INTEGRATED HEALTH SERVICES INC
S-8, 1998-03-12
SKILLED NURSING CARE FACILITIES
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     As filed with the Securities and Exchange Commission on March 12, 1998
                                                           Registration No. 333-
===============================================================================

                       SECURITIES AND EXCHANGE COMMISSION
                              WASHINGTON, DC 20549


                                    FORM S-8
                             REGISTRATION STATEMENT
                                      Under
                           THE SECURITIES ACT OF 1933

                        INTEGRATED HEALTH SERVICES, INC.
             (Exact Name of Registrant as Specified in its Charter)

                  DELAWARE                                   23-2428312
        (State or Other Jurisdiction                      (I.R.S. Employer
      of Incorporation or Organization)                Identification Number)

           10065 RED RUN BOULEVARD                              21117
              OWINGS MILLS, MD                               (Zip Code)
  (Address of Principal Executive Offices)

                        INTEGRATED HEALTH SERVICES, INC.
                          1998 STOCK COMPENSATION PLAN
                            (Full Title of the Plan)

                            MARSHALL A. ELKINS, ESQ.
                  EXECUTIVE VICE PRESIDENT AND GENERAL COUNSEL
                        INTEGRATED HEALTH SERVICES, INC.
                             10065 RED RUN BOULEVARD
                             OWINGS MILLS, MD 21117
                     (Name and Address of Agent for Service)
                                 (410) 998-8400
          (Telephone Number, Including Area Code, of Agent for Service)


Copies of all  communications,  including all  communications  sent to agent for
service, should be sent to:

       RONALD O. MUELLER, ESQ.                       LESLIE A. GLEW, ESQ.
     GIBSON, DUNN & CRUTCHER LLP             SENIOR VICE PRESIDENT AND ASSOCIATE
1050 CONNECTICUT AVENUE, NW, SUITE 900                 GENERAL COUNSEL    
       WASHINGTON, DC 20036                     INTEGRATED HEALTH SERVICES, INC.
           (202) 955-8500                          10065 RED RUN BOULEVARD
                                                    OWINGS MILLS, MD 21117      
                                                       (410) 998-8400
<TABLE>
<CAPTION>

================================================================================
                         CALCULATION OF REGISTRATION FEE
- ------------------------------ ----------------------- ------------------------ ------------------------ --------------------
                                                              PROPOSED             PROPOSED MAXIMUM           AMOUNT OF
     TITLE OF SECURITIES            AMOUNT TO BE       MAXIMUM OFFERING PRICE     AGGREGATE OFFERING        REGISTRATION
      TO BE REGISTERED               REGISTERED               PER SHARE                  PRICE                   FEE
- ------------------------------ ----------------------- ------------------------ ------------------------ --------------------
- ------------------------------ ----------------------- ------------------------ ------------------------ --------------------
<S>                                 <C>                          <C>              <C>                          <C>      
Common Stock, par value
$.001 per share (including          500,000 (2)                  N/A              $17,812,500 (3)              $5,397.73
the Preferred Stock Purchase
Rights) (1) . . . .
- ------------------------------ ----------------------- ------------------------ ------------------------ --------------------
</TABLE>

(1)   The Preferred Stock Purchase  Rights,  which are attached to the shares of
      IHS  Common  Stock  being  registered,  will be issued  for no  additional
      consideration and, therefore, no additional registration fee is required.
(2)   Pursuant to Rule 416(a),  also covers  additional  securities  that may be
      offered  as  a  result  of  stock  splits,   stock  dividends  or  similar
      transactions.
(3)   Calculated  pursuant to Rules 457(c) and 457(h)(1)  based upon the average
      of the high  and low  prices  of the  Common  Stock on the New York  Stock
      Exchange on March 6, 1998, which was $35.625.


<PAGE>



                                     PART I

                INFORMATION REQUIRED IN SECTION 10(A) PROSPECTUS

ITEM 1.  PLAN INFORMATION.


          Not filed as part of this Registration  Statement  pursuant to Note to
Part 1 of Form S-8.

ITEM 2.  REGISTRANT INFORMATION AND EMPLOYEE PLAN ANNUAL INFORMATION.

          Not filed as part of this Registration  Statement  pursuant to Note to
Part 1 of Form S-8.

                                     PART II

               INFORMATION REQUIRED IN THE REGISTRATION STATEMENT

ITEM 3.  INCORPORATION OF DOCUMENTS BY REFERENCE.

