance  with Section 7.1, in the manner in which such
benefits  were payable to the  Participant,  unless the  Employer  elects a more
rapid form of distribution .

                                    ARTICLE 7

                         BENEFICIARIES; PARTICIPANT DATA

     7.1 DESIGNATION OF  BENEFICIARIES.  Each  Participant from time to time may
designate any person or persons (who may be named  contingently or successively)
to receive  such  benefits  as may be  payable  under the Plan upon or after the
Participant's  death,  and such  designation may be changed from time to time by
the Participant by filing a new  designation.  Each  designation will revoke all
prior designations by the same Participant, shall be in a form prescribed by the
Employer,  and will be  effective  only when filed in writing  with the Employer
during the Participant's lifetime.

          In the absence of a valid Beneficiary designation,  or if, at the time
any  benefit  payment is due to a  Beneficiary,  there is no living  Beneficiary
validly  named by the  Participant,  the  Employer  shall  pay any such  benefit
payment to the  Participant's  spouse,  if then  living,  but  otherwise  to the
Participant's then living descendants, if any, per stirpes, but, if none, to the
Participant's  estate.  In  determining  the  existence  or  identity  of anyone
entitled  to  a  benefit  payment,  the  Employer  may  rely  conclusively  upon
information supplied by the Participant's personal  representative,  executor or
administrator.  If a question  arises as to the  existence or identity of anyone
entitled to receive a benefit payment as aforesaid,  or if a dispute arises with
respect to any such payment, then,  notwithstanding the foregoing, the Employer,
in its sole discretion,  may distribute such payment to the Participant's estate
without liability for any tax or other  consequences which might flow therefrom,
or may take such other action as the Employer deems to be appropriate.

     7.2  INFORMATION  TO  BE  FURNISHED  BY  PARTICIPANTS  AND   BENEFICIARIES;
INABILITY TO LOCATE PARTICIPANTS OR BENEFICIARIES. Any communication,  statement
or notice addressed to a Participant or to a Beneficiary at his or her last post
office  address  as shown on the  Employer's  records  shall be  binding  on the
Participant or Beneficiary  for all purposes of the Plan. The Employer shall not
be obliged to search for any Participant or Beneficiary  beyond the sending of a
registered  letter to such last known  address.  If the  Employer  notifies  any
Participant  or  Beneficiary  that he or she is entitled to an amount  under the
Plan and the  Participant or Beneficiary  fails to claim such amount or make his
or her location known to the Employer within three (3) years  thereafter,  then,
except as otherwise  required by law, if the location of one or more of the next
of kin of the  Participant  is known to the  Employer,  the  Employer may direct
distribution  of such amount to any one or more or all of such next of kin,  and
in such proportions as the Employer  determines.  If the location of none of the
foregoing persons can be determined, the Employer shall have the right to direct
that the amount  payable  shall be deemed to be a  forfeiture,  except  that the
dollar amount of the  forfeiture,  unadjusted  for deemed gains or losses in the
interim,  shall be paid by the Employer if a claim for the benefit  subsequently
is made by the  Participant  or the  Beneficiary  to whom it was  payable.  If a
benefit payable to an unlocated Participant or Beneficiary is subject to escheat
pursuant to applicable state


                                       8

<PAGE>



law,  the  Employer  shall not be liable to any person for any  payment  made in
accordance with such law.

                                    ARTICLE 8

                                 ADMINISTRATION

     8.1 ADMINISTRATIVE  AUTHORITY.  Except as otherwise  specifically  provided
herein, the Employer shall have the sole responsibility for and the sole control
of the operation and  administration  of the Plan,  and shall have the power and
authority to take all action and to make all decisions and interpretations which
may be necessary or  appropriate  in order to  administer  and operate the Plan,
including, without limiting the generality of the foregoing, the power, duty and
responsibility to:

          (a) Resolve and determine all disputes or questions  arising under the
Plan, and to remedy any ambiguities, inconsistencies or omissions in the Plan.

          (b) Adopt such rules of procedure  and  regulations  as in its opinion
may be necessary for the proper and efficient  administration of the Plan and as
are consistent with the Plan.

          (c) Implement the Plan in accordance  with its terms and the rules and
regulations adopted as above.

          (d)  Make  determinations  with  respect  to  the  eligibility  of any
Eligible  Employee  as a  Participant  and make  determinations  concerning  the
crediting of Plan Accounts.

          (e)  Appoint  any  persons  or  firms,  or  otherwise  act  to  secure
specialized  advice  or  assistance,  as it  deems  necessary  or  desirable  in
connection with the  administration  and operation of the Plan, and the Employer
shall be entitled to rely conclusively upon, and shall be fully protected in any
action or  omission  taken by it in good  faith  reliance  upon,  the  advice or
opinion  of such  firms or  persons.  The  Employer  shall  have the  power  and
authority to delegate from time to time by written instrument all or any part of
its duties,  powers or  responsibilities  under the Plan,  both  ministerial and
discretionary,  as it deems appropriate,  to any person or committee, and in the
same manner to revoke any such delegation of duties, powers or responsibilities.
Any action of such person or committee in the exercise of such delegated duties,
powers or responsibilities shall have the same force and effect for all purposes
hereunder  as if such  action  had been  taken  by the  Employer.  Further,  the
Employer  may  authorize  one or more  persons to  execute  any  certificate  or
document on behalf of the  Employer,  in which event any person  notified by the
Employer of such authorization shall be entitled to accept and conclusively rely
upon any such  certificate or document  executed by such person as  representing
action by the Employer  until such  notified  person shall have been notified of
the revocation of such authority.

     8.2 UNIFORMITY OF DISCRETIONARY  ACTS.  Whenever in the  administration  or
operation  of the Plan  discretionary  actions by the  Employer  are required or
permitted,  such actions  shall be  consistently  and  uniformly  applied to all
persons  similarly  situated,  and no such  action  shall be taken  which  shall
discriminate in favor of any particular person or group of persons.

     8.3 LITIGATION.  Except as may be otherwise  required by law, in any action
or judicial  proceeding  affecting the Plan, no Participant or Beneficiary shall
be entitled to any notice or service of process,  and any final judgment entered
in such action shall be binding on all persons interested in, or claiming under,
the Plan.

     8.4  CLAIMS  PROCEDURE.  Any person  claiming  a benefit  under the Plan (a
"Claimant")  shall  present the claim,  in  writing,  to the  Employer,  and the
Employer shall respond in writing. If the claim is denied, the written


<PAGE>



notice of denial shall state,  in a manner  calculated  to be  understood by the
Claimant:

          (a) The  specific  reason or reasons  for the  denial,  with  specific
references to the Plan provisions on which the denial is based;

          (b) A description of any additional material or information  necessary
for the  Claimant  to perfect  his or her claim and an  explanation  of why such
material or information is necessary; and

          (c) An explanation of the Plan's claims review procedure.

          The written notice  denying or granting the Claimant's  claim shall be
provided to the Claimant within ninety (90) days after the Employer's receipt of
the  claim,  unless  special  circumstances  require  an  extension  of time for
processing  the claim.  If such an extension is required,  written notice of the
extension  shall be furnished by the Employer to the Claimant within the initial
ninety (90) day period and in no event shall such an  extension  exceed a period
of ninety  (90) days from the end of the initial  ninety  (90) day  period.  Any
extension  notice  shall  indicate  the  special  circumstances   requiring  the
extension and the date on which the Employer expects to render a decision on the
claim.  Any claim not granted or denied  within the period  noted above shall be
deemed to have been denied.

          Any  Claimant  whose  claim is denied,  or deemed to have been  denied
under the preceding  sentence (or such  Claimant's  authorized  representative),
may,  within  sixty  (60) days  after the  Claimant's  receipt  of notice of the
denial,  or after the date of the deemed denial,  request a review of the denial
by notice given,  in writing,  to the Employer.  Upon such a request for review,
the claim shall be reviewed by the Employer (or its  designated  representative)
which may,  but shall not be  required  to,  grant the  Claimant  a hearing.  In
connection with the review,  the Claimant may have  representation,  may examine
pertinent documents, and may submit issues and comments in writing.

          The decision on review  normally  shall be made within sixty (60) days
of the Employer's  receipt of the request for review. If an extension of time is
required  due to special  circumstances,  the  Claimant  shall be  notified,  in
writing, by the Employer, and the time limit for the decision on review shall be
extended to one hundred  twenty  (120) days.  The decision on review shall be in
writing  and  shall  state,  in a  manner  calculated  to be  understood  by the
Claimant,  the specific reasons for the decision and shall include references to
the  relevant  Plan  provisions  on which the  decision  is based.  The  written
decision on review shall be given to the Claimant within the sixty (60) day (or,
if applicable,  the one hundred twenty (120) day) time limit discussed above. If
the decision on review is not communicated to the Claimant within the sixty (60)
day (or, if  applicable,  the one  hundred  twenty  (120) day) period  discussed
above, the claim shall be deemed to have been denied upon review.  All decisions
on review shall be final and binding with respect to all concerned parties.

                                    ARTICLE 9

                                    AMENDMENT

     9.1  RIGHT TO AMEND.  The  Employer,  by action of its Board of  Directors,
shall  have the  right to amend the Plan,  at any time and with  respect  to any
provisions  hereof,  and all parties  hereto or claiming any interest  hereunder
shall be bound by such  amendment;  provided,  however,  that no such  amendment
shall deprive a Participant or a Beneficiary of a right accrued  hereunder prior
to the date of the amendment.

     9.2 AMENDMENTS TO ENSURE PROPER  CHARACTERIZATION OF PLAN.  Notwithstanding
the  provisions  of Section  9.1, the Plan may be amended by the Employer at any
time,  retroactively  if  required,  if found  necessary,  in the opinion of the
Employer, in order to ensure that the Plan is characterized as


                                       10

<PAGE>



"top-hat"  plan of  deferred  compensation  maintained  for a  select  group  of
management or highly  compensated  employees as described  under ERISA  sections
201(2),  301(a)(3), and 401(a)(1), and to conform the Plan to the provisions and
requirements  of any  applicable  law  (including  ERISA and the Code).  No such
amendment shall be considered  prejudicial to any interest of a Participant or a
Beneficiary hereunder.

                                   ARTICLE 10

                                   TERMINATION

     10.1 EMPLOYER'S  RIGHT TO TERMINATE OR SUSPEND PLAN. The Employer  reserves
the right to terminate the Plan and/or its obligation to make further credits to
Plan Accounts,  by action of its Board of Directors.  The Employer also reserves
the right to  suspend  the  operation  of the Plan for a fixed or  indeterminate
period of time, by action of its Board of Directors.

     10.2 AUTOMATIC  TERMINATION OF PLAN. The Plan automatically shall terminate
upon the dissolution of the Employer,  or upon its merger into or  consolidation
with any other corporation or business organization if there is a failure by the
surviving  corporation or business  organization to adopt specifically and agree
to continue the Plan.

     10.3 SUSPENSION OF DEFERRALS. In the event of a suspension of the Plan, the
Employer  shall  continue  all  aspects  of the Plan,  other  than  Compensation
Deferrals  and  Employer  Contribution   Credits,   during  the  period  of  the
suspension,  in which event  payments  hereunder will continue to be made during
the period of the suspension in accordance with Articles 5 and 6.

     10.4 ALLOCATION AND DISTRIBUTION.  This Section shall become operative on a
complete  termination  of the Plan.  The  provisions  of this Section also shall
become  operative  in  the  event  of a  partial  termination  of the  Plan,  as
determined  by the  Employer,  but only with respect to that portion of the Plan
attributable to the Participants to whom the partial  termination is applicable.
Upon the effective date of any such event,  notwithstanding any other provisions
of the Plan, no persons who were not theretofore  Participants shall be eligible
to become  Participants  and the value of the interest of all  Participants  and
Beneficiaries  shall be fully  vested and  determined  and,  after  paying  Plan
benefits, paid to them as soon as is practicable after such termination.

     10.5 SUCCESSOR TO EMPLOYER.  Any corporation or other business organization
which is a successor  to the  Employer by reason of a  consolidation,  merger or
purchase of substantially all of the assets of the Employer shall have the right
to become a party to the Plan by adopting the same by resolution of the entity's
board of directors or other  appropriate  governing body. If, within ninety (90)
days from the effective  date of such  consolidation,  merger or sale of assets,
such new entity  does not become a party  hereto,  as above  provided,  the Plan
automatically  shall be  terminated,  and the  provisions  of Section 10.4 shall
become operative.

                                   ARTICLE 11

                                    THE TRUST

     11.1  ESTABLISHMENT  OF TRUST.  The Employer shall establish the Trust with
the Trustee  pursuant to such terms and conditions as are set forth in the Trust
agreement to be entered into between the Employer and the Trustee.  The Trust is
intended to be treated as a "grantor" trust under the Code and the establishment
of the Trust is not intended to cause the  Participant to realize current income
on amounts contributed thereto, and the Trust shall be so interpreted.


                                       11

<PAGE>



                                   ARTICLE 12

                                  MISCELLANEOUS

     12.1 LIMITATIONS ON LIABILITY OF EMPLOYER. Neither the establishment of the
Plan nor any  modification  thereof,  nor the creation of any account  under the
Plan,  nor the  payment of any  benefits  under the Plan shall be  construed  as
giving to any  Participant or other person any legal or equitable  right against
the Employer, or any officer or employer thereof except as provided by law or by
any Plan provision. The Employer does not in any way guarantee any Participant's
Account from loss or depreciation, whether caused by poor investment performance
of a deemed  investment or the inability to realize upon an investment due to an
insolvency  affecting an  investment  vehicle or any other  reason.  In no event
shall the Employer, or any successor, employee, officer, director or stockholder
of the  Employer,  be liable to any person on  account  of any claim  arising by
reason  of the  provisions  of the  Plan  or of any  instrument  or  instruments
implementing its provisions, or for the failure of any Participant,  Beneficiary
or other person to be entitled to any particular tax  consequences  with respect
to the Plan, or any credit or distribution hereunder.

     12.2  CONSTRUCTION.  If any  provision of the Plan is held to be illegal or
void, such illegality or invalidity shall not affect the remaining provisions of
the Plan,  but shall be fully  severable,  and the Plan shall be  construed  and
enforced as if said illegal or invalid provision had never been inserted herein.
For all  purposes of the Plan,  where the context  admits,  the  singular  shall
include the plural,  and the plural  shall  include  the  singular.  Headings of
Articles and Sections  herein are inserted only for convenience of reference and
are not to be considered in the  construction of the Plan. The laws of the State
of Maryland  shall  govern,  control and  determine all questions of law arising
with respect to the Plan and the  interpretation  and validity of its respective
provisions,  except  where  those laws are  preempted  by the laws of the United
States.  Participation under the Plan will not give any Participant the right to
be retained in the service of the Employer nor any right or claim to any benefit
under the Plan unless such right or claim has specifically accrued hereunder.

          The Plan is intended to be and at all times shall be  interpreted  and
administered so as to qualify as an unfunded deferred  compensation plan, and no
provision  of the Plan shall be  interpreted  so as to give any  individual  any
right in any assets of the Employer  which right is greater than the rights of a
general unsecured creditor of the Employer.

     12.3  SPENDTHRIFT  PROVISION.  No  amount  payable  to a  Participant  or a
Beneficiary  under the Plan will, except as otherwise  specifically  provided by
law,  be  subject  in  any  manner  to  anticipation,   alienation,  attachment,
garnishment,  sale,  transfer,  assignment  (either at law or in equity),  levy,
execution, pledge, encumbrance,  charge or any other legal or equitable process,
and any  attempt  to do so will be void;  nor will any  benefit be in any manner
liable for or subject to the debts, contracts, liabilities, engagements or torts
of the person entitled thereto.  Further, (i) the withholding of taxes from Plan
benefit  payments,  (ii) the recovery under the Plan of overpayments of benefits
previously  made to a  Participant  or  Beneficiary,  (iii) if  applicable,  the
transfer  of benefit  rights from the Plan to another  plan,  or (iv) the direct
deposit of benefit  payments  to an  account  in a banking  institution  (if not
actually part of an arrangement  constituting an assignment or alienation) shall
not be construed as an assignment or alienation.

          In  the  event  that  any  Participant's  or  Beneficiary's   benefits
hereunder  are  garnished  or  attached by order of any court,  the  Employer or
Trustee may bring an action or a  declaratory  judgment in a court of  competent
jurisdiction to determine the proper  recipient of the benefits to be paid under
the Plan.  During the pendency of said action,  any benefits that become payable
shall be held as credits to the  Participant's or  Beneficiary's  Account or, if
the Employer or Trustee prefers,  paid into the court as they become payable, to
be  distributed  by the court to the  recipient as the court deems


                                       12

<PAGE>



proper at the close of said action.






                                       13

<PAGE>



     IN WITNESS WHEREOF, the Employer has caused the Plan to be executed and its
seal to be affixed hereto, effective as of the 1st day of April, 1998.

ATTEST/WITNESS                         INTEGRATED HEALTH SERVICES, INC.

_________________________________________________________ By: __________________
____________________________(SEAL)

Print: __________________________________________  Print Name: ________________
_________________________________

                                              Date: ____________________________
__________________



                                       14

<PAGE>


                                   SCHEDULE I
                            (Effective April 1, 1998)

Executives participating in Plan B are:

William B. Bennett

Brian K. Davidson

Marshall A. Elkins

John F. Heller, III

Elizabeth Kelly

Francis P. Kirley

Marc B. Levin

Anthony R. Masso

Murry J. Mercier

C. Taylor Pickett

Scott W. Robertson*

Ruth Ann Skaggs

Sally Weisberg

C. Christian Winkle


- ----------
* No further  Compensation  Deferrals or Employer  Contribution  Credits will be
credited to Mr.  Robertson's  Account after March 13, 1998. Upon Mr. Robertson's
termination of employment,  he became vested in his Employer Contribution Credit
Account  under the vesting  schedule  set forth in Section  5.3,  using years of
participation as of such date of termination plus one additional, deemed year of
participation.  The Change in Control  Benefit  described in Section 5.5 will be
applicable to Mr. Robertson solely with respect to a Change in Control occurring
after March 13, 1998 and on or before December 31, 1998, provided, however, that
in calculating the Change in Control Benefit of Mr.  Robertson,  any such Change
in Control will be deemed to have occurred on March 13, 1998.