          The following  documents of the Registrant  heretofore  filed with the
Securities and Exchange Commission (the "Commission") are hereby incorporated in
this Registration Statement by reference:

(1)  Annual  Report on Form 10-K for the year ended  December  31, 1996 filed on
     March 31, 1997;

(2)  Quarterly Report on Form 10-Q for the quarter ended March 31, 1997 filed on
     May 15, 1997;

(3)  Quarterly  Report on Form 10-Q for the quarter ended June 30, 1997 filed on
     August 14, 1997;

(4)  Quarterly  Report on Form 10-Q for the  quarter  ended  September  30, 1997
     filed on November 13, 1997;

(5)  Current Report on Form 8-K filed on October 9, 1996 reporting,  among other
     things, the acquisition of Signature Home Care Group, Inc., as amended by
     Form 8-K/A filed on November 14, 1996 and Form 8-K/A filed on July 9, 1997;

(6)  Current  Report  on Form 8-K  filed  on  October  25,  1996  reporting  the
     acquisition of First American  Health Care of Georgia,  Inc., as amended by
     Form 8-K/A filed on November  26,  1996 and  Amendment  No. 1 to Form 8-K/A
     filed on July 11, 1997;

(7)  Current  Report  on Form 8-K  filed on  November  13,  1996  reporting  the
     execution  of  the   Agreement  and  Plan  of  Merger  (the  "Coram  Merger
     Agreement")  among the  Registrant,  IHS  Acquisition  XIX,  Inc. and Coram
     Healthcare Corporation  ("Coram"), 

                                       1

<PAGE>



     as amended by Form 8-K/A filed on April 11, 1997 reporting the  termination
     of the Coram Merger Agreement;

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

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

(10) Current  Report on Form 8-K filed on July 11, 1997  reporting the execution
     of the Merger  Agreement among the Registrant,  IHS Acquisition  XXIV, Inc.
     and RoTech Medical Corporation ("RoTech");

(11) Current  Report  on Form 8-K  filed on  September  9,  1997  reporting  the
     Registrant's  agreement  to issue  privately  an  aggregate of $500 million
     principal amount of its 9 1/4% Senior Subordinated Notes due 2008;

(12) Current  Report on Form 8-K  filed on  September  19,  1997  reporting  the
     Registrant's  $1.75 billion  revolving  credit and term loan  facility,  as
     amended by Form 8-K/A filed on October 8, 1997;

(13) Current  Report  on Form 8-K  filed  on  October  10,  1997  reporting  the
     Registrant's  acquisition  of  Community  Care  of  America,  Inc.  and the
     Lithotripsy  Division of Coram,  as amended by Form 8-K/A filed on November
     25, 1997;

(14) Current  Report  on Form 8-K  filed  on  November  5,  1997  reporting  the
     Registrant's  acquisition  of RoTech,  as  amended  by Form 8-K/A  filed on
     November 25, 1997;

(15) Current  Report  on Form 8-K  filed on  November  12,  1997  reporting  the
     Registrant's  agreement to purchase 139 owned,  leased or managed long-term
     care facilities,  12 specialty  hospitals and certain other businesses from
     HEALTHSOUTH Corporation ("HEALTHSOUTH");

(16) Current  Report  on Form 8-K  filed  on  January  14,  1998  reporting  the
     acquisition of 139 owned,  leased or managed long-term care facilities,  12
     specialty  hospitals and certain other  businesses  from  HEALTHSOUTH;  and
     reporting an amendment to the  Registrant's  revolving credit and term loan
     facility;

(17) Current  Report  on  Form  8-K  filed  on  March  12,  1998  reporting  the
     Registrant's operating results for the year ended December 31, 1997.

(18) the   description   of  the  Common  Stock  set  forth  under  the  caption
     "Description of Capital Stock" in Item 1 of the  Registrant's  Registration
     Statement on Form 8-A (File No.  1-12306) as filed with the  Commission  on
     September 1, 1993, together with any

                                       2

<PAGE>

     amendment or report filed with the  Commission  for the purpose of updating
     such description; and

(19) the  description of the Preferred Stock Purchase Rights set forth under the
     caption  "Description  of  Capital  Stock"  in  Item 1 of the  Registrant's
     Registration  Statement  on Form 8-A (File No.  1-12306)  as filed with the
     Commission  on September  28, 1995,  together  with any amendment or report
     filed with the Commission for the purpose of updating such description.

           All reports and other documents  subsequently filed by the Registrant
pursuant to Sections 13(a) and (c), 14 and 15(d) of the Securities  Exchange Act
of  1934,  as  amended  (the  "Exchange   Act"),   prior  to  the  filing  of  a
post-effective  amendment which indicates that all securities  offered hereunder
have been sold or which  deregisters all such  securities then remaining  unsold
shall be deemed to be incorporated by reference in this  Registration  Statement
and to be a part hereof from the date of filing of such reports and documents.

           Any  statement  contained  herein or in a  document  incorporated  or
deemed to be incorporated by reference  herein shall be deemed to be modified or
superseded  for  purposes of this  Registration  Statement  to the extent that a
statement  contained  herein or in any other  subsequently  filed document which
also  is or is  deemed  to be  incorporated  by  reference  herein  modifies  or
supersedes such earlier statement. Any statement so modified or superseded shall
not be deemed, except as so modified or superseded, to constitute a part of this
Registration Statement.

ITEM 4.    DESCRIPTION OF SECURITIES.

           Not applicable.

ITEM 5.    INTERESTS OF NAMED EXPERTS AND COUNSEL.