                                       15







                        INTEGRATED HEALTH SERVICES, INC.

                           DEFERRED COMPENSATION PLAN

                           FOR SENIOR VICE PRESIDENTS

                        AND HIGHLY COMPENSATED EMPLOYEES









                              AMENDED AND RESTATED
                          EFFECTIVE AS OF MARCH 1, 1998



<PAGE>



                        INTEGRATED HEALTH SERVICES, INC.
                           DEFERRED COMPENSATION PLAN
                           FOR SENIOR VICE PRESIDENTS
                        AND HIGHLY COMPENSATED EMPLOYEES

                              AMENDED AND RESTATED
                          EFFECTIVE AS OF MARCH 1, 1998

                                TABLE OF CONTENTS

                                    ARTICLE 1
                                   DEFINITIONS

1.1      ACCOUNT.............................................................  1
1.2      BENEFICIARY.........................................................  1
1.3      CHANGE OF CONTROL...................................................  1
1.4      CODE................................................................  2
1.5      COMPENSATION........................................................  2
1.6      COMPENSATION DEFERRAL ACCOUNT.......................................  2
1.7      COMPENSATION DEFERRALS..............................................  2
1.8      DESIGNATED SENIOR VICE PRESIDENT....................................  2
1.9      DESIGNATION DATE....................................................  2
1.10     EFFECTIVE DATE......................................................  2
1.11     ELIGIBLE EMPLOYEE...................................................  2
1.12     EMPLOYER............................................................  2
1.13     EMPLOYER CONTRIBUTION CREDIT ACCOUNT................................  2
1.14     EMPLOYER CONTRIBUTION CREDITS.......................................  2
1.15     ENTRY DATE..........................................................  2
1.16     HIGHLY COMPENSATED EMPLOYEE.........................................  3
1.17     PARTICIPANT.........................................................  3
1.18     PARTICIPANT ENROLLMENT AND ELECTION FORM............................  3
1.19     PLAN................................................................  3
1.20     PLAN YEAR...........................................................  3
1.21     TRUST...............................................................  3
1.22     TRUSTEE.............................................................  3
1.23     VALUATION DATE......................................................  3

                                    ARTICLE 2

                          ELIGIBILITY AND PARTICIPATION

2.1      REQUIREMENTS........................................................  3
2.2      RE-EMPLOYMENT.......................................................  4
2.3      CHANGE OF EMPLOYMENT CATEGORY.......................................  4


                                       i

<PAGE>



                                    ARTICLE 3

                            CONTRIBUTIONS AND CREDITS

3.1      EMPLOYER CONTRIBUTION CREDITS.......................................  4
3.2      PARTICIPANT COMPENSATION DEFERRALS..................................  5
3.3      CONTRIBUTIONS TO THE TRUST..........................................  6

                                    ARTICLE 4

                               ALLOCATION OF FUNDS

4.1      ALLOCATION OF DEEMED EARNINGS OR LOSSES ON ACCOUNTS.................  6
4.2      ACCOUNTING FOR DISTRIBUTIONS........................................  7
4.3      SEPARATE ACCOUNTS...................................................  7
4.4      INTERIM VALUATIONS..................................................  7
4.5      DEEMED INVESTMENT DIRECTIONS OF PARTICIPANTS........................  7
4.6      EXPENSES............................................................  8
4.7      TAXES...............................................................  8

                                    ARTICLE 5

                             ENTITLEMENT TO BENEFITS

5.1      TERMINATION OF EMPLOYMENT...........................................  9
5.2      HARDSHIP DISTRIBUTIONS..............................................  9
5.3      VESTING.............................................................  9

                                    ARTICLE 6

                            DISTRIBUTION OF BENEFITS

6.1      AMOUNT.............................................................. 10
6.2      METHOD OF PAYMENT................................................... 10
6.3      DEATH BENEFITS...................................................... 10

                                    ARTICLE 7

                         BENEFICIARIES; PARTICIPANT DATA

7.1      DESIGNATION OF BENEFICIARIES........................................ 11
7.2      INFORMATION  TO BE FURNISHED BY  PARTICIPANTS  AND  BENEFICIARIES;
         INABILITY TO LOCATE PARTICIPANTS OR BENEFICIARIES................... 11

                                    ARTICLE 8

                                 ADMINISTRATION

8.1      ADMINISTRATIVE AUTHORITY............................................ 12
8.2      UNIFORMITY OF DISCRETIONARY ACTS.................................... 13
8.3      LITIGATION.......................................................... 13


                                       ii

<PAGE>



8.4      CLAIMS PROCEDURE.................................................... 13

                                    ARTICLE 9

                                    AMENDMENT

9.1      RIGHT TO AMEND...................................................... 14
9.2      AMENDMENTS TO ENSURE PROPER CHARACTERIZATION OF PLAN................ 14

                                   ARTICLE 10

                                   TERMINATION

10.1     EMPLOYER'S RIGHT TO TERMINATE OR SUSPEND PLAN....................... 14
10.2     AUTOMATIC TERMINATION OF PLAN....................................... 14
10.3     SUSPENSION OF DEFERRALS............................................. 14
10.4     ALLOCATION AND DISTRIBUTION......................................... 15
10.5     SUCCESSOR TO EMPLOYER............................................... 15

                                   ARTICLE 11

                                    THE TRUST

11.1     ESTABLISHMENT OF TRUST.............................................. 15

                                   ARTICLE 12

                                  MISCELLANEOUS

12.1     LIMITATIONS ON LIABILITY OF EMPLOYER................................ 15
12.2     CONSTRUCTION........................................................ 16
12.3     SPENDTHRIFT PROVISION............................................... 16




                                       iii

<PAGE>



                        INTEGRATED HEALTH SERVICES, INC.
                           DEFERRED COMPENSATION PLAN
                           FOR SENIOR VICE PRESIDENTS
                        AND HIGHLY COMPENSATED EMPLOYEES

                              AMENDED AND RESTATED
                          EFFECTIVE AS OF MARCH 1, 1998

                                    RECITALS

     This, the Integrated Health Services,  Inc. Deferred  Compensation Plan for
Senior Vice Presidents and Highly Compensated Employees (the "Plan"), is adopted
by  Integrated  Health  Services,  Inc.  (the  "Employer")  for  certain  of its
executive and/or highly compensated employees. The Plan constitutes an amendment
and restatement of the Integrated Health Services,  Inc.  Supplemental  Deferred
Compensation Plan for Senior Vice Presidents.

     The purpose of the Plan is to offer those employees an opportunity to elect
to  defer  the  receipt  of  compensation  in order to  provide  termination  of
employment and related  benefits taxable pursuant to section 451 of the Internal
Revenue  Code of 1986,  as amended  (the  "Code").  The Plan is intended to be a
"top-hat" plan (i.e., an unfunded  deferred  compensation  plan maintained for a
select group of  management  or  highly-compensated  employees)  under  sections
201(2),  301(a)(3) and 401(a)(1) of the Employee  Retirement Income Security Act
of 1974 ("ERISA").

     Accordingly, the following Plan is adopted.


                                    ARTICLE 1

                                   DEFINITIONS

     1.1 ACCOUNT means the balance  credited to a Participant's or Beneficiary's
Plan account, including contribution credits and deemed income, gains and losses
(as  determined  by  the  Employer,  in  its  discretion)  credited  thereto.  A
Participant's  or  Beneficiary's  Account  shall be determined as of the date of
reference.

     1.2 BENEFICIARY means any person or person so designated in accordance with
the provisions of Article 7.

     1.3 CHANGE OF CONTROL  means (a) the purchase of other  acquisition  by any
person, entity or group of persons, within the meaning of section 13(d) or 14(d)
of the Securities Exchange Act of 1934 (the "Act"), or any comparable  successor
provisions,   of  beneficial   ownership  (within  the  meaning  of  Rule  13d-3
promulgated  under  the  Act) of  thirty  percent  (30%) or more of  either  the
outstanding  shares  of  common  stock  or  the  combined  voting  power  of the
Employer's then outstanding voting securities entitled to vote generally, or (b)
the approval by the stockholders of the Employer of a reorganization, merger, or
consolidation,  in each case with respect to which persons who were stockholders
of  the  Employer   immediately   prior  to  such   reorganization,   merger  or
consolidation do not, immediately thereafter,  own more than fifty percent (50%)
of the  combined  voting  power  entitled to vote  generally  in the election of
directors of the reorganized,  merged, or consolidated entity's then


                                       1

<PAGE>



outstanding securities,  or (c) a liquidation or dissolution of the Employer, or
(d) the sale of all or substantially all of the Employer's assets.