           Certain  legal  matters  with  respect to the  validity of the Common
Stock registered  hereby have been passed upon for the Registrant by Marshall A.
Elkins,  Executive Vice  President and General  Counsel of the  Registrant.  Mr.
Elkins is the brother of Robert N. Elkins,  the Company's  Chairman of the Board
and Chief  Executive  Officer.  Mr. Marshall Elkins owns 17,299 shares of Common
Stock and options to purchase 336,535 shares of Common Stock.

ITEM 6.    INDEMNIFICATION OF DIRECTORS AND OFFICERS.

           Under  the  General  Corporation  Law of the State of  Delaware  (the
"DGCL"),   a  corporation   may  include   provisions  in  its   certificate  of
incorporation that will relieve its directors of monetary liability for breaches
of their fiduciary duty to the corporation,  except under certain circumstances,
including a breach of the director's  duty of loyalty,  acts or omissions of the
director not in good faith or which involve intentional  misconduct or a knowing
violation  of law,  the  approval  or an  improper  payment of a dividend  or an
improper  purchase by the corporation of stock or any transaction from which the
director derived an

                                       3

<PAGE>



improper  personal  benefit.  The  Registrant's  Third  Restated  Certificate of
Incorporation,  as amended,  provides  that the  Registrant's  directors are not
liable to the Registrant or its  stockholders for monetary damages for breach of
their fiduciary duty, subject to the described exceptions specified by the DGCL.

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

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

ITEM 7.    EXEMPTION FROM REGISTRATION CLAIMED.

           Not applicable.

ITEM 8.    EXHIBITS.

           Unless otherwise  indicated below as being  incorporated by reference
to another filing of the Registrant with the  Commission,  each of the following
exhibits is filed herewith:

       4          Integrated Health Services, Inc. 1998 Stock Compensation Plan
       5          Opinion of Marshall A. Elkins, Esq.
       23.1       Consent of KPMG Peat Marwick LLP.
       23.2       Consent of Deloitte & Touche LLP.
       23.3       Consent of Marshall A. Elkins,  Esq. (filed as part of Exhibit
                  5).
       24         Power of Attorney (included on signature page)

ITEM 9.  UNDERTAKINGS.

       (1)        The undersigned Registrant hereby undertakes:

                                       4

<PAGE>



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

                            (i)  To include any  prospectus  required by section
                                 10(a)(3)  of the  Securities  Act of  1933,  as
                                 amended (the "Securities Act");

                           (ii)  To  reflect  in the  prospectus  any  facts  or
                                 events  arising after the effective date of the
                                 registration  statement  (or  the  most  recent
                                 post-effective    amendment   thereof)   which,
                                 individually  or in the aggregate,  represent a
                                 fundamental change in the information set forth
                                 in the registration statement.  Notwithstanding
                                 the  foregoing,  any  increase  or  decrease in
                                 volume  of  securities  offered  (if the  total
                                 dollar value of  securities  offered  would not
                                 exceed  that  which  was  registered)  and  any
                                 deviation  from  the  low  or  high  and of the
                                 estimated   maximum   offering   range  may  be
                                 reflected in the form of prospectus  filed with
                                 the  Commission  pursuant to Rule 424(b) if, in
                                 the aggregate,  the changes in volume and price
                                 represent  no more than a 20 percent  change in
                                 the maximum aggregate  offering price set forth
                                 in the "Calculation of Registration  Fee" table
                                 in the effective registration statement;

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

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

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

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

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

                                       5

<PAGE>



     (3) Insofar as indemnification for liabilities arising under the Securities
Act may be  permitted to  directors,  officers  and  controlling  persons of the
Registrant pursuant to the foregoing  provisions,  or otherwise,  the Registrant
has been advised that in the opinion of the Securities  and Exchange  Commission
such  indemnification  is against  public policy as expressed in the Act and is,
therefore,  unenforceable. In the event that a claim for indemnification against
such liabilities  (other than the payment by the Registrant of expenses incurred
or paid by a director,  officer or  controlling  person of the Registrant in the
successful  defense of any  action,  suit or  proceeding)  is  asserted  by such
director,  officer or controlling person in connection with the securities being
registered, the Registrant will, unless in the opinion of its counsel the matter
has been  settled by  controlling  precedent,  submit to a court of  appropriate
jurisdiction the question whether such  indemnification  by it is against public
policy as expressed in the Act and will be governed by the final adjudication of
such issue.





                                       6

<PAGE>




                                   SIGNATURES

                  Pursuant to the  requirements  of the  Securities Act of 1933,
the Registrant certifies that it has reasonable grounds to believe that it meets
all  the  requirements  for  filing  on  Form  S-8  and  has  duly  caused  this
Registration Statement to be signed on its behalf by the undersigned,  thereunto
duly authorized,  in the City of Owings Mills,  State of Maryland,  on this 12th
day of March, 1998.

                                                INTEGRATED HEALTH SERVICES, INC.