     1.4 CODE  means  the  Internal  Revenue  Code of 1986  and the  regulations
thereunder, as amended from time to time.

     1.5  COMPENSATION  means the total  current cash  remuneration  paid by the
Employer  to an  Eligible  Employee  with  respect to his or her service for the
Employer (as determined by the Employer at its discretion).

     1.6 COMPENSATION DEFERRAL ACCOUNT is defined in Section 3.2.

     1.7 COMPENSATION DEFERRALS is defined in Section 3.2.

     1.8  DESIGNATED  SENIOR  VICE  PRESIDENT  means a  person  employed  by the
Employer in the position of Senior Vice President who is designated by the Board
of Directors of the Employer to be eligible for Designated Senior Vice President
benefits under the Plan.

     1.9  DESIGNATION  DATE means the date or dates as of which a designation of
deemed  investment  directions by an individual  pursuant to Section 4.5, or any
change in a prior designation of deemed  investment  directions by an individual
pursuant to Section 4.5, shall become  effective.  The Designation  Dates in any
Plan Year shall be designated by the Employer.

     1.10  EFFECTIVE  DATE means the effective date of this amended and restated
Plan, which shall be March 1, 1998.

     1.11 ELIGIBLE  EMPLOYEE  means,  for any Plan Year (or  applicable  portion
thereof), any Highly Compensated Employee or Designated Senior Vice President.

     1.12 EMPLOYER means Integrated Health Services, Inc. and its successors and
assigns unless otherwise herein provided,  or any other  corporation or business
organization which, with the consent of Integrated Health Services, Inc., or its
successors or assigns,  assumes the  Employer's  obligations  hereunder,  or any
other  corporation or business  organization  which agrees,  with the consent of
Integrated Health Services, Inc., to become a party to the Plan.

     1.13 EMPLOYER CONTRIBUTION CREDIT ACCOUNT is defined Section 3.1.

     1.14 EMPLOYER CONTRIBUTION CREDITS is defined in Section 3.1.

     1.15 ENTRY DATE with  respect to an  individual  means the first day of the
pay period following the date on which the individual first is given notice that
he or she is an Eligible Employee.

     1.16 HIGHLY  COMPENSATED  EMPLOYEE means a person employed by the Employer,
other than a Designated Senior Vice President, who, for any Plan Year, meets the
definition of "highly compensated employee" under section 414(q) of the Code. In
determining whether such an employee is a Highly Compensated Employee for a Plan
Year, the employee's  compensation  (within

                                       2

<PAGE>



the  meaning  of Code  section  414(q))  will be based upon (i) in the case of a
newly  hired  employee  during  that  Plan  Year,  his or her  projected  annual
compensation  as of the date of  hire,  as  determined  by the  Employer  in its
discretion,  and (ii) in the case of an employee employed by the Employer during
the entire Plan Year, his or her actual compensation  through November 1 of that
Plan Year,  plus his or her  projected  compensation  for the period  November 1
through  December 31 of that Plan Year,  as  determined  by the  Employer in its
discretion.  The preceding  notwithstanding,  any such employee who met the Code
section 414(q)  definition of "highly  compensated  employee" (as amended by the
Small Business Job Protection Act of 1996) during the 1997 Plan Year will, as of
the Effective Date, be considered a Highly Compensated Employee hereunder.  Once
an employee becomes a Highly  Compensated  Employee,  the employee will remain a
Highly  Compensated  Employee  throughout the remainder of his or her employment
with the Employer  (unless and until such employee  becomes a Designated  Senior
Vice  President),  regardless  of whether he or she  continues  to meet the Code
section 414(q) definition of "highly compensated employee".

     1.17  PARTICIPANT  means any person so designated  in  accordance  with the
provisions of Article 2, including,  where appropriate  according to the context
of the Plan,  any former  employee who is or may become (or whose  Beneficiaries
may become) eligible to receive a benefit under the Plan.

     1.18  PARTICIPANT  ENROLLMENT  AND ELECTION FORM means the form or forms on
which a  Participant  elects to defer  Compensation  hereunder  and on which the
Participant makes certain other designations as required thereon.

     1.19 PLAN means this Integrated Health Services, Inc. Deferred Compensation
Plan for Senior Vice  Presidents and Highly  Compensated  Employees,  as amended
from time to time.

     1.20 PLAN YEAR means the twelve (12) month period ending on the December 31
of each year during which the Plan is in effect.

     1.21 TRUST means the Trust established pursuant to Article 11.

     1.22 TRUSTEE means the trustee of the Trust established pursuant to Article
11.

     1.23 VALUATION DATE means the last day of each Plan Year and any other date
that the Employer, in its sole discretion, designates as a Valuation Date.


                                    ARTICLE 2

                          ELIGIBILITY AND PARTICIPATION

     2.1 REQUIREMENTS. Every Eligible Employee as of the Effective Date shall be
eligible to become a Participant  on the Effective  Date.  Every other  Eligible
Employee  shall be  eligible  to become a  Participant  on the first  Entry Date
occurring  on or after the date on which he or she is notified  by the  Employer
that  he  or  she  is  an  Eligible  Employee.  No  individual  shall  become  a
Participant,  however,  if he or she is not an Eligible Employee on the date his
or her participation is to begin.

          Participation in the Participant  Compensation Deferral feature of the
Plan is  voluntary.


                                       3

<PAGE>



In order to participate in the Participant  Compensation Deferral feature of the
Plan,  an otherwise  Eligible  Employee  must make written  application  in such
manner as may be required by Section 3.2 and by the  Employer  and must agree to
make Compensation Deferrals as provided in Article 3.

     2.2  RE-EMPLOYMENT.  If a Participant whose employment with the Employer is
terminated is subsequently re-employed,  he or she shall become a Participant in
accordance with the provisions of Section 2.1.

     2.3 CHANGE OF EMPLOYMENT CATEGORY. During any period in which a Participant
remains in the employ of the Employer, but ceases to be an Eligible Employee, he
or she shall not be eligible to make Compensation Deferrals hereunder.


                                    ARTICLE 3

                            CONTRIBUTIONS AND CREDITS

     3.1  EMPLOYER  CONTRIBUTION   CREDITS.   There  shall  be  established  and
maintained a separate Employer  Contribution  Credit Account in the name of each
Participant. There shall be established the following two (2) sub-accounts under
a  Participant's   Employer   Contribution  Credit  Account:  (a)  the  Matching
Contribution  Sub-Account;  and (b) the Discretionary  Contribution Sub-Account.
Each such Account shall be credited or debited, as applicable,  with (a) amounts
equal to the Employer's  Contribution Credits credited to that Sub-Account;  and
(b) any deemed  earnings and losses (to the extent  realized,  based upon deemed
fair  market  value of the  Sub-Account's  deemed  assets as  determined  by the
Employer, in its discretion) allocated to that Sub-Account.

          For purposes of this  Section,  the  Employer's  Contribution  Credits
credited to a Participant's  Matching Contribution  Sub-Account for a particular
Plan Year shall be (i) if the Participant is a Designated Senior Vice President,
an  amount  equal  to fifty  percent  (50%)  of the  Participant's  Compensation
Deferrals for the Plan Year (not in excess of ten thousand dollars  ($10,000) of
Compensation Deferrals),  and (ii) if the Participant is not a Designated Senior
Vice   President,   an  amount  equal  to  twenty-five   percent  (25%)  of  the
Participant's  Compensation  Deferrals  for the Plan  Year (not in excess of ten
thousand  dollars  ($10,000) of  Compensation  Deferrals).  Notwithstanding  the
preceding, a Participant who makes Compensation Deferrals for the calendar month
in which he or she  terminates  employment  with the Employer  shall  receive no
Employer  Contribution Credits to his or her Matching  Contribution  Sub-Account
with respect to such calendar month.

          For purposes of this  Section,  the  Employer's  Contribution  Credits
credited  to  a  Participant's  Discretionary  Contribution  Sub-Account  for  a
particular  Plan Year shall be an amount (if any)  determined by the Employer in
its  discretion.  The  amount  allocated  to  each  Participant's  Discretionary
Contribution  Sub-Account  each year  that the  Employer  makes a  discretionary
contribution  shall depend upon whether or not the  Participant  is a Designated
Senior Vice President. If the Participant is a Designated Senior Vice President,
the  amount   allocated  to  such   Participant's   Discretionary   Contribution
Sub-Account  for a Plan Year shall equal the total  discretionary  contributions
for the Plan Year (if any)  made by the  Employer  on  behalf  of  participating
Designated  Senior Vice  Presidents  multiplied by a fraction,  the numerator of
which is the Participant's  Compensation for the calendar year prior to the Plan
Year for which the  discretionary  contribution  is made (as  determined  by the
Employer)  and the  denominator  of  which  is the  total  of all  participating


                                       4

<PAGE>



Designated  Senior Vice Presidents'  Compensation for such calendar year. If the
Participant is not a Designated  Senior Vice President,  the amount allocated to
such Participant's  Discretionary Contribution Sub-Account for a Plan Year shall
equal the total  discretionary  contributions for the Plan Year (if any) made by
the  Employer  on behalf of  Participants  other  than  Designated  Senior  Vice
Presidents multiplied by a fraction, the numerator of which is the Participant's
Compensation  for the  calendar  year  prior to the  Plan  Year  for  which  the
discretionary  contribution  is made (as  determined  by the  Employer)  and the
denominator of which is the total of all  Participants'  (other than  Designated
Senior Vice  Presidents')  Compensation for such calendar year. If a Participant
receives  a  discretionary  contribution  for a Plan  Year  and the  Participant
terminates  employment  voluntarily with the Employer during such Plan Year, the
Participant  shall  forfeit  that  portion  of  the  Plan  Year's  discretionary
contribution  that is equal to the amount he or she had  allocated to his or her
Discretionary  Contribution  Sub-Account multiplied by a fraction, the numerator
of  which  is  the  number  of  days  in  the  Plan  Year  remaining  after  the
Participant's  termination of employment  and the  denominator of which is three
hundred and sixty-five (365). Any such forfeited amount shall be retained by the
Employer if it had not at such time made a contribution  to the Trust in respect
of such  discretionary  contribution or, if the Employer had made a contribution
to the Trust in respect of such discretionary  contribution,  any such forfeited
amount shall be returned to the Employer from the Trust  (unadjusted  for deemed
earnings or losses).