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


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

                  Pursuant to the  requirements  of the  Securities Act of 1933,
this  Registration  Statement  has been signed by the  following  persons in the
capacities and on the dates indicated.
<TABLE>
<CAPTION>

                 Signature                              Title                        Date
<S>                                            <C>                                  <C>

                /s/                             Chairman of the Board and           March 12, 1998
- --------------------------------                 Chief Executive Officer
        Robert N. Elkins                        (Principal Executive Officer)

               /s/
- --------------------------------                President and Director              March 12, 1998
       Lawrence  P. Cirka

               /s/
- --------------------------------                Director                            March 12, 1998
       Edwin M. Crawford

               /s/
- --------------------------------                Director                            March 12, 1998
       Kenneth M. Mazik



<PAGE>


<CAPTION>

<S>                                            <C>                                  <C>
               /s/
- --------------------------------                Director                            March 12, 1998
      Robert A. Mitchell

               /s/
- --------------------------------                Director                            March 12, 1998
      Charles W. Newhall, III

               /s/
- --------------------------------                Director                            March 12, 1998
      Timothy F. Nicholson

               /s/
- --------------------------------                Director                            March 12, 1998
      John L. Silverman

               /s/
- --------------------------------                Director                            March 12, 1998
      George H. Strong

               /s/                              Executive Vice President-           March 12, 1998
- -----------------------------------             Chief Financial Officer
       C. Taylor Pickett                        (Principal Financial Officer)

               /s/
- -----------------------------------             Executive Vice President-           March 12, 1998
       W. Bradley Bennett                       Chief Accounting Officer
                                                (Principal Accounting Officer)

</TABLE>



<PAGE>



                                  EXHIBIT INDEX

Exhibit            Description                                      Sequentially
- -------            -----------                                      ------------
Number                                                             Numbered Page
- ------                                                             -------------
   4       Integrated Health Services, Inc. 1998 Stock Compensation Plan
   5       Opinion of Marshall A. Elkins, Esq.
   23.1    Consent of KPMG Peat Marwick LLP.
   23.2    Consent of Deloitte & Touche LLP.
   23.3    Consent of Marshall A. Elkins, Esq. (filed as part of Exhibit 5).
   24      Power of Attorney (included on signature page)






                                                                    EXHIBIT 23.1
                    CONSENT OF INDEPENDENT PUBLIC ACCOUNTANTS

The Board of Directors
Integrated Health Services, Inc.


                  We  consent  to the use of our  report  dated  March 24,  1997
relating to the consolidated financial statements of Integrated Health Services,
Inc. and subsidiaries,  incorporated  herein by reference,  to the incorporation
herein by  reference  of our report  dated  October  17,  1996  relating  to the
consolidated financial statements of First American Health Care of Georgia, Inc.
and  subsidiaries,  which  report  appears  in Form 8-K/A of  Integrated  Health
Services,  Inc. filed on November 26, 1996, and to the  incorporation  herein by
reference  of our report  dated  April 14,  1997  relating  to the  consolidated
financial statements of Community Care of America, Inc. and subsidiaries,  which
report appears in Form 8-K of Integrated Health Services,  Inc. filed on October
10,1997.

                  Our  report   dated  March  24,  1997  refers  to  changes  in
accounting  methods,  in  1995,  to  adopt  Statement  of  Financial  Accounting
Standards No. 121 relating to impairment of long-lived assets and, in 1996, from
deferring  and  amortizing  pre-opening  costs  of  medical  specialty  units to
recording  them as expenses  when  incurred.  Our report dated  October 17, 1996
contains an  explanatory  paragraph  regarding the  uncertainty  with respect to
certain  contingent  payments which may be payable under a settlement  agreement
with the Health Care Financing  Administration.  Our report dated April 14, 1997
refers  to the  change  in  accounting  method  in 1996 to  adopt  Statement  of
Financial  Accounting  Standards  No. 121 relating to  impairment  of long-lived
assets.

                                                       /s/ KPMG Peat Marwick LLP

Baltimore, Maryland
March 12, 1998







                                                                    EXHIBIT 23.2
CONSENT OF INDEPENDENT PUBLIC ACCOUNTANTS

                  We consent to the  incorporation  by  reference on Form S-8 of
Integrated Health Services, Inc. of our report dated September 18, 1997 (October
21, 1997 as to Note 1),  appearing  in the Annual  Report on Form 10-K of RoTech
Medical  Corporation  for the year ended July 31, 1997,  which report appears in
the Form 8-K dated October 21, 1997, as amended,  of Integrated Health Services,
Inc.


Deloitte & Touche LLP
Orlando, Florida
March 9, 1998







                                                                    EXHIBIT 23.3




                                                 March 12, 1998



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

         Re:      Registration Statement on Form S-8

Dear Sirs:

         I refer to the  Registration  Statement on Form S-8 (the  "Registration
Statement") to be filed with the Securities  and Exchange  Commission  under the
Securities  Act of 1933,  as  amended  (the  "Securities  Act"),  on  behalf  of
Integrated Health Services, Inc. (the "Company"),  relating to 500,000 shares of
the Company's  Common  Stock,  par value $.001 per share (the  "Shares"),  to be
issued pursuant to the Company's 1998 Stock Compensation Plan (the "Plan").