          The  Participant's  Employer  Contribution  Credit  Account  shall  be
credited or debited,  as  applicable,  as of each  Valuation  Date,  with deemed
earnings or losses, as applicable. The amount of deemed earnings or losses shall
be as  determined  by the Employer.  The Employer  shall have the  discretion to
allocate   such  deemed   earnings  or  losses  among   Participants'   Employer
Contribution Credit Accounts and among a Participant's  Sub-Accounts pursuant to
such   allocation   rules  as  the   Employer   deems  to  be   reasonable   and
administratively practicable.

          A  Participant  shall be  vested  in  amounts  credited  to his or her
Employer Contribution Credit Account as provided in Section 5.3.

     3.2   PARTICIPANT   COMPENSATION   DEFERRALS.   In  accordance  with  rules
established by the Employer, a Participant may elect to defer Compensation which
is due to be earned and which would otherwise be paid to the  Participant,  in a
lump sum or in any fixed periodic dollar amounts  designated by the Participant.
Amounts so deferred will be considered a Participant's "Compensation Deferrals."
Ordinarily,  a Participant  shall make such an election with respect to a coming
twelve (12) month Plan Year during the period  beginning  on the  November 1 and
ending on the December 31 of the prior Plan Year, or during such other period as
is established by the Employer.

          Compensation   Deferrals   shall  be  made  through   regular  payroll
deductions or through an election by the  Participant  to defer the payment of a
bonus not yet payable to him or her at the time of the election. A Participant's
regular  payroll  deduction  Compensation  Deferral  amount is unlimited for any
regular payroll period,  but may not exceed in any Plan Year fifty percent (50%)
of his or her  regular  Compensation  for such Plan Year.  The  Participant  may
change his or her regular payroll deduction  Compensation Deferral amount as of,
and by written notice  delivered to the Employer at least thirty (30) days prior
to, the beginning of any regular payroll period, with such reduction being first
effective for Compensation to be earned in that payroll period. In the case of a
bonus deferral,  the Participant may reduce his or her bonuses due to be paid by
the Employer by giving notice to the


                                        5

<PAGE>



Employer  of the  bonus  Compensation  Deferral  amount  prior  to the  date the
applicable bonus is first due to be paid.

          Once made, a Compensation  Deferral regular payroll deduction election
shall  continue in force  indefinitely,  until changed by the  Participant  on a
subsequent  Participant Enrollment and Election Form provided by the Employer. A
bonus payment  election shall continue in force only for the Plan Year for which
the election is first effective. Compensation Deferrals shall be deducted by the
Employer  from the pay of a deferring  Participant  and shall be credited to the
Account of the deferring Participant.

          There shall be  established  and maintained by the Employer a separate
Compensation  Deferral Account in the name of each Participant to which shall be
credited  or  debited:  (a)  amounts  equal  to the  Participant's  Compensation
Deferrals; and (b) amounts equal to any deemed earnings or losses (to the extent
realized, based upon deemed fair market value of the Account's deemed assets, as
determined  by  the  Employer,  in its  discretion)  attributable  or  allocable
thereto.  A Participant shall at all times be 100% vested in amounts credited to
his or her Participant Compensation Deferral Account.

     3.3  CONTRIBUTIONS  TO THE TRUST.  An amount  shall be  contributed  by the
Employer  to the Trust  maintained  under  Section  11.1 equal to the  amount(s)
required to be credited to the Participants'  Accounts under Section 3.2 as soon
as  practicable  after  such  amount(s)  are  determined.  An  amount  shall  be
contributed by the Employer to said Trust equal to the amount(s)  required to be
credited to the Participants'  Accounts under Section 3.1 as soon as practicable
after the end of the calendar month in which such amounts are determined.

                                    ARTICLE 4

                               ALLOCATION OF FUNDS

     4.1 ALLOCATION OF DEEMED EARNINGS OR LOSSES ON ACCOUNTS. Subject to Section
4.5,  each  Participant  shall have the right to direct the  Employer  as to how
amounts in his or her Plan Account  shall be deemed to be  invested.  Subject to
such  limitations  as may from time to time be required  by law,  imposed by the
Employer or the Trustee or contained  elsewhere in the Plan, and subject to such
operating  rules  and  procedures  as may be  imposed  from  time to time by the
Employer,  prior to the date on which a  direction  will become  effective,  the
Participant shall have the right to direct the Employer as to how amounts in his
or her Account  shall be deemed to be invested.  The  Employer  shall direct the
Trustee  to  invest  the  account  maintained  in the  Trust  on  behalf  of the
Participant  pursuant to the deemed investment  directions the Employer properly
has received from the Participant.  The value of the Participant's Account shall
be equal to the value of the account maintained under the Trust on behalf of the
Participant.  As of each valuation date of the Trust, the Participant's  Account
will be credited or debited to reflect the Participant's  deemed  investments of
the Trust. The  Participant's  Plan Account will be credited or debited with the
increase or decrease in the realizable net asset value or credited interest,  as
applicable,  of the  designated  deemed  investments,  as  follows.  As of  each
Valuation  Date,  an amount equal to the net increase or decrease in  realizable
net asset  value or credited  interest,  as  applicable  (as  determined  by the
Trustee),  of each  deemed  investment  option  within  the  Account  since  the
preceding  Valuation Date shall be allocated  among all  Participants'  Accounts
deemed to be invested in that  investment  option in  accordance  with the ratio
which the  portion  of the  Account  of each  Participant  which is deemed to be
invested within that investment option,  determined


                                       6

<PAGE>



as provided herein,  bears to the aggregate of all amounts deemed to be invested
within that investment option.

     4.2  ACCOUNTING  FOR  DISTRIBUTIONS.  As of the  date  of any  distribution
hereunder,  the  distribution  made  hereunder to the  Participant or his or her
Beneficiary or  Beneficiaries  shall be charged to such  Participant's  Account.
Such amounts shall be charged on a pro rata basis against the investments of the
Trust in which the Participant's Account is deemed to be invested.

     4.3  SEPARATE  ACCOUNTS.  A  separate  account  under  the  Plan  shall  be
established  and  maintained  by the  Employer  to reflect  the Account for each
Participant with  sub-accounts to show separately the deemed earnings and losses
credited or debited to such Account,  and the applicable  deemed  investments of
the Account.

     4.4 INTERIM VALUATIONS.  If it is determined by the Employer that the value
of a Participant's  Account as of any date on which distributions are to be made
differs  materially  from the value of the  Participant's  Account  on the prior
Valuation Date upon which the distribution is to be based, the Employer,  in its
discretion,  shall  have the right to  designate  any date in the  interim  as a
Valuation  Date for the purpose of revaluing the  Participant's  Account so that
the Account will, prior to the distribution,  reflect its share of such material
difference in value.

     4.5  DEEMED  INVESTMENT   DIRECTIONS  OF  PARTICIPANTS.   Subject  to  such
limitations as may from time to time be required by law, imposed by the Employer
or the Trustee or contained elsewhere in the Plan, and subject to such operating
rules and procedures as may be imposed from time to time by the Employer,  prior
to and effective for each Designation  Date, each Participant may communicate to
the Employer a direction as to how his or her Plan Accounts  should be deemed to
be invested among such categories of deemed investments as may be made available
by the Employer hereunder. Such direction shall designate the percentage (in any
whole  percent  multiples)  of each portion of the  Participant's  Plan Accounts
which is  requested  to be deemed to be  invested in such  categories  of deemed
investments, and shall be subject to the following rules:

          (a) Any initial or subsequent deemed investment  direction shall be in
writing,  on a form  supplied  by and  filed  with the  Employer,  and  shall be
effective as of the next  Designation  Date which is at least ten (10)  business
days after such filing. In lieu of such written  requirement,  the Employer may,
in its discretion,  permit any such investment  direction to be made through use
of an "automated response unit", in which event such investment direction may be
effective immediately.