         As counsel for the Company,  I have  examined such  corporate  records,
other  documents  and such  questions of law as I have  considered  necessary or
appropriate  for the  purposes  of this  opinion  and,  upon  the  basis of such
examination,  advise you that in my opinion all necessary corporate  proceedings
by the  Company  have been duly taken to  authorize  the  issuance of the Shares
pursuant  to the Plan  and that the  Shares  being  registered  pursuant  to the
Registration Statement, when issued and paid for in accordance with the terms of
the Plan, will be duly authorized, validly issued, fully paid and nonassessable.

         I hereby  consent  to the  filing of this  opinion as an exhibit to the
Registration Statement and to the reference to my name under the headings "Legal
Matters"  and  "Interests  of Named  Experts and  Counsel"  in the  Registration
Statement. This consent is not to be construed as an

<PAGE>




The Board of Directors
Integrated Health Services, Inc.
March 12, 1998
Page 2



admission that I am a person whose consent is to be filed with the  Registration
Statement under the provisions of the Securities Act.

                                Very truly yours,



                                Marshall A. Elkins
                                Executive Vice President and
                                General Counsel




 


                                        
                                         

  
                                                                       EXHIBIT 4

                        INTEGRATED HEALTH SERVICES, INC.
                          1998 STOCK COMPENSATION PLAN

1.      PURPOSE OF THE PLAN

        This 1998 Stock  Compensation  Plan (the  "Plan") is intended as a means
        whereby  Integrated  Health  Services,   Inc.,  a  Delaware  corporation
        (hereinafter  "IHS"),  may provide for awards of stock options and stock
        grants to certain  employees and  Consultants  (as defined below) of IHS
        and its  subsidiaries  and affiliates,  thereby helping to encourage the
        judgment,  initiative and efforts of such  employees and  Consultants by
        further  aligning their interests with those of the stockholders of IHS.
        Stock  options  granted  pursuant  to the Plan are not  incentive  stock
        options, as defined in Section 422 of the Internal Revenue Code of 1986,
        as amended (the "Code").

2.      DEFINITIONS

         (a) "Award" means an award of a stock option or a stock grant.

         (b) "Board of Directors" means the Board of Directors of IHS.

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

         (d) "Committee" shall have the meaning set forth in Section 4(a).

         (e) "Common  Stock"  means the common stock of IHS, par value $.001 per
         share, as presently constituted,  subject to adjustment,  and including
         other securities, as provided in Section 7.

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         (f) "Consultant"  means any person  designated by the Corporation as an
         independent contractor.

         (g) "Corporation" means IHS and its Subsidiaries and affiliates, unless
         the context otherwise requires.

         (h)  "Eligible   Participants"  means  employees  of  the  Corporation,
         directors  of  a  Subsidiary  or  Consultants  of  the  Corporation  as
         described in Section 5.

         (i) "Fair Market Value" means, as of any date, and unless the Committee
         shall specify  otherwise,  the mean between the high and the low market
         prices for the Common  Stock  reported  for that date on the  composite
         tape for  securities  listed on the New York Stock  Exchange or, if the
         Common  Stock did not trade on the New York Stock  Exchange on the date
         in  question,  then for the next  preceding  date for which the  Common
         Stock traded on the New York Stock Exchange.

         (j) "Subsidiary"  means any corporation of which IHS owns,  directly or
         indirectly, fifty percent (50%) or more of the voting or capital stock,
         or any partnership of which IHS owns,  directly or indirectly,  a fifty
         percent (50%) or more participating  interest or the general partner of
         which is a Subsidiary.

3.      COMMON STOCK SUBJECT TO THE PLAN

        Subject to  adjustment  as provided in Section 7, the maximum  number of
        shares of Common  Stock  which may be issued  pursuant to the Plan shall
        not exceed  500,000.  Shares issued under the Plan may be authorized and
        unissued shares of Common Stock or shares of Common Stock  reacquired by
        IHS.  All or any shares of Common  Stock  subject  to a stock  option or
        stock grant which for any reason are not issued or are reacquired  under
        the stock  option or stock  grant may again be made  subject  to a stock
        option or stock grant under the Plan.

4.      ADMINISTRATION OF THE PLAN

        (a)  Composition  of the  Committee or  Subcommittee.  The Plan shall be
        administered  by  the  Board  of  Directors  and/or  by a  committee  (a
        "Committee")  or a  subcommittee  (a  "Subcommittee")  of the  Board  of
        Directors, as appointed from time to time by the Board of Directors. Any
        such Subcommittee shall be composed of one or more directors of IHS (who
        may but  need  not be  members  of the  Committee).  Any  action  by the
        Subcommittee  shall be deemed for all purposes to have been taken by the
        Committee  and  all  references  in  this  Plan  or in an  Award  to the
        Committee shall include any Subcommittee  acting within the scope of its
        delegation  (with any references to the  Subcommittee  in this Section 4
        being for purposes of clarification and not so as to limit the authority
        of any  Subcommittee  under other  Sections  of the Plan).  The Board of
        Directors  shall fill  vacancies  on and from time to time may remove or
        add  members  to  the  Committee  or  Subcommittee.   The  Committee  or
        Subcommittee  shall have the  authority to make Awards under the Plan to
        Eligible Participants,  to determine all terms of such Awards, and/or to
        administer the Plan or any aspect of it. The Committee or Subcommittee