          (b) All amounts credited to the Participant's  Account shall be deemed
to  be  invested  in  accordance  with  the  then  effective  deemed  investment
direction,  and as of the effective date of any new deemed investment direction,
all or a portion of the Participant's  Account at that date shall be reallocated
among the  designated  deemed  investment  funds  according  to the  percentages
specified in the new deemed  investment  direction unless and until a subsequent
deemed  investment  direction shall be filed and become  effective.  An election
concerning deemed investment choices shall continue  indefinitely as provided in
the Participant's most recent Participant Enrollment and Election Form, or other
form specified by the Employer.

          (c) If the Employer  receives an initial or revised deemed  investment
direction


                                       7

<PAGE>



which  it  deems  to be  incomplete,  unclear  or  improper,  the  Participant's
investment direction then in effect shall remain in effect (or, in the case of a
deficiency in an initial deemed investment  direction,  the Participant shall be
deemed to have filed no deemed investment  direction) until the next Designation
Date,  unless the  Employer  provides  for,  and  permits  the  application  of,
corrective action prior thereto.

          (d) If the Employer  possesses (or is deemed to possess as provided in
(c), above) at any time directions as to the deemed  investment of less than all
of a Participant's  Account,  the  Participant  shall be deemed to have directed
that the undesignated portion of the Account be deemed to be invested in a money
market, fixed income or similar fund made available under the Plan as determined
by the Employer in its discretion.

          (e)  Each  Participant  hereunder,  as  a  condition  to  his  or  her
participation hereunder,  agrees to indemnify and hold harmless the Employer and
its agents and  representatives  from any losses or damages of any kind relating
to the deemed investment of the Participant's Account hereunder.

          (f) Each reference in this Section to a Participant shall be deemed to
include, where applicable, a reference to a Beneficiary.

     4.6  EXPENSES.   Expenses,   including  Trustee  fees,   allocable  to  the
administration  or  operation of an Account  maintained  under the Plan shall be
paid by the Employer.

     4.7 TAXES.  Any taxes  payable by the Employer  allocable to an Account (or
portion  thereof)  maintained  under  the Plan  which are  payable  prior to the
distribution  of the Account (or portion  thereof) shall be paid by the Employer
and shall not be charged  against that Account,  as an expense of the Account or
otherwise.


                                    ARTICLE 5

                             ENTITLEMENT TO BENEFITS

     5.1 TERMINATION OF EMPLOYMENT. A Participant who terminates employment with
the  Employer  shall  receive  payment of his or her  vested  Account as soon as
practicable  following his or her  termination of employment  with the Employer,
such vested  Account to be valued and payable at such  termination  according to
the provisions of Article 6.

     5.2  HARDSHIP  DISTRIBUTIONS.  In the event of  financial  hardship  of the
Participant,  as hereinafter  defined, the Participant may apply to the Employer
for the  distribution  of all or any  part  of his or her  vested  Account.  The
Employer  shall  consider  the  circumstances  of each such  case,  and the best
interests of the Participant and his or her family, and shall have the right, in
its  sole  discretion,  if  applicable,  to  allow  such  distribution,  or,  if
applicable,  to direct a  distribution  of part of the amount  requested,  or to
refuse to allow any  distribution.  Upon a finding of  financial  hardship,  the
Employer shall make the appropriate distribution to the Participant from amounts
held by the Employer in respect of the Participant's vested Account. In no event
shall the aggregate amount of the  distribution  exceed either the full value of
the Participant's  vested Account or the amount determined by the Employer to be
necessary to alleviate the  Participant's  financial  hardship (which  financial
hardship may be considered to include any taxes due because of the  distribution
occurring because of this Section),  and which is not reasonably  available from
other resources of the Participant.  For purposes of this Section,  the value of


                                       8

<PAGE>



the  Participant's  vested  Account  shall be  determined  as of the date of the
distribution.  "Financial hardship" means (a) a severe financial hardship to the
Participant  resulting from a sudden and  unexpected  illness or accident of the
Participant  or of a  dependent  (as  defined  in Code  section  152(a))  of the
Participant,  (b) loss of the  Participant's  property due to  casualty,  or (c)
other similar extraordinary and unforeseeable  circumstances arising as a result
of events beyond the control of the Participant,  each as determined to exist by
the  Employer.  A  distribution  may be made  under this  Section  only with the
consent of the Employer.

     5.3 VESTING. A Participant shall at all times be one hundred percent (100%)
vested in amounts credited to his or her Compensation Deferral Account.  Amounts
credited  to  a  Participant's  Matching  Contribution  Sub-Account  shall  vest
according to the following schedule:

==================================== ===========================================
  YEARS OF PLAN PARTICIPATION                    VESTED PERCENTAGE

==================================== ===========================================
          Less than 1                                   0%
==================================== ===========================================
       1 but less than 2                                25%
==================================== ===========================================
       2 but less than 3                                50%
==================================== ===========================================
       3 but less than 4                                75%
==================================== ===========================================
           4 or more                                   100%
==================================== ===========================================

          For  purposes  of  this  Section,   a  Participant's   years  of  Plan
participation  shall equal the  Participant's  total number of completed  twelve
(12) month periods of employment  with the Employer as of the date of reference,
whether  continuous or noncontinuous,  after the Effective Date (after August 1,
1997, in the case of a Participant  who was a Designated  Senior Vice  President
between August 1, 1997 and March 1, 1998).

          Amounts,   if  any,   credited   to  a   Participant's   Discretionary
Contribution  Sub-Account shall vest according to a schedule to be determined by
the Employer, in its discretion, and which is expected to be communicated to the
Participant on or about the date the credit is made.

          If a Participant  terminates  employment  because of death,  total and
permanent  disability  (as  determined  by the  Employer in its  discretion)  or
termination by the Employer without cause (as determined by the Employer) or for
any reason within one (1) year  following a Change of Control,  the  Participant
shall  become  one  hundred  percent  (100%)  vested  in  his  or  her  Employer
Contribution  Credit Account. If a Participant  terminates  employment under any
other  circumstance,  he or she  shall  become  vested  in  his or her  Employer
Contribution Account, if at all, under the vesting schedules set forth above.


                                    ARTICLE 6

                            DISTRIBUTION OF BENEFITS

     6.1 AMOUNT. A Participant (or his or her Beneficiary) shall become entitled
to receive, on or about the date of the Participant's  termination of employment
with  the  Employer,  a  distribution  in  an  aggregate  amount  equal  to  the
Participant's  vested Account. Any payment due hereunder from the


                                       9

<PAGE>



Trust which is not paid by the Trust for any reason will be paid by the Employer
from its general assets.

     6.2 METHOD OF PAYMENT.

          (a) Cash Payments. All payments under the Plan shall be made in cash.

          (b) Timing and Manner of Payment.  An  aggregate  amount  equal to the
Participant's  vested  Account will be paid by the Trust or the Employer  upon a
Participant's  termination  of  employment  with the  Employer,  as  provided by
Section  6.1,  in a  lump  sum or in  substantially  equal  annual  installments
(adjusted for gains and losses),  as selected by the  Participant as provided in
Article  5. If a  Participant  fails to  designate  properly  the  manner of the
Participant's benefit under the Plan, such payment will be in a lump sum.

          If  the  whole  or  any  part  of a  payment  hereunder  is  to  be in
installments, the total to be so paid shall continue to be deemed to be invested
pursuant to  Sections  4.1 and 4.5 under such  procedures  as the  Employer  may
establish,  in which case any deemed income,  gain or loss attributable  thereto
(as  determined by the Employer,  in its  discretion)  shall be reflected in the
installment payments, in such equitable manner as the Employer shall determine.

     6.3 DEATH  BENEFITS.  If a Participant  dies before  terminating his or her
employment  with the  Employer  and before the  commencement  of payments to the
Participant hereunder,  the entire value of the Participant's Account (which may
include  credits for insurance  contract death benefits deemed to be received by
the  Account)  shall be paid,  as provided in Section  6.2(a),  to the person or
persons designated in accordance with Section 7.1, in a cash lump sum.

          Upon the death of a Participant  after  payments  hereunder have begun
but before he or she has  received  all  payments to which he or she is entitled
under the Plan,  the remaining  benefit  payments shall be paid to the person or
persons designated in accordance with Section 7.1, in a lump sum.


                                    ARTICLE 7

                         BENEFICIARIES; PARTICIPANT DATA

     7.1 DESIGNATION OF  BENEFICIARIES.  Each  Participant from time to time may
designate any person or persons (who may be named  contingently or successively)
to receive  such  benefits  as may be  payable  under the Plan upon or after the
Participant's  death,  and such  designation may be changed from time to time by
the Participant by filing a new  designation.  Each  designation will revoke all
prior designations by the same Participant, shall be in a form prescribed by the
Employer,  and will be  effective  only when filed in writing  with the Employer
during the Participant's lifetime.

          In the absence of a valid Beneficiary designation,  or if, at the time
any  benefit  payment is due to a  Beneficiary,  there is no living  Beneficiary
validly  named by the  Participant,  the  Employer  shall  pay any such  benefit
payment to the  Participant's  spouse,  if then  living,  but  otherwise  to the
Participant's then living descendants, if any, per stripes, but, if none, to the
Participant's  estate.  In  determining  the  existence  or  identity  of anyone
entitled  to  a  benefit  payment,  the  Employer  may  rely  conclusively  upon
information supplied by the Participant's personal  representative,  executor or


                                       10

<PAGE>



administrator.  If a question  arises as to the  existence or identity of anyone
entitled to receive a benefit payment as aforesaid,  or if a dispute arises with
respect to any such payment, then,  notwithstanding the foregoing, the Employer,
in its sole discretion,  may distribute such payment to the Participant's estate
without liability for any tax or other  consequences which might flow therefrom,
or may take such other action as the Employer deems to be appropriate.

     7.2  INFORMATION  TO  BE  FURNISHED  BY  PARTICIPANTS  AND   BENEFICIARIES;
INABILITY TO LOCATE PARTICIPANTS OR BENEFICIARIES. Any communication,  statement
or notice addressed to a Participant or to a Beneficiary at his or her last post
office  address  as shown on the  Employer's  records  shall be  binding  on the
Participant or Beneficiary  for all purposes of the Plan. The Employer shall not
be obliged to search for any Participant or Beneficiary  beyond the sending of a
registered  letter to such last known  address.  If the  Employer  notifies  any
Participant  or  Beneficiary  that he or she is entitled to an amount  under the
Plan and the  Participant or Beneficiary  fails to claim such amount or make his
or her location known to the Employer within three (3) years  thereafter,  then,
except as otherwise  required by law, if the location of one or more of the next
of kin of the  Participant  is known to the  Employer,  the  Employer may direct
distribution  of such amount to any one or more or all of such next of kin,  and
in such proportions as the Employer  determines.  If the location of none of the
foregoing persons can be determined, the Employer shall have the right to direct
that the amount  payable  shall be deemed to be a  forfeiture,  except  that the
dollar amount of the  forfeiture,  unadjusted  for deemed gains or losses in the
interim,  shall be paid by the Employer if a claim for the benefit  subsequently
is made by the  Participant  or the  Beneficiary  to whom it was  payable.  If a
benefit payable to an unlocated Participant or Beneficiary is subject to escheat
pursuant to applicable state law, the Employer shall not be liable to any person
for any payment made in accordance with such law.


                                    ARTICLE 8

                                 ADMINISTRATION

     8.1 ADMINISTRATIVE  AUTHORITY.  Except as otherwise  specifically  provided
herein, the Employer shall have the sole responsibility for and the sole control
of the operation and  administration  of the Plan,  and shall have the power and
authority to take all action and to make all decisions and interpretations which
may be necessary or  appropriate  in order to  administer  and operate the Plan,
including, without limiting the generality of the foregoing, the power, duty and
responsibility to:

          (a) Resolve and determine all disputes or questions  arising under the
Plan, and to remedy any ambiguities, inconsistencies or omissions in the Plan.

          (b) Adopt such rules of procedure  and  regulations  as in its opinion
may be necessary for the proper and efficient  administration of the Plan and as
are consistent with the Plan.

          (c) Implement the Plan in accordance  with its terms and the rules and
regulations adopted as above.

          (d)  Make  determinations  with  respect  to  the  eligibility  of any
Eligible  Employee  as a  Participant  and make  determinations  concerning  the
crediting of Plan Accounts.


                                       11

<PAGE>



          (e)  Appoint  any  persons  or  firms,  or  otherwise  act  to  secure
specialized  advice  or  assistance,  as it  deems  necessary  or  desirable  in
connection with the  administration  and operation of the Plan, and the Employer
shall be entitled to rely conclusively upon, and shall be fully protected in any
action or  omission  taken by it in good  faith  reliance  upon,  the  advice or
opinion  of such  firms or  persons.  The  Employer  shall  have the  power  and
authority to delegate from time to time by written instrument all or any part of
its duties,  powers or  responsibilities  under the Plan,  both  ministerial and
discretionary,  as it deems appropriate,  to any person or committee, and in the
same manner to revoke any such delegation of duties, powers or responsibilities.
Any action of such person or committee in the exercise of such delegated duties,
powers or responsibilities shall have the same force and effect for all purposes
hereunder  as if such  action  had been  taken  by the  Employer.  Further,  the
Employer  may  authorize  one or more  persons to  execute  any  certificate  or
document on behalf of the  Employer,  in which event any person  notified by the
Employer of such authorization shall be entitled to accept and conclusively rely
upon any such  certificate or document  executed by such person as  representing
action by the Employer  until such  notified  person shall have been notified of
the revocation of such authority.

     8.2 UNIFORMITY OF DISCRETIONARY  ACTS.  Whenever in the  administration  or
operation  of the Plan  discretionary  actions by the  Employer  are required or
permitted,  such actions  shall be  consistently  and  uniformly  applied to all
persons  similarly  situated,  and no such  action  shall be taken  which  shall
discriminate in favor of any particular person or group of persons.

     8.3 LITIGATION.  Except as may be otherwise  required by law, in any action
or judicial  proceeding  affecting the Plan, no Participant or Beneficiary shall
be entitled to any notice or service of process,  and any final judgment entered
in such action shall be binding on all persons interested in, or claiming under,
the Plan.

     8.4  CLAIMS  PROCEDURE.  Any person  claiming  a benefit  under the Plan (a
"Claimant")  shall  present the claim,  in  writing,  to the  Employer,  and the
Employer shall respond in writing. If the claim is denied, the written notice of
denial shall state, in a manner calculated to be understood by the Claimant:

          (a) The  specific  reason or reasons  for the  denial,  with  specific
references to the Plan provisions on which the denial is based;

          (b) A description of any additional material or information  necessary
for the  Claimant  to perfect  his or her claim and an  explanation  of why such
material or information is necessary; and

          (c) An explanation of the Plan's claims review procedure.

          The written notice  denying or granting the Claimant's  claim shall be
provided to the Claimant within ninety (90) days after the Employer's receipt of
the  claim,  unless  special  circumstances  require  an  extension  of time for
processing  the claim.  If such an extension is required,  written notice of the
extension  shall be furnished by the Employer to the Claimant within the initial
ninety (90) day period and in no event shall such an  extension  exceed a period
of ninety  (90) days from the end of the initial  ninety  (90) day  period.  Any
extension  notice  shall  indicate  the  special  circumstances   requiring


                                       12

<PAGE>



the extension and the date on which the Employer expects to render a decision on
the claim.  Any claim not granted or denied  within the period noted above shall
be deemed to have been denied.

          Any  Claimant  whose  claim is denied,  or deemed to have been  denied
under the preceding  sentence (or such  Claimant's  authorized  representative),
may,  within  sixty  (60) days  after the  Claimant's  receipt  of notice of the
denial,  or after the date of the deemed denial,  request a review of the denial
by notice given,  in writing,  to the Employer.  Upon such a request for review,
the claim shall be reviewed by the Employer (or its  designated  representative)
which may,  but shall not be  required  to,  grant the  Claimant  a hearing.  In
connection with the review,  the Claimant may have  representation,  may examine
pertinent documents, and may submit issues and comments in writing.

          The decision on review  normally  shall be made within sixty (60) days
of the Employer's  receipt of the request for review. If an extension of time is
required  due to special  circumstances,  the  Claimant  shall be  notified,  in
writing, by the Employer, and the time limit for the decision on review shall be
extended to one hundred  twenty  (120) days.  The decision on review shall be in
writing  and  shall  state,  in a  manner  calculated  to be  understood  by the
Claimant,  the specific reasons for the decision and shall include references to
the  relevant  Plan  provisions  on which the  decision  is based.  The  written
decision on review shall be given to the Claimant within the sixty (60) day (or,
if applicable,  the one hundred twenty (120) day) time limit discussed above. If
the decision on review is not communicated to the Claimant within the sixty (60)
day (or, if  applicable,  the one  hundred  twenty  (120) day) period  discussed
above, the claim shall be deemed to have been denied upon review.  All decisions
on review shall be final and binding with respect to all concerned parties.


                                    ARTICLE 9

                                    AMENDMENT

     9.1 RIGHT TO AMEND.  The Employer,  by written  instrument  executed by the
Employer,  shall have the right to amend the Plan,  at any time and with respect
to any  provisions  hereof,  and all  parties  hereto or claiming  any  interest
hereunder  shall be bound by such  amendment;  provided,  however,  that no such
amendment  shall  deprive a  Participant  or a  Beneficiary  of a right  accrued
hereunder prior to the date of the amendment.

     9.2 AMENDMENTS TO ENSURE PROPER  CHARACTERIZATION OF PLAN.  Notwithstanding
the  provisions  of Section  9.1, the Plan may be amended by the Employer at any
time,  retroactively  if  required,  if found  necessary,  in the opinion of the
Employer, in order to ensure that the Plan is characterized as "top-hat" plan of
deferred  compensation  maintained  for a select group of  management  or highly
compensated employees as described under ERISA sections 201(2),  301(a)(3),  and
401(a)(1),  and to conform the Plan to the  provisions and  requirements  of any
applicable  law  (including  ERISA and the  Code).  No such  amendment  shall be
considered  prejudicial  to  any  interest  of a  Participant  or a  Beneficiary
hereunder.