                                       2
<PAGE>

        shall act pursuant to a majority vote or unanimous written consent.  The
        Committee or  Subcommittee  may  designate the Secretary of IHS or other
        IHS employees to assist it in the  administration  of the Plan,  and may
        grant authority to such persons to execute agreements  evidencing Awards
        or  other  documents  entered  into  under  the  Plan on  behalf  of the
        Committee or Subcommittee or on behalf of the Corporation.  However, the
        Committee  or  Subcommittee  may  not  delegate  to  such  designee  the
        authority to determine which persons are Eligible  Participants or which
        Eligible Participants will receive Awards.

        (b) Powers of the  Committee  or  Subcommittee.  Subject to the  express
        provisions  of  the  Plan,  the  Committee  or  Subcommittee   shall  be
        authorized  and  empowered  to do all things  necessary  or desirable in
        connection  with the  administration  of the  Plan,  including,  without
        limitation:  (a) to prescribe,  amend and rescind rules  relating to the
        Plan and to define terms not otherwise defined herein;  (b) to prescribe
        the form of  documentation  used to evidence  any stock  option or stock
        grant  awarded  hereunder,  including  provision  for  such  terms as it
        considers necessary or desirable; (c) to establish and verify the extent
        of satisfaction of any conditions to exercisability  applicable to stock
        options  or to receipt or  vesting  of stock  grants;  (d) to  determine
        whether,  and the extent to which,  adjustments are required pursuant to
        Section 7 hereof;  and (e) to interpret and construe the Plan, any rules
        and regulations under the Plan and the terms and conditions of any stock
        option or stock grant awarded  hereunder,  and to make exceptions to any
        procedural  provisions  in  good  faith  and  for  the  benefit  of IHS.
        Notwithstanding any provision of the Plan, the Board of Directors may at
        any time  limit  the  authority  of the  Committee  or  Subcommittee  to
        administer the Plan.

        (c)  Determinations  of the Committee or  Subcommittee.  All  decisions,
        determinations  and  interpretations  by the  Committee or  Subcommittee
        regarding  the Plan,  any rules and  regulations  under the Plan and the
        terms  and  conditions  of any  stock  option  or  stock  grant  awarded
        hereunder,  shall be final and binding on all Eligible  Participants and
        holders of stock options and stock grants. The Committee or Subcommittee
        may consider such factors as it deems relevant, in its sole and absolute
        discretion, in making such decisions, determinations and interpretations
        including,  without  limitation,  the  recommendations  or advice of any
        officer  or  other  employee  of the  Corporation  and  such  attorneys,
        consultants and accountants as it may select.

5.      ELIGIBLE PARTICIPANTS

        Any person  who is an  employee  of the  Corporation,  a  director  of a
        Subsidiary  or  a  Consultant  of  the  Corporation  shall  be  eligible
        (together,  "Eligible  Participants")  for the  award of  stock  options
        and/or  stock  grants  hereunder  unless  the  grant of an Award to such
        person would require the Plan to be approved by the  stockholders of IHS
        under Rule 312.03(a) of the rules of the New York Stock Exchange.

6.      GRANT, TERMS AND CONDITIONS OF AWARDS

        (a) General Terms and Conditions. Stock options and stock grants awarded
        pursuant to the Plan will be evidenced by a written  agreement in a form
        approved by the Committee or

                                       3

<PAGE>


        Subcommittee,  which  need not be  identical.  In  addition,  each stock
        option and stock grant shall be subject to the  following  general terms
        and conditions:

             (1) Terms and Restrictions Upon Shares. The Committee may (but need
             not) provide  that the shares of Common Stock issued upon  exercise
             of a stock  option or receipt of a stock  grant shall be subject to
             such  further   conditions,   restrictions  or  agreements  as  the
             Committee in its  discretion  may specify  prior to the exercise of
             such stock option or receipt of such stock grant, including without
             limitation,   deferrals  on  issuance,  conditions  on  vesting  or
             transferability,  and  forfeiture  or  repurchase  provisions.  The
             Committee may establish  rules for the deferred  delivery of Common
             Stock upon  exercise of a stock  option or receipt of a stock grant
             with the deferral evidenced by use of "Stock Units" equal in number
             to the  number  of  shares of Common  Stock  whose  delivery  is so
             deferred.  A "Stock Unit" is a bookkeeping  entry  representing  an
             amount  equivalent  to the Fair Market Value of one share of Common
             Stock.  Stock Units represent an unfunded and unsecured  obligation
             of the  Corporation  except as  otherwise  provided by the Board of
             Directors.  Settlement  of  Stock  Units  upon  expiration  of  the
             deferral  period  shall be made in  Common  Stock or  otherwise  as
             determined by the Committee.  The amount of Common Stock,  or other
             settlement  medium,  to be so  distributed  may be  increased by an
             interest factor or by dividend  equivalents.  Until a Stock Unit is
             settled,  the  number of shares of Common  Stock  represented  by a
             Stock Unit shall be subject to adjustment pursuant to Section 7.

             (2) Adequate Consideration. To the extent prohibited by Section 152
             of the Delaware  General  Corporation  Law, stock options and stock
             grants may not be awarded in consideration  of future services.  In
             addition,  the  consideration for any stock grant shall not be less
             than the par value of the Common Stock to be awarded.

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

             (4) Other  Terms  and  Conditions.  No holder of a stock  option or
             stock grant shall have any rights as a stockholder  with respect to
             any shares of Common Stock subject to a stock option or stock grant
             hereunder  until said shares have been  issued.  Stock  options and
             stock grants may also contain  such other  provisions, 

                                       4

<PAGE>



             which shall not be inconsistent with any of the foregoing terms, as
             the Committee shall deem appropriate.

        (b) Stock Option Price.  The exercise  price for each stock option shall
        be established  by the  Committee.  The exercise price shall not be less
        than  the Fair  Market  Value of the  stock  on the date of  grant.  The
        exercise  price  shall  be paid in full  at the  time of  exercise.  The
        exercise price shall be payable in cash, by payment under an arrangement
        with a broker where payment is made pursuant to an irrevocable direction
        to the broker to deliver  all or part of the  proceeds  from the sale of
        the option  shares to the  Corporation,  by the  surrender  of shares of
        Common Stock owned by the option holder exercising the option and having
        a Fair Market Value on the date of exercise  equal to the exercise price
        but  only if  such  will  not  result  in an  accounting  charge  to the
        Corporation, or by any combination of the foregoing.

        (c)  Transferability  of  Option.   Unless  otherwise  provided  by  the
        Committee,  each stock option shall be transferable  only by will or the
        laws of descent and distribution.

        (d) Stock Grant Terms.  Subject to Section  6(a)(2),  stock grants under
        the Plan may, in the sole discretion of the Committee,  but need not, be
        conditioned upon the Eligible Participant paying cash or cash-equivalent
        consideration or agreeing to forego other compensation for the shares of
        Common Stock covered by the stock grant. Stock grants under the Plan may
        be subject to such  conditions,  restrictions  or other vesting terms as
        are established in the sole discretion of the Committee. The conditions,
        restrictions  or vesting  terms may be  contingent  upon the  passage of
        time,  continued  service or  achievement  of  Corporation or individual
        performance goals, as specified by the Committee.

7.      ADJUSTMENT OF AND CHANGES IN SECURITIES

        (a) If the  outstanding  securities of the class(es) then subject to the
        Plan are  increased,  decreased or exchanged for or converted into cash,
        property or a different number or kind of shares or other securities, or
        if cash,  property  or shares or other  securities  are  distributed  in
        respect of such outstanding securities,  in either case as a result of a
        reorganization,   reclassification,  dividend  (other  than  a  regular,
        quarterly cash  dividend) or other  distribution,  stock split,  reverse
        stock  split,  spin-off  or the  like,  or if  substantially  all of the
        property and assets of the Corporation are sold, then,  unless the terms
        of such transaction shall provide otherwise, the maximum number and type
        of shares or other  securities  that may be subject to Awards  under the
        Plan shall be appropriately  adjusted.  The Committee shall determine in
        its sole discretion the appropriate  adjustment to be effected  pursuant
        to the immediately  preceding sentence.  In addition, in connection with
        any such change in the class(es) of securities then subject to the Plan,
        the Committee may make appropriate and proportionate  adjustments in the
        number and type of shares or other  securities or cash or other property
        that  may be  acquired  pursuant  to  stock  options  and  stock  grants
        theretofore  awarded  under  the  Plan  and the  exercise  price of such
        options or price of such stock grants.

        (b) No  right  to  purchase  fractional  shares  or  fractions  of other
        securities  shall result from any  adjustment  in stock options or stock
        grants pursuant to this Section. In case of any such

                                       5

<PAGE>



        adjustment,  the shares or other securities  subject to the stock option
        or stock  grant  shall be rounded  down to the  nearest  whole  share of
        Common Stock or equivalent other security, as the case may be.

8.      COMPLIANCE WITH OTHER LAWS AND REGULATIONS

        The  Plan,  the  grant  and  exercise  of  Awards  thereunder,  and  the
        obligation of IHS to sell, issue or deliver shares of Common Stock under
        such  Awards,  shall be subject  to all  applicable  federal,  state and
        foreign  laws,  rules  and  regulations  and to  such  approvals  by any
        governmental or regulatory  agency as may be required.  IHS shall not be
        required  to  register in the name of the holder of the Award or deliver
        any  shares of Common  Stock if in the  opinion  of the  Committee  such
        action would  violate any  applicable  federal,  state or foreign  laws,
        rules or  regulations  of requires as a condition  any  approvals by any
        governmental  or  regulatory  agency  which  have not  theretofore  been
        obtained.  IHS  shall not be  required  to  register  in the name of the
        holder of the Award or deliver any shares of Common Stock under the Plan
        or  any  Award  prior  to  the   completion  of  any   registration   or
        qualification of such shares under any federal,  state or foreign law or
        any ruling or  regulation  of any  government  body which the  Committee
        shall, in its sole discretion, determine to be necessary or advisable.