                                   ARTICLE 10

                                   TERMINATION

     10.1 EMPLOYER'S  RIGHT TO TERMINATE OR SUSPEND PLAN. The Employer  reserves
the right to terminate the Plan and/or its obligation to make further credits to
Plan Accounts.


                                       13

<PAGE>



The Employer  also reserves the right to suspend the operation of the Plan for a
fixed or indeterminate period of time.

     10.2 AUTOMATIC  TERMINATION OF PLAN. The Plan automatically shall terminate
upon the dissolution of the Employer,  or upon its merger into or  consolidation
with any other corporation or business organization if there is a failure by the
surviving  corporation or business  organization to adopt specifically and agree
to continue the Plan.

     10.3 SUSPENSION OF DEFERRALS. In the event of a suspension of the Plan, the
Employer  shall  continue  all  aspects  of the Plan,  other  than  Compensation
Deferrals  and  Employer  Contribution   Credits,   during  the  period  of  the
suspension,  in which event  payments  hereunder will continue to be made during
the period of the suspension in accordance with Articles 5 and 6.

     10.4 ALLOCATION AND DISTRIBUTION.  This Section shall become operative on a
complete  termination  of the Plan.  The  provisions  of this Section also shall
become  operative  in  the  event  of a  partial  termination  of the  Plan,  as
determined  by the  Employer,  but only with respect to that portion of the Plan
attributable to the Participants to whom the partial  termination is applicable.
Upon the effective date of any such event,  notwithstanding any other provisions
of the Plan, no persons who were not theretofore  Participants shall be eligible
to become  Participants  and the value of the interest of all  Participants  and
Beneficiaries  shall be fully  vested and  determined  and,  after  paying  Plan
benefits, paid to them as soon as is practicable after such termination.

     10.5 SUCCESSOR TO EMPLOYER.  Any corporation or other business organization
which is a successor  to the  Employer by reason of a  consolidation,  merger or
purchase of substantially all of the assets of the Employer shall have the right
to become a party to the Plan by adopting the same by resolution of the entity's
board of directors or other  appropriate  governing body. If, within ninety (90)
days from the effective  date of such  consolidation,  merger or sale of assets,
such new entity  does not become a party  hereto,  as above  provided,  the Plan
automatically  shall be  terminated,  and the  provisions  of Section 10.4 shall
become operative.


                                   ARTICLE 11

                                    THE TRUST

     11.1  ESTABLISHMENT  OF TRUST.  The Employer shall establish the Trust with
the Trustee  pursuant to such terms and conditions as are set forth in the Trust
agreement to be entered into between the Employer and the Trustee.  The Trust is
intended to be treated as a "grantor" trust under the Code and the establishment
of the Trust is not intended to cause the  Participant to realize current income
on amounts contributed thereto, and the Trust shall be so interpreted.


                                   ARTICLE 12

                                  MISCELLANEOUS

     12.1 LIMITATIONS ON LIABILITY OF EMPLOYER. Neither the establishment of the
Plan nor any  modification  thereof,  nor the creation of any account  under the
Plan,  nor the  payment of any  benefits  under the Plan shall be  construed  as
giving to any  Participant or other person any legal or equitable  right against
the Employer, or any officer or employer thereof except as provided by law or


                                       14

<PAGE>



by  any  Plan  provision.  The  Employer  does  not  in any  way  guarantee  any
Participant's  Account  from  loss  or  depreciation,  whether  caused  by  poor
investment  performance of a deemed  investment or the inability to realize upon
an investment due to an insolvency  affecting an investment vehicle or any other
reason.  In no event shall the Employer,  or any successor,  employee,  officer,
director or stockholder  of the Employer,  be liable to any person on account of
any claim arising by reason of the  provisions of the Plan or of any  instrument
or  instruments  implementing  its  provisions,   or  for  the  failure  of  any
Participant,  Beneficiary  or other person to be entitled to any  particular tax
consequences with respect to the Plan, or any credit or distribution hereunder.

     12.2  CONSTRUCTION.  If any  provision of the Plan is held to be illegal or
void, such illegality or invalidity shall not affect the remaining provisions of
the Plan,  but shall be fully  severable,  and the Plan shall be  construed  and
enforced as if said illegal or invalid provision had never been inserted herein.
For all  purposes of the Plan,  where the context  admits,  the  singular  shall
include the plural,  and the plural  shall  include  the  singular.  Headings of
Articles and Sections  herein are inserted only for convenience of reference and
are not to be considered in the  construction of the Plan. The laws of the State
of Maryland  shall  govern,  control and  determine all questions of law arising
with respect to the Plan and the  interpretation  and validity of its respective
provisions,  except  where  those laws are  preempted  by the laws of the United
States.  Participation under the Plan will not give any Participant the right to
be retained in the service of the Employer nor any right or claim to any benefit
under the Plan unless such right or claim has specifically accrued hereunder.

          The Plan is intended to be and at all times shall be  interpreted  and
administered so as to qualify as an unfunded deferred  compensation plan, and no
provision  of the Plan shall be  interpreted  so as to give any  individual  any
right in any assets of the Employer  which right is greater than the rights of a
general unsecured creditor of the Employer.

     12.3  SPENDTHRIFT  PROVISION.  No  amount  payable  to a  Participant  or a
Beneficiary  under the Plan will, except as otherwise  specifically  provided by
law,  be  subject  in  any  manner  to  anticipation,   alienation,  attachment,
garnishment,  sale,  transfer,  assignment  (either at law or in equity),  levy,
execution, pledge, encumbrance,  charge or any other legal or equitable process,
and any  attempt  to do so will be void;  nor will any  benefit be in any manner
liable for or subject to the debts, contracts, liabilities, engagements or torts
of the person entitled thereto.  Further, (i) the withholding of taxes from Plan
benefit  payments,  (ii) the recovery under the Plan of overpayments of benefits
previously  made to a  Participant  or  Beneficiary,  (iii) if  applicable,  the
transfer  of benefit  rights from the Plan to another  plan,  or (iv) the direct
deposit of benefit  payments  to an  account  in a banking  institution  (if not
actually part of an arrangement  constituting an assignment or alienation) shall
not be construed as an assignment or alienation.

          In  the  event  that  any  Participant's  or  Beneficiary's   benefits
hereunder  are  garnished  or  attached by order of any court,  the  Employer or
Trustee may bring an action or a  declaratory  judgment in a court of  competent
jurisdiction to determine the proper  recipient of the benefits to be paid under
the Plan.  During the pendency of said action,  any benefits that become payable
shall be held as credits to the  Participant's or  Beneficiary's  Account or, if
the Employer or Trustee prefers,  paid into the court as they become payable, to
be  distributed  by the court to the  recipient as the court deems proper at the
close of said action.


                                       15

<PAGE>



     IN WITNESS WHEREOF,  the Employer has caused this amended and restated Plan
to be executed and its seal to be affixed hereto, effective as of the 1st day of
March, 1998.

ATTEST/WITNESS:                           INTEGRATED HEALTH SERVICES, INC.


________________________________           By:____________________________(SEAL)

Print: ____________________________        Print Name: _________________________

                                                Date: __________________________






                                       16


<TABLE> <S> <C>


<ARTICLE>                     5
<MULTIPLIER>                                     1,000
<CURRENCY>                                  US DOLLARS
       
<S>                             <C>
<PERIOD-TYPE>                   3-MOS
<FISCAL-YEAR-END>                          DEC-31-1998
<PERIOD-START>                             JAN-01-1998
<PERIOD-END>                               MAR-31-1998
<EXCHANGE-RATE>                                      1
<CASH>                                          52,134
<SECURITIES>                                    60,272
<RECEIVABLES>                                  857,061
<ALLOWANCES>                                   163,889
<INVENTORY>                                          0
<CURRENT-ASSETS>                               879,306
<PP&E>                                       1,314,646
<DEPRECIATION>                                       0
<TOTAL-ASSETS>                               5,246,908
<CURRENT-LIABILITIES>                          655,066
<BONDS>                                      1,100,132
                                0
                                          0
<COMMON>                                            45
<OTHER-SE>                                   1,201,525
<TOTAL-LIABILITY-AND-EQUITY>                 5,246,908
<SALES>                                        854,880
<TOTAL-REVENUES>                               854,880
<CGS>                                                0
<TOTAL-COSTS>                                  790,607
<OTHER-EXPENSES>                                     0
<LOSS-PROVISION>                                     0
<INTEREST-EXPENSE>                              66,465
<INCOME-PRETAX>                                 64,543
<INCOME-TAX>                                    26,463
<INCOME-CONTINUING>                             38,080
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                      0
<CHANGES>                                            0
<NET-INCOME>                                    38,080
<EPS-PRIMARY>                                     0.88
<EPS-DILUTED>                                     0.74
        


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