        Without limiting the foregoing, IHS shall not be required to register in
        the name of the  holder of the  Award or  deliver  any  shares of Common
        Stock under the Plan or any Award unless (i) the Eligible Participant or
        other person in whose name such shares are to be  registered  or to whom
        such shares are to be delivered is an  "employee"  or other person as to
        whom  offers  and  sales  of  securities  can be  registered  under  the
        Securities  Act of 1933 on a Form  S-8,  (ii)  the  Company  at the time
        qualifies  for use of Form S-8, and (iii) a Form S-8 covering such offer
        and/or sales has been filed and is effective.  The Corporation  shall be
        under no obligation to file a registration statement covering offers and
        sales under the Plan other than as described in the preceding  sentence.
        In the absence of  registration  on Form S-8, IHS may in its  discretion
        rely on the  availability  of an exemption from  registration  under the
        Securities  Act of 1933 and any  other  applicable  federal,  state  and
        foreign law for the offer,  sale and  delivery of shares of Common Stock
        under  the Plan or any  Award,  provided  that in any such  case IHS may
        condition the offer, sale or delivery of shares of Common Stock upon the
        Eligible Participant or other person in whose name such shares are to be
        registered  or to whom such  shares  are to be  delivered  upon (i) such
        person  providing  IHS in writing  representations  and  warranties  and
        requested   by  the   Committee,   including   but  not   limited  to  a
        representation  that such person is acquiring such shares for his or her
        own  account  for  investment  and not  with a view  to,  or for sale in
        connection with, the distribution of any part thereof,  that such person
        is a sophisticated investor and that such person has had the opportunity
        to  review  relevant  financial  and  other  information  regarding  the
        Corporation, (ii) the certificates representing such shares bearing such
        legends as the Committee may deem  necessary or  appropriate,  and (iii)
        the  Company  receiving  a legal  opinion  from  such  person  as to the
        availability of any such exemption.

                                       6

<PAGE>



9.      TAX WITHHOLDING

        To the extent required by applicable  federal,  state,  local or foreign
        law,  an  Eligible   Participant  or  holder  of  an  Award  shall  make
        arrangements  satisfactory to the Committee for the  satisfaction of any
        withholding  tax  obligations  that arise by reason of any  issuance  of
        shares under the Plan.  The  Corporation  shall not be required to issue
        shares of Common Stock or to recognize  the  disposition  of such shares
        until such  obligations  are  satisfied.  The Committee may permit these
        obligations  to be satisfied by any means  permitted  under Section 6(b)
        for the payment of the exercise price of a stock option.

10.     AWARDS BY SUBSIDIARIES

        In the case of an Award to any  Eligible  Participant  of a  Subsidiary,
        such Award may, if the  Committee  so  directs,  be  implemented  by IHS
        issuing  any  subject  shares  to  the   Subsidiary,   for  such  lawful
        consideration  as the  Committee  may  determine,  upon the condition or
        understanding that the Subsidiary will transfer the shares to the holder
        of the Award in accordance  with the terms of the Award specified by the
        Committee  pursuant to the provisions of the Plan.  Notwithstanding  any
        other provision  hereof,  such Award may be issued by and in the name of
        the Subsidiary and shall be deemed granted on such date as the Committee
        shall determine.

11.     EFFECTIVE DATE, AMENDMENT AND TERMINATION OF PLAN

        This Plan  shall  become  effective  upon its  approval  by the Board of
        Directors.  Unless  earlier  suspended  or  terminated  by the  Board of
        Directors,  or  extended as provided  below,  no stock  options or stock
        grants may be awarded after the tenth  anniversary of the effective date
        of the Plan.  The Board of Directors or the  Committee  may from time to
        time extend the effective term of the Plan and otherwise  amend the Plan
        as determined  appropriate,  without action by the  stockholders  of IHS
        except to the extent required by applicable law.  References in the Plan
        and in writings  evidencing  and setting the terms of Awards which refer
        to the Code or other applicable law shall also be deemed to refer to any
        applicable  successor  provisions thereof unless otherwise determined by
        the Committee.  The Plan may be earlier  terminated at such earlier time
        as the Board of Directors may determine.

12.     APPLICABLE LAW AND FORUM

        This Plan and any rights hereunder shall be interpreted and construed in
        accordance with the laws of the State of Delaware and applicable federal
        law. Any claim, dispute or other matter in question of any kind relating
        to the  Plan or any  Award  shall  be  brought  only in the  appropriate
        federal  or  state  court  located  within  or with  closest  geographic
        proximity to the principal executive offices of IHS.


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